Nordisk konferanse for behandlere som arbeider med traumatiserte flyktninger

FROM POWERLESSNESS TO STRENGTH FRA AVMAKT TIL STYRKE

STAVANGER 6. - 7. June 2019 Welcome!

When celebrated its status as Cultural Capital of Europe in 2008, the slogan that defined the program Welcome was «OPEN PORT». Stavanger has long been proud to identify with openness, exemplified by its history as a city 3 of Christian missionaries leaving the port, of the herring industry exporting «King Oscar Sardines» all over the world, and as a city of shipowners sending their ships from the port around the globe. More recently, Stavan- ger has welcomed an international society of people connected to the oil industry, making Stavanger the most Program international city in . When waves of asylum seekers entered Norway in 2015, the Mayor of Stavanger, 4 Christine Sagen Helgø made clear that the asylum seekers and refugees were welcome in Stavanger. The King’s representative in County, Magnhild Meltveit Kleppa announced that «we will take care of the refugees in a good way”. Abstracts 9 This openness is being continuously challenged, as xenophobic attitudes are growing and have been much more openly expressed in both Norway and the rest of the world during recent years. These changes affect the lives of asylum seekers and refugees living in this country, and may leave them with feelings of powerlessness. Profes- Keynote speakers sionals and volunteers who assist them may also realize that a more restrictive immigration policy may make the 22 road from powerlessness to strength much harder for refugees, and indeed leave them experiencing the same feelings themselves.

About the conference This conference seeks to address the necessary shift from experienced powerlessness to strength for refugees 24 and asylum seekers, as well as for those who seek to assist them and the politicians who strive for more humane immigration policies. We open our port to you who have chosen to participate in these two days of exchange, inspiration and development, and look forward to the sharing of experiences with each other. The Committees 25 Welcome to Stavanger!

- 2 - - 3 - Johanna Jokela, psykolog, psykoterapeut, dans/be- 7 WORKSHOP: Kristian Svenberg, Eva Theunis, Désirée vegelses-terapeut, dans og yoga intruktør/danser. Ricken: Ingen rehabilitering utan rättvisa. Doku- THURSDAY 6. JUNE 09.50AM – 6PM Røde Kors senter for torturerte flyktninger, Stock- mentation av tortyroffer i hälso- och sjukvården. holm. Kristian Svenberg, Leg läk, spec i Allmänmedicin, 4pm Responding to talk and silences in our PAPER: Hedwig Bogstad-Kvam: ”Vi har problem, PhD PROGRAM men vi er ikke gal.” Når psykisk uhelse skal fore- Eva Theunis, Leg läk, spec i Allmänmedisin relationships with unaccompanied bygges i eksil – unge enslige flyktninger i kreative Désirée Ricken, psykiater 09.50am Cultural performance asylum seeking minors samtalegrupper. Flyktingmedicinsk Mottagning (Refugee Health Cli- Tone Linn Schanche-Mjånes, vocals Prof. Ravi Kohli, University of Bedfords- nic), Närhälsan, Göteborg, Sverige Tverrfaglig spesialist, master i interkulturelt arbeid Erik Håkon Halvorsen, piano hire, UK VID. Tidligere kontorleder ved Transkulturelt senter. Meeting room: Antique I

10am Care without borders. 6pm Close for the day Meeting room: Sølvberget 8 WORKSHOP: Frida Johansson Metso: The power of humanity. 7pm Minicruise to Pulpit Rock with light ”När kriget är allt jag minns” – att arbeta med PTSD 4 PAPER: Marie Høgh Thøgersen: The effectiveness of It’s all about people. dinner hos äldre flyktingar. Sven Mollekleiv a multi-disciplinary rehabilitation intervention for (registration at www.styrke2019.no) traumatized refugees across five Danish specialized Leg. psykolog, Transkulturellt Centrum, Stockholm Honorary President of the Norwegian rehabilitation centers. Red Cross Meeting room: Antique II Research coordinator, psychologist, Dignity; Danish 10.30am From powerlessness to strength institute against torture. Jone Schanche Olsen, Director, Parallel Sessions 1 - 8 PAPER: Maria Nordheim Alme: Transcultural Centre, Stavanger Physiotherapy and Refugees Education Project, Parallel Sessions 9 - 16 University Hospital 1 WORKSHOP: Despina Oikonomou: PREP. “What kind of support for those who support?” 10.50am Lived experience - Hussein Ali ARSIS, Association for the Support of Youth, Head Project leader, associate professor, Western Norway 9 WORKSHOP: Britt Tallhage, Eva Theunis: University of applied sciences, HVL. 11.05am Break of Social Services in programs mainly dealing with Att arbeta med trauma och själv behålla hälsan. refugees, Greece PREP, a collaboration between seven health- and 11.15am Being at Risk or Being a Risk: Rethinking educational institutions in Europe and USA. Britt Tallhage, Verksamhetschef, Närhälsan Göteborg Meeting room: Valberget Eva Theunis, Leg läk, spec i Allmänmedicin the Shifting Predicament of Refugees Meeting room: Kiellandsstuen Kris- och Traumamottagningen Cécile Rousseau, Director of Transcul- 2 PAPER: Nora Sveaass: Flyktingmedicinsk mottagning tural Child Psychiatry Clinic, Montreal Monitoring Detention Centres for Migrants. 5 WORKSHOP: Kjell-Ole Myrvoll, Helle Brochmann og Närhälsan, Göteborg Randi Elisabeth Jenssen: Children’s Hospital. Professor, Dept of Psychology, University of Oslo, Norway ”Hvorfor skal jeg stole på deg/dere?” Om å etablere Meeting room: Valberget 12.00 Break tillit og trygghet i behandlingsarbeidet med trau- PAPER: My Opperdoes, Josephine T. V. Greenbrook, meutsatte flyktningungdommer. 10 PAPER: Gunvor Berg: 12.15 Being at Risk or Being a Risk: Rethinking Josefine Rosenlundh, Henry Ascher, & Helen Elden: Helse- og mestringstilbudet ved Flyktninghelse- Flyktningteamet BUP Sjøvegan the Shifting Predicament of Refugees The need for trust and safety inducing encounters: teamet i Trondheim kommune. A qualitative exploration of women’s experiences of Universitetssykehuset i Nord-Norge HF (cont’d) seeking perinatal care when living as undocumen- Psykiatrisk sykepleier/familieterapeut Cécile Rousseau, Director of Transcul- ted migrants in Sweden. Meeting room: Kongsgårdstuen tural Child Psychiatry Clinic, Montreal Josephine Greenbrook: PAPER: Lars Trenning: MSc.Psychol, LLM.Med 6 WORKSHOP: Henry Ascher, Anna Olsson, Cina Ryder- Patienters upplevelse av sin behandling på Kris – og Children’s Hospital. Research Ass. & Lecturer gård: Barn på flykt som utsatts för systematiskt traumamottagningen. 1pm Lunch University of Gothenburg and University of Edinburgh våld - var går gränsen till tortyr? Erfarenheter från Flyktningbarn mottagningen i Göteborg. Leg. Psykolog, specialist i klinisk psykologi, 2pm Parallel sessions (1-8) Meeting room: Kannik leg. Psykoterapeut, Kris- och traumamottagningen Flyktningbarnmottagningen, Specialistcentrum Barn Göteborg 2.45pm Break with posterwalk 3 PAPER: Johanna Jokela, Marianne Alenius, Emma och Unga, Gamlestaden, Angereds närsjukhus Envall Ryman: Rörelsegruppernas betydelse för att Meeting room: Ledaalstuen Meeting room: Kannik 3.05pm Parallel sessions (9-16) öka individens egen makt och resurser som en del 3.50pm Break av RKC-Stockholms behandlingsmodell.

