[Senate Report 110-194] [From the U.S. Government Publishing Office] Calendar No. 416 110th Congress Report SENATE 1st Session 110-194 ====================================================================== TORTURE VICTIMS RELIEF REAUTHORIZATION ACT OF 2007 _______ October 9, 2007.--Ordered to be printed Filed under the authority of the order of the Senate of October 4, 2007 _______ Mr. Biden, from the Committee on Foreign Relations, submitted the following R E P O R T [To accompany H.R. 1678] The Committee on Foreign Relations, having had under consideration H.R. 1678, a bill to amend the Torture Victims Relief Act of 1998, to authorize appropriations to provide assistance for domestic and foreign programs and centers for the treatment of victims of torture, and for other purposes, reports favorably thereon and recommends that the bill do pass. CONTENTS Page I. Purpose..........................................................1 II. Legislative History and Committee Action.........................1 III. Discussion.......................................................2 IV. Cost Estimate....................................................2 V. Evaluation of Regulatory Impact..................................4 VI. Changes in Existing Law..........................................4 VII. Appendix.........................................................7 I. PURPOSE This legislation would authorize appropriations for domestic and foreign programs and centers to provide treatment and assistance to victims of torture. II. LEGISLATIVE HISTORY AND COMMITTEE ACTION H.R. 1678 was introduced by Representative Smith of New Jersey on March 26, 2007. It was referred to the Committee on Foreign Affairs and to the Committee on Energy and Commerce. On March 27, the Committee on Foreign Affairs ordered it to be reported favorably by voice vote, without amendment. On April 20, H.R. 1678 was reported by the Committee on Foreign Affairs and discharged from the Committee on Energy and Commerce. The House approved the legislation on April 25, by a vote of 418-7 on a motion to suspend the rules. H.R. 1678 was subsequently referred to the Senate Committee on Foreign Relations. The committee ordered it to be reported favorably, by voice vote and without amendment, on September 11, 2007. III. DISCUSSION According to Amnesty International, over 150 countries worldwide engage in torture. Estimates indicate that there may be up to 100 million torture victims worldwide, with approximately 400,000-500,000 foreign victims residing in the United States. In 1998, Congress passed the Torture Victims Relief Act (P.L. 105-320) to authorize appropriations for domestic and foreign programs and centers to provide treatment and assistance to victims of torture. H.R. 1678 is a re- authorization of the 1998 legislation, providing a total of $49 million for each of fiscal years 2008 and 2009 to support such programs through the Office of Refugee Resettlement of the Department of Health and Human Services ($25 million), the Victims' Torture Fund of the U.S. Agency for International Development ($12 million), and the United Nations Voluntary Fund for Victims of Torture ($12 million). Under the Torture Victims Relief Act, services funded include treating physical and psychological effects of torture, providing social and legal services, and training health care providers. In 2006, the Victims' Torture Fund of the U.S. Agency for International Development supported programs in 28 countries, and the Fund has assisted 63,200 since 1998. Also in 2006, the United Nations Fund for Victims of Torture assisted 32,000 victims of torture through 175 projects in 64 countries. Within the United States, programs administered by the Office of Refugee Resettlement provided direct services to 3,220 victims of torture through 22 programs during the first six months of its current grant period. Additional details about the programs funded under this Act may be found in letters from executive branch agencies, set forth in the appendix to this report. With the 1998 authorization of the Torture Victims Relief Act, Congress demonstrated its commitment to assist torture victims--many of whom are vital voices in their communities: journalists, human rights defenders, democracy advocates and religious leaders. The committee believes that providing social and legal services to victims of torture is a priority, and that reauthorization of these programs at the levels contained in H.R. 1678 is appropriate. IV. COST ESTIMATE In accordance with Rule XXVI, paragraph 11(a) of the Standing Rules of the Senate, the committee provides this estimate of the costs of this legislation prepared by the Congressional Budget Office. United States Congress, Congressional Budget Office, Washington, DC, September 19, 2007. Hon. Joseph R. Biden, Jr., Chairman, Committee on Foreign Relations, U.S. Senate, Washington, DC. Dear Mr. Chairman: The Congressional Budget Office has prepared the enclosed cost estimate for