Psychological First Aid Guides
MHPSS Cultural Adaptation and Desk Review
A Faith-Sensitive Approach in Humanitarian Response
Mental Health Integration into Primary Health Care
Community Mobilisation and Support
Protection and Human Rights Standards
Integrated MHPSS and GBV Programmes
MHPSS in Camp Management and Camp Coordination
Mental Health and Psychosocial Support for Refugees, Asylum Seekers and Migrants on the Move
MHPSS and Education
MHPSS and Persons with Disabilities
Staff Care and Support
Monitoring and Evaluation Tools
Guidance Note on Psychosocial Support Facilitating psychosocial wellbeing and social and emotional learning
This INEE Guidance Note encourages more intentional and consistent implementation of practical, good quality psychosocial interventions on the education frontlines by teachers, education administrators, parents, counselors, peers, ministries, and other education personnel in three concrete ways: - It clarifies the education sector’s importance in supporting the psychosocial wellbeing of children and youth; - It provides educators with practical tips and advice about how to integrate PSS into formal and non- formal education efforts; - It highlights linkages between PSS in education and other sectors
Psychological First Aid - Guide for field workers
This guide covers psychological first aid which involves humane, supportive and practical help to fellow human beings suffering serious crisis events. It is written for people in a position to help others who have experienced an extremely distressing event. It gives a framework for supporting people in ways that respect their dignity, culture and abilities. Despite its name, psychological first aid covers both social and psychological support.
Author: WHO, War Trauma Foundation & World Vision
Author: r. Emilie Medeiros, Dr. David M.R. Orr and Jasmine Van Deventer
A faith-sensitive approach in humanitarian response: Guidance on mental health and psychosocial programming
This guidance has been developed to provide practical support to those involved in planning humanitarian programming who seek to be more sensitive to the faith perspectives and resources of the communities within which they are working. It focuses particularly on the programming area of MHPSS, but in a manner that seeks to provide pointers for more faith sensitive humanitarian programming.
Author: The Lutheran World Federation and Islamic Relief Worldwide
Clinical Management of Mental, Neurological and Substance Use Conditions in Humanitarian Emergencies - mhGAP Humanitarian Intervention Guide (mhGAP-HIG)
The mhGAP Humanitarian Intervention Guide contains first-line management recommendations for mental, neurological and substance use conditions for non-specialist health-care providers in humanitarian emergencies where access to specialists and treatment options is limited. It also specifically focuses upon Mental Health conditions arising in humanitarian emergencies. For planning a mental health response in primary health care (PHC), please refer to Tool 5: Checklist for integrating mental health in PHC in humanitarian settings (page 47-52) in the UNHCR/WHO Assessing Mental Health and Psychosocial Needs and Resources Toolkit for Humanitarian Settings.
Assessment Management of Conditions Specifically Related to Stress
This new mhGAP module on Conditions Specifically Related to Stress contains assessment and management advice related to acute stress, post-traumatic stress and grief in non-specialized health settings. It is an annex to the mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings (WHO, 2010).
Global Multisectoral Operational Framework for Mental Health and Psychosocial Support of Children, Adolescents and Caregivers Across Settings [Field Demonstration version]
UNICEF’s operational framework aims to help develop programmes across the social ecological model and the mental health continuum of prevention, promotion and treatment to improve the mental health and psychosocial wellbeing of children, adolescents and their caregivers globally. The strategies and approaches included in the framework will help in accelerating actions for children’s, adolescents’ and caregivers’ mental health and psychosocial wellbeing in national and regional development strategies. The framework can be used in development contexts, humanitarian contexts and within the humanitarian-development-peace nexus. This operational framework emphasizes engaging actors in the health, social welfare and child protection and education sectors at all levels of society to design, implement and evaluate MHPSS strategies that are locally relevant, comprehensive and sustainable.