- 4 - - 5 - 14 PAPER: Gwyn Øverland: cont’d From Trauma to Resilience, Giving voice to values. Parallel Sessions 9 - 16 Psychologist, Ph.D., RVTS-Sør (Regionalt ressurs- FRIDAY 7. JUNE 9 AM – 4.15 PM senter om vold, traumatisk stress og selvmordsfore- bygging). 11 WORKSHOP: Gunnar Eide og Torunn Fladstad: 3.15pm Concluding lecture ”Jeg lærte noe viktig om livet mitt” (enslig mindreå- PAPER: Joana P. Becker, Rui Paixão, & Manuel João PROGRAM rig asylsøker fra Afghanistan). Quartilho: Traumatic Stress among Firefighters: risk Cécile Rousseau, Director of Transcul- tural Child Psychiatry Clinic, Montreal and protective factors. 9am Cultural performance Spesialrådgivere, RVTS-Sør (Regionalt ressurssen- Children’s Hospital. ter om vold, traumatisk stress og selvmordsforebyg- Joana Proença Becker is member of the European Sverre Bogstad-Kvam ging). Society for Traumatic Stress Studies (ESTSS) Future 4.00pm Concluding remarks – Aina Basilier International Leadership Group, and researcher at 9.10am Full life and dignity for all Vaage, senior consultant psychiatrist, Meeting room: Sølvberget the Trauma Center of the Center for Social Studies Ingeborg Midttømme, Bishop, Ph.D., Transcultural Centre, Stavanger (CES) of the University of Coimbra, Portugal. Møre Diocese 12 WORKSHOP: Henry Ascher, Åsa Backlund, Pernilla 4.15pm Conference close Östlund: Support for unaccompanied children and Meeting room: Ledaalstuen 10.00 am My body and I are not friends youth – Effects and experiences. Results from a Morten Sodemann – Professor in systematic literature review by the Swedish Agency 15 WORKSHOP: Ferdinand Garoff and Heidi Parviainen: for Health Technology Assessment and Assessment Unaccompanied and accompanied refugee minors’ Global and Migrant Health at the Center Parallel Sessions 17 - 19 of Social Services (SBU). mental health interventions: for Global Health, Clinical Institute, Examples of research projects in Finland. University of Southern Denmark Henry Ascher: 17 WORKSHOP: Josephine T. V. Greenbrook, Henry MD, PhD Ferdinand Garoff: Psychologist, PhD candidate, Uni- 10.45am Pause Ascher, and Graeme Laurie: When Law and Medical Professor i folkhälsovetenskap versity of Tampere, Finland Ethics Conflict: Physicians’ perceptions of their Docent i barnmedicin Heidi Parviainen: Child Psychiatrist, PhD candidate, 11.00am Film: ”Nowhere to Hide” roles as gatekeepers in satisfying undocumented Göteborgs Universitet University of Turku, Finland - Winner of the IDFA (International Docu- migrants’ right to healthcare access in Sweden. mentary Film Festival Amsterdam) Award Meeting room: Kiellandsstuen Meeting room: Antique I Josephine Greenbrook: 2016 and over 20 other international MSc.Psychol, LLM.Med 13 PAPER: Sverre Varvin: 16 PAPER: Niklas Fors: awards and accolades. Research Ass. & Lecturer Psykisk helsearbeid med traumatiserte The Swedish Aging in Exile Study (SAIE)- a pilot Followed by Q&A with Zaradasht Ahmed, University of Gothenburg and University of Edinburgh flyktningpasienter. study. Director and Kristin Aalen, journalist. Meeting room: Atlantic Hall Professor Leg. psykolog 12.30pm Lunch OsloMet – Oslo Metropolitan University Närhälsan 18 WORKSHOP: Annika Kihlman, Lotta Carsson, Norwegian psychoanalytic Society Kris- och traumamottagningen 1.30pm Round table hosted by Kristin Aalen: Antti Klemettilä: Group Work with Refugees and Göteborg Therapists’ and Politicians’ Experience Asylum Seekers – Experiences from Finland. PAPER: Moa Nyamwathi Lønning and Anette Brin- of Powerlessness gedal Houge: Rehabilitating victims of torture in PAPER: Lena M.C. Andersson, Anders Hjern, Henry Antti Klemettilä, psychologist, project manager, Norway. Ascher: Suicidal thoughts among undocumented Behandlerens avmakt. Politikerens Serene - Refugee Mental Health Project migrants in Sweden. avmakt. The Southwest Finland Association for Mental Health Moa Nyamwathi Lønning: PhD in Social Work from Heidi Bjerga, Politician; Chair of Cross-Cultural Psychology Task Force the Norwegian University of Science and Technology Lena M.C. Andersson: Liv Ekeland (Retired) Director, Finnish Psychological Association

(NTNU) on Afghan minor asylum seekers. Associate Professor, International Coordinator Health Centre; San Hessami, refugee; Humanitarian needs and analysis-unit at the Department of Social Work, Faculty of Social Scien- Meeting room: Valberget Norwegian Red Cross. ces, University of Gothenburg Jone Schanche Olsen, Director, Transcultural Centre, Stavanger University 19 WORKSHOP: Farzad Pakzad, Jonas Gordinger: Meeting room: Kongsgårdstuen Meeting room: Antique II Hospital. Neurofeedback, en behandlingsmetod för traumati- serade patienter på Kris- och traumamottagningen, 2.15pm Parallel sessions (17-19) Närhälsan, Göteborg. Presentation of abstracts Farzad Pakzad: Leg. psykolog, psykoterapeut Jonas Gordinger: Psykiater 3pm Break Meeting room: Sølvberget

