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 O￿aniSatIOnS 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 ServI￿S 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 eXperIen￿d 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 Su￿ey, 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
Ka￿JOhan petS5¢n- Core wgis
MSN FAmItyT￿sVQlvA-T[a￿ffla￿l￿l
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(￿d￿n Communlly Foundat1￿￿lopAC
Partner5hipwilh Escaping Victimhood
l R15e again Cr￿￿fv￿der
JuslGiving- Ukralna ProJactd9$1gn
[￿h￿r donations
8.860
8.860
2,260
2.260
242
242
143
143
Invoi¢Ed tsEr¥i¢eS
$0.09S
$0.095
32,356
32.358
totsi
(Gmss income lorARI
48,131
16J.D58
2J7,249
rotsirecelpis
119.937
48,131
168.068
121,553
115,690
237,249
AJPa
ments
Core staff wsthons
- Saigne¢
CDnsutt8nl
c[￿su11anI and a$s￿￿tefa￿s- Clinical
20.659
J4,200
40.D24
42.091
52.750
34,200
33,793
14,424
38,4
21,394
35.828
C(￿5￿118￿1 fee5- ND￿clInICal
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
Fundrai￿￿9
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 th￿year 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 near￿te
Categories
B1 Cash fund5
Bank i
3,269
8ank account 2
59.67S
70.829
Total cash fund$
62.944
70.829
I￿ree b￿a￿eS￿l￿[eC￿PlsanopIVMent5
cou￿15)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￿￿ pay￿8 D8c 2023. paid 2024
General
8.773
Ov8rpaym8ntfromfuThl8r
General
2.280
B5 Llabllltle$
HMRC D8c8rnb8r23 paid Jan 24
G￿Eral
3.285
CIO Notes requlred underthe Charttable Incorporated OrganL%aUons (Generall RegUla￿on5 2012..
1. No guaranteeswere given bylhe CK) véhere polentsal Iiabilty underthe guarantee 15 oUtsta￿l￿g al ihe daleof ihe statement
2. There ¥¥ere no debts oulstsnding althe date olthe stsiemenlwhich areowed by the CIO 2nd seCu￿d by2n expresschayge on any£ssetsof the CIO
Signed on behalf of all the1￿Ste2S
Sunalu
Print Narne
Date of
Andr•a Thompson
11-Jun-24
Trustees, reportand 2ccount5
li
forthe year ending 31 Oecember 2023