5 issues practitioners should be aware of when working with survivors of war, torture, crimes against humanity and genocide

Our thanks to Mbalu Lumor, Senior Manager, Programs and Newcomer Services at the Canadian Centre for Victims of Torture (CCVT) for providing her insights.


1. It’s very likely that you have already met someone who has experienced torture, war, genocide or crime against humanity

If you live or practice in a metropolitan area, there’s a good chance that you have already encountered a survivor of war, torture, genocide or a crime against humanity.

Torture is an ancient practice that has existed for years, and, according to Amnesty International, is practiced in over 140 countries. Furthermore, according to Global Conflict Tracker, there are currently 27 ongoing conflicts worldwide.


2. What is Trauma?

In the context of Western knowledge and education, trauma “is an emotional response to a terrible event like an accident, rape, or natural disaster

And in CCVT’s many years of experience, the organization sees “trauma” as a person's reaction or response to an injury. The state and organized violent groups have inflicted pain and suffering on the individual - a normal reaction to a violent act that moves beyond the individual. It is a societal issue.

The state has not protected its citizens and they are forced to leave their countries and seek asylum and safety in various parts of the world, including Canada. Upon arrival to host countries such as Canada, it is important that survivors feel welcomed and have access to trauma informed care services to meet their unique needs.

3. The role of the community is essential in working with survivors of war, torture, crimes against humanity or genocide

Community is critical to the well being and the healing journey of a survivor.

CCVT’s community support model works from an integrated approach that complements both clinical intervention and the role of the community.

The CCVT’s community model is a holistic model that challenges how survivors are “pathologized” and referred to as needing “treatment”. Survivors are resilient and agents of their own recovery. To go back to CCVT’s definition of trauma - in the context of working with survivors, using “trauma” terminology implies that the individual is responsible for the response, rather than the broader systematic force caused by the state’s abuse of power.

This enables government and society in general to circumvent responsibility and liability. So CCVT works with various community partners, including volunteers who are the heart of the Centre to support survivors in their healing journey.

By working with the community, it becomes a societal issue in which everyone needs to be involved, for all of our wellness.

4. Torture and war affect more than just the individual

The impact of intergenerational trauma is massive.

Trauma from war or genocide affect not just the individual, family, or society living in an ongoing climate of war and conflict. Children are also impacted, and the injury continues to the next generation. We often forget about children and think they are young and might not recall.  In comparison to the adults, according to Dr. Marlinda Freire, children have no facility for differentiating what is normal, and as a result, can be more impacted than their parents or adults (War is not a Game, 2001)

5.  Self care is essential for Mental Health professionals

Trauma informed Care means not just caring about the service user, but also about caring for the service provider or practitioner. Proactively, policies, guidelines and reflective practices needs to be implemented on an ongoing basis to ensure both service user and provider are supported.

Service providers can often forget that they are part of the conversation. By working with a torture survivor, you will be impacted somehow. It's important for the individual, organization and society to be aware of the protective and risk factors to ensure the right supports are in place. We cannot perform meaningful work if we are not healthy.

COVID-19 Resources

In light of Coronavirus (Covid-19), OAMHP has made a number of links to information and resources available.

Here you will find information regarding online clinical practice, government updates, resources from the colleges and more. We continue to update this page and welcome any additional resources you feel would be of value to professionals in the mental health field.

Please know that OAMHP wishes to do all they can to help mental health professionals understand and anticipate the impacts of Covid-19. We also recognize we are not the experts and see our role as assisting you to find the best sources to provide answers to your questions. Please ensure you are staying up to date with the latest information.

Feb 11th, 2021

Two Masks to Protect Against COVID-19

Jan 22nd, 2021

ON Small Business Support Grant

ON Small Business Support Grant User Application Guide

Nov 27th 2020

Let's #maskup

May 27th 2020

CRPO Bulletin

CPO Update

CMOH Directive 2 for Health Care Providers

May 14th 2020

Press Release: Ontario Announces Additional Workplaces that Can Reopen

Guidance for the Health Sector

CPO Update:Return to Work Planning

CRPO Bulletin

CRPO has developed two practical tools for registrants to use in preparing to return to in-person practice:

Evaluating Risk of Transmission in Your Practice

Developing a Return to In-Person Practice Plan

Workplace PPE Supplier Directory

ELECTRONIC ASSESSMENT AND COUNSELLING

The section of our Standards of Practice that outlines information you may need.

Pearson Telepractice Resource Page

FAQ from OAMHP's Webinar on Telephonic Counselling

This article, a review of the Clinical Practice Online workshop we held last year that provides helpful items of consideration.

