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

在新冠肺炎封锁期间，卢旺达政府采取了严格的措施，防止人员离开家。大流行带来的限制增加了基于性别的暴力、少女怀孕和辍学的风险。以前的研究报告说，据估计，26.1%的人口有与创伤后应激障碍有关的症状(Munyandamutsa等人)。虽然最近的研究报告了类似的流行率(rmhs，2018年)，种族灭绝幸存者组织报告说，在封锁期间精神痛苦增加。不断恶化的经济状况对年轻人的心理健康构成了重大风险，如果疫情进一步蔓延，这种风险可能会进一步加深。具体地说，在卢旺达，目前没有倡议在家里提供心理社会支持(包括为需要更多专家干预的人建立转介系统)，也没有在正规和非正规教育机构(即学校和社区团体)之间建立双向沟通和协同作用，以便在社交距离较远的情况下进行学习和建立社交网络。通过互动在线平台、参与性艺术讲习班以及卢旺达以下五个省的年轻人、教育工作者、文化艺术家和心理社会工作者之间的交流，MAP在家中审查了在卢旺达提供心理健康支持和社区参与的潜力：卢旺达五省：卢瓦马加纳区(东部省)、鲁巴武区(西部省)、吉昆比区(北部省)、胡耶区(南部省)和基库基鲁区(基加利省)。MAP在家将研究预防、应对和提高对心理健康的认识，并通过以艺术为基础、了解文化的创新方法促进青年、家庭和社区成员的心理健康，以满足参与者的需求。家庭地图将产生关于如何接触年轻人和照顾者并使其具备心理社会健康工具的知识，方法是开发心理社会模块、在线和参与性讲习班(须接受“新冠肺炎”指导和社会疏远措施)以及融入社会心理工作者。MAP将与社区精神健康提供者Uyisenga Ni Imanzi、研究组织和平研究与对话研究所(IRDP)、国家文化组织卢旺达艺术理事会、政府精神健康提供者卢旺达生物医学中心/精神健康司和国家康复服务机构合作，从地方到国家层面共同设计、实施和传播研究成果。教科文组织是一个项目合作伙伴，负责协调国家与国际青年政策和心理健康政策的执行。该项目将回答下列与新冠肺炎有关的研究问题：*如何将以艺术为基础的方法转化为在线平台，以提高心理社会健康？*从为心理社会健康提供在线艺术节目中可以学到什么教训，特别是在培养对未来爆发或危机的复原力方面？*在卢旺达，家庭地图如何推动心理健康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?