医疗卫生

人道主义行动中的心理健康和社会心理支持(MHPSS):实施实用指南

Mental health and psychosocial support, or MHPSS, includes coordinated activities that protect wellbeing and respond to distress and mental health needs during crises. Effective support combines basic services, community networks and access to specialised care.

Risalat Consultants International
13 September 2022 · 11 min read · Updated 31 Oct 2026
人道主义行动中的心理健康和社会心理支持(MHPSS):实施实用指南阅读需11分钟

要点总结

  • What MHPSS means in humanitarian settings. Distress, functioning and mental disorders should be treated as a decision problem rather than a slogan.
  • How emergencies affect different groups. Displacement, loss and prolonged uncertainty should be treated as a decision problem rather than a slogan.
  • Designing safe and useful services. Psychological first aid and community support should be treated as a decision problem rather than a slogan.
  • Measuring outcomes and managing risk. Do-no-harm, confidentiality and consent should be treated as a decision problem rather than a slogan.
  • Public agencies and donor-funded projects. Coordination across health and protection clusters should be treated as a decision problem rather than a slogan.

In short: Mental health and psychosocial support, or MHPSS, includes coordinated activities that protect wellbeing and respond to distress and mental health needs during crises. Effective support combines basic services, community networks and access to specialised care. This article explains the practical choices, safeguards and institutional responsibilities involved.

What MHPSS means in humanitarian settings

Distress, functioning and mental disorders

Distress, functioning and mental disorders should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For distress, functioning and mental disorders, the decision record should specify what evidence would cause the team to revise its approach.

The layered system of complementary supports

The layered system of complementary supports should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For the layered system of complementary supports, the decision record should specify what evidence would cause the team to revise its approach.

How emergencies affect different groups

Displacement, loss and prolonged uncertainty

Displacement, loss and prolonged uncertainty should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For displacement, loss and prolonged uncertainty, the decision record should specify what evidence would cause the team to revise its approach.

Age, disability, gender and access barriers

Age, disability, gender and access barriers should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For age, disability, gender and access barriers, the decision record should specify what evidence would cause the team to revise its approach.

Designing safe and useful services

Psychological first aid and community support

Psychological first aid and community support should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For psychological first aid and community support, the decision record should specify what evidence would cause the team to revise its approach.

Referral pathways and specialist care

Referral pathways and specialist care should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For referral pathways and specialist care, the decision record should specify what evidence would cause the team to revise its approach.

实用决策检查清单

  • 明确负责机构和目标受益人。
  • 对照原始来源核实当前基线。
  • 评估法律、环境、社会和运营风险。
  • 至少比较两种可行的实施方案。
  • 设定指标、反馈渠道和审查日期。

Measuring outcomes and managing risk

Do-no-harm, confidentiality and consent

Do-no-harm, confidentiality and consent should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For do-no-harm, confidentiality and consent, the decision record should specify what evidence would cause the team to revise its approach.

Feedback, workforce support and service quality

Feedback, workforce support and service quality should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For feedback, workforce support and service quality, the decision record should specify what evidence would cause the team to revise its approach.

公共机构与捐助方资助项目

Coordination across health and protection clusters

Coordination across health and protection clusters should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For coordination across health and protection clusters, the decision record should specify what evidence would cause the team to revise its approach.

Funding, safeguarding and sustainable integration

Funding, safeguarding and sustainable integration should be treated as a decision problem rather than a slogan. For mhpss in humanitarian action: a practical implementation guide, the first task is to define the population, location, responsible institution and outcome. Without that definition, teams can report activity while missing the people or systems the intervention is supposed to improve. A useful starting document records the baseline, the main risks, the available evidence and the assumptions that remain untested.

以某个正在编制运营计划的地区项目为例。项目团队可以比较两个准入条件不同的地点,访谈服务使用者,核查行政记录,并记录选择某一方案的理由。该示例仅作说明之用,并不针对任何特定的受资助项目。分析时应将直接产出(如培训的人员或检查的设施)与可及性、安全、绩效或福祉方面的变化区分开来。

Implementation requires named responsibilities. A technical lead should set minimum standards; finance and procurement staff should check affordability and supplier obligations; monitoring staff should establish data quality rules; and community representatives should have a safe channel to raise concerns. For funding, safeguarding and sustainable integration, the decision record should specify what evidence would cause the team to revise its approach.

对于机构团队而言,核心问题不在于该议题是否值得关注,而在于哪些行动可以落实、可以独立核查并不断改进。Risalat提供机构能力诊断和定制培训项目咨询,帮助团队识别实际差距。

欢迎了解机构能力评估和培训需求评估,并索取定制方案建议书。


常见问题

How should organisations address distress, functioning and mental disorders?

从经过核实的基线、明确的职责和风险评估入手。比较切实可行的方案,在确保安全的前提下让受影响人群参与,并衡量成果而不仅仅是活动。

How should organisations address displacement, loss and prolonged uncertainty?

从经过核实的基线、明确的职责和风险评估入手。比较切实可行的方案,在确保安全的前提下让受影响人群参与,并衡量成果而不仅仅是活动。

How should organisations address psychological first aid and community support?

从经过核实的基线、明确的职责和风险评估入手。比较切实可行的方案,在确保安全的前提下让受影响人群参与,并衡量成果而不仅仅是活动。

How should organisations address do-no-harm, confidentiality and consent?

从经过核实的基线、明确的职责和风险评估入手。比较切实可行的方案,在确保安全的前提下让受影响人群参与,并衡量成果而不仅仅是活动。

How should organisations address coordination across health and protection clusters?

从经过核实的基线、明确的职责和风险评估入手。比较切实可行的方案,在确保安全的前提下让受影响人群参与,并衡量成果而不仅仅是活动。

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