The Minimum Standards for Child Protection in Humanitarian Action 2019
The Minimum Standards for Child Protection in Humanitarian Action (CPMS) are intended to: 1. Establish common principles amongst those working in child protection, and to strengthen coordination between them. 2. Improve the quality of child protection programming, and its impact for children. Improve accountability within child protection work 3. Provide a synthesis of good practice and learning to date 4. Enable better advocacy and communication on child protection risks, needs and responses.
Author: The Alliance for Child Protection and Humanitarian Action
Guidelines for Integrating Gender-Based Violence Interventions in Humanitarian Action. Reducing risk, promoting resilience and aiding recovery
These guidelines provide practical guidance and effective tools for humanitarians and communities to coordinate, plan, implement, monitor and evaluate essential actions for the prevention and mitigation of gender-based violence, throughout all stages of emergency response, from preparedness to recovery. MHPSS is integrated throughout the guidelines.
Author: IASC & Global Protection Cluster
Mental Health and Psychosocial Support for Refugees, Asylum Seekers and Migrants on the Move in Europe 2015
This brief guidance note seeks to provide advice on protecting and supporting the mental health and psychosocial wellbeing of refugees, asylum-seekers and migrants in Europe. It describes key principles and appropriate interventions to guide all those who are designing and organizing emergency services and/ or providing direct assistance to the affected people.
Psychosocial Support and Social and Emotional Learning for Children and Youth in Emergency Settings
This document clarifies relevant terminologies and approaches relating to psychosocial well-being and social and emotional learning (SEL) in education in crisis affected contexts, and how psychosocial support (PSS) and social and emotional learning relate to one another
Inclusion of people with psychosocial disability in low and middle income contexts: A Literature and Practice Review
The purpose of this review is to explore literature and the experiences of three organisations that are working with people with psychosocial disability living in low- and middle-income countries.
Author: Helen Fernandes & Stephanie Cantrill
The Common Monitoring and Evaluation Framework for Mental Health and Psychosocial Support in Emergency Settings with Means of Verification: Version 2.0
This document provides guidance in the assessment, research, design, implementation and monitoring and evaluation of MHPSS programmes in emergency settings. Although designed specifically for emergency contexts (including protracted crises), the framework may also be applicable for the transition phases from emergency to development (including disaster risk reduction initiatives). The framework assumes familiarity with the Inter-Agency Standing Committee (IASC) Guidelines on Mental Health and Psychosocial Support in Emergency Settings and an understanding of programming in humanitarian relief and/or development. The content of the current publication, including the selection of tools and guidance for means of verification (MoV), was also developed by the IASC MHPSS RG.
Psychological First Aid Training Manual for Child Practitioners
The manual to facilitate training in psychological first aid with a focus on children. The training programme develops skills for providing physical and emotional comfort by modelling calmness and enables a constructive format through active listening that allows children in distress to voice their concerns and needs. It also helps to connect children in distress to practical assistance through referral networks and information on positive coping strategies. This material also covers support to caregivers. Available in Arabic, English, French, and Spanish.
Author: Save the Children
Mental Health into General Healthcare in Humanitarian Settings
The toolkit aims to support the understanding and implementation of integrated mental health programs in humanitarian settings; it provides a framework for essential steps and components, with associated key guidance and resources, that strengthen the integration process, and is primarily intended for (1) implementing agencies, but may also be useful for (2) donors, and (3) government actors). Users can access the three steps & three cross cutting components relevant to current program needs, or stages of programming. The toolkit is available in English. mhGAP Humanitarian Intervention Guide
Operational Guidance for Child Friendly Spaces in Humanitarian Settings
The toolkit provides a set of materials to assist managers and facilitators/animators in setting up and implementing quality CFS. These resources have at their core the protection of children from harm; the promotion of psychosocial well-being; and the engagement of community and caregiver capacities.
Author: IFRC & World Vision
Author: International Committee of the Red Cross
Author: IFRC PS Centre
Mental Health and Psychosocial Support in Emergency Settings: What Should Camp Coordination and Camp Management Actos Know?
