To mark World Refugee Day we look back at our conversations with two European rehabilitation centres – both working tirelessly to provide much needed support and treatment to refugees who have fled armed conflict, violence and torture. Sadly, a number of rehabilitation centres across Europe have had their funding reduced, preventing them from treating traumatised refugees.
When Europe first experienced a rapid increase in refugees seeking protection within its borders, some countries rushed to reintroduce border control and tighten immigration laws. Razor-wire fences were constructed and the military deployed to prevent refugees from entering. However, at the same time, European NGOs worked tirelessly to provide support and relief to those who had made it to the continent and they continue to care for newly arrived refugees, many of whom are deeply traumatised.
Making a difference in Hungary
One of these NGOs is International Rehabilitation Council for Torture Victims (IRCT) member centre the Cordelia Foundation, which is based in Budapest, Hungary. The centre offers psychiatric and psychosocial care to torture survivors. When we spoke to the centre’s Medical Director Lilla Hardi late last year at the peak of the European refugee crisis, she told us that many of the newly arrived refugees were in a bad state mentally.
“They are very exhausted and desperate,” she said. “I think aggressive manifestations in their behaviour might happen due to their traumatised and desperate state. This situation is another trauma contributing to their already unbalanced mental state and earlier traumatisation.”
Like other organisations in the country, Cordelia staff have travelled to the border between Hungary and Serbia to help refugees in detention.
“In one of the detention centres we met a Syrian family of 12 who had been transferred from the border that very day. The head of the family used to be a high-rank public service person in his country. They had witnessed the beheading of about 500 persons in their city,” said Dr. Hardi.
“All of the family members were seriously traumatised and showed serious symptoms of PTSD. One of them had lost a lower limb and had a temporary prosthesis; another suffered from diabetes and needed insulin urgently. We asked one of the nurses to monitor him and to give him the insulin that he had brought himself.”
Only one provider of psychological support in Serbia
In Serbia, local NGO International Aid Network (IAN) has been providing medical first aid and psychosocial support to refugees through a Mobile Team Unit in parks and shelters in Belgrade and at the Croatian border.
While many organisations provide medical and legal aid to refugees, IAN, which is a member of the IRCT, is the only one providing psychological support.
“At the moment we are working with refugees at the Berkasovo-Babska border crossing. At the beginning we worked in a park in Belgrade, which was the biggest informal gathering place of refugees, and in Principovac, a refugee shelter near the Croatian border,” said IAN psychologist and project manager Bojana Trivuncic in November last year.
“Some of them were tortured in the country of origin and during their transit in Iran and Bulgaria. In Syria for example, many refugees were tortured in some kind of prison by members of President Bashar al-Assad’s regime. The methods are brutal. Many of them told me that they were tortured with electro shocks. In Afghanistan, many refugees were tortured by ISIS or the Taliban,” explained Bojana.
“When basic needs are not satisfied, like food, clothes and shelter, a person cannot deal with emotions or trauma. For me it is ok to be there for them, to help them with their basic needs, and of course to be there for them if they want to talk, to share their problems and traumatic experiences, and to calm them if they are fearful.”
To support refugees we need more funding
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 have had to cut their support services to torture victims due to a lack of funding,” says Miriam Reventlow, Director of Governance and Policy at the IRCT.
With NGOs struggling to help the record high number of refugees, it is clear that European leaders have to come together to offer to commit to ensuring that refugees who have been subjected to torture can fully recover from their past trauma and be able to find a new path of life in their host country. If not, we risk that thousands of refugees are left untreated.
“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.