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Building a child-centred, multilayered MHPSS eco-system for conflict-affected children (Ukraine)

Viktor Vus1, Oleksii Nalyvaiko2, Liliya Zotova2

  • 1NATIONAL ACADEMY OF EDUCATIONAL SCIENCES, KYIV, UKRAINE; UKRAINIAN INSTITUTE OF ARTS AND SCIENCE, BUCHA, UKRAINE.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|October 11, 2025
PubMed

Insights

This study proposes a child-centred Mental Health and Psychosocial Support (MHPSS) ecosystem for children affected by conflict. The model enhances resilience and mitigates distress through integrated, culturally adapted interventions and multisectoral collaboration.

Area of Science:

  • Child Psychology
  • Global Health
  • Humanitarian Studies

Background:

  • Children in conflict zones experience significant mental health and psychosocial distress.
  • Existing support systems often lack integration, cultural adaptation, and scalability.
  • There is a critical need for a structured, child-centred approach to MHPSS in humanitarian settings.

Purpose of the Study:

  • To propose a multilayered, child-centred Mental Health and Psychosocial Support (MHPSS) ecosystem model.
  • To tailor the model for conflict-affected children, using Ukraine as a case example.
  • To integrate evidence-based interventions, multisectoral collaboration, and cultural adaptation for resilience.

Main Methods:

  • Comprehensive review of theoretical frameworks, literature, and international reports.
  • Synthesis of the IASC pyramid and Bronfenbrenner's ecological systems theory.
  • Contextualization using reports from UNICEF, WHO, and Ukraine's national action plan; formulation of an 11-stage implementation plan.

Main Results:

  • Operationalization of a coordinated, scalable MHPSS ecosystem centered on children across family, school, service, and policy levels.
  • Enhanced cultural fit, professionalized MHPSS workforce, and continuous quality improvement through localization and community-driven delivery.
  • Integration with Community Resilience Centres (CRCs) for strengthened local service delivery and sustainability.

Conclusions:

  • The proposed MHPSS ecosystem model offers a paradigm shift in addressing the psychosocial impact of conflict on children.
  • It has significant potential to mitigate distress and promote resilience through evidence-based, contextually adapted, and sustainable multisectoral support.
  • The model serves as a foundation for future research and global replication in humanitarian contexts.
Abstract

Keywords:
MHPSS eco-systemUkraineconflict-affected childrenimplementation modelpsychosocial resilience

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