Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response

Background Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in...

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Main Authors: C. Contreras, M. Aguilar, B. Eappen, C. Guzmán, P. Carrasco, A. K. Millones, J. T. Galea
Format: Article
Language:English
Published: Cambridge University Press 2018-01-01
Series:Cambridge Prisms: Global Mental Health
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2054425117000334/type/journal_article
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author C. Contreras
M. Aguilar
B. Eappen
C. Guzmán
P. Carrasco
A. K. Millones
J. T. Galea
author_facet C. Contreras
M. Aguilar
B. Eappen
C. Guzmán
P. Carrasco
A. K. Millones
J. T. Galea
author_sort C. Contreras
collection DOAJ
description Background Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017. Methods Two informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services. Results A total of 129 people were screened across both conditions, of whom 12/116 (10%) presented with depression and 21/58 (36%) reported domestic violence. 27 unique individuals were identified with at least one problem. Thirteen people (48%) initially accepted CHW accompaniment to government-provided services. Conclusions This intervention provides a model for a small-scale response to disasters that can effectively and acceptably identify individuals in need of mental health services and link them to a health system that may otherwise remain inaccessible.
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spelling doaj.art-76c551d4f0494557b2ab593af2acac3b2023-03-09T12:35:37ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512018-01-01510.1017/gmh.2017.33Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster responseC. Contreras0M. Aguilar1B. Eappen2C. Guzmán3P. Carrasco4A. K. Millones5J. T. Galea6Socios En Salud, Lima, PeruSocios En Salud, Lima, PeruSocios En Salud, Lima, PeruSocios En Salud, Lima, PeruSocios En Salud, Lima, PeruSocios En Salud, Lima, PeruSocios En Salud, Lima, Peru Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA Background Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017. Methods Two informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services. Results A total of 129 people were screened across both conditions, of whom 12/116 (10%) presented with depression and 21/58 (36%) reported domestic violence. 27 unique individuals were identified with at least one problem. Thirteen people (48%) initially accepted CHW accompaniment to government-provided services. Conclusions This intervention provides a model for a small-scale response to disasters that can effectively and acceptably identify individuals in need of mental health services and link them to a health system that may otherwise remain inaccessible. https://www.cambridge.org/core/product/identifier/S2054425117000334/type/journal_articleDisasterfloodinterventionsmental healthmental health accompaniment
spellingShingle C. Contreras
M. Aguilar
B. Eappen
C. Guzmán
P. Carrasco
A. K. Millones
J. T. Galea
Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response
Cambridge Prisms: Global Mental Health
Disaster
flood
interventions
mental health
mental health accompaniment
title Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response
title_full Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response
title_fullStr Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response
title_full_unstemmed Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response
title_short Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response
title_sort community strengthening and mental health system linking after flooding in two informal human settlements in peru a model for small scale disaster response
topic Disaster
flood
interventions
mental health
mental health accompaniment
url https://www.cambridge.org/core/product/identifier/S2054425117000334/type/journal_article
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