WHO IS WHERE, WHEN, DOING WHAT (4WS) IN MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT 2017

WHO IS WHERE, WHEN, DOING WHAT (4WS) IN MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT LIBYA 2017

This report is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents of the presentation are the responsibility of MHPSS.net and do not necessarily reflect the views of USAID or the United States Government. Acknowledgements

This report was prepared by MHPSS.net in Report written by: Renata Reali and Marcio partnership with WHO Libya and The Delegation Gagliato. of the European Union to Libya. The purpose of the report is to facilitate the exchange of Reviewers (in alphabetical order): Ananda knowledge and information on available services Galappatti (MHPSS.net), Edda Costarelli information among MHPSS actors and their (Delegation of the European Union to Libya), Dr. partners in Libya. Ghassan Karem (PHC Director, Libya Ministry of Health), Malak Ben Giaber (Libyan Clinical We are thankful for the collaboration with many Psychologist), Margriet Blaauw (MHPSS.net), Dr. Mental Health and Psychosocial Support (MHPSS) Sara Zarti (WHO Libya). actors, their efforts and contributions. We are especially thankful to the Libyan colleagues Psychosocial Support Team1 generously involved in data collection across the . provided the image on the front cover and section pages We would like to acknowledge the Libyans colleagues participating in this study, who The Mental Health & Psychosocial Support welcomed this initiative and shared valuable Network (MHPSS.net) is a growing global information. platform for connecting people, networks and organizations, for sharing resources and for Coordination: Marcio Gagliato (MHPSS.net). building knowledge related to mental health and psychosocial support both in emergency settings Project Team: Dr. Sara Zarti (WHO Libya); Renata and in situations of chronic hardship. Reali (MHPSS.net); Marcio Gagliato. For further information, please contact Marcio Libya Advisory & Data Collection Team (in Gagliato at [email protected], and Sara Zarti at alphabetical order): Ali Abdusamad (Psychiatrist [email protected] – Tripoli NCDC); Anwar Naser Farjah Allah (Psychologist – Tripoli MoH); Asiddiq Alhajali Shwehdi (Psychiatrist – Central Hospital); Khaled Hamidi (MHPSS – Tripoli Psychosocial Support Team); Khaled Adris Alhasi (Psychologist – Head of Social and Psychological Office of Education, East Libya); Nidhal Mohammed Ali Shaeban (Psychiatrist – Sabha Psychiatric Clinic); Ramadhan Salim Almusrati (Psychiatrist – Director General of Benghazi Mental Health Hospital); Saleh Mohamed Ali Elwelwal (Board member of Libyan Society for Psychological Sciences).

1Libyan Non-Governmental Organization

4 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Contents

Acknowledgements 4

Contents 5

List of Abbreviations 6

Executive Summary 7

1. Introduction 11

1.1. MHPSS Coordination and Mapping 13

2. Contextual Information and MHPSS Background in Libya 15

2.1. Libya Country Statistics 16

2.2. Socio-political context 17

2.3. Libya Mental Health System 18

2.4. Prevalence of Mental Health Disorders in Libya 19

2.5. Migrants, Refugees and people on the move in Libya 20

2.6. Earlier MHPSS Assessments and Mapping Activities 20

3. The 4Ws MHPSS Mapping Exercise 23

3.1. Methods and the 4Ws Mapping Process 25

3.2. Findings 27

3.3. Challenges 33

3.4. Recommendations 33

References 34

Annex A - Detailed MHPSS activities provided in Libya 36

Annex B - Data collection - Excel Form 37

Annex C - List of resources available at Libya MHPSS Response - 2017 Group 38

Annex D - Organizations operating MHPSS programs/activities per 47

Annex E - Organizations providing MHPSS services by IASC MHPSS Layers 48

Annex F - Actors currently active in MHPSS 50

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 5 List of Abbreviations

CBO Community-Based Organization

EU European Union

GNC General National Congress

IASC Inter-Agency Standing Committee

IMC International Medical Corps

INGO International Non-Governmental Organization

IOM International Organization for Migration

MH Mental Health

MHPSS Mental Health and Psychosocial Support

MHPSS WG Mental Health and Psychosocial Support Working Group

MoH Ministry of Health

NCDC National Center for Diseases Control

NGO Non-Governmental Organization

NTC National Transitional Council

OCHA Office for the Coordination of Humanitarian

OFDA US Office of Foreign Disaster Assistance

OFDA US Office of Foreign Disaster Assistance PSS Psychosocial Support

PHC Primary Health Care

PTSD Post-Traumatic Stress Disorder

SWOT Strengths, Weaknesses, Opportunities and Threats

UN United Nations

UNSMIL United Nations Support Mission in Libya

WHO World Health Organization

6 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Executive Summary

This Who is Where, When, doing What (4Ws) in d) Improve the transparency and legitimacy Mental Health and Psychosocial Support (MHPSS) of MHPSS services through structured in Libya exercise was carried out by MHPSS.net documentation in partnership with the World Health Organization (WHO) Libya and the Delegation of European This mapping provides an overview of services Union to Libya, and with the generous financial currently available in Libya. It does not provide support of the US Office of Foreign Disaster information on the quality of these services, Assistance (OFDA). the number of interventions or the number of beneficiaries served. The findings are based on It also marked the first use of an online 4Ws tool, the data collected between July and October 2017. developed by MHPSS.net, that organizations can According to the findings there are diverse MHPSS use to provide their own information on ‘Where services available in all of Libya, targeting they are doing What and When’ in emergency different populations: settings and generate a real-time analysis and display of data related to the MHPSS services Number of organizations: This exercise identified available in Libya. a total of 190 organizations that deliver MHPSS services, programs, and activities across Libya, This 4Ws mapping seeks to: including 178 national actors and 12 international a) Enhance coordination, collaboration, referral actors. systems and accountability for all involved agencies Location: Despite MHPSS services being mapped as present in all regions of Libya, there is a b) Identify gaps in service provision, geographic, concentration of reported services in the Tripoli and target group coverage, human resources and area (58% of all activities). technical expertise Target groups: The majority of the reported c) Provide data on patterns to inform MHPSS activities target children, adolescents, recommendations, agency plans/proposals and local communities, and persons with disabilities. lessons learned for future responses, and

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 7 Activities targeting women, men, elders, layer; 52,8% are under “Community and family caregivers, refugees, migrants, and IDPs were also support”; 18,5% are under “Focused non- reported, but in lower numbers. specialized support”; and 22,7% are under “Specialized services”. Most reported activities: The most frequently reported MHPSS activities in Libya are linked to In addition, 30 organizations reported general strengthening communities and family through activities in support of MHPSS, such as trainings, recreational activities; psychological support in clinical supervision etc. “ education settings; and in lower numbers, services linked to clinical management of mental health Recommendations (MH) disorders. • Exploration of possibilities to expand MHPSS services to regions where people have limited Reported MHPSS Human Resources: There access to them is a relatively high number of health staff, social workers and psychologists2 providing MHPSS • Support coordination mechanisms and services compared to other actors. Other initiatives categories such as volunteers or case managers appear to be reported less frequently. • Build on this exercise with a further detailed assessment of MHPSS needs, capacities and IASC intervention pyramid: 5,9% of the reported resources MHPSS activities in Libya are under “Social considerations in basic service and security” • Enhance the capacity and quality of services in other regions, depending on the results of the detailed needs assessment proposed above

2 In Libya, psychology graduates are often not trained in providing any counseling or psychotherapeutic interventions

8 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 9 10 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 1. Introduction

This mapping is based on the Inter Agency future responses, and to improve the transparency Standing Committee (IASC) MHPSS 4Ws (IASC, and legitimacy of MHPSS services through 2012) tool and aims to enhance coordination, structured documentation. Furthermore, the collaboration, referral systems and accountability mapping is available as a ‘living’ online 4Ws tool for all involved agencies; identify gaps in service provided by MHPSS.net, to which organizations provision, geographic, and target group coverage, can provide their own information and generate a human resources and technical expertise; provide real-time analysis and display of data on MHPSS data on patterns to inform recommendations, services available in Libya. agency plans/proposals and lessons learned for

Screenshot of MHPSS.net 4Ws online tool

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 11 12 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 1.1. MHPSS Coordination and Mapping

The first MHPSS Working Group (WG) in Libya was Since end of 2016, the Libyan authorities have established in 2012 in Tripoli. With the support of taken efforts to reactivate the MHPSS WG WHO the WG was chaired by the National Center which had become relatively inactive. However, for Diseases Control (NCDC) Mental Health MHPSS coordination remains fragmented. It is department, established under the Ministry of geographically split between Tunis (where most Health (MoH). Most members were International of the INGOs are operating from) and Tripoli, the Non-Governmental Organizations (INGOs) and capital . In addition, at present “psychosocial” United Nations (UN) Agencies. The MHPSS WG services are largely coordinated through the used to meet on a regular basis to exchange Protection Cluster, while “mental health” activities updates on activities. are mostly coordinated through the Health Cluster. During 2012-2014, the MHPSS WG group contributed to the identification of mental health In 2017, a partnership between the Ministry of and psychosocial needs as a public health priority, Health, WHO Libya, European Union (EU) and especially with key Libyan policy makers officially MHPSS.net4, launched a mapping exercise of acknowledging this as a key priority area. Who is Where, When, doing What (4Ws) in mental health and psychosocial support (MHPSS) in Libya The MHPSS coordination mechanism was active (IASC, 2012). until 2014 when the country was impacted by a new wave of violence, political instability and This mapping was carried out during June an economic crisis. Most of the United Nations to September 2017 with the following main Support Mission in Libya (UNSMIL), and INGOs objectives: were relocated to Tunis. a) Enhance coordination, collaboration, referral By end of 2015, the Libyan Authorities, with the systems and accountability for all involved support of WHO, initiated the development of a agencies MHPSS strategy outline for 2016-2018, which had been proposed through a workshop on “Mental b) Identify gaps in service provision, geographic, Health planning and response for Libya3”. This and target group coverage, human resources and included an exercise of Strengths, Weaknesses, technical expertise Opportunities and Threats (SWOT) Analyses of MH services in Libya followed by the identification c) Provide data on patters to inform of short and intermediate term plans. recommendations, agency plans/proposals and lessons learned for future responses, and

d) To improve the transparency and legitimacy of MHPSS services through structured documentation

3Held in Tunis 28th-30th December 2015 4The MHPSS.net online platform seeks to improve mental health and psychosocial wellbeing in humanitarian settings by improving access to people, resources, and knowledge.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 13 14 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 2. Contextual Information and MHPSS Background in Libya

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 15 2.1. Libya Country Statistics5 Libya map6

5 Libya Statistics data were extracted from UNdata (2015) 6 United Nations Map of Libya with , roads, and the current twenty-two or Shabiyah of Libya. United Nations Cartographic Section Department of Peace-Keeping Operation.

16 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Country statistics

Population 6,330,000

Capital Tripoli

Urban population 78.6%

Refugees, IDPs and others of concern7 to UNHCR 471,721

Life Expectancy at birth (female, male/years) 74.4/68.8

Religion8 96 % Muslim Sunni

2.2. Socio-political context9

Libya is located in the north of Africa, bordered by control of important ports and . After the , , Sudan, Chad, Niger, several months of fighting, on October 20th 2011, Algeria and Tunis. After becoming independent was captured and killed in as a kingdom in 1951, a military coup in 1969 . A National Transitional Council (NTC) was overthrew King Idris I. The coup leader was established and announced plans to hold elections Muammar Gaddafi, who ruled the country for 42 within months. years. In August 2012, the NTC handed over the On 17th February 2011, days after the resignation power to an elected General National Congress of former president of Egypt, Hosni Mubarak, (GNC) in order to select a new interim Head of violent protests erupted in Benghazi, Eastern State. In 2014, new conflicts erupted leaving Libya, against the regime of Muammar Gaddafi. two governments claiming legitimacy over the The Libyan leader and his supporters responded country’s control, leading to a power vacuum and violently to the demonstrations, as clashes spread instability. Amid the chaos, Islamic State extremist throughout the country. On 20th February 2011, militias took advantage of the conflicts and gained after several days of fighting, anti-Gaddafi fighters control of several coastal cities. seized control of Benghazi and other cities. In , the UN Security Council voted to impose a The long-lasting conflicts have had an impact on no-fly zone over Libya in order to protect civilians, the general and public health infrastructure, and and NATO forces continue with flights surveillance social network of the Libyan society, resulting throughout the country. in an estimated 1.3 million people requiring humanitarian assistance to date (United Nations In August 2011, anti-government forces Office for the Coordination of Humanitarian Affairs advanced into cities close to Tripoli, seizing [OCHA], 2017).

7 Others of Concern: IDP’s and groups that do not fall under any specific legal criteria 8 Libyan religion data was extracted from Encyclopedia Brittanica (2017). 9 Libyan socio-political context information is based on Amnesty International (2016) and International Medical Corps (2011).

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 17 2.3. Libya Mental Health System

Mental Health is a chronically neglected field in Public financing of mental health services is the country with many longstanding problems limited. In 2012 the Ministry of Health’s annual (El-Badri, 2015) that predate the conflict that budget provided 13 million Libyan Dinar for the started in 2011, including underdeveloped two mental hospitals in Tripoli and Benghazi, community and specialized services, shortage of accounting for 0.45% of total public health qualified workforce, lack of facilities, social stigma budget11. towards people with mental illness and funding marginalization (World Health Organization A MHPSS Needs Assessment conducted by [WHO], 2003, 2014). In addition, the current and International Medical Corps (IMC) (2011) long-lasting violence in the country is believed to shows that severe social stigma exists towards further increase the proportion of the population psychiatric patients. The stigma prevents in need of mental health and psychosocial individuals with mental illness, especially people support, requiring a combination of immediate who have been treated in psychiatric hospitals, and longer-term interventions. from integrating into the community. People prefer private clinics, if they can afford these, to reduce Libya has two main psychiatric public hospitals or avoid the stigma. with in-patient services, located in Tripoli and Benghazi. The country has no mental health Some informants have noticed an increase of local policy (WHO Regional Office for the Eastern traditional healers dealing with MHPSS issues Mediterranean [WHO EMRO], 2015) or updated in recent years, especially in the city of Misrata, mental health legislation10. Violations are often Libya’s third largest city. referred to occur in psychiatric institutions through inadequate, degrading and harmful care The Ministry of Health (MoH) and other and treatment (Abuazza, 2013). stakeholders identified MHPSS as a priority area in Libya (WHO EMRO, 2015). A new mental health In 2012, an Inter-ministerial mental health meeting program based within Libya’s National Center was conducted with various representatives, for Disease Control (NCDC) was set to transform proposing to develop a coherent and the institution-based approach to a community- comprehensive mental health policy focused on based approach to mental health care, to be six core components: organization of services by made available in all areas of the country. In 2013, developing community mental health services; a 4-year (2015-2019) mental health strategy to capacity development of human resources; improve the services was launched. involvement of users and families; human rights protection of users; equity of access to mental health services across different groups; and quality of services (WHO, 2015).

