STARTTS approach to working with our client population involves
conceptualizing the issues as a complex interplay between the
consequences of torture and refugee trauma; the process of exile,
migration and settlement; and normal life cycle events. Additionally,
individual and environmental characteristics are taken into account.
Not only does this interplay occur on individual and family levels,
but also it is clearly visible on the level of refugee communities.
As refugee communities survive trauma and exile, the nature of
relationships and structures inevitably change. Furthermore, a
refugee community in exile, even though it is perceived by outsiders
to be a "community", is usually a scattered group of individuals and
families struggling to establish networks while dealing with
psychosocial consequences of torture and refugee trauma.
Consequently, STARTTS work consists of a balance between community
development and clinical approaches. These two facets of our work are
seen as spots on a continuum rather than opposing philosophical and
value-based positions. Additionally, STARTTS is firmly committed to
community participation, empowerment and capacity building.
This paper explores the above theoretical frameworks as well as the
actual community development work STARTTS has undertaken over the
years. The examples analysed will include community infrastructure
building, group-work, community participation, community skill
development, and assisting the communities to access the external and
recognise and utilise the internal resources. The paper will look at
both strengths and challenges associated with these approaches, and
propose a model for working with refugee communities in exile. The
author argues for a systemic approach to this work where impact of
trauma on communities is addressed on a community level through
appropriate interventions.