Training of psychotherapists in post-conflict regions: A Community case study in the Kurdistan Region of Iraq

Abstract

The number of wars in the world is on the rise. A number of studies have documented the devastating impact on the public and especially public mental health. Health care systems in low- and lower-middle income countries that are frequently already challenged by the existing mental health services gap cannot provide the necessary care for those displaced by war with existing services. This is especially the case in the Kurdistan Region of Iraq (KRI) after the invasion of the terror organization ISIS in 2014. Most projects in post-conflict areas focus on short term basic psychological services and do not contribute to sustainable long-term capacity building of mental health services. An “Institute for Psychotherapy and Psychotraumatology” was therefore founded in order to train local specialists on a professional level with evidence-based methods adapted to culture and create sustainable long-term structures for psychotherapeutic treatment in the KRI. To achieve this, a number of measures were implemented, including the creation of a “Master of Advanced Studies of Psychotherapy and Psychotraumatology” in collaboration with local communities and the regional University. Two cohorts of students have successfully finished the master’s program and a third cohort are expected to graduate in 2023. Improving the capacity of local health care services to provide low-barrier, professional psychotherapeutic care in post-conflict regions supported by the innovative model presented in this article can be expected to improve the burden of psychological problems and contribute to peacebuilding.

Learning interventions and training methods in health emergencies: A scoping review

“…Different types of learning interventions are described across the studies. The majority of the studies used in-person training as an intervention [ 13 , 15 , 19 – 23 , 31 , 34 , 35 , 38 – 43 , 47 , 49 – 51 , 53 , 56 , 62 , 67 , 68 , 71 , 73 , 74 , 76 – 79 , 81 – 83 , 88 , 94 , 98 – 101 , 105 , 109 , 110 , 112 , 119 , 121 , 123 – 127 , 129 – 132 , 134 , 136 , 137 , 139 – 142 , 144 , 145 , 147 – 152 , 154 – 160 , 162 , 166 , 173 , 175 , 179 –…”

“…84 studies [ 26 , 36 , 38 – 40 , 44 , 50 – 52 , 54 , 55 , 57 , 60 , 61 , 63 , 64 , 67 , 69 , 71 , 73 – 75 , 78 , 81 – 83 , 86 , 103 , 107 , 113 , 114 , 118 , 119 , 121 , 122 , 126 – 129 , 131 – 135 , 137 , 142 , 147 , 149 , 150 , 152 , 155 , 157 – 159 , 162 , 163 , 165 , 166 , 172 , 174 , 175 , 177 , 184 , 191 , 239 , 248 ,…”

Does Time Heal Trauma? 18 Month Follow-Up Study of Syrian Refugees’ Mental Health in Iraq’s Kurdistan Region

“…Therefore, effective psychotherapy, such as Narrative Exposure Therapy (NET) [ 58 ], is highly recommended for this war-traumatized population. However, professional psychotherapeutic care in post-conflict countries, such as Iraq, cannot provide the necessary care for all displaced people with existing services [ 59 ]. This gap can be filled by increasing the human capacity in mental health treatment settings through training courses on effective psychotherapy (e.g., NET as a culturally sensitive trauma-focused therapy) for local psychologists and mental health care staff.…”

Challenges facing distance learning during martial law: results of a survey of Ukrainian students

“…For example, Challoner and Forget [5] analyzed the impact of civil war on medical education in Liberia. Beckmann et al [4] analyzed psychotherapist training in post-conflict regions (using Kurdistan in Iraq as an example), while Kizilhan [9] explored psychotherapists' work in Iraq's crisis region.…”

“…As reported by the United Nations High Commissioner for Refugees, by the end of 2020, over 80 million individuals globally were displaced due to persecution, conflict, and human rights abuses [24], a figure that has doubled in the past decade [4]. This number has since escalated, with millions of Ukrainians seeking refuge from their homeland.…”