TRAUMA TREATMENT INIERNATIONAL Trustees. Annual Report for the period From Period start dale To Period end dale Janua 2023 31 December 2023 Charity name Trauma Treatment International Other names charity is known by Registered charity number lif any) 1175429 Charity's principal address 15 Towton Road London, SE27 9EE Names of the charity trustees who manage the charity Dat•s aet•d if not for whole •ar Trustee name Office lif any) Namè of pèrson lor body) •ntitl toa oint trustee ifan Andrea Mcsparron IThompsonl Rob Lewis Chair Jenn Keser Stephen White Annis Cohen Treasurer Resigned Feb 2024 Oct 2023 TTI board Abdulkhadir Mohammed Oct 2023 As above Teresa Au Treasurer March 2024 (signed off the 2023 annual accounts) March 2024 As above Alan Arul As above Name of chief executive or names of senior staff members (Optional infomiation) Quen Geuter- CEO Description of the charity's trusts Constitution Type of goveming document t dpad _ci Istilutionl Trust••s' r•port and accounts for thè y•ar ènding 31 D•e•mbèr 2023
How the charity is conslituted Charitable Incorporated Organisation Trustee selection methods Appointed by trustees 1. Summa of the ob ects of the chari set out in its overnin document I Charitable Objects I's vision: Everybody suffering from the trauma of collective violence receives the support and treatment they need to recover. I's mission.. To heal the trauma of people affected by torture, trafficking & slavery, persecution and war, wherever they are in the world. The objects of ftl are for the public benefit, to preserve and protect good health and relieve the suffering of persons who suffer from psychological trauma as a result of their, or members of their families, having been subjected to mental or physical violence or abuse including (but not limited tol torture, human trafficking and slavery. In furtherance of these objects TTI shall have power to do all or any of the following.. al to provide treatment and assessment services for persons who suffer from psychological trauma as a result of their, or members of their families, having been subjected to mental or physical violence or abuse including (but not limited tol torture, human trafficking and slavery in order to eliminate, reduce or mitigate the effects of such psychological trauma and to relieve psychological distress suffered by individuals as a result of working Wlth such persons; bl to assist other organisations to provide lor improve or enhance their ability to provide) services such as those described in paragraph al above,. cl to undertake research in order to improve the treatment and assessment of psychological trauma of the type described in paragraph al above,. and dl to educate the public, governmental and intergovernmental bodies and other OaniSatIOnS in relation to problems suffered by persons such as those described in paragraph al above in order to contribute to the reduction of the incidence and effects of such psychological trauma and distress. The following definitions apply in relation to these objects and powers.. "torture" as defined in The United Nations Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment) "human trafficking" as defined in United Nations Conventiorb against Transnational Organized Crime IUNTOCI and the Protocols thereto. Who we help I provides direct psychological assistance to those persons who suffer from psychological trauma as a result of their, or members of their families, having been subjected to collective violence. The term collective violence refers to mental or physical violence or abuse including (but not limited tol torture; human trafficking and slavery, persecution and war. We also assist organisations that provide the above populations with social, psychological, medical andlor legal ServIS and wilh organisations that are seeking to end organised violence or uphold human rights. such as legal teams, journalists and human rights defenders. In particular, we support organisation Trust••s' r•port and accounts for th* y•ar ènding 31 D•c•mbèr 2023
partners to become trauma informed, to embed trauma informed practice and to mitigate against the impact of exposure to traumatic material within staff teams. We work with all individuals who have eXperIend such atrocities, regardless of nationality, ethnicity, gender, sexuality, health and current legal status. We work with adults and those who experienced traumatic events in or close to adulthood (aged 18+). include within this section the statuto declaration that trustees have had re ard to the uidance issued b the Chari Commission on ublic benefit What are the benefits? Individuals who have experienced severe atrocities such as torture, trafficking, slavery and war can develop mental and physical health difficulties of a complex nature. These difficulties frequently interact, leading to ongoing suffering long after the individual is released from the torture or trafficking situation, or has left the area of conflict. This often leads to withdrawal from others, social isolation, and an overall reduction in functioning as well as help-seeking