Awareness Raising and Patient identification:
- Identify cases with mental or emotional disorders through patient screening at the health facility level and follow up/monitor the referred cases, both internal and external ones.
- Train the medical team and the CHW to identify and refer patients.
- Organize training to increase awareness around MHPSS within the team (health staff, CHWs).
- Support the INTERSOS Medical Activity Manager (MAM) to organize a mh_GAP training for all the health team and CHWs.
Referral:
- Develop a referral pathway for patients in need of different levels of MH care (for patients coming from the community, from other members of the health team, from other actors).
Patient management for patients affected by mild to moderate MH conditions:
- Evaluate and assess the psychological condition of patients and engage in individual counseling using the WHO Problem Management Plus (PM+) in a culturally acceptable manner.
- train other health staff in performing PM+ and provide ongoing (weekly) on-site clinical supervision to empower the staff to run consultations autonomously in time. Training will also include topics such as effective communication, patient-medical staff relationship, and patient confidentiality.
Patient management for patients affected by severe MH conditions:
- Refer patients to the GP at the health facility, who will treat the patient in collaboration with a psychiatrist.
- Promptly identify potential medication side effects and flag them to the GP and psychiatrist.
Clinical supervision:
- Perform regular clinical supervision of the staff performing counseling (one-to-one or group supervision, client files review-Data review, in-session observation, multi-disciplinary team meeting/case discussion).
Patient documentation:
- Set up the standard patient file provided and ensure it is updated regularly and kept according to confidentiality standards. Collaborate closely with the medical team, keeping MH patient psychological records separate from the medical record.
Data collection, monitoring, and reporting:
- Ensure a proper data collection system and establish a documented process on cases, maintaining strict protocols for confidentiality and consent, and ensuring that data protection protocols are respected.
- Update the MH database and share monthly and quarterly reports as per standard templates according to deadlines
External networking/representation:
Participate when possible in the MHPSS working group with the objective of sharing experiences, increasing awareness of the type of program, and creating a meaningful relationship with the key actor.