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Psychosocial assistance in emergencies plays an important role in alleviating suffering and promoting well-being, but it is often a source of unintended harm. A prerequisite for ethically appropriate support is awareness of how psychosocial programs may cause harm. This paper underscores the importance of attending to issues of coordination, dependency, politicization of aid, assessment, short-term assistance, imposition of outsider approaches, protection, and impact evaluation. With regard to each of these issues, it suggests practical steps that may be taken to reduce harm and maximize the humanitarian value of psychosocial assistance. ; L'assistance psychosociale dans des situations d'urgences joue un rôle important dans le soulagement de la souffrance et la promotion du bien-être ; mais, souvent, elle est la source de préjudices non intentionnels. Une connaissance de la façon dont les programmes psychosociaux peuvent causer des préjudices est un préalable pour un support éthiquement convenable. Cet article souligne l'importance de la prise en considération des problèmes liés à la coordination, la dépendance, la politisation de l'aide, l'évaluation, l'assistance à court terme, l'imposition des approches par des personnes extérieures, la protection, et l'évaluation de l'impact. Il suggère des mesures pratiques qui peuvent être prises par rapport à chacun de ces problèmes pour réduire les préjudices et optimiser la valeur humanitaire de l'assistance psychosociale.L'assistance psychosociale dans des situations d'urgences joue un rôle important dans le soulagement de la souffrance et la promotion du bien-être ; mais, souvent, elle est la source de préjudices non intentionnels. Une connaissance de la façon dont les programmes psychosociaux peuvent causer des préjudices est un préalable pour un support éthiquement convenable. Cet article souligne l'importance de la prise en considération des problèmes liés à la coordination, la dépendance, la politisation de l'aide, l'évaluation, l'assistance à court terme, ...

The humanitarian system is struggling to adapt to changes in the global political environment, trends in armed conflict and displacement, and advances in science and technology. In recent years, the international community has undertaken a number of efforts to overcome these challenges, such as the Agenda for Humanity, a plan that outlines the changes needed to alleviate suffering, reduce risk, and lessen vulnerability on a global scale. This article reviews recent evidence from a range of disciplines to inform these efforts, especially as they relate to the protection of children. Early childhood and adolescence constitute two critical periods of child development that lay the foundations for future health and wellbeing. Exposure to adversity in crisis contexts can compromise this development, with potentially life-long consequences. Evidence suggests that relationships with caregivers and peers play a central role in mediating childhood experiences of adversity. Unfortunately, interventions for children affected by crises are usually too fragmented to maximize the protective effects of healthy relationships. This article stresses the importance of developing multisectoral and relational interventions capable of promoting healthy development across the life course. Given the central role of caregivers, the household is an especially powerful level of intervention for combining approaches from different sectors. More concerted efforts are needed to develop household interventions that combine traditional sectoral approaches with innovative, cross-cutting measures, such as cash transfers and parental support. Household interventions should also be an integral part of broader community and society level actions, which together form more comprehensive systems of care.