behaviour and wellbeing. In low income settings, this has a direct impact on the individual's ability to survive. For families and children, the impacts are also devastating and family breakdown is common. Without adequate treatment and care, psychological suffering can impact subsequent generations. We are also aware of the impact on organisations and their workforces that are exposed to trauma on a daily basis. Therefore, assisting organisations that work with people affected by organised violence or with significant levels of traumatic material throuEh their work is a key aim of our organisation. The effectiveness of an organisation to deliver its goals can be impaired by the environment in which they work. For example, psychological mechanisms such as vicarious traumatisation, burnout, transference and countertransference, as well a5 exposure to traumatic material and working in low resource settings can all impede successful implementation of projects. TTI works to achieve four key outcomes.. 1. All victims of collective violence receive the evidence-based trauma support or treatment they need, without undue delay. 2. Everyone exposed to collective violence through their work is protected from traumatic stress. 3. Society understands that victims of collective violence suffer psychological trauma and responds appropriately. 4. Clinical expertise in trauma treatment is disseminated globally, to upskill psychologists, mental health practitioners and those in high trauma contexts. Why do l'S purposes aim to benefit the people V have identified? I has established a TTI Associate Pool, which is made up of highly skilled clinical psychologists with expertise in trauma. Through the expertise of these associates, we are able to deliver evidence-based services to individuals and organisation partners. We have implemented programmes that demonstrate the positive impact of addressing the psychological needs of victims, for example, improved psychological wellbeing (such as a reduction in PTSD symptoms), vocational and social functioning. Additionally, vicarious trauma and burnout reduce the effectiveness of organisations that work with victims of organised violence and potentially cause harm to those they are seekinB to help. How does TTI decide who to work with? Ttl uses the following criteria when making decisions about who to work with= Provision of assessment and consultancy to services to organisations working with victims of organised violence Trust••s' r•port and accounts for thè y•ar ènding 31 D•e•mbèr 2023
Does the organisation work with victims of organised violence? Is an assessment of the organisation working with victims of organised violence requested by members of the organisation or the management? Is there a likelihood of burnout and vicarious trauma within the staff teams? Is the management of the organisation open to facilitating an assessment of needs and do they express willingness to put any recommendations into place? Will they commit to follow up assessment or monitoring? Does TTI believe that an occupational I clinical psychological intervention with the organisation is likely to have an impact on the beneficiaries of the organisation within a reasonable timeframe? Will a TTI intervention have a sustainable impact? Does the organi5ation share similar values to Thl? Treatment I works with Referral Partners. These are organisations that work directly with victims of trauma and that meet the eliEibility criteria set out below. We also work with organisations working to end human rights abuses and promote accountability for those who perpetrate them and whose staff may be exposed to trauma due to their work. A key focus for the Thl Trauma Clinic is to provide therapy to partners involved in strategic litigation cases. For example, to support victims in strategic litigation cases to be able to more effectively participate in legal procedures by providing reliable witness testimony. In order to be eligible to access treatment at the Trauma Clinic, beneficiaries must be: Referred by a Referral Partner 18 years of age or older Suffering with psychological difficulties caused by the type of trauma we treat Speak fluent English or have access to funds through the referral partner to cover costs of an interpreter. If attending therapy via a video platform, have access to reliable internet connection, a laptop, and a private and quiet space We are unable to provide treatment to: People who are not referred by a Thl Referral Partner People whose psychological difficulties are primarily the result of other types of trauma or adverse events or are the result of childhood trauma Those who are at high or immediate risk of suicide or at risk of causing harm to others Those who are currently suffering with severe psychotic symptoms Those whose alcohol or drug use prevent them from engaging in treatment What sort of service or facility does Thl provide? I selects psychological interventions that are most appropriate to use, according to the available evidence base most appropriate to the circumstances. Interventions are likely to have been recommended by The Inter-A8ency Standing Committee Guidelines IIASCI on Mental Health and Psychosocial Support IMHPSSI in Emergency Settings IIASC, 2(K)71, but not limited to these. TTI service provision involves working with local partners to deliver evidence based psychological interventions for mental health problems in populations traumatised by organisational violence1specifically Trust••s' r•port and accounts for thè y•ar ènding 31 D•e•mbèr 2023