10 The Health Law 106 of 1973 briefly refers to mental health and the 1975 Implementation Report has 9 articles dedicated to mental health. 11 Information based on WHO meeting in 2015 om the subject of Mental Health Planning and Response for Libya

18 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 2.4. Prevalence of Mental Health Disorders in Libya

There are no published data of the prevalence In 2013, a survey amongst 2,692 households of mental health disorders in Libya prior to the conducted by the Danish Institute against Torture conflict. The World Health Organization (WHO) and the Benghazi University, revealed that 29% of estimates that rates of common mental disorders individuals reported anxiety and 30% depression such as anxiety disorders and depression double and 6% reported Post Traumatic Stress Disorder. in the context of humanitarian emergencies from Stress levels showed a preoccupation with political a baseline of about 10% to 20% while people with instability (63.6%) followed by the collapse of the severe mental disorders (2-3%) are especially country (61.2%), insecurity about “life right now” vulnerable in such contexts and need access to (56.6%) and insecurity about the future (46.4%). care (WHO, 2012). Nearly 30% reported being exposed to violence during demonstrations (Danish Institute Against According to Charleston et. al (2012) predictions Torture, 2015). on mental health impacts after the 2011 conflict in Libya, the estimated prevalence of depression A wave of drug use has been on rise since the and Post Traumatic Stress Disorder (PTSD) varies beginning of the conflict, including amongst according to levels of population-level political women (JUSOOR Center for Studies and terror, trauma exposure and recurrence of conflict. Development, 2017). Unsafe opioid injections have The study suggests12 that the prevalence of led to HIV infections among drug users (Hanna, depression is higher than the prevalence of Post- 2017). Accounts from outreach workers, doctors Traumatic Stress Disorder (PTSD) and may be as and the media13 reveal Libya’s drug problems with high as 30-40% of the population in areas that are painkillers, especially Tramadol, and increased use severely affected by conflict. Despite the authors’ of alcohol abuse. estimates, there is no study revealing the actual mental health impacts related to Libya since 2011 conflicts.

12 According to the research, the post-conflict prevalence estimates were derived from models based on a previously conducted systematic review and meta-regression analysis of mental health among populations living in conflict. 13 Media as IRIN News, 2013 and Voa News (Dettmer, 2013) revealed Libya´s drug problems.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 19 2.5. Migrants, Refugees and people on the move in Libya

The situation of non-Libyans in the country from 31 women and 127 men who arrived in Sicily. (migrants, refugees, people on the move) • All but one woman said they had suffered from is of great concern. Several reports such as sexual violence ´Migration Trends in Libya: Changing Dynamics • 74% of the refugees and other migrants said and Protection Challenges´ (United Nations they had witnessed the murder and /or torture of High Commissioner for Refugees [UNHCR], a travelling companion 2017) and ´Kidnapped, Trafficked, Detained? The • 84% said they had suffered inhuman or Implications of Non-State Actor Involvement in degrading treatment, extreme violence or torture Immigration Detention´ (Flynn 2017) mention in Libya how refugees and migrants face kidnapping, • 80% said they had been regularly denied food slavery, torture and organized violence, and and water during their stay in Libya sexual violence in Libya before crossing the • 70% said they had been tied up Mediterranean Sea. In August 2017, OXFAM International (2017) collected 158 testimonies

2.6. Earlier MHPSS Assessments and Mapping Activities

An MHPSS assessment (International Medical Regarding the mental health system in Libya, the Corps [IMC], 2011) and an MHPSS 4Ws exercise assessment found that mental health service (IMC, 2011a) conducted and reported by provision was highly centralized, difficult to access International Medical Corps in 2011 demonstrate and of limited quality. The national psychiatric the services and reality of Libya at that time. hospitals in Tripoli (Al Razy Psychiatric Hospital) and in Benghazi (Benghazi Psychiatric Hospital) The assessment was done in conflict affected were reported to have a shortage of qualified areas including Benghazi, Misrata, Tripoli, and Mental Health staff (psychiatrics, psychologists, the . It was based on site and nurses). visits, key informants’ interviews, focus groups discussions, and other sources of information MHPSS services were also offered by local Non- (i.e. medical professionals, humanitarian Governmental Organizations (NGOs) and at workers, school teachers, coordination meetings schools. Since the beginning of the conflict, more participants, etc.). According to IMC, at that than 500 NGOs were established in Libya, and time, the most vulnerable groups were children, some of them were aiming to provide psychosocial women (especially mothers), families who lost support to vulnerable groups. The assessment loved ones in the conflict, freedom fighters, suggests that in schools, social workers were released prisoners, and medical first responders. under-utilized and under-appreciated, besides In addition, five groups (, Gwalish, being poorly prepared for their roles. Mushashaya, Siaan, and Taminah) who were facing protection threats in relation to their Furthermore, training opportunities in mental association with the former Gadaffi regime were health and psychosocial support areas were identified as vulnerable. reported to be limited. The education level of

20 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya psychologists was reported to be limited to BA Handicap International conducted an assessment level degrees which usually focused on general of the availability, the capacity and the range of or educational psychology, but not in clinical services of Health Structures in Western Libya in training. According to Rhouma et al. (2016), there 2016. The assessment focused on the availability was no psychiatric training scheme for clinicians; and capacity of psychosocial and mental and general practitioners commonly work as health services, the organization of health and specialists, without having a formal training rehabilitation centers since mid-2014; and access program. Qualified doctors usually work as GPs to adequate health services for conflict-affected and specialists at the same time, without having to people and persons with disabilities. go through a formal psychiatric training program (Rhouma, Husain, Gire & Chaudhry, 2016). The findings of the Handicap International assessment stress that the MHPSS Sector is The 2011 4Ws mapping exercise was conducted undeveloped: there is no systematic system for by IMC in 4 different areas in Libya (Benghazi, the diagnosis and referral of patients in need of Misrata, Tripoli, and Nafusa Mountains). At that mental health and psychosocial support; there time, 27 actors were reported to be providing is a lack of trained and experienced MHPSS MHPSS activities, among them national NGOs, human resources; an over-medicalization of INGOs, governmental bodies, and independent/ psychological distress; only few Civil Society private actors. Organizations (CSOs) are active in the field of psychosocial support; and there is a lack of The services were reported to be centralized in capacity to advocate efficiently for the cause of Benghazi, Tripoli, and Misrata. The most common MHPSS. Moreover, the assessment reported a lack activities provided were general services to of an integrated rehabilitation system, integrating support MHPSS, psychological intervention, physical and psychosocial rehabilitation, as and specialized clinical management of mental well as including health structure department, disorders. However, some activities linked coordination, and referral system. to information dissemination, community mobilization, community support, safe spaces, A multi-sector data collection (REACH, 2017) psychosocial support in education, inclusion of was also conducted and reported by REACH in psychosocial support (PSS) in other sectors, case June and August 2017 to provide information focused psychosocial work, and non-specialized on the needs and vulnerabilities of affected management of mental disorders were also populations. A total of 2,978 household surveys reported. were conducted across 8 areas and found that 36,2% of households reported that at least one member was experiencing two or more signs of psychological distress.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 21 22 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 3. The 4Ws MHPSS Mapping Exercise

In order to facilitate a better understanding of the MHPSS actors and their activities in Libya, the current 4Ws MHPSS mapping was planned through a partnership between MHPSS.net and WHO Libya, with the financial support of the EU Office and OFDA.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 23 24 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 3.1. Methods and the 4Ws Mapping Process

Time-frame and actors IASC MHPSS 4Ws Data collection tool The mapping was conducted from June In 2012, the Inter Agency Standing Committee to October 2017 by a team of 10 national (IASC) Reference Group on mental health and collaborators with MHPSS background, with psychosocial support developed the “Who is technical support and supervision by MHPSS.net Where, When, doing What in Mental Health and staff. Psychosocial Support”, aiming to map supports by government and non-governmental agencies, Mapping of Libya MHPSS Resources14 including pre-emergency services and support in In order to facilitate the mapping coordination as humanitarian settings across sectors. well as to improve the access to resources, people, and knowledge of the area, MHPSS.net created An online 4Ws tool based on IASC 4Ws tool has a Libya group (Libya MHPSS Response – 2017). been created by MHPSS.net and used as a tool to The group is divided in 4 sub-groups: Libya Group collect data, allowing each organization to provide – General Resources; Libya Group – MHPSS their own information and generate real-time Resources; Libya Group – Resources in ; analysis and display of available data. Because and Libya – MHPSS Working Group space. The many organizations within Libya do not have a Working Group space is a restricted area only for reliable internet connection and/or few hours of members directly involved in the Libya response. access to electric power, an Arabic Excel template The group contains more than 70 curated was also used to collect data. The collected data resources - articles, needs assessments, country was translated from Arabic to English. The tools profile, Sit Reps, news - and can be updated by any focused on MHPSS activities and sub-activities, member of the group. and additional features such as for example the number and type of MHPSS workers; a specified list of target groups; specified list of governorates15.

14 The list of resources can be found in Annex C - MHPSS Documents about LibyaAnnex C - MHPSS Documents about Libya 15 The had been organized according to WHO Libya recommendation.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 25 A team of ten national contributors was selected Exercise limitations according to their MHPSS background and their Limitations to this mapping exercise are presented geographical presence within the country. In July below: 2017 they received a training on the MHPSS 4Ws and on data collection. They were responsible to • Due to the security situation, access to Libya identify and meet organizations providing MHPSS is limited. Travel for Libyans within Libya and activities in their areas, collect all data from from Libya to Tunisia can be challenging as well. government and local organizations in an Excel MHPSS.net staff were not able to access Libya sheet, and insert these data in the online 4Ws and were only able to provide training on data mapping tool. collection in Tunis. Other support to the data collectors was only possible remotely. A multi-sector data collection (REACH, 2017) was also conducted and reported by REACH in • The mapping of reported MHPSS services did June and August 2017 to provide information not include an assessment of the quality of these on the needs and vulnerabilities of affected services, or the number of interventions and populations. A total of 2,978 household surveys number of beneficiaries. were conducted across 8 areas and found that 36,2% of households reported that at least one • The purpose of the mapping was explained to member was experiencing two or more signs of the participating organizations. There remains, psychological distress. however, a possibility that some responses on activities on services and MHPSS workers may not MHPSS.net staff was responsible for supporting be reliable – considering that there may be factors the collection of data from international causing organizations to report higher numbers organizations. International organizations with than actually present. good internet access received instructions how to insert their data directly in the mapping tool. • Human resources are reported per MHPSS Organizations with difficulties accessing the activity and do not provide the total number of online mapping tool could provide their data via people working in the field of MHPSS in Libya. For an Excel spreadsheet. The data were collected example, the same professional might work on both in Arabic and English. All data in Arabic were multiple activities and in multiple health facilities translated to English. or organizations; over-representing the actual number of human resources available. All collected data were recorded in the online mapping tool and also exported to an excel • Despite the care that was taken with the spreadsheet to enable further analysis of the translation from English to Arabic and vice versa, mapping data. The final stage involved analysis certain nuances may have been ‘lost in translation’. and reporting of the findings for dissemination. Translation of MHPSS terminology can be especially challenging, and participants may have different definitions of some of the terms.

26 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 3.2. Findings

Number and type of organizations This mapping identified a total of 190 delivered, type of organization, location and target organizations16 that deliver MHPSS services, population served. Activities were provided to programs, and activities for communities across adolescents, caregivers, children, elders, displaced Libya. A total of 314 activities were reported. population, local community, men, migrants/ The profile of the participating organizations refugees, persons with disabilities, women, and was diverse, varying from the type of activities others in different Libyan regions.

Number and type of organizations

Type of organization Number of organization

Community Based Organization 33

Governmental 5

Health facility 29

Int. NGO 9

Local NGO 36

Private (for profit) 34

UN Agency 3

University 1

Other 40

Among the participating organizations 178 were government, such as the National Center Disease national organizations17 while 12 were international Control19; the health facilities can be understood organizations18 offering MHPSS services in as including both clinics and hospitals; and the Libya (Table 1). The majority of governmental “other” organizations were mainly schools. organizations were centers linked to the

16 A list of contributing organizations and its contact details can be found in Annex F - Actors currently active in MHPSS 17 National organizations are understood as Community-based organizations, Local NGOs, Governmental organizations, Private, Health Facilities, University, and Schools. 18 International organizations include both International NGOs and UN agencies. 19 The National Center for Disease Control is a specialized center which makes a significant contribution to the promotion of public health and protection of citizens, particularly in the area of disease control by enhancing the ability to find scientific methods for the prevention and control of diseases, in collaboration with specialized counterparts around the world. The Centre aims to establish a research unit to guide and advise health care delivery institutions, especially the Ministry of Health, academic institutions, health development partners, health researchers and policy-makers, on different health research matters, which govern the planning, review, conduct, evaluation and translation of outcomes of health research in Libya to promote high quality health research, and foster evidence-based health policy-making.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 27 Concentration of organizations and activities per region20 The reported organizations and their services A high number of organizations does not were highly centralized in Tripoli area (Figure 1; necessarily mean a high number of activities. Figure 2). Tripoli is the country’s capital and the For example, in the South area, while there are Number most populated of Organiza0on city in the country. by The city also more organizations reported than in the West, in has a psychiatric hospital (Al-Razi Hospital), which the West area there are more MHPSS activities provides specializedNa0onal MHPSS Organiza0onInterna0onal services. Total Organiza0on reported than in the South. Benghazi 10 2 12 Central 31 2 33 East 22 0 22 South 18 1 19 Tripoli 86 7 93 WestNumber of organizations11 0 by11 region Total 177 12 189

200 189 190 177 178 180 160 140 120 93 100 86 80 60 40 31 33 22 22 18 19 20 10 12 7 11 11 12 2 2 0 1 0 0 Benghazi Central East South Tripoli West Total

Na0onal Organiza0on Interna0onal Organiza0on Total

20 See Annex D - Organizations operating MHPSS programs/activities per governorate for organizations operating MHPSS programs/activities per governorate

28 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Concentration of activities by region

Tripoli 58%

Central 15%

East 11%

West 7%

South 6%

Benghazi 4%

0 10 20 30 40 50 60

Concentration of organizations and activities Concentration of per area of focus The mapping demonstrated that 51% of activities per area the reported services provided represents “community-focused” interventions, such as safe of focus spaces, community mobilization, information dissemination, inclusion of psychosocial General considerations in other areas, as well as 10% Community-Focused psychological support in education (Figure 2). 51%

Furthermore, 39% of the services provided are “Case-focused” activities, which can be case-focused psychosocial work, psychological intervention, clinical management of mental health by specialized and/or non-specialized health care providers. Only 10% of the activities provided are considered “General activities to support Case-Focused MHPSS”, including trainings, assessments, clinical 39% supervision, research, and psychosocial support for staff.

For a detailed overview of reported activities please see Annex A.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 29 Most common activities in Libya been recorded. While these services are reported According to this mapping, the most frequently in all regions, 85% of these activities were reported MHPSS services in Libya are linked to reported in the Tripoli region. strengthening communities and family, especially group activities (43 activities); strengthening Services linked to clinical management of mental parenting (41 activities); as well as (un)structured health disorders by specialists (e.g. psychiatrists, recreational activities (42 activities). These psychiatric nurses, and psychologists working activities occur in all regions of Libya. at primary health care/ general/ mental health facilities) are mainly provided at health facilities A total of 56 MHPSS services linked to or private clinics. In total, 46 activities were psychological support in education, most reported across Libya. These activities include specifically psychosocial support to classes or pharmacological treatment of mental disorders. groups of children at school/learning places, have

Concentration of services by activity type

Clinical management of mental disorders by non-specialized health care providers 0.3% Supporting the inclusion of social/ psychosocial considerations in other sectors 1.2% Facilitation of conditions for community mobilization, community organization, 2.2% ownership or community control over emergency relief in general Safe Spaces 3.5% Information dissemination to the community at large 7.0 % (Case-focused) psychosocial work 8.9% General activities to support MHPSS 9.5% Clinical management of mental disorders by specialized health care providers 14.6% Psychological Intervention 15.6% Psychological support in Education 17.8 % Strengthening of community and family support 19.1% 0 5 10 15 20

Where activities are provided MHPSS services in Libya are provided in a variety (4%), informal shelters (1%), and camps (1%). of locations. The majority of services are offered The remaining 7% of MHPSS activities mapped in community centers (38%), followed by clinics are provided at other sites, including detention (21%), schools (18%), hospitals (9%), home visits centers.

