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Mental health in humanitarian settings | Collections | MSF Science Portal

Complex humanitarian emergencies and other low-resource settings can be exceedingly difficult places to provide quality mental health (MH) care. Yet these environments also often have a high burden of mental health care needs.

This collection presents a set of articles describing how MSF teams have adapted and evaluated ways of bringing clinically impactful MH care to neglected communities and patients—from forcibly displaced populations in northern Nigeria to Syrian refugees in Lebanon and typhoon survivors in the Philippines. It also highlights work on developing new tools for providing clinical supervision and for identifying those patients most in need of care in fragile settings, and on new approaches to delivering MH services during the Covid-19 pandemic.

Collection Content

Journal Article
|
Research

What matters in mental health care? A co-design approach to developing clinical supervision tools for practitioner competency development

Böhm B, Keane G, Karimet M, Palma M
2022-10-21 • Global Mental Health
2022-10-21 • Global Mental Health
BACKGROUND
Specialised mental health (MH) care providers are often absent or scarcely available in low resource and humanitarian settings (LRHS), making MH training and supervision f...
Journal Article
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Research

Severity, symptomatology, and treatment duration for mental health disorders: a retrospective analysis from a conflict-affected region of northern Nigeria

Torre SM, Carreño C, Sordo L, Llosa AE, Ousley J,  et al.
2022-07-15 • Conflict and Health
2022-07-15 • Conflict and Health
BACKGROUND
Mental health and psychosocial support (MHPSS) programs are essential during humanitarian crises and in conflict settings, like Nigeria’s Borno State. However, research on...
Journal Article
|
Research

Shifting to tele‑mental health in humanitarian and crisis settings: an evaluation of Médecins Sans Frontières experience during the COVID‑19 pandemic

Ibragimov K, Palma M, Keane G, Ousley J, Carreño C,  et al.
2022-02-14 • Conflict and Health
2022-02-14 • Conflict and Health
BACKGROUND
'Tele-Mental Health (MH) services' are an increasingly important way to expand care to underserved groups in low-resource settings. In order to continue providing psychiat...
Journal Article
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Commentary

Competency-based mental health supervision: evidence-based tool needs for the humanitarian context

Böhm B, Palma M, Ousley J, Keane G
2021-12-31 • Global Mental Health
2021-12-31 • Global Mental Health
Journal Article
|
Letter

How mental health care is changing in Cameroon because of the COVID-19 pandemic

Mviena JLM, Fanne M, Gondo R, Mwamelo AJ, Esso L,  et al.
2020-10-01 • Lancet Psychiatry
2020-10-01 • Lancet Psychiatry
Journal Article
|
Research

Development of a patient rated scale for mental health global state for use during humanitarian interventions

Llosa AE, Martinez-Viciana C, Carreño C, Evangelidou S, Casas G,  et al.
2020-09-18 • International Journal of Methods in Psychiatric Research
2020-09-18 • International Journal of Methods in Psychiatric Research
OBJECTIVE
We present the results of a cross-cultural validation of the Mental Health Global State (MHGS) scale for adults and adolescents (<14 years old).

METHODS
We per...
Journal Article
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Review

A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors

Ogbe E, Harmon S, Van der Bergh R, Degomme O
2020-06-25 • PLOS One
2020-06-25 • PLOS One
BACKGROUND
Intimate partner violence (IPV) is a key public health issue, with a myriad of physical, sexual and emotional consequences for the survivors of violence. Social support ha...
Journal Article
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Research

Perceptions and health-seeking behaviour for mental illness among Syrian refugees and Lebanese community members in Wadi Khaled, North Lebanon: a qualitative study

Al Laham D, Ali E, Mousally K, Nahas N, Alameddine A,  et al.
2020-01-21 • Community Mental Health Journal
2020-01-21 • Community Mental Health Journal
This is a qualitative exploration of the perceptions of mental health (MH) and their influence on health-seeking behaviour among Syrian refugees and the Lebanese population in Wadi Khale...
Journal Article
|
Research

Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines

Weintraub AC, Garcia MG, Birri E, Severy N, Ferir MC,  et al.
2016-09-12 • International Health
2016-09-12 • International Health
BACKGROUND
Severe mental disorders are often neglected following a disaster. Based on Médecins Sans Frontières' (MSF) experience of providing mental health (MH) care after the 2013 t...

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Diabetes care in humanitarian settings

Diabetes care in humanitarian settings
Diabetes affect hundreds of millions of people worldwide, a large majority of them living in low- and middle-income countries. Yet finding effective strategies, tools and policies for effectively managing this chronic illness—especially amid war, displacement or exclusion from care—is a neglected area of humanitarian medicine. Here we present a cross-section of work on this front by MSF and collaborators. Several studies assess the shift towards community-based, nurse-led models of care in rural settings. Others explore obstacles to diabetes care for war refugees living in camps in Jordan or Lebanon, highlighting how health programs can adapt to their needs. The demonstration that insulin retains potency for 30 days if cooled without refrigeration is opening doors to more patient self-management, as a case study in remote South Sudan shows. At the same time, MSF and others call for regulatory and financing policies that make diabetes medications and supplies cheaper, better adapted to humanitarian settings, and far more available to patients whose lives depend on them.
World Hepatitis Day 2023

World Hepatitis Day 2023
Viral hepatitis is a major cause of disease and death globally. To mark World Hepatitis Day (July 28th) we present a selection of recent MSF research exploring how to effectively deploy powerful medical tools that could turn the tide on hepatitis C and E—but now reach only a tiny fraction of people who desperately need them, especially in low-resource and emergency settings. For hepatitis C, where groundbreaking new antiviral drugs can cure nearly all patients, MSF is piloting simplified, community-based models of care that offer rapid screening, diagnosis, and treatment under one roof. Some programs focus on the complex needs of highly vulnerable, hard-to-reach populations, such as people co-infected with HIV or TB or who inject drugs. Turning to prevention, an ongoing vaccination campaign against hepatitis E in an outbreak setting is showing early signs of short-term protection. Final results from this South Sudanese refugee camp, where poor sanitation and water quality regularly lead to outbreaks, should help plug a key evidence gap that—along with other barriers discussed in a commentary article—impedes widespread uptake of the vaccine.
Snakebite envenoming: a neglected health crisis

Snakebite envenoming: a neglected health crisis

Every year 2 million or more people fall victim to snakebite envenoming, mostly in poor, rural communities of Africa, Asia and Latin America. Between 83,000—138,000 of them die, while hundreds of thousands more suffer debilitating long-term complications or disabilities.


Although some antivenom medicines are highly effective when used promptly and appropriately, many snakebite victims get no treatment at all. Those who do may receive antivenoms which don’t work against the type of snake that bit them, or were not rigorously tested for safety and effectiveness.


To mark World Snakebite Awareness Day on September 19th, the Collection linked below brings together recent MSF work on this highly neglected disease. Several articles and conference presentations help fill evidence gaps on the burden of disease and its impacts or on treatment outcomes with specific antivenoms. Others examine how to tackle the formidable challenges of availability and affordability, the absence of regulatory oversight for making, testing and registering antivenoms, and the anemic R&D pipeline for new products—all of which impede access for patients to safe, effective treatment tailored to local snake species.

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Mental health in humanitarian settings

Mental health in humanitarian settings