MENTAL HEALTH AND PSYCHOSOCIAL WELLBEING PROGRAM January June

MENTAL HEALTH AND PSYCHOSOCIAL WELLBEING PROGRAM January – June 2017 Team Members Yusrah Nagujja Francis Okot Oyat Anthony Ochora Kampogo Mary Gato Ndabaramiye Talemwa Paula Monica Nankunda

Program Objectives Vision: A Forced Migrant Community Free From Mental And Psychosocial Challenges Mission: To be an exemplary provider and to contribute to creating a local and global policy and practice environment that can effectively, comprehensively, and appropriately up hold the mental and psychosocial wellbeing of forced migrants

Objectives To provide proper treatment and care for people affected by psychological and psychosocial issues to improve their functionality To promote resilience and self reliance through building knowledge, skills , social and economic resources forced migrants

To strengthen community and national structures that will support the protection and reduce vulnerability of refugees from falling into further harm through training and capacity build To promote resilience and self reliance through building knowledge, skills , social and economic resources forced migrants • To fundraise and mobilize resources for program development

2. Work Plan activities and Implementation Status Psychotherapy/counseling Activities Planne Implementation d status Variation s Individual -100 Family -6 Group Therapy 198 33 2 195 in 274 sessions 3 13 and 17 couples 3 3 terminated 2 new On track Referrals for medical Psych education sessions 100 06 101 10 Resettlement referrals 45 Treatment camps 1 10 coordinator, 16 program, 12 testimonies 1

Building self reliance forced migrants Planne d Implementatio Variations n status Mentoring of refugee support groups 12 8 Develop a protocol for support -6 running groups 1 Draft developed Develop a training manual for training and mentoring peer counselors 1 developed -100 Developing and implement 1 care for care givers working guidelines Working on draft self care manuals

Trainings and Capacity building Planne Implementation d status Vari ation s On track Training support group 2 leaders in financial literacy and management, self -100 advocacy, leadership skills, -6 group dynamics • • Training and mentoring of 25 peer counselors 10 trainin g 1 1 training session on 9 peer support and personal health care 1 training conducted On successfully track 1 Successfully conducted Training on identifying and handling children affected by torture Training staff on result based monitoring and Leadership skills Managing grouped dynamics On track

Advocacy and networking Participating in the National Child Protection Working Group: attended all the two quarterly meeting focusing on Child policy- MGLSD Participating in the CAT Activities: 12 th meetings attended in preparation for just concluded Anti-torture Week on 26 th June Initiated mental health working group at National level – MOH and our focus is following up on the Mental health policy

Participating in the Persons with special needs working group with UNHCR- 4 meetings attended our focus are on Elderly and PWDs Commemoration of the International Day of Families -15 th May Commemoration Child 16 th June of the Day of the African

Commemoration of UN International day In support of torture victims- Psycho medical and legal Camp of 21 st June 2017 Commemoration of the World Refugee Day - 20 th June Development and production of IEC materials on common mental disordersdeveloped IEC on depression

Research Identifying and profiling refugees with disabilities living in Kampala on course. Tools developed Training conducted Letter to Authorities drafted and submitted Prevalence of mental Health: Analysis of Client summery forms Trends of mental Health: Analysis of Mental

Resource Mobilization and program development Develop proposal of 2017 to UNFVT Proposal to the Humanitarian Innovation Fund Follow-up on contact with Disability Partnership Funding Follow-up on Finn Church Aid Uganda on possible funding for women Funding to develop and test a group psychotherapy for PTSD and depression among refugees Finalize and submitted a proposal to the Global Innovations Fund Finalise and submit a proposal to Saving Brains -

KEY RESULTS Outcome Improved psychosocial functionality of torture victims Restored and improved personal skills for selfreliance Support groups strengthened and the psychosocial support base widened Increased awareness about mental health issues among forced migrants nationally and globally Resource base for MHPW program widened

Outcome 1: Improved psychosocial functionality of refugees Gender of Clients Frequency Percent Male 56 28. 7 Female 135 69. 2 SGN 4 2. 1 Total 195 100. 0

