Integrated Recovery Program for the Community and

Schools Affected by Tsunami

Dr. Subhasis BhadraDirector - Disaster Mental Health India

Delegation5th Feb 2008

At, Kanyakumari, Tmilnadu,

Presentation will cover

• The Coverage of intervention• PSP and IFRC recommendations• PSP as the base of integrated recovery

program• School Intervention• Community Intervention• MHPSS guidelines in Practice

The Coverage of intervention:

The area of intervention:40 schools and communities

through the costal line in the secondary affected villages of Kanyakumari district spread over 65 KM in three Talukas:– Agastheewaram– Kalkulam– Vilanvancode

Why PSP???• Attachment, familiarity and identity is

severely threatened by a disaster and displacement.

• A connection between individuals and intimate environment, allow to identify a place as “good enough” to live.

• Facilitate a “sense of place” (Fullilove MT., (1996), Psychiatric implication of

displacement, Contribution from psychology of Place, AJP)

IFRC recommendation for PSP

• Consider making psychosocial support programmes a core area for the International Federation in recovery; encourage mutual support for psychosocial support programmes among National Societies from the same region.(page 21, Recommendations, Health: Review of International Federation of Red Cross and Red Crescent Societies recovery operations)

IFRC recommendation for PSP

• The aim of health programmes is to address issues related to basic health,…ongoing longer-term assistance in the areas of psychosocial support will be provided both for the affected community and for humanitarian workers.(page 28, Responding to the Asia earthquake and tsunamis, Regional Stratagy 2 2006-2010, International Federation of Red Cross and Red Crescent Societies )

PSP as the base of integrated recovery program

PSP as the base of integrated recovery program

- Community owned process and community driven process of recovery

- Community participatory process is ensured.

CommunityMobilization

Physical, Psychological

& SocialRebuilding

RootShock

Focus on psychological,social and cultural needs

Focus on trust, leadership,networking

Disaster recovery is based on Erickson’s stages of development

Focus on ownership,feeling of being settled

Community mapping

Identification of language of distress

Home visits, interaction

Community mobilization

PSP in Integrated Programming

Psychosocial platform with

components of behavioral and

community health impacting

individuals, families and communities

STRATEGIES INTERVENTIONS COMMUNITY & SCHOOL ACTIVITIES

OUTPUTSIMPACTS

PLANNING

• Community participation

• Community ownership

• Capacity building• Development of

contextualized materials

• Increased community trust and cohesion

• Strengthened human capital• Community acquires

knowledge practice & skills

Physically, MentallyHealthier AndBetter PreparedCommunity

• Improved hygiene practices

• Increased mutual support and networking

• Fostered positive attitude towards the future

• Non – formal school• Functional

community centers• Environmental

activities

• Identification of human capital

• Life skills education• Hygiene practices• Nutrition

• Health fairs

Community members self – select to become community facilitators

School intervention

Three concept of school intervention

Child friendly

Child centeredSafe school

Interventions1. Health Check-ups for the students (with

coordination of Health Department)2. Hygiene and sanitation promotion3. Fortified snacks and De-worming tablets4. Development of fine and motor skills.5. School Mapping exercise,

organizing school committee and safe school initiatives.

Interventions6. Ensuring provision of First Aid in the school.7. School beautification and clean up activities.8. Tutoring for the children in the morning/

afternoon/evening.9. Increase in knowledge among parents about

child friendly educational techniques.10. School ‘mela’ (fair)

Community intervention

Community Based First Aid (CBFA) in Action and PFA

intervention• Community Based

First Aid in Action and Psychological First Aid Training

• Community Health Action Plan and Activities

• Mosquito bed net distribution and activities

• Public Health In Emergency

Activities for Hygiene and sanitation promotion

• Promotion of Hygiene and sanitation

• Promotion of hand Washing

• Safe handling to drinking water

Activities for Sense of Place • Identification,

prioritization of needs through community participatory approach

• Planning, identification of resources and implementation of sense of place activities.

• Networking with Government and others organizations

Community Wide Information Sharing Intervention

• Community and school mela

• Community radio

Capacity Building Intervention

• Operational training for the volunteers and teachers

• Capacity building of IRCS Staffs

• Development of materials and distribution

MHPSS guidelines in Practice

Community-Based Psychosocial Programming

• Families and communities have resources for psychosocial support that programs should build upon and strengthen.

• Program design and implementation are community owned, participatory, and based on local knowledge and resources.

• Emphasis is on community empowerment and collective planning and action.

• Linkage of emotional support and rehabilitation with physical, economic, and political reconstruction and with diverse service providers.

Assessment,monitoring &

evaluation

Humanresources

Coordination

Protection &human rights

standards

Health

Community Mobilization

Dissemination of Information

Education

Adapted from: Inter-Agency Standing Committee (IASC) (2007). IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva: IASC

Core Areas, Cross-cutting themes & Social Considerations

Water & SanitationFood Security

Shelter & SitePlanning

•Strengthened Local Resources

•Improved Psycho-social

Well-being•Better-Prepared

Communities

IMPACT

Capacity Building and utilization of Local

Resources

Collaboration with authorities &

other relevant actors

Contextual Interventions in a

timely fashion

Community led program with inclusive

approachIMPLEMENTATION

Four C’s of CommunityBased Programs

Material Development

Non-Verbal tool: A tool for community

development

Non-Verbal tool: Disaster risk

reduction for CF

Guidelines on mental health and Psychosocial support

Healthier and safer communities:

Integrated program Technicians Manual

Operational Training Multifold

IPS IPT CF

Lets go and see in the field:

5 Communities will be visited(on 5th Feb 2008)

4 schools will be visited(on 6th Feb 2008)