- 6 - - 7 - ABSTRACTS

Parallel Sessions Thursday 6. June way of controlling the migrant flows to the country. Both 2pm - 2.45pm adults and children are detained in different camps and centers, and the general conditions, and services provided, including health services and options for 1 schooling, may vary a lot from place to place. Interna- WORKSHOP: Despina Oikonomou: tional guidelines and regulations regarding detention of asylum seekers and migrants will be presented, and What kind of support for those who some examples of international reactions from a human support? rights perspective. A particular focus will be on the ARSIS, Association for the Support of Youth, Head different monitoring mechanisms, with mandate to enter of Social Services in programs mainly dealing with such facilities. First of all the possibilities laid down in refugees, Greece. the Optional protocol to the Convention against Torture (OPCAT) will be described, and recommendations and observations, based on visits both from National Working with asylum seekers and refugees has many Preventive Mechanisms (NPMs) and the international levels and can go through various phases. It can start as UN Committee, the Subcommittee for the Prevention a euphoric and rewarding experience emanated from of Torture (SPT) will be discussed. A special focus will the political/ideological stand of the carer/supporter. be given to the rights of persons seeking protection and Assistance on all levels especially during times of high what the possible consequences of violations of these influx or emergencies can be easily available and resour- may have for mental health and further life conditions. ces both in materials and personnel sufficient. Howe- ver, as time and work progress and many difficulties in Contact: [email protected] communication/adjustment arise, cares can experience burn out. They might need some kind of support to be able to avoid extreme burn out /stress/disappointment. What are the ways carers can be supported in order to be PAPER: My Opperdoes, Josephine T. V. effective in their work? Is supervision enough? Greenbrook, Josefine Rosenlundh, Henry Contact: [email protected] Ascher, & Helen Elden: The need for trust and safety inducing encounters: A qualitative exploration of 2 women’s experiences of seeking perinatal PAPER: Nora Sveaass: care when living as undocumented mi- Monitoring Detention Centres for Migrants grants in Sweden Professor, Dept of Psychology, University of Oslo, Josephine Greenbrook: Norway MSc.Psychol, LLM.Med Research Ass. & Lecturer Today, more and more states engage in the practice of University of Gothenburg and University of Edin- detaining persons who arrive to the borders in order to burgh seek protection. Despite international criticism of this practice, countries continue to use deprivation of liberty as a possible deterrent to other migrants, as well as a Women living as undocumented migrants have limited - 8 - - 9 - and deficient access to perinatal care, increasing their enten har möjlighet att förutom individuell behandling intervjuer med og uten tolk. Fokus på etiske refleksjoner Research coordinator, psychologist, Dignity; Danish risks of both physical and psychological complications delta i olika gruppbehandlingar, och där det är motiverat rundt feltrelasjoner og ungdomsgruppens situasjon. institute against torture. during pregnancy and childbirth. finns möjlighet till kontakt med socionom, sjuksköterska Interviews with thirteen women from ten different och psykiatriker. Vår erfarenhet är att gruppbehand- Resultat Background: Each year approximately 2900 trauma- countries were conducted and analyzed using qualitative lingarna är viktiga för att hjälpa patienterna att bryta Tapet av collective medicine – familien og hjemmet – til- tized refugees are referred for treatment at one of nine content analysis, in the effort to provide a composite isolering, öka egenmakt, stärka egna resurser och så skrives større negativ helsepåvirkning enn flukterfaringen. specialized rehabilitations centers for traumatized refu- description of women’s experiences of clinical encoun- småningom underlätta avslut av behandlingskontakten. Varierende grad av tilhørighet og støtte i diaspora kompen- gees in Denmark. The experience across centers is, that ters throughout pregnancy and childbirth, when living Vår erfarenhet har visat att det är svårt att fånga upp serer i liten grad. Ungdommene og deres familiemedlemmer while the treatment is helpful for many, some groups are as undocumented migrants in Sweden. Results indicated förändringar i patienters mående genom utvärderingar forebygger bekymring og stress ved kun «å fortelle positivt» not helped enough. More knowledge is needed on cli- that in clinical encounters where healthcare professio- baserade på självskattningsformulär, samtidigt som det og «kaste ting bak seg». De relaterer seg i varierende grad nical and socio-demographic characteristics among the nals displayed empathic concern and listening behaviors, är vanligt att patienterna rapporterar en stor förbättring, til religiøse- og tradisjonelle behandlinger. Forståelse av referred refugees, the effect of treatment, and on what women felt empowered, acknowledged, and encouraged, till exempel ökad livskvalitet och ökade resurser. Det har sykdom som ´synlig vs. usynlig´ modereres og eksemplifise- works for whom. leading them to trust clinicians, diminishing fears in föranlett att vi på mottagningen har genomfört intervju- res i gruppesammenheng. Gjennom psykoedukasjon og bruk seeking healthcare services. Conversely, when neglectful er med patienter som utöver sin individuella kontakt har av firedelt helsemodell tematiserer gruppelederne ungdom- Aim: This study aims to examine the effectiveness of a behaviors on part of healthcare professionals were per- deltagit i dansrörelseterapigrupp eller traumasensitiv menes risiko for å utvikle plager som følge av potensielt multi-disciplinary rehabilitation approach for traumati- ceived in encounters, anxiousness and fear intensified. yogagrupp. Det vi kan se är att grupperna är mycket traumatiserende erfaringer i flukt- og eksiltilværelse. Ung- zed refugees across five specialized rehabilitation clinics The overarching findings indicated that the needs of un- uppskattade av patienterna. Vår erfarenhet är också att dommene vurderer imidlertid ikke å søke slike plager lindret for traumatized refugees in Denmark. documented migrant women were largely similar to tho- grupperna även har en avlastande funktion för patien- i det norske helsevesenet. Evalueringsresultatet «Ungdom- se of all expectant mothers; however, due to vulnerabili- tansvarig behandlare. menes brosjyre» oppfordrer fremtidige gruppedeltagere til Method: Drawing on monitoring data from 1721 trau- ties relating to their circumstances, flexible and informed å dele ‘sannere’ erfaringer i mindre grupper. Gruppelederne matized refugees referred for treatment in one of the five care provision appeared essential. Being knowledgeable Contact: [email protected] bør forstå og ta initiativ til å drøfte hvordan ungdommene centers in the period 2012-2016, this study examines on undocumented migrants’ rights to healthcare is vital, preges av spenninger knyttet til hjemlandets government. before- and after treatment measures on the following: as clinical encounters appeared highly consequential to PAPER: Hedwig Bogstad-Kvam: «Vi har Tolken som landsmann spiller i så henseende en avgjørende PTSD (Harvard Trauma Questionnaire) Anxiety and the women’s well-being and help-seeking behaviours. problem, men vi er ikke gal»- Når psykisk rolle i samskaping av gruppens felles narrativ. Ungdommene Depression (Hopkins Symptoms Checklist) Pain (Body We will present findings and examples from the study, føler eierskap til historien og anser den av verdi for norske Pain Inventory) health and disability (Disability Assess- and discuss the potential in positive clinical encounters uhelse skal forebygges i eksil – unge ens- jevnaldrende for at de skal få kjennskap til (positive) aspek- ment-Scale WHODAS 2.0.) in assisting an otherwise elusive population exposed to lige flyktninger i kreative samtalegrupper. ter ved hjemlandet, så vel som ungdommenes beskyttelses- extensive risk factors. Tverrfaglig spesialist, master i interkulturelt arbeid grunnlag i Norge. Results: The results overall suggest a positive effect of VID. Tidligere kontorleder Transkulturelt senter treatment across centers. It suggests that the treatment Contact: [email protected] Konklusjon has a large effect on some refugee groups, while no effect Gruppetiltaket bør ta hensyn til språk, makt og mangfold on other groups. Bakgrunn i helseverdener- og forklaringsmodeller. Både klinikere og Eritreiske flyktningeungdommer i tiltaket kreative forskere utfordres til å anerkjenne sitt potensial som tids- Conclusion: The study suggests that gathering monitor- 3 samtalegrupper, ledet av helseprofesjoner fra psykisk vitner, gjennom faktiske menneskemøter, for den urett og ing data across the national rehabilitations centers is