Supprting Psychscial Health and Resilience in Liberia Japanese Scial Develpment Fund The Wrld Bank 4 March, 2015
Summary Cntext Mental Heath and Psychscial Impact f EVD Prject Overview Prject Objectives Target Cmmunities Beneficiaries Implementatin Arrangements Prject Cmpnents Respnding t the Intermediate Psychscial/ Mental Health Impact f EVD Building Lng-Term Psychscial Health and Resilience Cmmunity-Based Apprach Expected Outcmes
Psychscial and Mental Health Impact f EVD Crisis Individual-level impacts: heightened anxiety and stress and increased sadness and grief Negative cping behavirs Limited sense f agency r self-efficacy Hpelessness abut future Cmmunity-level impacts: stigmatizatin f survivrs and families f victims and heightened fear and suspicin Mistrust f frmal institutins Reduced scial chesin Lack f cllective efficacy
Prject Overview Prject Objective: Respnd t the intermediate psychscial and mental health impact f the EVD crisis and t build lng-term psychscial health and resilience Target Areas: 300 cmmunities in Mntserrad and Margibi cunties Beneficiaries: Estimated t be apprximately 19,000 and 50% f health centers in cunties
Implementatin Arrangements The Carter Center (TCC) will be the prject implementing agency. Internatinal nn-gvernmental rganizatin with a 30-year presence in Liberia Trained ver 150 mental health clinicians (MHCs) and implemented cmmunity-based prjects TCC Liberia will implement, manage, and evaluate prject activities TCC will wrk clsely with partners and stakehlders during implementatin: Gvernment Natinal level: MOHSW and MOGCSP Sub-natinal level: Cunty Health and Scial Welfare Teams Prfessinal assciatins Cmmunity leaders Beneficiaries The Wrld Bank prject team will versee implementatin and engage with ther develpment partners.
Cmpnent 1 Cmpnent 1: Supprting intermediate Psychscial and Mental Health Impact f EVD Crisis Draws n lessns learned frm previus psychscial respnses t EVD utbreaks in Demcratic Republic f Cng and Uganda. Lessns emphasized: Imprtance f preventing burnut and mental distress Rle f fear and stigma in perpetuating utbreaks and weakening scial chesin Imprtance f training existing prviders n psychlgical first aid Activities under Cmpnent 1 develped t be mindful f these lessns
Cmpnent 1: Interventins and Capacity Building Psychscial interventins aimed at first respnders, ther individuals directly affected by the EVD crisis, and cmmunity as a whle. Individual-level interventins: Individual and grup cunseling Supprt grups Cmmunity-level interventins: Cmmunity dialgues Anti-stigma activities Establishment f referral mechanism Capacity building and training t strengthen prvider skills and knwledge
Cmpnent 2 Cmpnent 2: Building Lng-Term Psychscial Health and Resilience at the Individual and Cmmunity Level Draws n current literature n resilience: Resilience refers t gd mental health and develpmental utcmes at individual and cmmunity level despite expsure t significant adversity Prtective factrs (i.e. psitive relatinships, avided expsure t vilence, supprtive envirnment) build resilience Activities under Cmpnent 2 will strengthen and build these prtective factrs.
Cmpnent 2: Interventins and Capacity Building Individual- and cmmunity-level psychscial interventins expanded t general cmmunity, with specific fcus n wmen, victims f GBV, and children. Implementatin f wmen s health tlkit Cntinued capacity building fr existing prviders. Training fr a new cadre f Child Mental Health Clinicians (CMHCs): Will fcus n psychscial issues specific t children and adlescents T be deplyed t 60 schls in targeted cmmunities
Cmmunity-Based Apprach Prject will use a cmmunity-based apprach t address mental health and psychscial impact f EVD and t build lng-term resilience at individual and cmmunity level Fllws glbal shift in apprach frm highly centralized mental health spending n perating csts f institutins t decentralized spending fr cmmunity-based mdels f care Munting evidence frm lw- and middle-incme cuntries shws that cmmunity-based appraches are: Cst-effective Efficient Apprpriate t cntext Apprach is in line with MOHSW s Natinal Mental Health Plicy and the Psychscial Pillar f the the EVD respnse.
Expected Outcmes Increased levels f cmpetence, skills and cnfidence amng prviders Decreased depressin pst-traumatic stress disrder (PTSD), and disability amng prject beneficiaries Decreased stigma against Ebla-affected individual/husehlds Increased levels f trust at the cmmunity level
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