{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T04:33:03Z","timestamp":1727325183492},"reference-count":0,"publisher":"Det Kgl. Bibliotek\/Royal Danish Library","issue":"2","license":[{"start":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T00:00:00Z","timestamp":1727222400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["torture"],"abstract":"<jats:p>Introduction: From 1996 to 2006, Nepal experienced a decade-long armed conflict that adversely impacted survivors of torture. The conflict posed threats to various facets of their lives, such as mental health, socio-economic status, human rights, and the process of reintegration into their original communities. This study was done with the survivors of torture from the armed conflict. \u00a0\u00a0\nObjective: This study aims to generate evidence on the impact of livelihood support (supporting individuals with earning their livelihood through business development, farming\/animal husbandry and micro-entrepreneurship) upon mental health and psychosocial wellbeing as well as social empowerment of survivors of torture.\u00a0\nResults: In total, 44 out of 46 torture survivors reported improvement in their mental health and psychosocial well-being after the livelihood intervention was instituted. Significant reduction in the severity of symptoms of depression (21.7% to 2.3%; P&lt;0.001), anxiety (15.2% to 6.8%; P&lt;0.001), and post-traumatic stress disorder (44.4% to 4.5%; P&lt;0.01) was observed with medium to high effect size. Similarly, improvement in social relationship, economic status, and autonomy (increase in self-confidence and motivation) were noticed post-intervention.\n\u00a0\nDiscussion and conclusion: Our study concludes that the livelihood intervention has significantly contributed to economic uplift, improved mental health, psychosocial well-being, social empowerment and quality of life among the survivors of torture. The data provide preliminary evidence of positive outcomes from integrating a livelihood program into an MHPSS (Mental Health and Psychosocial Support) program. Although the lack of a control group prevents us from isolating the specific impacts of the livelihood program, our qualitative data indicate that the intervention is well-received, culturally relevant, and promising. The study has yielded certain recommendations for further research.\n\u00a0\nKeywords: Conflict, survivors of torture, livelihood, mental health and psychosocial support (MHPSS) and social relations.<\/jats:p>","DOI":"10.7146\/torture.v34i2.140430","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:03:08Z","timestamp":1727308988000},"source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of integrating livelihood into mental health and psychosocial support program among survivors of torture"],"prefix":"10.7146","volume":"34","author":[{"given":"Diwakar","family":"Khanal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabina","family":"Sitaula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pitambar","family":"Koirala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamal","family":"Gautam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suraj","family":"Koirala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4226","published-online":{"date-parts":[[2024,9,25]]},"container-title":["Torture Journal"],"original-title":[],"link":[{"URL":"https:\/\/tidsskrift.dk\/torture-journal\/article\/download\/140430\/192689","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/tidsskrift.dk\/torture-journal\/article\/download\/140430\/192689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:03:09Z","timestamp":1727308989000},"score":1,"resource":{"primary":{"URL":"https:\/\/tidsskrift.dk\/torture-journal\/article\/view\/140430"}},"subtitle":["A mixed-method assessment from western Nepal"],"short-title":[],"issued":{"date-parts":[[2024,9,25]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,9,25]]}},"URL":"https:\/\/doi.org\/10.7146\/torture.v34i2.140430","relation":{},"ISSN":["1997-3322","1018-8185"],"issn-type":[{"value":"1997-3322","type":"electronic"},{"value":"1018-8185","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9,25]]}}}