30 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya IASC intervention pyramid

Concentration of activities and organizations on the IASC MHPSS intervention pyramid

Specialized Services 22.7% Focused-non Specialized services 18.5%

Community and Family supports 52.8%

Considerations in basic services and security 5.9%

5,9% of the reported MHPSS activities in Libya Activities by target group are under “Social considerations in basic service The target groups that were most commonly and security” layer; 52,8% are under “Community served by reported activities were children, and family support”; 18,5% are under “Focused local communities, adolescents, and persons non-specialized support”; and 22,7% are under with disabilities, in order of frequency. Migrants, “Specialized services”. (Figure 5). refugees, men, caregivers, and elders were the target population who received the least number In addition, 30 organizations reported general of reported instances of MHPSS support from the activities in support of MHPSS, such as trainings, organizations mapped. clinical supervision etc. “ it is possible that there may activities of ensuring social considerations in basic services and security that were not reported, as these services may be provided by other general services, which were not captured by this 4Ws mapping.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 31 Concentration of activities per target group

Human resources for MHPSS This exercise is not able to identify the total Women number of qualified trained MHPSS professionals, 7% Adolescents as it only counts the professionals reported as Persons with Disabilities 16% associated with each listed activity. It is widely 15% recognized that MHPSS delivery has been Caregiver hampered by a shortage of trained mental health 3% professionals in Libya. There are fewer than 30 Others 1% psychiatrists in the country, and the mapping results indicate that they have been providing Migrant/Refugees services in multiple places, including their own 5% Children private clinics. The mapping exercise could not 21% identify the level of engagement of professionals Men with specific activities. 5%

Local Elders The information collected shows that there is Community IDPs 2% a relatively high concentration of health staff, 18% 7% social workers and psychologists involved in providing MHPSS services compared to other actors, followed by education staff. Volunteers, case managers, community health workers are Community relatively under reported (Figure 7). Others Health 3% Case 1% 3% Concentration Volunteer of Human 8% Education Resources 14%

Social 23% Health 14%

Psychologist Psychiatrist 19% 14%

32 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya 3.3. Challenges

Tool Partners Collaboration In general, there were few difficulties using the While there is a high number of participating tool. However, challenges emerged especially organizations in this mapping, there were some regarding the inconsistency of the number and challenges in contacting and collecting data from type of MHPSS workers enrolled in each activity. international organizations. Several organizations provided a total number of MHPSS workers in their team instead of specifying Due to the challenging context in Libya, the them by activities. Also, there were inconsistencies majority of INGOs and UN agencies are based in regarding the terminology used for psychosocial Tunisia, working remotely. Not all focal points were worker, psychosocial counsellor, psychologists, able to participate in Health and Protection Cluster a point already raised in previous assessments meetings where the MHPSS 4Ws mapping was exercises. announced. In order to approach all organizations, e-mails containing instructions on how to fill the The majority of the reported activities are online form were sent during July and August. currently being implemented. Only one activity Considering the context, an e-mail with the has been reported as funded but not yet excel file was also sent out. Despite this, only 9 implemented. Local organizations had difficulties out of the 12 identified international agencies to report the start and end date of their activities. participated in the exercise to date. The lack of input in this regard precluded a deeper analysis of implementation status and timing.

3.4. Recommendations

This mapping is a relatively comprehensive provide further, more detailed information overview of services currently available in Libya regarding MHPSS needs, gaps in services and should be updated every year. For more provision, the target population and vulnerabilities. detailed information on how to do this on an This exercise should also include a capacity ongoing basis, refer to the online 4Ws tool at and needs assessment of organizations and MHPSS.net. implementing staff.

This mapping does not provide information Well-coordinated programs to address identified on the quality of these services, the number of gaps and needs must follow such an exercise. interventions, the number of beneficiaries served or key needs of the affected population. Therefore, This report also calls for efforts to strengthen and this mapping exercise would be complemented better link the existing fragmented coordination by development of a robust MHPSS Needs and mechanisms, to enhance technical guidance, Resources Assessment exercise. This would referral systems and information management.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 33 Encyclopedia Brittanica. (2017). Retrieved from References https://www.britannica.com/place/Libya

El-Badri, S. M. (2015). Mental Health Delivery in Abuazza, A. (2013). The Arab Spring Movement: Libya. A Catalyst for reform at the psychiatric hospital in Tripoli, Libya. International Psychiatric. 10(3). Flynn, M. (2017). Kidnapped, Trafficked, Detained? Retrieved from https://app.mhpss.net/resource/ The Implications of Non-State Actor Involvement the-arab-spring-movement-a-catalyst-for-reform- in Immigration Detention. Journal on Migration at-the-psychiatric-hospital-in-tripoli-libya/ and Human Security. 5(3), 593-613.). https://doi.org/10.14240/jmhs.v5i3.100 Amini, M. (2017, April 28). War-torn Libya has become a ‘torture archipelago’ for migrants sold Hanna, F.B. (2017). Alcohol and substance use in into slavery. CNBC News. Retrieved from https:// humanitarian and post-conflict situations. Eastern www.cnbc.com/2017/04/28/libya-has-become- Mediterranean Health Journal. 23(3). a-torture-archipelago-for-migrants-sold-into- Retrieved from https://app.mhpss.net/resource/ slavery.html alcohol-and-substance-use-in-humanitarian-and- post-conflict-situations/ Amnesty International. (2016).Retrieved from https://www.amnesty.org/en/countries/middle- Handicap International. (2016). Rapid Assessment east-and-north-africa/libya/ of Health Structures in Western Libya. Retrieved from https://app.mhpss.net/resource/rapid- Charlson, F.J., Steel, Z., Degenhardt, L., Chey, T., assessment-of-health-structures-in-western- Silove, D., Whiteford, H.A. (2012). Predicting the libya-2016/ Impact of the 2011 Conflict in Libya on Population Mental Health: PTSD and Depression Prevalence IASC Reference Group for Mental Health and and Mental Health Service Requirements. PLOS Psychosocial Support in Emergency Settings. ONE 7(7): e40593. Retrieved from https://app. (2012). Who is Where, When, doing What (4Ws) in mhpss.net/resource/predicting-the-impact-of- Mental Health and Psychosocial Support: Manual the-2011-conflict-in-libya-on-population-mental- with Activity Codes (field test-version). Geneva. health-ptsd-and-depression-prevalence-and- Retrieved from https://app.mhpss.net/resource/ mental-health-service-requirements/ who-is-where-when-doing-what-4ws-in-mental- health-and-psychosocial-support/ Danish Institute Against Torture. (2014). Consequences of Torture and Organized Violence | IRIN News.(2013, 17 June). Libya’s “growing” Libya Needs Assessment Survey. Retrieved from drugs/HIV problem. IRIN News. https://app.mhpss.net/resource/consequences- Retrieved from http://www.irinnews.org/ of-torture-and-organized-violence-libya-needs- report/98239/libya’s-“growing”-drugshiv- assessment-survey-2014/ problem

Dettmer, J. (2013, March 06). Drug Use, Smuggling Inter-Agency Standing Committee (IASC). Increasing in Libya. VOA News. (2007). IASC Guidelines on Mental Health and Retrieved from Psychosocial Support in Emergency Settings. https://www.voanews.com/a/drug_use_ Geneva: IASC. Retrieved from https://app.mhpss. smuggling_are_increasing_in_libya/1616257.html net/resource/iasc-mhpss-guidelines-in-english/

34 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya International Medical Corps (IMC). (2011). IMC United High Commissioner for Refugees Libya Mental Health and Psychosocial Support (UNHCR). (2017). Migration Trends in Libya: Assessment Report. Retrieved from https:// Changing Dynamics and Protection Challenges. app.mhpss.net/resource/imc-libya-mhpss- Retrieved from http://www.unhcr.org/ assessment-report-2011/ publications/operations/595a02b44/mixed- migration-trends-libya-changing-dynamics- International Medical Corps (IMC). (2011a). Who protection-challenges.html is Where, When, doing What in Mental Health and Psychosocial Support in Libya? 4W Mapping of United Nations Cartographic Section. (2015). MHPSS Services and Supports. Retrieved from United Nations Map of Libya with cities, roads, and https://app.mhpss.net/resource/imc-libya-4ws- the current twenty-two Districts or Shabiyah of mapping-of-mhpss-services-and-support-2011/ Libya. Retrieved from http://www.un.org/Depts/ JUSOOR Center for Studies and Development. Cartographic/map/profile/libya.pdf (2015). The situation of women in Libya. Retrieved from https://app.mhpss.net/resource/the- World Health Organization. (2003). Mental Health situation-of-women-in-libya/ Financing. Geneva: World Health Organization. Retrieved from United Nations Office for the Coordination http://www.who.int/entity/mental_health/policy/ of Humanitarian Affairs (OCHA). (2017). services/6_financing_WEB_07.pdf?ua=1 Humanitarian Dashboard as of 30 September 2017. Retrieved from https://app.mhpss.net/ World Health Organization. (2014). Mental health resource/country-profile-mental-health-services- atlas 2014. Geneva: World Health Organization. in-libya/ Retrieved from http://apps.who.int/iris/ OXFAM. (2017). OXFAM Media Briefing | 9 bitstream/10665/178879/1/9789241565011_eng. August 2017. Retrieved from https://app.mhpss. pdf?ua=1&ua=1 net/resource/oxfam-media-briefing-as-of-9- august-2017/ World Health Organization. (2015). Assessment Instrument for Mental Health Systems (WHO- Reach. (2017). Libya Inter-Sector Coordinator AIMS) 2015. Unpublished report. Group - Multi-Sector Needs Assessment: Sector Factsheets | Libya, September 2017. Retrieved World Health Organization, Regional Office for from: https://app.mhpss.net/resource/libya- the Eastern Mediterranean. (2015). Libya Health inter-sector-coordinator-group-multi-sector- Profile 2015. Retrieved from https://app.mhpss. needs-assessment-sector-factsheets-libya- net/resource/libya-health-profile-2015/ september-2017/ World Health Organization & United Nations High Rhouma, H.A.; Husain, N.; Gire, N.; Chaudhry, I.B. Commissioner for Refugees. (2012). Assessing (2016). Mental Health Services in Libya. BJPSYCH Mental Health and Psychosocial Needs and International 13(3). Retrieved from https://mhpss. Resources: Toolkit for Major Humanitarian net/resource/country-profile-mental-health- Settings. Geneva: WHO. Retrieved from services-in-libya https://app.mhpss.net/resource/assessing- mental-health-and-psychosocial-needs-and- UNdata (2015). Retrieved from http://data.un.org/ resources-toolkit-for-humanitarian-settings-2/ CountryProfile.aspx?crName=libya

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 35 Annex A - Detailed MHPSS activities provided in Libya

Activity # of Services reported Organization/institution Location(s)

Activity 1: Information dissemination to the Local NGOs, private community at large organizations, INGOs, Health These services focus on facilities, and governmental informing (on?) the current organizations also offer these Benghazi, Central, South, situation, relief efforts or 22 kind of activities, usually in Tripoli, and West areas of Libya. available services; provide community centers, as well messages on positive coping; as in clinics, hospital, schools, and/or other information camps, and home visits. linked to MHPSS to Libyan community.

Activity 2: Facilitation of conditions for community mobilization, community organization, ownership or community control over emergency relief in general The main focus of these A total of 4 NGOs, 1 INGO, 1 Mainly in Tripoli and Central services is on support for governmental organization, area, however there are emergency relief that is 7 and 1 community-based activities also in East and South initiated by the community; organization offer these of Libya. support for communal spaces/ services across Libya meetings to discuss, problem- solve and organize community members to respond to the emergency. The main target population is the local community.

Activity 3: Strengthening of community and family support The activities offered are focused on: structuring social activities; strengthening parents/family supports; 30 community-based Mainly in Tripoli (39%), structuring recreational or organizations, 12 private however, are also present in creative activities; facilitating organizations, 11 local NGOs, 4 60 Central (28%), East (23%), of community supports to health facilities, 1 governmental West (5%), Benghazi (3%), and vulnerable persons; supporting organization, 1 UN agency, and South (2%). social support? activities 1 INGO. initiated by the community; early childhood development activities; facilitating conditions for traditional, spiritual, or religious supports.

Activity 4: Safe Spaces The services are focused 4 private organizations, 3 local mainly on offering child In Tripoli, central area, east, 11 NGOs, 2 community-based friendly spaces to children south, and Benghazi area. organizations, and 2 INGOs. and adolescents, mainly in community centers

36 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Activity 5: Psychological support in Education Activities linked to psychological support in education, especially focused on psychosocial support to The services are provided in They are highly centralized classes/group of children at 40 are schools, 5 are private in Tripoli (84%), but are also schools and/or learning places organizations, 3 local NGOs, 3 provided in other regions of (87%), psychosocial support 56 health facilities, 3 community- Libya, such as West (7%), to teachers and/or other based organizations, 2 Central (5%), East (2%), and personnel at schools/learning governmental organizations. South (2%). spaces (9%), and others (4%). The main target population are children, adolescents, and persons with disabilities. This is the second most common activity provided in Libya.

Activity 6: Supporting the inclusion of social/ psychosocial considerations in other sectors This activity is provided by 4 The main focus of these organizations (2 local NGOs, In Tripoli and Central area of activities are on orientation 4 1 INGO, and 1 governmental Libya. of or advocacy with aid organization. workers/ aid agencies on including social/ psychosocial considerations in programming,

Activity 7: (Case-focused) psychosocial work The services are mainly focused on linking vulnerable individuals/ families to 9 are local NGOs, 5 are private The provision of these activities resources and follow up, and organizations, 4 health is mainly centralized in Tripoli providing Psychological First facilities, 3 community-based 28 area (52%), followed by South Aid (PFA). These activities are organizations, 3 INGOs, 2 (24%), Central (14%), West offered mainly in community governmental, and 2 UN (7%), and Benghazi area (3%). centers (53%), clinics (11%), agencies. hospitals (9%), home visits (6%), informal shelters (3%), schools (3%), and other places (i.e. detention centers) (15%).

Activity 8: Psychological Intervention The services are focused on These organizations basic counseling for individuals are community-based They are mainly based in (27%), psychotherapy (30%), organizations (30%), local Tripoli, however also present basic counseling for groups or 49 NGOs (26%), private (18%), in East, Central, Benghazi, and families (19%), individual or health facilities (16%), INGOs West areas of Libya. group psychological debriefing (5%), and UN agencies (5%). (15%), intervention for alcohol/ substance abuse (9%), and others (6%).

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 37 Activity 9: Clinical management of mental disorders by non-specialized health care providers Service focused on non- 1 community-based pharmacological management 1 In Tripoli. organization. of mental disorder, targeting especially children, adolescents, persons with disabilities, and migrants/ refugees

Activity 10: Clinical management of mental disorders by specialized health care providers The services available are focused mainly on pharmacological management of mental disorders by specialized mental health care providers (50%), non- pharmacological management of mental disorder by The majority of these services specialized mental health care 21 health facilities, 20 private, 1 are offered in Tripoli (48%), yet providers (23%), in-patient 46 CBO, 1 local NGO, 1 INGO, and 1 in South (16%), Central (13%), mental health care (16%), and governmental body. East (9%), Benghazi (7%), and others (11%). These activities West (7%). are offered usually in clinics, however are also provided in hospitals and through home visits. The main target groups benefitting from this this service are: local community, persons with disabilities, IDPs, migrants/refugees, children, women, men, adolescents, and elders.

