Intervention are designed to meet the needs of

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intervention are designed to meet the needs of different groups of affected people – basic services and security should be provided to all people in a manner that is safe and protects their dignity; community and family supports are required for those who will be able to maintain psychosocial well-being if provided with key community and family supports; focused, non-specialised supports are necessary for those “who additionally require more focused individual, family or group interventions by trained and supervised workers”; and specialised services for those who are suffering more severe symptoms and have impaired daily functioning. The pyramid approach is reflective of similar models in public health prevention and promotion work. For example, similar pyramids focused on public mental health suggest activities at a population-level be implemented in order to prevent mental disorders and promote positive mental 62 Ager (2008). 63 Wessells & van Ommeren (2008). 64 Wessells & van Ommeren (2008). 26 UNHCR’S MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT FOR PERSONS OF CONCERN
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health, an approach that maps conceptually and practically with Level 1 activities in the Intervention Pyramid. 65 These activities, while firmly within the realm of psychosocial approaches, are connected to the more clinically-focused, targeted mental health interventions. For example, universal, broad- based interventions provide a basis from which to reduce stigma associated with mental distress or disorder, identify individuals who may be at-risk of developing problems, and refer them to appropriate services. Figure 1: IASC Guidelines Intervention Pyramid Within the Intervention Pyramid, the following levels of activities are represented: Level 1: Social considerations in basic services and security: This level encompasses core humanitarian actions designed to meet basic physical needs, including food, shelter, water and health care, and security needs. Responses at this level should integrate social and cultural considerations into these services, including activities that protect local people’s dignity, strengthen local social supports and mobilise community networks. Inclusion of this level in the Guidelines indicates recognition that modes of delivery of key humanitarian services have significant implications for mental health and psychosocial well-being of affected persons in a humanitarian context. Example: UNHCR incorporates social considerations into planning of appropriate shelter and site planning, for example, ensuring communal space and safe layout to prevent protection risks. 66 Level 2: Community and family supports: This level is for the smaller number of people who may need support accessing key community and family supports in order to maintain good mental health and psychosocial well-being. Examples of activities at this level are: family tracing and reunification, assisted mourning and communal healing ceremonies, supportive parenting programs, formal and non-formal educational activities, livelihood activities, women’s groups and youth clubs.
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  • Fall '19
  • Humanitarian aid, psychosocial support

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