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FIELD REPORT
Year : 2021  |  Volume : 19  |  Issue : 1  |  Page : 91-100

Problem Management Plus Adapted for Group Use to Improve Mental Health in a War-Affected Population in the Central African Republic


1 Clinical Psychologist, Mental Health and Care Practices Advisor, Action Contre la Faim, Paris, France
2 Psychologist, Mental Health and Care Practices Programme Manager, Action Contre la Faim, Central African Republic
3 Psychologist, Senior Advisor Mental Health and Care Practices Sector, Action Contre la Faim, Paris, France

Correspondence Address:
Elisabetta Dozio
Clinical Psychologist, Mental Health and Care Practices Advisor, Action Contre la Faim, 14/16 Boulevard Douaumont, 75017 Paris
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INTV.INTV_36_20

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A large number of the population in the Central African Republic has been exposed to potentially traumatic events as a result of the last conflict, which has led to the breakdown of social ties. In response to this situation, the nongovernmental organisation, Action contre la Faim, proposed a multisectoral project aimed at helping internally displaced persons to find an income-generating activity and offer psychosocial support through the adaptation of the Problem Management Plus protocol. A total of 946 IDPs in the country’s capital participated in the group intervention led by a team of paraprofessionals. Data collected from 111 participants showed that after 5 weeks of intervention, there was a significant reduction in posttraumatic symptoms and functional impairment. These results were confirmed during the postintervention evaluation 4 weeks later. In addition, participants declared that they had observed effects in their ability to live together in the community and in regaining a certain level of social cohesion. This experience gives encouraging results with regard to the feasibility and replicability of the adapted group protocol, taking into account specific cultural and contextual adaptations.


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