Dear Friends

Welcome to NATAL’s annual report for 2008. We are in the midst of an unprecedented period, unlike any we have known in the past. The world order is changing and we do not know when the new order will stabilize. The international and local economic situation has a decisive impact on the management of NATAL. We are making every effort to maintain our therapeutic activities at the same level as in recent years and to economize in a way that will enable us to continue to care for our patients at the NATAL Center, in the community and throughout Israel. NATAL’s departments have been brimming with activity in the past year. The number of callers to the Hotline increased significantly, with more patients added from new segments of the population. Many new clients called as a result of focused, seasonal campaigns for Memorial Day in the spring and Yom Kippur in the fall. The Community Outreach Unit continues working with therapeutic, educational and other professionals while offering therapeutic interventions in Sderot and communities around the Gaza Strip. The Trauma Recovery Center expanded its ranks and activities. The Interdisciplinary Center for Trauma Studies enlarged the range of courses taught and the number of students. NATAL’s refurbished internet site is rich with information and receives many visits. You are also invited to visit the site www.natal.org.il . The special events we held this year were successful platforms for presenting NATAL’s activities and led to increased public awareness in Israeli society, while also helping us raise additional donations. This year, we will be forced to forego publication of our annual magazine, “About Feelings.” After a decade, this was not an easy decision. However, production of the magazine is expensive and we must reduce our costs in these challenging economic times. It is our goal that we will be able to renew its publication next year. In December, Operation Cast Lead began. NATAL immediately began to work according to its emergency format. The Hotline provided responses to thousands of civilians who called not only from the South but also from all parts of Israel. The Community Outreach staff and Mobile Unit provided a response in urban and rural areas of the South, while clinicians helped families. It is our hope that 2009 will be secure and peaceful. We wish everyone a year of fruitful efforts, health, and joy. Thank you for your ongoing support and for being our faithful friends.

Sincerely yours,

Judith Yovel Recanati Orly Gal Chairperson and Founder CEO

1 Initiator of the Center The late Dr. Yossi Hadar

Board of Directors Judith Yovel Recanati – Chairperson & Co-founder, Paulette Eitan, Israel Lerman, Michal Amitai Tahori, Adv.

Executive Committee Avraham Attias, Talma Biro, Adv., Nochi Dankner, Prof. Haim Dasberg, Yossi Dashti, Prof. Avraham Freedman, Jonathan Irroni, Prof. Kenneth Mann, Adv., Dr. Yehuda Melzer, Prof. Avi Ohry, Ori Slonim, Dr. Henry Szor, Dr. Chana Ullman

Professional Staff Colonel (Res.) Orly Gal, Executive Director; Prof. Avi Bleich, Chairman of Professional Steering Committee; Dr. Itamar Barnea, Chief Psychologist

Additional Services given voluntarily by Erez Komornik (accounting) Yossi Avraham (attorney) Somekh Chaikin (auditor) Shalmor, Avnon Amichay Y&R (advertising agency)

Israeli Non-Profit Registration Number: 58-031-812-9

10 Ibn Gvirol Street, P.O. Box 20055, , 61200 Israel Telephone: 972-732-363-363; Facsimile: 972-3-695-0579 E-mail: [email protected] www.natal.org/english 1-800-363-363 (In Israel) www.natal.org.il

2 Israel Trauma Center For Victims of Terror and War

Dedicated with deep appreciation to our partners, volunteers and contributors and to all of NATAL’s employees

NATAL, To Live Again.

3 Hotline ¯ 1-800-363-363 (in Israel) The Hotline is the point of entry for clients to receive People called NATAL for a wide variety of reasons in 2008, services from NATAL. It is the only Hotline offering including: both crisis intervention and long-term emotional care in 527 calls as a result of Israel’s wars. Israel for victims of national psychotrauma. The Hotline 261 calls as a result of compulsory or reserve military is staffed by both highly trained volunteers and service. professionals in relevant fields. During 2008, the NATAL 242 calls were received as a result of missiles that fell Hotline received more than 2000 new inquiries and in Sderot and the area surrounding the Gaza Strip conducted approximately 7,640 follow-up treatment calls. (compared to 101 calls last year). Volunteers on the line conducted 9,855 conversations and 923 people received on-going therapy via the Hotline. Campaigns to raise public awareness

After the War Approximately 25% of the calls were the result of the Second Lebanon War.

Memorial Day There were approximately 61% more incoming calls than during the same month and campaign last year. It seems that the magazine “About Feelings” contributed to this increase.

