Symposium Rapporteur Closing Session Report Wed 7 December

Symposium Rapporteur Closing Session Report Wed, 7 December 2016 __________ David R. Curry

Symposium Rapporteur: Closing Report § Aspiration § Profile § Ways of Knowing/Learning as a Community § Thematic Assessment § Summary Observations

Symposium Rapporteur: Closing Report § Aspiration § Profile § Ways of Knowing/Learning as a Community § Thematic Assessment § Summary Observations

IRCT Tenth Scientific Symposium: Perspective “… held within the conviction and the aspiration to create a platform for dialogue, knowledge and learning to advance the provision of rehabilitation. Our aim here is to understand reflect on the state of science within the torture rehabilitation movement; to share knowledge and learn from each other. We must remember, that only by engaging the scientific debates in our field will we be able to learn about best practices, to improve, to engage others, and more important than anything else, to ultimately benefit victims of torture. Suzanne Jabbour, IRCT President Opening Ceremony, 4 December 2016

IRCT Symposia History 1. Doctors, Ethics and Torture 29 August, 1986 Copenhagen, Denmark 7. Caring for Survivors of Torture, Challenges for the Medical and Health Profession 15 -17 November, 1995 2. Physicians in the Face of Ethics and Torture Cape Town, South Africa 9– 12 December, 1987 Montevideo, Uruguay 8. Torture as a Challenge to the Medical and other Professions 3. Torture and the Medical Profession 22– 25 September, 1999 5 -7 June, 1990 New Delhi, India Tromsø, Norway 4. Torture and the Medical Profession 24– 26 October, 1991 Budapest, Hungary 5. Doctors and Torture 22 -24 October, 1992 Istanbul, Turkey 6. Torture as a Challenge to the Medical and other Health Professions 20– 22 October, 1993 Buenos Aires, Argentina 9. Providing Reparation and Treatment, Preventing Impunity 9– 10 December, 2006 Berlin, Germany 10. Delivering on the Promise of the Right to Rehabilitation 4 -7 December, 2016 Mexico City, Mexico

Torture Journal Reviewing outcomes of psychological interventions with torture survivors: Conceptual, methodological and ethical Issues Nimisha Patel, Amanda C de C Williams, Blerina Kellezi Mental health interventions and priorities for research for adult survivors of torture and systematic violence: a review of the literature William M. Weiss, Ana M. Ugueto, Zayan Mahmooth, Laura K. Murray, Brian J. Hall, Maya Nadison, Andrew Rasmussen, Jennifer S. Lee, Andrea Vazzano, Judy Bass, Paul Bolton Group Treatment for Survivors of Torture and Severe Violence: A Literature Review Mary Bunn, Charles Goesel, Mélodie Kinet, Faith Ray

Symposium Rapporteur: Closing Report § Aspiration § Profile § Ways of Knowing/Learning as a Community § Thematic Assessment § Summary Observations

Profile § 248 abstracts submitted from 63 countries on three key issues § More than 330 participants from over 80 countries § Three days/5 plenaries/35 concurrent sessions § Poster session § Supporting cultural and engagement activities

Symposium Rapporteur: Closing Report § Aspiration § Profile § Ways of Knowing/Learning as a Community § Thematic Assessment § Summary Observations

PLACEHOLDER: PICS PLENARIES/SESSIONS.

PLACEHOLDER: PICS – TERRACE SHOTS.

Knowledge-sharing – Digital Channels § New IRCT website § IRCT F 1000 channel § Social Media § IRCT You. Tube channel § Archive of documentation

Symposium Rapporteur: Closing Report § Aspiration § Profile § Ways of Knowing/Learning as a Community § Thematic Assessment § Summary Observations

Thematic Assessment Two Questions as Framing Strategy What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future]

Session Inventory Session 1 – Supporting refugees across contexts Session 2 – Multidisciplinary approaches to refugees in countries of asylum. Session 3 - Rehabilitation services in low resource settings Session 4 - Identification and access to protection and services for asylum seekers Session 5 - Obstacles to providing services to survivors of Guantanamo Bay Session 6 - Complex sequelae of torture Session 7 - Early assessment and language barriers Session 8 - Culturally relevant approaches in LMICs Session 9 - Civil society as service providers Session 10 - Dance and movement therapy Session 11 - Advocacy contexts and approaches Session 12 - Efficacy of treatment Session 13 - Rehabilitation responses for children Session 14 - Efficacy and measurement tools Session 15 - Evidencing our work through data collection Session 16 - Survivor perspectives of rehabilitation services Session 17 - Gender based violence and torture

