1. Psychosocial support to the Bhutanese refugee (Jul 2008 to Dec 2013)- UNHCR
TPO Nepal’s project staff, including 7 Counselors and 17 CPSWs provided a comprehensive array of services that included community orientation and psycho-education; outreach and assessment; counseling; and group interventions for speciﬁc vulnerable groups: classroom-based intervention (CBI) for at-risk children, women’s empowerment groups for survivors of domestic violence and other vulnerable women, and substance abuse groups.
2. Psychosocial Support for Urban Refugees (2010 to Dec 2013)-UNHCR
Five experienced psychosocial counselors including 3 expriate and 2 National counselors provided psychosocial support to the referrals. Individual counseling, group interventions (including tree of life) orientation on psychosocial issues and training and capacity building of partner organization were major activities.
3. Combating Trafficking In Persons (Nov 2010 to 2014)-The Asia Foundation/USAID
TPO Nepal is the lead psychosocial partner in this comprehensive ﬁve year project of The Asia Foundation to prevent trafficking, protect trafficking survivors and prosecute traffickers in 6 highly affected districts of Nepal: Sindhupalchowk, Kavrepalanchowk, Kathmandu, Makawanpur, Kanchanpur and Banke. TPO’s major role at the national level is to provide technical assistance to the Ministry of Women, Children and Social Welfare (MOWCSW) in developing National Minimum Standards (NMS) and Standard Operating Procedures (SOP) for care and protection of trafficked girls and women. The policy level documents were developed and endorsed by Ministry of Women Children and Social Welfare in 2012. There are 11 professional staffs working in this project.
4. Mental health beyond facilities (mhBeF)
Project funded by the Grand Challenge Canada to the consortium of three countries (Liberia, Uganda and Nepal) aims to develop an evidence-based Comprehensive Community-based Mental Health Services (CCMHS) Package, in accordance with the Mental Health Global Action Program (mhGAP), for persons with severe mental disorders and epilepsy (PWSMD). In consultation with MoHP and as per the recommendation of MoHP, this project has been implemented in Phythan district. CCMHS Package integrates three components: (a) strengthening clinical recognition, referral, assessment and management by health care workers and community resource persons (CoRPs), including an electronic mobile health (mHealth) Package; (b) establishing psychosocial and socio-economic support services for PWSMD through patient support groups (PSGs); and (c) conducting stigma-reduction targeted activities for health providers, families, and PWSMD.
5. Program for Improving Mental Health Care (PRIME)
Multi country project lead by University of Cape Town South Africa and funded by DFID UK to consortium partners in five countries (South Africa, Uganda, Ethiopia, India and Nepal) aims to generate new knowledge which informs the development of mental health programmes that improve health and socio-economic outcomes, in particular of the poor and mothers, and accelerates progress towards achieving Millennium Development goals (MDGs) 1, 3, 4 & 5 by reducing the ‘treatment gap’ in mental health. The project primarily focuses on three priority mental disorders - depression, alcohol use and schizophrenia - which are the three leading mental health causes of the burden of disease. PRIME's purpose is to generate world-class research evidence on the implementation and scaling up of treatment programmes of these priority mental disorders which can be widely adopted by policy makers and practitioners.
For this project MoHP and TPO Nepal have signed a Memorandum of Understanding (MoU) and the project is currently running in Chitwan district. We are at the inception phase of the five years project and we are working towards the development of an integrated mental health care plan comprising packages of care for priority mental disorders for delivery in primary care and maternal health care. In the implementation phase we will evaluate the feasibility, acceptability and impact of the packages of care in the contexts of routine primary health care and finally the in the scaling up phase the packages will be scaled up and evaluated their effectiveness at the health facility level.
6. Emerging mental health systems in low and middle income countries (EMERALD)
A multi country health system research project is lead by King’s College London and funded by European Union to be implemented by national partners in 6 countries (South Africa, Uganda, Ethiopia, Nigeria, India and Nepal). The EMERALD project aims to identify key health system barriers to, and solutions for, the scaled-up delivery of mental health services in Nepal. Through six thematic work packages (coordination/collaboration, capacity building, financing, policies/plans/laws, mental health information system and dissemination) the EMERALD project attempts to improve mental health outcomes in a fair and efficient way. The six thematic work packages in EMERALD project are based on six health system strengthening building blocks (service delivery; health workforce; information; medical products, vaccines and technologies; financing; and leadership/ governance/stewardship of WHO’s Framework for Action (http://www.who.int/healthsystems/strategy/en/index.html).
7. Clinic based counseling services (Ongoing since Jan 2008)
Seven experienced counselors (3 expatriates and 4 Nepalese providers) offer counseling and other psychosocial support services to individuals and families referred for support.
8. Psychosocial Support for CAAFAG, Children Affected by Armed Conﬂict (CAAC), and Veriﬁed Minors and Late Recruits (VMLR) (Jan 2007 to June 2014)-UNICEF
TPO Nepal, in collaboration with UNICEF and its implementing partners, supporting district level service providers to develop their skills on psychosocial support and counseling.