This document is for humanitarian actors within the Camp Coordination and Camp Management (CCCM) cluster, at national and subnational levels, in countries facing emergencies and crises. This document provides an overview of essential knowledge that humanitarian actors within the CCCM cluster/sector should have about MHPSS in humanitarian emergencies
Author: IASC MHPSS Reference Group
IASC Recommendation for Ethical MHPSS Research in humanitarian settings
This document provides guidance to ensure MHPSS research in emergencies benefits affected people; design research to fill knowledge gaps in MHPSS theory and practice in emergencies; avoid bad practice, such as research without satisfactory consent of participants and to better understand how to manage ethical challenges in MHPSS research during emergencies.
Training of health-care providers training manual (ToHP) for mhGAP-IG
The ToHP training aims to ensure that health-care providers attain core competencies in delivering care for people with mental, neurological and substance use (MNS) conditions. In the ToHP training manual, 12 core competencies have been developed, which cover all areas needed to assess and manage each priority MNS condition. The manual is available in English and there are videos also available.
Evaluation of Child Friendly Spaces - Tools and guidance for monitoring and evaluating Child Friendly Spaces
This document provides practical guidance to child protection and MHPSS practitioners for monitoring and evaluating child friendly spaces. It presents tools for planning and implementing monitoring and evaluation of CFS. For each tool, the objectives are explained, along with insights and lessons on the usefulness of the tool.
Author: Columbia University Mailman School of Public Health & World Vision
Author: Global Child Protection Cluster, International Rescue Committee, World Vision & Save the Children
Author: Save the Children
How to support survivors of gender-based violence when GBV actor is not available in your area – A Pocket Guide
The resource package uses global standards on providing basic support and information to survivors of GBV without doing further harm. It is encouraged to adapt this resource to your local context with the support of a GBV specialist.
Author: IASC & Global Protection Cluster
Psychological First Aid for Children II: Dealing With Traumatic Responses in Children
The PFA II, Dealing with traumatic responses in children manual provides guidance for staff working with children who are severely affected psychologically by acute crisis. It is not a clinical tool and does not in itself qualify staff to engage in clinical interventions. This tool lays the foundation for providing PFA as a basic psychological support. However, in some situations, it appears that methods such as comfort and stabilization are not sufficient. PFA II is supplementary to the basic PFA training. It provides advice for non-psychologists, based on field experience, and research. It provides advice to staff dealing directly with children who are showing concerning behaviours.
Author: Save the Children
Mental Health and Psychosocial Wellbeing in Congolese Refugee Survivors of Gender- Based Violence: A Desk Review
Author: Johns Hopkins Bloomberg School of Public Health, UNHCR, MUHAS & IRC
Inter-Agency Child Protection Working Group: Training Package on Child Friendly Spaces
A training package to be delivered to child workers with no experience running a child safe space, enabling them to establish a quality program in an emergency setting. Participants learn the theory behind CFSs, how to set up and run them, and what kind of resources are needed to support the psychosocial wellbeing and protection of children in emergencies.
Author: Antares Foundation
Author: WHO, CBM, World Vision & UNICEF
Building Back Better: Sustainable Mental Health Care after Emergencies
Building back better: sustainable mental health care after emergencies raises awareness about this type of opportunity, and describes how this was achieved in 10 diverse emergency-affected areas. Lessons learnt and key overlapping practices emerging from these experiences are summarized.
Women and Girls Friendly Spaces
The creation of “friendly spaces” for women and girls has been a key strategy in the protection and empowerment of women and girls. This document provides useful guidance on the aims of these spaces, and how they can best be established and managed, using the conflict context of South Sudan. The intention is to assist collaboration among agencies by building a consensus around the key aims, functions and guiding principles for Women and Girls Friendly Spaces.
