posted on 2019-09-09, 08:51authored byP. Vostanis, S. Eruyar, E. Smit, M. O'Reilly
Purpose <div>To develop a child psychosocial framework among stakeholders in areas of disadvantage in
three low- and middle-income countries (LMIC) Kenya, Turkey and Brazil, and to capture
their proposed recommendations through action plans according to this framework.
Design/methodology/approach </div><div>Workshops were facilitated with a total 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. </div><div>Findings </div><div>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 </div><div>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. </div><div>Originality / value </div><div>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.</div>
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