Re-thinking recovery in post-conflict settings: Supporting the mental well-being of communities in Colombia

Burgess, Rochelle; Fonseca, Laura

doi:10.1080/17441692.2019.1663547

Cited by 34 publications

(45 citation statements)

References 51 publications

(37 reference statements)

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“…dearth of basic amenities, health facilities and livelihood options, dearth of relief measures, economic crisis, and interpersonal violence). iCALL counsellors’ narratives highlighted the need to address callers’ distress by not only providing emotional and psychological interventions, but also by improving callers’ access and control over the determinants and developmental contexts of their mental health and by connecting them to resources and referrals (Burgess & Fonseca, 2020).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial response to COVID‐19 pandemic in India: Helpline counsellors’ experiences and perspectives

Joshi

Tammana

Babre

et al. 2020

Couns and Psychother Res

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The COVID‐19 pandemic presents a threat to physical and psychosocial health of individuals. In lieu of the subsequent lockdown and containment measures, helpline counselling becomes a viable method of accessing psychosocial services during the pandemic. The present paper describes experiences of counsellors working with a special COVID‐19 counselling helpline initiated by iCALL, a national‐level technology‐assisted counselling service of the Tata Institute of Social Sciences, India, which aims to address the psychosocial impact of the pandemic and the lockdown. The paper is based on two focus group interviews held with 11 counsellors during the initial two months of the helpline's functioning. Findings of the study highlight the diverse profile of the callers, with individuals belonging to different strata of society and to marginalised communities. The nature of concerns presented by the callers were often a mix of psychological, relational and practical issues. The resultant distress emanated from an interplay of these factors with the relational contexts, their social locations and social structures the individuals were embedded in. This highlighted the need for conceptualising and responding from a psychosocial lens, whereby interventions involved traditional counselling approaches and strategies for addressing determinants of distress by connecting callers to required ground‐level resources. Counsellors’ engagement with this process impacted their professional and personal selves, necessitating the need for structured and continuous training, supervision and support. At a larger level, the counsellors’ narratives asserted the need for adopting a psychosocial paradigm for conceptualising and addressing mental health concerns in India.

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Section: Discussionmentioning

confidence: 99%

Psychosocial response to COVID‐19 pandemic in India: Helpline counsellors’ experiences and perspectives

Joshi

Tammana

Babre

et al. 2020

Couns and Psychother Res

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show abstract

“…This site leads the department in Gross Domestic Product (GDP) participation with 6.06% and is the second with the highest degree of municipal economic importance. Recent studies cite this as the primary draw to this area 10 and approximately 32% of the IDP who arrive in the province, settle near there. 38 39 Sample and recruitment Participants in the wider study were randomly selected from the municipality's official register of displaced victims from different conflict-affected zones in Colombia.…”

Section: Study Sitementioning

confidence: 99%

“…The interview guide was informed by preliminary findings from the wider study, 10 developed by RB, and structured around history (including childhood), adulthood (with an emphasis on birth of their own children) and life in their new home (see section 1 of online supplemental data). Interviews were completed by MG-G and another MSc student, and supervised by LF and RB between August and October 2017.…”

Section: Data Collectionmentioning

confidence: 99%

Gender, mental health and resilience in armed conflict: listening to life stories of internally displaced women in Colombia

et al. 2021

Self Cite

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For over 60 years, Colombia has endured violent civil conflict forcibly displacing more than 8 million people. Recent efforts have begun to explore mental health consequences of these contexts, with an emphasis on national surveys. To date few Colombian studies explore mental health and well-being from a lived experience perspective. Those that do, overlook processes that enable survival. In response to this gap, we conducted a life history study of seven internally displaced Colombian women in the Cundinamarca department, analysing 18 interview sessions and 36 hours of transcripts. A thematic network analysis, informed by Latin-American perspectives on gender and critical resilience frameworks, explored women’s coping strategies in response to conflict-driven hardships related to mental well-being. Analysis illuminated that: (1) the gendered impacts of the armed conflict on women’s emotional well-being work through exacerbating historical gendered violence and inequality, intensifying existing emotional health challenges, and (2) coping strategies reflect women’s ability to mobilise cognitive, bodied, social, material and symbolic power and resources. Our findings highlight that the sociopolitical contexts of women’s lives are inseparable from their efforts to achieve mental well-being, and the value of deep narrative and historical work to capturing the complexity of women’s experiences within conflict settings. We suggest the importance of social interventions to support the mental health of women in conflict settings, in order to centre the social and political contexts faced by such marginalised groups within efforts to improve mental health.

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“…Such a community mechanism will have wide-reaching benefits, including; maintaining local buy-in over time, appropriately tailoring engagement strategies and innovating over time to maintain engagement, and helping citizens to feel as though they are a part of a wider process for promoting collective wellbeing. The latter has been shown as critical in other crisis and recovery focused settings 96,97 and can have positive knock on effects for mental health outcomes in the general population, which is a growing concern in the crisis 98 .…”

Section: Community Advisory Committees and Local Health Communicationmentioning

confidence: 99%

Modelling the health and economic impacts of different testing and tracing strategies for COVID-19 in the UK

Colbourn¹,

Waites

Manheim

et al. 2020

F1000Res

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Background: Coronavirus disease 2019 (COVID-19) is resurgent in the UK and health and economic costs of the epidemic continue to rise. There is a need to understand the health and economic costs of different courses of action. Methods: We combine modelling, economic analysis and a user-friendly interface to contrast the impact and costs of different testing strategies: two levels of testing within the current test-trace-isolate (TTI) strategy (testing symptomatic people, tracing and isolating everyone) and a strategy where TTI is combined with universal testing (UT; i.e. additional population testing to identify asymptomatic cases). We also model effective coverage of face masks. Results: Increased testing is necessary to suppress the virus after lockdown. Partial reopening accompanied by scaled-up TTI (at 50% test and trace levels), full isolation and moderately effective coverage of masks (30% reduction in overall transmission) can reduce the current resurgence of the virus and protect the economy in the UK. Additional UT from December 2020 reduces the epidemic dramatically by Jan 2021 when combined with enhanced TTI (70% test-trace levels) and full isolation. UT could then be stopped; continued TTI would prevent rapid recurrence. This TTI+UT combination can suppress the virus further to save ~20,000 more lives and avoid ~£90bn economic losses, though costs ~£8bn more to deliver. We assume that all traced and lab-confirmed cases are isolated. The flexible interface we have developed allows exploration of additional scenarios, including different levels of reopening of society after the second lockdown in England as well as different levels of effective mask coverage. Conclusions: Our findings suggest that increased TTI is necessary to suppress the virus and protect the economy after the second lockdown in England. Additional UT from December 2020 reduces the epidemic dramatically by Jan 2021 and could then be stopped, as continued TTI would prevent rapid recurrence.

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Re-thinking recovery in post-conflict settings: Supporting the mental well-being of communities in Colombia

Cited by 34 publications

References 51 publications

Psychosocial response to COVID‐19 pandemic in India: Helpline counsellors’ experiences and perspectives

Psychosocial response to COVID‐19 pandemic in India: Helpline counsellors’ experiences and perspectives

Gender, mental health and resilience in armed conflict: listening to life stories of internally displaced women in Colombia

Modelling the health and economic impacts of different testing and tracing strategies for COVID-19 in the UK

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