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Supporting government and partners in health system strengthening for better mental health of Syrian refugees and host communities in Lebanon. GOAL seeks to support health system responsiveness to the mental health needs of people affected by protracted displacement in Lebanon. GOAL applies a co-production approach, with key stakeholders centrally involved in the project de and implementation.

The aim of GOAL is to support government and partners in strengthening the ability of health systems to meet the mental health needs of refugee and host communities affected by protracted displacement, focusing on Lebanon.

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GOAL consists of five Work Packages focusing on governance transparency, ability, and integritygovernance participationfinancing, and capacity strengthening. There are over one million Syrian refugees living in Lebanon, with the majority living there for over five years. There are high levels of mental health needs among Syrian refugees in Lebanon because of the day-to-day challenges they face in Lebanon and also the effects of the war in Syria and forced displacement to Lebanon. There are also high unmet mental health needs among vulnerable host populations in Lebanon. While effective mental health interventions do exist, there are major gaps in treating mental health needs among both Syrian refugees and Lebanese.

The challenge is how to best deliver such services, including deing health systems to support effective delivery. This requires the close involvement of Syrian refugees and Lebanese living with mental disorders in deing relevant and impactful services and systems. There are over one million Syrian refugees living in Lebanon, with the majority living in Lebanon for over five years. Lebanon is experiencing many of the health challenges found in other protracted displacement settings, such as high unmet mental health needs among refugee and host populations and fragmented health policy responses.

While effective mental health services exist, kik london are major gaps in access to them. The overall aim of GOAL is to support government and partners in strengthening the ability of health systems to meet the mental health needs of refugee and host communities affected by protracted displacement, focusing on Lebanon.

GOAL applies a co-production kik london, with key stakeholders particularly mental health service users centrally involved in the project de, implementation and research. Gender is a cross-cutting issue informing all aspects of GOAL.

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The work on gender will examine how structures, practice, and culture influence gendered expectations, roles, and power imbalances; and this in turn influences governance, policy making and the different lived experiences of using mental health services. Co-production is also central to the GOAL approach, particularly involving the National Mental Health Program of Lebanon and mental health service users in the co-de and co-implementation of the project activities and outputs.

We will also examine the benefits and challenges of co-production for the research in GOAL. The objective of Work Package One is to explore barriers and facilitators to strengthening health system governance for supporting access to culturally appropriate mental health care for Syrian refugees and host populations in Lebanon.

We use the TAPIC framework on health system governance, based upon governance attributes of transparency, ability, participation, integrity and capacity. The research methods include literature reviews, qualitative interviews, and quantitative surveys with service providers. The objective of Work Package Two is to strengthen mental health service user participation in health system governance in Lebanon.

This will seek to support mental health service users refugee and Lebanese host population as agents and advocates for change in the policy-process as their role is recognised as central to supporting more responsive health systems. The research methods will include qualitative interviews and focus groups with mental health service users, and semi-structured interviews with other key stakeholders from the government, UN, NGOs and universities. Work Package Two also includes the development of communications formats to help inform policy and public attitudes towards mental health.

The materials may include short animations, augmented reality digital images, and an interactive story platform. The GOAL partner Positive Negatives will co-create these communication formats with mental health service users and project partners. The objective of Work Package Three is to identify sustainable financing mechanisms that can strengthen health system kik london for mental health services for refugees and host communities in Lebanon.

The research methods will include systematic reviews, secondary data and document review, a quantitative survey with mental health service users, and qualitative research with Syrian refugees and Lebanese host populations, local and national stakeholders from government, NGOs, UN agencies and refugee representatives working on MHPSS programming and policies. The objective of Work Package Four is to strengthen capacity on governance and health financing to build a resilient and sustainable health system addressing the mental health needs of refugees and host populations in Lebanon.

It will include technical training related to governance and financing, intuitional support for conducting research, and support to individual researchers through professional mentoring and development programmes. The objective of Work Package Five is to maximise the value of the project findings and methods for other protracted displacement settings in other countries.

The communications formats led by Positive Negatives will also be used to provide examples of innovative materials demonstrating the participation of mental health service users in research, policy-making processes, advocacy and public engagement. The GOAL project has been busy hosting a of training workshops for staff and partners. These include ones on: principles of co-production; gender and mental health research; mental health policy reform and law in Lebanon; and qualitative research methods. We will also be holding a workshop on health economics at the beginning of April.

