Furthermore, comprehensive guidelines for the mental health and psychosocial support have been developed in recent years by the Inter-Agency Standing Committee [IASC], and a variety of different mental health and psychosocial interventions can be applied within these guidelines (IASC.2007; Intervention. 2009). Whether dealing with mental health, psychosocial support, or HIV/AIDS, there are a set of common principles that need to be applied, as was stated earlier [see above]. It is evident that no treatment can be efficacious if the correct diagnosis is not found, and here it is extremely important to note the very low rates of detection by health workers. Detection of psychological disorders is generally very poor, even amongst doctors, and the survivors of torture are no exception to this finding. The remedy for poor detection is training of health workers in detection skills, and, as in Zimbabwe has shown, training can be easily done, and can have immediate benefits (Reeler & Mbape.1998; Amani.2000). Disorders due to OVT present special difficulties in assessment for health workers, and will thus require the combined efforts of a team rather than single worker. The current state of the medical services and the enormous morbidity due to violence may preclude the development of a specialist service for this client group, but a minimum service can be developed, most usefully around the role of the nurse. Examples of using nurses are available both in Zimbabwe and South Africa (Amani.2000). Treatment must be holistic, dealing with the physical, the psychological, and the social. Treatment should stress equally the individual, the family and the community, and thus will require a team approach. The principles of primary health care - cure, rehabilitation, prevention and promotion - should always guide the organisation of services for survivors of OVT. This requires the recognition that the point of health care be close to patients’ homes, and that the staff of these health facilities be able to manage the conditions that present to them. Experience in Zimbabwe suggests that services can be organised to provide effective detection and referral from the periphery, providing there is the appropriate training of staff. However, in situations where there is paucity of trained personnel, it is critical, as stressed in most expert opinions, to utilize the skills available in the community. Not only to employ these skills because of pragmatic considerations, but to make a determined effort to use the available skills in order to strengthen the community: the front line for care must be the community, supported by professionals at the nearest level to the community. Here the primary care history and experience in Zimbabwe will be crucial and provides already a wealth of experience that can be employed in line with the IASC Guidelines. Developing a community response to trauma: The Tree of Life Although it will be imperative for the capacity of the state health services to be improved, this will obviously be a long-term process, and there is need for an immediate response. This can only be effected by using the existing resources within the communities such as they may be. As pointed out by Mollica et al, this needs to follow what is termed the ―psychosocial‖ approach: