Integration of livelihood support with MHPSS in rehabilitation of torture survivors in LMICs

Introduction: The integration of livelihood support with mental health and psychosocial support (MHPSS) is crucial for the rehabilitation of torture survivors in low- and middle-income countries (LMICs). This study aimed to explore the intersectionality of poverty and mental health, and the integration of livelihood support within MHPSS frameworks within the rehabilitation settlements of torture survivors in LMICs. Method: A cross-sectional study was conducted using a semi-structured questionnaire distributed to members of the International Rehabilitation Council for Torture Victims (IRCT) in LMICs. The questionnaire was designed to gather data on the extent to which poverty contributes to poor mental health outcomes among torture survivors and the effectiveness of integrating livelihood support into MHPSS interventions. Results: The study found that 92% of respondents believed that poverty and mental health outcomes of torture survivors are strongly linked. Economic and social inequalities were identified as key determinants of mental disorders in the country, emphasizing the need to address these inequalities in rehabilitation programs for torture survivors. The study also highlighted the significant economic challenges faced by torture survivors, indicating a high prevalence of extreme poverty among this group. Discussion: The study underscores the critical connection between poverty, mental health, and the experience of torture, emphasizing the need for comprehensive support. The integration of livelihood support with MHPSS is essential for addressing economic disparities and promoting long-term resilience among survivors. The study recommends enhancing coordination among stakeholders, addressing cultural and social barriers, securing sustainable funding, and developing strategies to overcome anticipated challenges or barriers in integrating livelihood support with MHPSS for torture survivors in LMICs. By addressing the diverse needs of torture survivors, including economic empowerment, mental health support, and social integration, this integrated model can contribute to holistic recovery, long-term resilience, and overall well-being.