H.R. 1678, the Torture Victims Relief Reauthorization Act of 2007. If you wish further details on this estimate, we will be pleased to provide them. The CBO staff contact is Sunita D'Monte. Sincerely, Peter R. Orszag. ------ Congressional Budget Office Cost Estimate September 19, 2007. H.R. 1678 would authorize the appropriation of $49 million in both 2008 and 2009 for foreign and domestic programs to assist victims of torture. CBO estimates that implementing the act would cost $22 million in 2008 and $97 million over the 2008-12 period, assuming that the authorized amounts are appropriated and that outlays will follow historical spending patterns for those programs. Enacting H.R. 1678 would not affect direct spending or revenues. H.R. 1678 contains no intergovernmental or private- sector mandates as defined in the Unfunded Mandates Reform Act and would not affect the budgets of state, local, or tribal governments. The estimated budgetary impact of H.R. 1678 is shown in the following table. The costs of this legislation fall within budget functions 150 (international affairs) and 550 (health). Section 2 would authorize the appropriation of $25 million a year in 2008 and 2009 for the Department of Health and Human Services (HHS) for domestic treatment of victims of torture. Under current law, HHS makes grants to programs in the United States that provide psychological and physical rehabilitation, social services, and legal services to victims of torture. Section 3 would authorize the appropriation of $12 million in 2008 and $12 million in 2009 for foreign treatment centers for victims of torture. Finally, section 4 would authorize the appropriation of $12 million in 2008 and $12 million in 2009 for grants to the United Nations Voluntary Fund for Victims of Torture. On April 2, 2007, CBO transmitted an estimate for H.R. 1678 as ordered reported by the House Committee on Foreign Affairs on March 27, 2007. The two versions of the legislation are similar and their estimated costs are identical.The CBO staff contact for this estimate is Sunita D'Monte. This estimate was approved by Peter H. Fontaine, Assistant Director for Budget Analysis. ESTIMATED BUDGETARY IMPACT OF H.R. 1678 By Fiscal Year, in Millions of Dollars ---------------------------------------------------------------------------------------------------------------- 2008 2009 2010 2011 2012 ---------------------------------------------------------------------------------------------------------------- CHANGES IN SPENDING SUBJECT TO APPROPRIATION Domestic Treatment Centers Authorization Level.................................... 25 25 0 0 0 Estimated Outlays...................................... 8 18 15 7 2 Foreign Treatment Centers Authorization Level.................................... 12 12 0 0 0 Estimated Outlays...................................... 2 8 8 3 2 Contribution to United Nations' Fund Authorization Level.................................... 12 12 0 0 0 Estimated Outlays...................................... 12 12 0 0 0 Total Changes Authorization Level.................................... 49 49 0 0 0 Estimated Outlays...................................... 22 38 23 10 4 ---------------------------------------------------------------------------------------------------------------- V. EVALUATION OF REGULATORY IMPACT Pursuant to Rule XXVI, paragraph 11(b) of the Standing Rules of the Senate, the committee has determined that there is no regulatory impact as a result of this legislation. VI. CHANGES IN EXISTING LAW In compliance with Rule XXVI, paragraph 12 of the Standing Rules of the Senate, changes in existing law made by the bill, as reported, are shown as follows (existing law proposed to be omitted is enclosed in black brackets, new matter is printed in italic, existing law in which no change is proposed is shown in roman). Torture Victims Relief Act of 1998 * * * * * * * SEC. 4. FOREIGN TREATMENT CENTERS. (a) Amendments to the Foreign Assistance Act of 1961.--Part I of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.) is amended by adding at the end of chapter 1 the following new section: * * * (b) Funding.--(1) Authorization of appropriations.--[Of the amounts authorized to be appropriated for fiscal years 2006 and 2007 pursuant to chapter 1 of part I of the Foreign Assistance Act of 1961, there are authorized to be appropriated to the President to carry out section 130 of such Act $12,000,000 for fiscal year 2006 and $13,000,000 for fiscal year 2007.] Of the amounts authorized to be appropriated for fiscal years 2008 and 2009 pursuant to chapter 1 of part I of the Foreign Assistance Act of 1961, there are authorized to be appropriated to the President to carry out section 130 of such Act $12,000,000 for each of the fiscal years 2008 and 2009. (2) Availability of funds.--Amounts appropriated pursuant to this subsection shall remain available until expended. (c) Effective Date.