GCRF_NF178 Mobile Arts for Peace (MAP) at home: online psychosocial support through the arts in Rwanda

在2019冠状病毒病封锁期间，卢旺达政府采取了严格措施，防止人们外出。大流行病造成的限制增加了性别暴力、少女怀孕和辍学的风险。先前的研究报告称，估计26.1%的人口有与创伤后应激障碍相关的症状（Munyandamutsa et al. 2009）；而最近的研究也报告了类似的患病率（RMHS, 2018），种族灭绝幸存者组织报告说，在封锁期间，精神痛苦有所增加。不断恶化的经济状况对年轻人的心理健康构成重大风险，如果发生进一步的大流行浪潮，这种风险可能会进一步巩固。具体而言，在卢旺达，目前没有倡议在家中提供社会心理支持（包括为需要更多专家干预的人提供转诊系统），也没有倡议在正规和非正规教育结构（即学校和社区团体）之间建立双向沟通和协同作用，以在社交距离期间实现学习和社交网络。“家庭行动计划”审查了通过互动在线平台、参与性艺术讲习班以及卢旺达五个省青年、教育工作者、文化艺术家和社会心理工作者之间的交流，在卢旺达提供心理健康支持和社区参与的潜力：鲁马加纳区（东部省）；鲁巴武区（西部省）；吉库姆比区（北部省）；南方省湖野区；基基基鲁区（基加利省）。家庭MAP将研究青年、家庭和社区成员对心理健康的预防、应对和认识，并通过一种以艺术为基础、了解文化的创新方法，响应参与者的需求，促进社会心理健康。家庭MAP将通过开发社会心理模块、在线和参与式研讨会（受COVID-19指导和社会距离措施的约束）以及社会心理工作者的融合，为如何接触年轻人和照顾者提供社会心理健康工具、吸引他们并使他们掌握这些工具提供知识。MAP将与社区精神卫生提供者Uyisenga Ni Imanzi、和平研究与对话研究所（IRDP）、国家文化组织卢旺达艺术委员会、政府精神卫生提供者卢旺达生物医学中心/精神卫生司和国家康复服务机构合作，共同设计、实施和传播从地方到国家一级的研究。教科文组织作为项目伙伴，使青年政策和心理健康方面的国家和国际政策执行工作保持一致。该项目将回答以下与COVID-19相关的研究问题：*如何将基于艺术的方法转化为在线平台，以增强社会心理健康？*提供促进社会心理健康的在线艺术课程，特别是在建立应对未来疫情或危机的（个人和系统）复原力方面，可以吸取哪些教训？* MAP在卢旺达国内如何推动精神卫生提供和应对服务的设计和提供方面的数字创新？

During COVID-19 lockdown the Rwandan government initiated strict measures to prevent movement outside the home. Restrictions due to the pandemic increased risks of gender-based violence, teenage pregnancy and school drop-out. Previous studies reported that 26.1% of the population were estimated to have symptoms related to posttraumatic stress disorder (Munyandamutsa et al. 2009); whereas recent studies have reported similar prevalence (RMHS, 2018) and genocide survivor organizations have reported an increase in mental distress during the lockdown. Deteriorating economic conditions pose a significant risk to young people's mental health, which could be further entrenched should further waves of the pandemic occur. Specifically, within Rwanda, there are no current initiatives to provide psychosocial support at home (including referral systems for those in need of more specialist intervention) or building two-way communication and synergies between formal and informal education structures (i.e. schools and community-based groups) to enable learning and social networking during social distancing. MAP at home examines the potential for providing mental health support and community engagement in Rwanda through interactive online platforms, participatory arts workshops, and communications between young people, educators, cultural artists and psychosocial workers across the five provinces of Rwanda: Rwamagana District (Eastern Province); Rubavu District (Western Province); Gicumbi District (Northern Province); Huye District (Southern Province); and Kicukiru District (Kigali Province). MAP at home will research the prevention of, response to and awareness of mental health and promotion of psychosocial well-being among youth, families, and community members through an innovative arts-based, culturally-informed approach, responsive to the needs of participants. MAP at home will generate knowledge on how to reach, engage and equip young people and caregivers with tools for psychosocial wellbeing through the development of a psychosocial module, online and participatory workshops (subject to COVID-19 guidance and social distancing measures), and integration of psychosocial workers. MAP will partner with community-based mental health provider Uyisenga Ni Imanzi, research organisation Institute of Research and Dialogue for Peace (IRDP), national cultural organisation Rwanda Arts Council, and government mental health providers Rwanda Biomedical Centre/Mental Health Division and National Rehabilitation Services to coproduce the design, implementation and dissemination of research from a local to national level. UNESCO serves as a project partner to align national to international policy implementation concerning youth policy and mental health. The project will respond to the following research questions in relation to COVID-19:*How can arts-based approaches be translated to online platforms to enhance psychosocial well-being?*What lessons can be learnt from the provision of online arts programmes for psychosocial well-being, especially regarding building resilience (individual and systemic) against future outbreaks or crises?*How might MAP at home advance digital innovation in the design and delivery of mental health provision and response services in Rwanda?