1. IntroductionBasicNeeds is an international developmentorganisation, which works to bring about lastingchange in the lives of people affected by mentalillness and epilepsy. The organisation has built aninnovative approach that tackles peoples poverty,as well as their illness. By ensuring that their basicneeds are met and their basic rights are respected. Established in 1999 by Chris Underhill withfunding from Andrews Charitable Trust and theJoel Joffe Charitable Trust, BasicNeeds haspioneered a way of working, which places peoplewith mental disorders at the heart of all that it does.

2. Interventions areas of BasicNeedsBN working in 5 continents of the world Europe Africa Asia Latin America Australia 3. Model of BasicNeeds in Pakistan The model is formed of 5 separate but interlinked modules; these are: Capacity building Community mental health Sustainable livelihoods Research Management and administration 4. Cross cutting themes Working in partnership Animation Gender development Participatory techniques Flexibility 5. Getting started Feasibility Identifying partners Programme planning Identifying donors and securing funding Assembling the team 6. Capacity building 7. Forums for capacity building Filed consultation Other consultations Self- help group 8. Field consultation A field consultation is typically the starting point ofbuilding capacity and one of the founding programmeactivities. This activity brings together people with mentaldisorders, their carers and families, and partnerorganisations. Other consultations The field consultation is the first of many consultationsthat continue to be held throughout the lifetime of theprogramme. 9. Self- help group Self-help groups play multiple-roles and areestablished for a range of purposes.For example, carers and people with mental disordersmay come together to form, or join, a group toencourage better integration 10. Tools for capacity building Animation Research Awareness- raising and sensitization Games and songs Trainings 11. Animation Animation is that stimulus to the mental, physical,and emotional life of people in a given area. which moves them to undertake a wider range ofexperiences through which they find a higher degreeof self-realisation, self-expression, and awareness ofbelonging to a community. Research Individuals capacities are also built through theprocess of generating data and research. Life stories are a primary data source used for analysisin research. 12. Awareness-raising and sensitisation Awareness-raising and sensitisation campaigns areused widely to challenge pre conceptions, changeattitudes and share information about mentaldisorders. A variety of methods are used in awareness includingstreet, theatrepersonal counsellingsensitisation workshopsconsultationsmedia campaigns 13. Games and songs Awareness-raising Games and songs, also known as energisers. are introduced in many group activities within a programme. They are a means of helping a group of people, possibly strangers, to get to know each other and bond. 14. Trainings The range and breadth of training that is carried outwithin a programme is considerable. Therefore, whilst acknowledging that training is a keycomponent of capacity building 15. Community mental health 16. How does it happen? Build partnership Community mental health services Identification Follow up support 17. Build partnership Correct diagnosis and treatment is an important step towards recovery for a person with a mental disorder. Often people with mental disorders, are also living in poverty will not have had access to the mental health services that they require. Community mental health services In some cases, clinics may be held at existing healthfacilities, such as hospitals or health centres and are whollyprovided 18. Identification Once regular community mental health services areestablished, it is important that people with mental disordersattend them. However, a person with a mental disorder may be lessvisible in their community,perhaps physically hidden or not welcomed atcommunity events because of their illness and thestigma that so often surrounds it. 19. Follow up visitsCommunity psychiatric nurses continue to supportcommunity volunteers to monitor the people undertreatment, provide support to carers and appropriately advise andreport on the progress of each of the people 20. Sustainable livelihoods 21. Assessment of livelihood opportunities Home visits Making link with development organizations Income generating and productive activities Self help group New business Access to resources Returning to education Therapy and income generation entering into productivework New skills 22. Home visits Home visits facilitate a culture of work and self-sufficiency amongst people recovering from mental disorders and their families byproviding encouragement and support, guidance andmentoring and information on opportunities. Making link with development organizations In pursuing a sustainable livelihood, a person recovering from a mental disorder may optto return to a previous occupation or decide to pursue other options that requireadditional skills or capital. 23. Income generating and productive activities There is a real diversity of employment and productivework that result from this module. Individual level, people recovering from mentaldisorders have returned to their previous occupations Developed new skills, started businesses and enteredinto new professions and livelihoods. 24. Self help group The self-help groups have been specialising in goat and chicken nurture, gardening of vegetables, farming of rice, maize, pineapples, beans andsesame productions. New business Establish new business 25. Access to resources Returning to education Come back to education Therapy and income generation entering into productive work New skills 26. Research 27. Research methods Participatory action research Outcome studies Policy studies Baseline study Primary data Life stories Individual files Clinical files Process documents uses of evidence Influencing policy and advocacy Evidencing efficacy and challenges Knowledge base 28. Participatory action research Participatory action research forms a significant partof BasicNeeds research work and is integral to aprogramme. The process involves cycles of data collection, analysis,feedback and reinterpretation with the outputs used to assess need and the effectiveness ofinterventions 29. Outcome studies Outcome studies build on the data generated through participatory action research use it to evaluate the efficacy of the model outcomes. The purpose of this type of evaluative research is to evidence how effective the interventions of the model are in bringing about real change in the lives of people with mental disorders 30. Policy studies Policy studies involve specific, one-off pieces ofresearch that focus on a particular set of issues thatsignificantly affect intervention quality or modeloutcomes. Often the reason for commissioning a study will haveresulted from issues highlighted through participatoryaction research and the outcome studies. 31. Baseline study A baseline study is a review of the situation of the programme area specifically looking at the lives of people with mental disorders and all of those factors in the external environment that affect them. Primary data Primary data collection is an on-going process, which involves complete documentation of the lives of people with mental disorders, their carers and families, via a number of formats. Life stories Life stories are a way in which the lives and experiences of people with mental disorders can be recorded, as told by them. 32. Individual files Every person with a mental disorder who is involved inthe programme will have an individual file. Such files are a factual account of the individual,including information on their background andhistory; their medical information including type of mental illness, symptoms and treatment their family situation. 