Capacity Building Methods for Capacity Building Methods for Providers of Mental Health Providers of Mental Health Interventions Interventions with Trauma Survivors with Trauma Survivors in Low Resource Countriesin Low Resource Countries
Center for Victims of Center for Victims of TortureTorture
(CVT)(CVT)Minneapolis, Minnesota
David R. Johnson, MD, MPHDavid R. Johnson, MD, MPHLinda Nielsen, MSW, LICSWLinda Nielsen, MSW, LICSWPamela Santoso, MPH Pamela Santoso, MPH (cand.)(cand.)
Carol White, MS, MPH Carol White, MS, MPH (cand.)(cand.)
Neal Porter, MA, MPPMNeal Porter, MA, MPPM
“To heal the wounds on individuals, their families, and their communities and to stop torture worldwide.”
Center for Victims of Torture, 2003
CVT: hybrid health care & human rights organization
I. Mission & target population
II. Human Rights / Advocacy work
III. Local health care and training
IV. National Capacity Building
V. International Services & Capacity Building
CVT International Projects
International Services
International Capacity Building
Project
Trauma Healing Initiative - Cambodia
Provide direct services, training / capacity building, & community sensitization.
Build clinical, organizational, & advocacy capacity of foreign torture treatment centers.
Develop capacity of government & non-governmental service providers, & expands resource network
-Sierra Leone
-Guinea (completed)
-Liberia
-Democratic Republic of Congo
-Sudan, Ethiopia, Rwanda, Uganda, Kenya, Cameroon, Namibia, S. Africa.
-Bangladesh, India, Cambodia, Pakistan
-Palestine, Bulgaria, Romania, Kosovo
-Peru, Guatemala.
-Cambodia
Guidelines for International Training in MH & Psychosocial Interventionsfor Trauma Exposed Populations in Clinical and Community Settings
ValuesValues Contextual Contextual ChallengesChallenges
Core Curricular Core Curricular Training ElementsTraining Elements
Monitoring & Monitoring & EvaluationEvaluation
-Respectful
-Scientific
-Legitimacy of multiple perspectives
-Open dialog
-Integrating differing perspectives
-Culturally sensitive
-Entering insecure environments
-Consider needs of all subgroups
-Integrated with development efforts
-Address short & long term challenges
-Transparent
-Uses public health principles
-Listening & communication skills
-Assessment
-Interventions to diminish distress
-Understand local context
-Problem solving strategies
-Treat unexplained somatic pain
-Ongoing supervision structure
-Covers self care
-Training include monitoring / eval.
-Identify objective w/ needs assess.
-Identify process indicators
-Indicators to evaluate impact on trainees skills, on services, and on beneficiaries.
-Use appropriate approaches
-Report & dissem.
Weine, S., Danieli, Y., Silove, D., van Ommeren, M., Fairbank, J., & Saul, J.
Three Models of Clinical Capacity Building
Project Description
Key Activities
Context and process for model selection
Strengths and challenges of each approach
•Scope
•Sustainability
•Effectiveness
Lessons Learned