 Specialised care facilities for victims of torture or severely traumatised asylum applicants are limited. Even where these exist, the facilities often do not adequately cover the needs of victims of torture and traumatised persons. the Foundation, they are open to listening to the Foundation’s recommendations in terms of preventive measures and policy changes. According to the Immigration and Asylum Office, all indications from Cordelia staff members of potential incidents of abuse or violence are investigated. Sources: Hungary, Cordelia Immigration and Asylum Office As an illustration, the German Federal Association of Psychosocial Centres for Refugees and Victims of Torture (Arbeitsgemeinschaft Psychosozialer Zentren für Flüchtlinge und Folteropfer, BAfF) reports that places in facilities for particularly vulnerable persons, including those specially designed for traumatised refugees, are far below current needs. There are numerous inquiries from staff in hospitals, psychiatric institutes and counselling centres who want to accommodate their clients and patients in these facilities but do not succeed. 107 In Greece, UNHCR highlighted the lack of emergency accommodation for extremely vulnerable people, such as shipwreck survivors and survivors of sexual genderbased violence. 108 Foundation; Deficiencies are reported in several Member States regarding the access, availability and quality of psychological care. If specialised care is unavailable, victims of torture or traumatised persons are directed to the psychological care available to all asylum seekers in reception centres. However, numerous centres are under-resourced and cannot meet the demands for rehabilitation.  The limited number of specialised medical staff who can provide psychological or psychiatric support is a recurrent issue. For example, in Spain, there is usually one psychologist in every reception centre for asylum seekers. In some Spanish reception centres, the number of asylum seekers can be as high as 120. 110 The number of persons in need of psychotherapy is estimated to be much higher than what can actually be provided, especially in bigger cities. For example, in Austria, one organisation in Vienna currently has 400 persons in need of assistance on its waiting list. 111 The shortage of psychologists due to lack of funding was also mentioned in Bulgaria. 112 In Greece, the availability of psychological and psychiatric care is limited, especially in remote areas and on the islands: asylum seekers and immigrants in need of psychiatric care are referred to the local hospitals, where capacity is limited. In Samos, for example, there is only one psychiatrist for the whole island. Specialised psychological and medical care The majority of EU Member States provides for some kind of psychological care for victims of torture or otherwise traumatised persons. This is often done in cooperation with NGOs – in Hungary, for example, through the Cordelia Foundation. 109 Cooperating to support victims of torture and trauma in Hungary In Hungary, the Cordelia Foundation cooperates with the national authorities by providing support to victims of torture and trauma. On a regular basis – in most cases daily– the Foundation’s staff members visit the reception and detention centres and assist torture victims, severely traumatised asylum seekers and refugees. Cordelia installed complaint boxes in the open refugee camps and the asylum detention centres so that refugees and asylum seekers can submit their complaints in writing. The Foundation always reports incidents of violence or abuse to the heads of reception centres, and since the authorities have very good relations with  Starting longer-term therapy for people who are homeless or when conditions in the reception facility are not adequate to sustain such therapy poses another challenge. In the Netherlands, one of the main problems in providing psychological care is the frequent 13

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