6 and ongoing supervision of cases. About 18 nurses have been through this course in two Districts. This programme was designed to increase the capacity of the District service and create a group of more experienced and better-trained counsellors who could back up those nurses who had been through the Basic Skills Programme. The course covered the following: • • • • • • To screen and make detailed assessments of patients with psychological disorders To apply the counselling tools/skills to a variety of situation that they come across To conduct individual counselling using the problems solving and single therapeutic interview techniques To apply the family therapy algorithm in the counselling of families To participate in peer counselling within working areas To supervise and assist colleagues on all aspects of counselling . The Trauma Counselling Programme 1999 – 2000 The most recent training has represented a shift in AMANI’s training philosophy. Following extensive discussions and a needs assessment, it was decided in 1998 to offer training on a Provincial basis revolving around a training-of-trainers approach. The needs assessment indicated that disorders due to trauma were a very common problem seen by Provincial health workers (1997 report) and that there was a need for generic trauma counselling training. It was not possible to mount this programme in 1998, and the Trauma Counselling programme was finally launched in March 1999. The aims of the programme were several-fold and covered a variety of different forms of trauma. The course was mounted in conjunction with the Family Support Trust and the Musasa Project. The former is an NGO dealing with child abuse whilst the Musasa Project deals with domestic violence. Both these forms of trauma were indicated as common in the needs assessment. The basic aims were as follows: • • • • To identify 5 different types of trauma and their effects on individuals, families and communities To Assess trauma using at least 4 of the various instruments To Apply at least 3 intervention techniques to different types of trauma To Identify caring procedures for carers The course covered a wide area within trauma as follows: • • • • • • Detection of psychological disorders Assessments Depression/Anxiety Trauma and violence Counselling and Communication Debriefing Training nurses in the assessment and management of psychological disorders: Report of AMANI Trust’s programme in Mashonaland Central Province, Zimbabwe.