those traumatised by violence such as torture, trafficking or slavery or their families.) TTI prioritises collaborating with other organisations to complete a shared goal or vision. We believe that collaboration with organisations that work with the same beneficiaries maximises all parties, effectiveness in service provision. Where does Thl provide services? UK l is developing a range of services that are being provided as direct interventions to victims of organised violence and organisational partners within the UK. This includes working in partnership with UK- based organisations that support victims of organised violence. In 2023, rtl worked with 35 organisations some of which are internationally focused and some of which work solely in the UK. These organisations reflected the needs of victims of trafficking, slavery, refugee and migrant communities, human rights defenders, journalists and war crimes investigator5, hostage and torture victims. Our work is with both UK-focused organisations and UK-based organisations with global reach. As such our interventions and provision of services are not restricted to only working with beneficiaries who live in the UK. We receive referrals to work with victims of trauma all over the world. International In 2023 we worked with an orEanisation based in Myanmar to provide trauma training and supervision to local mental health practitioners working with rescued victims of trafficking and slavery. We also developed partnerships with organisations in the US and Europe. As all our services are delivered online, we are not restricted to a specific geographic region. How does the organisation address these needs? I delivers projects and programmes based on five strategic priorities: al TREATMENT.. Improving access to evidence based trauma treatment for victims of collective violence, wherever they are in the world. bl EDUCATION=Increasing knowledge of trauma and trauma informed practice in homes, communities and workplaces. cl ADVOCACY:Elevating the trauma agenda, and advocating for evidence based and trauma informed treatment and structural change. and Empowering those exposed to trauma to safely voice their lived experience, to access justice and inform service design. dl MANAGE, MITIGATE and PREVENT= Supporting organisations working in trauma exposed contexts to understand and manage the risk of trauma, promote staff wellbeing and deliver trauma informed services. el Promoting the diversity and skills of mental health practitioners, wherever they are in the world and Supporting capacity building within communities in high-trauma contexts to treat trauma, where state or other provision 15 lacking. How has the organisation identified these needs and what evidence or information has it used? I collaborates with others who have identified a need and expressed a desire to work with us. Thl has considerable experience working in the UK and internationally with victims of collective violence. We also utilise socio-political information such as news of escalating conflicts; information about trafficking and Trust••s' rèport and accounts for th* y•ar ènding 31 D•c•mbèr 2023
slavery 'routes and hotspots,, contexts where there are significant numbers of the population facing torture. Sources include scientific research publications, reports of International NGOS documenting human rights abuses Ifor example Amnesty International or Human Rights Watch l or health challenges in different contexts Ifor example International Committee of the Red Cross or Medecins Sans Frontièresl. l undertakes specific research and consultation from time to time with specific cohorts or networks of organisations with a specialism in an area of interest. For example, in 2022-2023 TTI has carried out research and developed a coalition o* partners to develop trauma-informed approaches to hosting of refugees. The trustees have had regard to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the CIO'S aims and objectives and in planning its future activities. In particular, the trustees consider how planned activities will contribute to the aims and objectives that have been set. Which partners / agents will the organisation work with or fund and how will it select them? Ttl works Wlth partners according to the criteria outlined above as well as following due diligence processes and risk assessments, in accordance with how decisions are made about carrying out any project. In addition, TTI will consider the applicability of its methods for the particular cultural context, the availability of resources, the safety of working