Take a look at some ways in which LSHTM researchers are aiming to improve mental health in humanitarian settings. Around 1. As a result, mental health kik london are high among the displaced Syrians, and they face several barriers and challenges in accessing care for those needs. With the COVID pandemic, these pre-existing determinants of mental health have been further exacerbated, including the barriers to access to mental kik london care, and are compounded by the mental health needs directly caused by the pandemic itself.

These issues are explored further in this blog. Prior to the COVID pandemic, kik london specific mental health needs of displaced Syrians encompassed daily stressors of living in insecurity such as poverty, the inability to meet basic needs, stigma and discrimination, and protection concerns arising from their vulnerable status including exposure to violence and exploitation. In addition, the displaced Syrian population showed high prevalence of mental health disorders including depression, anxiety, and stress disorders that either resulted from the exposure to war and violence in Syria, or from the refugee situation itself, or from a combination of both.

The onset of the pandemic, which coincided with the rapidly deteriorating economic situation and currency devaluation in Lebanon, only exacerbated the pre-existing determinants of mental health among displaced Syrians. Insecurity about basic needs and employment, which are considered key causes of distress and poor mental health kik london the displaced Syrian population, were only aggravated by the lockdown measures and the worsening economic crisis. The resulting threat of food insecuritythe re-direction of aid and relief programs towards the COVID response, and the inability to access healthcare services during lockdown, have also fueled insecurity and greatly aggravated ly-existing determinants of poor mental health.

Pre-existing barriers to access such as means and cost of transportation were compounded by both social distancing measures and the financial crisis. Restrictions specifically targeting displaced Syrians have also undermined access to care, as municipalities imposed curfews and prohibited mobile health units from entering refugee settlements.

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With mental health determinants critically affected by the kik london of the double burden of the COVID pandemic and the rapid economic collapse in Lebanon, the mental health burden is increasingly heavier on the already-vulnerable displaced Syrian population. However, although remote phone-based teletherapy may help address ly existing barriers such as physical accessibility or transportation expenses, a re-adjustment of the current service provision model may be needed in order to fully address the gap in access that has been widened by the pandemic as well as the deteriorating socioeconomic conditions.

With the easing of lockdown measures, access to care is slowly improving, and an opportunity arises to apply lessons learned from using teletherapy services in preparation for any future quarantine measures. However, the mental health response must brace itself in order to address the rapidly rising mental health burden that is likely result from worsening living conditions caused by pandemic response measures and the deteriorating socioeconomic context.

The full article can be found here. On 24 and 25 February members from all the collaborating organisations came together to officially launch the GOAL project at a meeting hosted by St Joseph's University in Beirut. As well as being a chance for the team to get to know each other better. Search the site. Found 0 for your search. Showing 0 to 0. Explore more Centres, Projects and Groups Welcome. Welcome Banner. GOAL Supporting government and partners in health system strengthening for better mental health of Syrian refugees and host communities in Lebanon.

Bottom Content. Learn more. GOAL paragraph home. Syrian Refugees in Lebanon There are over one million Syrian refugees living in Lebanon, with kik london majority living there for over five years. Recent updates GOAL capacity strengthening activities. Tuesday 23 March Newsletter Newsletter Embedded Code. Roberts lshtm. About GOAL 2 columns.

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About GOAL 2 columns left paragraph. The specific objectives of GOAL are to: Explore barriers and facilitators to strengthening health system governance for supporting access to culturally appropriate mental health care for Syrian refugees and host populations in Lebanon Strengthen mental health service user participation in health system governance in Lebanon Identify sustainable financing mechanisms that can strengthen health system responses for mental health services for Syrian refugees and host communities in Lebanon Strengthen capacity on governance and health financing to support a resilient and sustainable health system addressing the mental health needs of Syrian refugees and host populations in Lebanon Maximise the value of the project findings and methods for other protracted displacement settings in ODA countries GOAL applies a co-production approach, with key stakeholders particularly mental health service users centrally involved in the project de, implementation and research.

The GOAL partnership. GOAL Partners. The GOAL team. Team Block. Rabih El Chammay. Ghida Anani. Felicity Brown. Emily Oliver. Associate Professor. Noor Kik. Thurayya Zreik. Nadim Abu Alwan. Research Fellow. London School of Hygiene kik london Tropical Medicine. Assistant Professor. Karine Taha. Project Manager. Administrative Assistant. GOAL activities.

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