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Psychosocial intervention for war-affected children in Sierra Leone
Leila Gupta1, Catherine Zimmer
1Plan International Consultant, West Africa Regional Bureau, Freetown, Sierra Leone.
Insights
The Rapid-Ed intervention effectively reduced traumatic stress symptoms in displaced children affected by war in Sierra Leone. This combined education and trauma healing approach shows promise for post-conflict recovery.
Area of Science:
- Child Psychology
- Trauma Studies
- International Development
Background:
- Displaced children in post-conflict settings lack psychosocial interventions addressing both education and distress.
- War-affected children experience significant psychological distress impacting their learning.
Purpose of the Study:
- Assess psychosocial status of children in the Rapid-Ed intervention.
- Determine if Rapid-Ed alleviates learning-interfering traumatic stress symptoms in war-affected Sierra Leonean children.
Main Methods:
- A randomized sample of 315 displaced children (aged 8-18) were interviewed pre- and post-intervention.
- The 4-week Rapid-Ed intervention combined basic education with trauma healing activities.
Main Results:
- Pre-test revealed high intrusion, arousal, and avoidance symptoms 9-12 months post-war.
- Post-test showed significant decreases in intrusion and arousal (P<0.0001).
- A slight increase in avoidance (P<0.0001) and greater optimism were observed.
Conclusions:
- Combining basic education with trauma healing shows potential for children in post-conflict settings.
- Further research with control groups is needed to confirm findings.
- Research in post-conflict settings faces unique challenges.
Background:
There are no psychosocial interventions to address both educational needs and psychological distress among displaced children in post-conflict settings.
Aims:
To assess the psychosocial status of displaced children enrolled in the Rapid-Ed intervention; and to determine whether the Rapid-Ed intervention alleviated traumatic stress symptoms that interfere with learning among war-affected children in Sierra Leone.
Method:
A randomly selected sample of 315 children aged 8-18 years who were displaced by war were interviewed about their war experiences and reactions to the violence before and after participating in the 4-week Rapid-Ed intervention combining basic education with trauma healing activities.
Results:
High levels of intrusion, arousal and avoidance symptoms were reported at the pre-test interviews conducted 9-12 months after the war. Post-test findings showed statistically significant decreases in intrusion and arousal symptoms (P<0.0001), a slight increase in avoidance reactions (P<0.0001) and greater optimism about the future.
Conclusions:
The findings suggest potential for combining basic education with trauma healing activities for children in post-conflict settings, but confirmatory studies using a control group are needed. Conducting research in post-conflict settings presents unique challenges.
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