WHO India Workshop on Psychosocial Support in Disaster - Nimhans

Report of the NIMHANS - <strong>WHO</strong> <strong>India</strong> <strong>Workshop</strong>on'Psychosocial Support in Disaster'BackgroundMore than one year has passed since the Tsunami struck and caused devastation in variousparts of the world, leaving a severe impact on the lives of individuals, families andcommunities. Mental health professionals and allied experts have been extending theirexperience through paraprofessionals, non professionals and non governmental organizationsto help survivors of the Tsunami in Tamil Nadu, Pondicherry, Andhra Pradesh andAndaman and Nicobar Islands in rebuilding their lives.As a nodal centre for Tsunami psychosocial care, the National Institute of Mental Healthand Neuro Sciences (NIMHANS), Bangalore, had the responsibility of taking stock of thequantity and quality of psychosocial services that were provided and their impact onsurvivors' lives. Along with discussions on the various strategies adopted to help survivors,an important aim was to contribute to the formulation of disaster preparedness programmesof the Government of <strong>India</strong>.With these concepts in mind, a National <strong>Workshop</strong> was planned and jointly organized byNIMHANS, Bangalore and <strong>WHO</strong> Country Office, <strong>India</strong>, New Delhi on 'PsychosocialSupport in Disaster' on the 3rd & 4th of February, 2006 at NIMHANS.ObjectivesThe specific objectives of the workshop were:• To share experiences of providing psychosocial care to survivors of the Tsunami, ata national level.• To review the observations and perceptions about difficulties encountered bysurvivors of the Tsunami.• To collate the strategies adopted by professionals in reaching out to victims of theTsunami.• To understand the activities undertaken at the field level by paraprofessionals andnon - professionals from voluntary agencies.• To arrive at models of psychosocial support service provision in disaster situations.• To provide recommendations on interventions in disaster situations.1

MethodologyIn order to make the workshop an interactive process, the structure (Appendix 1) providedspace for participants to present their experiences in a broad as well as in-depth mannerand to aid informal sharing.The workshop began with presentations from agencies and experts from various parts ofthe country on efforts and service provision region-wise - Tamil Nadu, Andaman & NicobarIslands, Pondicherry, Kerala and Andhra Pradesh.After these presentations, participants were divided into groups for focused discussions onfour key areas:• Capacity building and training• Collaboration and co-ordination• Relief and rehabilitation• Monitoring and evaluationEach group was moderated by participants with expertise in aspects of disaster managementrelevant to the areas under deliberation. The groups facilitated detailed discussions andspecific sharing of learnings, leading to formulation of recommendations on the key areas.These were then presented to the larger group. A collation of final recommendations waspresented prior to the closing of the workshop. An open session concluded the proceedings.In addition, a display of training materials that were used by professionals, paraprofessionalsand non-professionals from various parts of the country for psychosocial care services indisaster management, was organized. This display included artwork created by childsurvivors of Tsunami. The display area acted as an informal space for discussions oncreation of the materials and experiences that contributed to it. The space also aidednetworking among individuals and organizations working in the field of disastermanagement.Materials presented and used in the workshop were provided in the form of kits to participants,which included copies of the presentation, NIMHANS publications like IEC materials,posters and information pamphlets on 'techniques of psychosocial care for survivors ofdisaster, psychosocial care for children'; leaflets on 'psychosocial care for the disastersurvivors, disaster information for Individuals/ Families / Community Level Workers;information manuals 1,2,3,4 for individuals and families, community level workers,working with children and women respectively; training tool kits like 'My Workbook' andTOT Information manual'. All these materials were provided in English and regionallanguages Hindi, Tamil, Telugu, and Malayalam. The <strong>WHO</strong> report on Tsunami 'MentalHealth and Psychosocial Relief Efforts after the Tsunami in South-East Asia' and '<strong>WHO</strong>Framework for Mental Health and Psychosocial Support after the Tsunami' was alsodistributed to the participants.2

For evaluation of the workshop, participants were requested to fill in feedback forms withsuggestions for improvement.ParticipantsThere were 152 Professionals, Policy makers, Administrators, Representative of CivilSociety Organizations, Students and Survivors of Tsunami participated the workshop(Appendix 2).ProceedingsInaugurationThe inaugural session commenced with an invocation song. Dr. Parthasarathy, Professorand Head of Department of Psychiatric Social Work, NIMHANS, extended a welcome toall the participants of the workshop and press persons, with a special mention of thecommunity level workers and survivors of the Tsunami who were attending the event. Heintroduced all the dignitaries present on the stage and expressed appreciation for theirinputs into the ongoing psychosocial care programmes in Tsunami affected areas and towardsthe workshop.Dr. Cherian Varghese, Co-ordinator (Non Communicable Diseases & Mental Health), <strong>WHO</strong>Country Office <strong>India</strong> representative to <strong>India</strong>, provided the background to the workshop.He stressed on the need to suggest feasible community based interventions in collaborationwith the National Disaster Management Authority, which should be the best mix of socialand medical models available for psychosocial care. The emphasis of such models must beon disaster preparedness.Dr. Dinesh Bhugra, Dean, Royal College of Psychiatrists, UK, delivered the felicitationaddress, highlighting the need for cultural specificity in psychosocial care and contextualizingthe needs of survivors. The lessons learnt regarding the cultural influences on help-seekingbehaviors, kinds of services and modes of delivery for the community must be analyzed inorder to develop culture specific interventions.Dr. Vijay Chandra, Regional advisor, Mental Health, <strong>WHO</strong> Regional Office for South EastAsia, delivered a special address on 'Tsunami Disaster and Mental Health - Regional Picture'.He brought attention to the process of evaluation of the impact of work that has takenplace. He pointed out the need for definitions of psychosocial care to prevent trivializationof efforts.The keynote address was delivered by Prof. Vinod Chandra Menon, Member, NationalDisaster Management Authority. He felt the workshop was a celebration of efforts to reachout to each other, the strength of survivors, values such as compassion and professionalism.He emphasized the need for an <strong>India</strong>n network for psychosocial emergencies and disasters.The magnitude of work during the Tsunami would have been much better had such anetwork existed. He also touched upon gender dimensions in psychosocial care.3