Activity 11: General activities to support MHPSS The services are mainly CBOs (21%), private (21%), focused on training/ health facilities (17%), local This activity is mostly offered orientating, followed NGOs (17%), INGOs (12%), in Tripoli (72%), Central (12%), 30 by situational analysis/ governmental (4%), UN West (12%), and Benghazi assessment, psychosocial agencies (4%), and universities (4%) areas. support for staff/volunteers, (4%). research, technical and/or clinical supervision, and others.

38 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Annex B - Data collection - Excel Form

Date Information on Organization Num Date of entering Name of organization (full Type of Organization Address of Name of the MHPSS Phone number of Email address or updating this name and acronym) organization focal point at the focal point of focal point information UN Agency: 1 organization Intl NGO: 2 Local NGO: 3 Community Based (Person Managing Oorganization: 4 or Coordinating the Health Facility (clinic/hospital): 5 agency’s overall MHPSS Private (for profit): 6 programming and University: 7 activities) Other: 8 1 2 3 4 5 6 7 8 9 10

Area of Intervention & Target Group Governorate: where activity occurs (enter number as City// (or camp) Target group(s) for this activity (specify age group(s) Where is MHPSS service provided? (select from list per below. To select more than one option, separate where the activity occurs where relevant) below. To select more than one option, separate by by comma) (Specify exact area or comma) South: 1 neighborhood) (select from list below. To select more than one Clinic: 1 East: 2 option, separate by comma) Community Center: 2 West: 3 Home Visits/Outreach: 3 Central: 4 Refugees: 1 School: 4 Benghazi: 5 Internally Displaced Persons: 2 Hospital: 5 Tripoli: 6 Local Community: 3 Informal Shelter: 6 Mobile/roving: 7 Children: 4 Camp: 7 Adoloscents: 5 Other: 8 Men: 6 Women: 7 Caregivers: 8 Elderly: 9 Persons with Disability: 10 Other (please especify): 11

MHPSS Activity Code, Layer of Intervention and Sub Codes MHPSS activity code (Click here to see the codes) MHPSS activity subcode(s) (Click here to see the IASC MHPSS Layer (Click here to see the codes) Acivity Code 1-6= Communtiy Focused MHPSS subcodes) Layer 4= Specialized Services Activity Code 7-10 = Case-Focused MHPSS Layer 3= Focused non-specialized support Activity Code 11 = General MHPSS Layer 2= Community & Family supports Layer 1= Social Considerations in basic services & security

Implementation & Funding Status Partnership with any International Funding Source (Donor) Implementation Status (please Start date for implementing the activity (for End date (specify on what date committed agency? If yes, which? select from list below) current activities, provide actual start date funding to implement the activity ends) and not the originally proposed start date)

MHPSS Capacity Number of MHPSS workers per activity “Type of MHPSS workers who do this activity (select from list below. To select more than one option, separate by comma) -psychiatrist: 1 -psychologist: 2 -social worker: 3 -case manager: 4 -community health worker: 5 -health staff (e.g. doctors, nurses): 6 -Education staff (e.g. teachers, school counselors): 7 -volunteer: 8 -other: 9”

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 39 Annex C - List of resources available at Libya MHPSS Response - 2017 Group21

Title Author(s) Organization / Publisher Published Date Access available at https://mhpss.net/ “Hell on Earth”: Abuses resource/hell-on-earth- against refugees and Izza Leghtas Refugees International Jun-17 abuses-against-refugees- migrants trying to reach and-migrants-trying-to- Europe from Libya reach-europe-from-libya/ https://mhpss.net/ 2017 Libya Humanitarian resource/libya- OCHA 2016 Needs Overview humanitarian-needs- overview-2017/ https://mhpss.net/ Advocacy Package: IASC resource/advocacy- Guidelines on Mental package-iasc-guidelines- Health and Psychosocial IASC 2011 on-mental-health-and- Support in Emergency psychosocial-support-in- Settings emergency-settings/ https://app.mhpss. Alcohol and substance net/resource/alcohol- use in humanitarian and HANNA, F.B. EMRJ 2017 and-substance-use-in- post-conflict situations humanitarian-and-post- conflict-situations/ https://app.mhpss.net/ Assessing Mental Health resource/assessing-mental- and Psychosocial Needs health-and-psychosocial- and Resources: Toolkit WHO/ UNHCR 2012 needs-and-resources- for Major Humanitarian toolkit-for-humanitarian- Settings settings-2/ Checklist for field use https://mhpss.net/ of IASC Guidelines resource/iasc-mhpss- on Mental Health and IASC 2008 guidelines-checklist-for- Psychosocial Support in field-use/ Emergency Settings https://app.mhpss.net/ Consequences of Torture resource/consequences- and Organized Violence | Danish Institute Against 2016 of-torture-and-organized- Libya Needs Assessment Torture violence-libya-needs- Survey. assessment-survey-2014/ https://mhpss.net/ Abdul Rhouma; Nusrat Country Profile: Mental resource/country-profile- Husain; Nadeem Gire; Imran Bjpsych International 2016 Health Services in Libya mental-health-services-in- Chaudhry libya/ https://mhpss.net/ Displacement Event resource/displacement- Tracker – Biweekly IOM Jul-17 event-tracker-biweekly- Update, 1 – 18 July 2017 update-1-18-july-2017/ https://app.mhpss.net/ Drug Use, Smuggling resource/drug-use- Voa News 2013 Increasing in Libya smuggling-increasing-in- libya-2013/ https://mhpss.net/ DTM LIBYA REPORT resource/displacement- ROUND 9 Libya | IDP & IOM Mar-17 tracking-matrix-libya- Returnee Report report-round-9-libya-idp- returnee-report/ https://mhpss.net/ EU steps up humanitarian resource/eu-steps-up- ECHO Jul-17 assistance in Libya humanitarian-assistance- in-libya/

21 Note that this list of resources is constantly updated.

40 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya https://mhpss.net/ Expanded Response in UNHCR UNHCR May-17 resource/expanded- Libya 2017 response-in-libya-2017/ https://mhpss.net/ Health Sector - Libya resource/health-sector- Coordination meeting Sara Boujnah WHO Libya 04-Oct-16 libya-coordination-meeting- minutes minutes-oct2016/ https://mhpss.net/ Help Seeking and Referral resource/help-seeking-and- Pathway For the Ras Jdir referral-pathway-for-the- Tunisia-Libya Border Area ras-jdir-tunisia-libya-border- – MHPSS area-mhpss/ https://mhpss.net/ Human Rights Watch: resource/human-rights- World Report - Libya 2017 Human Rights Watch Jan-17 watch-world-report-libya- (AR) 2017-ar/) https://mhpss.net/ Human Rights Watch: resource/human-rights- World Report - Libya 2017 Human Rights Watch Jan-17 watch-world-report-libya- (EN) 2017-en/ https://mhpss.net/ Humanitarian Action for UNICEF 2016 resource/humanitarian- Children – Libya action-for-children-libya/ https://app.mhpss.net/ Humanitarian Dashboard resource/country-profile- OCHA 2017 as of 30 September 2017 mental-health-services-in- libya/ IASC Guidelines on Mental Health and https://mhpss.net/ Psychosocial Support IASC Jun-07 resource/iasc-mhpss- in Emergency Settings guidelines-in-english/ (ENGLISH) https://mhpss.net/ IASC: Who is Where, resource/who-is-where- When, doing What in when-doing-what-mapping- IASC 2012 Mental Health and services-for-mental-health- Psychosocial Support and-psychosocial-support- in-emergencies/ https://mhpss.net/ IDP Child Protection resource/idp-child- Assesment in Tripoli and Cesvi Libya, Unicef 2016 protection-assesment-in- (2016) tripoli-and-bani-walid-2016/ https://mhpss.net/ IMC Libya - 4Ws Mapping Amera Elkaied; Colleen resource/imc-libya- of MHPSS Services and IMC Dec-11 Fitzgerald 4ws-mapping-of-mhpss- Support services-and-support-2011/ https://mhpss.net/ IMC Libya - MHPSS Dr. Inka Weissbecker; IMC Nov-11 resource/imc-libya-mhpss- Assessment Report Colleen Fitzgerald assessment-report-2011/ https://app.mhpss.net/ Inside Libya’s Migrant MSF 2017 resource/inside-libyas- Detention Centers migrant-detention-centers/ https://mhpss.net/ Invisible Wounds: Libya’s resource/invisible-wounds- Courtney Subramanian Time 01-Nov-11 Battle for Mental Health libyas-battle-for-mental- health-01nov2011/

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 41 https://mhpss.net/ Judicial expertise center resource/judicial-expertise- outlines reasons behind The Libya Observer The Libya Observer 27-Apr-17 center-outlines-reasons- suicides in Al-Bayda behind-suicides-in-al- bayda-27apr2017/ https://mhpss.net/ Kidnapped, Traf resource/kidnapped- cked, Detained? The Michael Flynn - Global Journal on Migration and trafficked-detained-the- Implications of Non-state 2017 Detention Project Human Security implications-of-non-state- Actor Involvement in actor-involvement-in- Immigration Detention immigration-detention/ https://mhpss.net/ LEAVING LIBYA - resource/leaving-libya- Rapid Assessment rapid-assessment- of of Altai Consulting 2017 of-municipalities-of- Departures of Migrants departures-of-migrants-in- in Libya libya/ https://mhpss.net/ Libya Fact Sheet UNHCR Apr-17 resource/libya-fact-sheet- april-2017/ https://mhpss.net/ Libya Humanitarian resource/libya- OCHA 2016 Response Plan 2017 humanitarian-response- plan-2017/ https://mhpss.net/ Libya Humanitarian resource/unicef-libya- Situation Report _ 2017 UNICEF 2017 humanitarian-situation- Mid Year report-_-2017-mid-year/ Libya Inter-Sector https://app.mhpss.net/ Coordinator Group - resource/libya-inter-sector- Multi-Sector Needs coordinator-group-multi- REACH 2017 Assessment: Sector sector-needs-assessment- Factsheets | Libya, sector-factsheets-libya- September 2017. september-2017/ https://mhpss.net/ LIBYA OPERATION: resource/libya-operation- UNHCR EXTERNAL UNHCR May-17 unhcr-external-update- UPDATE may-2017/ https://mhpss.net/ Libya Sectoral Quarterly resource/libya-sectoral- Reporting Summary: WHO Apr-17 quarterly-reporting- Health summary-health/ https://app.mhpss.net/ Libya: Arbitrary detention resource/libya-arbitrary- of refugees, asylum- MSF 2017 detention-of-refugees- seekers and migrants asylum-seekers-and- must stop migrants-must-stop/ https://mhpss.net/ Libya: Emergency WFP Jul-17 resource/libya-emergency- Dashboard, July 2017 dashboard-july-2017/ https://app.mhpss.net/ Libya: Health Profile 2015 WHO WHO 2015 resource/libya-health- profile-2015/ https://app.mhpss.net/ Libya: Health Statistical WHO WHO 2015 resource/libya-health- Profile statistical-profile/ https://app.mhpss.net/ groups/current-mhpss- Libya: Humanitarian OCHA 2016-2017 emergency-responses/ Bulletins mhpss-libya-2011/ hierarchy/

42 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya https://app.mhpss.net/ Libya: Ongoing Conflict resource/libya-ongoing- Severely Impacting MSF USA 2016 conflict-severely-impacting- Medical Care medical-care/ https://app.mhpss.net/ Libya: Red Crescent resource/libya-red- scales-up psycho social Libyan Red Cross 2017 crescent-scales-up- support to vulnerable psycho-social-support-to- populations vulnerable-populations/ https://mhpss.net/ Libya: Who does What and resource/libya-who-does- OCHA Mar-17 Where what-and-where-as-of- march-2017/ https://mhpss.net/ Libya: Who does What resource/libya-who- OCHA Mar-17 Where (as of March 2017) does-what-where-as-of- march-2017/ https://app.mhpss.net/ Libya’s “growing” drugs/ resource/libyas-growing- Irin News 2013 HIV problem drugshiv-problem-2013- june-17/ https://mhpss.net/ Mapping of mental health resource/mapping-of- Colleen Fitzgerald, Amera and psychosocial support Intervention Journal 2012 mental-health-and- Elkaied & Inka Weissbecker in post conflict Libya psychosocial-support-in- post-conflict-libya/ https://mhpss.net/ Maritime Update Libyan IOM Jul-17 resource/maritime-update- Coast, 6 July - 20 July libyan-coast-6-july-20-july/ https://mhpss.net/ Mediterranean Migrant resource/mediterranean- Arrivals Reach 69,574 in IOM May-17 migrant-arrivals- 2017; Deaths: 1,569 reach-69574-in-2017- deaths-1569/ https://mhpss. Mental Health and net/resource/ Psychosocial Support mental-health-and- in Emergency Settings, psychosocial-support-in- IASC 2011 What should Camp emergency-settings-what- Coordinators and Camp should-camp-coordination- Manager Actors Know? and-camp-management- actors-know-2/ https://mhpss.net/ Mental Health and resource/mental-health- Psychosocial Support and-psychosocial- in Emergency Settings: IASC 2010 support-in-humanitarian- What should Protection emergencies-what-should- Programme Managers protection-programme- Know? managers-know-2/ https://mhpss.net/ Mental Health and M. van Ommeren; F. resource/mental-health- Psychosocial Support Hanna; Weissbecker and P. EMHJ 2015 and-psychosocial- in humanitarian Ventevogel support-in-humanitarian- emergencies emergencies-2/ https://mhpss. Mental Health and net/resource/ Psychosocial Support mental-health-and- in Humanitarian IASC 2010 psychosocial-support-in- Emergencies: What humanitarian-emergencies- should Health Actors what-should-humanitarian- Know? health-actors-know/

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 43 https://app.mhpss.net/ Mental Health Atlas 2014 WHO 2014 resource/mental-health- atlas-2014-2/ https://mhpss.net/ Mental Health Delivery Dr Selim El-Badri WHO Apr-15 resource/mental-health- in Libya delivery-in-libya/ https://app.mhpss.net/ Mental Health Financing WHO 2003 resource/mental-health- financing/ https://mhpss.net/ Mental Health Planning resource/mental-health-

and Response for Libya planning-and-response-for- libya/ https://mhpss.net/ Mental Health services resource/mental-health- in new Libya: The way Selim M. El-Badri Lybian J Med 2013 services-in-new-libya-the- forward way-forward/ https://mhpss.net/ mhGAP Humanitarian resource/mhgap- Intervention Guide humanitarian-intervention- (mhGAP-HIG): Clinical guide-mhgap-hig- management of mental, WHO WHO clinical-management- neurological and of-mentalneurological- substance use conditions and-substance-use- in humanitarian conditions-in-humanitarian- emergencies emergencies/ https://mhpss.net/ Migrants Caught in Crisis: resource/migrants- The IOM Experience in Olga Sheean IOM 2012 caught-in-crisis-the-iom- Libya experience-in-libya-3/ https://mhpss.net/ Migrants in Libya - Key IOM May-17 resource/migrants-in-libya- Findings, May 2017 key-findings-may-2017/ https://app.mhpss.net/ Migration Trends in Libya: resource/migration-trends- Changing Dynamics and UNHCR 2017 in-libya-changing-dynamics- Protection Challenges and-protection-challenges/ https://mhpss.net/ MoH/WHO Activities resource/mohwho- updated until end of June MOH/WHO 2012 activities-updated-until- 2012 end-of-june-2012/ https://app.mhpss. OXFAM Media Briefing (as net/resource/oxfam- OXFAM 2017 of 9 August 2017) media-briefing-as-of-9- august-2017/ https://app.mhpss.net/ Predicting the Impact resource/predicting-the- of the 2011 Conflict in impact-of-the-2011-conflict- Libya on Population Charlson FJ, Steel Z, in-libya-on-population- Mental Health: PTSD and Degenhardt L, Chey T, Silove 2017 mental-health-ptsd-and- Depression Prevalence D, et al depression-prevalence- and Mental Health and-mental-health-service- Service Requirements. requirements/ https://mhpss.net/ Proposal for Mental Prof. Marina Erhola, Dr. Simo resource/proposal-for- National Institute for Health Health Policy Framework Kokko, Prof. Timo Tuori, Dr. Aug-12 mental-healthpolicy- and Welfare (THL) in Libya 2012 -2025 Marja Anttila framework-in- libya-2012-2025/

