ABSTRACT

The author explores the many facets of the cultural relevance of psychosocial support – including access to culturally sensitive support – and its associated challenges; the development of local mental health services and the consequent challenge of using western norms and staff, as well as the disparity of care between national and international staff. It is important to incorporate spiritual and cultural practices and meaning when developing a trauma treatment programme. Research highlights EMDR and TF-CBT have been adapted to work effectively globally and Trauma Aid has offered pro bono EMDR training in over 30 countries. The author also explores other trauma models such as the Tree of Life, Narrative Exposure Therapy and See Far CBT. The author shares data collated from work carried out in Gazientep, Turkey and South Sudan. In-country psychosocial support was offered to national staff and data was collated on acute stress and trauma symptoms, key stressors and key resources. These figures highlight the high levels of trauma experienced by local and national staff and emphasise the magnitude and significance of offering equal psychosocial support to all staff.