Gray Brandon, Eaton Julian, Christy Jayakumar, Duncan Joshua, Hanna Fahmy, Kasi Sekar
Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland.
CBM Global, and Assistant Professor, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Int J Disaster Risk Reduct. 2021 Feb 15;54:102051. doi: 10.1016/j.ijdrr.2021.102051.
Natural disasters and humanitarian emergencies exert devastating impacts globally. Among these effects are disruptions in mental health and psychosocial well-being. Traditionally, mental health and psychosocial support (MHPSS) interventions have been implemented in response and recovery phases. Yet, the field of disaster management has demonstrated a shift towards disaster risk reduction (DRR). The degree to which the MHPSS field has followed this trend has been limited by several factors, including a lack of consensus-based guidance for MHPSS and DRR integration. However, examples from the field exist and demonstrate the feasibility of taking proactive approaches to supporting mental health and well-being and building better before emergencies occur. The following article outlines two case examples, one project in Sierra Leone and another in India, integrating MHPSS and DRR approaches and principles. Lessons learned from these cases and specific challenges in each context are highlighted and discussed.
自然灾害和人道主义紧急情况在全球范围内造成了毁灭性影响。其中包括对心理健康和社会心理福祉的破坏。传统上,心理健康和社会心理支持(MHPSS)干预措施是在应对和恢复阶段实施的。然而,灾害管理领域已显示出向减少灾害风险(DRR)的转变。MHPSS领域遵循这一趋势的程度受到几个因素的限制,包括缺乏基于共识的MHPSS与DRR整合指南。然而,该领域存在一些实例,表明在紧急情况发生之前采取积极主动的方法来支持心理健康和福祉以及进行更好的建设是可行的。以下文章概述了两个案例,一个是塞拉利昂的项目,另一个是印度的项目,它们整合了MHPSS和DRR方法及原则。文中突出并讨论了从这些案例中吸取的经验教训以及每个案例中的具体挑战。