Chronically Ill in an Emergency: Why Mental Health Matters
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Chronically Ill in an Emergency: Why Mental Health Matters
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There are 3 modules in this course
In humanitarian settings, mental ill-health is powerfully inter-connected with other non-communicable diseases (NCDs) such as cardiovascular diseases, cancers, diabetes and chronic respiratory diseases. Integrating mental health and psychosocial support (MHPSS) with NCD prevention and care might therefore be useful, both to be more effective, and to require fewer resources. There is, however, a lack of widely accepted guidelines that take this into account, and this course is intended to draw attention to that issue.
Attention to NCDs focused initially on four major disease categories (cardiovascular disease, diabetes, chronic respiratory disease and cancer) and four groups of associated risk factors (unhealthy diets, physical inactivity, tobacco use, and harmful use of alcohol). Recently, mental ill-health has been considered as the fifth NCD and environmental determinant as the fifth risk factor for NCDs – known as ‘5-by-5’ conditions. The course has a threefold aim: i) to explore evidence of interaction between mental ill-health and other NCDs and the role of psychosocial support in humanitarian response; ii) to explore what is being done and where; what level the determinants of health are being addressed at and the integration of mental health and psychosocial support or MHPSS and NCD prevention and care in humanitarian response; and iii) to identify and explore challenges, opportunities and lessons learned for integrating MHPSS and NCD prevention and care in humanitarian response. The MOOC will be led by a course leader from the University of Copenhagen in close collaboration with academic teachers, the Danish Red Cross and IFRC Reference Centre for Psychosocial Support, Copenhagen, Denmark.
This module will provide you with an overview of MHPSS and NCD prevention and care in humanitarian response. We will start by discussing the World Health Organization (WHO) definition of health and the burden and risk factors associated with mental ill-health and other NCDs globally and in humanitarian settings. Then we will discuss the shift from the 4x4 approach (four major NCDs plus four modifiable risk factors) to the 5x5 approach (including mental ill-health and environmental risk factors). Consequently, we will explore factors that worsen mental ill-health in humanitarian responses as well as the role of psychosocial support in improving mental health and well-being. Finally, we will discuss the nature and role of agency in recovery from mental ill-health and other NCDs.
What's included
6 videos7 readings4 assignments1 discussion prompt
6 videos•Total 56 minutes
- Welcome to the Course•3 minutes
- 1.1 An Overview of Mental Ill-Health and Other NCDs•7 minutes
- 1.1a Importance of Mental Health and Psychosocial Support (MHPSS)•15 minutes
- 1.1b Improving Mental Health of Refugees Through Guided Self-Help•7 minutes
- 1.2 Pathways Between Mental Ill-Health and Other NCDs•9 minutes
- 1.3 Agency in Recovery from Mental Ill-Health and other NCDs•16 minutes
7 readings•Total 92 minutes
- 1.1 and 1.1a Mandatory Reading and Resources •45 minutes
- Guided Self-help Intervention Reduces Refugees' Psychological Distress•5 minutes
- Optional Reading and Resources•0 minutes
- Integrating Mental Health with Other NCDs•7 minutes
- Integrating Mental Health in Care for NCDs: An Imperative for Person-Centered Care•10 minutes
- Non-Communicable Diseases in Humanitarian Settings•20 minutes
- Food Aid and Dependency Syndrome in Ethiopia: Local Perceptions•5 minutes
4 assignments•Total 27 minutes
- 1.1 Quiz•12 minutes
- 1.1a Quiz•6 minutes
- 1.2 Quiz•6 minutes
- 1.3 Quiz•3 minutes
1 discussion prompt•Total 25 minutes
- Why integrate MHPSS and NCD prevention, and how to maintain agency•25 minutes
In this module, we will focus on exploring what is being done and at what level to address comorbidity of mental ill-health and other NCDs in in primary health care in humanitarian settings. We will also seek the answer to what is the role of policy measures and community-based programmes to promote mental and physical well-being as well as ensuring continued access to care. Finally, yet importantly, we will discuss various approaches for integrating MHPSS and NCD prevention and care in humanitarian response, including a case from Kenya.
What's included
4 videos4 readings2 assignments2 discussion prompts
4 videos•Total 50 minutes
- 2.1 Guidelines Integrating MHPSS and NCD Prevention and Care in Humanitarian Response•14 minutes
- 2.2 Integrating MHPSS within NCD Prevention and Care after Natural Disasters•10 minutes
- 2.3 MHPSS and NCD Prevention and Care in Dadaad Refugee Camp•10 minutes
- 2.3a An Approach to Integrating MHPSS within NCD Prevention and Care: Kenya•16 minutes
4 readings•Total 62 minutes
- Addressing MHPSS and NCDs in Urban Jordan•15 minutes
- 2.1 Optional Reading and Resources•0 minutes
- Management of Chronic NCDs Diseases after Natural Disasters in the Carribbean•12 minutes
- Non Communicable Diseases Kit•35 minutes
2 assignments•Total 15 minutes
- 2.1 Quiz•6 minutes
- 2.2 Quiz•9 minutes
2 discussion prompts•Total 45 minutes
- Your advise to patients•20 minutes
- Plan an activity that integrates MHPSS and NCD prevention and care•25 minutes
Diverse challenges posed by humanitarian response include varied demographics of the populations affected, the range of mental ill-health and other NCDs, and ethical dilemmas regarding prioritization of MHPSS and NCD prevention and care. In this module, we will discuss these challenges, as well as the opportunities and lessons learned for delivering MHPSS and NCD prevention and care in humanitarian response. We will also look at the impact of COVID-19 to keep MHPSS and NCD prevention and care.
What's included
4 videos8 readings2 assignments2 discussion prompts
4 videos•Total 34 minutes
- 3.1 Lessons Learned - and Difficulties in Implementation•5 minutes
- 3.2 Ethical Dilemmas Regarding Prioritisation of MHPSS and NCDs Prevention and Care•13 minutes
- 3.3 Emerging Mental Health Issues During the COVID-19 Pandemic - A Nepalese Perspective•6 minutes
- 3.3a MHPSS Considerations During the COVID-19 Pandemic- A Case from Nepal•10 minutes
8 readings•Total 102 minutes
- Social Suffering Among Syrian Refugees at an NCD Clinic in Jordan•25 minutes
- Barriers to, and Facilitators of Implementing and Receiving MHPSS programmes•20 minutes
- 3.1 Optional Reading and Resources•0 minutes
- Bio-ethical Considerations for Public Health in Humanitarian Action•35 minutes
- Cancer in Refugees in Jordan and Syria etween 2009 and 2012•10 minutes
- COVID-19 and Mental Health: A Review of the Existing Literature•7 minutes
- Addressing Mental Health Needs: An Integral Part of COVID‐19 Response•5 minutes
- 3.3 Optional Reading and Resources•0 minutes
2 assignments•Total 12 minutes
- 3.2 Quiz•3 minutes
- 3.3 Quiz•9 minutes
2 discussion prompts•Total 30 minutes
- Three barriers and three opportunities•10 minutes
- Ethical dilemmas and how you handle them•20 minutes
Instructors
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Reviewed on Sep 15, 2024
I enjoyed the speakers on the videos and the opportunity to join in discussion forums.
Reviewed on Sep 26, 2022
Very informative on issues of Mental Health and Psychosocial support
Reviewed on Jan 18, 2022
I think that most of the quizzes were common-sense and did not require attention to the materials.
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