The presidential address was delivered by Prof. D. Nagaraja, Director / Vice Chancellor,NIMHANS. He highlighted the role of NIMHANS in disaster management over the last 25years, especially in Latur, Bhopal and Gujarat. Outlining the details of planning whichtook place in NIMHANS for Tsunami psycho social care, he explained how the resourcesand field work lead to the recognition of the institute as a nodal centre. He appreciated theefforts of the Department of Psychiatric Social Work and spoke of the need for governmentaland NGO collaboration for sustainability of interventions.Dr. K Sekar, Professor, Department of Psychiatric Social Work, NIMHANS, proposed thevote of thanks. He thanked the dignitaries for providing inputs into the formulation of theworkshop and participating in the exercise. He also thanked all the participants, departmentsof NIMHANS and the media for participating.Session 1This session concentrated on responses to the Tsunami in Tamil Nadu. Dr. Dinesh Bhugraand Prof. Vinod Chandra Menon chaired the session.The first presentation was on 'Psychological support for Tsunami affected populations -<strong>WHO</strong> response' by Dr. Cherian Varghese. Along with presenting data on the psychosocialcare delivery through Community Level Workers (CLW) in Tamil Nadu, Andhra Pradesh,Pondicherry and Kerala he stressed on aspects such as social and cultural sensitivity ofinterventions and using active outreach approach rather than more traditional medicalstance. He highlighted a generic model of providing psychosocial support in disastersituations and spoke about working with CLWs in this context. The UN team for recoveryled by <strong>WHO</strong> <strong>India</strong> and other partners has developed a model for sustained communitiesbased psychosocial support and has trained 13,000 CLWS, who have provided care tomore than 300,000 individuals.Dr. K Sekar presented a report on the 'Psychosocial support in Tsunami disaster - NIMHANSresponse in Tamil Nadu, Pondicherry and Andhra Pradesh'. He began by stating that theresponses of survivors to disasters are normal reactions to abnormal situations. Theperspective of interventions should therefore be on normalizing coping patterns andencouraging mastery of the situation, not of mental illness. In this context, communitylevel workers often have to concentrate on survivors need for ventilation rather than therapy.He presented the needs assessment results from Tamil Nadu and Andhra Pradesh and dataon at-risk populations, changes in family structures and gender dimensions. He also presentedcomparison data of six months after the disaster. Highlighting the normal-deviancy model,he spoke of process of training of CLWs where handholding is a must as simply impartingtraining would not help in the long run. Capacity building tools which were used in thetraining were specific to community needs. He concluded with a few points on NIMHANSpolicy initiatives, especially with the district mental health programs and the IIadministrative reform committee meeting where psychosocial care was added as a part ofthe agenda.4

Dr. Vivek Benegal, Associate Professor, Department of Psychiatry, NIMHANS, made apresentation on 'Aftermath of Tsunami - Handling the psychosocial impact in Andamanand Nicobar Islands'. He followed the format of visual rather than text slides to bringdisaster situations to life. Some of the barriers for workers in the Island were destruction,loss of life, displacement, disability, loss of institutions and poor communication network.He spoke about a rift between local populations, especially tribal and settlers in terms ofresettlement, land and alternative livelihood plans. The NIMHANS team began withconcentration on assessment and medical care. They soon started training for CLWs andcounseling services. He presented data on levels of psychosocial care provision, spectrumof emotional and behavioral disorders among survivors. The team focused on needs ofspecial populations such as women, children and persons with substance abuse. He concludedwith appreciation of preparedness of administration in the island.Dr. Dhanasekara Pandian, Assistant Professor, Department of Psychiatric Social Work,NIMHANS, presented on 'Psychosocial care services for survivors of Tsunami in TamilNadu - NIMHANS response'. He provided details of the different kinds of training programsthat were conducted based on the needs of particular target groups. The model for thetraining was to strengthen existing local groups such as panchayats, mahila mandals, youthclubs, teachers and anganwadi workers. He gave details of various programs in terms ofduration of training, number of participants, resource persons, dates and different kinds ofgroups that the NIMHANS team reached out to such as colleges, teachers, NGO workers,survivors. He displayed clippings of media coverage of NIMHANS efforts. He ended thepresentation with an appraisal of impact of trainings - better outreach, trained personstraining others, increased efficiency in psychosocial efforts.Ms. Supriya Sahoo, IAS, Additional Secretary to Government, Health & Family Welfare,Tamil Nadu, presented a paper on the government of Tamil Nadu's response to the Tsunamidisaster. She gave a briefing on the concerns and issues that the government faced duringefforts at rescue, relief and rehabilitation. A major concern was quick and effective disposalof dead bodies in order to reduce epidemics as well as the trauma of survivors. Mobilizationof different departments was important in dealing with the issue. Mobilization of men andmaterial was the next major concern. Operationalizing medical institutions which hadbeen affected by the Tsunami was of utmost importance. A lesson that the administrationlearnt was the need for ready lists of resources for every stage of efforts. She identifiedsteady flow of information and communication and the restoration of basic infrastructureas vital to disaster management for the government. She admitted that the realization ofmental health needs of the people was delayed on the part of the government, but theengagement of social workers and CLWs was immediately put in place for this purposerather than sending psychiatrists to fulfill this need. She provided data on the strength ofmental health staff in the state and ended with the lessons that the government has learntfrom the entire effort.Ms. Gemma De Silva, Assistant Director, Department of Social Welfare, Government ofTamil Nadu, presented a report on the response of the Department of Social Welfare to theTsunami disaster. The department was identified as the agency to provide psychosocialsupport, which was developed with the UN recovery team. She focused on details of the5

