Psychosocial Support

The best form of psychosocial support is a healthy family and supportive environment, preferably in the child's community of origin, or one that is culturally similar. Psychosocial well-being is a product of multiple support, which is rooted in the ability to form healthy relationships and participate in community networks.

However, certain considerations may be required in order to help children and caretakers come to terms with life-changing events, such as the loss of a parent. Separation can be highly stressful for children, particularly if it is unexpected, or repeated. Some children may experience anxiety, attachment problems, sleep disturbances, dependency issues, regression, and a range of other behavioural issues which threaten their mental health and development.

Specific types of support may be required for children suffering from loss, severe or chronic ill health, abuse or exploitation. The child’s experience, age, resilience, and the level of support received from the family and community will determine if a child needs external services. A child is far less likely to experience psychosocial stress if they have good natural support mechanisms and therefore protection efforts should focus on supporting families and communities to help each other.

When psychosocial support is needed, an assessment is important in determining the scope and type of issues, the existing family and community resources, and analysis of how these can be strengthened. Clinical mental health interventions such as therapy, psychiatry or psychological counseling, should only be provided by trained professionals after a clinical assessment and, in all cases, should be culturally relevant.

Psychosocial activities must promote the children’s development and their relationships with others, re-establish routines, increase self confidence and sense of control over their lives. Children’s activities, such as the provision of safe places, group work or referrals to specialists, should be designed around the child’s individual needs, age, gender, and cultural identity. Interventions should be empowering, inclusive, and fully integrated with wider community efforts. Children’s participation is essential in psychosocial work; children should be encouraged to express their opinions, and to have these taken into account.

The literature found here describes the psychosocial effects of separation, and other threats to children such as HIV/AIDS, conflict, abuse and exploitation, and provides guidance and examples of psychosocial interventions.

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Youth On The Streets: The Importance Of Social Interactions on Psychosocial Well-Being in an African Context

Sweta Shah, Georgina Graidage, and Josephine Valencia, 2005

Research on the psychosocial factors contributing to distress of children living and working on the streets in Ethiopia. Highlights the importance of facilitating social relationships and connectedness. Suggests intervention constructs and measures based on the Psychosocial Child Well-being model.

Handbook on Psychosocial Assessment of Children and Communities in Emergencies

Regional Emergency Psychosocial Support Network, 2005

A guidebook focusing on the assessment to be conducted when an emergency first hits or just after a major event in an armed conflict. Outlines the preparation needs of an assessment team and describes what an assessment should concentrate on.

Early Childhood Development Kit: Guideline for Caregivers

UNICEF ECD Unit / ECD Emergency Task Force, Program Division, 2005

Guidelines for caregivers of children in emergency situations, with a focus on the role of play in childhood learning and development. Includes a comprehensive list of suggested activities.

Guide to Mobilising and Strengthening Community-Led Care for Orphans and Vulnerable Children

World Vision HIV/AIDS Hope Initiative, 2005

Comprehensive toolkit and resource pack for mobilising community-led OVC care. Includes detailed resources for training home visitors.

Guidelines for Gender-Based Violence Interventions in Humanitarian Settings: Focusing on Prevention of and Response to Sexual Violence in Emergencies

United Nations Inter-Agency Standing Committee, 2005

Comprehensive guidelines for dealing with the planning, establishment, and coordination of multisectoral interventions to prevent and respond to sexual and gender-based violence.

CSO Capacity Analysis: A Tool for Assessing Capacities for Quality OVC Response

CORE Initiative Uganda, 2005

This document provides a tool that was used to assess broad capacity areas for quality OVC response in Uganda.

The Psychosocial Rehabilitation of Children who have been Commercially Sexually Exploited. Self Study Materials

ECPAT International (End Child Prostitution, Child Pornography and Trafficking of Children for Sexual Purposes, 2005

A self-study manual on the care, protection and psychosocial rehabilitation of commercially sexually exploited children.

UNICEF Programming for Psychosocial Support: Frequently Asked Questions

UNICEF, 31 Dec 2004

Helpful resource for defining key terms, issues, and practices in psychosocial support. Contains a short list of recommended tools for support and monitoring of psychosocial support interventions.

The Future of Children: A Collaboration of the Woodrow Wilson School of Public and International Affairs and The Brookings Institute

Princeton University and the Brookings Institute, 17 May 2004

In assessing the practice of foster care in the US and its current limitations, this series of articles advocates for the implementation of health assessments for all children in care, support to preserve permanency and assist birth families, comprehensive supports for foster families, specialized services for children in need, increased cultural competency in social work practice, coordinated services across sectors for families in need and comprehensive well being assessments for children in care.

Promoting Resilience in Fostered Children and Young People

Lisa Bostock, Social Care Institute for Excellence (SCIE), 2004

A guide to building a child-focused foster system that works with the strengths of children and young people to enhance their resilience and ability to cope with adversity. It outlines practical ways to support caring relationships and create positive educational experiences that bolster self-esteem and self-efficacy.