Two Years after the War 62% men and 38% women.

Yom Kippur The campaign was directed at the families of victims: 44% of the calls to NATAL were by relatives (16% spouses; 27% parents).

Photographer: Uriel Sinai

44 CROSS SECTION OF AGES OF CALLERS TO THE LINE – 2008

SOURCES OF REFERRALS VOLUNTEERS AT THE The NATAL Hotline is a free NATAL HOTLINE service staffed by highly trained volunteers who represent all that is good and beautiful in Israeli society. These are people who devote many hours of their time in order to be a listening ear, a friend, an advisor and a source of support for Israelis who have experienced a traumatic situation as a result of the Arab-Israeli conflict. Volunteers on the Hotline are screened very carefully and then comprehensively trained by NATAL’s professional staff. Each caller is assigned a permanent volunteer who supports him or her for months or even years. We continue to allocate significant resources to the volunteers’ ongoing professionalization. During 2008, we provided: CROSS SECTION OF CALLS FROM THOSE INDIRECTLY AFFECTED 20% of the people who call the Hotline are relatives or friends Individual supervision A total of 2,340 hours of 45 volunteers. Other 3% Supervision for 200 hours of training were Child 8% instructors given to six volunteer instructors and 19 hours of Spouse Friend 30% external training to three 11% volunteer instructors. In addition, three new volunteer instructors were trained. Group supervision 35 hours of group supervision for all volunteers. Sibling 8% Peer supervision 60 hours of small group Parent meetings for the enrichment 40% and professionalization of volunteers.

5 Clinical Activity

In 2008, the Clinical Unit of NATAL treated an average of 218 victims of national trauma each month, of whom 21% were treated in multiple departments, 42% were treated by therapists at the NATAL Center and 58% were treated by NATAL’s therapists around the country. In addition, five therapeutic groups were held: two for the spouses of men suffering from post-trauma, a group for discharged soldiers (see additional information below), a group for former prisoners of war (in Haifa) and a Social Therapeutic Club.

Flash 90

2008 COMES TO A CLOSE AND 2009 BEGINS

BY SAAR UZIELY

From a point in time, we can still young and do not have families of their own, we are look both backwards and helping to decrease the number of future victims. forward. In 2008, we The Documentation Project, which began two years ago, continued to do what we do best: Treat people in distress, gained added momentum this year. More people have treat people who, for various reasons, would not have joined the project and been through the documentation received treatment were it not for NATAL. process. For some of them, a benefit of the project is that Despite the calm or perhaps because of it, people continue it allows them to put aside the difficult experiences they calling for help. It is possible the external calm makes it endured and drop a heavy “burden” they have carried possible for many people to look inside and encounter for many years. their distress and pain, their difficulties coping and the 2009 has begun in the midst of an economic crisis and price that they and their family members are paying. with uncertainty on whether or not the calm will Last year, we treated over 218 people each month. continue. Despite the crisis, I hope that we will be able The Discharged Soldiers Project was expanded and now to continue aiding those who need our help to the same has 65 participants. During the year, 28 completed their extent as in previous years, For all of us, I wish for therapeutic program. In addition to individual treatment, continued calm. NATAL offered a short-term therapy group. I would like to take this opportunity to thank our As we see it, this project is extremely valuable both because therapists – the nameless soldiers of help and assistance it provides direct, immediate therapy and because it – for their professionalism, willingness and investment. prevents future deterioration and fixation. Furthermore, I look forward to continued collaboration. today’s treatment prevents many years of distress, the trickling of trauma and its impact on people close to the Saar Uziely, Director participants. Since most participants in this project are Clinical Unit, NATAL

66 DOCUMENTATION The Documentation Center, which was established two PROJECT years ago, gathered speed in This project functions thanks 2008. As of this report, we have interviewed 25 people to the support of the Friends and continue to receive regular requests from DISCHARGED of the IDF. The project reaches organizations including the Ministry of Defense and Erim B’Layla (Awake At Night). Some of the interviewees are SOLDIERS PROJECT out to discharged soldiers through the IDF, universities, veterans of Israel’s War of Independence and the Yom colleges and media campaigns. In 2008, 64 discharged Kippur War. The Documentation Center is an address for soldiers were treated by the Clinical Unit, of whom 27 anyone who wishes to document his or her personal story completed their treatment. Currently five more discharged on video in the presence of a professional from NATAL. soldiers are going through the intake process. In addition, On a personal level, documentation provides the opportunity to recount a traumatic experience to an a second therapy group has been established. In total, attentive professional who interviews the individual and 18 discharged soldiers have participated in the groups. listens to their story, while recording it. In this way, the traumatic story is transformed from an experience into a memory that can be shared with the family. This process often creates a feeling of relief. The documentation also helps us to understand the processes involved in national trauma and to learn about methods for treating these types of trauma more effectively. Furthermore, it serves as a valuable historical tool for gathering memories from different events and creates a national heritage. For older people whose stories are documented, this is sometimes the last opportunity for them to bequeath their story to future generations.