training programmes and spoke of the process of formulating trainings as well aspsychosocial support programmes. She also threw light on the process of organization andco-ordination at district level. Currently, the agency has started a cell to monitor progressof programmes and has appointed staff to continue efforts. The role of CLWs has beenmodified where they act as resource persons for information on where to go and whom toapproach for various purposes. In future, the department intends to strengthen referralcare, develop skill building in the health system to deal with disasters and ensurecontinuation of services.Mr. Sujith John, Schizophrenia Research Foundation (SCARF), Chennai, presented a paperon 'SCARF's response to the Tsunami disaster'. He provided details of training programmesconducted and activities undertaken by the organization. Most training programmes wereconducted in phases as CLWs were not available in one stretch. He highlighted the use ofmedia such as films to create awareness among survivors about Tsunami to reducesuperstition, fear and to foster confidence. He spoke about the various reactions of survivorsthat were seen, ranging from blame and guilt to death wishes and state of shock. Hepresented data on needs assessment that was carried out in terms of variables of survivorssuch as age and sex and also, the major diagnoses. The future agenda of the organizationincludes expansion of mental health services and creation of a network of agencies fordisaster preparedness.Mr. Saji Thomas presented a paper on psychosocial care and support for children as part ofthe UNICEF response to the Tsunami disaster. He detailed the goals of a psychosocialsupport programme as not just providing counseling, but creating an empathetic environmentthat supports the needs of survivors. He also spoke about the activities undertaken, whichincluded provision of play materials, counseling, forming children's groups and life skillstraining. He further highlighted the larger framework of protection that UNICEF workswith. A journalist was invited to objectively observe the children's activities and presenttheir voices on the disaster and its aftermath. As future plans, UNICEF intends to followupwith children requiring intensive support and continuous training efforts.Session 2The session focused on efforts in Pondicherry, Kerala and Andhra Pradesh. Dr. RameelaShekar, Professor of Social Work, School of Social Work, Roshni Nilaya, Mangalore andDr. Sudha Bhogle, Professor& Head, Department of Psychology, Bangalore University,chaired the session.Dr.Chandrashekar, Professor, Department of Psychiatry, JIPMER, Pondicherry, provideda brief picture of the Government of Pondicherry's response to the Tsunami disaster. Hedetailed the content, methodology and implementation of training programmes. He endedwith clippings in local media on the psychosocial care efforts.Dr. Raju, Professor of Psychiatry, Medical College, Thiruvananthapuram and Secretary ofthe Kerala Mental Health Authority (KSHMA) presented on KSHMA's response to theTsunami disaster in Kerala. He spoke of the creation of mental health teams and discussions6

in the state level meeting on co-ordination, constitution of committees and conductingtraining programmes. He touched upon the ethics of research while collecting data indisaster situations.Dr. Mohan Roy, Nodal Officer, <strong>WHO</strong> - PSS Project, Allepey, presented on the AllepeyMedical College's response to the Tsunami disaster. Along with a profile of the district, hegave details of the logistical aspects of emergency care starting from the day the Tsunamistruck. He provided an overview of the training provided and co-ordination at state andnational levels.Dr. Gowrie Devi, Professor of Psychiatry, Superintendent, Institute of Mental Health andMember Secretary, Andhra Pradesh State Mental Health Authority, Hyderabad, made apresentation on the PSS programme for Tsunami affected victims in Andhra Pradesh. Sheacknowledged that the extent of damage was not extensive in Andhra and the governmentwas concerned more with relief measures rather than mental health aspects. The localpopulations were also more interested in material help rather than psychosocial support.She provided details of the training at community and district levels that were conductedalong with <strong>WHO</strong>.In the discussion session, some points that came up were regarding the need for sharingbetween agencies as there is a lot of overlap in training, interventions and materials produced.The sharing would lead to making best of available resources and preventing mistakes inthe field. The ethics of research were discussed where it was felt that research for the sakeof writing papers or collection of irrelevant data in disaster situations was unethical. Thetools for data collection must not be cumbersome such that they impinge on psychosocialcare efforts. At the same time, it was acknowledged that data about the field situation wasimportant for understanding the needs of survivors and assessing the impact of interventions.Session 3 - Concurrent Presentation & Group DiscussionParticipants were divided into four concurrent groups and experts chaired the discussions.Group 1 deliberated on Capacity Building and Training. Dr. S Gururaj, Professor & Headof the Department of Epidemiology, NIMHANS and Dr. Kiran Rao, Professor, Departmentof Mental Health & Social Psychology, NIMHANS chaired the session. The session beganwith sharing of experiences of Mr. Muniandi from Velankanni. He spoke about his personalloss, inability to help others, dumping of relief materials and the help he received fromNGOs. Dr. Poppy Kannan, Professor, Department of Social Work, Stella Maris College,Chennai, made a presentation on training programme for volunteers on psychosocial carefor survivors of Tsunami. Dr. K. Redamma, Professor and Head of Department of Nursing,NIMHANS, made a presentation on capacity building initiatives taken by <strong>India</strong>n NursingCouncil. Dr. Rameela Shekar, Professor and Head of Department of Social Work, RoshniNilaya, Mangalore, made a presentation on a social call - school of social work's responseto the Tsunami. Mr. Renjith Pillai presented on the DEEDS initiatives for psychosocialcare for survivors of Tsunami.Group 2 discussed Collaboration and Coordination. Dr. Shoba Srinath, Professor& Head,Department of Psychiatry, NIMHANS and Dr. C Subramaniam, Professor of Psychiatry,7

MMC, Madurai chaired the discussion. The session began with sharing of experiences byMs. Gracy, an anganwadi worker and Ms. Selvarani, who were trained as CLWs. Mr.Nambi, Director, Centre for Social Education and Development (CSED) made a presentationon psychosocial care interventions by CSED. Dr. Cecilia Thangarajan, Professor and Headof Department of Social Work, Stella Maris College, Chennai, made a presentation oncollaborative efforts of schools of social work in Tsunami disaster. Dr. Thulsidasan, AIDSControl Society, Andaman and Nicobar Islands, presented on psychosocial support responseto Tsunami in Andaman and Nicobar. Dr. Sudha Bhogle, Department of Psychology,Bangalore University, presented on role of Centre for Psychological Counselling,Department of Psychology, Bangalore University in training and counseling services toTsunami affected areas.Group 3 discoursed on Relief and Rehabilitation. Dr. Srikala Bharat, Additional Professorof Psychiatry, NIMHANS and Dr. D Muralidhar, Additional Professor, Department ofPsychiatric Social Work, NIMHANS chaired the group discussion. The session commencedwith sharing of personal experiences by a CLW and Tsunami survivor from Tamil Nadu.Mr. Parthasarathy, Pondicherry Science Forum, made a presentation on psychosocialprogramme in Tsunami affected areas of Cuddalore and Nagapattinam districts. Dr. SureshBadamath, Assistant Professor, Department pf Psychiatry, NIMHANS, presented on activitiesof NIMHANS team at Andaman and Nicobar during the early phase of Tsunami disaster.Dr. Srilatha Juvva, Reader of Social Work, Tata Institute of Social Sciences, Mumbai,presented a report of the TISS initiatives in Nagapattinam. Dr. Naveen, Vivekananda YogaResearch Foundation, Bangalore, made a presentation on Yoga in rehabilitation of survivorsin Andaman and Nicobar.Group 4 discussed Monitoring and Evaluation. Dr. Nimesh Desai, Professor& Head,Department of Psychiatry, IHBAS and Dr. L S Gandhi Das, Professor of Social Work,Bangalore University chaired the discussion. Dr. Jahanara, Assistant Professor of PsychiatricSocial Work, IBHAS, Delhi, made a presentation on mental health needs assessment andservice delivery models in Tamil Nadu. Mr. Placid, Director, Sahay Centre for CollectiveLearning and Action, made a presentation on Sahay's experience in psychosocial care forTsunami affected persons in Allapad Panchayat, Kerala. Dr. Girish, Assistant Professor,Epidemiology, NIMHANS, made a presentation on concepts of monitoring and evaluationand surveillance with respect to disaster management. Mr. Raghavan, CARE <strong>India</strong>, AndhraPradesh, also made a presentation.Session 4 - Sharing and deliberations in groups 1 & 2The deliberations of the second day commenced with brief presentations of the groupdiscussions and a set of recommendations that each group had formulated.The presentations of Group 1 & 2 were chaired by Dr. T. Murali, Professor and Head ofDepartment of Psychiatric and Neurlogical Rehabilitation, NIMHANS and Dr. CherianVarghese.8