fea- helsevern, dikter historien om en ungdom med liknende PAPER: Johanna Jokela, Marianne Aleni- sykdomsbyrde flyktningeungdommer lever med. sible, and that more systematics data collection is needed livsløp og fluktrute. Hvordan påvirker gruppeerfaringen us, Emma Envall Ryman: Rörelsegrup- to inform us about what works for whom. This study will deres helseforståelse- og adferd i nytt helseomsorgssys- Contact: [email protected] inform the ongoing national collaboration on monitoring pernas betydelse för att öka individens tem? data across the five specialized centers in Denmark. egen makt och resurser som en del av Mål 4 RKC-Stockholms behandlingsmodell Contact: [email protected] Tolke ungdommenes refleksjoner rundt forebygging, Johanna Jokela, psykolog, psykoterapeut, dans/ PAPER: Marie Høgh Thøgersen: helse og sykdom fra et brukerevalueringsperspektiv i lys The effectiveness of a multi-disciplinary bevegelsesterapeut, dans og yoga intruktør/dan- av kritisk medisinsk antropologi og begrensninger ved PAPER: Maria Nordheim Alme: ser. Røde Kors senter for torturerte flyktninger, narrativer i kvalitativ forskning. rehabilitation intervention for traumatized Physiotherapy and Refugees Education Stockholm. refugees across five Danish specialized reha- Project, PREP Metoder bilitation centers. Project leader, associate professor, Western Nor- På RKC Stockholm arbetar vi utifrån en modell där pati- Deltagende observasjon og fokusgruppe- og individuelle way University of applied sciences, HVL. - 10 - - 11 - PREP, a collaboration between seven health- and Tillit og trygghet er viktig ved all psykiatrisk behandling. approach what had happened to them. Trust, security, seeker who alleges torture, which could constitute evi- educational institutions in Europe and USA. For traumatiserte flyktningbarn bør dette tillegges stor and time were necessary prerequisites. Several of the dence in the asylum process. vekt fordi tillit og trygghet ofte er blitt ødelagt i relasjon children had physical injuries that had been documen- In a pilot project during 2019, we will use the IP to docu- As the migration crises continues in Europe, health care til andre mennesker. ted. Moreover, we found that the children often were not ment a certain number of patients allegeing torture. Case and rehabilitation needs of refugees and migrants chal- I vårt arbeid med barn og unge ved BUP Sjøvegan har vi provided proper protection and care. In several cases, studies and documentations will be discussed. lenge health care systems in many European countries. gjennom en årrekke erfart at de første møtene med pasi- the Swedish Migration Agency chose not to take into Despite their resiliency, many refugees and migrants entene er svært viktige for det videre behandlingsforlø- account documentation of torture damage, and it was Contact: [email protected] have complex health needs that are a result of a cumu- pet. Vi er blitt mer og mer bevisst på at det relasjonsbyg- difficult for many children to receive safe adult support lative trauma they experienced in their home countries, gende arbeidet bør få topp prioritet, nettopp for å skape and housing via social services. 8 during their dangerous journey, or in the period of et godt klima der tillit og trygghet utgjør grunnmuren We will present case descriptions and discuss impro- adjustment in their new country. Language, cultural for det videre arbeidet sammen med pasientene. Enslige vement possibilities surrounding the detection of refugee WORKSHOP: Frida Johansson Metso: differences, poverty, and lack of familiarity with the local mindreårige flyktninger er særlig sårbare, da de ikke har children who have been subjected to torture and ”När kriget är allt jag minns” – att arbeta environment and healthcare system are additional bar- foreldre sammen med seg og i mange tilfeller heller ikke violence. med PTSD hos äldre flyktingar riers that refugees and migrants face in accessing heath andre nærstående støttepersoner. I workshopen vil vi vise til eksempler både fra individuell Contact: [email protected] Leg. psykolog care. At the other end are physiotherapists and other he- Transkulturellt Centrum, Stockholm alth care professionals who do not feel sufficiently prepa- terapi og fra gruppeterapi på tilnærminger for å skape red to serve this population. Even the competencies that tillit. Vi ønsker en dialog med deltakerne der vi kan dele 7 they need are not clearly defined. This project fill the gap erfaringer om hva som har fungert godt og hva som ikke Sent utvecklad posttraumatisk stress kan oväntat drabba in competence of physiotherapists to meet the complex har fungert så bra. WORKSHOP: Kristian Svenberg, Eva The- flyktingar som upplevt krig för flera decennier sedan needs of refugees and migrants by introducing a course unis, Désirée Ricken: Ingen rehabilitering – under 70-talet i Chile, 80-talet i Iran och Irak eller to develop these relevant skills and competencies. The Contact: [email protected] utan rättvisa. Dokumentation av tortyrof- i Bosnien på 90-talet – och som aldrig plågats av sina project will first define relevant skills and competencies minnen förrän det naturliga åldrandet påverkar deras fer i hälso- och sjukvården kognitiva strukturer. När de tar kontakt med vården be- of PTs and then design an e-course for skill development 6 to address this shortage in the labour market in Europe. Kristian Svenberg Leg läk, spec i Allmänmedicin, skriver de förvirring, minnessvårigheter och att dåtiden In this presentation we will present how we have defined WORKSHOP: Henry Ascher, Anna Olsson, PhD blir mer verklig än vardagen – en problembeskrivning the knowledge need for physiotherapists and the defined Cina Rydergård: Eva Theunis, Leg läk, spec i Allmänmedicin som kan feldiagnostiseras hos äldre som Alzheimers consensus on knowledge need of physiotherapists in Eu- Désirée Ricken, psykiater sjukdom. Utan korrekt diagnos förlorar patienten möj- Barn på flykt som utsatts för systematiskt lighet till traumabehandling samtidigt som risken för att rope. We hope this will inspire for further discussions so Flyktingmedicinsk Mottagning, Närhälsan, våld - var går gränsen till tortyr? Erfaren- utveckla demenssjukdom är fördubblad hos PTSD-pati- the knowledge acuired in this project can be transfered Göteborg to other professionals in the rehabilitation field. heter från Flyktingbarnmottagningen i enter – de båda sjukdomarna döljer och maskerar varan- dra. Även i tidig demensutveckling kan PTSD behandlas, Göteborg. Up to 30 % of newly arrived refugees from Syria report Contact: [email protected] men då är det bråttom: Traumaminnen är mer resistenta Flyktingbarnmottagningen, Specialistcentrum Barn having been exposed to torture. To notice, ask for and mot demenssjukdom än andra minnen. Utan hjälp kan och Unga Gamlestaden, Angereds närsjukhus. observe these experiences and narratives of suffering is a krigsbilderna väckas till våldsamt liv i ålderdomen och 5 vital responsibility for Health Care. förneka överlevare fred och frid även i livets slutskede. WORKSHOP: Kjell-Ole Myrvoll, Helle Children on the run constitute a risk group for having When we meet patients having survived torture we need Det pågår ett arbete i Sverige för att stötta i differenti- been subjected to violence. According to the Child Con- to focus on the crime that has occurred and together with aldiagnostisering mellan kognitiv sjukdom och PTSD. Brochmann og Randi Elisabeth Jenssen: vention and the Convention Against Torture, they have a the patient make sure a proper documentation is done. Frida Johansson Metso, leg. psykolog på Transkulturellt «Hvorfor skal jeg stole på deg/dere?» Om right to protection and rehabilitation. This workshop describes how this could be made accor- Centrum, som 2018 gav ut en bok om äldre traumatise- å etablere tillit og trygghet i behandlings- In a systematic review conducted at CRT, a specialist ding to the Istanbul Protocol (IP), the official UN manual rade flyktingar, föreläser och leder denna workshop där clinic including both paediatric and psychiatric compe- for documentation of “Torture and Other Cruel, Inhu- deltagarna välkomnas att lämna synpunkter på arbets- arbeidet med traumeutsatte flyktningung- tence, we found that 98 out of the 113 children included man or Degrading Treatment or Punishment”. Adop- produkten, ett samtalsstöd, och berätta om egna erfaren- dommer. had been subjected to violence, 44 of them to structural ted in 1999, it serves as a guideline for a physical and heter av behandling av äldre traumatiserade flyktingar. Flyktningteamet BUP Sjøvegan violence or torture and 54 to other kinds of violence psychological assessment of survivors of torture. Universitetssykehuset i Nord-Norge HF in or outside the family. Often treatment at CRT had In Sweden, documentations according to the IP are few. Contact: [email protected] been lengthy, prior to the violence being discovered by The Protocol serves two basic functions. 1. To facilitate healthcare personnel. Many children had difficulties to rehabilitation for victims of torture. 2. To help an asylum

