An Outline of a Best Practice Model for the Complex Care of Torture Survivors


No votes yet


Wednesday, 13 September 2017


PLEASE NOTE: Due to a technical malfunction, we were unable to record this webinar. The PowerPoint file is attached below. The link to the simulated clinical interview is available by contacting NCB.


This measured impact webinar series introduces the culturally and evidence-based way complex care approaches can be adapted to the unique and special health care problems of torture survivors. In this webinar, complex care is defined and a model presented that encompasses five domains:

  • the trauma story
  • biomedical
  • psychological
  • social
  • spiritual 

Evidence that complex care results in positive outcomes in diverse patient populations is shown in the literature. The adaptation of this model to the care of torture survivors is discussed and illustrated with case material, including how the health effects of torture affects the 5 domains and calls for the creation of interdisciplinary teams. Our experts advocate for a holistic model of care that promotes ongoing and effective communication between all members of the treatment team as well as the need to adapt the model to attend to the survivor’s culture and individual characteristics and situation.

Please look for the second session, the online consultation, where our experts present another case example of a torture survivor treated in keeping with the principles of complex care. 


Staff of all disciplines are encouraged to attend. After the MIW, you will be able to:

  1. Understand the definition of complex care as it applies to working with torture survivors
  2. Articulate how a complex care model and its 5 domains applies to diagnosis and treatment of torture survivors
  3. Articulate the benefits of ongoing communication and coordination of care among treatment providers 


  • McGlynn, E.A., et al. (2003).The Quality of Health Care Delivered to Adults in the United States. New England Journal of Medicine, 348(26), 2635–2645.
  • Coleman et al. (2009). Evidence On The Chronic Care Model In The New Millennium. Health Aff (Millwood), 28(1), 75–85.
  • Koponen, A.,  Simonsen, N., Suominen, S. Quality of primary health care and autonomous motivation for effective diabetes self-management among patients with type 2 diabetes. 2017. Health Psychology Open.  2017 Jan-Jun; 4(1) [Is this the correct citation?]
  • Hong, C.S. Siegel, A. L. and Ferris, T. G. The Commonwealth Fund.  (August 2014).  Caring for high-need, high-cost patients: what makes for a successful care management program?