Screening asylum seekers in Denmark for torture using a structured questionnaire

The United Nations Committee against Torture recommends systematic torture screening throughout the asylum process.   The goal of this study is to evaluate the introduction of a structured questionnaire, coding for torture according to the definition from United Nations Convention Against Torture (UNCAT). This screening for torture is now an integrated part of the medical reception of newly arrived asylum seekers The screening was carried through during a 2 years period as a part of the routine health screening, and alleged torture victims were referred to further medical examination and offered assistance to carry information about the torture to the Immigration Service. The participation rate was 85.2%, and torture was reported among 27.8% of the males, with a mean of 21.2% among both sexes. Key words: Torture, screening, questionnaire, asylum seekers, UNCA

The Istanbul Protocol: A global stakeholder survey on past experiences, current practices and additional norm setting

Introduction: The Istanbul Protocol (IP) principles and guidelines have served as international norms for the effective investigation and documentation of torture and ill-treatment since 1999. Given the widespread use of the IP and recent calls to update or enhance its norms, we conducted a large-scale study among stakeholders to understand current practices as well as opinions on additional IP norm setting. Methods: Between February 20, 2017 and April 7, 2017, we conducted an online survey of IP users using a combination of criterion and chain sampling. The survey instrument included the following domains of inquiry: 1) respondent characteristics (demographics, anti-torture work, country conditions, and IP training); 2) IP use, importance and practices, and; 3) opinions on additional IP norm setting. Results: The survey was distributed to 177 individuals and 250 organizational representatives with response rates of 78% and 47% respectively. The respondents came from a variety of clinical, legal, academic, and advocacy disciplines from around the world. The respondents indicated that they use the IP for a wide range of anti-torture activities: investigation and documentation, advocacy, training and capacity building, policy reform, prevention, and treatment and rehabilitation of torture survivors. The vast majority (94% of individual respondents and 84% of organizations) reported that the IP is important to their anti-torture work. A majority of individual (60%) and organizational (59%) respondents reported that updating or adding clarifications to the IP would help to address the challenges they face and provided specific suggestions. However, 41% of individuals and 21% of organizational respondents also reported concerns that additional IP norm setting could have negative consequences. Discussion: The IP provides critical guidance for a wide range of torture prevention, accountability, and redress activities and can be enhanced through the development of additional updates and clarifications to respond to the current needs of torture survivors and stakeholders

Testimonial Therapy: Impact on social participation and emotional wellbeing among Indian survivors of torture and organized violence

Introduction: Traumatizing events, such as torture, cause considerable impairments in psycho-social functioning. In developing countries, where torture is often perpetrated, few resources exist for the provision of therapeutic or rehabilitating interventions. The current study investigated the effectiveness of Testimonial Therapy (TT) as a brief psycho-social intervention to ameliorate the distress of Indian survivors of torture and related violence. Method: Three outcome measures (the WHO-5 Well-Being Scale, Social Participation-Scale and Pain and Anger Analogue) were compared before and after receiving TT, and semi-structured interviews were conducted with survivors who had previously received TT. Findings: Participants showed significant improvements in emotional well-being, social participation, and self-perceived pain and anger. Furthermore, three qualitative interviewswith survivors indicated that TT had a positive impact at the community level. Discussion: Although the study was conducted without a control group for comparison, TT appeared to be an effective method for improving well-being and ameliorating distress among survivors of torture. Furthermore, TT can potentially promote community empowerment. However, more research on this aspect is needed

