ACRE Resource Center

In response to the increasing frequency and impact of emergencies such as pandemics, natural disasters, human-made emergencies, and conflicts, the Advisory Committee on Response to Emergencies (ACRE) of the World Psychiatric Association (WPA) advises the President of the WPA on appropriate actions to provide mental health and psychosocial support (MHPSS) services for the affected populations. This advisory role includes guidance on the readiness and response of WPA Member Societies to various emergencies, emphasising the importance of collaboration and mutual support among these societies. Assembling comprehensive information and educational materials in a range of languages is a first step.

Of first importance among these materials are the multi-lingual resources developed by the World Health Organization (WHO) and the Inter-Agency Standing Committee (IASC). These resources offer theoretical and practical guidance on MHPSS to alleviate emergencies' mental health and psychosocial consequences.

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Working in emergency settings can be a challenging experience for mental health professionals, especially those new to the complexities of emergencies. A lack of resources, limited time, and strained capacities all demand rapid adaptation and resilience, as do navigating the immediate psychological needs of affected populations and significant cultural and linguistic barriers.

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However, working collaboratively with other professionals, such as social workers, lawyers, and community and traditional leaders, mental health professionals can provide comprehensive care and address the diverse needs of affected individuals and communities. By integrating mental health care with broader social and legal support, they can contribute to a coordinated response to improve resilience and recovery.

The IASC MHPSS Intervention Pyramid is a crucial framework for structuring mental health and psychosocial support in emergencies. The pyramid outlines a layered support system, beginning with basic services and security at the first layer of service provision, progressing through community and family support (layer 2), focused psychosocial support (layer 3), and culminating in specialised services at the top. This approach ensures that all levels of need are addressed, from general population support to specific, focused care for individuals with severe mental health conditions1). Moreover, the World Health Assembly 2024 MHPSS Resolution emphasises the importance of mental health and psychosocial support in emergencies, recognising the need for comprehensive, integrated care that aligns with these principles.

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This linked document compiles comprehensive guidelines in several languages for mental health professionals new to emergency and humanitarian contexts. It aims to provide practical tools and strategies to address the mental health and psychosocial needs of individuals and communities affected by emergencies. The guidelines are designed to help mental health professionals adapt their skills to various settings, ensuring they can provide the most effective care possible despite challenging conditions. By emphasising culturally sensitive approaches, the biopsychosocial model, multidisciplinary collaboration, and aligning with frameworks like the IASC MHPSS Pyramid and global resolutions like the WHA 2024 MHPSS, these guidelines support mental health professionals in their crucial role of promoting mental health and resilience in emergencies, ultimately making a significant difference in the lives of those they serve.

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1) For more IASC MHPSS Guidelines; Documents of IASC Reference Group on Mental Health and Psychosocial Support in Emergency Settings | IASC (interagencystandingcommittee.org)