--The amendment made by subsection (a) shall take effect October 1, 1998. SEC. 5. DOMESTIC TREATMENT CENTERS. (a) Assistance for Treatment of Torture Victims.--The Secretary of Health and Human Services may provide grants to programs in the United States to cover the cost of the following services: (1) Services for the rehabilitation of victims of torture, including treatment of the physical and psychological effects of torture. (2) Social and legal services for victims of torture. (3) Research and training for health care providers outside of treatment centers, or programs for the purpose of enabling such providers to provide the services described in paragraph (1). (b) Funding.-- [(1) Authorization of appropriations.--Of the amounts authorized to be appropriated for the Department of Health and Human Services for fiscal years 2006 and 2007, there are authorized to be appropriated to carry out subsection (a) $25,000,000 for each of the fiscal years 2006 and 2007.] (1) Authorization of appropriations.--Of the amounts authorized to be appropriated for the Department of Health and Human Services for fiscal years 2008 and 2009, there are authorized to be appropriated to carry out subsection (a) $25,000,000 for each of the fiscal years 2008 and 2009. APPENDIX ---------- U.S. Department of State, Washington, DC, July 19, 2007. Hon. Joseph R. Biden, Jr., Chairman, Committee on Foreign Relations, U.S. Senate, Washington, DC. Dear Mr. Chairman: Thank you for your letter of June 22 regarding U.S. support to the United Nations Voluntary Fund for Victims of Torture. Enclosed are the responses to the questions raised in your letter. The Office of the High Commissioner for Human Rights is working with us to provide further clarification on some of the decision-making processes, as well as statistical information, which we will provide to you when we receive them. We hope this information is helpful. Please do not hesitate to contact us if we can be of further assistance on this or any other matter. Sincerely, Jeffrey T. Bergner, Assistant Secretary Legislative Affairs. ______ united nations voluntary fund for victims of torture (unvf) Question. How many projects are currently supported globally by the UNVF? What proportion of funding is provided to entities that offer direct services to torture victims versus those that support research and provide training to health care providers? Answer.The UNVF is supporting 165 projects globally for calendar year 2007. The UNVF classifies its projects as medical, psychological, psychiatric, social, legal, financial, training, and other. Grants are not provided for research. For 2007, the Board approved funding for 165 projects. The majority of organizations received more than one form of assistance. The UNVF focuses on one or more of the following forms of assistance: medical (111 projects), psychological (137), psychiatric (2), social (99), legal (89), financial (31), training (0), and other (10). Question. Does the UNVF currently support any projects within the United States? If so, where are the projects located and how many individuals do they serve? Answer. Yes, the UNVF supports 27 projects in the United States. The following information was obtained from the websites of the organizations supported by the UNVF. [Note: Unless otherwise stated, numbers of individuals treated were not publicly available.] Center for Multicultural Human Services: Falls Church, VA.-- The program serves over 200 survivors of torture per year. Doctors of the World: New York, NY.--The organization has provided evaluative services to 367 survivors of torture and other human rights violations seeking asylum in the United States. TASSC--Helping Hands: Washington, DC. TASSC International Communities: Washington, DC. Arab Community Center for Economic & Social Services (Access): Dearborn, MI. El Rescate Legal Services: Los Angeles, CA. Gulf Coast Community Care: Clearwater, FL. Human Rights Initiative of North Texas: Dallas, Texas International Institute of Boston: Boston, MA. Greater Boston Legal Services: Boston, MA. Khmer Health Advocates: West Hartford, CT.--Khmer Health Advocates began a torture treatment program in 1984 that has treated more than 1,500 survivors and their families. Legal Aid Foundation: Los Angeles, CA. Lowell Community Health Center: Lowell, MA. Lutheran Children and Family Services: Philadelphia, PA.-- Offered services to 400 torture victims from 45 countries in 2006. Center for Victims of Torture: Minneapolis, MN. Center for Survivors of Torture: Dallas, TX. Survivors of Torture, International: San Diego, CA.-- Survivors of Torture has helped 650 torture victims from 55 countries since 1997. Minnesota Advocates for Human Rights: Minneapolis, MN. Physicians for Human Rights: Cambridge, MA. Program for Torture Victims: Los Angeles, CA. Provident Counseling: St. Louis, MO. Advocates for Survivors of Trauma and Torture: Baltimore, MD. Bellevue Association: Bellevue, WA. Utah Health and Human Rights Project: Salt Lake City, UT. Center for Justice and Accountability: San Francisco, CA. Rocky Mountain Survivors Center: Denver, CO. Torture Treatment Center: Portland, OR.