44 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Handicap International, https://mhpss.net/ Protection Assessment Save the Children 2016 resource/protection- in Libya International assessment-in-libya/ https://mhpss.net/ Psychological first aid: WHO, War Trauma resource/arabic-version- Guide for field workers Foundation and World Vision WHO 2011 of-psychological-first-aid- (ARABIC) International guide/ https://mhpss.net/ Psychological first aid: WHO, War Trauma resource/psychological- Guide for field workers Foundation and World Vision WHO 2011 first-aid-guide-for-field- (ENGLISH) International workers-2/ https://mhpss.net/ Rapid assessment of resource/rapid-assessment- health structures in Handicap International Handicap International 2016 of-health-structures-in- Western Libya western-libya-2016/ http://mhpss.net/resource/ Report on Psychosocial report-on-psychosocial- Activities “Humanitarian Anne Schaefer IOM Mar-12 activities-humanitarian- Response to the Libya response-to-the-libya-crisis- Crisis” March 2012 march-2012/ https://mhpss.net/ Save the Children: resource/save-the-children- Psychological First Aid Dybdal, Anne-SophieMelin, Save the Children Denmark 2013 psychological-first-aid- Training Manual for Child MieTerlonge, Pernille training-manual-for-child- Practitioners (ENGLISH) practitioners-english/ https://mhpss.net/ Save the Children: resource/save-the-children- Psychological First Aid Dybdal, Anne-SophieMelin, Save the Children Denmark 2013 psychological-first-aid- Training Manual for Child MieTerlonge, Pernille training-manual-for-child- Practitioners (ARABIC) practitioners-arabic/ https://mhpss.net/ Self-Help Booklet for resource/self-help-booklet- Men facing crisis and IOM 2014 for-men-facing-crisis-and- displacement displacement/ https://mhpss.net/ Suicide incidents are resource/suicide-incidents- sweeping Bayda city in The Libya Observer The Libya Observer 19-Apr-17 are-sweeping-bayda-city-in- east Libya east-libya-19apr2017/ https://app.mhpss.net/ The Arab Spring resource/the-arab-spring- Movement: A Catalyst for Abuazza, A. 2013 movement-a-catalyst-for- reform at the psychiatric reform-at-the-psychiatric- hospital in Tripoli, Libya hospital-in-tripoli-libya/ https://app.mhpss.net/ The situation of women JUSOOR Center for Studies 2017 resource/the-situation-of- in Libya and Development women-in-libya/ UN HUMANITARIAN https://mhpss.net/ COORDINATOR IN LIBYA resource/un-humanitarian- CALLS FOR PROTECTION UNSMIL Jun-17 coordinator-in-libya-calls- OF INTERNALLY for-protection-of-internally- DISPLACED PERSONS displaced-persons/ https://mhpss.net/ UNHCR IDP Protection resource/unhcr-idp- Monitoring Assessment: REACH Feb-16 protection-monitoring- Libya assessment-libya/ https://mhpss.net/ UNHCR Libya Emergency resource/unhcr-libya- UNHCR May-17 Response in 2017 emergency-response-in- 2017-may-2017/

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 45 UNHCR, IOM pledge https://mhpss.net/ increased support for IOM, UNHCR May-17 resource/unhcr-iom-pledge- Libya increased-support-for-libya/ https://mhpss.net/ University student resource/university- The Libya Observer Apr-17 commits suicide in Bayda student-commits-suicide- in-bayda-22apr2017/ https://app.mhpss.net/ War-torn Libya has resource/war-torn-libya- become a ‘torture CNBC News 2017 has-become-a-torture- archipelago’ for migrants archipelago-for-migrants- sold into slavery sold-into-slavery-2017/ https://mhpss.net/ We Will Stay Here: IDP resource/we-will-stay- Mercy Corps, UNHCR 2016 Vulnerability Assessment here-idp-vulnerability- assessment/ https://mhpss.net/ WFP Libya Country Brief WFP 2017 resource/wfp-libya-country- (Jul - Dec 2017) brief-jul-dec-2017/ https://mhpss.net/ Women in Libya: The resource/women-in-libya- Ongoing Armed Conflict, the-ongoing-armed-conflict- Political Instability Asma Khalifa political-instability-and- and Radicalization - Up radicalization-up-holding- Holding Gendered Peace gendered-peace-at-a-time- at a Time of War of-war/ https://mhpss.net/ resource/we-will-stay- IOM, UNHCR 2017 here-idp-vulnerability- assessment/

IOM 2014

46 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Annex D - Organizations operating MHPSS programs/activities per governorate

Governorate Organizations Alamel Clinic, Aljamia Clinic, Amazonat Libya, Enjaz for charity, Libyan Association of Psychology, Libyan organization for counseling and psychotherpy, Libyan Organization for Mental Health Support, Nataj organization for capacity development Benghazi of women, Organization for the Amazons of Libya, “Premiere Urgence Internationale (PUI)”, Psychiatric Hospital of Benghazi, ACTED AbuJerida Psychiatric Clinic, Adel Organization for People with Special Needs, Al - Aswak Mental Health Center, Al Naseem for Community development, Al Rayyan Center for the rehabilitation of children with special needs and improvement of speech and speech defects, Al temena center for people with special needs, Al-Fosah Academy for training and rehabilitation of people with special needs and communication and development, Al-Hikma Specialized Hospital, Al-Naba’a alyaken Center for those with special needs, autistic children and educational consultations, Alemdad organization, Algad Al Mashreq Organization for People with Special Needs, Ashraqa Foundation for Child Care, Department of Psychiatry, Misrata Central Hospital, Department of Sociology Faculty of Arts, “Dr. Salem Al - Shukry Psychiatry Clinic”, Hun Society for Child Welfare, “International Central for Human Development and Psychosocial Support IU.C”, “International Rescue Committee (IRC)”, Libya Heroes Organization for the Parties, Libyan association for psychology science, Libyan Organization for autism kids, Libyan Red Crescent, Mashafe Medical Center for Mental Health and Psychosocial Support, Ministry of Social Affairs Misrata Branch, Misrata Psychosocial support team, Model Team for Mental and Behavioral Disorders of Children and Adolescents, Noor Al Ghad Center for Training and Rehabilitation of People with Special Needs, Office of the Special Groups of Education Supervision Misrata, Pediatric Psychiatry Clinic in Al - Abrar Specialty Hospital, Psychiatry Clinic at Dar Al Hekma Clinic, Safaa Libya Center for People with Special Needs, Social Solidarity Fund - Comprehensive Care Complex, Wa’ed Al Khair Association for People with Special Needs Al Amal School for Deaf and Hearing Impaired Education, Al Safa Clinic, “Al.Ishraqa school for developing mental abilities”, Allibia for social work, Alseraj Almoneer for the Blind and weak-sighted, Autism center - Darnah, Center for Autism-Alquba, Child Care House - Albeada, Deaf and dumb school - Albeada, Elderly Home - Mesa, House Boys - Albaeda, House of events in Soussa, East Kufra Psychosocial Support Clinic, Libyan Women Union, Nour Al Mustaqbal Clinic - Darnah, Psychiatric clinic - Albeada, Psychiatric clinic - Derna, Red crescent - Tobrek, School For Deaf & Hearing Impaired - Darna, School of mental alertness Derna, School of mental development, Tobruk Autism Center Aleradaa center for autism, Almalaeka alseghar kindergarten, Alousra clinic, Alwaha center for disability children, Azdjar, El Hakim clilnic, El Manar Clinic, Fazzan center for autism, Ghat general hospital, Libyan Association for Youth and Development, South Om el Momeneen, Oubari hospital, Psychiatry and neurology center/ sabha, Psycho-social supportive team of libyan red crescent sabha, sabha mental capabilities school, Sabha Oncology center, Sabha psychosocial support team, Sarkht Aljonob association, STACO Abdel Rahman Interior School, Al - Andalus Center for Multidisciplinary Rehabilitation, Al Ethad school, Al Ghad Al Mashreq School, Al rabea school, Al rashied school, Al sadeqa school, Al Safa for Mental Health Association for Children, Al Tahrir School, Al wehda Alarabia school, Al-Andalus Clinic, Al-Boroj Alraeeda Center, Al-Diaya Clinic, Al-Ferrduos Clinic, Al-Mokhtar Clinic, Al-Razi Hospital, Alanwar school, ALDAKA MEDICAL SERVICES, Alentesar school, Aleshraq school, Alesteglal school, Alhade arafa school, Alkomos General Hospital, Alnahla, Alqudos Clinic, Alrahma Center, Alsaffa, Altalea school, Altaqadom school, Altkadom school, Alwathikoon Clinic - Alkhomes, Alzohor school, Arous albahar school, “Asarya Center for Modern Psychiatry(ACMP)”, Awfia 17 February school, Behavioral and Psychiatric and Speech Defects, Cesvi, Child Care House, Dar Al Wafaa for the care of the elderly and the elderly, Do Alnourrin school, “Doctors Without Borders (MSF)”, Ebn alnafes school, Een Shames school, Epilepsy unit, Eshraqat Center for Modern Psychiatry, Essafa Center for Mental Health, Estishari Center for Autism, Fajer Alsalam school, Girls Care House, Greater Badr School, “Handicap International (HI)”, Hospital Ali Omar Askar, House Boys, “House of Female Events (Social House)”, Ibn Sina clinic - Bani Walid, International Medical Corps IMC, Tripoli “International Organization for Migrants (IOM)”, Kalied ebn alealied school, Kortoba school, Libyan Center for Rehabilitation, Education, Early Intervention and Integration, Libyan Red Crescent, Libyan village for people with special needs and autism disorder, Mercy Clinic - Tarhuna, Mohammed Mahmoud ben otman school, Mousa Ben Nusair School, National Center Disease Control/ The Mental Health Dept, “(NCDC, MHPSS)”, Nosor Ain zara, Pride of Libya, Psycare clinic, psychosocial Support Team, Qotaiba ben mosleium school, 23 uoluo school, 7 uoluo school, Rayet Aleslam school, Red Crescent Clinic, School of Halep, School of Ibn Noufal, Sela Center for Child Rehabilitation and Development, Shohada Alfornag school, Shohada Alnoveline school, Shomoa Alalem school, Sok Alkames Center for the Treatment and Rehabilitation of Autism, Tagerfet school, Tahaddath center, The Center for the Care and Rehabilitation of Children with Disabilities, The Libya Center For Pepole with Disability and Special Needs, Toletla Center for the Disabled, Tripoli Center for the Rehabilitation of Persons with Special Needs, Tripoli Central Hospital/ psychitary dept TCH, Tripoli International Center for Rehabilitation and Education of People with Special Needs, Tripoli Medical Center, “United Nations High Commissioner for Refugees (UNHCR)”, World Health Organization Country office in Libya WHO, Zaweit aldahmane school Al Reda Clinic, Alhelal Alahmar clinic, Center for rehabilitation and psychological support Zintan, Forum of children with West disabilities Ghadames, Kunduz Center, Nana Marn, Nana Zorg for women and children, Organization of Knowledge Light for Science and Education, shokran Libya, Tawhed Center Sabrata, zwara psychosocial support team

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 47 Annex E - Organizations providing MHPSS services by IASC MHPSS Layers

Al Naseem for Community development; Al Safa for Mental Health Association for Childre; Al.Ishraqa school for developing Layer 1 - Social mental abilities; Alsaffa; Cesvi; Eshraqat Center for Modern Psychiatry; Forum of children with disabilities Ghadames; considerations in International Rescue Committee (IRC); Libyan Organization for Mental Health Support; Libyan Red Crescent; Ministry of basic services and Social Affairs Misrata Branch; National Center Disease Control/ The Mental Health Dept, (NCDC, MHPSS); psychosocial security Support Team; Sabha psychosocial support team

23 uoluo school; 7 uoluo school; Abdel Rahman Interior School; ACTED; Adel Organization for People with Special Needs; Al Ethad school; Al Ghad Al Mashreq School; Al Naseem for Community development; Al rabea school; Al rashied school; Al Rayyan Center for the rehabilitation of children with special needs and improvement of speech and speech defects; Al sadeqa school; Al Safa for Mental Health Association for Children; Al Tahrir School; Al temena center for people with special needs; Al wehda Alarabia school; Al-Boroj; Alraeeda Center; Al-Fosah Academy for training and rehabilitation of people with special needs and communication and development; Al-Naba’a alyaken Center for those with special needs, autistic children and educational consultations; Al-Razi Hospital; Al.Ishraqa school for developing mental abilities; Alanwar school; Alemdad organization; Alentesar school; Aleshraq school; Alesteglal school; Algad Al Mashreq Organization for People with Special Needs; Alhade arafa school; Almalaeka alseghar kindergarten; Alnahla; Alseraj Almoneer for the Blind and weak- sighted; Altalea school; Altaqadom school; Altkadom school; Alwaha center for disability children; Alzohor school; Amazonat Libya; Arous albahar school; Ashraqa Foundation for Child Care; Autism center – Darnah; Awfia 17 February school; Azdjar; Behavioral and Psychiatric and Speech Defects; Center for Autism-Alquba; Center for rehabilitation and psychological support Zintan; Cesvi; Child Care House; Child Care House – Albeada; Deaf school – Albeada; Do Alnourrin school; Doctors Without Borders (MSF); Ebn alnafes school; Een Shames school; Elderly Home – Mesa; Eshraqat Center for Modern Psychiatry; Estishari Center for Autism; Fajer Alsalam school; Fazzan center for autism; Forum of children with disabilities Ghadames; Greater Badr School; Handicap International (HI); House Boys; House Boys – Albaeda; House of events in Layer 2 - Soussa; Hun Society for Child Welfare; International Organization for Migrants (IOM); Kalied ebn alealied school; Kortoba Community and school; , Kufra Psychosocial Support Clinic; Libya Heroes Organization for the Parties; Libyan association for psychology family support science; Libyan Association for Youth and Development; Libyan Center for Rehabilitation, Education, Early Intervention and Integration; Libyan Organization for autism kids ; Libyan Red Crescent; Libyan village for people with special needs and autism disorder; Libyan Women Union; Ministry of Social Affairs Misrata Branch; Model Team for Mental and Behavioral Disorders of Children and Adolescents; Mohammed Mahmoud ben otman school; Mousa Ben Nusair School; Nana Marn; Nana Zorg for women and children; Nataj organization for capacity development of women ; National Center Disease Control/ The Mental Health Dept, (NCDC, MHPSS); Noor Al Ghad Center for Training and Rehabilitation of People with Special Needs; Nosor Ain zara; Office of the Special Groups of Education Supervision Misrata; Om el Momeneen; Organization of Knowledge Light for Science and Education; Organization for the Amazons of Libya; Premiere Urgence Internationale (PUI); Pride of Libya; Psycare clinic; Psycho-social supportive team of libyan red crescent sabha; psychosocial Support Team; Qotaiba ben mosleium school; Rayet Aleslam school; sabha mental capabilities school; Sarkht Aljonob association; School For Deaf & Hearing Impaired – Darna; School of Halep; School of Ibn Noufal; School of mental alertness Derna; School of mental development; Sela Center for Child Rehabilitation and Development; Shohada Alfornag school; Shohada Alnoveline school; shokran Libya; Shomoa Alalem school; Sok Alkames Center for the Treatment and Rehabilitation of Autism; STACO; Tagerfet school; Tahaddath center; Tawhed Center Sabrata; The Center for the Care and Rehabilitation of Children with Disabilities; The Libya Center For Pepole with Disability and Special Needs; Tobruk Autism Center; Toletla Center for the Disabled; Tripoli Center for the Rehabilitation of Persons with Special Needs; Tripoli Medical Center; Wa’ed Al Khair Association for People with Special Needs; Zaweit aldahmane school; zwara psychosocial support team