Electronic Practice guideline of the CRPO

Consent Template for Telehealth/Online Counselling (1)

Consent Template for Telehealth/Online Counselling (2)

Recap of the Establishing Online Clinical Practice Workshop, April 7th, 2020

OAMHP SUPPORT

Government Support during the Pandemic

Letter to Members March 27th

President's Message April 6th

Letter to the Members April 18th

CANADIAN GOVERNMENT RESOURCES

Government of Canada

Government of Ontario

Guidance Documents

City of Toronto

COVID-19 Health Care Provider Recruitment

Canada’s COVID-19 Economic Response Plan: Support for Canadians and Businesses

Finance Canada’s Backgrounder on expanded CERB

Government support for small businesses

CERB FAQ

Carleton prof plain-language guide for government aid

RESOURCES FROM THE COLLEGES

CPO - Covid Updates and Information

CRPO Website

Implementing Electronic Practice

Electronic Practice Guideline

Security Practice Checklist

Professional Practice Standards section 2, Competence

Professional Practice Standard 3.1, Confidentiality 

Professional Practice Standard 3.2, Informed Consent

Professional Practice Standard 3.4, Electronic Practice 

RESOURCES FROM PROFESSIONAL ASSOCIATIONS

RNAO updates and resources on COVID-19 for members and other health professionals

OMA - Virus Facts

RESOURCES FOR CLIENTS & THE PUBLIC

Mental Health Considerations during COVID-19 Outbreak

CBC - How to cope with anxiety related to the coronavirus

ADHD Brains Working at Home – A Beginner’s Guide to Telecommuting

Anxiety – Mindfulness – Mindful Breathing

ECHO Coping for Healthcare Providers responding to the COVID-19 pandemic

Suicide Care During COVID-19

Suicide risk and prevention during COVID-19

What COVID-19 Can Teach Us About Mindfulness

CNIB Foundation – Virtual Program Offerings

Making the Most of Online Therapy

Coronavirus: Guidance for Better Mental Health

RESOURCES FOR CHILDREN

Mentally Healthy Return to School Framework

Child Mind Institute – Talking to Kids about the Corona Virus

How to Explain Corona Virus to a Child with Anxiety

Mindfulness Meditation for Families

Helping Students Cope

ACCESSIBILITY 

Telus is offering free cell phones to clients unable to access technology. More information about this can be accessed here

Shaw has made Shaw hotspots available without a login or Shaw ID. More information can be found here. 

Rogers Communications is offering support to customers through flexible payment options and other offerings listed on their website here.
Bell is also supporting their customers and Canadians through their services and donations, which can be viewed here.

ADDITIONAL RESOURCES

John Hopkins - tracking the virus around the world

Centers for Disease Control and Prevention

The Washington Post - Masks, Here's How

Make a Mask for the 1000Masks Challenge

Beck Institute COVID-19 Resources Page

CBT for Anxiety

CBT for Anxiety

OAMHP is pleased to bring you the best in Cognitive Behaviour Therapy Training from Beck Institute

Registration open until February 24

Program Information

Cost:

Regular Rate

From December 8, 2020:

OAMHP Members: $375 +HST

Non-members: $475 +HST

Early Bird Rate (expired)

until December 7, 2020:

OAMHP Members: $300 +HST

Non-members: $400 +HST

CECs: 16

Dates: February 26-27, 2021

Time: 8:00am-5:30pm ET

Location: Zoom

Program Description

This 2-day experiential workshop will provide instruction, demonstrations, and practice opportunities for using CBT to treat anxiety disorders. The workshop will begin with an explanation of the theory, research, and principles of the CBT Model. We will delve directly into explanation of and demonstration of the way cognitive-behavioral conceptualizations are done with individual clients who have anxiety disorders. We will review the cognitive-behavioral model for anxiety in general and discuss psychoeducation provided to patients regarding etiology and intervention. We will learn core CBT interventions and their application to the treatment of anxiety disorders, as well as to applying CBT to specific anxious presentations. The role of mindfulness and recent research on optimizing exposure therapy will also be discussed.

Presenter

Dr. Shona Vas is an Associate Professor in the Department of Psychiatry & Behavioral Neuroscience at the University of Chicago where she has worked for the past 15 years and is involved in clinical, educational, administrative, and scholarly activities. Dr. Vas serves as the Director of Clinical Psychology Training and as the Director of the Cognitive Behavior Therapy Program which she established in 2005. Dr. Vas provides courses in introductory and advanced CBT to psychology practicum students, interns, and postdoctoral fellows and is also involved in the education of psychiatry residents. Dr. Vas supervises numerous trainees in the delivery of cognitive-behavioral assessment and therapy. She is also involved in a federally funded research project designed to assess therapists’ CBT skills as they provide CBT for anxiety to a computer simulated patient. Dr. Vas has been affiliated with the Beck Institute since 2019 and is considered an expert in the treatment of anxiety disorders.

Beck Institute is the leading international source for training, therapy and resources in Cognitive Behavior Therapy (CBT), a time-sensitive, structured, evidence-based practice directed toward solving current problems. For over 25 years, the non-profit Beck Institute has trained tens of thousands of health and mental health professionals around the globe in excellent CBT.

Our mission is to improve lives worldwide through excellence in CBT. We believe that better trained professionals can help their clients feel better faster and stay healthier for longer periods of time.

To Register

Space is limited (only 50 spots)

Non-Member's

Member's sign up from the