TPO Nepal’s approach is compatible with the public mental health model used in the Inter Agency Standing Committee (IASC) Guidelines on Mental Health and Psychosocial Support in Emergency Settings. As the Guidelines state, “people are affected in different ways and require different kinds of supports. A key to organizing … psychosocial support is to develop a layered system of complementary support that meets the needs of different groups.”
IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings
Level 1: Environment building and providing basic services. TPO coordinates
with partners and other local organizations, conducts orientations and psycho-education
for families, communities, and front-line workers aimed at identifying and referring
those needing services, and establishes social support groups (youth, parents, women,
Level 2: Reinforcing community and family support. TPO provides training, supervision and mentoring to build the capacity of community members and frontline workers to undertake screening and provide effective short-term support to individuals and families needing basic emotional support.
Level 3: Non-specialized community based support. Through teams of Community and Classroom-Based Psychosocial Workers and Psychosocial Counselors, TPO provides services for more vulnerable individuals and families through targeted interventions including: screening/assessment of those needing counseling, therapeutic group work, individual, family and group counseling, structured group interventions (e.g. class-room based intervention for vulnerable children; self-help groups for recovering addicts etc.)
Level 4: Specialized services. TPO conducts in-depth assessments and establishes a referral mechanism for those in need of specialized mental health/psychiatric care.