within the area concerned in terms of risk to staff resultinB from conflict, disease, political oppression or a breakdown in the rule of law. Decisions relating to activities with partners will also be made according to the same criteria. I will not provide psychological services where it is clear that the beneficiaries, current situation maintains or worsens their wellbeing. This includes any setting whereby the context or setting is directly contributing to psychological distress, over and above the effect of any trauma that they have or are experiencing. TTI will not work with beneficiaries, if doing so will positively impact those who cause psychological suffering, or enable further suffering (for example 1 will not work with those who are still enslaved or detainedl- The key achievements of TTI during the year 2023 can be summarised as- il rri Trauma Clinic Ongoing growth of Ttl's Online Trauma Clinic for victims of torture, hostage and horrific events, with ten referral partners and 25 referrals provided with 162 treatment sessions. "The transformative impuct of my theropist s intervention is so profound,1 struggle to encapsulate it in words." ill All Rise: trauma treatment for female Afghan judges, lawyers and human rights defenders 22 Afghan women have been supported through trauma treatment in partnership with International Bar Association's Human Rights Institute, International Alliance for Women's Rights and Methoria/ Last Rights, funded with thanks to many donors who contributed to the successful crowdfunding campaigns since 2022. iiil Trauma Management in the Workplace Training {Homes for Ukraine) In 2023, we ran a series of online courses on Trauma Management in the Workplace, aimed at organisations Trust••s' rèport and accounts for thè year ènding 31 Décèmbèr 2023
supporting Ukrainian refugees and their British hosts. Participants were taught to spot the signs of burnout and secondary trauma in staff members, and how their organisations could become more trauma-informed in their approach and support processes. In a feedback Suey, 100% said they would recommend the training to others. One praised the "practical examples of how working with people iv) Trauma-informed hosting coalition advocating for refugees and UK hosts 9 UK organisations have joined ft)rces with TTI to create the Trauma-Inft)rmed Hosting Coalition, aimed at advocating for victims of trauma being hosted in the UK and those around them. iv) Work with partner organisations to become trauma informed and to protect workforces from stress. burnout and vicariou5 trauma caused by repeated and extensive exposure to traumatic material through their work. 1. London Catslyst project provided bespoke trauma-informed support to Women for Refugee Women as a pilot to explore the benefits of providing embedded psychologists within an organisation for a period. The project was a success and showed that embedded support has the benefits of being flexible to changing needs as well as enabling supported culture change needed to foster adoption of trauma informed practice within trauma exposed organisations. The success of this pilot was pivotal in enabling TTI to secure funding from Clty Bridge Foundatlon to roll out embedded trauma support to 12 organisations across London over the next 3 years. 2. 1 trained 300 individuals in courses including Trauma Management in the Workplace & How to Work Safely with Traumatic Material 3. We supported 33 orEanisations to become trauma-informed 4. We delivered 243 individual and group sessions for trauma exposed staff and teams within 8 organisations. "l often come awayfrom the sessionsfeeling so much lighter ond like I can see a wayforward. With this hectic, traumo-facing work I hovefelt close to the brink of burn out at times. but the theropist just recognising the signs of that ond helping me see where l (ym at has mude u huge difference and prevented mefrom going into much worse plL7Ce." 100% gave us o satisfartion rating of 5 out of 5. and 100% said they would recommend ourservices to loved ones. 100% said they were more oble to manoge work-relatedstress us o result of our sessions. Reserves Policy: Brief ststement of the charity's policy on reserves To be able to have sufficient funds to be able to close down the charity if the Trustees determine is no longer a going concern. Given there are now 3 employees but no substantial office costs, the trustees have determined that they require funds to pay annual charges and three months running costs to £51,0(X) Trust••s' rèport and accounts for thé y•ar ènding 31 D•c•mbèr 2023
