And safe assessment and develop a specialised plan

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and safe assessment, and develop a specialised plan, which may include counseling, social support, or legal services, providing a “wrap-around system of support.” 111 A Case Management Team, which includes a psychiatrist, psychologist, Case Manager (a trained social worker or nurse), and PHC provider or community health worker, meet and discuss the case weekly, ensuring appropriate adjustments to the plan and reviewing the client’s progress. The MHPSS case management model provides an example of multi-sectoral, integrated care that addresses multiple mental health and psychosocial needs that may be experienced by an individual. Its use of two-way referral and referral between levels of care is based on IASC principles of co-ordination and provision of a multi-layered system of care. IMC is currently working with UNHCR Headquarters’ Health Unit to develop a comprehensive training package on MHPSS case management, using the model that IMC has implemented in Jordan, Lebanon and other countries, and UNHCR’s experience with direct implementation in Syria. 3.3 UNHCR policy guidelines and MHPSS Throughout the course of this review, it was clear that many UNHCR staff members recognise the severe and ongoing impact of violence, displacement and deprivation on individuals and communities, the scale of unmet need for MHPSS services amongst PoC, and the importance of UNHCR’s support for MHPSS activities. However, there is a lack of explicit engagement with MHPSS approaches and interventions within UNHCR’s own policies. The following analysis of UNHCR’s policies relevant and applicable to MHPSS activities seeks to identify key areas of overlap and intersections between current UNHCR policy approaches and the MHPSS framework. 109 IMC (2012). 110 IMC (2012). 111 IMC (2012). 47 A Global Review
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UNHCR works in multiple spheres in which MHPSS issues are fundamental. There are a number of areas of UNHCR’s work that are directly connected with MHPSS approaches and interventions, and below policy guidelines in the areas of SGBV, child protection, education, and community-based approaches are analysed. The role of UNHCR’s Health Unit is clearly central to MHPSS activities. The Health Unit’s MHPSS activities are currently guided by the IASC Guidelines, while a number of other frameworks, tools, and guidelines are in development. For example, UNHCR is supporting the development of Mental Health Gap Action Program [mhGAP] Intervention Guide specifically for humanitarian settings, a tool that could be used for priority setting and practical guidance for implementation of interventions in the field. The Health Unit is also supporting the development of Operational Guidelines for MHPSS, mirroring Guidelines that currently exist in areas such as, for example, refugee protection in urban areas, referral health care, and health insurance schemes. These policies and guidelines have not yet been issued, and as such, UNHCR’s current engagement with the IASC Guidelines is addressed in this section.
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  • Fall '19
  • Humanitarian aid, psychosocial support

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