- 12 - - 13 - Parallel sessions Thursday 6. June – 10 PAPER: Lars Trenning: opplæringen har vært å ha felles workshop med ansatte 3.05pm - 3.50pm Patienters upplevelse av sin behandling og beboere. PAPER: Gunvor Berg: Ved hjelp av en metode som kalles Tankekart formid- Helse- og mestringstilbudet ved Flykt- på Kris – og traumamottagningen ler de unge sine tanker om: 1. Hva som er bra i livet, 2. 9 ninghelseteamet i Trondheim kommune Leg. Psykolog, specialist i klinisk psykologi leg. Hva som er utfordrende og 3. Hvilke ønsker de har for WORKSHOP: Britt Tallhage, Eva Theunis: Psykiatrisk sykepleier/familieterapeut Psykoterapeut fremtiden. Først jobber ansatte og ungdom i små grupper sammen Att arbeta med trauma och själv behålla Kris- och traumamottagningen, Göteborg Trondheim kommune satte i 2017 i gang et prosjekt med om dette – før hver ungdom presenterer sitt tankekart hälsan. mål om at nybosatte flyktninger og deres familiegjen- På Kris- och traumamottagningen i Göteborg har vi for alle deltakerne. De andre deltakerne, både voksne og Britt Tallhage, verksamhetschef Eva Theunis, Leg forente skal styrke sine muligheter for økt deltakelse i genomfört en intervjustudie vars syfte varit att fördjupa ungdom, inviteres til å si noe om hva de har sett av egen- läk, spec i Allmänmedicin arbeidslivet og derigjennom økt deltakelse på andre sam- kunskapen om patienters upplevelse av behandlingen på skaper og styrker hos den enkelte og hvordan de klarer Kris- och Traumamottagningen funnsarenaer. Tilbudet har fokus på tidlig innsats, hel- hos oss. Vi ville förstå mer om vad dessa uppfattade som å stå og utvikle seg i en vanskelig livssituasjon. Det siste Flyktingmedicinsk mottagning Närhälsan Göteborg hetsperspektiv og mestringsstrategier. Tiltak i prosjektet: verksamt i behandlingen. Semistrukturerade intervju- er en metode inspirert av den engelske barnepsykiater Praktisk veiledning er et tiltak med målsetting om at del- er genomfördes med fem patienter som avslutat sin Elsebeth McAdam og kalles «Ability Spotting». takerne skal klare å nyttiggjøre seg tilbudene i introduk- behandling. Tankekart og «Ability Spotting» er enkle verktøy å tileg- Hur kan vi undvika sekundär traumatisering när vi som ne seg og kan brukes i både individuelt arbeid, i grupper behandlare möter komplext traumatiserade patienter. sjonsprogrammet. 3 ansatte med helse- og sosialfaglig I en tematisk analys sorterades under fyra huvudteman; kompetanse, veiledningskompetanse, kulturkompetanse 1. Behandlingsstart, 2. Under behandlingen, 3. Relatio- og med familier. Tilbakemeldingene fra deltakerne er Vad innebär det i praktiken att hålla någons smärta i gode. sin hand utan att göra den till sin egen. Hur kan våra og språkkompetanse jobber tett med deltakere i skul- ner och 4. En meningsfull och friare tillvaro. der-til-skulder-veiledning. Sammen med deltaker jobber Studiens resultat visar att patienterna vid behandlings- I workshopen vil vi presentere litt av erfaringene, men verksamheter rusta sig för att vi inte skall bli sjuka av også gjennomføre tankekart og «Ability Spotting» med vårt arbete. de fram konkrete mål og tiltak, og evaluerer underveis. start varit symtomtyngda och att de hade en upplevelse De har tett samarbeid med programrådgiver og kontakt- av sakna ord för att beskriva sitt lidande. I behandlingen deltakerne, slik at de kan gå hjem og ta det direkte inn i Sverige har 2015 – 2016 gjort den största humanitära sin praksis. insatsen i vårt lands historia. På Flykttingmedicinsk mot- person på Flyktninghelseteamet for å sikre helhetsper- konfronterades de med sina traumaberättelser och efter spektiv/familieperspektiv. hand kunde de få allt mer tillgång till sina ord. I intervju- tagning i Göteborg tog vi emot flera tusen asylsökanden Contact: [email protected] för hälsoundersökning och kortare psykosociala insatser. Familiesamtaler ved familiegjenforening og Familietiltak erna beskriver de också hur relationen till behandlaren, På Kris och traumamottagningen som är en specialist- er to tiltak med målsetting om å styrke familien i arbei- sig själva och deras historia förändrades. Något som led- mottagning för krigs och tortyrskadade kom en delvis ny det med å fungere som familie i nytt land, øke foreldre- de till en känsla av att kunna se andra samt att bli sedd. 12 målgrupp, de ensamkommande ungdomarna. nes kompetanse på egne og barns psykiske reaksjoner Efter avslutad behandling uppfattade de att de hittat en WORKSHOP: Henry Ascher, Åsa Backlund, Vi kommer på denna workshop att dela med oss av våra og bedre samarbeidet mellom foreldre/skole/barnehage mer meningsfull och friare tillvaro då de funnit tillgång praktiska erfarenheter. rundt barn som har reaksjoner på traumer. till upplevd agens, de kunde bättre förhålla sig till his- Pernilla Östlund: Support for unaccompa- Skyddande faktorer – den hållande organisationen Faglig tilnærming: traumebasert omsorg, narrativ og torien och känna hopp inför framtiden. Detta även om de nied children and youth – Effects and Vad kan hända i arbetsgrupper? systemisk tilnærming. fortfarande kunde ha omfattande symtom. experiences. Results from a systematic Överexponering – var går gränsen? Hva gjør vi: tidlig kontakt (transparent presentasjon, Vikten av självreflektion – att ha en plan för självhjälp? hjemmebesøk, bygge relasjon), følge tett (her og nå, Contact: [email protected] literature review by the Swedish Agency För nya medarbetare – vad är viktigt att tänka på? individuelt tilpasset, bruke tid), følge over tid (forberede for Health Technology Assessment and Vi kommer också att beskriva en metod, The Portable på evt utfordringer, dele erfaringer, overganger). 11 Assessment of Social Services (SBU) Vi erfarer at disse tiltakene sammen med det tverrfaglige Calm. Metoden utgår från mindful medvetenhet och har Henry Ascher: helsetilbudet Flyktninghelseteamet i Trondheim allerede WORKSHOP: Gunnar Eide, Torunn Flad- som mål att stärka kapaciteten för självreglering och att MD, PhD Professor i folkhälsovetenskap Docent i förhindra utbrändhet. Med hjälp av olika övningar kan har, gir et helhetlig og familierettet tilbud. stad: «Jeg lærte noe viktig om livet mitt» barnmedicin Göteborgs Universitet vi reglera våra egna affekter bättre och kan vi även lära - (Enslig mindreårig asylsøker fra Afgha- Contact: [email protected] ut dessa i mötet med patienter så att de får en bättre nistan) självreglering. Deltagarna kommer att bjudas in att A systematic literature review about unaccompanied praktisera. Spesialrådgivere, RVTS-Sør (Regionalt ressurs- minors was done with the following focus: senter om vold, traumatisk stress og selvmords- • scientifically documented effects of support Contact: [email protected] forebygging). • experiences of unaccompanied children and youth about positive and negative factors I 2018 har RVTS Sør hatt opplæring for ansatte i mottak for enslige mindreårige asylsøkere. Et av målene ved - 14 - - 15 - Method livsforhold. society. PAPER: Joana P. Becker, Rui Paixão, & 2 210 abstracts were examined. Assessment of relevance Alvorlig traumatisering griper inn i en persons psyko- With the Istanbul protocol and the national legal fra- Manuel João Quartilho: Traumatic Stress and quality and the analysis were done according to SBU biologiske fungering og påvirker relasjoner, familie og mework as points of departure, the study is based on a standard. nettverk. Jeg vil hevde at fokusering på «traumet», slik large number of key interviews with experts and service among Firefighters: risk and protective det er vanlig i mange traumefokuserte terapier, kan providers in Norway, as well as a solid and combined factors Results snevre fokus og ikke forholde seg til kompleksiteten av review of research publications, secondary sources and Joana Proença Becker: Psychologist, member of No controlled study on effects, but 29 articles with qua- den traumatisertes problemer og at det innebærer en gray literature. the European Society for Traumatic Stress Studies litative design were included. Seven overall themes were mekanisk forståelse av det psykiske liv og av følgene (ESTSS) Future International Leadership Group, identified: etter traumatisering. Contact: [email protected] and researcher at the Trauma Center of the Center • Security and control: a basic requirement I det kliniske møtet med pasienter som har vært utsatt • The new country: both opportunities and difficulties for overveldende og svært angstfylte opplevelser (over- for Social Studies (CES) of the University of Coim- • Managing difficulties: a balance between different grep etc.), er det viktig å forstå hvordan traumatisering, 14 bra, Portugal. strategies spesielt forårsaket av andre mennesker, fører til dyp PAPER: Gwyn Øverland: • Everyday environments: supportive relationships as utrygghet og mangel på evne til å ha tillitt til andre. From Trauma to Resilience, Giving voice to Background: Although a previous systematic review, well as influence in housing and access to schools and Alvorlig traumatisering innebærer skade på relasjonsev- values conducted by the authors of the current paper, pointed activities are important nen. Dette må adresseres fra første møte med pasienten out the scarcity of research on traumatic stress and fire- • Relationships: support and guidance from adults is im- og i det videre psykoterapeutiske arbeidet. Psychologist, Ph.D., RVTS-Sør (Regionalt ressurs- fighters, the findings indicated that the main predictors portant, contact with peers important, but also difficult Jeg vil i dette foredraget vise hvordan klinikere kan møte senter om vold, traumatisk stress og selvmords- of stress-related diseases are pre- and post-trauma • Social services and health and medical care: varying og arbeide psykoterapeutisk med traumatiserte pasienter forebygging). factors rather than the intensity and type of event. Obje- views on and experiences of support and needs med flyktningbakgrunn. ctive: The study aimed to identify the risk and protective • Identity and affiliation: getting together the past, the In my research on resilient survivors of the Khmer factors for the development of PTSD and stress-related present and the future. Contact: [email protected] Rouge in Norway and Cambodia, the most significa- diseases in Portuguese firefighters who battled the 2017 nt explanation of their survival in their view, was that violent