Voices of torture survivors in Tanzania: A qualitative study

Introduction: No published research has been found on torture in Tanzania, but individual cases were documented by human rights organisations. The aim of this study was to explore the salient physical, mental and social effects of torture in the country, and help-seeking behaviour by giving voice to a group of torture survivors in Dar-es-Salaam and Zanzibar City (Zanzibar). Methods: This explorative qualitative study consisted of 14 semi-structured in-depth interviews (12 males, 2 females) of which eight took place in Dar-es-Salaam and six in Zanzibar. Informants were selected purposefully through a mix of snowball and convenience sampling. Both the Standards for Reporting Qualitative Research (SRQR) and the Consolidated Criteria for Reporting Qualitative Research (COREQ) were followed. Results: Using the UNCAT definition of torture, all informants reported having been tortured within the past two years. The most common form of torture was beating with clubs to the joints. Other torture included, but was not limited to, gun shot, toenail removal and ‘poulet roti’. The most common physical consequence was persistent pain. Psychological consequences included suicidal ideation and sleep problems. Most interviewees lost their jobs as a result of the torture incident, instigating a cascade of financial and social problems. Conclusion: The findings present informants’ exposure to deliberate torture at the hands of public authorities. Informants confirmed their exposure to torture methods that had been previously reported by nongovernmental organisations. They also talked about exposure to more advanced, and previously undocumented, torture methods. Informants displayed a dire need for mental and physical health care, but had limited access to such care. Research is needed to better understand the magnitude, prevalence and context of torture in Tanzania

Quality of prison life, violence and mental health in Dubrava prison.

PURPOSE: The purpose of this paper is to explore the association between the quality of prison life and mental health among prisoners and the occurrence of violence. DESIGN/METHODOLOGY/APPROACH: In total, 203 prisoners from Dubrava Correctional Center in Kosovo participated. Data on background characteristics of the prisoners, quality of prison life, mental health symptoms and exposure to physical, psychological and sexual violence were collected through interviewer-administered questionnaires. Data were analyzed using general linear models (GLM) and manual backwards model search with step-wise exclusion. FINDINGS: The GLM analysis showed a significant negative association between anxiety symptom load (-1.4), physical violence (-1.5) and psychological violence (-1.9), and quality of prison life. Furthermore, it appeared that prisoners rating of quality of life (QoL) increased with time among prisoners not exposed to violence, while this was not seen among prisoners exposed to violence. Finally, there was an inverse association between the dimensions of respect, fairness, humanity and good staff/prisoner relations, and the proportion of prisoners exposed to violence. ORIGINALITY/VALUE: An environment with higher levels of respect, fairness, humanity and good relations between staff and prisoners was associated with lower levels of violence. Hence, a prison that focuses on promoting QoL and good mental health among prisoners will show lower levels of violence, thereby making the prison a more tolerable place for the prisoners and a better working environment for prison staff.Dignit

Impact of Narrative Exposure Therapy on torture survivors in the MENA region

Introduction: Narrative Exposure Therapy (NET) is a brief cognitive-behavioural intervention for individuals with post-traumatic stress disorder (PTSD) which has mostly been used to treat traumatised asylum seekers and refugees in high-income settings. Evidence is scarce on the effectiveness of NET with torture survivors, especially in the Middle East and North African (MENA) region where health systems are unable to meet the increasing needs of mental health disorders caused by war and displacement. Click on pdf for full abstract

The risk of sanctions following visits by monitoring bodies; a study conducted in Albania and Honduras

Introduction: Independent monitoring of places of detention is considered an effective way of preventing torture, but some reports have shown that detainees may face reprisals after engaging with monitors.This pilot study aims to further investigate the nature and the extent of such reprisals. Methods: A cross-sectional survey among male prisoners in 4 prisons in Albania and 4 in Honduras was carried out using an interviewer-administered, structured questionnaire and collecting additional narrative comments. Strict ethical guidelines were followed, and follow-up visits took place to detect any sanctions following participation in the study. Results: 170 detainees were invited to participate of whom 164 accepted. Most were aware of monitoring visits and found them helpful. More than one-third reported that au- thorities had made special arrangements like cleaning and painting prior to the monitoring visits, and 34% of participants in Albania and 12% in Honduras had felt pressured to act in a specific way towards the monitors. One- fifth had experienced sanctions after the last monitoring visit, most often threats and humiliations. During the follow-up visits, the interviewees reported no incidents following their participation in the study. Discussion: This pilot study has shown that it is possible to collect information about detainees’ experience with monitoring visits through interviews while they are still detained. The fact that reprisals are reported prior to and following monitoring visits points to the need of improving monitoring methodology to further lower the risk. Further research is needed to better understand the dynamics of the sanctions taking place with the aim of reaching a deeper understanding of potential preventive measures