Al - Andalus Center for Multidisciplinary Rehabilitation; Al Amal School for Deaf and Hearing Impaired Education; Al Safa for Mental Health Association for Children; Aleradaa center for autism; Allibia for social work; Autism center – Darnah; Center for rehabilitation and psychological support Zintan; Cesvi; Child Care House; Dar Al Wafaa for the care of the elderly and the elderly; Doctors Without Borders (MSF); Elderly Home – Mesa; Enjaz For charity; Epilepsy unit; Eshraqat Center for Modern Psychiatry; Essafa Center for Mental Health; Forum of children with disabilities Ghadames; Girls Care House; Handicap International (HI); House Boys; House Boys – Albaeda; House of events in Soussa; House of Female Events (Social Layer 3 - Focused House); International Organization for Migrants (IOM); Libyan Association of Psychology; Libyan organization for counseling non-specialized and psychotherapy; Mashafe Medical Center for Mental Health and Psychosocial Support; Misrata Psychosocial support support team; Model Team for Mental and Behavioral Disorders of Children and Adolescents; Noor Al Ghad Center for Training and Rehabilitation of People with Special Needs; psychosocial Support Team; Red crescent - Tobrek ; Safaa Libya Center for People with Special Needs; Social Solidarity Fund - Comprehensive Care Complex; The Center for the Care and Rehabilitation of Children with Disabilities; Tobruk Autism Center; Toletla Center for the Disabled; Tripoli Center for the Rehabilitation of Persons with Special Needs; Tripoli Medical Center; United Nations High Commissioner for Refugees (UNHCR); zwara psychosocial support team

48 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya AbuJerida Psychiatric Clinic; Al - Aswak Mental Health Center; Al Reda Clinic; Al Safa Clinic; Al-Andalus Clinic; Al-Boroj Alraeeda Center; Al-Diaya Clinic; Al-Ferrduos Clinic; Al-Hikma Specialized Hospital; Al-Mokhtar Clinic; Al-Razi Hospital; Alamel Clinic; ALDAKA MEDICAL SERVICES; Alhelal Alahmar clinic; Aljamia Clinic; Alkomos General Hospital; Alousra clinic; Alqudos Clinic; Alrahma Center; Alsaffa; Alwathikoon Clinic – Alkhomes; Asarya Center for Modern Psychiatry(ACMP); Behavioral and Psychiatric and Speech Defects; Department of Psychiatry, Misrata Central Hospital; Doctors Without Borders (MSF); Dr. Salem Al - Shukry Psychiatry Clinic; El Hakim clilnic; El Manar Clinic; Eshraqat Center for Modern Psychiatry; Ghat general Layer 4 - hospital; Hospital Ali Omar Askar; Ibn Sina clinic - Bani Walid; Kufra Psychosocial Support Clinic; Kunduz Center; Libyan Specialized Center for Rehabilitation, Education, Early Intervention and Integration; Mashafe Medical Center for Mental Health and services Psychosocial Support; Mercy Clinic – Tarhuna; National Center Disease Control/ The Mental Health Dept, (NCDC, MHPSS); Noor Al Ghad Center for Training and Rehabilitation of People with Special Needs; Nour Al Mustaqbal Clinic – Darnah; Oubari hospital; Pediatric Psychiatry Clinic in Al - Abrar Specialty Hospital; Psycare clinic; Psychiatric clinic – Albeada; Psychiatric clinic – Derna; Psychiatric Hospital of Benghazi; Psychiatry and neurology center/ sabha; Psychiatry Clinic at Dar Al Hekma Clinic; Red Crescent Clinic; Sabha Oncology center; Tripoli Central Hospital/ psychitary dept TCH; Tripoli International Center for Rehabilitation and Education of People with Special Needs; Tripoli Medical Center

Al - Andalus Center for Multidisciplinary Rehabilitation; Al Naseem for Community development; Al-Razi Hospital; Asarya Center for Modern Psychiatry(ACMP); Dar Al Wafaa for the care of the elderly and the elderly; Department of Sociology Faculty of Arts; Doctors Without Borders (MSF); Eshraqat Center for Modern Psychiatry; Estishari Center for Autism; Forum of children with disabilities Ghadames; International Federation for Human Development and Psychosocial Support IU.C; International Medical Corps IMC; Libyan Center for Rehabilitation, Education, Early Intervention and Integration; No Layer applicable Libyan village for people with special needs and autism disorder; Nana Zorg for women and children; National Center Disease Control/ The Mental Health Dept, (NCDC, MHPSS); Organization of Knowledge Light for Science and Education; Premiere Urgence Internationale (PUI); Sela Center for Child Rehabilitation and Development; The Center for the Care and Rehabilitation of Children with Disabilities; Toletla Center for the Disabled; Tripoli Center for the Rehabilitation of Persons with Special Needs; Tripoli Medical Center; World Health Organization Country office in Libya WHO

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 49 Annex F - Actors currently active in MHPSS

Name of the MHPSS focal Name of organization Address of organization Governorate/ Region What This report was prepared by MHPSS.net in point at the organizationReport written by: Renata Reali and Marcio partnership with WHO Libya and The Delegation of Gagliato Tripoli-Tripoli Center-Zawia Psychological support in 23 uoluo school Faiza Freia Tripoli the European Union toStreet Libya. The purpose of the education report is to facilitate the exchange of knowledge Reviewers: Margriet Blaauw (MHPSS.net), Tripoli - Abu Salim - the road Psychological support in and7 uoluo services school information among MHPSS actorsMeftah Aldrege Ananda GalappattiTripoli (MHPSS.net), Edda Costarelli of the hadba tool education and its partners in Libya. (Delegation of the European Union to Libya), Dr. Tripoli - Al-Andalus Ghassan Karem (PHC Director, Libya Ministry Abdel Rahman Interior Psychological support in neighborhood - near the Fawzia Ben Latif Tripoli WeSchool acknowledge all efforts of collaboration and of Health), Malak Ben Giaber (Libyaneducation Clinical sports bridge contribution especially of Libyan colleagues Psychologist), Dr. Sara Zarti (WHO Libya) involvedAbuJerida in Psychiatric data collection Zliten-Zadou across - Abuja-Jumail the country. Dr. abdallah albakush Central Psychological intervention Clinic area Tripoli Psychosocial Support Team graciously We would like to acknowledge the full cooperation provided the image on the front cover. Rue du Dollar, Berges du Information dissemination ACTED Jenna Le Roy Benghazi and valuable contributionsLac, Tunis of -the Tunisia Libyans to the community at large participating in this study by welcoming this United Nations Office for the Coordination of Adel Organization for Strengthening of initiative and sharing theJafra-Wedan information. - the city Humanitarian Affairs (OCHA) – Libya graciously People with Special Fatma fedel Central community and family center Coordination:Needs Marcio Gagliato (MHPSS.net) provided the image on the sectionsupport pages.

Project Team: Dr. Sara Zarti (WHO Libya); Renata The Mental Health & PsychosocialStrengthening Support of Al - Andalus Center community and family Tripoli - Tajoura - near the Realifor Multidisciplinary (MHPSS.net); Marcio Gagliato Lamia Ejweli Network Tripoli(MHPSS.net) is a growingsupport; global Psychological Yashifin clinic Rehabilitation platform for connecting people,intervention; networks General and Libya Advisory & Data Collection Team (in organizations, for sharing resourcesactivities and to support for MHPSS alphabetical order): Ali Abdusamad (Psychiatrist building knowledge related to mentalClinical management health and Misrata - Industrial Zone Al- – TripoliAl - Aswak NCDC); Mental Anwar Naser Farah Allah psychosocial support both in emergencyof mental disorders settings by Aswak beside Public Works Dr.Mohammed Alfitori Central Health Center specialized health care (Psychologist – Tripoli CompanyMoH); Assaddeeg Shwahdi and in situations of chronic hardship. providers (Psychiatrist – Misrata Central Hospital); Khaled Hamidi (MHPSS – Tripoli Psychosocial Support Strengthening of Al Amal School for Deaf Tobruk - Almadina - Center community and family Team);and Hearing Khaled Impaired Adris Alhasi (Psychologist – HeadAbdel Fattah Ghaith Saad East for disabled people support; Psychological Education of Social and Psychological Office of Education, intervention East Libya); Nidhal Mohamed Ali Shaeban Tripoli - Al-Andalus (Psychiatrist – Sabha Medical Centre); Ramadhan Psychological support in Al Ethad school neighborhood - opposite the Fawzia Ben Latif Tripoli education Salim Almusrati (Psychiatristsports stadium – Director General of Benghazi Mental Health Hospital); Saleh Mohamed Ali ElwelwalTripoli-al-Andalus (Psychologist – Libyan Al Ghad Al Mashreq neighborhood-behind Psychological support in Fawzia Ben Latif Tripoli SocietySchool for Psychologicalthe police Sciences). station Ghout education al-Shaal

50 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Information dissemination to the community at large; Facilitation of conditions for community mobilization, community organization, ownership Al Naseem for or community control Community Misrata Jebreel Al Raaid Central over emergency relief in development general; Strengthening of community and family support; Psychological support in education; General activities to support MHPSS

Tripoli - Al-Andalus Psychological support in Al rabea school neighborhood - near the Fawzia Ben Latif Tripoli education shapiat alseyahia

Tripoli - Ain Zara - near Oia Psychological support in Al rashied school Adel Almezoge Tripoli clinic education

Al Rayyan Center for the rehabilitation Strengthening of of children with Misrata-Al-Qoshi vs. Al- Salwa Aldelea Central community and family special needs and Thaghr Dental Clinic support improvement of speech and speech defects

Clinical management of mental disorders by Al Reda Clinic Sabratha, Archeology Road Abd Alkarem Helal West specialized health care providers

Tripoli-Tripoli center- Psychological support in Al sadeqa school Faiza Freia Tripoli Nouveline education

Clinical management White - behind the hospital of mental disorders by Al Safa Clinic Kamal Idris Fadil East Altawra specialized health care providers

Information dissemination to the community at large; Supporting the inclusion Al Safa for Mental Hay Elzohor Airport road, of social/psychological Health Association for Saleh Elhowaij Tripoli Tripoli consideration in other Children sectors; (case-focused) psychosocial work; Psychological intervention

Tripoli-Abu-Salem - Abu Psychological support in Al Tahrir School Moftah Ali Al-Duraiji Tripoli Salim passports education

Al temena center for Strengthening of Misrata - a fat area inside people with special Hanan almangosh Central community and family the hospital needs support

Al wehda Alarabia Psychological support in Tripoli-Al-Andalus Fawzia Ben Latif Tripoli school education

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 51 Clinical management Tripoli-Hai Alandalus-Near of mental disorders by AcknowledgementsAl-Andalus Clinic Dr Abdualrouf Aburkhees Tripoli Alrazi hospital specialized health care providers

This report was prepared by MHPSS.net in Report written by: Renata RealiInformation and Marcio dissemination partnership with WHO Libya and The Delegation of Gagliato to the community at large; Strengthening of Al-Boroj Alraeeda Tripoli-Souk- Aljuma-near Al the European Union to Libya. The purpose ofRawan the Abdalaziz Mohamed Tripoli community and family Center Furqan Mosque report is to facilitate the exchange of knowledge Reviewers: Margriet Blaauw (MHPSS.net),support; Psychological support in education; and services information among MHPSS actors Ananda Galappatti (MHPSS.net),Psychological Edda Costarelli intervention and its partners in Libya. (Delegation of the European Union to Libya), Dr. Ghassan Karem (PHC Director,Clinical Libya management Ministry Tripoli - Janzour - near the of mental disorders by Al-Diaya Clinic Dr Abdu-Almajid Altumi Tripoli We acknowledge all effortsInstitute of of collaborationNasrin al-Qami and of Health), Malak Ben Giaber (Libyanspecialized Clinical health care contribution especially of Libyan colleagues Psychologist), Dr. Sara Zarti (WHOproviders Libya) involved in data collection across the country. Clinical management Tripoli Psychosocial Support Teamof mental graciously disorders by Al-Ferrduos Clinic Tripoli-Gorji-Close High Way Dr Mahmoud Shmela Tripoli We would like to acknowledge the full cooperation provided the image on the frontspecialized cover. health care and valuable contributions of the Libyans providers participatingAl-Fosah Academy in this study by welcoming this United Nations Office for the Coordination of initiativefor training and and sharing the information. Humanitarian Affairs (OCHA) – Libya graciously Strengthening of rehabilitation of people Misrata - Third Ring - Coordination: Marcio Gagliato (MHPSS.net)Ali zeglam provided Centralthe image on the sectioncommunity pages. and family with special needs and Shouhada support; Safe spaces communication and Projectdevelopment Team: Dr. Sara Zarti (WHO Libya); Renata The Mental Health & Psychosocial Support Reali (MHPSS.net); Marcio Gagliato Network (MHPSS.net) is a growing global Clinical management Misrata - double island road Al-Hikma Specialized platform for connecting people,of mentalnetworks disorders and by -1 km from the Faculty of Dr. Alsedeq Alshewhde Central Hospital specialized health care Libya Advisory & Data NursingCollection Team (in organizations, for sharing resources and for providers alphabetical order): Ali Abdusamad (Psychiatrist building knowledge related to mental health and – Tripoli NCDC); Anwar Naser Farah Allah psychosocial support both in emergencyClinical management settings of mental disorders by (PsychologistAl-Mokhtar Clinic – Tripoli Tripoli-BenashorMoH); Assaddeeg ShwahdiDr Ali Abdusamad and in situationsTripoli of chronic hardship. specialized health care (Psychiatrist – Misrata Central Hospital); Khaled providers Hamidi (MHPSS – Tripoli Psychosocial Support Team);Al-Naba’a Khaled alyaken Adris Alhasi (Psychologist – Head Center for those Strengthening of ofwith Social special and needs, Psychological Misrata-El-Gheiran- Office of Billouib Education, community and family Abd alrahman alemles Central Eastautistic Libya); children Nidhal MohamedStreet Ali Shaeban support; Psychological and educational support in education (Psychiatristconsultations – Sabha Medical Centre); Ramadhan Salim Almusrati (Psychiatrist – Director General of Benghazi Mental Health Hospital); Saleh Strengthening of community and family Mohamed Ali Elwelwal (Psychologist – Libyan support; (case-focused) Society for Psychological Sciences). psychosocial work; Clinical Tripoli-Hai Alandalus-Near Al-Razi Hospital Dr Abdu-Almajid Altumi Tripoli management of mental Al-Nafati Mosque disorders by specialized health care providers; General activities to support MHPSS

52 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Facilitation of conditions for community mobilization, community Al.Ishraqa school for organization, ownership Al-Bayda-Al-Gharija - Social developing mental Aisha Ibrahim Al-Amami East or community control Welfare Complex abilities over emergency relief in general; Strengthening of community and family support

Clinical management of mental disorders by Alamel Clinic Benghazi Dr.Tarek Eltajori Benghazi specialized health care providers

Tripoli-Tripoli Center-Zawia Psychological support in Alanwar school Faiza Freia Tripoli Street education

