{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:16:05Z","timestamp":1788912965397,"version":"build-2803163510"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000764","name":"King's College London","doi-asserted-by":"publisher","award":["AC15459"],"award-info":[{"award-number":["AC15459"]}],"id":[{"id":"10.13039\/501100000764","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec id=\"S2056472423005756_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite theoretical support for including mental health and psychosocial support (MHPSS) with peacebuilding, few programmes in conflict-affected regions fully integrate these approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423005756_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe and assess preliminary outcomes of the Counselling on Wheels programme delivered by the NEEM Foundation in the Borno State of North-East Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423005756_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We first describe the components of the Counselling on Wheels programme, including education and advocacy for peace and social cohesion through community peacebuilding partnerships and activities, and an MHPSS intervention open to all adults, delivered in groups of eight to ten people. We then conducted secondary analysis of data from 1550 adults who took part in the MHPSS intervention, who provided data at baseline and 1\u20132 weeks after the final group session. Vulnerability to violent extremism was assessed with a locally developed 80-item scale. Symptoms of common mental disorders were assessed with the Depression, Anxiety and Stress Scale (DASS-21) and Post-Traumatic Stress Disorder Scale (PTSD-8). Data were analysed through a mixed-effect linear regression model, accounting for clustering by community and adjusted for age and gender.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423005756_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After taking part in group MHPSS, scores fell for depression (\u22125.8, 95% CI \u22126.7 to \u22125.0), stress (\u22125.5, 95% CI \u22126.3 to \u22124.6), post-traumatic stress disorder (\u22122.9, 95% CI \u22123.4 to \u22122.4) and vulnerability to violent extremism (\u221244.6, 95% CI \u221250.6 to \u221238.6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472423005756_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Counselling on Wheels programme shows promise as a model for integrating MHPSS with community peacebuilding activities in this conflict-affected region of Africa.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2023.575","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T03:01:19Z","timestamp":1697079679000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Toward an integrated approach for mental health and psychosocial support and peacebuilding in North-East Nigeria: programme description and preliminary outcomes from \u2018Counselling on Wheels\u2019"],"prefix":"10.1192","volume":"9","author":[{"given":"Sharli","family":"Paphitis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Akilu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2918-5665","authenticated-orcid":false,"given":"Natasha","family":"Chilambo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abiye","family":"Iruayenama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xena","family":"Samaroo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma'u","family":"Mustapha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0620-7868","authenticated-orcid":false,"given":"Kimberley","family":"Goldsmith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olawale","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petr","family":"Slovak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eka","family":"Ikpe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preeti","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1716-5584","authenticated-orcid":false,"given":"Melanie","family":"Abas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Funmi","family":"Olonisakin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"S2056472423005756_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2013.11.001"},{"key":"S2056472423005756_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(94)00075-U"},{"key":"S2056472423005756_ref20","doi-asserted-by":"publisher","DOI":"10.2174\/1745017901006010101"},{"key":"S2056472423005756_ref11","unstructured":"11 Merritt, C , Olonisakin, F , Abas, M , Chilambo, N , Derveeuw, S , Goldsmith, K . NEEM Foundation Counselling on Wheels Programme. The NEEM Foundation, 2020 (https:\/\/www.centreforglobalmentalhealth.org\/sites\/cgmh\/files\/content\/attachments\/2022-12-09\/NEEM%20CoW%20report.pdf)."},{"key":"S2056472423005756_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.02.013"},{"key":"S2056472423005756_ref10","unstructured":"10 Hanna, T , Bohl, DK , Rafa, M , Moyer, JD . Assessing the Impact of Conflict on Development in North-East Nigeria. 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Integrating Mental Health and Psychosocial Support into Peacebuilding. United Nations Development Programme, 2022 (https:\/\/www.undp.org\/publications\/integrating-mental-health-and-psychosocial-support-peacebuilding)."},{"key":"S2056472423005756_ref25","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx166"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472423005756","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T03:01:29Z","timestamp":1697079689000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472423005756\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,12]]},"references-count":40,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,11]]}},"alternative-id":["S2056472423005756"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2023.575","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,12]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e190"}}