forest fires. Discussion they had tried to do what was “right”, whatever the In the absence of controlled effect studies, it is parti- PAPER: Moa Nyamwathi Lønning, Anette circumstances. Informants explained their survival and Method: In order to verify the prevalence of PTSD and cularly important to pay attention to unaccompanied consequent happy lives in Norway in terms of how they stress-related diseases in firefighters, a set of self-report children and youths own experiences when providing Bringedal Houge: Rehabilitating victims of had struggled to help each other rather than focusing on measures including 15-item Patient Health Question- guidance for how society´s support for this heterogeneo- torture in Norway the faults of the perpetrators, how they had worked as naire, PTSD Checklist 5, Pittsburgh Sleep Quality Index, us group can be designed, in accordance with their rights Moa Nyamwathi Lønning: PhD in Social Work from hard as they could and held their heads down in danger, Brief Symptom Inventory and Depression Anxiety Stress in the Convention on the Rights of the Child. the Norwegian University of Science and Techno- and how they had tried to keep their basic religious and Scales was completed by 100 firefighters, and by 100 logy (NTNU) on Afghan minor asylum seekers. cultural values alive. subjects from general population as means of compa- Contact: [email protected] Humanitarian needs and analysis-unit at the Nor- These findings appear to resonate with refugees from rison. In addition, interviews were conducted on 40 Syria, Iraq and the horn of Africa, who seem to delight– firefighters, focusing on their representation of PTSD wegian Red Cross. in group sessions - in thinking back to their own “good and other stress-related diseases, as well as on the co- 13 values”, learned as children. In particular, recognition ping strategies they identify for dealing with duty-related A significant proportion of asylum-seekers and refugees PAPER: Sverre Varvin: of the universality of their own fundamental values can traumatic exposure. that arrive in Norway have been subjected to torture support and sustain their basic identity - in a society Psykisk helsearbeid med or to inhumane treatment. These experiences can have which otherwise seems most concerned with changing Results: Somatic symptoms, sleep disturbance and traumatiserte flyktningpasienter negative humanitarian consequences for the individuals them. PTSD rates are higher in firefighters than general po- Professor, spesialist i psykiatri concerned as well as for society both on the short- and pulation. Organizational support, working conditions, long term. The Norwegian Red Cross is currently under- OsloMet – Oslo Metropolitan University Contact: [email protected] experience and training are pointed out as protection Norwegian psychoanalytic Society taking a study to examine how victims of torture are (or factors, while sense of belongingness and peer relati- are not) identified and met by health care services, the onship are considered the most important means to Mange flyktninger med alvorlige helseproblemer søker reception system and other relevant service providers. It deal with stress reactions. In addition to these pre- and ikke eller har ikke mulighet for å søke behandling. De also seeks to explore whether, and if so how, the Nor- post-trauma factors, the Portuguese firefighters associa- som kommer til behandling har ofte komplekse psykiske wegian Red Cross can contribute to secure that victims ted the society and media pressure with the development problemer som og mange lever i tillegg under vanskelige of torture in need of socio- and/or medical follow-up of stress-related symptoms. are met adequately by the Norwegian welfare state and - 16 - - 17 - Conclusion: Since the identified factors influence the PAPER: Lena M.C. Andersson, Anders Parallel sessions Friday 7. June – subjective perception, this may be a starting point for the Contact: [email protected] Hjern, Henry Ascher: Suicidal thoughts 2.15pm - 3pm treatment of stress-related psychopathologies. among undocumented migrants in 16 Contact: [email protected] Sweden 17 PAPER: Niklas Fors: WORKSHOP: Josephine T. V. Greenbrook, 15 The Swedish Aging in Exile Study (SAIE)- Lena M.C. Andersson: Henry Ascher, and Graeme Laurie: WORKSHOP: Ferdinand Garoff, Heidi Par- a pilot study Associate Professor, International Coordinator Department of Social Work, Faculty of Social When Law and Medical Ethics conflict: viainen: Leg. psykolog, Närhälsan Kris- och traumamottagningen. Göteborg Sciences, University of Gothenburg Physicians’ perceptions of their roles as Unaccompanied and accompanied refu- gatekeepers in satisfying undocumented gee minors’ mental health interventions: There is need of more knowledge about factors related to Background: Undocumented migrants (UM) are at high migrants’ right to healthcare access in Examples of research projects in Finland health and well-being amongst older immigrants. This risk of mental illness and suicide. This study present pre- valence rates of suicidal thoughts among undocumented Sweden. Ferdinand Garoff: Psychologist, PhD candidate, study investigated how older Arab-speaking immigrants experience their aging in Sweden with a focus on health migrants (UM) in Sweden. University of Tampere, Finland Josephine Greenbrook: and well-being. Semi-structured interviews with nine Heidi Parviainen: Child Psychiatrist, PhD candidate, older immigrants (seven men and two women) between Methods: A cross-sectional study with UM aged 18-80 MSc.Psychol, LLM.Med University of Turku, Finland the ages of 50 and 77 who came to Sweden when they was performed in the three largest cities in Sweden Research Ass. & Lecturer were 18 or older were conducted. The material was 2014-2016. Sampling was done via informal networks. University of Gothenburg and The prevalence of psychiatric disorders is higher in both analyzed by systematic text condensation. The findings A socioeconomic questionnaire was constructed and University of Edinburgh unaccompanied and accompanied refugee minors than suggest that several factors are important in relation to psychiatric symptoms was screened for using Becks in host populations. Unaccompanied refugee minors are a healthy life: social relationships; access to and capa- Depression Inventory II, Becks Anxiety Inventory and Limited research exists on the intrusion of law in medi- five times more likely than accompanied refugee minors city to engage in meaningful activities; a stable social The PTSD checklist (PCL) for civilians. Trained fields cal authority, and its impact foundational medical ethics to experience severe mental health symptoms. In the situation; a good relationship with the health service and workers performed the interviews. A total number of and clinical work. Conflicts between law and medical workshop we will be presenting two research projects on a worked through relationship with the home country 104 individuals participated in the study. The study was ethics are observable in Sweden, where current law mental health interventions for refugee minors. and the personal history. Taken together, they led to approved by the Swedish Central Ethical Board. forcibly places clinicians in a gatekeeper role to undocu- Ferdinand Garoff will be presenting a trial of the first an experience of agency, security and a sense of pur- mented migrants’ right to healthcare access. stage of a stepped model of trauma care developed in pose. The ability to ”translate” the procedures of social Results: A total of 87 persons answered the question on In this context, the present phenomenological study the Traumatized Adolescents seeking Asylum –project. relations and meaningful activities to a Swedish setting suicide in BDI-II. Results showed that 43.7% presented sought to explore how legal terminology is experienced, The model includes a 10-session group-based interven- appeared as central. Aging was described as a threat to suicidal thoughts; 52.1% among men and 33.3% among understood, and applied by physicians, contextualizing tion focused on stabilizing and preventing the mental all the factors that were presented as important in rela- women. Younger men and older women had higher the perceived meaning ascribed to their imposed gate- health problems of participating unaccompanied minors, tion to a healthy life and the author believes that healthy frequencies than their counterparts. Specific items keeper role. Qualitative interviews with 42 physicians followed by an individual trauma focused intervention. aging can be achieved when the individual has continued concerned suicidal thoughts and whether the respondent from five major Swedish hospitals were conducted and Preliminary findings of the project were presented at access to these. wanted to or planned to carry them out. analysed. the previous conference in Gothenburg in 2017. New Preliminary findings indicated that physicians active- findings and recommendations will be reviewed and the Contact: [email protected] Conclusions: Although low numbers this study show ly rejected law by taking a firm, and often collective, manual presented. that undocumented migrants in Sweden present high stance against its intrusion in their work. This included: Heidi Parviainen will be introducing the study protocol prevalence of suicidal thoughts. This warrants important Rejection of the rule of law and government imposed evaluating Child Friendly Space in reception centre and health system response and understanding of UM´s non-medical responsibilities; considering repercussions the current stage of the ongoing study. The participants vulnerable situation. of legal non-compliance unthreatening; and, perceiving of the controlled intervention study are asylum-seeking professional authority and medical ethics as empowe- children in the age group of 2-6 years with their parents. Contact: [email protected] ring. The study evaluates the effectiveness and feasibility Regardless of legal knowledge, when law conflicts with of the Child Friendly Space intervention in securing foundational medical ethics, the intrusion of law in psychosocial development and improving mental health the medical profession appears to lead to the explicit of the asylum-seeking children. rejection of law. These findings accent the need for laws

