By Laura Brown
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October 11, 2024
AWE welcomes dozens of asylum seekers and trafficking survivors through our doors each week. Clients attend classes, share meals, meet with their case manager, and fill bags with groceries, diapers, and clothing to take home. Many clients also access mental health services, including individual counseling, group therapy, and other therapeutic activities like acupuncture, gardening, and yoga. Our clients arrive in Maryland after protracted periods of trauma. Many fled war, persecution, forced displacement, and human rights violations. They often experience additional violence on their journey to the US. In 2020, Doctors Without Borders reported that 48% of forced migrants experienced sexual violence on their way to the US and nearly a third were kidnapped at some point during their journey. But once in Maryland, clients face many barriers to healing. Accessing interpretation for therapy can be challenging, and many providers don’t have experience working with forced migrants. Meanwhile, most clients are ineligible for Medicaid and without work authorization they can’t afford private care. But without treatment and support, trauma can have long term consequences and symptoms can get worse. PTSD and depression can make it difficult to focus on finding housing, securing employment, and navigating the immigration process. Meeting the mental health needs of our clients is a critical component of our work. We recognize that healing looks different for different people, so we provide many different types of support. We also work to remove the many barriers our clients face to receiving the support they need. Individual therapy is a big part of what we do. In 2013 we began partnering with the Intercultural Counseling Connection (the Connection). The Connection, which is collocated with AWE, is a referral network of pro bono mental health professionals that connects our clients to individual counseling. In 2022, we started partnering with HEAL Refugee Health and Asylum Collaborative (HEAL) to provide individual therapy to our minor clients onsite. We also partner with a private, Spanish speaking therapist who provides therapy to youth trafficking survivors. In 2024, 48 clients have accessed individual therapy through our partnerships. Many clients also participate in group therapy. The Connection leads biweekly group therapy sessions for adults and HEAL leads biweekly group therapy for Spanish-speaking youth. Groups provide safe and inclusive spaces where clients can address concerns and develop interpersonal connections with each other. Meals are provided before all sessions and clients leave with groceries, diapers, and toiletries. So far in 2024, 79 clients have attended group therapy at AWE, including 45 minors and young adults. Many clients also access alternative forms of therapy. AWE offers bodywork activities like acupuncture, massage therapy, and yoga, to help clients release stored tension, reconnect with their bodies, and process emotions that may be difficult to access through verbal therapy. Community gardening, nature retreats, and music and dance therapy can help clients decompress and connect with each other. More than 70 clients have participated in alternative therapy in 2024. We make sure that clients can access all these services. We provide bus passes for clients attending daytime group activities and ride shares for evening events. We prioritize working with therapists and group facilitators who share the cultures and languages of our clients, and we always provide interpretation when needed. We do all of this because we believe our services are most impactful when they’re holistic and client centered. Offering different types of mental health services and making sure they’re accessible, ensures our clients have the resources and support to rebuild their lives with safety, trust, and empowerment.