Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda

Recently, discussions have considered how mental health and psychosocial support (MHPSS) can build upon local resilience in war-affected settings. To contribute to the knowledge in this field, the paper explored the gap between MHPSS and local communities in terms of perceived mental health problems...

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Main Author: Yuko Otake
Format: Article
Language:English
Published: MDPI AG 2018-10-01
Series:Medical Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3271/6/4/94
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author Yuko Otake
author_facet Yuko Otake
author_sort Yuko Otake
collection DOAJ
description Recently, discussions have considered how mental health and psychosocial support (MHPSS) can build upon local resilience in war-affected settings. To contribute to the knowledge in this field, the paper explored the gap between MHPSS and local communities in terms of perceived mental health problems and healing processes, and how the gap could be filled. Qualitative research was conducted in northern Rwanda with 43 participants between 2015 and 2016. Findings revealed how three particular gaps can isolate MHPSS recipients in their local community. First, whereas MHPSS applies bio-psychological frameworks to post-genocide mental health, community conceptualisations emphasise social aspects of suffering. Second, unlike MHPSS which encourages ‘talking’ about trauma, ‘practicing’ mutual support plays a major role in the community healing process. Third, MHPSS focuses on one part of the community (those who share the same background) and facilitates their healing in intervention groups. However, healing in natural communities continues in everyday life, through mutual support among different people. Despite these gaps, MHPSS recipients can be (re)integrated into the community through sharing suffering narratives and sharing life with other community members. The paper highlights the ways in which MHPSS could inclusively support different social groups in the overall geographical community, allowing members to preserve the existing reciprocity and recover collective life through their own initiatives.
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spelling doaj.art-ed84a4dcb45d4546b7e30c757af2ea692022-12-21T20:05:03ZengMDPI AGMedical Sciences2076-32712018-10-01649410.3390/medsci6040094medsci6040094Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern RwandaYuko Otake0School of Anthropology & Museum Ethnography, University of Oxford, Oxford OX2 6PE, UKRecently, discussions have considered how mental health and psychosocial support (MHPSS) can build upon local resilience in war-affected settings. To contribute to the knowledge in this field, the paper explored the gap between MHPSS and local communities in terms of perceived mental health problems and healing processes, and how the gap could be filled. Qualitative research was conducted in northern Rwanda with 43 participants between 2015 and 2016. Findings revealed how three particular gaps can isolate MHPSS recipients in their local community. First, whereas MHPSS applies bio-psychological frameworks to post-genocide mental health, community conceptualisations emphasise social aspects of suffering. Second, unlike MHPSS which encourages ‘talking’ about trauma, ‘practicing’ mutual support plays a major role in the community healing process. Third, MHPSS focuses on one part of the community (those who share the same background) and facilitates their healing in intervention groups. However, healing in natural communities continues in everyday life, through mutual support among different people. Despite these gaps, MHPSS recipients can be (re)integrated into the community through sharing suffering narratives and sharing life with other community members. The paper highlights the ways in which MHPSS could inclusively support different social groups in the overall geographical community, allowing members to preserve the existing reciprocity and recover collective life through their own initiatives.https://www.mdpi.com/2076-3271/6/4/94Rwandaresiliencewellbeingreconciliationmental health and psychosocial support
spellingShingle Yuko Otake
Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda
Medical Sciences
Rwanda
resilience
wellbeing
reconciliation
mental health and psychosocial support
title Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda
title_full Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda
title_fullStr Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda
title_full_unstemmed Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda
title_short Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda
title_sort community resilience and long term impacts of mental health and psychosocial support in northern rwanda
topic Rwanda
resilience
wellbeing
reconciliation
mental health and psychosocial support
url https://www.mdpi.com/2076-3271/6/4/94
work_keys_str_mv AT yukootake communityresilienceandlongtermimpactsofmentalhealthandpsychosocialsupportinnorthernrwanda