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Paul Orieny , PhD and Veronica Laveta , LCSW, MA

Efficacy of rehabilitation treatment approaches: Group counseling torture treatment model for low resource settings. Paul Orieny , PhD and Veronica Laveta , LCSW, MA Clinical Advisors for Mental Health Center for Victims of Torture. Why a new model?. A lot has changed in the field

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Paul Orieny , PhD and Veronica Laveta , LCSW, MA

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  1. Efficacy of rehabilitation treatment approaches: Group counselingtorture treatment model for low resource settings Paul Orieny, PhD and Veronica Laveta, LCSW, MA Clinical Advisors for Mental HealthCenter for Victims of Torture

  2. Why a new model? • A lot has changed in the field • Need to consolidate “practice experience” from different direct services sites • Further align model with research evidence about “what works” • Increase the therapeutic benefit to clients by building in elements to sustain the gains over time

  3. Practice-Based Evidence Review of Evidence-Based Practices New Model Facilitator and supervisor feedback PILOT Consolidation and Model Revision Old Model Client Feedback Expert Consultation

  4. Restoring Hope and Dignity: Manual for Group CounselingCenter for Victims of Torture

  5. Assessment, Treatment Planning and Follow-Up Remembrance and Mourning Reconnection to Self & Others Safety and Stabilization Working Through A Traumatic Memory River of Life: Honoring Our Life Story Addressing Multiple Losses & Reclaiming Goodness Connecting our Minds & Bodies Looking to the Future Using Our Strengths & Resources to Help Us Cope Creating a Safe Space Closure and Celebration

  6. What changed? • Interventions tied to theoretical rationale • Integration of somatic interventions • Emphasis on home practice • More in depth sensory trauma processing • Strengthening interpersonal aspects (through pairs and smaller group work and encouraging outside connections) • More robust grief and mourning section integrating processing around shame and guilt

  7. Session 2: Using our resources to help us cope

  8. A note on shame and guilt… • Close monitoring by clinical advisors and field supervisors in the pilot phase revealed that we were missing a critical aspect that was indirectly coming up in sessions but was inadequately addressed by the new model: Shame and guilt were keeping clients ‘stuck,’ limiting their ability to fully grieve or process their trauma • We completely re-worked sessions 7 & 8 to address these issues and have had very positive feedback by the clients and the counselors about these sessions

  9. Sessions 7 & 8: Addressing multiple losses and reclaiming goodness

  10. Closing practice • The closing practice integrates movement, breath, grounding, imagery, feelings, thoughts and affirmations. It is intended to promote integration of the session’s teachings and therapeutic processes. Integration is an essential component of restorative work with survivors of trauma. • Let’s practice!

  11. Initial results

  12. Plans for RCT • Jordan • 3 arm study to test group counseling model as well as testing our group counseling model combined with our concurrent group physiotherapy model

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