Pakistan floods: innovations and guidance for the response.

We are Elrha, a force for change in the humanitarian community. The research and innovation we support equips the humanitarian community with the knowledge of what works, so people affected by crises get the right help when they need it most.
Our purpose is clear: to empower the humanitarian community to improve humanitarian response. We make this happen by supporting and championing the outcomes of robust research and proven innovations.
We empower the humanitarian community. Find out how we can support you...


One in five people affected by humanitarian crises experience significant mental health concerns. Mental health and psychosocial support (MHPSS) interventions with the strongest evidence (i.e., specialized, face-to-face, psychotherapeutic treatments) are not designed for implementation at scale: these interventions often only reach individuals or small groups at a time, are resource-intensive, rely on a skilled workforce virtually non-existent in most low-resource settings, and address one mental health problem rather than the multiple forms of psychological distress. Further, MHPSS interventions implemented on their own may not address other social determinants of mental health such as physical health, violence, and poverty.


Self Help Plus (SH+) was developed by WHO to directly address limitations to scale of MHPSS interventions. SH+ consists of 5 audio-recorded sessions and illustrated self-help book delivered in large workshops by a minimally trained lay provider. SH+ builds on evidence of guided self-help interventions and modern stress management techniques. HealthRight International has worked with WHO and other partners to translate, adapt, and test SH+ with South Sudanese refugee women in northern Uganda over the past six years. We intend to scale SH+ through a service called SH+360. Building on our knowledge of the MHPSS space and detailed experience with SH+, SH+360 is a consultancy model of tailored support delivered across the full project cycle to help leading humanitarian partners integrate SH+ into their programming across sectors. Through this project we will integrate SH+ with programming in other humanitarian sectors, such as health and protection in Uganda.


The expected outcomes from this project include having expanded the reach of SH+ through key existing partnerships in health, protection, and/or livelihoods programming in Uganda, built a knowledge-base for SH+ in the context of real-world implementation and integration with non-mental health and psychosocial support humanitarian programming for more sustainable service delivery at scale, and to have developed an understanding of humanitarian organizations’ perceptions of value for various components of SH+360. We also plan to learn about the global market for models like SH+360 and to forge new partnerships within our networks.

Latest Updates

Can innovative self-help workshops help meet the immense needs for mental health and psychosocial support amongst refugees?

Apr 2022

Read more about HRI's strategy for scaling here


SH+ 360: novel model for scaling up a mental health and psychosocial support programme in humanitarian settings

Aug 2022

We explore multi-sectoral integration as a model for scaling up evidence-based mental health and psychosocial support interventions in humanitarian settings.


The realities of implementing Self-Help Plus – what have we learnt so far?

Nov 2022

It has been a year and a half since we started on our journey to scale – a year and a half of initiating and developing partnerships, building relationships and co-creating pathways to scale together with our partners.


Subscribe to our newsletters....

Elrha © 2018 - 2023 Elrha is a registered charity in England and Wales (1177110). KEEP IN TOUCH Want to stay up to date with our latest updates? Sign up to our newsletters
Elrha Please upgrade your browser

You are seeing this because you are using a browser that is not supported. The Elrha website is built using modern technology and standards. We recommend upgrading your browser with one of the following to properly view our website:

Windows Mac

Please note that this is not an exhaustive list of browsers. We also do not intend to recommend a particular manufacturer's browser over another's; only to suggest upgrading to a browser version that is compliant with current standards to give you the best and most secure browsing experience.