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A phased approach for using CBT with adult survivors of human trafficking

Dr Francesca Brady, Jacqueline Gratton, Rachel Witkin, Dr Eileen Walsh

We are pleased to share newly published clinical guidance for delivering psychological interventions for survivors of trafficking, written by psychologists and practitioners from the Helen Bamber Foundation and Freedom From Torture. 

Working therapeutically with survivors of trafficking is often complex and emotionally challenging for both the survivor and the therapist, but it can lead to significant improvements for a survivor’s quality of life.  

The article proposes a phased approach, broadly based on Herman’s insightful model for working with survivors of trafficking. It highlights how this can be delivered by routine clinical services (including at primary care level) and combined effectively with existing evidence-based cognitive behavioural therapy (CBT) interventions to facilitate psychological recovery for survivors.  

 

The three phases encompass:  

 1) Establishing safety: Building trust and hope, taking a holistic and ‘whole life’ perspective, developing treatment plans that acknowledge the lasting impact of trafficking, and prioritising risk assessment and safeguarding.  

 2) Remembrance and mourning: Trauma memory processing (with a focus on addressing feelings of guilt, shame and disgust), addressing low self-esteem, acknowledging and exploring the impact of psychological control including through exploitation of ritualised oath ceremonies  

3) Reconnection: Supporting the survivor to move forwards with their lives, build connections with others and engage with value-driven activities.    

You can read the full open-access article in the Cognitive Behaviour Therapist.