Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia

Addressing mental health needs is a central focus of the Colombian Government's framework for socio-political reconstruction following over 60 years of conflict. Informed by WHO standards, country efforts utilise biopsychosocial models that prioritise individual psychological and psychiatric co...

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Main Authors: Burgess, Rochelle Ann, Fonseca, Laura
Format: Article
Published: Informa UK Limited 2019
Subjects:
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author Burgess, Rochelle Ann
Fonseca, Laura
author_facet Burgess, Rochelle Ann
Fonseca, Laura
author_sort Burgess, Rochelle Ann
collection LMU
description Addressing mental health needs is a central focus of the Colombian Government's framework for socio-political reconstruction following over 60 years of conflict. Informed by WHO standards, country efforts utilise biopsychosocial models that prioritise individual psychological and psychiatric conditions. However, increasing scrutiny of the deployment of Western approaches to mental health and recovery in the global south suggests a need to explore the best route to improving mental health outcomes. Our research contributes to these debates through a qualitative study of local understandings of mental health recovery related concepts among internally displaced persons in Colombia. Analysis of focus groups with 40 internally displaced men and women established definitions for emotional distress and recovery as parallel processes linked to the fracture and rebuilding of social worlds and family life. Definitions were shaped heavily by cultural, political, economic and legal contexts of everyday survival, often linked to experiences of structural and symbolic forms of violence. We conclude that a locally informed mental health recovery model that stretches beyond individual experiences of mental ill-health to promote ideas of collective social change would be best suited to addressing mental health needs of internally displaced groups in Colombia. Implications for practice are discussed.
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spelling oai:repository.londonmet.ac.uk:51532020-02-13T16:30:52Z http://repository.londonmet.ac.uk/5153/ Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia Burgess, Rochelle Ann Fonseca, Laura 360 Social problems & services; associations Addressing mental health needs is a central focus of the Colombian Government's framework for socio-political reconstruction following over 60 years of conflict. Informed by WHO standards, country efforts utilise biopsychosocial models that prioritise individual psychological and psychiatric conditions. However, increasing scrutiny of the deployment of Western approaches to mental health and recovery in the global south suggests a need to explore the best route to improving mental health outcomes. Our research contributes to these debates through a qualitative study of local understandings of mental health recovery related concepts among internally displaced persons in Colombia. Analysis of focus groups with 40 internally displaced men and women established definitions for emotional distress and recovery as parallel processes linked to the fracture and rebuilding of social worlds and family life. Definitions were shaped heavily by cultural, political, economic and legal contexts of everyday survival, often linked to experiences of structural and symbolic forms of violence. We conclude that a locally informed mental health recovery model that stretches beyond individual experiences of mental ill-health to promote ideas of collective social change would be best suited to addressing mental health needs of internally displaced groups in Colombia. Implications for practice are discussed. Informa UK Limited 2019-09-17 Article PeerReviewed Burgess, Rochelle Ann and Fonseca, Laura (2019) Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia. Global Public Health, 15 (2). pp. 200-219. ISSN 1744-1706 10.1080/17441692.2019.1663547
spellingShingle 360 Social problems & services; associations
Burgess, Rochelle Ann
Fonseca, Laura
Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia
title Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia
title_full Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia
title_fullStr Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia
title_full_unstemmed Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia
title_short Re-thinking recovery in post-conflict settings: supporting the mental well-being of communities in Colombia
title_sort re thinking recovery in post conflict settings supporting the mental well being of communities in colombia
topic 360 Social problems & services; associations
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AT fonsecalaura rethinkingrecoveryinpostconflictsettingssupportingthementalwellbeingofcommunitiesincolombia