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Conflict, Peace and Mental HealthAddressing the Consequences of Conflict and Trauma in Northern Ireland$
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David Bolton

Print publication date: 2017

Print ISBN-13: 9780719090998

Published to Manchester Scholarship Online: January 2018

DOI: 10.7228/manchester/9780719090998.001.0001

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The development of a trauma-focused therapy programme

The development of a trauma-focused therapy programme

(p.117) 7 The development of a trauma-focused therapy programme
Conflict, Peace and Mental Health

David Bolton

Manchester University Press

This Chapter looks in detail at the establishment of the trauma-focused cognitive behavioural therapy programme at the Northern Ireland Centre for Trauma and Transformation (NICTT) in Omagh, which received referrals from over 650 people from 2002 until 2011. The development of a therapy programme based on a theory of how traumatic experiences impact on the human mind, was central to the the development of its therapy service. The programme relied on the Ehlers & Clark (2000) approach to treating post traumatic stress disorder and related disorders - building on the work that was developed in the original Omagh Community Trauma and Recovery team - described in Chapter 2. The development of the service is presented as an example of how to adapt and build upon existing resources and capabilities in a community that is subsequently affected by major acts of conflict related violence or disaster related tragedy. The challenges of developing and delivering therapy services where there is on-going violence, death threats, sectarianism and politic discord, are discussed. The author makes a case for bringing a trauma-focussed approach to understanding needs and service development. The therapy programme was the subject of a randomised controlled trial (RCT) which is also discussed in Chapter 9.

Keywords:   Omagh, NICTT, Therapy, Ehlers Clark, Evidence based, Trauma focused, RCT, Violence, Death threats, Sectarianism

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