Integrated Community Based Mental Health and Psychosocial Support

Program Background

The Community Based Rehabilitation (CBR) program was formally incorporated in to regular programs of KOSHISH in the year 2010. Prior to the CBR program, KOSHISH programs were focused on advocacy and specialized care through Short-term Emergency Care Service. The program was introduced as a brainchild of Mr. Matrika Devkota, after frequent interaction with people in Bhaktapur Day Care Center, and learning from OPD and medicine services in Dhading (Mahadevstan and Benighat) and Bhaktapur. The program intended to address an existing gap of suitable community based mental health and psychosocial programs.

KOSHISH CBR supports the Twin Track Approach of the organization with the overall objective of improved mental and psychosocial well-being of individuals and people with disabilities.

Its specific objectives are;

  • Increased access of individuals and persons with disability to mental health and psychosocial support services at a community level
  • Increased capacity of community to address mental health and psychosocial problems at a community level
  • Mainstreaming mental health and psychosocial issues

KOSHISH CBR program is currently being implemented in Bhaktapur, Lalitpur, Tanahu, Sinduplanchowk and Kavreplanchowk.

The KOSHISH CBR program ensures community involvement in both the program and the recovery process of the beneficiaries. This process supports the development of a sense of ownership by the community, people, and the agencies that make the program more sustainable. The main roles of the CBR program are the promotion of mental health and psychosocial wellbeing and prevention, and the care and rehabilitation of those experiencing mental health problems.

The KOSHISH CBR program follows the Psychosocial Intervention Pyramid of IASC. Our services cover all four level of intervention as our activities includes:

  1. Advocacy and awareness
  2. Community mobilization and counseling
  3. Capacity building of community stakeholders
  4. Community based counseling, psychiatric intervention and specialized care