Terms of Reference – Psychiatrist Services at Handicap International (HI)

• The support of a psychiatrist in Kakuma refugee camp, Kalobeyei settlement and the host community justified due to the existing mental health needs of the population. The affected population experience psychological issues such as PTSD, depression, and anxiety due to traumatic events, displacement, and loss.
• Having a psychiatrist on-site would provide essential access to specialized mental health care that is currently not available in this context. Timely intervention by a psychiatrist could prevent long-term mental health complications, enhance individuals’ cognitive and emotional functioning, and contribute to the overall well-being of the community. Furthermore, the presence of a psychiatrist would help in identifying and preventing self-harm and suicide, reducing stigma around mental health, and fulfilling our humanitarian responsibility to provide adequate care for those who have already endured immense challenges. By addressing mental health concerns, the camp and its environs can foster resilience, improve integration prospects, and create a foundation for healthier futures.

DESCRIPTION OF THE EXPECTED SERVICE

The psychiatrist is expected to undertake the below services:

• Diagnostic assessments for various mental health conditions.
• Individualized treatment planning and evidence-based interventions.
• Crisis intervention and emergency response for acute distress.
• Capacity building through training local healthcare workers and community leaders.
• Facilitation of support groups and psychoeducational sessions.
• Collaboration and referrals with other medical professionals.
• Data collection, confidential record-keeping, and regular reporting.
• Stigma reduction through public awareness campaigns.
• Continuous professional development to stay updated in the field.

SCOPE AND TARGET

• The scope of the psychiatrist’s services in Kakuma Refugee Camp encompasses comprehensive mental health care, including diagnostic assessments, treatment planning, crisis intervention, capacity building, support groups, collaboration, data management, stigma reduction efforts, and ongoing professional development.
• The primary targets of the psychiatrist’s services are the refugee population within Kakuma Camp, Kalobeyei settlement and the host community to be identified through referrals, partner databases and community mobilization. This includes individuals of all ages and backgrounds who have experienced trauma, displacement, and various mental health challenges. Additionally, the psychiatrist will collaborate with local healthcare workers, counselors, community leaders, and other stakeholders to enhance overall mental health awareness and support mechanisms within the camp and host.

CONSULTANT’S PROFILE

Medical Expertise: Possess a Medical Degree or equivalent with specialization in psychiatry, holding valid licenses and relevant certifications with over 2 years’ work experience.

• Clinical Proficiency: Showcase substantial experience in diagnosing and treating trauma-related disorders, depression, anxiety, and PTSD.
• Cultural Sensitivity: Demonstrate cultural awareness and effective communication to engage with the diverse refugee population.
• Crisis Management: Proficient in crisis intervention, capable of handling acute mental health emergencies.
• Collaboration Skills: Collaborate with local healthcare workers, counselors, and community leaders to enhance mental health awareness and support.
• Continuous Growth: Display commitment to ongoing professional development, ethical standards, and reducing stigma while empowering refugees in their mental health journey.

DURATION AND PLACE OF PERFORMANCE OF THE SERVICE

• The maximum time frame for this assignment will be four months from 1st September to 31st December 2023 and will be provided in Kakuma.

WORK PLAN

• Orientation and Familiarization
  • Understand camp context and establish relationships.
  • Attend orientation sessions and cultural sensitivity training.
• Needs Assessment and Planning.
  • Comprehensive mental health needs assessment report tailored to Kakuma Refugee Camp, Kalobeyei settlement and their environment, including findings and recommendations relevant to its population.
  • Treatment plan document outlining interventions considering the cultural diversity and specific needs of refugees in Kakuma.
• Implementation of Interventions
  • Monthly diagnostic assessment reports for individuals assessed, considering the unique challenges faced by refugees.
  • Monthly documentation of evidence-based treatments provided, including culturally sensitive therapy sessions and workshops.
  • Records of support group sessions conducted with a focus on the refugee community’s needs.
• Collaboration and Capacity Building
  • Training materials tailored for local healthcare workers and leaders in Kakuma, addressing the challenges of providing mental health support in a refugee context.
  • Referral system framework adapted to the resources and services available in and around Kakuma Refugee Camp.
  • Training evaluation reports specific to the camp’s context.
• Monitoring and Adjustment
  • Progress evaluation reports reflecting changes in treatment plans for refugees in Kakuma.
  • Updated treatment plans based on evaluation results and feedback from the refugee community.
  • Accurate records of interventions conducted with refugee participants.
• Stigma Reduction and Community Engagement
  • Stigma reduction campaign materials adapted to the cultural diversity and challenges of Kakuma Refugee Camp.
  • Reports on community dialogues and educational initiatives conducted within the unique context of the camp.
• Ongoing Treatment and Support
  • Records of continued therapy sessions and support groups, considering the ongoing challenges faced by refugees.
  • Documentation of crisis intervention services provided, addressing the specific needs of the refugee population.
  • Collaboration reports with local leaders within the camp and neighboring communities to foster community integration and understanding.
• Sustainability and Transition
  • Sustainable mental health framework tailored to the context of Kakuma Refugee Camp, focusing on long-term support for refugees.
  • Insights and recommendations report, highlighting the unique challenges and opportunities specific to Kakuma.

1. Evaluation and Reflection
   • Evaluation reports measuring the impact of interventions within the context of Kakuma Refugee Camp, showcasing the outcomes achieved.
   • Reflection document discussing challenges faced, lessons learned, and ways to continually improve support for refugees in the camp.

REPORT

A preliminary report is to be submitted for review and a final draft report incorporating all comments. A hard and soft copy of the final report is to be submitted to HI.

The report will be in English and consist of the following:

• Introduction
• Findings and recommendations
• Annexes of materials developed

The report should be completed by 31st December 2023.

CONTACT PERSON

• During the performance of the service, the individual will be required to work in liaison with the Humanity & Inclusion team, Kenya Redcross and IRC medical teams and notably with David Kaloki -Project Manager and David Omondi- Area Manager from HI

BUDGET CODES

EVALUATION

Application documents submitted will be evaluated in three (stages);

General Mandatory

Evaluation Criteria

For firms or institutions

For Individuals

Psychiatric Services

• National ID
• Relevant certifications (certificate of registration and practice from Kenya Medical Practitioners and Dentists Council (KMPDC), Kenya Psychiatric Association Membership
• PIN/VAT Registration Certificate

Technical Capacity Evaluation)

• Profile and experience of the company:
  • Bachelor of Psychiatry / Medical Doctor with a specialization in Psychiatry specialization individual should have proven expertise and over 2 (years) experience in undertaking service delivery. Attach three reference letters
  • Provide list of assignments undertaken similar scope of work within the last 2 years along with names of clients (including contact person, email contacts, Postal address and telephone numbers – this must include the three referees provided above)
• Professional/technical capacity/ capability
  • The proposed staff should have relevant experience and professional qualifications in the relevant field

Financial Evaluation

• At the Financial stage, the Lowest Competitive Evaluated bidder and within budget estimates will be considered for the award of the contract.