- 18 - - 19 - addressing healthcare access to be compatible with fo- term experience of crisis work with immigrants and peer ligt feedback och kan träna och justera sin aktivitetsnivå. all outpatient clinics in Denmark providing specialised undational medical ethics, and call for harmony between support groups in the Finnish Association for Mental Efter enstaka sessioner brukar hjärnan lära sig hur den treatment for trauma-affected refugees and employed national legislation and international human rights law. Health. skall agera för att uppnå avsedd effekt. Det krävs cirka surveys and in-depth interviews to explore practice-ba- Lotta Carsson will be sharing experiences from psycho- 20-40 sessioner för att uppnå en bestående effekt. sed experiences from such treatment. The results show Contact: [email protected] social group work with irregular immigrants. The Unsafe Under Workshopen kommer vi att beskriva Neurofe- that group treatment is widely utilized and most practiti- -project (2017-2018) developed and provided psycho- edback, berätta om hur vi har tillämpat den sedan vi oners reported favourable experiences. Groups were ap- social support for asylum seekers who have been given a införde metoden på mottagningen i januari 2019 samt plied for varied purposes, most often psychoeducation, 18 negative decision and have no residence permit. beröra den senaste forskningen på området. and organised in various ways. Practitioners experienced WORKSHOP: Annika Kihlman, Lotta Cars- Antti Klemettilä will be discussing several different treatment guided by patientcentred clinical objectives son, Antti Klemettilä: group approaches developed for traumatized refugees Contact: [email protected] (e.g. interpersonal learning) as more meaningful and Group Work with Refugees and Asylum (Nature group, Art group, Relaxation group, Body and effective than treatment primarily aimed at accommo- mind –group) and success factors, lessons learned and dating administrative aims (e.g. cost-effectiveness). Seekers – Experiences from Finland best practices. He is currently experimenting with biofe- Posters Interpersonal dynamics were identified as a significant Antti Klemettilä, psychologist, project manager, edback and virtual reality in reception centers and will challenge and potential advantage in group treatment. Serene - Refugee Mental Health Project The South- share observations and discuss possible uses for better- Hedwig Bogstad-Kvam: «Vi har problem, Careful inclusion and establishment of safety were west Finland Association for Mental Health ment of mental health of refugees. among factors identified by practitioners as beneficial for Chair of Cross-Cultural Psychology Task Force men vi er ikke gal»- Når psykisk uhelse treatment delivery. The findings of the study support the Finnish Psychological Association Contact: [email protected] skal forebygges i eksil – unge enslige potential of group treatment for trauma-affected refuge- es. Results can be used to inform group programmes and Annika Kihlman, psychotherapist, crisis worker, The flyktninger i kreative samtalegrupper. inspire further empirical research in this area. Finnish Association for Mental Health 19 Tverrfaglig spesialist, Mastergrad i interkulturelt Lotta Carsson, physiotherapist, WORKSHOP: Farzad Pakzad, Jonas Gor- arbeid, VID; tidligere kontorleder Transkulturelt Contact: [email protected] The Psychotraumatological Centre, Helsinki dinger: senter. Neurofeedback, en behandlingsmetod Gunvor Berg: «Helse- og mestringstilbu- Language: The workshop will be held in Swedish (Anni- See Paper presentation, abstract over. ka Kihlman) and English (Lotta Carsson, Antti Klemet- för traumatiserade patienter på Kris- och det ved Flyktninghelseteamet i Trondheim tilä) traumamottagningen, Närhelsan, Göte- Contact: [email protected] kommune». borg. Psykiatrisk sykepleier/familieterapeut In this workshop we will describe our experiences wor- Helle Brochmann: Abstract for poster Flyktninghelseteamet i Trondheim kommune king with traumatized refugees in a group setting. We Farzad Pakzad: Leg. psykolog, psykoterapeut Jonas Gordinger: Psykiater presentation titled: ”Utility of Group Treat- have developed several different group interventions for See paper presentation over. reducing stress and symptoms of psychological trau- Kris- och Traumamottagningen, Närhelsan, ment for Trauma-Affected Refugees in ma. Our experience working with hundreds of refugees Göteborg. Specialized Outpatient Clinics in Denmark: Contact: [email protected] over several years puts us in a good position to discuss Att möta svårt traumatiserade patienter kräver behand- what works and does not work in practice. The focus of lingsmetoder som innebär en stabilisering av deras A Mixed Methods Study of Practitioners’ these groups have been more in overall stress reduction, psykiska tillstånd i den mån att man kan börja med bear- Experiences” stabilization and resource building than actual trauma betning av trauman och gå vidare mot en nyorientering treatment. Different groups and techniques help refugees i den sociala gemenskapen. Nerofeedback har visat sig Psykolog, flyktningeteamet BUP Sjøvegan to reconnect with their psychological, physical and social vara en effektiv metod som främjar stabilisering och ett well-being. tillfrisknande hos människor som lider av traumarelate- We wish to present the results of an explorative mi- Annika Kihlman will be discussing Stability training rade symtom. Genom tekniska hjälpmedel kan patienten xed-methods study, which will be published in the courses for traumatized immigrants. Stability training observera sin hjärnas aktivitet, som registreras genom peer-reviewed journal Counselling and Psychotherapy courses are based on psychoeducation and exercising sensorer placerade på huvudet, på en datorskärm. Det Research (spring 2019). Group treatment is proposed as practical skills on how to cope in everyday situations ger hjärnan en möjlighet att justera sin aktivitetsnivå för a relevant and cost-effective intervention for trauma-af- while experiencing distressing or trauma-related symp- att minska symptom som är kopplade till över- respekti- fected refugees. Due to heterogeneity in symptoms and toms. Course enhances one’s ability to control emotions, ve underaktivitet i olika delar av hjärnan som en följd av culture, treatment in groups is also assumed to pose ability to function, and well-being, and combines a long- stress eller trauman. På detta sätt får hjärnan kontinuer- certain challenges. The study included practitioners from