The deliberations and recommendations of Group 1 were presented by Ms. Vanitha C.,M. Phil. Trainee, Department of Psychiatric Social Work, NIMHANS. The key pointsthat emerged from the discussion were:• Trainers should come from within the community rather than from outside, in orderto maintain sustainability and culture specificity.• Contents of training should be tailor-made based on target population.• Education of workers must be conducted at grass root level• Training manuals should include issues of alcohol and addiction, HIV/AIDS andother high risk behaviours that could be fall out of disasters.• Training should be cost-effective, making use of resources available in the community.• There should be focus on life skills and stress management.• Networking of trained personnel must be improved to facilitate easy mobilizationduring crisis.• NIMHANS should be the nodal centre for training.The discussion after the presentation stressed on need for co-ordination cells in every statewhere lists of trained personnel is maintained and it becomes part of disaster preparedness.Sensitization of the media was another aspect where it was felt that negative projectionsmust be reduced and focus must be on responsible reportage.The recommendations of Group 2 were presented by Dr. Ramasubramaniam, Professor ofPsychiatry, MMC, Madurai.• Co-ordination for disaster management must be done by Panchayats along withgovernmental agencies.• A board must be constituted for collaboration consisting of NGOs, media,government agencies.• There needs to be a centralized co-ordination centre for resource management,funding and support to avoid duplication of services or neglect of isolated pockets.• Competitiveness among local and state level NGOs must be avoided.• Preference should be given to local organizations who are better equipped tounderstand local needs.The discussion raised the point of an active dialogue that must be established between thegovernment and NGOs in order to promote trust and accountability and improve coordination.In this context, the lack of co-ordination between government departmentswas brought to light. A sense of resentment would be seen when there was overlap in roles.Officials must work towards better communication. NGO co-ordination cells were alsoseen as a must in all districts in order to ensure that all populations are reached andappropriate kinds of help are given. The cells could also work towards sharing ofinformation and meetings with government officials for planning.9

Session 5 - Sharing and delibrations in group 3 & 4The presentations of Group 3 & 4 were chaired by Dr. Redamma, Professor and Head ofDepartment of Nursing, NIMHANS and Dr. Satish Girimaji, Professor, Department ofPsychiatry, NIMHANS.The deliberations and recommendations of Group 3 were presented by Dr. Srilatha Juvva,Reader of Social Work, Tata Institute of Social Sciences, Mumbai.• Minimum standards of care in relief and rehabilitation as recommended by SPHEREmust be adhered to.• In order to make health care available and accessible, satellite clinics arerecommended.• Health needs of women, children, elderly and disabled should be given priority.• Capacity building for relief and rehabilitation services should be given to allstakeholders.• Stakeholders must be sensitized to psychosocial care, which should be mandated bythe government.• Efforts must be aimed at developing existing / new organizations such as specialschools, homes for orphans, destitute, elderly, organizations working with women,de-addiction issues.• Curriculum for management of humanitarian emergency and psychosocial care tobe instituted in schools, colleges, centres for professional education.• Database and other information regarding service providers should be made availableat Panchayath, Block and District levels.The discussion highlighted the need to put people on their feet as soon as possible as apowerful means of coping and rebuilding of lives. The accent must be on helping survivorsto help themselves rather than only providing different kinds of help. The role ofpsychiatrists was more in the acute phase where diagnosis and medical treatment areimportant. But they could continue to contribute to counseling and follow-up effortsthereafter.The recommendations of Group 4 were presented by Dr. Jahanara, Assistant Professor,Psychiatric Social Work and IHBAS;• There should be a mix of qualitative and quantitative measures for monitoring andevaluation.• Emphasis should be on ethics of research and confidentiality and also, in interventions.• There should be systems to study the effectiveness of monitoring and evaluationitself.• There is a need to localize and conceptualize global indicators.• There is a need for strict process indicators in the form of budgets and plans.10

The discussion emphasized a need to review monitoring and evaluation as more positiveprocesses rather than policing or supervision. They were seen more as a means for settingstandards of care and to aid replication of efforts and best practices. They could also betools of empowerment and learning. The two processes were mainly concentrated on twointerests - service and research. But these interests must be balanced properly and a dilemmawas for such efforts to be proportionate to the psychosocial support work. Evaluationmust focus on process utilization and service delivery. Self assessment and evaluation ofeffectiveness as workers was also seen as important.Concluding sessionOn completion of the two-day deliberations, the valedictory function was presided over byProfessor D. Nagaraja, Director/Vice Chancellor, NIMHANS. Dr. Parthasarathysummarized the proceedings of the workshop over the two days and shared someobservations. Dr. G. S. Udayakumar presented the overall recommendations of the workshopas shown in the overleaf.Dr. Vijay Chandra shared his appreciation of the NIMHANS collaboration with <strong>WHO</strong> infield work, sharing of expertise and conducting the workshop. He highlighted the need fordocumentation to create institutional memory of the psychosocial care efforts. Dr. CherianVarghese spoke of the need for short term as well as long-term interventions, but in acontextual manner. He urged agencies to also document their work to build a range ofresources. He thanked Prof. Nagaraja and the various organizations that had participated.Dr. Dinesh Bhugra felt the workshop was successful, as it had 'raised a lot of questions'.He stressed on the need for a debate on the ethics of psychosocial care in disaster situationswhere research and interventions are conducted in conjunction with the community andnot in ivory towers. He also spoke about extending the learnings from one disaster situationto another.Professor D. Nagaraja appreciated the field workers for their efforts and for engaging in aprocess of preparing for eventualities in disaster management. He threw light on fundingneeds for psychosocial care efforts and looked forward for continued support from agenciesto ensure stability of work. He concluded by encouraging all present at the workshop toresolve to meet the needs of people in disasters.Dr. K Sekar proposed the vote of thanks. He made special mention of the unconditionaland continued support of Prof. D. Nagaraja in organizing delegations when the disasterstruck, Dr. Cherian Varghese for assistance with organizing funding for the workshop,Prof. Vinod Chandra Menon for his inputs into psychosocial care interventions andcontributions from Dr. Dinesh Bhugra and Dr. Parthasarathy. He also thanked variousdepartments in NIMHANS, participants, survivors, community level workers, organizingcommittee members and the press for making the workshop a fruitful exercise. He concludedby stressing on the establishment of a network for disaster preparedness.Dr. Parthasarathy thanked Dr. K Sekar for his efforts into organizing the psychosocial carefor the survivors of Tsunami disaster in the South <strong>India</strong>n States as well as the currentworkshop.11