Clinical management ALDAKA MEDICAL Tripoli-Ainzarra-near 5 of mental disorders by Dr Salem Abobaker Tripoli SERVICES street specialized health care providers

Strengthening of Alrwisat , former sook Alemdad organization Ali Issa Central community and family Aljamhoria, Misrata support

Tripoli-Abu Selim-Behind Psychological support in Alentesar school Meftah Aldrege Tripoli the oil tanks-Airport Road education

Aleradaa center for sabha- aljadeed beside Mabroukah mohammed (case-focused) psychosocial South autism police center abobakr work

Tripoli-Abu Selim-Behind Psychological support in Aleshraq school Meftah Aldrege Tripoli the Industrial Institute education

Tripoli-Abu Selim-near Psychological support in Alesteglal school Meftah Aldrege Tripoli nafoura market education

Algad Al Mashreq Strengthening of Jafra-Hoon - Central Market Organization for People Mostafa baya Central community and family Island 10 with Special Needs support

Tripoli-Tripoli Center - Nasr Psychological support in Alhade arafa school Faiza Freia Tripoli Street education

Clinical management Sabrata - Beside the of mental disorders by Alhelal Alahmar clinic Mohamed Ebrahim West Jomhore bank specialized health care providers

Clinical management of mental disorders by Aljamia Clinic Almareg Dr. Nagib Said Benghazi specialized health care providers

Clinical management Alkomos General of mental disorders by Alkomos (city center) Dr. Jamal Almorom Tripoli Hospital specialized health care providers

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 53 AcknowledgementsAllibia for social work close to Ibdaa school - Tobrk Almbrok Saad Shahen East Psychological intervention Almalaeka alseghar (case-focused) psychosocial brak- altourkeat quarter Miss karema South kindergarten work This report was prepared by MHPSS.net in Report written by: Renata Reali and Marcio Alnahla Ganzour- Tripoli Nadia Abusrewel Tripoli Safe spaces partnership with WHO Libya and The Delegation of Gagliato the European Union to Libya. The purpose of the Clinical management sabha- algourdha beside mohammed abdelhafedh of mental disorders by reportAlousra is clinic to facilitate the exchange of knowledge Reviewers:South Margriet Blaauw (MHPSS.net), tarek ben zead school albousefii specialized health care and services information among MHPSS actors Ananda Galappatti (MHPSS.net),providers Edda Costarelli and its partners in Libya. (Delegation of the European Union to Libya), Dr. Ghassan Karem (PHC Director,Clinical Libya management Ministry of mental disorders by Alqudos Clinic Masalata, Algasbat Dr. Alhade Sheib Tripoli We acknowledge all efforts of collaboration and of Health), Malak Ben Giaber (Libyanspecialized Clinical health care contribution especially of Libyan colleagues Psychologist), Dr. Sara Zarti (WHOproviders Libya) involved in data collection across the country. Clinical management Tripoli Psychosocial Support Teamof mental graciously disorders by Alrahma Center Tripoli-Janzor Alshargeiah Dr Mohamed Al-Sayeh Tripoli We would like to acknowledge the full cooperation provided the image on the frontspecialized cover. health care providers and valuable contributions of the Libyans participating in this study by welcoming this United Nations Office for the CoordinationInformation dissemination of initiative and sharing the information. Humanitarian Affairs (OCHA) –to Libyathe community graciously at large; Facilitation of conditions for Coordination: Marcio Gagliato (MHPSS.net) provided the image on the sectioncommunity pages. mobilization, community organization, ProjectAlsaffa Team: Dr. SaraTripoli Zarti (WHO Libya); RenataDr Saleh Alhwij The MentalTripoli Health & Psychosocialownership Support or community control over emergency Reali (MHPSS.net); Marcio Gagliato Network (MHPSS.net) is a growingrelief in global general; Clinical platform for connecting people,management networks of mentaland disorders by specialized Libya Advisory & Data Collection Team (in organizations, for sharing resourceshealth care and providers for alphabetical order): Ali Abdusamad (Psychiatrist building knowledge related to mental health and – TripoliAlseraj Almoneer NCDC); for Anwar Naser Farah Allah psychosocial support both in emergencyStrengthening ofsettings the Blind and weak- }center of Tobrk Majdi younis bakar East community and family (Psychologistsighted – Tripoli MoH); Assaddeeg Shwahdi and in situations of chronic hardship.support (Psychiatrist – Misrata Central Hospital); Khaled Tripoli - Ain Zara - near Oia Psychological support in HamidiAltalea school(MHPSS – Tripoli Psychosocial SupportAdel Almezoge Tripoli clinic education Team); Khaled Adris Alhasi (Psychologist – Head of Social and PsychologicalTripoli-Tripoli Office Center-Ben of Education, Psychological support in Altaqadom school Faiza Freia Tripoli East Libya); Nidhal MohamedAshour near Ali Esam Shaeban Coffee education (Psychiatrist – Sabha Medical Centre); Ramadhan Tripoli-Abu Salim - Crown Psychological support in Altkadom school Meftah Aldrege Tripoli Salim Almusrati (PsychiatristPrince Street – Director General education of Benghazi Mental Health Hospital); Saleh Alwaha center for Taraghen - beside girls (case-focused) psychosocial Mohamed Ali Elwelwal (Psychologist – Libyankalthom aebad almahde South disability children primary school work Society for Psychological Sciences).

Psychological intervention; Clinical management Alwathikoon Clinic – Alkhomes - Red Crescent Dr Majed Hamed Al - Mutair Tripoli of mental disorders by Alkhomes Hospital specialized health care providers

Tripoli-Ain Zara - near the Psychological support in Alzohor school Adel Almezoge Tripoli village of Mazawaga education

54 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya (case-focused) psychosocial Amazonat Libya Benghazi Khadija BESIKRI Benghazi work

Tripoli-Tripoli Center-Mizran Psychological support in Arous albahar school Faiza Freia Tripoli Street education

Clinical management Asarya Center of mental disorders by for Modern Tripoli - Ghoot Elshaal Dr Adel Albai Tripoli specialized health care Psychiatry(ACMP) providers; General activities to support MHPSS

Strengthening of Ashraqa Foundation for Zliten - University of Jmal ben zaid Central community and family Child Care Asmaria support

Strengthening of Autism center – Derna-Al-Maghar - near community and family Amani Ali Greenh East Darnah Al-Quds School support; Psychological intervention

Tripoli-Abu Selim-Al-Zuhour Awfia 17 February Psychological support in neighborhood near Tkbali Meftah Aldrege Tripoli school education camp

(case-focused) psychosocial Azdjar Ouadi al hayaa, Oubari Leila Al KOUNI South work

Strengthening of community and family Behavioral and support; Clinical Psychiatric and Speech Tripoli-Almansora Dr Rabeea Gajuom Tripoli management of mental Defects disorders by specialized health care providers

Strengthening of Center for Autism- South Alquba - near the community and family Mohamed Hassan Hassan East Alquba commercial market support; Psychological support in education

Information dissemination Center for to the community at rehabilitation and Zintan-Zintan Center - near Mohamed Abd-Allah large; Strengthening of West psychological support the Alhashemi community and family Zintan support; Psychological intervention

Information dissemination to the community at large; Cesvi Tunis office Cosimo Verrusio Tripoli Safe spaces; (case-focused) psychosocial work; Psychological intervention

Strengthening of Tripoli-Tripoli Center-Near community and family Child Care House Aisha Efrika Tripoli the mosque of Alqudes support; Safe spaces; Psychological intervention

Strengthening of Child Care House - Abubaker Adam Al - Al-Bayda - Al Ghariga area East community and family Albeada Majdoub support

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 55 Strengthening of Dar Al Wafaa for the community and family AcknowledgementsTripoli-Hai-Alandalus-street care of the elderly and Dr Sami Alamari Tripoli support; Psychological 10 the elderly intervention; General activities to support MHPSS

Al-Bayda - Al-Ghariga Strengthening of Deaf school - Albeada District - next to the Social Salma Suleiman Faraj East community and family Welfare Complex support

Clinical management Department of Misrata- Abu - shala area - of mental disorders by Psychiatry, Misrata Dr. Alsedeq Alshewhde Central Tripoli Street specialized health care Central Hospital providers

Department of Misrata - Faculty of Arts, General activities to support Sociology Faculty of Dr.Meftah belhaj Central Misrata University MHPSS Arts

Tripoli - Ain Zara - near the Psychological support in Do Alnourrin school Adel Almezoge Tripoli red break education

(case-focused) psychosocial work; Psychological intervention; Clinical Doctors Without management of mental Tripoli, Libya Talha AlAli Tripoli Borders (MSF) disorders by specialized health care providers; General activities to support MHPSS

Dr. Salem Al - Shukry Zliten-Al-Shak Island near Dr. salem shokre Central Psychological intervention Psychiatry Clinic the University

Tripoli-Tripoli center - Psychological support in Ebn alnafes school Fshloum - near the square Faiza Freia Tripoli education Qadisiyah

Tripoli-Abu Selim-Behind Psychological support in Een Shames school Meftah Aldrege Tripoli the oil tanks-Airport Road education

Clinical management El Gurdha Sabha- beside of mental disorders by El Hakim clilnic Ahmed Ali Bashir South diabetes clinic specialized health care providers

Clinical management Nidhal Mohammed Ali of mental disorders by El Manar Clinic Sabha South Shaeban specialized health care providers

Strengthening of Messa - near the Messa community and family Elderly Home - Mesa Omar Gomaa Abdel Sadik East court support; Psychological intervention

Psychological intervention; Clinical management Ahmed Mohamed Abdul Enjaz For charity Jamal abdul Naseer Street Benghazi of mental disorders by Salam specialized health care providers

56 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Tripoli-Hai Alandalus-Near (case-focused) psychosocial Epilepsy unit Souad Ali Gtannish Tripoli Alrazi hospital work

Information dissemination to the community at large; Strengthening of community and family support; (case-focused) Eshraqat Center for psychosocial work; Tripoli-Gergaresh-Hay alatar Dr Mohamed Alshreef Tripoli Modern Psychiatry Psychological intervention; Clinical management of mental disorders by specialized health care providers; General activities to support MHPSS

Essafa Center for Airport road- Tripoli- Libya Dr. Salih Alhweij Tripoli Psychological intervention Mental Health

Strengthening of community and family Estishari Center for support; Safe spaces; Tripoli-Ben Ashour Ahmed Emhemed Lamin Tripoli Autism Psychological support in education; General activities to support MHPSS

Tripoli-Al-Andalus neighborhood-near the Psychological support in Fajer Alsalam school Fawzia Ben Latif Tripoli municipality of Al-Andalus education district

Fazzan center for sabha - althanawya behind (case-focused) psychosocial Fatma ibrahem ehmeda South autism glass factory work

Information dissemination to the community at large; Strengthening of community and family Ghadames city next to Al Forum of children with support; Psychological Nahda School for Basic Almahde Abdalah Alsarif West disabilities Ghadames support in education; (case- Education focused) psychosocial work; Psychological intervention; General activities to support MHPSS

Clinical management of mental disorders by Ghat general hospital Ghat Ramadhan gdhedh fanjerko South specialized health care providers

Strengthening of community and family support; (case-focused) psychosocial work; Clinical Tripoli-Tripoli Center-Near Girls Care House Salha Driz Tripoli management of mental Alhana association disorders by specialized health care providers; General activities to support MHPSS

Tripoli-Al-Andalus Psychological support in Greater Badr School neighborhood-near the Fawzia Ben Latif Tripoli education village of Saleh Ali

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 57 Information dissemination Libya: Abusitta, Tripoli, to the community at Handicap International Libya/ Tunisia: 10 Rue du Martina Lukin Tripoli large; Strengthening of (HI) Bresil, Le Belvedere, Tunis community and family 1002 support

Clinical management Hospital Ali Omar of mental disorders by Tripoli-Qasr bin Ghashir Dr. Jamal Yousef Tripoli Askar specialized health care providers

Strengthening of Tripoli-Gout Alshaal-Street community and family House Boys Abdul Raouf Saad Tripoli 10 support; Psychological support in education

Strengthening of community and family House Boys - Albaeda Al-Bayda - Al Ghariga Area 5 Eid Mohammed Abdounis East support; Psychological intervention

Strengthening of House of events in Soussa- near the leather community and family Hamed Omar Altaie East Soussa factory support; Psychological intervention

Strengthening of House of Female Tripoli-Tripoli Center- Aoatif Alshareef Tripoli community and family Events (Social House) Aljaraba street support

Strengthening of Hun Society for Child Jafra-Hoon - Central Market kadeja abd alkader Central community and family Welfare Island 10 support

Psychological intervention; Bani Walid - Central of the Clinical management Ibn Sina clinic - Bani country - near the gold Dr Majed Hamed Al - Mutair Tripoli of mental disorders by Walid market specialized health care providers

International Federation for Human Misrata - Third Ring - General activities to support Development and Amal alzabate Central Almagasba MHPSS Psychosocial Support IU.C

International Medical Seyahia area, Behind oil General activities to support Osama Nseir Tripoli Corps IMC institution, Tripoli MHPSS

Strengthening of International community and family Organization for Lac 1, Tunis, Tunisia Karolina Edsbacker Tripoli support; (case-focused) Migrants (IOM) psychosocial work; Psychological intervention

Supporting the inclusion International Rescue Ashley Nemiro and Rachel of social/psychological Central Committee (IRC) Howard consideration in other sectors

58 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Kalied ebn alealied Psychological support in Tripoli - Ain Zara Adel Almezoge Tripoli school education

Psychological support in Kortoba school Tripoli-Al-Andalus District Fawzia Ben Latif Tripoli education

Facilitation of conditions for community mobilization, community organization, ownership or community Kufra Psychosocial Naser Mohamed Faraj East control over emergency Support Clinic relief in general; Clinical management of mental disorders by specialized health care providers

Clinical management of mental disorders by Kunduz Center Zwara, Zwara center Dr. Akrem Aledrese West specialized health care providers

Libya Heroes Egzier Areaa close to Auhad (case-focused) psychosocial Organization for the Moihamed Al Akhtel Central Mosque, Misrata work Parties

Libyan association for Misrata - Zawit Almahjob- Information dissemination Anwer Naser Farjalla Central psychology science Noor Alghad center to the community at large

Libyan Association Altayib Mohammed Psychological support in for Youth and Sabha, South South Almoktar education Development

Libyan Association of Benghazi Antesar Rajab Abuidi Benghazi Psychological intervention Psychology

Libyan Center for Strengthening of Rehabilitation, community and family Tripoli,Ain Zara ,khmis Education, Early Dr.sana ghshier Tripoli support; Psychological Eshwarih Intervention and intervention; General Integration activities to support MHPSS

Strengthening of Libyan Organization buildings of Allbai Mosque, Taha Wilia Central community and family for autism kids Alzirai building fourth floor. support

Libyan organization for counseling and Alwaet alhria school Nadia albakoush Benghazi Psychological intervention psychotherpy

Libyan Organization for Information dissemination Benghazi, Alhwari Nabil Eltajouri Benghazi Mental Health Support to the community at large

Facilitation of conditions for community mobilization, community organization, Libyan Red Crescent Tripoli street -Misrata Dr Faisel Jalool Central; Tripoli ownership or community control over emergency relief in general; (case- focused) psychosocial work

