154 silove ekblad mollica 2000 155 jones l asare j et

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154 Silove, Ekblad & Mollica (2000). 155 Jones, L., Asare, J. et. al. (2009). 156 UNHCR (2011d). 69 A Global Review
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5. Conclusion The violence and deprivation wrought by conflict and displacement impacts every aspect of the lives of those affected. Families are torn apart, social structures undermined, and loss and hopelessness can be pervasive. Years of living with uncertainty and deprivation can impact current and long-term well-being. However, as many UNHCR staff have experienced in their work, affected populations also exhibit immense strength and capacity to address their own problems and concerns. It is imperative that UNHCR develop approaches, frameworks, and structures that enable it to effectively build on these resources, strengthen resilience, and address MHPSS gaps and needs that inevitable emerge in the wake of emergencies and persist in situations of on-going displacement. The field of MHPSS is evolving, based on the IASC Guidelines and emerging tools and approaches. The historical background, conceptual developments, and evidence-base presented in this review demonstrate the degree to which the field of MHPSS activities has changed and consolidated over the past decade, demonstrating increasing consensus around principles and practices. As such, it is both surprising and disconcerting that UNHCR has not only not taken a lead in implementing these principles and approaches, but actually appears to have separated itself from these developments, continuing to use organisation-specific language with the understanding that MHPSS activities are outside of its mandate, and issuing policies and guidelines that do not engage with core MHPSS principles. This review outlined the distinction between a MHPSS approach and MHPSS interventions. It is evident that for UNHCR to fulfil its mandate of protection, and best develop and support activities and services that improve PoC’s well-being, UNHCR must engage both with an MHPSS approach – integrating this approach through all sectors in the organisation, and MHPSS interventions – activities in Community Services, Health and Protection that specifically aim to improve mental health and psychosocial well-being. This will require strong advocacy on MHPSS principles within UNHCR, leadership and prioritisation of activities seeking to address MHPSS needs, and significant work establishing the structures and systems required to oversee and develop a stronger role in addressing MHPSS needs. The key findings of this review are outlined below, alongside recommendations and implementation strategies for the recommendations. Some of these findings are specific to UNHCR, and require conceptual development, policy guidance, and shifts within institutional structures and approaches to overcome. For example, the sectoral structure of UNHCR poses a significant challenge to integrating MHPSS approaches and interventions within UNHCR, and requires strengthening Community Services’ engagement with MHPSS and re-thinking of where MHPSS activities should have a “home.” Other findings are applicable to many agencies and actors in the field, and UNHCR
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