1. Integrated Recovery Program for the Community and Schools Affected by Tsunami Dr. Subhasis Bhadra Director - Disaster Mental Health India Delegation 5 th Feb 2008 At, Kanyakumari, Tmilnadu,

2. Presentation will cover The Coverage of intervention PSP and IFRC recommendations PSP as the base of integrated recovery program School Intervention Community Intervention MHPSS guidelines in Practice

3. The Coverage of intervention: The area of intervention: 40 schools and communities through the costal line in the secondary affected villages of Kanyakumari district spread over 65 KM in three Talukas: –Agastheewaram –Kalkulam –Vilanvancode

4. Why PSP??? Attachment, familiarity and identity is severely threatened by a disaster and displacement. A connection between individuals and intimate environment, allow to identify a place as “good enough” to live. Facilitate a “sense of place” ( Fullilove MT., (1996), Psychiatric implication of displacement, Contribution from psychology of Place, AJP )

5. IFRC recommendation for PSP Consider making psychosocial support programmes a core area for the International Federation in recovery; encourage mutual support for psychosocial support programmes among National Societies from the same region. (page 21, Recommendations, Health: Review of International Federation of Red Cross and Red Crescent Societies recovery operations)

6. IFRC recommendation for PSP The aim of health programmes is to address issues related to basic health,…ongoing longer- term assistance in the areas of psychosocial support will be provided both for the affected community and for humanitarian workers. (page 28, Responding to the Asia earthquake and tsunamis, Regional Stratagy 2 2006-2010, International Federation of Red Cross and Red Crescent Societies )

7. PSP as the base of integrated recovery program

8. PSP as the base of integrated recovery program -Community owned process and community driven process of recovery -Community participatory process is ensured. Community Mobilization Physical, Psychological & Social Rebuilding Root Shock Focus on psychological, social and cultural needs Focus on trust, leadership, networking Disaster recovery is based on Erickson’s stages of development Focus on ownership, feeling of being settled

9. Community mapping

10. Identification of language of distress

11. Home visits, interaction

12. Community mobilization

13. PSP in Integrated Programming Psychosocial platform with components of behavioral and community health impacting individuals, families and communities STRATEGIESINTERVENTIONS COMMUNITY & SCHOOL ACTIVITIES OUTPUTS IMPACTS PLANNING Community participation Community ownership Capacity building Development of contextualized materials Increased community trust and cohesion Strengthened human capital Community acquires knowledge practice & skills Physically, Mentally Healthier And Better Prepared Community Improved hygiene practices Increased mutual support and networking Fostered positive attitude towards the future Non – formal school Functional community centers Environmental activities Identification of human capital Life skills education Hygiene practices Nutrition Health fairs Community members self – select to become community facilitators

14. School intervention

15. Three concept of school intervention Child friendly Child centered Safe school

16. Interventions 1.Health Check-ups for the students (with coordination of Health Department) 2.Hygiene and sanitation promotion 3.Fortified snacks and De-worming tablets 4.Development of fine and motor skills. 5.School Mapping exercise, organizing school committee and safe school initiatives.

17. Interventions 6.Ensuring provision of First Aid in the school. 7.School beautification and clean up activities. 8.Tutoring for the children in the morning/ afternoon/evening. 9.Increase in knowledge among parents about child friendly educational techniques. 10.School ‘mela’ (fair)

18. Community intervention

19. Community Based First Aid (CBFA) in Action and PFA intervention Community Based First Aid in Action and Psychological First Aid Training Community Health Action Plan and Activities Mosquito bed net distribution and activities Public Health In Emergency

20. Activities for Hygiene and sanitation promotion Promotion of Hygiene and sanitation Promotion of hand Washing Safe handling to drinking water

21. Activities for Sense of Place Identification, prioritization of needs through community participatory approach Planning, identification of resources and implementation of sense of place activities. Networking with Government and others organizations

22. Community Wide Information Sharing Intervention Community and school mela Community radio

23. Capacity Building Intervention Operational training for the volunteers and teachers Capacity building of IRCS Staffs Development of materials and distribution

24. MHPSS guidelines in Practice

25. Community-Based Psychosocial Programming Families and communities have resources for psychosocial support that programs should build upon and strengthen. Program design and implementation are community owned, participatory, and based on local knowledge and resources. Emphasis is on community empowerment and collective planning and action. Linkage of emotional support and rehabilitation with physical, economic, and political reconstruction and with diverse service providers.

26. Assessment, monitoring & evaluation Protection & human rights standards Human resources Coordination Health Community Mobilization Dissemination of Information Education Adapted from: Inter-Agency Standing Committee (IASC) (2007). IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva: IASC Core Areas, Cross-cutting themes & Social Considerations Water & Sanitation Food Security Shelter & Site Planning

27. Strengthened Local Resources Improved Psycho-social Well-being Better-Prepared Communities IMPACT Capacity Building and utilization of Local Resources Collaboration with authorities & other relevant actors Contextual Interventions in a timely fashion Community led program with inclusive approach IMPLEMENTATION Four C’s of Community Based Programs

28. Material Development Non-Verbal tool: A tool for community development Non-Verbal tool: Disaster risk reduction for CF Guidelines on mental health and Psychosocial support Healthier and safer communities: Integrated program Technicians Manual Operational Training Multifold

29. IPS IPT CF

30. Lets go and see in the field: 5 Communities will be visited (on 5 th Feb 2008) 4 schools will be visited (on 6 th Feb 2008)