Medical Education in Conflict


As Ulster University’s School of Medicine moves into its second year of existence, and our medical students start to undertake more clinical placement, we have been thinking more about the places where they will work and the patients with whom they will interact. Our partner medical school is St George’s University of London, and so all curriculum materials relate to a London based environment.

Our own setting is of course different, and one thing that sets it apart from London is the fact that is recognised to be a society emerging from conflict . Through its international Conflict Research Institute (INCORE), Hume O’Neill Peace Chair and work in the Schools of Psychology and Social Sciences (to give some examples), Ulster University has committed to exploring the impact of conflict on a range of areas in Northern Ireland.

The Chair will participate in an initiate conversation with students and educators about their views of medical education in a post-conflict setting. If you would like to join us on Weds 16 November 2022, 6:30pm (online) sign up here.

Disasters Mental Health Conference

 On 29 September 2021, the Chair gave a keynote address entitled “Individual and Collective Recovery from Human-Caused Disasters: Lessons from Political Violence Around the Globe”. The keynote was delivered to the Institute for Disasters Mental Health Conference which this year had the theme of “From 9/11 to Covid-19, Lessons from Two Decades of Disaster Responses”.

This IDMH conference, hosted by State University of New York (Online), brought together a roster of expert presenters from across the US to review how much has been learned about incorporating mental health needs into emergency response, and to look ahead to where we can. Professor Hamber’s keynote explored lessons from managing political violence for mental health in disaster settings.

‘New normal’ is abnormal

Professor Brandon Hamber, Hume O’Neill Chair, has published a new piece in Belfast Telegraph.

In my work dealing with the impact of political violence, a constant challenge is reminding people that when addressing survivors’ needs during times of conflict, it is the social context that is often the primary stressor. For example, as much as therapy for victims of conflict is useful, its value is limited if the conflict’s legacy persists and the social environment is destroyed.

You also cannot think about conflict without understanding that it has differential impacts. In Northern Ireland, for example, the neighbourhoods with the highest conflict death rate are those with the highest levels of poverty. When it comes to addressing the mental health impact of Covid-19, it seems we have a similar situation. We are acting as if the pandemic is only a medical problem, a behavioural issue (wear your mask, wash your hands, socially distance) and finally, a psychological question of coping mentally.

Continue reading on Medium, link.

“Coronavirus – baby and mom” by https://www.vperemen.com is licensed under CC BY 2.0

MHPSS in Peacebuilding

On 15 October the Chair, Professor Brandon Hamber, gave an address to the “Annual Conference 2020: Harnessing Potential” hosted by The Knowledge Platform Security & Rule of Law. The speech focused on the “Enhanced Integration of Mental Health and Psychosocial Support (MHPSS) in Peacebuilding”. The speech focused on sharing the recommendations for the UN Peacebuilding Architecture Review developed with a multidisciplinary Task Force of which I was a member. The Task Force was established by the government of The Netherlands which is promoting the integration of mental health and psychosocial support in peacebuilding efforts. You can listen to my speech below:

Brandon Hamber · Recommendations of the Task Force on MHPSS in Peacebuilding and the Netherlands MFA

NIAC Submission: Mental Health

In early 2020 the Northern Ireland Affairs Committee (NIAC) launched a new consultation on “Addressing the Legacy of Northern Ireland’s past: The UK Government’s New Proposals”. This consultation specifically focused on the Northern Ireland Secretary of State, Brandon Lewis’, proposal around dealing with the past, i.e. the Ministerial Statement: Addressing Northern Ireland Legacy Issues: Written statement HCWS168 (18 March 2020). The NIAC consultation sought views on this statement.

In response to this consultation, the Chair and Professor Siobhan O’Neill, Professor of Mental Health Sciences, Ulster University, made a submission to the Committee. Our submission (download in full here) argues that the new proposals aim to address some of our concerns about the Stormont House Agreement by reducing the number of institutions that victims and survivors will need to engage with. This minimises the risk that victims will be re-traumatised by having to engage with multiple institutions. However, the new proposals also emphasise the process of gathering information rather than justice. We argue that this will cause significant hurt to many for whom justice was required for meaning-making, and who had awaited justice in order to process the trauma and recover. You can read more here.