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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