Disasters can have an enormous impact on the health and well-being of those affected. Internationally, governments and service providers are often challenged to address complex psychosocial problems. Ideally, the potentially broad range of support activities include a coherent, high-quality mental health and psychosocial support (MHPSS) programme. We present a theory-driven quantitative analysis of the quality of 40 MHPSS programmes, mostly implemented in European disaster settings. The objective is to measure quality domains recognized as relevant in the literature and to empirically test associations. During the EU project “Operationalizing Psychosocial Support in Crisis” (OPSIC) an evaluation survey was designed and developed for this purpose and completed by 40 MHPSS programme coordinators involved in different mass emergencies and disasters. We analysed the survey data in two steps. Firstly, we used the data to operationalize quality domains of a MHPSS programme, tested constructs and assessed their internal consistency reliability. A total of 26 out of 44 survey items clustered into three of the four domains identified within the theoretical framework: “planning and delivery system” (Cronbach’s alpha 0.82); “general evaluation criteria” (Cronbach’s alpha 0.82); and “essential psychosocial principles” (Cronbach’s alpha 0.75). “Measures and interventions applied”, theoretically a potential fourth domain, could not be confirmed to empirically cluster together. Secondly, several models with associations between domains and measures and interventions were tested and compared. The model with the best fit suggests that in MHPSS programmes with a higher planning and delivery systems score, a larger number of measures and interventions from evidence-informed guidelines are applied. In such programmes, coordinators are more positive about general evaluation criteria and the realization of essential psychosocial principles. Moreover, the analyses showed that some measures and interventions are more likely to be applied in programmes with more evolved planning and delivery systems, yet for most measures and interventions the likelihood of being applied is not linked to planning and delivery system status, nor to coordinator perceptions concerning psychosocial principles and evaluation criteria. Further research is necessary to validate and expand the findings and to learn more about success factors and obstacles for MHPSS programme implementation.
Corporatisation of critical information infrastructure (CII) is rooted in the 'privatisation wave' of the 1980s-90s, when the ground was laid for outsourcing public utilities. Despite well-known risks relating to reliability, resilience, and accountability, commitment to efficiency imperatives have driven governments to outsource key public services and infrastructures. A recent illustrative case with enormous implications is the 2017 Swedish ICT scandal, where outsourcing of CII caused major security breaches. With the transfer of the Swedish Transport Agency's ICT system to IBM and subcontractors, classified data and protected identities were made accessible to non-vetted foreign private employees -sensitive data could thus now be in anyone's hands. This case clearly demonstrates accountability gaps that can arise in public-private governance of CII.In order to produce, operate and distribute public services and goods to citizens, modern, post-industrial societies rely on complicated logistics systems and intricate asset network architectures. Critical infrastructures can be likened to the arteries and veins of human beings, without which it would be quite impossible for them to function. Essentially, this is why infrastructures such as those for energy, transport, communications and financial services are defined as critical.1 As large and complex systems, catastrophic effects could follow if they were to break down. 2Due to rapid technological development and increasing dependence on information and communications technology (ICT), most of these infrastructures are now operated, managed and/or controlled via interconnected computer networks and information flows, so that they have essentially become critical information infrastructures (CII).3 Elaborating on the body metaphor, this can be seen as the equivalent of adding nerves to the arteries and veins. In the past, destroying or even disrupting physical infrastructures required Dunn-cavelty and Suter, "The art of cIIp Strategy".
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