Intervention Journal

July 2004 - Volume 2 - Issue 2

Colophon
Authors:
Editor
Introduction
Authors:
Galappatti, Ananda; van der Veer, Guus

ARTICLES

Psychiatric Disorders in an African Refugee Camp
Authors:
Kamau, M., Silove, D., Steel ,Z., Catanzaro,R., Bateman, C. and Ekblad, S.
The Navikale Camp Mental Health Project: building competency for psychological assistance to tramatised refugees
Authors:
Onyut, L.P., Neuner, F., Schauer, E., Ertl, V., Odenwald, M., Schauer, M. and Elbert, T.
Clinical Supervision for Counsellors in Areas of Armed Conflict
Authors:
van der Veer, G., de Jong, K. and Lansen, J.

REFLECTIONS, COMMENTS, LETTERS

REVIEWS

SUMMARIES

Summaries in Arabic
Authors:
Editors
Résumés en Français
Authors:
Editors
Summaries in Sinhala
Authors:
Editors
Resumenes en Español
Authors:
Editors
Summaries in Tamil
Authors:
Editors

Colophon

PDF
Authors:
Editor

Introduction

PDF
Authors:
Galappatti, Ananda; van der Veer, Guus

ARTICLES

Psychiatric Disorders in an African Refugee Camp

This article describes a study of the prevalence of psychiatric disorders among the clients of a community mental health service in the Kakuma refugee camp in Kenya. It is based on the case logbook maintained by the nurse-manager over a period of three years. Post-traumatic stress disorder was the most common diagnosis. Findings suggest that it is feasible to establish a low-cost community mental health service in refugee camps in low-income countries such as Kenya. Such a service is likely to attract an immediate and growing demand for assistance.

PDF
Authors:
Kamau, M., Silove, D., Steel ,Z., Catanzaro,R., Bateman, C. and Ekblad, S.

The Navikale Camp Mental Health Project: building competency for psychological assistance to tramatised refugees

Little is known about the usefulness of psychiatric concepts and psychotherapeutic approaches for refugees who have experienced severe traumatic events and continue to live in stressful and potentially dangerous conditions in refugee settlements. The central goal of the Nakivale Camp Mental Health Project is to establish the usefulness of shortterm treatment approaches when applied by local paramedical personnel in a disaster region. In a randomized controlled clinical trial, the efficacy of Narrative Exposure Therapy (NET) vis-à-vis Supportive Counselling has been tested, when applied by trained paramedical personnel from within the same refugee community. Here we demonstrate the feasibility of such an approach and detail the methods and strategy for it. The project also included an epidemiological survey to ascertain the prevalence of PTSD among refugee adolescents and adults alike. Consistent with other investigations, the demographic survey revealed a high prevalence of chronic PTSD ranging from 31.1% in the Rwandan to 47% in the Somali population; even though traumatic events had on average taken place more than 9 and 11 years earlier in each case respectively. Diagnostic validity was assured using expert clinical interviews. The significant social and  work-related dysfunction, a disabling consequence of PTSD, does not only impact on the life of the affected individual. Communities where a significant percentage of members are psychologically affected by past human rights violations, atrocities  and war, are held back in their recovery process at many levels. Therefore mental health programmes with workable guidelines
on how to treat posttraumatic symptoms, based on solid scientific research with proven effectiveness and feasibility, in particular cultural settings, must become a humanitarian priority.

PDF
Authors:
Onyut, L.P., Neuner, F., Schauer, E., Ertl, V., Odenwald, M., Schauer, M. and Elbert, T.

Working with Survivors of War in Non-western Cultures: the role of the clinical psychologist

In this paper the possibilities are explored for integrating Western individualistic models of assessment and intervention in clinical psychology and psychotherapy into work in areas of armed conflict where the culture is predominantly collectivistic. Sri Lanka is used as a case study to provide examples and illustrate how such integration might take place. Directions for training in assessment, intervention, programme evaluation, research, teaching, and supervision are discussed.

PDF
Authors:
Fernando, G.A.

Clinical Supervision for Counsellors in Areas of Armed Conflict

This article describes clinical supervision of counsellors as a structured process that encompasses emotional support, education and monitoring of professional performance. It is based on the experiences of the authors while supervising counsellors with limited
professional education in areas of armed conflict.

PDF
Authors:
van der Veer, G., de Jong, K. and Lansen, J.

Good Practice Issues in Working With Interpreters in Mental Health

If access to appropriate mental health services is not to be limited to people’s ability to speak a dominant or host language used by mental health providers, an interpreter or bicultural worker will be required. This article makes suggestions for good practice in
working with interpreters either in situations of ongoing-armed conflict or with asylum seekers refugees and internally displaced people who have fled from areas of armed conflict.

PDF
Authors:
Tribe, J. and Morrissey, J.

Community Psychosocial Support in Afghanistan

In 2001 Save the Children and UNICEF launched new programmes in Afghanistan. The emphasis was not on mental health service delivery, but on a community-based psychosocial support strategy. The article discussed the principles of the work undertaken by the two agencies. It also explores both these research and project planning which was carried out in Kabul between 2001 and 2002.

PDF
Authors:
de Berry, J.

REFLECTIONS, COMMENTS, LETTERS

Some critical notes on Kos and Huzejrovic; "Volunteers as helpers in war-related distress" from Anton Hafkenscheid.

PDF
Authors:
Hafkenscheid, Anton

REVIEWS

de Jong, J.(ed): "Trauma, War and Violence: Public Mental Health in Socio-Cultural Context" (Plenum, NY) - reviewed by Prof. Alastair Ager

PDF
Authors:
Ager, Alastair

Higson-Smith, C.: "Supporting Communities Affected by Violence: A casebook from South Africa" (Oxfam) - reviewed by Tom Haans

PDF
Authors:
Haans, Ton

SUMMARIES

Summaries in Arabic

PDF
Authors:
Editors

Résumés en Français

PDF
Authors:
Editors

Summaries in Sinhala

PDF
Authors:
Editors

Resumenes en Español

PDF
Authors:
Editors

Summaries in Tamil

PDF
Authors:
Editors