33. Clinical files As with individual files, clinical files are kept for every person with a mentaldisorder participating in the programme Process documents uses of evidence All field consultations and focus groups involvingpeople within the programme are recorded via processdocuments. 34. Influencing policy and advocacy The research methods described above generate a body of evidence that is used for many purposes. Evidencing efficacy and challenges The knowledge gained from the research discussed above contributes to demonstrating the efficacy of and the challenges faced when implementing the model for mental health and development. Knowledge base The evidence generated through this module, contributes to a significant knowledge base that serves two main purposes 35. Management and Administration 36. Fundraising Managing and building partnership Partner meetings Monitoring Financial management Reporting cycle Programme evaluation 37. Fundraising Without funding, putting the model for mental healthand development into practice would not be possible Managing and building partnership All of the programmes that are currently running aredependent on partnership work for their success.Partnerships are formed with a range of organisations Partner meetings Partner meetings provide a platform for allorganisations involved in the programme to shareinformation and experiences and learn from eachother. 38. Monitoring All the activities carried out and details of the people who benefit from them aretracked within the programme. Activity tracking sheets, statistical tracking sheets process tracking sheets are used by BasicNeeds and itspartners to collate this information. Financial management Setting accurate budgets and monitoring income andexpenditure occurs throughout a programme. 39. Reporting cycle Partner organisations collate the monitoring data onmonthly basis and then submit quarterly reports to BasicNeeds describing what has occurred in the programme overthe last three months. Programme evaluation Evaluations are undertaken at two points in thelifetime of a programme one halfway through and one at the end of aprogrammes funding cycle (normally every three orfour years). Typically, the mid-way evaluation is carried out internally andan external evaluator completes the final evaluation. 40. Training 41. Community mental health training Research training Documentation training Animation training Delivering sustainable livelihoods training Management and administration training 42. Community mental health training Building on the capacity of existing primary healthcare or community infrastructure, the training equips participants with the skills toundertake and deliver more effective mental healthcare. Research training The research approach adopted by BasicNeeds usesparticipatory processes that place the stakeholders atthe heart of generating and analysing the data. Within the model, people such as health workers,community workers or partner organisations may beinvolved in carrying out research. 43. Documentation training A strong feature of a programme, is that everythingthat takes place is thoroughly documentedincluding life stories, process documents individual and clinical files Activity and statistical tracking sheets the various reports (quarterly, annual andpartner). 44. Animation training Animation transcends individual modules and is vitalto delivering change, increasing capacity andempowerment. Delivering sustainable livelihoods training The sustainable livelihood module is often deliveredin partnership with development and otherorganisations or institutions and helps individuals to access opportunities andresources to make a living. 45. Management and administration training The management and administration training provides partner organisations with relevant project management skills required to implement the aspects of the programme they are responsible for. Topics such as, preparing logical frameworks, budgeting, finances reporting are offered to partners where there is anidentified need. 46. Training for people with mentaldisorders, their carers and families Managing illness training Employment or productive work training Advocacy training 47. Managing illness training To sustain effective treatment, people with mentaldisorders, carers and family members need to knowhow best to manage their illness. Employment or productive work training Sustainable livelihoods training enables peoplerecovering from a mental disorder, carers and family members to pursue a path that willlead to employment or productive work. The training is highly specific and can range fromhorticulture skills to bicycle maintenance, frommechanics to business planning. 48. Advocacy training Advocacy training aims to equip people with mental disorders, their carers and families with the skills and abilities to demand the services they are entitled to and the confidence to speak up for their rights. 49. RolesCommunity workers Coordinating and running the activities such as field consultations and community meetings Helping a person with a mental disorder to pursue a course of treatment Assisting in the establishment and operation of self-help groups and cooperatives. Supporting and encouraging a new business venture Identifying a person with a mental disorder and referring for treatment Helping at mental health camps and outreach clinics Providing follow-up support, managing side-effects and relapses Recording and documenting life stories and maintaining individual files Providing the link between the person with a mental disorder and BasicNeeds/partner organisations 50. Mental health professionals Mental health professionals play a very important roleindiagnosing,treatingassisting people with mental disorders in their recovery. Including people likepsychiatrists,clinical psychologists,clinical social workerspsychiatric nurses, their primary involvement in the programme is within the community mental health module where they carry out a number of functions and duties. 51. Animators The animator has a special responsibility to stimulatepeople, to think critically, to identify problems, and tofind new solutions 52. Traditional healers Thesignificance of traditional healers in many poor peoples lives and the part they play in diagnosing and treating mental disorders must be given due emphasis. Within the programmes, relationships have been built with healers and in some cases a strong collaboration has developed between the two parties. Partners 53. Partners Effective partnerships help BasicNeeds run effectiveprogrammes. Partners increase the reach of the model,complement and add value to the work and support itssustainability. Depending on which aspects of the programmerequire partners any of the following organisational groups could be approached: Community-based organisations Development organisations Community-based rehabilitation organisations Primary and mental health care providers Micro-credit organisations Training and educational institutions Self-help groups Government departments 54. The models impact A better quality of life for poor people with mentaldisorders