APPLICATION FORM
Capacity Building Program

Organized by
RESTART CENTER for Rehabilitation of Victims of Violence and Torture

Within the context of the UNHCR funded Project: “Mental Health Services and Psychosocial Support to Victims of Torture and War-trauma in North Lebanon”, Restart Center is organizing a training module on Mental Health, on the 29th &/or 30th of June, targeting 15 fieldworkers from the different sectors. This training will be designed in line with the results of the short assessment below, which serves as a tool to identify workforce training needs within the mental Health field.
The module will aim at improving fieldworkers abilities to deal with Mental health cases while ensuring safe practices. This objective will be achieved through the transmission of basic skills and practical techniques useful in the course of their usual work.

Appreciate completing the questionnaire below by June 20 latest

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A. Personal Details
First Name *
Surname *
Title *
Nationality *
Date of Birth *
MM
/
DD
/
YYYY
B. Contact Details
Address *
Email Address
Telephone/ mobile: *
C. Present Employment Details
Duty Station *
Organization’s Name *
Unit/Department *
Job Title *
D. Relevant professional details
Educational Background *
How long have you been working in your field of expertise? *
What are your areas of expertise? *
Have you attended a Mental Health related training during the past 12 Months? *
E. Training preferences
What’s your main objective in attending this Training Module? *
Please rate your level of need for the training sessions below *
High Need
Moderate Need
Low Need
No Need
Not applicable to Job
Developing a Safety Plan
Tele psychology – General considerations
Thinking in Different Way (TDW 1 & 2) technique (which helps turning unhelpful thoughts into helpful ones)
Care For caregivers (debriefing)
De-escalation techniques for managing agitated clients
Getting Active technique (which helps decreasing low mood)
Impact of COVID-19 and Lebanon’s Economic Crisis on Mental Health and Wellbeing
Introduction to Psychotic and other MH disorders
Please specify additional training needs related to Mental Health that you may have
Kindly indicate your preferences on the training duration?
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