5% 4% 5% 5% 5% 5%

8% 13%

5% Art projects by wives of men with PTSD 5% 8% 5%

COOPERATION WITH In late 2008, we opened 5% SCHNEIDER HOSPITAL a pediatric clinic at the NATAL Center, in 22% cooperation with the Schneider Children’s Hospital. Until Before the establish of the State – the Black Sabbath now, we were able to treat children and adolescents only The War of Independence – Prisoners of War in Jordan in those few places where we had therapists with a clear The War of Independence – Prisoners of War in Egypt understanding of how to work with young people. For The War of Independence the initial stage, we decided to open a clinic that offers Battle of Tel Mutila therapy using directive methods: Cognitive Behavioral Six Day War Treatment (C.B.T.) and Prolonged Experience (P.E.), with Yom Kippur War additional parental consultation as necessary. We will Yom Kippur War – Pier Outpost increase the number of therapists as needed. The therapy is intended for children and adolescents who Yom Kippur War – Orkal Outpost have experienced national trauma. Yom Kippur War – Hermon Outpost Yom Kippur War – Prisoners of war in Egypt Prisoners of war in Syria Terrorist Attacks First War in Lebanon

7 Social Therapeutic Club

The Social Therapeutic Club is a place for meeting, activity and creativity for people who have suffered an CERAMICS THERAPY The quote, “like clay in experience of national trauma. The group offers a variety the hands of the potter” of internal and external activities. The idea is to facilitate expresses, with precision and simplicity, clay’s most social life and creativity while regaining skills that were conspicuous characteristics; it is flexible, responsive lost as result of the trauma. to the artist and allows a very wide range of expressive means. For example: on the one hand, it can be used to create emotional, expressive and personal art but, MESSAGE FROM on the other hand, it can be used to create functional HAGIT BUCHBINDER objects that are practical to use in daily life. Working with clay makes it possible to learn many different 2008 was marked by the integration of new techniques – each time a new opening is formed members into the existing group. Another focus and reveals another previously unfamiliar technique became the development of marketing for the items that can be utilized to expand the range of expression made by members of the group. Our marketing and creativity of the artist. These characteristics of efforts have now expanded beyond the limits of the clay and ceramic work make them an especially rich stained glass group, which was the previous leader and expressive tool with excellent therapeutic in marketing group members’ work. This year, we characteristics. The possibility of creating useful works also displayed works by members of the photography of art that any friend or family member would be group and the ceramics group, in addition to selling happy to use is an added-value that improves the cakes baked by the cooking group. All income from artist’s standing, in his own eyes and in the eyes of these sales was donated to the continuing activity others. of the Social Therapeutic Club. The physical growth of the group and increased Ruth Sgan-Cohen number of members awakened a need to establish Ceramics instructor an “orientation group” that meets weekly. The group is moderated by the director of the Social Therapeutic Club and a therapist from the Clinical Unit. The content that arises in the group is not therapeutic by nature but rather relates to daily life within a group (mutual personal responsibility, commitment, mutuality, and unity). The NATAL Social Therapeutic Club is willing and able to accept new members and so working meetings were held with a variety of agencies including the National Insurance Institute, Ministry of Defense, Ramat Chen Clinic and others. Despite its growth, the group continues to maintain a feeling of home and family so that it is, first and foremost, a safe place that is both protective and protected.

Hagit Buchbinder Artwork created by members of the Social Therapeutic Director, Social Therapeutic Club Club displayed at the GA Convention in Israel.

