108 unhcr is supporting mhpss case management in

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108 UNHCR is supporting MHPSS case management in Jordan but has withdrawn support for MHPSS case management in Lebanon. Changes in staffing, prioritisation of other health concerns within the Health Unit, and lack of strong capacity to understand MHPSS approaches are possible reasons for this. However, UNHCR Lebanon is supporting an assessment of IMC’s training of primary health care providers to identify mental health problems, which is an important measure in ensuring quality of training and skills, and supports specialised mental health services for persons with severe mental disorders. There is scope for UNHCR Jordan and Lebanon to draw on expertise developed in design and implementation of UNHCR Syria’s MHPSS activities, and use of dedicated missions or structured information-sharing activities may be appropriate in order to disseminate findings and facilitate knowledge transfer 107 Interview, February 18 2013. 108 Hijazi, Weissbecker & Chammay (2011). 46 UNHCR’S MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT FOR PERSONS OF CONCERN
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TEXTBOX 10 Program snapshot: MHPSS case management IMC currently implements MHPSS case management for Syrian refugees in Syria, Turkey, Lebanon and Jordan, and is supported for these activities by UNHCR in Jordan and was supported in Lebanon until end 2012. IMC has developed and utilises this approach, as refugees “have multiple and complex needs and require a comprehensive mental health and case management approach which identifies, supports and protects those who are vulnerable and promotes stability and recovery.” 109 IMC states that the approach is a way to “optimise client functioning by providing services in the most efficient and effective manner to whose with multiple needs,” ensuring that referrals are used to build “a comprehensive network of services for each client.” Thus, MHPSS case management activities may operate at Level 2, 3 or 4 of the Intervention Pyramid, depending on the needs of the individual client. IMC’s program description emphasises the way in which MHPSS case management can span multiple levels of the Intervention Pyramid, stating “IMC Case Managers are trained in using the guidelines to ensure appropriate up and down referral between levels of care, making use of formal as well as informal support systems and advocating for accessible and comprehensive services.” 110 In IMC programs, MHPSS case management involves establishing a Case Management team to address the needs of a client. Primary Health Care [PHC] providers receive training from IMC in identification of mental disorders and psychosocial distress. As such, PHC clinics can be utilised as a site of referral, as well as a site of service provision, providing for two-way referral that ensures that clients’ needs are identified and addressed. An individual client may be referred to an IMC Case Manager through identification by a PHC provider or community health worker, and the Case Manager will identify the specific needs of the client, complete an environmental assessment
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  • Fall '19
  • Humanitarian aid, psychosocial support

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