I Support My Friends Resource Kit
The I Support My Friends resource kit has been developed to give facilitators a comprehensive package of tools and resources to best equip children and adolescents in safe and effective peer support, together with adult mentors. It provides guidance and tools for preparing, designing, and implementing trainings with children and adolescents in how to support a friend in distress. The resource kit also includes guidance for appropriate adult supervision to ensure the physical and emotional safety of child and adolescent helpers and the friends they support. The resource kit is comprised of: 1. Theory and Implementation Guide: Presents an overview of key concepts and the theoretical foundation of I Support My Friends. It describes the ethical considerations and child-safeguarding actions that need to be in place to protect children’s best interests and their physical and emotional safety. It also outlines the roles and responsibilities and expected skills and competencies of trusted adults who mentor child and adolescent peer supporters. 2. Training Manual: Outlines a three-day, step-by-step training in I Support My Friends, including case studies, stories and a list of required materials. The manual includes tools to support the preparation and implementation of the training. Some of the tools correspond to worksheets that participants will use during the training (these are marked with a footnote). 3. Participants Workbook: Contains the worksheets to be used by participants in the training. Each participant should receive their own workbook, which contains information, activities and space for notes and drawings. 4. Manual for Training of Facilitators and Focal Points: This is in progress currently and will include the materials needed to build the capacity of the adult facilitators and Focal Point(s) who will implement the training for children and adolescents. Once field tested, the package will include a training manual, agenda, PowerPoint slides and other guiding materials.
Author: UNICEF, Save the Children, the MHPSS Collaborative and WHO
Author: Culture and Mental Health Research Unit Department of Psychiatry Jewish General Hospital & Division of Social & Transcultural Psychiatry Department of Psychiatry McGill University
Problem Management Plus (PM+)
The manual describes a scalable psychological intervention called Problem Management Plus (PM+) for adults impaired by distress in communities who are exposed to adversity. Aspects of Cognitive Behavioural Therapy (CBT) have been changed to make them feasible in communities that do not have many specialists. To ensure maximum use, the intervention is developed in such a way that it can help people with depression, anxiety and stress, whether or not exposure to adversity has caused these problems. It can be applied to improve aspects of mental health and psychosocial well-being no matter how severe people’s problems are.
Author: Interhealth Worldwide
Thinking Healthy: A manual for psychosocial management of perinatal depression
The Thinking Health manual outlines an evidence-based approach describing how community health workers can reduce prenatal depression through evidence-based cognitive-behavioural techniques recommended by the mhGAP programme.
Group Problem Management Plus (Group PM+): group psychological help for adults impaired by distress in communities exposed to adversity (generic field-trial version 1.0)
With the unprecedented increase in humanitarian emergencies in recent years, growing numbers of people are facing adverse living conditions and are at risk of developing mental health problems. The defining feature of this manual – which was developed to help one individual at a time - is that it was designed to support adults impaired by distress, regardless of the specific mental health problem they are experiencing. This means that more people can be helped through a single brief psychosocial intervention. Secondly, it comprises evidence-based strategies adapted so that they can be delivered by supervised non-specialist providers after brief training. This is critical if we want to bridge the gap between mental health problems and access to effective care. In many settings where mental distress is high due to adversity there is a lack of psychosocial support, including a lack of mental health professionals. Group PM+ is designed for adults impaired by psychological distress and can be delivered by non-specialist professionals following brief training and with ongoing supervision. It draws on the same therapeutic strategies as the individual version of PM+ and is delivered over five two-hour sessions. The effectiveness and feasibility of Group PM+ has been shown through randomized controlled trials conducted in Pakistan and Nepal. With this manual, and following cultural adaptation, governments and civil society will be better equipped to respond to and manage common mental health problems for adults affected by adversity.
Group Interpersonal Therapy for Depression
This manual modifies Interpersonal Psychotherapy (IPT) for depression for use in 8-session groups and involves a simplified format for facilitators who may not have received previous training in mental health. The current guide uses the term Group Interpersonal Therapy (Group IPT) to aid dissemination and to clarify that IPT may be used by supervised non- specialists, including in countries where “psychotherapy” is a regulated term.
Author: WHO & Columbia University
WHO Model List of Essential Medicines
Essential medicines are those that satisfy the priority health care needs of a population. They are selected with due regard to disease prevalence and public health relevance, evidence of efficacy and safety and comparative cost-effectiveness. They are intended to be available in functioning health systems at all times, in appropriate dosage forms, of assured quality and at prices individuals and health systems can afford.