MUSIC THERAPY Music therapy is a process in which Music is an art that allows expression, connection and human the therapist creates directed contact communication. The therapy relies heavily on musical activity, with the patient – a person who wishes to receive professional including the use of live music, improvisation, performance, assistance for dealing with disturbances, problems, distress learning, composition, singing and listening to recorded or crisis – whether they are physical, emotional, intellectual, music. Music therapy is also available as a group therapy, in behavioral, social, communicative or spiritual. The relationship which the participants undergo a therapeutic/rehabilitative develops using both music and words. The purpose of therapy process using the tools of individual musical therapy combined is to change pathological symptoms, thought patterns and with those of group dynamics. destructive behaviors while reinforcing growth and personal Zeevik Elisha development, in order to realize the patient’s potential. Music instructor

8 Multi-Disciplinary Center for Trauma Studies

The 2007-08 academic year was the first full year of Symptoms and intervention for trauma in children operation for the Multi-Disciplinary Center for Trauma Dealing with mourning and bereavement Studies at NATAL. The center, which is the first of its Secondary trauma kind in Israel, was established in response to Pharmacology professionals’ needs to be prepared for dealing with Rehabilitation aspects of treating PTSD situations of psychological crisis and trauma in Population evacuation emergency and disaster situations. It offers in-depth, comprehensive training, both theoretical and practical, in several fields of therapy. In 2008, the In-Service Training Division of the center opened, offering seminars and courses in the field of dealing PURPOSES OF THE CENTER with situations of stress and trauma for professionals in therapeutic and rehabilitation professions. The division To train professionals to deliver treatment in situations trained approximately 100 therapists this year. of emotional stress and trauma To increase awareness of the trauma among A program has been developed for operating a professional professionals and the general public library and information center on trauma. An Internet site was also developed for the center. The Center’s first year of “Trauma-Focused Psychotherapy” studies, held in conjunction with ’s In 2009, there are plans to open the third division of the School of Public Health, completed in 2008. The class center, for the purpose of increasing public awareness about consisted of 27 students who acquired relevant professional coping with trauma. skills for coping with and treating psychological trauma. For the current year 36 students were accepted out of 70 who applied. All of the students accepted have at least a Bachelor’s Degree in a therapeutic profession, 15 have a Masters Degree and 26 have completed additional diploma studies. Most of the students have experience in the field of trauma treatment.

MAIN SUBJECTS TAUGHT IN THE TRAUMA-FOCUSED PSYCHOTHERAPY PROGRAM Mental-health crisis simulations for emergency and disaster training Emotional reactions to trauma and disaster Initial intervention for victims of psychological trauma Principles of intervention and therapeutic approaches Methods of diagnosis and evaluation of PTSD Dynamic psychotherapy for trauma Cognitive behavioral psychotherapy (CBT) focused on trauma Unique intervention methods (EMDR and hypnotic techniques) Group intervention in emergency and disaster situations Prevention and intervention in communities that are exposed to trauma Dr. Daniel Levy teaching at the Multi-Disciplinary Center Familial intervention in emergency and disaster for Trauma Studies. situations

9 Community Outreach Activities

During 2008 the Community Outreach Unit continued Security Agency, ZAKA and the Ministry of Defense to encourage and train volunteers for emergencies and to help them deal with difficult experiences and to crises. Professionals from therapeutic fields are trained help them help the populations which they serve. to deliver emotional first aid in the event of disaster, war We held workshops on processing war experiences, or terrorism. The willingness of so many people to sign developing personal resilience, dealing with acts of up and devote some of their time in order to become terrorism, treating trauma and immediate skilled volunteers who are capable of responding in intervention. These were delivered to Municipal emergency situations is admirable. NATAL responded Welfare departments, E.R.A.N. (hotline for emotional to this voluntary spirit, utilizing it to make it as relevant support), coordinators and managers, volunteers, and applicable as possible. community centers, single-parent families, National Members of the Community Outreach Unit continued Service volunteers, teachers, kindergarten teachers, to support and work with a wide variety of populations. educational psychological counseling services, Respite and identification activities are conducted with municipal emergency response teams and nurses in populations that have been injured and those faced with well-baby clinics. an existential threat: Assistance with the rehabilitation and training of professionals in northern Israel (Hatzor, Acre, Afula, A NATAL professional works in the Municipal Welfare Nahariya, the Krayot and Haifa.) department of Sderot, while also giving immediate Processing and coping with traumatic experiences in response to trauma victims through the Mobile Unit. northern Israel (teachers, kindergarten teachers, Assistance is offered to support personnel in Sderot parents-child centers, social workers and educational and communities surrounding the Gaza Strip. psychologists). Support for preparing emergency systems and Empowerment workshops for workers and providing planning ways to cope in the future following the managers and professionals with tools for dealing with events in the South, in cooperation with local agencies service recipients in situations of stress, and for factory and other members of the Trauma Coalition. Our workers and managers. intervention relates primarily to missiles falling in Continuing workshops for elderly people, Sderot and communities surrounding the Gaza Strip, professionals and support personnel working with the but is also offered in places where there have been elderly. In cooperation with Eshel, we gave workshops exceptional events, including Dimona and Ashkelon. for elderly people living in both northern and southern We also assisted a group of donors from Canada that Israel. found themselves under missile fire. We also work with schools, kindergartens, day care Provide assistance and tools for Security personnel, centers and well-baby nurses on resilience, educational Division of Identification and Forensic Science, Israel emergency teams, immediate and respite intervention in schools and kindergartens in the north, south and center, plus 65 hours of training for nurses in well- baby clinic. Development of unique intervention models – continuing development and introduction of a short- term model for treating families suffering from anxiety, a model for training absorption counselors dealing with new immigrants and emergency procedures for governments offices, in coordination with other members of the Trauma Coalition. Continuing the organization and building of a dialogue model for Arabic and Jewish students in the Hadar neighborhood, Haifa. This project is in Outdoor workshop for emergency volunteers conjunction with the University of Haifa and is being supervised by the Community Outreach Unit.

