e-journal
MANAGING ETHICAL CHALLENGES TO MENTAL HEALTH RESEARCH IN POST-CONFLICT SETTINGS
Recently the World Health Organization (WHO) has highlighted the need to strengthen mental health systems following emergencies, including natural and manmade disasters. Mental health services need to be informed by culturally attuned evidence that is developed through research. Therefore, there is an urgent need to establish rigorous ethical research practice to underpin the evidence-base for mental health services delivered during and following emergencies. This paper discusses ethical challenges to conducting mental health research in a post-conflict setting and puts forward possible solutions. Drawing upon a South Asian case study we identify six ethical challenges that were encountered. Each challenge is discussed in relation to wider ethical standards of research practice, and the applicability of existing normative frameworks to a post-conflict context is critically assessed. Our discussion emphasises the situated nature of responses to ethical challenges encountered during the research. We then explore recent proposals for managing ethical issues in global health research, identifying their relative strengths and weaknesses. We conclude by calling for documenting and reflecting upon empirical evidence of research practice to stimulate consideration of procedural ethics and ethics in practice. This process aims to promote a moral discourse that can contribute to the development of ethical research practice to underpin mental health research in emergencies. emergencies include natural disasters, man-made disasters, and (protracted) refugee or internally displaced persons
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