Recommendations of the workshop:• Capacity building for psychosocial care services for disaster survivors shouldincorporate Governmental and Non-governmental sectors. The involvementof Governmental sector is important for continuity and long term careprovision as various departments are involved in meeting the basic needs ofcommunities.• District administrations should keep records of all NGOs working in thearea and conduct a periodical review of the same.• The role of NGOs in a broad sense as well as that of each NGO in particularmust be defined. Local NGOs must be given preference over externalagencies to carry out psychosocial care.• Psychosocial care should be considered a long term rather than short termprogramme. Health and Education sectors must be incorporated to ensurethis.• The District Mental Health Programmes (DMHP) should be enlisted forprovision of psychosocial care in disasters.• National and State level committees should be instituted to monitor andevaluate programmes in disaster situations as well as planning for disasterpreparedness.• NIMHANS faculty and other State level psychosocial personnel shouldcontribute to this process with the help of predetermined proformas.• NIMHANS should be appointed as the principal training centre for trainingof all master trainers, in view of its immense resources and qualifiedpersonnel. The institution should prepare manuals for various disastersituations which could be used as core training materials after suitablemodifications.• Training for Trainer (TOT) programmes must be conducted for a minimumof 6 days. Manuals used for this purpose should incorporate additionalinformation on communication and interpersonal skills, harmful effects ofalcohol and drugs, high risk behaviors, etc.• Minimum standards must be defined in all spheres of care provision in disastersituations.12

Programme ScheduleAppendix - 1Date : 3.2.2006 ( Friday) Venue: Auditorium No. 28.00 am to 9.30 am - Registration9.30 am to 10.30 am - Inaugural Functionq Invocationq Welcome Address - Dr. R. Parthasarathyq Lighting the lampq Background to the workshop - Dr. Cherian Vargheseq Special address - Dr. Vijay Chandraq Felicitation - Dr. Dinesh Bhugraq Key note address - Prof. N. Vinod Chandra Menonq Presidential address - Prof D. Nagarajaq Vote of thanks - Dr. K Sekar10.30 am to 10. 45 am - Tea Break10.45 am to 1 pm - Session - 1 Venue auditorium No. 2Psychosocial support in Tsunami Disaster - Tamil Nadu & Andaman Nicobar IslandsChairperson:Co chairperson:Presentation:Prof. D. NagarajaDirector/ Vice Chancellor, NIMHANS, Bangalore.Dr. Vijay Chandra, Regional Advisor - Mental Health<strong>WHO</strong> regional office for South East Asia, New Delhi.Psychosocial support in Tsunami Disaster - <strong>WHO</strong> <strong>India</strong> responseDr. Cherian VarghesePsychosocial support in Tsunami Disaster -NIMHANS responseinTamil Nadu, Kerala, Pondicherry and Andhra Pradesh.Dr. K. SekarPsychosocial support in Tsunami DisasterAndaman and Nicobar Island issues -Dr. Vivek BenegalPsychosocial care for survivors of Tsunami in Tamil Nadu,NIMHANS response - Dr. R. Dhanasekara PandianPsychosocial support in Tsunami Disaster - Govt of Tamil Naduresponse - Smt. Sheela Rani Chungath & Smt. Supriya SahooPsychosocial support in Tsunami Disaster -Department of socialwelfare response - Ms. Gemma De SilvaPsychosocial support in Tsunami Disaster - SCARF responseDr. R. TharaPsychosocial support in Tsunami Disaster -UNICEF responseMr. Saji Thomas1.00 pm to 1.45 pm Lunch Break13

1.45 pm to 3.00 pm Session - 2 Venue: Auditorium No.2Psychosocial support in Tsunami Disaster - Pondicherry, Kerala & Andhra PradeshChairperson:Co - Chairperson:Dr. Dinesh BhugraDean, Royal College of Psychiatrist, London, UKDr. R Parthasarathy, Professor & HeadDept. of Psychiatric Social Work, NIMHANSPsychosocial support in Tsunami Disaster - Government ofPondicherry response - Dr. R. ChandrasekaranPsychosocial support in Tsunami Disaster - KSMHA responseDr. D. RajuPsychosocial support in Tsunami Disaster - Alleppey MedicalCollege response- Dr. Mohan RoyPsychosocial support in Tsunami Disaster -Andhra Pradesh Response- Dr. Gouri Devi3.00 Pm to 3.15 pm Tea Break3.15 pm to 5.45 pm Session - 3Concurrent Presentation and Group DiscussionGROUP- 1 CAPACITY BUILDING AND TRAININGVenue Auditorium No. 2Chairperson:Co- Chairperson:Dr. G. Gururaj, Professor of Epidemiology, NIMHANSDr. Kiran RaoProfessor, Mental Health and Social Psychology, NIMHANSSharing by survivor and community level worker from NagapattinamResource Persons:Dr. Poppy Kannan, Professor of Social Work, SMC, ChennaiDr. Reddemma, Professor & Head, Dept. of Nursing, NIMHANSDr. Rameela Shekar, Professor of Social Work, Roshini NilayaDr. Chris Thiagarajan, DEEDS, Malteser, KanniyakumariGROUP - 2 COLLABORATION and COORDINATIONVenue: Auditorium No. 3Chairperson:Dr. Shobha SrinathProfessor of Psychiatry, NIMHANS14