10 Throughout 2008 NATAL continued operating the Mobile Unit in Sderot: The Mobile Unit is based on a model developed by NATAL to provide an immediate, effective response to residents of Sderot who suffer from Post- Traumatic symptoms as a result of the security situation in the region. The Mobile Unit is staffed by professionals from the Community Outreach Unit who travel to the homes of residents who are in need of assistance and provides professional therapy for several weeks. The patients are identified by a representative of the Community Outreach Unit, who lives in the region and works out of the Municipal Welfare Department in the city. The advantage of therapy in a home environment, in addition to the intimacy and security that it affords the patient, is that the professional can form an impression of the family dynamic and atmosphere at home and then treat the family systemically. During 2008, the staff of the Dr. Roni Berger treating a trauma victim in Sderot mobile unit treated over 750 residents, of whom some (photo: Almog Sugbeker) 75% were children and teens.

HELPING The Second Lebanon PEOPLE WITH War confronted most residents of northern Israel, DEVELOPMENTAL including those who are DISABILITIES developmentally disabled and their families, with an existential threat for over a month. For many, this situation led to feelings ranging from anxiety and helplessness to anger and even abandonment. The staff of the Municipal Welfare Departments also experienced difficulties because most faced a difficult dilemma of loyalty during the war. On the one hand they wanted to stay at home with their families, but on the other hand, there was their concern for the population to whom they are committed professionally. Experience in Israel and around the world has shown that prior preparation for dealing with emergency and crisis situations is very important for people with developmental disabilities and their families. The special needs of this population and the need to make rapid lifestyle changes during emergency situations increases their anxiety level. NATAL, in cooperation with the Ministry of Welfare and Social Services, created a program whose main purpose is developing a response for special-needs populations and their families. It is of paramount importance that special needs populations be able to anticipate scenarios in advance and be prepared for changes that might occur in times of crisis. The program also teaches skills for relaxing and regulating emotions during times of anxiety. The program will also include the training of professionals, who will acquire tools for personal coping while helping and supporting this population. Akim's theatre group at NATAL