Clients ‘ Country of Origin COR DRC BUR SSUD RWA SOM ERI UG ETH Total Percen Frequency t 139 71. 2 13 12 9 8 5 5 4 195 6. 7 6. 1 4. 6 4. 1 2. 6 2. 1 100. 0

Psychosocial Issues Presented by Clients Psychosocial Issues Livelihoods/income Medical/Physical health Resettlement Parenting Housing Relationship problem Social isolation Insecurity Education Food Disagreement/conflict Total Frequency 106 87 36 33 25 24 18 17 13 9 474 Percen t 22. 4 18. 4 7. 6 7. 0 5. 3 5. 0 3. 8 3. 5 2. 7 1. 9 99. 9

Mental Health Issues Presented by Clients Mental Health Issue Frequency Percent Distress 170 30. 1 Depression 144 25. 5 Anxiety 113 20. 0 PTSD 61 10. 8 Grief 45 7. 9 Psychosomatic disorder 8 1. 4 Alchohol&Drug Abuse 7 1. 2 Psychosis 6 1. 0 Sexual dysfunction 5 0. 88 Suicidal Ideation 5 0. 88 564 99. 7 Total

Disaggregation by vulnerability Vulnerability Frequency Percent Torture Survivors 165 36. 9 SGBV 129 28. 9 Single Mother 84 18. 7 Children (17 below) 17 3. 7 PWDs 15 3. 3 Elderly (60+) 13 2. 8 HIV positives 10 2. 2 9 2. 0 7 449 1. 5 100 Sex worker Single Father Total

Clients Seen By Session Type Frequency Percent Individual 408 88. 0 Family 11 4. 3 Couple 16 7. 6 Total 435 100. 0

Session number Number of session First Second Third Fourth Fifth Sixth Seventh Eighth Total Frequency Percent 195 47. 8 79 19. 4 48 11. 8 37 9. 1 26 6. 4 13 3. 2 7 1. 7 3 0. 6 408 100

Referrals External referrals No. clients referred Feedback Received 81 feed back from 101 clients referred for medical Inter. Aid 26 16 clients received treatment from Interaid ACTV 25 20 clients have received treatment from ACTV HIAS Rubaga 11 3 received treatment HIAS Nsambya 2 No livelihood support currently Refugee and Hope International 7 2 Client given a food package 5 received training and shelter KCCA Health Center 20 15 client got treatment from Kisenyi HCIV Mulago Hospital Naguru hospital 26 12 received treatment from Mulago Hospital 11 received treatment from Naguru Hospital

Outcome Indicators 76 Client's ability to open up 16 Agreed to take a medical 12 apply alternative thoughts 23 Calmness 20 Earned life skills 7 gained sense of value 4 General skills of selfawareness 45 hope restored 1 identify thoughts 11 improved communication 44 knowledge of accessing service 24 less worry 32 Managing emotions 2 Managing fear 3 openly sharing issues 4 Reduced number of Alcohol bottle

Resettlement 10 cases sent to the resettlement coordinator 16 resettlement cases under internal review within the program 12 testimonies were recorded

Outcome 2: Restored and improved personal skills for self-reliance

Training of peer counselor – 1 training session for 17 peer counselors Training on group dynamics – Living with Hope Leadership African skills training – debates 22 nd June 2017 - 11 clients attended

10 support group mentored and supported The Youth group – have over the period effected on their facilitation skills, they conducted 6 film facilitated session with different support groups PWDs are in the process of registering their association, currently collecting registration money from amongst themselves

Outcome 3: Support groups strengthened and the psychosocial support base widened Reporting template developed Therapy Group for support group members Confident refugee youth

Trainings for clients Training for support group leaders LWH on group dynamics Training and mentoring of 25 peer counselors

Staffs training 19 th April TOT Training and 20 th April General Staff 15 RLP staff and 3 peer counsellors on Psychological first aids On 13 th April 2017 the program organized a Training on identifying and handling children affected by torture. This has drawn facilitator from UNHCR BID specialist and a legal officers of ACTV Training staff on result based monitoring and evaluation reporting Attended a training on effective testimony taking

