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Ccih2019 mental-health-littlefield

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Joan Littlefield, BSN, MPH, MBA, Director of Asia and Eurasia Programs, Americares shares how Americares initiated mental health training for doctors, nurses and health workers in areas at risk for natural disasters in the Philippines.

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Ccih2019 mental-health-littlefield

  1. 1. 1 Serving the Community through Mental Health Capacity Building Presented by Joan Littlefield, BS (Nursing), MBA, MPH Director, Asia & Eurasia Programs Americares Foundation June 7, 2019 CCIH 2019 Conference
  2. 2. 2 It all started with Typhoon Haiyan… November 2013
  3. 3. 3 • Sustained winds of 196 mph • 90% of Tacloban destroyed or damaged • > $4.55 billion in damage • > 6300 people dead • 1,900,000 homeless • 6,000,000 displaced
  4. 4. 4 Loss Grief Uncertainty Fear Traumatic Stress
  5. 5. 5 add underlying prevalence… • Neuropsychiatric disorders represent 14% of the global burden of disease and in the Philippines. • Schizophrenia prevalence – 1.2/100,000 • Suicide rates: 2.5/100,000 in males 1.7/100,000 in females • Depressive reactions in adults are frequent
  6. 6. 6 Capacity Building San Francisco Municipality Poo Municipality Coordination with Regional, Provincial and Municipal Resources Material support: renovations, chairs, signage and banners
  7. 7. 7 WHO Mental Health Gap Action Program Medical Officer and One Nurse trained to assess and treat: • Depression • Schizophrenia • Epilepsy • Suicide prevention
  8. 8. 8 • Screening for mental health and wellbeing • Managing stress • Coping and Resilience • Therapeutic Communication • Counseling • Art Therapy • Organizing and Managing a Patient Support Group Nurses and midwives (121) were also trained in:
  9. 9. 9 • identify and refer community members in need • reduce stigma through community discussions and to facilitate coping skills and resilience • Psychological first aid Barangay Health Workers (352) were trained to:
  10. 10. 10 Community Rural Health Unit Barangay Health Station Mental Health Continuum of Care Barangay Health Worker • Identify and refer • Reduce stigma • Facilitate coping skills and resilience • Psychological First Aid Midwife • Identify and refer • Facilitate coping skills and resilience • Advocate Nurse • Identify and refer • Triage • Counsel • Manage support groups Doctor • Diagnose • Prescribe Psychiatrist: Supervision and problem solving Regional Hospital Tertiary psychiatric hospital
  11. 11. 11 How is the community responding? • Increased visits for psychosis, epilepsy, depression, anxiety, and developmental disorders • Community members are coming for ‘talk therapy’ • Local leadership is budgeting for and supporting services
  12. 12. 12 What is working?  Support Groups: Help clients and they invite others who might be struggling  Regular patient follow up  Advocacy with local leadership  “Psycho-education”: Community education for all
  13. 13. 13 Celebrating Success
  14. 14. 14 Salamat Kaayo! Special thanks to the Americares Philippines MHPSS team Pearl Templado, Coordinator Julie Anne Ewican, Site Facilitator Lutgarda Carabio, Site Facilitator Paul Pagaran, Country Director

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