11 Public Relations Activities

The primary purpose of the public relations department is to increase public awareness of national psychotrauma, a subject which must not be ignored. Our main effort is to penetrate the subject of trauma into the national discourse and make it less threatening and less stigmatized, thereby making treatment for post-trauma more accessible. The department works year round on a wide range of activities: Focused campaigns (February campaign directed at discharged soldiers, Two Years after the War campaign directed at the general population and the Yom Kippur campaign directed at those close to victims of PSTD, Judith Yovel Recanati and Orly Gal with Minister for especially family members). Many media tools are used Welfare and Social Services Isaac Herzog and Tel Aviv for each campaign: radio and television advertisements, Mayor Ron Huldai at the Open House Event. newspaper articles, publishing relevant data, interviews MAIN EVENTS with experts and people who are able to tell their personal These events were designed to maintain and reinforce stories, which is the story of us all. existing connections while also exposing NATAL to Initiating events and partnerships that may be interesting many more relevant people and organizations. to different groups of people. The events are publicized Annual fundraiser at the Trask Hall in Tel Aviv and arouse the interest of both the general public and Port with a unique approach to marking NATAL’s leaders in their fields. For example, a meeting was held on Tenth Anniversary. The event included a pro-bono “The Impact of Military Service on Female Soldiers who performance by singer Miri Mesika and the Kibbutz Served in the Territories,” which included screening the Dance Company. The event was emceed by Mickey Haimowitz. NATAL raised the equivalent of documentary movie, “To See If I’m Smiling” by Tamar 765,000NIS from event sponsorship and 320,000NIS Yarom and a discussion on the effect of military service in from ticket sales. the territories on female soldiers. We organized a showing Open House at NATAL’s new home offered 350 of the Oscar-nominated film, “Waltz with Bashir” at the invited guests an experiential introduction to NATAL’s Tel Aviv Cinematheque that also included a lecture by services. Guests included Minister of Welfare and Professor Avi Bleich. Together with the Interdisciplinary Social Services Isaac Herzog and Tel Aviv Mayor Ron Center, Herzliya, we hosted journalist Itai Engel who spoke Huldai. The entire cost of the event was covered by to hundreds of students, alongside Professor Reichman, revenue from sales of crafts made by participants in about his experiences as a war correspondent. To mark the Trauma Recovery Center and by private the second anniversary of the Second Lebanon War we contributions. organized, at Tel Aviv University, a special showing of the documentary movie, “My First War” by Yariv Moser and a discussion on PTSD and war with the filmmaker and to national trauma. We will not be publishing “About other participants in the movie. Feelings,” this year because of our reduced budget but we hope to return to publishing it again in 2010. Producing the 9th edition of the NATAL Magazine, “About Feelings” Approximately one million copies of the Preparing and producing PR materials for NATAL: Hebrew magazine were distributed together with the NATAL brochures in Hebrew and English, brochures for newspapers: Yediot Ahronot, Ma’ariv, Ha’aretz, Globes, the Social Therapeutic Club, the Community Outreach Beit Halochem and Makor Rishon. This year, we also Unit, the educational program of the Multi-disciplinary produced an English version which was distributed with Center for Trauma Studies and the Discharged Soldiers the Jerusalem Post and the English edition of Ha’aretz- Project; production of varied print materials including International Herald Tribune. The magazine is distributed overseas postcards for the GA convention, Rosh Hashanah annually and includes articles on a range of subjects related cards, newsletters and more.

12 INTERNET NATAL’s website is part of our public patients, links to relevant activities and all published relations effort and serves as a source of NATAL magazines. The site functions not only in Hebrew information about our services and activities. It is a tool but also in English and Russian. NATAL also cooperates for increasing awareness, accepting contributions and with the Hebrew internet portal Tapuz Anashim and is a updating breaking news. The sites’ varied content is regular guest on a forum for people suffering from trauma organized along three main axes: Services provided; from war and terrorism. Similarly, there have been several NATAL’s background and professional underpinnings; and instances of short-term cooperation with other forums theoretical material on trauma and treatment. Explanatory and we are examining possibilities for increasing the materials are also available including articles, audio/visual number of regular hosting arrangements. aids about NATAL and its activities, personal stories of Please visit us at www.natal.org.il/english

Research Department

NATAL’s Research Department gathers, processes and with civilian populations and the differences in the analyzes research data on an ongoing basis. The research impact of terrorist attacks on Jewish and Arab and its results make it possible for us to evaluate the populations. effectiveness of the treatment and to improve the The articles were published in some of the leading organization’s activities. Evaluation also deepens our publications including: understanding of national trauma in Israeli society. Journal of Traumatic Stress (the top journal on trauma RESEARCH RELATING TO NATAL studies for professionals) Projects of the Community Outreach Unit Journal of Child Psychology and Psychiatry Study of the Mobile Unit in order to evaluate the Israel Medical Journal effectiveness of the treatment and learn about the American Journal of Psychiatry improvement in patients’ wellbeing. Research on the coaching given to kindergarten PUBLISHED ARTICLES teachers and personnel in schools and other institutions (well-baby clinics, etc.) for the purpose of Bleich, A., Gelkopf, M., Berger, R., Solomon, Z. evaluating the assistance needed by and given to (2008). “The Psychological Toll of the Intifada: educators, according to the population with whom Symptoms of Distress and Coping in Israeli Soldiers.” they work. Israel Medical Association Journal, 10, 869-872. Gelkopf, M., Berger, R. (in press). “A school-based, Projects of the Clinical Unit teacher-mediated prevention program (ERASE-Stress) for reducing terror-related traumatic reactions in The Discharged Soldiers Project was measured and Israeli youth: A quasi-randomized controlled trial.” evaluated for the improvement in participants’ wellbeing. The Journal of Child Psychology and Psychiatry. Questionnaires were distributed to patients being Gelkopf, M. (submitted).“A longitudinal analysis of the impact of ongoing terror.“ American Journal of treated by the Clinical Unit for the purpose of testing Psychiatry. the effectiveness of the treatment and improving it Gelkopf, M., Solomon, Z; Berger, R., Bleich, A. (2008). accordingly. The Hotline was evaluated in a similar “The mental health impact of terrorism on the Arab manner. minority in Israel. A repeat cross-sectional study of Several scientific articles were written examining the Arabs and Jews.” Acta Psychiatria Scandinavica. 117; effect of terrorism and anxiety on Israeli society. The 269-380. articles dealt with the success levels of the Intervention Berger, R., Pat-Horencyk, R., Gelkopf M. (2007). “School-based intervention for prevention and Programs in schools; Post-traumatic symptoms and treatment of elementary-pupils’ terror-related distress the means for strengthening the resources that various in Israel: Quasi- Randomized controlled trial.” Journal population sectors have for coping; The impact of the of Traumatic Stress 20; 541-551. environmental factors on soldiers serving in contact

