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So simple and so meaningful: An approach to mental health after violence
  1. J J Miranda,
  2. E Vílchez
  1. Peruvian Programme, Health Unlimited, Ayacucho, Peru
  1. Correspondence to:
 Dr J J Miranda;
 jjmiranda{at}terra.com.pe

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How to tackle mental health issues in communities affected by the brunt of 13 years of violence and displacement? How to manage cases where there is no resource availability? How to handle patients where there are no mental health professionals, either for diagnosis or follow up? These questions needed a response and action. Simple activities—but with an important impact—were developed for the recovery of self esteem in Peru. The Quechua communities organised some specific activities between communities such as singing, dancing, and customs presentations; soccer games; drawings, etc (see fig 1A and B). The testimony of a participant show it's effect: “ . . .I haven't touched a ball for 10 years . . . we are forgetting to share with other communities what we used to do together [referring to celebration of festivities] . . . I'm so happy.” Figure 1C shows a community health promoter with the mental health balance, a dynamic used during their training to illustrate the mental health concept.


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