only 8.2 million USD (approximately 6 million EUR) in
2012), and its donor base has shrunk from 38 to 22
donors. The support of states is vital to fuel the fund,
and she underlined the importance of advocating to
governments of the importance of maintaining their
contributions.
Dr Mechthild Wenk-Ansohn (Berlin Center for the
Treatment of Torture Victims, Germany) spoke about
the importance of the General Comment as an invitation to bring in the knowledge of specialist rehabilitation centres in defining the right to rehabilitation
framework. She identified the need to enhance mechanisms so that access to treatment is guaranteed
for all. In addition, raising awareness and ensuring
improved methods for recognising victims of torture
through screening are essential to ensuring accessibility. Linked to this is the need to train professionals
in primary healthcare system to recognise the signs
and symptoms of torture. One issue that was raised
in the parallel workshops was how to encourage more
medical professionals to specialise in this area of
work. Dr Wenk-Ansohn highlighted the importance of
offering training on forensic documentation of torture
and other related issues, in combination with training
on general violence so as to attract more interest
from medical and health professionals. Rehabilitation centres should be at the forefront of sharing this
knowledge and expertise and promoting training in
this area of work. In terms of providing appropriate
treatment, Dr Wenk-Ansohn highlighted the need
to take a multidisciplinary approach and to offer a
combination of support services involving psychological, social and family interventions, as well as access
to education and help with employment. Specialised
services should be linked to the public health system
to encourage sharing of knowledge and increased
cooperation.
In terms of funding, she recognised the current challenges faced by rehabilitation centres, particularly
with the decrease in European Union funding, but also
the difficulties of encouraging states where torture
is practiced to fund rehabilitation. In terms of tools
“”
“”
The conference provided us with the tools,
arguments and rationale that we can
use in our own countries to promote rehabilitation of torture survivors.
22
International Rehabilitation Council for Torture Victims
Karen Hanscom, Advocates for
Survivors of Torture and Trauma, USA
to use, she highlighted the reporting mechanism,
particularly to the Committee, and gave the example
of the Parallel Report produced by bzfo and other civil
society organisations on the treatment of detained
persons awaiting deportation in Germany. In addition, she highlighted the significance of lobbying at
the national and international levels and the importance of cooperation, for example through coalitions
to achieve more weight and coordinate at a strategic
level.
Finally, Dr Nimisha Patel summed up the challenges
faced in implementing the right to rehabilitation from
the clinical perspective. She emphasised the need
to implement ethical interventions in which survivors are involved in the process and that provide a
common conceptual understanding of rehabilitation.
In terms of rehabilitation as a form of reparation for a
wrong committed she highlighted the clinical ethical
imperative to provide a humanitarian response (as
an addition to the legal obligation). Working towards
implementation, service providers need to be able
to define their working models and justify these in
terms of the local context and needs. The designing
and delivery of services is a continuous process of
evaluation and review, with the need to question and
adapt. The planning and development of a workforce
is an essential element of this process, thus a need to
identify the necessary skills and training to meet the
required standards. The training needs to maintain
a specialised and effective workforce and the cost
of delivery of services need to be reviewed in relation to financing, in particular given the current challenges with reduced funding from sources such as the
UNVFVT. In relation to accountability, Dr Patel encouraged the movement to see the General Comment and
other legal instruments as tools that can be used to
hold states accountable through reporting mechanisms and shadow reports. Related to this is the
importance of data collection that can demonstrate
why rehabilitation is needed and how it works. She
pointed out that our greatest accountability is to the
victims themselves and in meeting our commitment
to torture survivors, the ability to work and collaborate across all disciplines is vital.
“”
It was a meeting where it was possible to
exchange opinions with other centres,
both in the same region and from remote
areas. That has enriched us, to observe other
forms of work. It is a continuous learning.
Juana Luisa Lloret, Centro de Atención Psicosocial, Peru
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