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Table 1 Overview of interventions

From: Development of a multi-layered psychosocial care system for children in areas of political violence

Public mental health model Primary objective Module Specific objective Intervention modality Personnel Level of training (indicative)
Tier 1: Primary prevention Strengthening Community Resilience Youth groups (Resilience Groups) • Reduce stigmatization Group activities   
    • Secondary screening    
    • Increasing social support    
    • Strengthening of resilience • Normalization    
   Community awareness raising • Provide information on CTP Group psycho-sessions with: Community 2 weeks
    • Raise awareness on general psychosocial issues -Teachers Psychosocial Workers  
    • Raise awareness on community and/or target population- specific topics - Parents   
    • Mobilization of existing resources and roles - Community groups   
   Community Mobilization • Utilization of existing community resources Case-management   
Tier 2: Secondary prevention Care for children at risk for developing more severe problems CBI • Reduce psychosocial distress to sub-threshold Classroom-based group sessions CBI Facilitators 10-12 days (with subsequent regular 4-day booster courses)
    • Reduce risk of mal-adaptation • Facilitate resilience and normalcy    
   Parent/Family Intervention • Support child-parent relationship • Child rearing support Home visits or family sessions Counsellors 4-6 months
Tier 3: Tertiary prevention Advanced care for children with severe distress Counselling • Care for children with more severe problems Individual or group counselling Case-management   
   Referral to external services • Specialized care (formal and informal) for severe problems    
Tiers 1, 2 and 3 Improving access to, and quality of, care system Monitoring and Evaluation • Determine reached population Questionnaires Service providers and beneficiaries n.a.
    • Evaluation of services    
    • Provide overview of results    
   Screening • Detection of indication for treatment Child Psychosocial Distress Screener CBI facilitators/Community psychosocial workers 2 days
   Clinical Supervision • Continued learning • Clinical support through case discussions Group inter-vision meetings Mental health professional (incl. experienced counsellors) Significant clinical experience
    • Support to service providers    
    • Project implementation issues    
  1. Note. Counselling is here presented as a tertiary intervention, but as is represented in figure 1, it can also serve as a secondary prevention intervention.