The case for integration of climate change adaptation and MHPSS
The loss of the ability to use their knowledge and skills to manage their natural environments to sustain lives and livelihoods can challenge men’s and women’s fulfillment of their caregiving and economic roles within their families, and their social roles as productive members of their communities. This may affect their sense of self-efficacy, self-worth, and dignity, and result in a loss of perceived control over their lives and livelihoods. These would directly impact their mental health and psychosocial well-being. Cianconi et al. have highlighted how experiencing loss of control and powerlessness over one’s environment and resource bases in the context of climate change causes uncertainty and stress that affect people’s mental well-being.
The global discourse on climate change and mental health, viewing these through a clinical lens, has offered diagnostic labels such as ‘solastalgia’ or ‘eco-anxiety’ to describe conditions related to grief or anxiety over the loss of familiar environments caused by climate change. Regardless of the frameworks we use to articulate these conditions, it is vital to understand that people’s difficulties and distress resulting from climate change are shaped by the particular psychosocial meaning of the impacts on them. In Sri Lanka, the experiences of climate change impacts and consequences on mental health and psychosocial well-being may vary significantly across communities, within them, and even between members of the same family.
…impacts of climate change weigh heavier on people who already experience structural discriminations and social injustices in their daily living…
When supporting individuals and groups in communities, including families living in extreme poverty, socially marginalised groups, and people with disability, it is vital to recognise their particular intersectional vulnerabilities to climate change. As with other crises, adverse impacts of climate change weigh heavier on people who already experience structural discriminations and social injustices in their daily living, or who have historical experiences of adversity. In Sri Lanka, this means that the impacts of climate change are compounded by the impacts of war experience, the COVID-19 pandemic, and the ongoing economic crisis. More visible crises may also sometimes overshadow the slower and less dramatic dimensions of climate change impacts, making it hard for service providers and policy-makers to recognise the role of the latter. The MHPSS field in Sri Lanka would better serve many of the vulnerable communities and groups that it seeks to assist if it were more sensitive to climate change as an increasingly important determinant of people’s well-being. A climate change perspective will be relevant to every level of MHPSS response – from caring for individuals with acute impacts, targeting support to specific groups, responding to collective experiences of affected communities, to addressing underlying environmental and material factors. MHPSS responses informed by a climate change perspective may need to take on new approaches and emphases – for example, engaging more deeply with communities’ relationships to place and environment, or emphasising more on processes that build collective resilience to hazards and adverse changes, that are shared experiences.