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 59 Information dissemination Acknowledgements to the community at Libyan village for large; Strengthening of people with special Tripoli-Tajura-Near the farm community and family Dr Murad Zahran Tripoli needs and autism market support; Safe spaces; disorder Psychological support in This report was prepared by MHPSS.net in Report written by: Renata Realieducation; and Marcio General activities partnership with WHO Libya and The Delegation of Gagliato to support MHPSS the European Union to Libya. The purpose of the Libyan Women Union Tripoli Nidaa Bin Ayad East Safe spaces report is to facilitate the exchange of knowledge Reviewers: Margriet Blaauw (MHPSS.net), and services information among MHPSS actors Ananda Galappatti (MHPSS.net),(case-focused) Edda Costarelli psychosocial Mashafe Medical work; Psychological and its partners in Libya.Misrata - Third Ring (Delegation of the European Union to Libya), Dr. Center for Mental intervention; Clinical Opposite to Chicken Aya Ebsher Central Health and Ghassan Karem (PHC Director,management Libya Ministry of mental Cottage Restaurant WePsychosocial acknowledge Support all efforts of collaboration and of Health), Malak Ben Giaber (Libyandisorders byClinical specialized contribution especially of Libyan colleagues Psychologist), Dr. Sara Zarti (WHOhealth careLibya) providers involved in data collection across the country. Psychological intervention; Tarhuna - Salah El-Din Tripoli Psychosocial Support TeamClinical graciouslymanagement WeMercy would Clinic like - Tarhuna to acknowledgeStreet - near the the hospitalfull cooperation of Dr Majed Hamed Alprovided - Mutair Tripolithe image on the frontof mentalcover. disorders by Tarhuna specialized health care and valuable contributions of the Libyans providers participating in this study by welcoming this United Nations Office for the Coordination of initiative and sharing the information. Humanitarian Affairs (OCHA) –Information Libya graciously dissemination to the community at Coordination: Marcio Gagliato (MHPSS.net) provided the image on the sectionlarge; Strengtheningpages. of Ministry of Social Misrata - Administrative community and family ayad Mohammed Central Affairs Misrata Branch Complex Misrata support; Supporting Project Team: Dr. Sara Zarti (WHO Libya); Renata The Mental Health & Psychosocialthe inclusion Support of social/ Reali (MHPSS.net); Marcio Gagliato Network (MHPSS.net) is a growingpsychological global consideration in other sectors platform for connecting people, networks and

LibyaMisrata Advisory Psychosocial & Data besideCollection psychology Team unit at (in organizations, for sharing resources and for Nadiya Sobkha Central Psychological intervention alphabeticalsupport team order): AliMisrata Abdusamad Hospital (Psychiatrist building knowledge related to mental health and – Tripoli NCDC); Anwar Naser Farah Allah psychosocial support both in emergency settings Strengthening of Model Team for (Psychologist – Tripoli MisrataMoH); - Building Assaddeeg scrap - Shwahdi and in situations of chronic hardship.community and family Mental and Behavioral the role of the Civil Society Moner aboshiba Central support; (case-focused) (PsychiatristDisorders of Children – Misrata Central Hospital); Khaled Commission psychosocial work; and Adolescents Hamidi (MHPSS – Tripoli Psychosocial Support Psychological intervention Team); Khaled Adris Alhasi (Psychologist – Head Mohammed Mahmoud Tripoli-Tripoli center- Psychological support in of Social and Psychological Office of Education,Faiza Freia Tripoli Eastben Libya);otman school Nidhal MohamedNouveline Ali Shaeban education

(Psychiatrist – Sabha MedicalTripoli - Al-Andalus Centre); Ramadhan Mousa Ben Nusair Psychological support in neighborhood - next to the Fawzia Ben Latif Tripoli SalimSchool Almusrati (Psychiatrist – Director General education of Benghazi Mental HealthIraqi Embassy Hospital); Saleh

Mohamed Ali Elwelwal (Psychologist – Libyan (case-focused) psychosocial Nana Marn Jabal algharbi,Jadu Najet ALMALTI West Society for Psychological Sciences). work

Information dissemination Nana Zorg for women to the community at large; forsata-Kaboo Ali Jonto West and children General activities to support MHPSS

The beginning of dubai Nataj organization for Strengthening of street near the island Fathya mohamed elmadani. capacity development Benghazi community and family of industrial river pipes, project director of women support Benghazi

60 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Information dissemination to the community at large; Facilitation of conditions for community mobilization, community organization, ownership or National Center community control over Disease Control/ The Tripoli-Gorji-Close Sport Dr Ali Abdusamad Tripoli emergency relief in general; Mental Health Dept, City Psychological support (NCDC, MHPSS) in education; Clinical management of mental disorders by specialized health care providers; General activities to support MHPSS

Noor Al Ghad Center Strengthening of for Training and Misrata - Aljazeera Road community and family Rehabilitation of opposite Hikma Hospital Dr.Mostafa alshogmane Central support; (case-focused) People with Special behind the gas station psychosocial work; Needs Psychological intervention

Tripoli-Ain Zara-Mashtal Psychological support in Nosor Ain zara Road near the Four Seasons Adel Almezoge Tripoli education Hall

Clinical management Nour Al Mustaqbal Derna - Alsahel- near the of mental disorders by Dr Kamal Saleh Al Majri East Clinic - Darnah garment factory specialized health care providers

Office of the Special Misrata - the second ring Psychological support in Groups of Education next to the monument next Abd aslam salem Central education Supervision Misrata to Goz Tic

(case-focused) psychosocial Om el Momeneen Sabha Fatma Mannouni South work

Organization of Psychological support in P.O. BOX NO. 1 Sabratha Knowledge Light for West education; General activities - Libya Science and Education to support MHPSS

Strengthening of Organization for the Benghazi, Alnafeg Kadega Bsekri Benghazi community and family Amazons of Libya street,alhadeg support

Clinical management of mental disorders by Oubari hospital Oubari Abuaker Sharif South specialized health care providers

Clinical management Pediatric Psychiatry Misrata - Airport Road of mental disorders by Clinic in Al - Abrar Hassan Altakrone Central opposite post office specialized health care Specialty Hospital providers

Premiere Urgence Tunis, La Marsa/ Benghazi, Safe spaces; General Anne-Gaëlle BRIL (HoM) Benghazi Internationale (PUI) Libya activities to support MHPSS

(case-focused) psychosocial Pride of Libya Al andalus , Tripoli Naima AGILI Tripoli work

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 61 Information dissemination Acknowledgements to the community at large; Psychological intervention; Tripoli-Souk Aljoma-Near Psycare clinic Dr. Adel Abuazza Tripoli Clinical management the airport of Maitika of mental disorders by specialized health care providers

Psychological intervention; Al-Bayda - Al-Ghariga Clinical management Psychiatric clinic - Mohsen Abdullah Al- District near Abdullah Bin East of mental disorders by Albeada Mesmari Abbas School specialized health care providers

Clinical management Psychiatric clinic - Derna - the coast - near of mental disorders by Dr Musab Fritais East Derna medical supply stores specialized health care providers

Clinical management Psychiatric Hospital of alhwari-near the cement of mental disorders by Dr Ramadhan Salim Benghazi Benghazi factory of Benghazi specialized health care providers

Clinical management Psychiatry and Sabha- athanawea- beside of mental disorders by neurology center/ ayad melad ali South water storage specialized health care sabha providers

Clinical management Psychiatry Clinic at Dar Misrata - Alosra alsaeda of mental disorders by Dr.Mohammed Alfitori Central Al Hekma Clinic round specialized health care providers

Psycho-social supportive team of sabha- beside Central Information dissemination Hamed Isa Saad South libyan red crescent theater to the community at large sabha

Information dissemination to the community at large; Facilitation of conditions for community mobilization, community organization, ownership or community control psychosocial Support Old goold Market over emergency relief in Khaled M Hamidi Tripoli Team -Abusaleem - Tripoli - Libya general; Strengthening of community and family support; Supporting the inclusion of social/ psychological consideration in other sectors; (case- focused) psychosocial work; Psychological intervention

Psychological support in Qotaiba ben mosleium Tripoli - Abu Salim - Meftah Aldrege Tripoli education; General activities school almashroua alzere to support MHPSS

Tripoli - Ain Zara - the sabaa Psychological support in Rayet Aleslam school road near the mosque of Adel Almezoge Tripoli education; General activities altwaba to support MHPSS

62 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Red crescent - Tobrek Tobrk Saleh Alteeb Hoseen East Psychological intervention

Clinical management Tripoli-Tripoli center-near of mental disorders by Red Crescent Clinic Dr Salem Abobaker Tripoli The Tomb of Munider specialized health care providers sabha mental sabha - althanawya behind hssaen mohammed (case-focused) psychosocial South capabilities school glass factory almabrouk work

Clinical management of mental disorders by Sabha Oncology center Hai Abdelkafi / Sabha Nidal Shabaan South specialized health care providers

Facilitation of conditions for community mobilization, Sabha psychosocial community organization, Almanshia - Sabha Ahmed Glioan South support team ownership or community control over emergency relief in general

Safaa Libya Center for Misrata-Ruwaisat near Strengthening of People with Special Al-Manahil School for Free Sara abd alale Central community and family Needs Education support

Strengthening of Sarkht Aljonob Close to Algorda Clinic- Khdija Madi South community and family association Algorda - Sabha support

School For Deaf & Darnah-Shihah Al-Gharbia- Strengthening of Hearing Impaired - near the clinics of Yousef Fajria Alshairi East community and family Darna Aborehil support

Tripoli-Abu-Salem - near the Psychological support in School of Halep Moftah Ali Al-Duraiji Tripoli market of Abu Salim education

Strengthening of Tripoli-Abuslim-near the School of Ibn Noufal Moftah Ali Al-Duraiji Tripoli community and family Rixos Hotel support

Darnah-Shihah Al-Gharbia- Strengthening of School of mental near the clinics of Yousef Omar Mohamed Amnina East community and family alertness Derna Aborehil support

Tobruk-Almadina- Strengthening of School of mental Rehabilitation Center for the Abdulbaset Khamis Hashim East community and family development Disabled support

Information dissemination to the community at Sela Center for Child large; Strengthening of Rehabilitation and Tripoli-Farnaj Ramadan Abdul Majeed Tripoli community and family Development support; Safe spaces; General activities to support MHPSS

Shohada Alfornag Tripoli-Ain Zara - near the Psychological support in Adel Almezoge Tripoli school Ain Zara police station education

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 63 Shohada Alnoveline Psychological support in Tripoli-Tripoli center-Nouflin Faiza Freia Tripoli Acknowledgementsschool education Information dissemination shokran Libya tripoli - libya sana almoldi West to the community at large This report was prepared by MHPSS.net in Report written by: Renata Reali and Marcio Psychological support in partnershipShomoa Alalem with school WHOTripoli-Al-Andalus Libya and The District DelegationFawzia Benof Latif Gagliato Tripoli education the European Union to Libya. The purpose of the reportSocial isSolidarity to facilitate Fund theMisrata exchange - Health Street of knowledge - Reviewers: Margriet Blaauw (MHPSS.net),Strengthening of and- Comprehensive services information Care next amongto the headquarters MHPSS of actorsmohammed AlremaleAnanda GalappattiCentral (MHPSS.net),community Edda and Costarelli family Complex health services. support and its partners in Libya. (Delegation of the European Union to Libya), Dr. Sok Alkames Center Ghassan Karem (PHC Director, Libya Ministry for the Treatment Psychological support in We acknowledge all effortsAlkomos, of Sok collaboration Alkames andDr. Anwar Yones of Health),Tripoli Malak Ben Giaber (Libyan Clinical and Rehabilitation of education contributionAutism especially of Libyan colleagues Psychologist), Dr. Sara Zarti (WHO Libya) involved in data collection across the country. STACO Az Zawiyah- Libya Salem Algamody Tripoli PsychosocialSouth Support TeamSafe spaces graciously We would like to acknowledge the full cooperation provided the image on the front cover. Tripoli-Abu Saleem-near the Psychological support in Tagerfet school Meftah Aldrege Tripoli and valuable contributionsfactory of the the farm Libyans for juices education participating in this study by welcoming this United Nations Office for the Coordination of initiative and sharing the information. Humanitarian Affairs (OCHA) –Strengthening Libya graciously of Tahaddath center Zawit Aldhmani, Tripoli, Samia Elogbi Tripoli community and family Coordination: Marcio Gagliato (MHPSS.net) provided the image on the sectionsupport pages.

Psychological support in ProjectTawhed Team:Center Sabrata Dr. SaraSabratha, Zarti (WHO Eastern ShillLibya); RenataSalema Sakshak The MentalWest Health & Psychosocial Support Reali (MHPSS.net); Marcio Gagliato Network (MHPSS.net) is a growingeducation global

platform for connecting people,Strengthening networks of and Libya Advisory & Data Collection Team (in organizations, for sharing resourcescommunity and and for family The Center for the Care support; (case-focused) alphabeticaland Rehabilitation order): Ali Abdusamad (Psychiatrist building knowledge related to mental health and Tripoli-Seedi-Almasri Salem Abdalkareem Juma Tripoli psychosocial work; of Children with – Tripoli NCDC); Anwar Naser Farah Allah psychosocial support both in emergencyPsychological intervention; settings Disabilities (Psychologist – Tripoli MoH); Assaddeeg Shwahdi and in situations of chronic hardship.General activities to support MHPSS (Psychiatrist – Misrata Central Hospital); Khaled Hamidi (MHPSS – Tripoli Psychosocial Support Strengthening of The Libya Center For Tripoli-Elhadba-Salah- community and family Team);Pepole withKhaled Disability Adris Alhasi (Psychologist – HeadAbduAlrazak Shegwara Tripoli Aldeen support; Psychological and Special Needs of Social and Psychological Office of Education, support in education East Libya); Nidhal Mohamed Ali Shaeban Strengthening of (Psychiatrist – Sabha MedicalTobruk-Almadina- Centre); Ramadhan community and family Tobruk Autism Center Rehabilitation Center for the East Salim Almusrati (Psychiatrist – Director General support; Psychological Disabled of Benghazi Mental Health Hospital); Saleh intervention Mohamed Ali Elwelwal (Psychologist – Libyan Strengthening of Society for Psychological Sciences). community and family Toletla Center for the Tripoli-Tripoli Center- Manal Alshahawi Tripoli support; Psychological Disabled Aljaraba street intervention; General activities to support MHPSS

Strengthening of Tripoli Center for community and family the Rehabilitation of Tripoli-Alhadba-Alshargia- support; Safe spaces; Najia Salem Alsoye Tripoli Persons with Special Albadri Psychological intervention; Needs General activities to support MHPSS

64 Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support (MHPSS) in Libya Clinical management Tripoli Central Tripoli-City center-Alsaidi of mental disorders by Hospital/ psychitary Dr Nasrein Abuserweel Tripoli Street specialized health care dept TCH providers

Tripoli International Clinical management of Center for mental disorders by non Rehabilitation and Ain Zara, Tripoli Salma Rajab Tripoli specialized health care Education of People providers with Special Needs

Information dissemination to the community at large; Strengthening of community and family Tripoli-Ain-Zara-Near the support; Psychological Tripoli Medical Center Imnani Alzahaf Tripoli Ministry of Health support in education; (case- focused) psychosocial work; Psychological intervention; General activities to support MHPSS

United Nations High (case-focused) psychosocial Commissioner for Ernesto Diaz Tripoli work; Psychological Refugees (UNHCR) intervention

Wa’ed Al Khair Strengthening of Ben Jawad - People’s Association for People Said abd alrahem Central community and family Residence Ben Jawad with Special Needs support

World Health General activities to support Organization Country Furnaj, Tripoli Sara Zarti Tripoli MHPSS office in Libya WHO

Psychological support in Zaweit aldahmane Tripoli-Tripoli Center-Shat Faiza Freia Tripoli education; General activities school Road to support MHPSS

Strengthening of zwara psychosocial community and family Zwara Naaima Gandoz West support team support; Psychological intervention

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT (MHPSS) 65