As Europe is facing a historically high influx of refugees – many of whom are survivors of torture – the need for proper care and rehabilitation of torture victims is greater than ever. Yet, there is a serious funding shortage across the continent, which has left a growing number of torture rehabilitation centres in dire financial straits. According to the International Rehabilitation Council for Torture Victims (IRCT), if states do not reverse this trend, we will see an acute loss of support services to those vulnerable and most in need.
“The cut in funding over the past five years has affected our work drastically and we have had to reduce the number of staff as well as patients. But now, it affects our actual existence. The facts are very simple: today, we have enough money in the bank to continue our work throughout September, but not in October.”
This is how the Director for Programs at French rehabilitation centre and IRCT member Parcours d’exil, Jérôme Boillat describes the centre’s current funding situation. A situation that could very well lead to its closure and leave hundreds of traumatised torture victims untreated.
Across the English Channel, London based Refugee Therapy Centre has also fallen victim to the funding crisis. After more than 15 years of providing psychological therapy and associated treatments to thousands of refugees and asylum seekers, the centre is now forced to downscale its work to three days a week. Going from operating five days a week to only three days inevitably means leaving behind torture victims in desperate need of help.
“The success of our work can be measured by the smiles made possible after interventions to heal the psychological and emotional wounds of those whose basic human rights were violated by torture and persecution. To continue with essential humanitarian work, our centre desperately needs financial support,” says Refugee Therapy Centre’s Clinical Director and CEO Dr Aida Alayarian.
The two situations in France and the UK are far from the only examples of torture rehabilitation centres scrambling for funding. At least 11 IRCT member centres and numerous programs that have helped thousands of torture victims across Europe have either lost funding or are predicting major cuts that will inevitably affect torture victims.
In Austria, upon learning that it may lose vital funding from the EU, an IRCT member is sharing its grim forecast: “If this funding were to be cut or stopped, we would have to reduce our support to survivors of torture drastically. As it is, there is hardly any funding for this target group on a local or national level. The only funding sources are international bodies and even their funding is being cut,” the centre explains and continues:
“Much of our work is in refugee shelters and no other Austrian organisation does the exact same kind of work. Referrals cannot be made because the only other organisation in our country working in this field has also very limited resources and they have their own clients. There are hardly any doctors or social services which have intercultural competencies.”
Europe is currently experiencing a massive increase in numbers of refugees and asylum seekers, driven by conflict, humanitarian crises and human rights violations, particularly in the Middle East and Africa. While Eurostat figures found that around 945.000 of asylum seekers entering the EU between 2002 and 2012 were victims of torture, there is no longer any doubt that this number will be much higher in 2015.
However, the urgent treatment and rehabilitation of torture victims is not adequately covered by EU member states, despite their obligations under international human rights and EU law.
The responsibility to provide rehabilitation to torture victims lies with the state. Yet in almost all EU countries, insufficient resources are being earmarked to provide specialised health services to vulnerable groups, including torture victims. This leaves rehabilitation centres to fill the gap.
“We know that a significant percentage of asylum seekers and refugees in the EU are torture victims and require access to rehabilitation services as early as possible. Our European member centres are doing their best to help as many people as possible, but sadly, many of these centres have had to cut their support services to torture victims due to a lack of funding,” says Miriam Reventlow, Advocacy Director at the IRCT.
The funding shortage affects traumatised refugees and asylum seekers at various stages. In Germany for example, newly arrived refugees and asylum seekers are among the groups that will be hit hard by a reduction in funding.
“The German state still has no early identification system for vulnerable groups, especially not for torture survivors. When it comes to rehabilitation of torture survivors, the competences and capacities of the regular healthcare system are still far behind the actual need. Moreover, there exists no funding for this type of work by the German government. By law, refugees have limited access to the regular health care system until the moment they are granted a residence permit. Psychosocial therapy centres try to cover this gap, while at the same time navigating through political changes,” explains Christian Cleusters from German rehabilitation centre Medical Care Service for Refugees Bochum.
So what can be done to ensure that as many torture victims as possible receive the treatment they need?
According to the IRCT, the answer is simple: every country in the EU will have to recognise their obligations under international human rights law and EU law and designate adequate resources within their healthcare budgets. But also, the EU institutions play a key role in providing sufficient funding and need to uphold their support to this important field of work.
“If we don’t generate more support, thousands of torture victims risk having current treatment programmes interrupted or will be unable to access rehabilitation services in the first place. European countries all have a responsibility to ensure that there is enough funding to provide rehabilitation to victims of torture, and we need them to take this responsibility seriously,” says Miriam Reventlow.
In the UK, when asked how the Refugee Therapy Centre has helped them overcome their trauma, one torture survivor explains: “The group has helped me confront my problems and let go of the past. Now I can think of the future.”
For another survivor, the treatment has simply improved his quality of life: “I do not feel ashamed of being myself anymore and I can sleep a little better now.”
With less funding and no action from European leaders, the question is how many torture victims will be prevented from receiving the treatment they need to fully recover from their past trauma and be able to find a new path of life in their host country.