Co- Chairperson:Dr. C. RamasubramaniamProfessor of psychiatry, MMC, Madurai.Sharing by survivor and community level worker from KanniyakumariResource Persons:Dr. Thulasidasan, AIDS Control Society, A & N IslandsMr. Nambi, Director, CSED, CoimbatoreDr. Cicilia ThangarajanProfessor of Social Work, Stella Maries College, ChennaiDr Sudha BhogleProfessor of Psychology, Bangalore University, BangaloreGROUP- 3 RELIEF AND REHABILITATIONVenue: Board RoomChairperson:Co- Chairperson:Dr. Satwant K. PasrichaProfessor of Mental Health and Social Psychology, NIMHANSDr. Srikala BharatAdditional Professor of psychiatry, NIMHANSSharing by survivor and community level worker from CuddaloreResource persons:Dr. Juvva Srilatha, Reader of Social Work, TISS MumbaiMr. R. Parthesarathy, Pondicherry Science Forum, PondicherryDr. Suresh B.M, Assistant Professor Psychiatry, NIMHANSDr. C.S Singhal, Associate Professor, NIRD, HyderabadGROUP - 4 MONITORING AND EVALUATIONVenue: Adjacent to Board RoomChair person:Co- Chair person:Resource persons:Dr. Nimesh Desai, Professor of Psychiatry, IHBAS, DelhiDr. L.S Gandhi Doss,Professor of Social Work, Bangalore University.Dr. Jahanara M. GajendragadAsst. Professor of PSW, IHBAS, DelhiMr. Placid, Director, SAHAYI, Kollam, KeralaDr. Girish, Asst. Professor of Epidemology, NIMHANSMr. Raghavan, CARE <strong>India</strong>, Andhra Pradesh15

Session 4Date : 4.2.2006 (Saturday) Venue : Auditorium No. 29.30 am to 10.30 amChairperson:Co- Chairperson:Presentors :Dr. T. Murali, Professor & Head,Dept. of Psychiatric & Neurological Rehabilitation, NIMHANSDr. Cherian Varghese, Co-ordinator (Non CommunicableDiseases & Mental Health), <strong>WHO</strong> Country Office <strong>India</strong>Deliberations and Recommendations of Group 1 & 210.30 am to 11.00 am Tea Break11.00 am to 12.00 noonChairperson:Co- Chairperson:Presentors :1. Ms. Vanitha C. , M. Phil Scholar, NIMHANS2. Dr. C. Ramasubramaniam, Professor of PsychiatryMMC, MaduraiDr. R. ReddammaProfessor & Head, Dept. of Nursing, NIMHANSDr. Satish GirimajiProfessor of Psychiatry, NIMHANSDeliberations and Recommendations of Group 3 & 43. Dr. Srilatha Juvva, Reader of Social WorkTata Institute of Social Sciences, Mumbai4. Dr. Jahanara, Assistant ProfessorDept. of Psychiatric Social Work and IHBAS12.30 pm to 2.00 pm Valedictory Venue : Auditorium No. 2Welcome and Summary of ProceedingsRecommendations of the workshop<strong>WHO</strong> SEARO Responses<strong>WHO</strong> <strong>India</strong> ResponsesValedictory AddressPresidential AddressVote of Thanks- Dr. R. Parthasarathy- Dr. G. S. Udayakumar- Dr. Vijay Chandra- Dr. Cherian Varghese- Dr. Dinesh Bhugra- Dr. D. Nagaraja,Director, Vice Chancellor, NIMHANS- Dr. K. Sekar16

NIMHANS - <strong>WHO</strong> <strong>India</strong> WORKSHOP ONPSYCHOSOCIAL SUPPORT IN DISASTER3rd & 4th February 2006NIMHANS, BangaloreAppendix 2List of ParticipantsSL.No.NAME ADDRESS Status1 Ameer Hamza Psychiatric Social WorkerNIMHANS, Bangalore.2 Anju Joy M Phil in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - LocalParticipant - Local3 Aravallie M Parangipettai, Chidhambaram,Tamil Nadu. Participant - Out station4 Archana M Phil in Psychiatric Social WorkNIMHANS, Bangalore.5 Babu AKT Academy,Kallakurichi, Tamil Nadu.6 Bala Shanthi Niketa Psychiatric Social WorkerDe-addictionCenter, NIMHANS, Bangalore.7 Gabriel. M. Project Officer , SNEHA Nagapattinam,Tamil Nadu.8 Bhargava Raman Senior Resident in Psychiatry,NIMHANS, BangaloreParticipant - LocalParticipant - Out stationResource Person- LocalParticipant - Out stationResource Person- Local9 Gressy N Melamanakudy, Kanyakumari Participant - Out station10 Bino Thomas Ph.D Scholar in Psychiatric Social Work,NIMHANS, Bangalore.11 Chandra Muki Ph.D Scholar in Psychiatric Social work,NIMHANS, Bangalore.12 Chandra Sekar P M Phil in Psychiatric Social WorkNIMHANS, Bangalore.13 Chandra Shekar CR Professor, Department of psychiatryNIMHANS, Bangalore.14 Chandrasekaran R Professor, Department of psychiatryJIPMER, Pondicherry15 Chandrashekar Rao M Additional Professor of PsychiatricSocial Work, NIMHANS, BangaloreResource Person- LocalResource Person- LocalParticipant - LocalResource person - LocalResource Person - OutstationResource Person - Local17

