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Abstract
Purpose The purpose of this paper is to develop a child psychosocial framework among stakeholders in areas of disadvantage in three low- and middle-income countries (LMIC), i.e. Kenya, Turkey and Brazil, and to capture their proposed recommendations through action plans according to this framework. Design/methodology/approach Workshops were facilitated with a total of 54 participants from different disciplines. The framework addressed safety and child-centredness, quality of care, resilience-building in schools and communities, enhancing competencies within existing roles, counselling and psychological interventions, and access to mental health services. Stakeholders’ perspectives were captured through a participatory action procedure. Findings The emerging 33 categories across the framework dimensions and the three sites led to four overarching and inter-linked themes. These related to community awareness; empowerment and “mobilization” of children, young people and families; inter-agency policy and practice; and capacity-building on skills acquisition at different levels. Research limitations/implications The next stage in this service research should be full implementation and evaluation in different LMIC contexts. Practical implications It is feasible to implement such a child psychosocial framework in contexts of conflict and disadvantage, and in the absence of specialist mental health services. Active stakeholder engagement and co-production should be central to the next phase of service transformation in LMIC. Originality/value This study captured the views and experiences of stakeholders in LMIC areas of disadvantage, and demonstrated their readiness to establish interdisciplinary networks and re-focus existing services.
Highlights
Improving children’s mental health is gaining increasing recognition and importance globally, including in low- and middle-income countries (LMIC)
It is widely accepted that these challenges can only be addressed through en co-production with and ownership by communities, cultural adaptation and appropriateness of interventions, and their integration into existing systems that variably involve provision by erv non-governmental organizations (NGOs) (Lund et al, 2016)
Bronfenbrenner, 1979; hierarchy of needs - Maslow, 1943), and the best available evidence on child mental health needs in LMIC (Kieling et al, 2011; Patel and Rahman, 2015), we developed a conceptual framework, as part of the World Awareness for Children in Trauma programme, whose objective is to develop evidence-based guidelines and capacity-building in LMIC (Eruyar et al, 2018a; Vostanis et al, 2018)
Summary
The emerging 33 categories across the framework dimensions and the three sites led to four dr overarching and inter-linked themes. These related to: community awareness; empowerment en and ‘mobilization’ of children, young people and families; inter-agency policy and practice; and capacity-building on skills acquisition at different levels. The stage in this service research should be full implementation and evaluation in different LMIC contexts. It is feasible to implement such a child psychosocial framework in contexts of conflict and s disadvantage, and in the absence of specialist mental health services. This study captured the views and experiences of stakeholders in LMIC areas of disadvantage, and demonstrated their readiness to establish interdisciplinary networks and to re-focus existing services
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