Collective Healing and Trauma-Informed Approaches for the Mental Health of Survivors of Trafficking - MHI

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Collective Healing and Trauma-Informed
Approaches for the Mental Health
of Survivors of Trafficking 


Long-term effects of trauma, multiple victimisation,
and our collective care approach for survivors
of human trafficking as it pertains to long-term
integration into society. 

Faith Wanjiku Mwangi and Linzy Livian Otieno

AUTHOR

Rose Kibara

illustrator

illustrator’s bio

Amreeta Banerjee

Alice A. Barwa completed her MA in Education from Dr. B.R. Ambedkar Univerity, Delhi (AUD), in 2022, and is from the Oraon Adivasi community, a native of Chhotanagpur Plateau, Chhattisgarh. She has been an advocate for Adivasi rights and voices as a member of an Adivasi youth collective @TheAdivasiPost, and has been an Adivasi youth representative at UN Climate Change Conference in Glasgow, Scotland, in 2021. Her research interests include education, culture, sociology, and linguistics.

Trauma-informed is a term that has been widely adopted by many organisations working directly with impacted communities.1 Trauma-informedness means — understanding the impact, signs, and symptoms of trauma, integrating this knowledge into practices and procedures, and purposely preventing the causation of further harm (re-traumatisation). 

Azadi is a survivor-led organisation whose goal is to create spaces and programmes that enhance the agency of survivors of trafficking, support recovery from trauma and sustain their reintegration into society. One of the values that govern all our operations is that “we are trauma-informed,” which means that we make continuous efforts to learn and understand the effects of trauma experienced by survivor leaders, as well as the symptoms and presentation of trauma through a cultural lens. We try to ensure our well-being practices are founded on the principle of ‘do no harm’. We do this by actively de-centering colonial styles of providing mental healthcare which often operates with a normalised degree of coercion, pathologising day-to-day human experiences2 and perpetuating the idea that healing must happen in isolation.3

Our trauma-informed approach is based on the understanding that each person in the Azadi community has experienced trauma in their lifetime. We recognise the signs of trauma and ensure that mental health and well-being practices are incorporated into our organisational processes, procedures, practises, and programming. Our approach to recovery focuses on healing as a collective. We have incorporated activities and safe places that enable us to embark on a healing journey together while also building individual agency. We have realised that people rarely recover in isolation and have therefore seen the importance of healing within the community. 

As a community, we endeavour to embrace community-centred trauma recovery practices because we believe significant recovery happens in thriving relationships. When survivor leaders can access affirmative community love and care, form connections, and engage meaningfully in co-creating healing and learning spaces, it reinforces their sense of individual agency. Some of our collective healing practices include monthly art psychotherapy, collective journaling, guided venting sessions, sound therapy, dance therapy, and group debriefing to name just a few. 

What Long-Term Trauma Symptoms do the Collective Healing Approaches Address?  

In recent research conducted by survivor leaders at Azadi, focusing on the effects of trafficking on the mental health of people with lived experience in Kenya, the findings identified that survivors of human trafficking go through both long-term and short-term mental health challenges. If these needs aren’t attended to, they might develop severe long-term mental health concerns. The most common effects associated with human trafficking included depression, drug and substance use, shame, guilt, suicidal and self-blame ideologies, feelings of hopelessness, fear of strangers, loss of appetite, lack of interest in things one initially had interest in, and sleeping disorders including insomnia and nightmares. 

The research established that people with lived experiences have difficulty forming and sustaining relationships due to unique barriers to self-expression and the capacity to take up space. Other respondents reported that family or friends can easily re-trigger memories about the abuse or the abuser. People with lived experience are often plagued with deep shame, guilt, feelings of unworthiness, and alienation. Survivors are therefore unable to access relevant relational and familial support. 

Trafficking is a form of abuse that involves polyvictimsation, where survivors experience multiple types of victimisation, such as physical abuse, verbal abuse, and sexual abuse.

It is an alienating form of abuse that impacts not just survivors’ bodies but also causes an internal self-mistrust, detaching survivors from their sense of self and safety, and dramatically shifting their view of self and the world. Survivors sometimes may not talk about their experiences after trafficking, leading to accumulated resentment, anger, urge for revenge, loss of hope, and a multitude of emotions experienced simultaneously, which can go unaddressed for a long time. Mostly, society assumes that being out of the trafficking situation and providing short-term solutions like accommodation is enough, thus subjecting survivors to more harm when they do not fully integrate.

This significantly derails survivors’ capacity for personal growth, development, and healing as a consequence of being in survival mode throughout the period of abuse and long after rescue. Upon rescue, survivors of long-term trauma are forced to invest their time and energy in relearning primary psychological functions, such as the feeling of safety, and transitioning out of survival mode to redefine their sense of self and relearn their own emotional accessibility. The incapacity to grow socially or psychologically and to connect significantly influences the human functions of people with lived experience.

Human functions like self-attunement, expression, self-regulation, meaningfully exerting oneself, taking up space, and allowing for one’s authenticity to emerge are often diminished as a result of the high-level trauma.

How are the Care Practises helpful for Long-Term Integration into Society?

At Azadi, we view the treatment of trauma as part of the process rather than the outcome of our programming. The goal of our well-being activities includes healing but does not stop there; we continue to inquire and imagine what it means to live a fulfilled life.

Collective healing practices provide a necessary opportunity for purposefully holding space for communal trust and safety, addressing both individual and collective trauma, accessing mutual peer support, and consistently validating survivors’ responses to trauma. Our wide range of therapeutic models ensures that the community has ready access to modes of care that nourish their minds, bodies, and spirits.

Collective healing practices create a platform for relationship-building, providing survivors with a community where they can lean on each other and establish a long-term support system.

These practices are implemented to enlighten survivors and all community members on how to better deal with the difficult triggers, find peace within themselves and others, and engage effectively with the community without causing harm.

Cite this Article View all References

references

  •  Becker-Blease, Kathryn A. “As the World Becomes Trauma–Informed, Work to Do.” Journal of Trauma and Dissociation, vol. 18, no. 2, 2017, pp. 131-138.
  • Ratnayake, Sahanika. “‘I Will Never Love Anyone Like that Again’: Cognitive Behavioural Therapy and the Pathologisation and Medicalisation of ordinary experiences.” Medical Humanities, vol. 48, no. 2, 2021, pp. e7-e7.
  •  Ingle, Micah. “Western Individualism and Psychotherapy: Exploring the Edges of Ecological Being.” Journal of Humanistic Psychology, vol. 61, no. 6, 2018, pp. 925-938.

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