SPECIAL SECTION

Abstract: This article aims to promote the integration of mental health and psychosocial support into livelihood programmes, presenting existing research within behavioural economics, humanitarian and economic fields that support the need and effectiveness of such integration.

Abstract: The field of mental health and psychosocial support (MHPSS) in emergencies has been slow to engage with the growing global policy consensus around disaster risk reduction (DRR) as embodied by the Hyogo Framework for Action and its successor, the Sendai Framework for Disaster Risk Reduction. However, there are encouraging recent efforts to harness the synergies that exist between the fields of DRR and MHPSS.

Abstract: This article examines the efforts of the International Organization for Migration to mainstream mental health and psychosocial considerations into camp coordination and camp management, through capacity building and provision of direct psychosocial support.

Abstract: A multi-layered approach to mental health and psychosocial support in emergencies includes the integration of psychosocial approaches into sectors with primary aims other than the enhancement of mental health and psychosocial support.

This personal reflection is based on the author's experiences, a native Liberian, in her country at the beginning of the 2014 Ebola epidemic. It includes her account of events as Ebola cases and related deaths began to rise and the response appeared inadequate. Examples are presented where a robust psychosocial and mental health response was critically required, but most often lacking.

While the international community remains concerned and focused on the potential spread of Ebola out of Africa, the author states that they also frequently ignore the deep psychological pain that the measures implemented to combat the disease are causing within impacted communities, as do the national authorities.

Sierra Leone is currently going through the worst Ebola epidemic on record, creating anxiety and anxiety related, somatic symptoms. Additionally, increased psychiatric morbidity could be expected as a result of the adverse social and psychological consequences of the epidemic, exposing the country's weak, poorly resourced mental health services and highlighting the need for psychosocial interventions and development of psychiatric interventions.

This field report summarises the experience and lessons learnt by the author, who was deployed as an International Federation of Red Cross and Red Crescent Societies psychosocial delegate to Liberia for the Ebola Virus Disease outbreak in July and August 2014. Psychosocial issues encountered in the field, including fear in local communities and among aid workers, the spreading of rumours, heath measures interfering with traditional rituals and stigmatisation are discussed in detail.