The hallmark of best practice in psychosocial programming is the restoration of coping mechanism in the home, community and society that support families to raise their affected kith and kin well. Understanding How to Support the affected persons: The 4 Elements
To provide neutral space for participants to share the work of the organizations and findings of research studies undertaken. Child Vision with the sponsorship of UNICEF trained 50 psychosocial support workers in Anuradhapura and Puttalam districts and subsequently DPSF was setup in February and April 2007. Currently DPSF in both districts are directly linked to national PS forum (CHA). Useful links in Psychosocial Initiatives:
Puttalam District Psychosocial Coordinator National Psychosocial Forum, C/o: Consortium of Humanitarian Agencies (CHA), No. 86, Rosmead Place, Colombo 7. Tel/Fax : 011 4610943/4 E-mail: email@example.com / firstname.lastname@example.org Mental Health Unit, Base Hospital, Colombo Road, Chilaw. Tel: 032 2223261, 032 2222261 Department of Probation and Child Care Services, Puttalam. Tel: 032 2265345 Anuradhapura District Psychosocial Coordinator National Psychosocial Forum, C/o: Consortium of Humanitarian Agencies (CHA), No. 86, Rosmead Place, Colombo 7. Tel/Fax: 011 4610943/4 E-mail: email@example.com firstname.lastname@example.org Mental Health Unit, Teaching Hospital, Anuradhapura. Tel: 025 2222261 Department of Probation and Child Care Services, KB Ratnayake Mawatha, Anuradhapura. Tel: 025 2222570, 025 2234162, 060 2852616 The OIC, Women and Children Desk, Anuradhapura. Tel: 025 2222229 The Coordinator District Child Development Committee (DCDC) District Secretariat, Anuradhapura. Tel: 060 2258708 E-mail: email@example.com Sexual & Gender-based Violence Committee (SGBV), C/O. CTF, (Facilitated by CTF Kekirawa) No. 207, Olukarantha Junction, Maradankadewela Road, Kekirawa. Tel: 025 2264525 E-mail: firstname.lastname@example.org Women in Need (WIN), No. 596/75, Kadapanaha, Anuradhapura. Tel: 025 2225708 Hot line: 011 4718585 E-mail: email@example.com Family Rehabilitation Centre (FRC), Karapikkada Road, (In front of Hospital Junction), Madawachchiya. Tel: 0252245908 District Director, Sewa Lanka Foundation (SLF), District Office, Stage-II, Godage Mawathe, Anuradhapura. Tel: 0252223514 E-mail: firstname.lastname@example.org Program Manager Child Vision Sri Lanka, No.07, Anuradhapura Road, Puttalam, Sri Lanka. Tel: 032 2267457 / 032 5673008 E-mail: email@example.com / firstname.lastname@example.org
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District Psychosocial Forum
The main objectives of DPSF are: 1.To strengthen networking and coordination among government and non-governmental organizations, regional groups, international agencies, who are involved in psychosocial activities in Puttalam districts. 2.To develop a functional referral and follow-up system for people requiring further specialized support. 3.Develop plan of action to enhance psychosocial well-being of people in Puttalam district. 4.To improve information exchange, documentation and dissemination of psychosocial material. 5.To provide a platform for discussing and exchanging progressive/current ideologies in psychosocial work and interventions.