As the charity grows and develops, e.g appointing staff, securinE premises, the level of reserves will be reviewed and revised accordingly taking into account any additional Details of any funds materially in deficit N/a Further financial review details (Optional infomation) The charity's principal sources of income continued to be a mixture of restricted and unrestricted grants and donations, with some income carried forward from the previous year. In 2023 we secured funds from Karl Johan Persson, Matrix Chambers- MSN Family Trust, City Bridge Foundation and London Catalyst and crowdfunding as well as from income generated from services. Funding secured in 2022 from CFC Insurance and Alan Lane Foundation enabled us to complete key projects supporting Ukrainian and other refugees being hosted in the UK and the All Rise project was delivered, thanks to funds raised from the All Rise Crowdfunding campaigns in 2022 and one larger individual donation towards that project. The trustees declare that they have approved the trustees. report above. Signed on behalf of the charity's trustees Signaturè{s) Full namels) Andrea Thompson Position leg Secretary, Chair, etcl Chair Date 11 June 2024 Trust••s' r•port and accounts for thè y•ar ènding 31 D•eèmbèr 2023
Independent examlner's report To the trustees of Trauma Treatment Internatlonal Charltable Incorporated Organlsatlon I report to the trustees on my examination of the accounts of Trauma Treatment Internolional Charitoble Incorporated Orgonisation I'the CIO'I for the year ended 31 December 2023. Responsibilities and basis of the report As the charily Irustees of Trauma Treotment International CIO you are responsible for the preparation of the accounts in accordance with the requirements of Ihe Charities Act 2011 I'the Acl'l. I report in respect of my examination of the CIO'S accounts carried out under section 145 of the 2011 Act and in carrying out my examination I hove followed all the applicable Directions given by the Charity Commission under section 14515llbl of the Act. Independent examiner's statement I have completed my examination. I confirm Ihat no moteriol matters have come to my attention in connection wilh the examination Ihat give me cause to believe Ihal in any material respect.. accounting records were not kept in respecl of the charity as required by section 130 of the Act.. or 2. Ihe accounts do not accord with Ihose records. I have no concerns and have come across no other matters in connection wilh the examination to which attention should be drawn in this report in order to enable a proper understanding of Ihe accounts to be reached. Coroline Sharp FCA, DChA LONDON SE7 8PF Dale: 11 July2024 Trustees, report and accounts for the year ending 31 December 2023
CHARITY COMMISSION FOR ENGLAND AND WALES Trauma Treatment International 1175429 TRAUMA TREATMENT Receipts and pa CC16a ments accounts For thè year from 1thn-23 To 31-D¢¢43 Section A Receipts and payments Unrestritted funds Restricted funds Total funds Unrestrided tunds Restricted Laslyear to th• totho n•ar•stÉ tothè n•ar•stÉ to the nearest lo thé néar8St A1 R8C8Ipts Gr4ntJ and donafjons KaJOhan petS5¢n- Core wgis MSN FAmItyTsVQlvA-T[afflall Th8 For8 eo.000 $0.000 3S.000 9,600 59,994 59.994 JS.DDD 18.533 9,600 20.200 20.200 Cty Bndge F[ndatiOn Causès FuThWPrlsm- Associat trainiThJ Tne Pnsm Ch*rtakle TrJ6l 3.000 3.000 18,000 l0ndc Catatyst L(dn Communlly Foundat1lopAC Partner5hipwilh Escaping Victimhood l R15e again Crfvder JuslGiving- Ukralna ProJactd9$1gn [hr donations 8.860 8.860 2,260 2.260 242 242 143 143 Invoi¢Ed tsEr¥i¢eS $0.09S $0.095 32,356 32.358 totsi (Gmss income lorARI 48,131 16J.D58 2J7,249 rotsirecelpis 119.937 48,131 168.068 121,553 115,690 237,249 AJPa ments Core staff wsthons - Saigne¢ CDnsutt8nl c[su11anI and a$stefas- Clinical 20.659 J4,200 40.D24 42.091 52.750 34,200 33,793 14,424 38,4 21,394 35.828 C(51181 fee5- NDclInICal 24.210 2,659 2,659 2,488 675 2,488 675 275 99 275 Ttsvei s Sub51Slen¢È orriconTICommunicallon$ 99 9,695 164 2.250 2,850 Govemance and Board costs 2.068 AccDUrting and bwk-keepiThJ e%amirwtlon 500 2.750 Fundrai9 S.840 63 230 5,840 Sub total 82,415 105,743 74.397 123,328 82,41S 205.743 63,230 74,397 137,627 Netof recwpts/(paymentsJ A5 Transfer8 bots¥8en funds A6 Cash funds la$t yearend Cash funds thyear gnd 134.2841 137.6751 58,323 41,299 2.892 99.6 66.335 62,944 171.448 133,772 10,904 66.334.86 60.922 71.B2 70,829 Trustees, reportand 2ccount5 io forthe year ending 31 Oecember 2023
Section B Statement of assets and liabilities at the end of the period Unrestrittèd funds ¢0 neare$t£ Re$tri¢ted funds io nearte Categories B1 Cash fund5 Bank i 3,269 8ank account 2 59.67S 70.829 Total cash fund$ 62.944 70.829 Iree baeSl[eCPlsanopIVMent5 cou15)1 Unro8trl¢tod funds to nurost£ R8strlct8d funds to n•ar•stÉ Details B2 Other monetary assets W¢rk Invo1¢9d D9¢ 2023. pahj 2024 2.750 Fund to whkh rel4te¥ Amountdu* Whèn due Details Inv pay8 D8c 2023. paid 2024 General 8.773 Ov8rpaym8ntfromfuThl8r General 2.280 B5 Llabllltle$ HMRC D8c8rnb8r23 paid Jan 24 GEral 3.285 CIO Notes requlred underthe Charttable Incorporated OrganL%aUons (Generall RegUlaon5 2012.. 1. No guaranteeswere given bylhe CK) véhere polentsal Iiabilty underthe guarantee 15 oUtstalg al ihe daleof ihe statement 2. There ¥¥ere no debts oulstsnding althe date olthe stsiemenlwhich areowed by the CIO 2nd seCud by2n expresschayge on any£ssetsof the CIO Signed on behalf of all the1Ste2S Sunalu Print Narne Date of Andr•a Thompson 11-Jun-24 Trustees, reportand 2ccount5 li forthe year ending 31 Oecember 2023