SRD expanded mental health and psychosocial support services (mhpss) specialized, nonspecialized, and community-based services provided in 2019, added to increasing access, decreasing stigma, and consolidating the understanding of “no health without mental health” in collaboration and coordination with (mhpss) working group lead by WHO. In addition to building capacities of members of local communities (staff i.e., doctors, midwives, Psychosocial workers (PSWs), community health workers (CHWs) and/or key community members using tools accredited by WHO e.g., mental health gap action program (mh GAP) including early detection, referral, management of persons with common mental health problems and focusing on supervision an all services, including men, women children and persons with disabilities (PWD).
- Integrating (mhpss) services on the level of Primary Health Care (mh GAP) doctors and midwives, focusing on community involvement and participation PSWs and CHWs.
- Coordination on headquarters and field levels with (mhpss) working group members lead by WHO (SRD is a key member).
- Partnering with WHO and OCHA (providing specialized and nonspecialized mental health services) and building capacities of other service providers.
- Providing supervised services i.e., assessment and treatment of priority mental health illnesses via mh GAP-trained doctor, midwives, PSWs and CHWs and with support of Psychiatrist.
- Doing mental health case management and psychosocial support services to mental health patient (acute and chronic cases).
- Supporting PSWs by training, supervision using focused approaches e.g, PM Plus implementation
- Contributing to service mapping thus strengthening the referral pathway within health facilities and to other services.
- Preparedness and participating in response to emergent condition through outreach and /or mobile teams providing PFA to the newly arrived IDPs and coordinate in multi-sectoral teams in providing PFA and referral through integration of PSS services to other sectors.
- Contributing to ongoing advocacy campaigns and Conducting awareness raising activities to reduce social stigma and discrimination towards people living with impairment, enhance access and improve quality of services.
In 2020, SRD managed an acute MHPSS unit and 3 mental health mobile clinics.
– SRD participated in all coordination meetings, collaborated with other members on surveys done for assessment of suicide, participated in the quarterly updated service mapping exercise, sent regular data to the MHPSSWG lead about achievements, challenges, and lessons learned.
-SRD ensured that each health facility (primary or secondary) has at least one MHGAP trained doctor and/or a midwife, 12 facilities are integrating mental health services and providing psychotropics to patients.
N.B(* in collaboration with WHO).
-Supported a good number of its facilities with PSWs who also provide Problem Management plus intervention in addition to 2 specialist psychologists who provide behavioral and /or cognitive-behavioral interventions to women and children.
-Run a standalone (mhpss) center in Bab Alnoor with a senior mhGAP trained doctor, a team leader, and of 4 PSWs doing a wide range of in – outdoor services including house visits, awareness-raising, and psychoeducation sessions in individual and groups.
-Mainstreaming of basic mhpss services (PFA, basic assessment, awareness rising and detection and referral) in all facilities (including Protection).
*83 MH GAP trained doctors,17 midwives, 50 case mangers including 19 psychological counselling graduates, 17 PM Plus trained service providers, 2 clinical supervisors( a psychiatrist and a senior MH GAP trained doctor) and trainers in mh GAP (version II), 2 PM Plus trainers and supervisors, 4PSWs TOT trainers including 3 supervisors contributed to the provision of these services.
*In partnership with WHO, with coordination with Health Directorate of Hatay, SRD facilitated TOT training on MHGAP version II attended by 14 doctors from N. W. Syria, later on, some of these trainers lead by 2 psychiatrist trainers trained and supervised 163 doctors on version II MH GAP, 153 doctors completed the 6 months supervision period and still providing services in N. W Syria.