13 Resource Development in Israel and Abroad

The move to the new NATAL Center in May 2007 SOURCES OF INCOME 2008 facilitated a change in strategy and the significant Direct contributions are NATAL’s main source of income. expansion of NATAL activities, which is also expressed in Since a generous donation made by the Gandyr our budget. Foundation, established by Judith Yovel Recanati, covers In 2008, NATAL’s budget totaled NIS 10,939,639 which all of the organization’s administrative and general was divided as follows: expenses, all other contributions to NATAL are directed 2,282,351 NIS for the Clinical Unit activities in their entirety to funding the different projects. For the 1,176,712 NIS for the Hotline activities first time in ten years, the total donations from Israeli 2,156,884 NIS for Community Outreach activities sources now exceeds the total donations received from 845,033 NIS for the Social Therapeutic Club overseas. 1,322,510 NIS for PR activities, organizing events and American Friends of NATAL (AFN) – In 2008, a new increasing public awareness of trauma Director of Development joined AFN and has been able 161,449 NIS for the development of the website and for to significantly strengthen the existing North American computer technology for the organization network that supports the goals and projects of NATAL, 38,115 NIS for research activities while also expanding our donor base. The AFN Internet 700,360 NIS for operating the Multi-Disciplinary Center site www.afnatal.org makes it possible for Americans to for Trauma Studies donate on-line directly and keep updated on NATAL’s activities.

NATAL in the International Arena DELEGATION TO NATAL Recently, the NATAL Center has become an In November 2008, NATAL participated in two important site for local and international visitors seeking conventions which play a key role in the Jewish information about national trauma. Visitors this year Philanthropic World: included: Varied groups of professionals from Nigeria, Thailand, China, the Untied States and Europe who came to learn THE UJC INTERNATIONAL LION OF JUDAH from NATAL and from the head of the Community CONFERENCE (ILOJC) Outreach Unit, Dr. Rony Berger about operating a trauma NATAL was pleased to be honored with the opportunity center and about how to build a similar model in their home countries to participate for the first time in this remarkable gathering Representatives from Jewish Federations and of Jewish female philanthropists from all over the world communities in New Jersey, Miami, Washington, who contribute to projects for women, children and youths Augusta, Canada, Turkey and Australia visited NATAL. (NATAL presented a study of its different projects to the Partners in projects and routine work: representatives of participants, displayed PR materials on its activities and the Ministry of Welfare and Social Services, Association sold products made by participants of the Social for the Wellbeing of Israel’s Soldiers, Ministry of Defense, Therapeutic Club. All proceeds were dedicated to the other NGOs and organizations and private donors. Students and participants in in-service training came for Social Therapeutic Club. workshops, lectures and seminars given by the Multi- Disciplinary Center for Trauma Studies. THE UJC GENERAL ASSEMBLY (GA) NATAL participated in the GA of representatives of the United Jewish Communities from North America, which was held in Jerusalem this year, to mark 60 years of the State of Israel. During the conference, NATAL presented its activities to delegates representing A group of foundations, organizations and federations, long-term Canadian Lions of Judah visiting partners and potential new partners, as well as government NATAL in officials. November 2008.

14 Donors and Partners

NATAL is able to carry out its mission thanks to the support of hundreds of individuals, foundations and corporations. We cherish all of them and would like to express our gratitude especially to the following donors for their support of NATAL during 2008.

