Resilience is a dynamic, multi-level, multi-systemic process of positive adaptation at the individual, family and community levels. Promoting resilience can be a cost-effective form of preventive and early intervention, offering significant health advantages for young people throughout their lives. Developing resiliency interventions for youth and their families in low- and middle-income countries (LMICs), particularly in the context of the ongoing pandemic, is especially important given a lack of services and trained specialists, and poor levels of public spend on mental health, alongside marked and clustered psychosocial disadvantages and adverse childhood experiences. We propose a ‘hybrid’ model targeting 10- to 17 year-old children and their families, and options to engage through communities, schools and the family unit. These options will enhance individual and family resilience, and possibly buffer against adversity. The adaptations respect cultural and health beliefs, take account of structural drivers of inequalities and are suitable for LMICs.

复原力是在个人、家庭和社区层面积极适应的动态、多层次、多系统的过程。提高复原力可以成为一种具有成本效益的预防和早期干预形式，为年轻人的一生提供显着的健康优势。鉴于缺乏服务和训练有素的专家，以及公共心理健康支出水平低下，为中低收入国家 (LMIC) 的青年及其家庭制定复原力干预措施尤为重要，尤其是在当前大流行的背景下，以及显着和集中的社会心理劣势和不利的童年经历。我们提出了一个针对 10 至 17 岁儿童及其家庭的“混合”模式，以及通过社区、学校和家庭单位参与的选项。这些选项将增强个人和家庭的复原力，并可能缓冲逆境。改编尊重文化和健康信仰，考虑到不平等的结构性驱动因素，适合中低收入国家。