16 Cherian Varghese <strong>WHO</strong> Representative to <strong>India</strong>New Delhi17 Cicilia Thangarajan Department of Social WorkStella Maris College, Chennai18 Jayaraman PL NIMHANS - CITRA Project,NIMHANS, Bangalore19 Dhanasekara Pandian R Assistant Professor of PsychiatricSocial Work, NIMHANS, Bangalore20 Diana Ross M Phil in Psychiatric Social WorkNIMHANS, Bangalore21 Dinesh Bhugra Royal Institute of PsychiatryLondon22 Gayathri R M Phil in Psychiatric Social WorkNIMHANS, Bangalore.23 Gemma De Silva Assistant Director,Department of Social Welfare, Chennai24 Ghandhi Doss LS Professor of Social WorkBangalore University, Bangalore.25 Girish Assistant Professor of Epidemiology,NIMHANS, Bangalore26 Gouri Devi Professor of PsychiatryIMH, Hyderabad27 Grace Henry Programme Manager, NIMHANS -CITRA Project, NIMHANS, Bangalore28 Gururaj G Assistant Professor of Epidemiology,NIMHANS, Bangalore29 Kedar Hibare Dr. B. R Ambedkar Medical Collegeand Hospital, Bangalore30 Imran Khan Psychiatric Social Worker De-addictionCenter, NIMHANS, Bangalore31 Jahanara M. Gajendragad Assistant ProfessorPsychiatric Social Work IHBAS, Delhi32 Jane Henry Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore33 Jayakumar Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore34 Jayalakshmi KP M.Phil in Psychiatric Social WorkNIMHANS, BangaloreResource Person - <strong>WHO</strong>Resource Person -OutstationParticipant - LocalResource Person - LocalParticipant - LocalResource Person -<strong>WHO</strong>Participant - LocalResource Person - OutstationResource Person - LocalResource Person - LocalResource Person - OutstationResource Person - LocalResource Person - LocalParticipant - LocalResource Person- LocalResource Person - OutstationResource Person- LocalResource Person- OutstationParticipant - Local18

35 Jerome Zacharios M.Phil in Psychiatric Social WorkNIMHANS, Bangalore36 Roopali Thakre DPN Student of NursingNIMHANS, Bangalore37 John. P. John Assistant Professor of PsychiatryNIMHANS, Bangalore.Participant - LocalParticipant - LocalResource Person- Local38 Manoj Dash Bangalore Participant- Local39 Juvva Srilatha Associate Professor,Tata Institute of Social Sciences, Mumbai40 Josephine Vaz DPN student of NursingNIMHANS, Bangalore.Resource Person -OutstationParticipant - Local41 Kambar Manickam OFFER, Madurai Resource Person - Outstation42 Karnam Surekha M Phil in Psychiatric Social WorkNIMHANS, Bangalore.43 Kavitha Jangam Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.44 Kiran Rao Professor of Clinical PsychologyNIMHANS, Bangalore.45 Kishore Kumar Senior Psychiatrist, Dept. of PsychiatryNIMHANS, Bangalore.46 Krishna Kanth Junior Resident in PsychiatryNIMHANS, Bangalore.Participant - LocalResource Person - LocalResource Person - LocalResource Person - LocalParticipant - Local47 Renjith.R.Pillai Program coordinator DEEDS, Tamil Nadu Resource Person - Outstation48 Krishna Reddy Associate Professor of Psychiatric SocialWork, NIMHANS, Bangalore.49 Lakshmi Shankaran Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.50 Lalitha Additional Professor of NursingNIMHANS, Bangalore.51 Latha V Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.52 Lilly P Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - LocalResource Person - LocalResource Person - LocalResource Person - LocalResource Person - Local53 Lucas Babu RIDO, Pondicherry Participant - Outstation54 Mahendra P. Sharma Associate Professor of ClinicalPsychology NIMHANS, Bangalore.55 Mahima Nair M Phil in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - LocalParticipant - Local19

56 Maj. Pallavi Srivastan DNN student of NursingNIMHANS, Bangalore.57 Meena MS Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.58 Meena Pai M Phil in Psychiatric Social WorkNIMHANS, Bangalore.59 Meenakshi Sundaram Senior Resident in PsychiatryNIMHANS, Bangalore.60 Mohan Roy Lecturer, Department of PsychiatryT.D Medical college, Alleppey61 Omprakash Assistant Professor of PsychiatryNIMHANS, Bangalore.62 Mukesh Senior Resident in PsychiatryNIMHANS, Bangalore.Participant - LocalResource Person - LocalParticipant - LocalResource Person - LocalResource Person - OutstationResource Person - LocalResource Person - Local63 Muniyandi Chidhambaram, Tamil Nadu. Participant - Out station64 Murali T Professor, Department of DPNRNIMHANS, Bangalore.65 Muralidhar D Additional Professor of PsychiatricSocial Work, NIMHANS, Bangalore.66 Nagaraja D Director / Vice ChancellorNIMHANS, Bangalore.67 Nagarajaiah Assistant Professor of NursingNIMHANS, Bangalore.Resource Person - LocalResource Person - LocalResource Person- LocalResource Person - Local68 Nambi CSED Coimbatore, Tamil Nadu. Resource Person -Outstation69 Gurubharathy G Senior Lecturer Madurai Instituteof Social Sciences, Madurai.70 Neelofer M Phil in Psychiatric Social WorkNIMHAN, Bangalore.71 Ngoit Lang Mary M Phil in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - OutstationParticipant - LocalParticipant - Local72 Nimesh Desai Professor of PsychiatryIHBAS, Delhi Resource Person -Outstation73 Nirmal Ph.D Scholar in MH & SPNIMHANS, Bangalore.74 Sushma Kumari DNN student of NursingNIMHANS, Bangalore.75 Ashwini R M.Phil in MH & SPNIMHANS, Bangalore.Resource Person - LocalParticipant - LocalParticipant - Local20

76 Baswaraj Nidgund M.Phil in MH & SPNIMHANS, Bangalore.Participant - Local77 Parthasarathy R MSF, Pondicherry Participant - Outstation78 Parthasarathy R Professor of Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - Local79 Patricia Namitha Maria M Phil in Psychiatric Social WorkViego NIMHANS, Bangalore. Participant - Local80 Pavithra R Programme Manager NIMHANS -CITRAP Project, NIMHANS, Bangalore.81 Placid Director, SAHAYI Center for CollectiveLearning and Action, TRIVANDRUM82 Ponnuchamy L Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - LocalResource Person - OutstationResource Person- Local83 Poppy Kannan Department of Social Work Chennai. Resource Person -Outstation84 Prabhu Every child, Idhaya Development Project,Nagapattinam.85 Priya Treesa Thomas Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.86 GopuKumar K Research Scientist in Clinical PsychologyNIMHANS, Bangalore.Participant - OutstationParticipant - LocalParticipant - Local87 Raghavan Care <strong>India</strong>, Chennai. Resource Person - Outstation88 Raju D Professor of Psychiatry Medical College,Trivandrum and Secretary, Kerala StateMental Health Authority, Kerala.Resource Person -Outstation89 Naveen K. Visweswaraiah SUYASA, Bangalore Participant - Local90 Ram Kumar TS Psychologist, CSR Nagerkoil. Participant - Outstation91 Ramasubramaniam C Professor of PsychiatryMadurai Medical College, Madurai.92 Rameela Shekar ProfessorSchool of Social work, MangaloreResource Person - OutstationResource Person - Outstation93 Aparna Udupa Every Child <strong>India</strong> Bangalore. Participant - Local94 Reddemma Professor of NursingNIMHANS, Bangalore.95 Reem Susan Varghese M Phil in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person- LocalParticipant - Local96 Sujit John SCARF, Chennai Resource Person- Outstation21