IN ISRAEL OVERSEAS

10,000 NIS - 50,000 NIS $5,000-$15,000 Efrat Agmon American Physicians Fellowship for Medicine in Israel Altshuler Shaham Investments House, Ltd. Benaim Darel and Carlos M. Alshtein (Constructions Works) Ltd. Blank Family Foundation Ashdar Building Co. Ltd. Columbus Jewish Federation Bank Hapoalim Edmonton Canada UJIA Yosef Bar Natan Goldberg Robert Ron and Dorit Bentof Greater Miami Jewish Federation Buxenbaum-Neta Fund Iranian American Jewish Federation of New York Cybex, Ltd. J.S. & S. Michaan Foundation Gems Investment Research, Ltd. Jack Chester Foundation GlenRock Israel, Ltd. Joan & Stanford Alexander Foundation Gmul Investments Company Ltd. Kadisha Dora and Neil Harel Insurance Company, Ltd. Karma Foundation Nathan and Clara Hetz Karmel Association Industrial Buildings Corporation Ltd. Recanati Elaine Israel Corporation, Ltd. Recanati Tal and Ariel Isrotel Hotels The Lucius Littauer Foundation Keter Plastic, Ltd. The Norman and Phyllis Lipsett Foundation Weiner Adam Tehiya and Ya’akov Kretz Moise Carasso Sons Ltd. $15,000-$50,000 Motorola Israel, Ltd Dutch Jewish Humanitarian Fund The Boulevard Group Frieze Family Foundation The Neopharm Group Jewish Federation of Monmouth County Ya’akov and the late Rivka Yovel Keren Kliger Koret Foundation 50,000 NIS - 100,000 NIS Lappin Andrew and Diane Dan Hotels, Ltd. Pincus Claudio and Penny Ronny Douek Ted Arison Family Foundation Perigo Israel, Ltd. The Lande Family Foundation The Skirball Foundation 100,000 NIS - 250,000 NIS UJA Federation of Northern New Jersey Boeing Israel $50,000-$100,000 250,000 NIS - 500,000 NIS John Louis Foundation Palm Beach Federation Jewish Agency for Israel I.D.B. Group: Discount Investments, Clal Insurance, $100,000-$250,000 Ltd. , Ltd. , Ltd. Hadera Paper UIA - of Canada / UJA Federation of Greater Toronto and I.D.B Fund The Harry and Jeanette Weinberg Foundation Judith Yovel Recanati Over 3,000,000 NIS Judith Yovel Recanati $250,000-$500,000 FIDF - Friends of the

15 Donors and Partners

THANK YOU FOR THE ASSISTANCE AND SUPPORT THANK YOU FOR THE COOPERATION Agron-B. C. & C. Ltd. Ma’ariv newspaper Alon Ben-David Doris and Mori Arkin Makor Rishon newspaper Cinematheque, Alon Garboz Aviv Group, Aviv Strategies Matan - Your Way to Give Itai Engel Bank Leumi Mazal Taleh (Catering) Ari Folman Barkan Winery Ministry of Health Haifa University Amos and Dina Be’er Yuval Nadel Mickey Haimowitz Brandman Institute Neviot Interdisciplinary Center, Herzliya Channel 10 NRG-Ma’ariv Israel Trauma Coalition Channel 2 Photo Linof JDC-Israel Municipality of Tel Aviv-Yafo Tal Pockard Tsalel Ministry of Welfare and Social Services Compucall Recanti Winery Tel Aviv University Eastronics Rosario Capital, Ltd, FoodArt (Catering) Shalmor Avnon Amichay AIPAC – The American Israel Public Affairs First International Bank Shapa Committee Yossi Friedman, Architect Shapam American Jewish Committee Globes newspaper Strauss Group Lion of Judah - Irseal Ha’aretz newspaper Super Print Halochem magazine Symcom Lexis Idit and Savyon Tesher Ifat Communications Transtitles Isracard Trask U-Bank Israel Post (Newspaper) Walla! Itamar’s Catering Tal Ya’acobi Jerusalem Bank Yediot Ahronot newspaper Jerusalem Post Yisrael Hayom newspaper KMPG Somekh Chaikin Accountants Ynet Lion of Judah Israel Yossi Avraham Law Office

Special thanks to friends who chose to give their birthday presents to NATAL as donation: Tova and Izzy Rorberg, Rivka and Ronny Tabac.

OVERSEAS American Friends of NATAL (AFN) Columbus Jewish Federation Lion of Judah P.E.F., Israel Endowment Funds, Inc. Peter M. Kash The Jewish Federation of Greater Houston UJA - Federation of New York UJC - United Jewish Communities

NATAL, To Live Again.

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