Stakeholders training Training under FCO Project: 150 Medical student at Makerere School of health science 60 UPDF CMI officers Royal suits 101 UGABAG 20 commanders at Singo Women Activist Grand Imperial

Outcome 4: Increased awareness about mental health issues among forced migrants nationally and globally

Ø Networking and Advocacy Workshop on Torture in the Context of Forced Migration in Geneva from 25 th to 28 th April 2017 was key because we: Exhibits photos on our work supporting survivors/victims of torture. Presented a paper on "The Rehabilitation Journey- Fulfilling the right to redress and rehabilitation, and addressing intersecting vulnerabilities. ” Ø Participation in National Child protection working group under MGLSD- pushing for refugee children for inclusion into the Child policy in Uganda currently under review Ø Mental Health Working group under Ministry of Health: we are working with MOH to develop brochures on Depression and

Persons with concerns working group under UNHCR - PWDS, Elderly issues given attentions Coalition Against torture (CAT) Joint advocacy on Torture issues 20 th March 2017 Partners meeting at ACTV on effective referrals and how each organization can give feedback on clients referred specifically victims and survivors of torture

Stakeholders Workshop on the emerging key finding from the research the University of Dundee is undertaking in partnership with Uganda Youth Development Link on How Refugee Youth experience and navigate pathways to adulthood when growing up in situation of protracted crisis At Hotel Africana and the discussion workshop on Livelihoods for refugees and IDPs in Kampala discussion focuses on research finding on refugee and IDPs participation in urban market: University of East Anglia and Urban action lab. We initiated a Google group to share information on urban market and livelihood

Advocacy Commemoration of the International Day of Families -15 th May Commemoration of the Day of the African Child 16 th June Commemoration of the World Refugee Day 20 th June Development and production of IEC materials on common mental disordersdeveloped IEC on depression

Research PWDs Profiling in Kampala in progress, data collection tool finalized and translated in three usable language Data collector trained Introductory letter submitted to different authorities of Kampala Study on experience of violence screening with South Sudanese refugee in Adjumani and Kampala: by the Gender and sexuality program Analysis of client summery forms – find out the prevalence of Mental health problem among refugee in Kampala Trends of mental Health disorders: Analysis of Mental health

Outcome 5: Resource base for MHPW program widened

Fundraising Develop proposal of 2017 to UNFVT Proposal to the Humanitarian Innovation Fund Follow-up on contact with Disability Partnership Funding Follow-up on Finn Church Aid Uganda on possible funding for women Funding to develop and test a group psychotherapy

• Finalize and submitted a proposal to the Global Innovations Fund • Finalize and submit a proposal to Saving Brains -Grand Challenges Canada

Program Development Programme development Program Standard Operating procedures Draft PFA training manual being developed Guidelines Training working with support groups Manuals for peer counselors We have developed IEC Materials on common Depression symptoms Established children corner

Implementation challenges, Lessons Learned and proposals for way forward Unrealistic Space expectations from the group for counseling Inconsistency in attending therapy sessions due to lack of transport Still having challenges clients’ failure to progress in mental wellbeing due to psychosocial challenges like food, shelter, and school. Support is becoming less everyday even in organizations that were giving support and we don’t know where to refer clients for basic needs

Way forward Empowering clients through groups Building more networks for effective referrals Developing the guideline for working with group, re-orient support group members Putting more energy into fundraising for the program Utilizing conference room when free

Highlights for second Half Commemoration of the National day for Persons with Disability Trainings Police and UPDF officers Peer counselors training and support supervision Resettlement preparation Finalize and submit a proposal Grand challenge Canada Briefing Paper on prevalence of Mental health issue: Analysis of the clients summery forms

Identifying and profiling refugees with disabilities living in Kampala Commemoration of the World Mental Health Day -10 th October Commemoration of the International Day for Older Video on mental health issues Advocacy with KCCA on Market for refugees