Capacity Building Methods for Providers of Mental Health Interventions with Trauma Survivors in Low Resource Countries Center for Victims of Torture (CVT) Minneapolis, Minnesota

David R. Johnson, MD, MPH Linda Nielsen, MSW, LICSW Pamela Santoso, MPH (cand.) Carol White, MS, MPH (cand.) Neal 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 Interventions for Trauma Exposed Populations in Clinical and Community Settings Values Contextual Challenges Core Curricular Training Elements Monitoring & Evaluation -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