Middle East - CVT Jordan
Jordan is home to hundreds of thousands of refugees fleeing wars and violence in Iraq and Syria. The refugees – men, women and children – have experienced tremendous suffering, including brutal torture and other terrible human rights abuses.
Since the start of the uprising against the Syrian government in March 2011, hundreds of thousands of Syrians have fled to other countries. Over 210,000 Syrians have registered with the United Nations refugee agency in Jordan and the government of Jordan estimates more than 300,000 Syrians have sought sanctuary there. According to the United Nations Human Rights Council, the Syrian government and its militias (known as shabiha) have demonstrated “patterns of summary execution, arbitrary arrest, enforced disappearance, torture, including sexual violence, as well as violations of children’s rights.”
As many as 3,000 Syrians arrive in Jordan every day and a UN official said 50,000 are waiting to cross the border. CVT Jordan staff say that many arrive in poor physical health, some still bearing the wounds of torture. Read our February 20 Facebook chat with CVT Jordan Psychotherapist Adrienne Carter on the trauma experienced by Syrian refugees and what the CVT's mobile unit in Jordan is hearing and witnessing.
Iraqis continue to suffer severe human rights violations since the US-led invasion of Iraq in 2003. After President Saddam Hussein was overthrown, Iraq became a battleground for competing forces that the Shia-led government has not been able to stem. Insurgent groups, including angry Sunnis, former army officers, supporters of the Hussein regime, and Al-Qaeda affiliated groups, targeted civilians and security forces through campaigns of kidnappings and killings. A surge of US troops in 2008 lessened the number of attacks, although sporadic attacks continue.
According to Human Rights Watch, Iraqi security forces clamp down violently against peaceful demonstrations for better services and an end to corruption. Indefinite detention and torture continue with impunity, especially for women and minorities.
The number of Iraqi refugees registered with the United Nations refugee agency in Jordan remains stable at about 29,000. This number includes new arrivals, resettlement departures and some returning to Iraq. Many fear returning because of ongoing unrest, violence and threats to themselves or their families. CVT Jordan continues to receive new Iraqi clients who arrived in Jordan over the last year, including a small number of Iraqis who fled violence inside Syria.
Seeking Safety in Jordan
Iraqi and Syrian refugees in Jordan survived highly traumatic events, including witnessing death, kidnappings, bombings and rape. They experience on-going physical, mental, and emotional challenges. Relationships are strained and families are torn apart. Many have lost everything. While the Iraqi refugee population in Jordan has stabilized, Syrian refugees continue to arrive by the thousands and humanitarian efforts are struggling to provide for basic needs.
Those who survive torture and war can be left with a number of disabling conditions that interfere with basic daily functions. Symptoms can include chronic pain, musculoskeletal and nerve impairments, headaches, and incessant nightmares and other sleep disorders. Survivors can become immobilized by their feelings and symptoms, unable to function within their communities or contribute to their family’s well-being.
Our healing initiative in Amman, Jordan began in 2008 to help highly traumatized Iraqi refugees suffering from the effects of torture and war. Today, we provide care to Syrian refugees and have expanded our clinic in Amman to include a mobile unit that travels daily to areas in northern Jordan where there are large numbers of Iraqi and Syrian refugees who otherwise could not access care.
Healing Care for Refugees
Torture and war affect all aspects of a person’s life and go beyond the individual to the family and the community. As part of the holistic healing approach, we provide mental health, physical therapy and social referrals and case management for Syrian and Iraqi refugees in Jordan. Our healing services are provided by professional clinical staff who are Jordanian, Palestinian and Iraqi from various ethnic backgrounds.
Psychotherapeutic services help survivors reduce very high levels of distress and improve their ability to function effectively within their families and communities. Physical therapy helps survivors decrease the pain and disability of torture, increase body awareness and self-regulation, and regain function in daily living by learning techniques to self-manage their conditions over time. Social services provided by social workers ensure refugees’ needs are being met. We also conduct home visits to support and educate family members.
Follow-up assessments are conducted at 1, 3, 6, & 12 month intervals to monitor progress. Improvement is both statistically significant and meaningful with reductions in depression, anxiety, posttraumatic stress, somatic, and behavioral symptoms, and an increase in the number of supportive relationships. After receiving care from CVT, survivors consistently report increased hope, better coping skills and improved relationships.
We are also building local mental health and physical therapy resources by creating specialized trauma treatment skills in a cadre of Jordanian, Palestinian and Iraqi mental health and physical therapy staff. Our intensive training is focused on trauma treatment, with staff learning alongside experienced trauma psychotherapists and physical therapists. The counselors, physical therapists and social workers provide culturally appropriate care and can continue to act as mental health, physical therapy and social services providers, advocates and educators long after our work in Jordan is completed.
CVT also provides training for the staff of other organizations, including health and social service providers, university students and others to increase their understanding of the effects of torture and war trauma and the benefits of mental health and physical therapy within a multidisciplinary approach.
CVT’s work in Jordan is made possible with support from the U.S. State Department Bureau of Population, Refugees and Migration, the UN Voluntary Fund for Victims of Torture, and the United States Agency for International Development/World Learning and the American people’s support.
PHOTO: UNHCR/P. Sands. An Iraqi refugee looks out over Amman.
CVT Jordan used an innovative storytelling approach to counseling with two groups of fathers and their teenage children, most of them boys. The process of developing their stories helped them talk about their pain and encouraged participation. Communication between the fathers and their children also improved and they were accurately able to identify placements of silence and miscommunication in each other’s stories. Read the full story on CVT's Facebook page.
One of the fathers who took part in the storytelling session said, “CVT is like a mother you seek to tell about your trouble.” He also said, “The group was brilliant, and helped me to reduce smoking.”
"مركز ضحايا التعذيب مثل أم نلجأ إليها لنفضفض همومنام." "المجموعة رائعة، وساعدتني في الإقلال من التدخين."
Another father who had a traumatic experience during the phase of writing the story said that “by participating in the writing process I released most of my pain regarding that personal event”.
" المشاركة في كتابة القصة ساعدتني كثيرا على التعبير عن الألم الذي شعرت به بعد هذا الحادث "
One of the fathers in the combined session said that “we are proud that our children are sitting with us and sharing their opinions, this is by its self a break to the silence and a rebuild of connections”
" نحن فخورين بأن أبناءنا جالسون معنا و يناقشون ويعطون آراءهم ، هذا بحد ذاته كسر للصمت و تمتين للروابط "