available in Paris and Lyon, but not in the
Calais area or in other regions. 122
relocation of asylum seekers between the
different centres. 113 Médecins du Monde,
which provides psychosocial and health care
services in the Moria hotspots in Lesvos,
Greece underlined that the facility is not
adequate for vulnerable people who need
therapeutic care as it cannot be successfully
provided as long as patients stay there. 114 As
reported by Human Rights Watch, a
psychologist from the medical organisation
WAHA underlined that the “basic rule in
psychology is that the patient must change
the environment around him and oblige
himself to change his way of thinking. Here it
is very difficult. I can’t make refugees accept
the life under sun, rain, hot, cold...” 115 MSF
made similar conclusions. 116 Some centres for
torture victims – for example, in Sweden 117–
do not treat asylum seekers because longterm treatment should be provided only to
persons with permanent residence.
Information and interpretation
The manner in which victims of torture or
traumatised persons are informed about their
options also varies. In some Member States,
such as Austria, asylum seekers are informed
about available support and services at the
initial stages of their application,123 whereas in
others – for example, Hungary 124– this mainly
occurs through leaflets, with lists of services
available at the reception centres. In some
Member States, it is mainly NGOs which
inform the victims of torture of their support
options, as is the case, for example, in
Slovakia. 125
Language barriers can often prevent victims
from receiving necessary care. Information
regarding access to care is in principle given
to victims in a language which they
understand or through interpreters – for
example, in Slovakia, Austria, and Hungary. 126
The quality of the information may depend on
the availability of qualified interpreters. For
example, in Sweden, due to the long
distances and the lack of availability of
interpreters for all languages, interpretations
are likely to be carried out over the phone. 127
In Bulgaria, the Nadia Centre reported that a
number of newly appointed interpreters and
social mediators lack the necessary
knowledge and skills to deal with such
delicate situations and may actually hamper
the proper provision of psychological care. 128
The lack of sufficient resources can lead to
long waiting periods. As an illustration, in
Austria, the waiting time for therapy is
between two and six months. 118 In Germany,
access to the national healthcare system is
limited for the first 15 months, except for
treatment for acute illness and pain. 119
Therefore, victims of torture rely on the 34
external psychological centres that deal with
this demand.
The German Federal Association of
Psychosocial Centres for Refugees
and Victims of Torture indicated
that about 5,600 asylum seekers
had to wait for more than a year to
receive treatment or get an
appointment with a specialist. 120
Coping with trauma and torture –
drug dependence
Issues of access can also vary within a
country from region to region. In Finland,
Amnesty International underlined that
services for torture victims should be
available in all parts of the country, so as to
make treatment and rehabilitation services
accessible to all victims. 121 In France, the
association Parcours d’exil stresses that the
supply of care is inadequate compared to the
demand, with a significant lack of resources
and poor distribution of care organisations
across the country. For example, services are
FRA also explored to what extent victims of
torture or severely traumatised persons
display signs of drug dependence. Limited
information on the link between trauma and
drug use emerged. Drug problems among
asylum applicants and migrants have been
given little attention so far. However, it
affects a number of young people, including
children, and creates safety risks for others in
reception facilities.
Data availability and extent of problem
14
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