The OIC, Women and Children Desk, Chilaw. Tel: 032 2222646 The Coordinator District Child Development Committee (DCDC) District Secretariat, Puttalam. Tel: 032 2265257 E-mail: email@example.com Sexual & Gender-based Violence Committee (SGBV), C/O. RDF, Colombo Road, Palavi. (Facilitated by RDF Puttalam) Tel: 032 5672935 / 032 2269024 E-mail: firstname.lastname@example.org / email@example.com Women in Need (WIN), No. 17/11, Poles Road, Puttalam. Tel: 032 5672161 Hot line: 011 4718585 E-mail: firstname.lastname@example.org Program Manager Child Vision Sri Lanka, No.07, Anuradhapura Road, Puttalam, Sri Lanka. Tel: 032 2267457 / 032 5673008 E-mail: email@example.com / firstname.lastname@example.org The Secretary Humanitarian Fellowship Organization (HFO) No. 22/1, Kadumayankulam Road, Puttalam. Tel: 032 5670358 / 077 4221142 E-mail: email@example.com The Director Humanitarian Social Service Foundations (HSF) Hill Street, Kalpitiya. Tel: 032 5686996 / 072 5186250 E-mail: firstname.lastname@example.org Contact details of the DPSF: Psychosocial Coordinator (NCPA) District Psychosocial Forum District Secretariat, Puttalam. Tel: 032 2265257 E-mail: email@example.com
Psychosocial Coordinator (NCPA) District Psychosocial Forum District Secretariat, Anuradhapura. Tel: 025 2222570, 060 2258708 E-mail: firstname.lastname@example.org
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Psychosocial intervention may be defined as, support provided to the affected person or persons for improved emotional/ mental wellbeing in relation to their association with family, society, environment, religion, health, education, finances etc. Because most survivors have gone through some of the worst life experiences they often develop a sense disparity, feelings of hopelessness, distress, grief, difficulty in decision making, mode changes, fear, anger, anxiety, stress, even suicidal tendencies. The psychosocial wellbeing of an individual is here defined with respect to three core domains: Human capacity, Social ecology and Cultural values. Indicators of Distress: The most severely distressed are at risk for developing conditions known as Acute Stress Disorder (ASD) or Post traumatic Stress Disorder (PTSD). Only a trained mental health professional can diagnose ASD and/or PTSD, but there are symptoms that parents, teachers, and caregivers can look out for. Symptoms include: • Headaches, stomach aches, or other somatic complaints not explained by physical illness. • Lack of interest and energy/ apathy. • Withdrawal from relationships with members of community and family. • Excessive clinging to familiar people. • Prolonged sadness or generalized anxiety. • Loss of appetite. • Sleep disturbances. • Poor concentration, restlessness, sudden changes in mood. • Aggressiveness or destructiveness-violating rules of the community. • Preoccupation with violence, suffering and separation.
The affected people are said to experience trauma. Trauma is another word for an event that is horrific, that invokes extreme anxiety or helplessness. Trauma can change the way they view their world. It is common for them to regress both behaviourally and academically following a traumatic experience. Intervention Pyramid Model (IPM):
1.Psychiatric Care. 2.Therapeutic Interventions.
Basic Intervention Strategies: 1. Provision of secured environment. 2. Befriending 3. Family, Community, Peer support group. 4. Confidence and trust building. 5. Self learning. 6. Behaviour and character building. 7. Recreational activities (Art therapy, Play, Creative Drama, Creative classes, Circle time, Participatory pproaches). 8. Visiting new environment. 9. Community service. 10. Self-realization activities. In Puttalam and Anuradhapura districts there are organizations working for psychosocial and protection activities providing necessary councelling sessions and other services to the affected and it is important that there is appropriate networking and coordination among all agencies so that they maximize their impacts on the targeted beneficiaries. Role of psychosocial programmes: The affected persons exposed to abuse must have their basic needs, such as food, shelter and age appropriate care, met. Ensuring this is in itself psychosocial assistance. After ensuring that basic needs are being met, psychosocial programs attempt to restore the structures and routines of everyday life, such as school, work, play and counseling. The fundamental aim of psychosocial programs is to improve the affected persons well being by: • Restoring the normal flow of development. • Protecting the affected persons from the accumulation of stressful and harmful events. • Enhancing the capacity of families and communities to care for the affected persons. • Enabling the affected persons to actualize full potential and strive for positive futures.
1.Special Needs. 2.Counselling. 3.Protection. 4.Community-Based Support.
AT RISK VULNERABLE
• Community-Based Support 1.Community Development. 2.Supporting Community Initiatives.
RESILIENT NORMAL FUNCTIONING
The top level of the pyramid consist of people who have been severely affected and are suffering from intense emotional distress and need intensive psychosocial care and psychiatric intervention. The middle level of the pyramid includes vulnerable children, women and adults who have disabilities, survivors of sexual violence and those of being exploited. The bottom level is the largest group consisting of those who have experienced shock, grief, economic losses and will benefit from improvements in economic condition as well as education, work and capacity building that enables them to meet their basic needs. Movement across levels can occur in either direction and it shows the need for diverse kind of psychosocial approaches and for coordination across levels of intervention.