Session Inventory Session 18 - Challenges across contexts and generations Session 19 - Responses for migrants in various contexts Session 20 - Community based approaches Session 21 - Resiliency and rehabilitation Session 22 - Gender based violence and torture Session 23 - Gender based violence and torture Session 24 - Forensic documentation Session 25 - Challenges in working with displaced populations Session 26 - Psychosocial, community and multi-stakeholder rehabilitation Session 27 - Psychosocial approaches in post-conflict environments Session 28 - Use of evidence and support to victims in trials Session 29 - Challenges in prisons and migration settings Session 30 - Family, generations and rehabilitation Session 31 - Monitoring and evaluation of torture rehabilitation centres Session 32 - Treatment efficacy Session 33 - Training community health workers Session 34 - Evidencing new treatments Session 35 - Testimony, impunity and rehabilitation Side panel on Implementation of the Istanbul Protocol in Mexico: Achievements and challenges

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Knowledge & Evidence for Rehabilitation : : Survivor at the Center

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Scale, Depth, Range, Resources, Sustainability Knowledge & Evidence for Rehabilitation : : Survivor at the Center

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Scale, Depth, Range, Resources, Sustainability Knowledge & Evidence for Rehabilitation : : Survivor at the Center Rehab Models, Modes, Frameworks, Ethics

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Scale, Depth, Range, Resources, Sustainability Knowledge & Evidence for Rehabilitation : : Survivor at the Center Rehab Models, Modes, Frameworks, Ethics Data, Tools, Documentation, Research Design, Measurement, Efficacy

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Scale, Depth, Range, Resources, Sustainability Knowledge & Evidence for Rehabilitation : : Survivor at the Center Rights, Access, Accountability, Solidarity Rehab Models, Modes, Frameworks, Ethics Data, Tools, Documentation, Research Design, Measurement, Efficacy

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Scale, Depth, Range, Resources, Sustainability Roles, Empowerment, Involvement, Agency Knowledge & Evidence for Rehabilitation : : Survivor at the Center Rights, Access, Accountability, Solidarity Rehab Models, Modes, Frameworks, Ethics Data, Tools, Documentation, Research Design, Measurement, Efficacy

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Many Truths, Ways of Knowing, Ways of Healing, Resilience Roles, Empowerment, Involvement, Agency Scale, Depth, Range, Resources, Sustainability Knowledge & Evidence for Rehabilitation : : Survivor at the Center Rights, Access, Accountability, Solidarity Rehab Models, Modes, Frameworks, Ethics Data, Tools, Documentation, Research Design, Measurement, Efficacy

Symposium Rapporteur: Closing Report § Aspiration § Profile § Ways of Knowing/Learning as a Community § Thematic Assessment § Summary Observations

Symposium Rapporteur Mandate § Functions as independent agent without professional fees or compensation § Through interim reports and a summary report to close the Symposium, inform participants of key issues, evidence, and insights to maximize understanding, coherence and appreciation § Assure that an accurate and detailed final report of the Symposium is produced, and that all appropriate documentation is organized and preserved for the historical record § Mandate approved by IRCT Exec Comm

Summary Observations § § § Aspiration Integrity of Content Ethical Resilience Community Clarity, Candor, Courage… Direction Forward

…Strive to achieve consensus in our comprehensive frameworks of understanding, capturing the full experiences of torture/trauma survivors, their families and communities – …Align theoretical framework, design and implementation of therapies/rehabilitation with this framework… Prof. Derrick Silove Liverpool Hospital, Aust

". . . hay muchas formas de verdad y conocimiento. . . tenemos que encontrar una manera para unirlos (con el fin de crear evidencia)“ “…there are many ways of truth and knowing … we need to find the paths to join them (to make evidence)…” Dr. Yadira Narvaez IRCT Exec Comm

What have we shared knowledge about? [the “product” of the Symposium] What do we need to learn more about? [research agenda for future] Many Truths, Ways of Knowing, Ways of Healing, Resilience Roles, Empowerment, Involvement, Agency Scale, Depth, Range, Resources, Sustainability Knowledge & Evidence for Rehabilitation : : Survivor at the Center Rights, Access, Accountability, Solidarity Rehab Models, Modes, Frameworks, Ethics Data, Tools, Documentation, Research Design, Measurement, Efficacy

Symposium Rapporteur Closing Session Report Wed, 7 December 2016 __________ David R. Curry