Reports, Studies, Reviews and Research

Mental Health and Psychosocial Support in Humanitarian Settings: Linking practice and research

small calendar icon

Publication year:

2011

small globe icon

English

small file information icon

Format:

small number of pages icon

Publisher:

The Lancet

This review links practice, funding, and evidence for interventions for mental health and psychosocial wellbeing in humanitarian settings. We studied practice by reviewing reports of mental health and psychosocial support activities (2007–10); funding by analysis of the financial tracking service and the creditor reporting system (2007–09); and interventions by systematic review and meta-analysis. In 160 reports, the five most commonly-reported activities were basic counselling for individuals (39%); facilitation of community support of vulnerable individuals (23%); provision of child-friendly spaces (21%); support of community-initiated social support (21%); and basic counselling for groups and families (20%). Most interventions took place and were funded outside national mental health and protection systems.

Two studies showed promising effects for strengthening community and family supports. Psychosocial wellbeing was not included as an outcome in the meta-analysis, because its definition varied across studies. In adults with symptoms of post-traumatic stress disorder (PTSD), meta-analysis of seven RCTs showed beneficial effects for several interventions (psychotherapy and psychosocial supports) compared with usual care or waiting list (standardised mean difference [SMD] –0·38, 95% CI –0·55 to –0·20). In children, meta-analysis of four RCTs failed to show an effect for symptoms of PTSD (–0·36, –0·83 to 0·10), but showed a beneficial effect of interventions (group psychotherapy, school-based support, and other psychosocial support) for internalising symptoms (six RCTs; SMD –0·24, –0·40 to –0·09). Overall, research and evidence focuses on interventions that are infrequently implemented, whereas the most commonly used interventions have had little rigorous scrutiny. 

SubscribeSubscribe and receive reading selections

LibrarySave all your favorite materials for future use

UploadUpload research & contribute to the collection

By browsing the Resource Centre you are agreeing to our use of cookies. Read our cookie policy.