- 20 - - 21 - KEYNOTE SPEAKERS

Cécile Rousseau, MD Sven Mollekleiv

Dr Rousseau is a research and clinical psychiatrist at the Montreal Children’s Hospital Sven Mollekleiv is a Norwegian organisational leader, most well-known for his previous where she directs the Transcultural Child Psychiatry Clinic. She received her training in role as General Secretary and current role as Honorary President of the Norwegian Red medicine and psychiatry at the University of Sherbrooke, Université de Montréal, and Cross. McGill. Her clinical work is with refugee children and with torture victims. She also does Previous titles include Head of Information at the Norwegian Sports’ Association and consultation work for health institutions and school boards on refugee children. Dr Ro- Head of Marketing at the Norwegian Football Association. His current professional positi- usseau’s current research involves refugee children and adolescents from Southeast Asia, on is Senior Vice President at Sustainability for DNV GL. Central America and Somalia. Dr Rousseau is available for research supervision of gradua- Sven Mollekleiv has been awarded the ‘Knight of the First Order’ for his achievements and te students in the fields of applied social science, psychology, social work, and psychiatry. commitment to community and society.

Professor Ravi KS Kohli Bishop Ingeborg Midttømme

Professional Qualifications Certificate of Qualification in Socialork W – Central Council Ingeborg Synøve Midttømme is the third bishop in Møre diocese. She is an active partici- for Education and Training in Social Work (CCETSW) Diploma in Advanced Social Work pant in matters relating to refugee policy and to climate change, and has been very vocal (Children and Families) – Goldsmiths College, University of London. Teaching Role: My in her support for a more humane asylum policy. She has campaigned for the rights of teaching expertise is in relation to refugees and asylum seeking children and young peo- asylum-seekers facing deportation to unsafe countries, and was a member of the Immigra- ple. I also teach on aspects of qualitative research, and on the application of systemic ideas tion Appeals Board over a four-year period. to professional practices I teach and supervise dissertations across many undergraduate Bishop Midttømme was ordained in 2008. She studied Theology at the Faculty of Theo- and postgraduate courses and am really interested in students who take me to places of logy and graduated in 1986. Her first position as priest was as Chaplain in Høybråten in understanding that I would not get to on my own. Oslo. After five years there she became parish priest in Sørfold in Sør-Hålogaland, where she remained for four years. From 1997 she was Chaplain at Hauketo-Prinsdal. In 2003 she took a sabbatical to lead the Norwegian Church’s Clergy Association. As Head of the Clergy Association she sat on the board of the Federation of Norwegian Professional Professor Morten Sodemann Associations (Akademikerne) and later of UNIO (the Confederation of Unions for Pro- fessionals). She remained in this post until 2008 when she took over from I am a Professor in Global and Migrant Health at the Center for Global Health, Clinical as Bishop of Møre. On 21. September 2008 she was ordained as the third bishop of Møre Institute, University of Southern Denmark. I am also MD, Senior consultant in Infectious diocese. diseases and Head of the Migrant Health Clinic at the Department of Infectious Diseases, Odense University Hospital. The research for my PhD in tropical epidemiology was done at the Bandim Health Project. My fields of expertise include case management of child- hood illness, health systems research, HIV and TB epidemiology, as well as longitudinal demographic health surveillance in Guinea-Bissau and Uganda.

- 22 - - 23 - About the Conference The Committees

The Nordic Conference for therapists working with traumatized refugees was first held in 1987, and is being Organisational Committee: organized for the 21st time in 2019. Historically speaking the Conference has had three basic foundations: human rights work; clinical work with refugees and asylum seekers; and the presentation of research in the Jone Schanche Olsen, Consultant/Director, Transcultural Centre, Stavanger field. With the scope of asylum-seeking and humanitarian crises at a historically high level, the Conference as a meeting place for all those working in the field is more vital than ever. Aina Basilier Vaage, Consultant Psychiatrist, Transcultural Centre

On an initiative from Norway’s first and until now only Transcultural Centre, the Conference is being held Bodil Irene Høyer, Therapist/Clinical Social Worker, Transcultural Centre in Stavanger for the first time, in partnership with the Mental Health Information Foundation in Stavanger (Stiftelsen PsykOpp). Domnine Lecoq, Clinical Psychologist, Transcultural Centre

The Transcultural Centre is part of Stavanger University Hospital. The Centre works with traumatised Bente Haraldsvik, Secretary, Transcultural Centre asylum seekers and refugees of all age groups, regardless of asylum status, focusing on clinical work with patients, consultation, supervision, training and research. The Centre aims to provide traumatised refugees Aida Naqasha, Conference Coordinator, Mental Health Information Foundation and asylum seekers with quality mental health care services based on respect, accessibility and equal oppor- tunity. The Centre works closely with other statutory and non-statutory organisations in the field nationally and internationally, with a clear family focus for its work. Scientific Committee:

The Mental Health Information (Stiftelsen PsykOpp) is a non-profit organisation, whose primary objectives Aina Basilier Vaage, Senior consultant psychiatrist and child psychiatrist, MD, Ph.D., are to contribute to a greater understanding and openness around mental health issues, and to challenge Transcultural Centre, Stavanger University hospital stigma and taboos. The Foundation has over 30 years’ experience of organising courses and conferences in Head of the Scientific Committee the mental health field, including Scandinavia’s largest regular mental health conference ( ‘Schizofrenidage- ne’). Sofie Bäärnhielm, MD, PhD, Head of Transcultural Center, Stockholm County Council; Associate Professor of Psychiatry, Karolinska Institutet

Jessica Carlsson Lohmann, Senior consultant in psychiatry, MD, PhD, Associate professor, University of Copenhagen

Edvard Hauff, MD, Ph.D., Professor emeritus, University of Oslo

Venla Lehti, MD, Ph.D., Helsinki University Hospital

Dr Sotheara Chhim, MD, MPM, PhD, Executive Director of the Transcultural Psychosocial Organization Cambodia

- 24 - - 25 - Mini-cruise and light dinner

Join speakers, delegates and committee members for a mini-cruise to the Pulpit Rock ’Preikestolen’ on veteran ship MS Sandnes. Thursday 6. June 7.00-10.30 pm. Vi formidler kunnskap om psykisk Foto: mssandnes.no helse Preikestolen is one of Rogaland county’s most visited attractions, and one of the natural wonders of Norway, making it a popular photo subject. Preikestolen has been named one of the world’s most spectacular viewing points by both CNN Go and Lonely Planet. It rises 604 metres above the Lysefjord.

Foto: visitnorway.no

In assocation with The Stavanger and Ryfylke Regions

www.schizofrenidagene.no www.psykopp.no www.hertervigforlag.no - 26 - - 27 - styrke2019.no