Evaluating a Mental Health Program for Palestinian Refugees in Lebanon

J Immigr Minor Health. 2018 Apr;20(2):388-398. doi: 10.1007/s10903-017-0657-6.

Abstract

Medecins sans Frontière, an international non-governmental organization, initiated a mental health program for Palestinian refugees living in Lebanon. To evaluate the impact of the program after its completion, focus groups were conducted with three target groups: (1) patients, (2) staff, and (3) local community stakeholders. Participants voiced overall satisfaction with the program. The program provided easy access, good quality care, decreased stigma, as perceived by participants, and revealed a sense of community contentedness. In addition, several short-term outcomes were achieved, such as increasing the numbers of patients visiting the center/ receiving mental health treatment. However, lack of planning for sustainability and proper procedures for hand-over of the program constituted a major downfall. Program discontinuation posed ethical dilemmas, common in provisional interventions in underprivileged refugee communities.

Keywords: Lebanon; Medecins sans Frontières (MSF); Mental health program; Non-Governmental Organization (NGO); Program evaluation; Refugee community; Sustainability.

MeSH terms

  • Adult
  • Arabs / psychology*
  • Female
  • Health Services Accessibility / organization & administration
  • Humans
  • Lebanon / epidemiology
  • Male
  • Mental Health / ethnology*
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Patient Satisfaction / ethnology
  • Quality of Health Care / organization & administration
  • Refugee Camps
  • Refugees / psychology*
  • Social Stigma