6 Programme Algorithm Identification (screening or referral) Assessment (SRQ-20; Structured Assessment Form; Medical History; History of Violence; CAPS) Individual Treatment (Single Therapeutic Interview; Physical therapy) Family Visiting (Home Assessment; Family Therapy) Community Programme (Income-generating skills; Permaculture) As can be seen, the movement is from the individual to the community. Whilst it was not entirely clear what would be involved when this project began, it is now apparent that a service to the survivors in a district involves at least 3 clear phases. Phase 1: Phase 2: Phase 3: basic training of health workers. identification, assessment & counselling of survivors. home visiting, family therapy & networking. advanced training in counselling skills. district team building. Networking and community work. consolidation of district team. community work. These phases are roughly one year in duration, depending on the size of the district and the numbers to be trained. The process requires at least two field workers, one working at the hospital and clinic level, and one working with the community. It also requires one staff member to provide the training and co-ordination for the team. This model is interesting because it uses the kind of personnel that might ordinarily be expected within a district, and thus provides a realistic model for a district. Social Workers and Psychiatric Nurses are already placed within the district service, albeit reporting to different ministries, and the most that any district might expect beyond this is occasional visiting by psychologists or psychiatrists. So in terms of sustainability, AMANI does not introduce to the District anything that could not be found within a district, or provided within a district if the organization of services was different that at the outset. The plan that has evolved sees a gradual move from one district to another, keeping contact with all previous districts and ensuring that the development does not erode, and, as mentioned above, there are three main strands to this phased approach. (i)Clinical Programme: The clinical programme is concerned with the direct care of survivors, which is well-described by the algorithm above. Detailed assessments are carried out on every identified or referred survivor, with the intention that this will guide the management process as well as forming the basis for a claim for compensation. All survivors are offered individual counselling, and they are visited at their homes. The home visit aims to ascertain the family’s functioning and their needs, as well as to ensure that the family understands the cause and nature of the client’s disorder or disability. If necessary, family therapy sessions are provided.