97 Prince C P M Phil in Psychiatric Social WorkNIMHANS, Bangalore.98 Sanjeev Ranjan Senior Resident in PsychiatryNIMHANS, Bangalore.99 Jeeva suresh Community Level Worker, BWDCThiruvarur.100 Satish Chandra Girimaji Professor of PsychiatryNIMHANS, Bangalore.101 Nirmala BP Psychiatric Social WorkerNIMNANS, Bangalore.102 Seema Mehrotra Associate Professor of MH & SPNIMHANS, Bangalore.103 Seema P. Uthaman Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.104 Seetha Lakshmi Survivor,Nagapattinam, Tamil Nadu.105 Sekar K Professor of Psychiatric Social WorkNIMHANS, Bangalore.106 Shalini Ph.D Scholar in MH and SPNIMHANS, Bangalore.107 Preethi Krishnan Programme ManagerNIMHANS CITRA Project, Cuddalore108 Sateesh VL Resident Medical OfficerNIMHANS, Bangalore109 Shivakumar PT Senior Resident in Psychiatry,NIMHANS, Bangalore.110 Singhal CS Associate Professor CHRD, NIRD,Rajendra Nagar, Hyderabad111 Sini Mathew Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.112 Sinu G Programme Manager, NIMHANS-CITRA Project, Karaikal113 Smitha Sahai M Phil in Psychiatric Social WorkNIMHANS, Bangalore.114 Shobha Srinath Professor of PsychiatryNIMHANS, Bangalore.Participant - LocalResource Person - LocalParticipant -Out stationResource Person - LocalResource Person - LocalResource Person - LocalResource Person - LocalParticipant- OutstationResource Person - LocalResource Person - LocalResource Person -OutstationParticipant - LocalResource Person- LocalResource Person - OutstationResource Person- LocalResource Person - OutstationParticipant - LocalResource Person- Local115 Sr. Teresa School of Social Work, Mangalore Participant - Outstation116 Sridevi A U Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.Resource Person - Local22

117 Srikala Bharath Additional Professor of PsychiatryNIMHANS, Bangalore.118 Subhasis Bhadra Programme Coordinator, NIMHANSCITRA Project, Kottucherry, KaraikalResource Person - LocalResource Person - Outstation119 Subha Mathy Cuddalore Tamil Nadu. Participant - Outstation120 Sudha Bhogle Professor of PsychologyBangalore University, Bangalore.121 Sudipta Chanda M Phil in Psychiatric Social WorkNIMHANS, Bangalore.122 Surekha Nair M Phil in Psychiatric Social WorkNIMHANS, Bangalore.123 Smitha VS DPN student in NursingNIMHANS, Bangalore.124 Suresh BM Assistant Professor of PsychiatryNIMHANS, Bangalore.Resource Person - LocalParticipant - LocalParticipant - LocalParticipant - LocalResource Person - Local125 Jesintha Mary S DHAN Foundation, Madurai Participant - Outstation126 C. Gurumurthy Assistant Commissoner KendriyaVidyalaya, Sangatham, Bangalore.127 Swetha Ph.D Scholar in MH and SPNIMHANS, Bangalore.Resource Person - LocalResource Person - Local128 Tapeswine Patnaik Plan-international, Chennai Participant - Outstation129 Arul Roncalli Programme Assistant, NIMHANS -CITRAP Project, NIMHANS, Bangalore.130 Kishore M. Kadu Student Trainee of PsychiatricSocial Work, NIMHANS, Bangalore.131 Thippe Swamy V M Phil in Psychiatric Social WorkNIMHANS, Bangalore.132 Thirumoorthy A Assistant Professor of PsychiatricSocial Work NIMHANS, Bangalore.133 Gayathri Programme Assistant NIMHANS -CITRAP Project, NIMHANS, Bangalore.134 Thulasidasan Deputy Director [H E & H I C] Directorateof Health Services, Port Blair135 Yashasvini V.S. Programme Assistant, NIMHANS -CITRAP Project, NIMHANS, Bangalore.136 Ubahara Sahayaraj S M Phil in Psychiatric Social WorkNIMHANS, Bangalore.Participant - LocalParticipant - LocalParticipant - LocalResource Person - LocalParticipant - LocalResource Person - OutstationParticipant - LocalParticipant - Local23

137 Vanitha C M Phil in Psychiatric Social WorkNIMHANS, Bangalore.138 Somini Alphonse Joy Programme Assistant NIMHANS -USF Project, NIMHANS, Bangalore.139 Veda murthchar Yoga Therapist, De-addiction Center,NIMHANS, Bangalore.Participant - LocalParticipant - LocalResource Person - Local140 Vijay Chandra SEARO, <strong>WHO</strong>, New Delhi Resource Person - <strong>WHO</strong>141 Vinod Chandra Menon Member, NDMA,Government of <strong>India</strong>, New Delhi.142 Vivek Benegal Associate Professor of PsychiatryNIMHANS, Bangalore.143 Vranda Ph.D Scholar in Psychiatric Social WorkNIMHANS, Bangalore.144 Vilas Student Trainee in PsychiatricSocial Work, NIMHANS, Bangalore.145 Aravind Raj Programmer Manager NIMHANS -CITRA Project, Kanyakumari.146 Kumarjit Meetei Student Trainee of Psychiatric Social WorkNIMHANS, Bangalore.147 Mathews Sebastian Research Officer,TCC NIMHANS, Bangalore.148 Udaya Kumar GS Associate Professor of PsychiatricSocial Work NIMHANS, Bangalore149 Abdul Latheep Research Officer, ICMR ProjectNIMHANS, Bangalore.150 Jayaprakash M Phil in Psychiatric Social WorkNIMHANS, Bangalore.151 Aarti Rangan Research Officer of PsychiatryNIMHANS, Bangalore.152 Janet Vasanthakumari SREAD, Madurai Institute ofSocial Science, Madurai.Resource Person -NDMAResource Person - LocalResource Person - LocalParticipant - LocalResource Person - OutstationParticipant - LocalParticipant - LocalResource Person- LocalParticipant - LocalParticipant - LocalResource Person - LocalResource Person -Outstation24