An urgent call for action: Lebanon's children are falling through the cracks after economic collapse and a destructive blast

Obeid, Rita; Saade, Sabine

doi:10.1017/gmh.2022.14

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…Participation in this training was associated with improved autism knowledge. Through offering such training, the hope is not only to increase mental health knowledge but also to decrease mental health stigma [57]. This finding is in line with [58] study.…”

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…Interventions mediated by parents and other non-specialist providers also have the potential to significantly increase access to care [1,57]. Given the complexity of some mental health conditions and to bypass the lack of available professionals in Africa, parental training could be offered online [57]. This training format could represent a cost-effective way of reaching people in rural areas, especially if they are provided in community libraries and centers.…”

Section: Discussionmentioning

confidence: 99%

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What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review

Saade

Lamarche

Khalaf

et al. 2023

BMC Health Serv Res

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Background Few studies have examined the mental health needs of African children and teenagers. Based on this gap, this scoping review aims to identify barriers to mental health services, treatments and services sought, and where mental health services are received. Methods To pursue the stated objectives, we searched the following databases a) PsycINFO, b) CINAHL, c) Medline, and d) Web of Science. The search yielded 15,956 records in total. Results Studies included in this review were conducted in six African countries: Ethiopia, Mali, Egypt, South Africa, Nigeria, and Tunisia. The majority of the studies were conducted in South Africa (33.32%), followed by Ethiopia (25%), and Egypt (16.67%). In terms of treatments and services sought, both professional and traditional/alternative treatments were reported. The most frequently noted services were psychiatric treatments (25%), screening and diagnostic assessment (16.67%), as well as psychiatric and psychological consultations (16.67%). The most frequently reported treatment centers were psychiatric hospitals. As for treatment barriers, the three most frequently encountered barriers were: a preference for traditional/alternative and complementary treatments (33.33%), followed by stigma (25%), and a lack of knowledge/unfamiliarity with the mental health condition (25%). Conclusion The results of this study are alarming due to the significant barriers to accessing mental health services coupled with the use of potentially harmful interventions to treat those mental health conditions. We hope this scoping review will help shed light on this important issue and help tomorrow’s generation reach its full potential.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review

Saade

Lamarche

Khalaf

et al. 2023

BMC Health Serv Res

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“…The economic crisis, coupled with the COVID-19 pandemic and the Beirut Port explosion, placed additional strains upon an already strained population [18]. Faced with this unique set of circumstances, Lebanon has been experiencing a brain drain of workers seeking opportunities abroad [30], [41]. Those who chose to stay or who could not leave have, for the most part, had to face very challenging work circumstances.…”

Section: Introductionmentioning

confidence: 99%

A Severe and Chronic Socio-Economic Crisis with no End in Sight, How Much Can Lebanese People Take?

Saade,

Parent-Lamarche,

Feghali

2024

Preprint

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Purpose People in Lebanon have been facing what has been dubbed one of the most severe socio-economic crises since the 21st century. Over the past few years, suicide rates have spiked, fueled by deteriorating working and living conditions. Research conducted on the mental health of populations residing in low-income countries is meager. Amongst these countries, very little research has examined the repercussions of a severe socio-economic crisis on Lebanese people's mental health. Methods For the purpose of this study, we conducted a multiple regression analysis. The multiple regression analysis allowed us to verify the association between several independent variables (work-related, macro-economic variables, life stressors and family income) and our dependent variables (stress and psychological distress). We also ran mediation analysis to examine the indirect role our variables could play on psychological distress via their effect on stress. Results Through a community sample of workers, lack of access to electricity due to the crisis was found to be associated with stress. Similarly, stress related to the crisis, deteriorating working conditions, job insecurity, lack of internet access, and other life stressors were also found to be associated with a higher level of psychological distress. Higher family income and recognition at work seemed to be associated with a lower level of psychological distress. Lastly, lack of access to electricity seemed to be positively associated with psychological distress via stress related to the socio-economic crisis. Conclusion The impact of the current situation could have broad implications for a large number of low-income countries.

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Exploring the Barriers and Facilitators in the Management of Childhood Trauma and Violence Exposure Intervention in the Vhembe District of the Limpopo Province, South Africa

Tsheole,

Makhado,

Maphula

et al. 2024

Children

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Research has shown that barriers and facilitators in psychotherapy exhibit similarities. The authors of this study are of the view that to effectively address the difficulties encountered in psychotherapy for children and adolescents, it is crucial to consider the points of view of professionals who have firsthand encounters with children. The purpose of this study was to effectively explore barriers and facilitators in the treatment of children exposed to trauma and violence. Exploratory and descriptive methods, as components of a qualitative research design, were employed to investigate and articulate the barriers and facilitators involved in managing childhood trauma. An advertisement was used to recruit participants. It was developed and distributed to psychologists and social workers recommended by the Thohoyandou Victim Empowerment Programme. Seventeen professionals were individually interviewed using semi-structured interview schedules. The interviews were recorded, transcribed verbatim, and analysed using interpretative phenomenological analysis (IPA). The findings of the study indicated a lack of commitment from parents in honouring appointments, financial challenges, a fear of perpetrators associated with the poor reporting of incidences, professional boundaries, and referral route challenges. Familiar facilitators in the management of childhood trauma included continuous training and workshops for all people working with childhood trauma and violence, the employment of more victim advocates, and awareness campaigns. Additionally, the referral pathway for traumatised children presents logistical, psychological, and educational hurdles, underscoring the complex nature of meeting the needs of these vulnerable populations within the healthcare system. In conclusion, even while the currently available research supports the barriers and facilitators for this population, more investigation is required to examine how these factors affect treatment outcomes, particularly in community-based settings.

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An urgent call for action: Lebanon's children are falling through the cracks after economic collapse and a destructive blast

Abstract: The true measure of a nation's standing is how well it attends to its childrentheir health and safety, their material security, their education and socialization, and their sense of being loved, valued, and included in the families and societies into which they are born." (UNICEF, 2007).

Cited by 3 publications

References 20 publications

What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review

What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review

A Severe and Chronic Socio-Economic Crisis with no End in Sight, How Much Can Lebanese People Take?

Exploring the Barriers and Facilitators in the Management of Childhood Trauma and Violence Exposure Intervention in the Vhembe District of the Limpopo Province, South Africa

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