--Torture Treatment Center aided 900 torture victims in 2005. Question. Approximately how many individuals are served globally through current UNVF programs, in total, and disaggregated regionally? Answer. Exact figures are not available at this time, however, the Office of the High Commissioner for Human Rights estimates the total number of individuals assisted by the UNVF to be 32,000 in the calendar year 2006. There will be a better estimate available when the United Nations General Assembly report is prepared at the end of July. Question. What is the process for deciding to fund a project through the UNVF, or deciding to continue funding for a project? Are funding decisions made by the Secretary General, or by the UNVF's Board of Trustees? Answer. During its annual session, the Board of Trustees reviews the narrative and, if applicable, financial reports on the use of previous grants, adopts recommendations on applications for new grants, considers presentations made by project leaders; meets with donors, consults with the Special Rapporteur on Torture and the Committee against Torture, and then adopts other relevant recommendations for the Secretary-General on the activities of the UNVF. The High Commissioner for Human Rights, on behalf of the Secretary-General, approves the recommendations of the Board each spring. Question. Is funding for projects awarded based on a competitive process? If not, what process is used to select the recipients? Answer. Yes, grants are awarded in a competitive fashion to organizations that provide rehabilitation services to victims of torture. After vetting, the UNVF is generally able to accommodate most funding requests. However, given budget constraints, the UNVF often funds only 10-20 percent of the funding request. Additionally, grant recipients are required to secure at least two-thirds of their funding from other sources. Question. Of the 2006 and 2007 recipients of funding, how many entities received funding from UNVF in prior years? Which were they? Answer. Of the 165 grant recipients for 2007, 142 (about 86 percent) had received funding from the UNVF in 2006. Please refer to enclosed list of 2007 recipients. Those who have also received grants in 2006 are noted with an asterisk. Question. What oversight mechanisms exist in the U.N. Secretariat to evaluate the effectiveness of the programs supported by the UNVF? What is the U.N. Secretariat's process for conducting such oversight? Answer. Grantees are required to submit financial and programmatic reports each year (by April 1) in order to report on the use of the funds and the results obtained. In accordance with the arrangements adopted by the United Nations General Assembly when the UNVF was established, the Secretary-General reports annually to the United Nations General Assembly and to the Human Rights Council on the activities of the UNVF and its Board of Trustees. Besides reviewing financial and programmatic reports, Board members, Secretariat staff, and other staff members of various. U.N.- affiliated agencies make onsite visits to grantee organizations to verify implementation and monitor the programs' effectiveness. ______ list of organizations receiving grants, by region (25th and 26th sessions) 19 March 2007 version [Note. The OHCHR has not compiled a complete list of the organizations funded by the 25th and 26th sessions. There will be a better assessment when the annual report is prepared for the General Assembly at the end of July 2007.] AFRICA [18 projects] ---------------------------------------------------------------------------------------------------------------- Type of assistance No. Name of organization Country provided ---------------------------------------------------------------------------------------------------------------- 1.................................... Trauma Centre Cameroun. Cameroon............... Medical, psychological, social and financial. 2.................................... Center for Cameroon............... Medical, psychological, Rehabilitaion and social and financial. Abolition of Torture (CART). 3.................................... The Center for Victims D.R. Congo............. Medical and of Torture CVT-DRC. psychological. 4.................................... Africa Middle East Egypt.................. Psychological, social Refugee Assistance and legal. (AMERA). 5.................................... El Nadim Center for the Egypt.................. Medical, psychological, management and social, legal and rehabilitation of financial. victims of violence. 6.................................... HIAS Refugee Trust of Kenya.................. Psychological, social Kenya. and other. 7.................................... IMLU Independent Medico- Kenya.................. Medical and Legal Unit (IMLU)/ psychological. Nairobi, Kenya. 8.................................... Prisoners Assistance Liberia................ Medical, psychological Program, Inc.. and other. 9.................................... Center for Victims of Liberia/Sierra Leone... Psychological, social Torture/West Africa and other. (Liberia). 10................................... Association Medicale de Morocco................ Medical and Rehabilitation de psychological. Victimes de la Torture (AMRVT). 11................................... W.A.C.O.L.--Women Aid Nigeria................ Psychological, social, Collective. legal and financial. 12................................... Kanyarwanda A.S.B.L.... Rwanda................. Medical, psychological and social. 13................................... Vivre/Caprec........... Senegal................ Medical, social and legal. 14................................... Community Association Sierra Leone........... Psychological. for Psychosocial Services (CAPS). 15................................... C.S.V.R.--Centre for South Africa........... Psychological. the Study of Violence Reconciliation. 16................................... The Trauma Centre for South Africa........... Medical, psychological, the Survivors of social and legal. Violence and Torture. 17................................... A.C.T.V.--African Uganda................. Medical, psychological, Center for Treatment social, legal and and Rehabilitation of financial. Torture Victims. 18................................... Refugee Law Project.... Uganda................. Psychological, social and legal. ---------------------------------------------------------------------------------------------------------------- ASIA [20 projects] ---------------------------------------------------------------------------------------------------------------- Type of assistance No. Name of organization Country provided ---------------------------------------------------------------------------------------------------------------- 1.................................... Naogaon Human Rights Bangladesh............. Medical, psychological, Association. social, legal and financial. 2.................................... Bangladesh Bangladesh............. Medical, psychological, Rehabilitation Centre legal and financial. for Trauma Victims. 3.................................... Top India Trust........ India.................. Medical, psychological and social. 4.................................... People's Watch Tamil India.................. Medical and legal. Nadu. 5.................................... Centre for Care of India.................. Medical, psychological, Victims of Torture. social and legal. 6.................................... Society for Social India.................. Medical, psychological Research, Art and and social. Culture. 7.................................... International Catholic Indonesia.............. Medical, psychological Migration Commission. and social. 8.................................... Physicians for Human Israel................. Medical, psychological Rights. and legal. 9.................................... Public Committee Israel................. Legal assistance. Against Torture in Israel. 10................................... The Korean Korea (Republic of).... Medical, psychological, Rehabilitation Centre legal and financial. for Torture Victims and Families. 11................................... Khiam Rehabilitation Lebanon................ Medical, psychological Centre for Victims of and social. Torture. 12................................... Forum for the Nepal.................. Medical, psychological, Protection of People's social and legal. Rights (PPR). 13................................... Treatment and Occupied Palestinian Medical, psychological Rehabilitation Centre Territories. and social. for Victims of Torture. 14................................... Sach-Struggle for Pakistan............... Medical, psychological, Change (SACH). social, legal, financial and other. 15................................... Medical Action Group, Philippines............ Medical, psychological, Inc. (MAG). social, financial and other. 16................................... Asian Federation Philippines............ Psychological. Against Involuntary Disappearances. 17................................... Task Force Detainees of Philippines............ Legal. the Philippines. 18................................... BALAY Rehabilitation Philippines............ Medical, psychological, Center, Inc.. social, legal and financial. 19................................... League of Women Lawyers Tajikistan............. Medical, psychological and legal. 20................................... Avesto................. Tajikistan............. Medical, psychological, social, legal and financial. ---------------------------------------------------------------------------------------------------------------- LATIN AMERICAN AND CARIBBEAN [22 projects] ---------------------------------------------------------------------------------------------------------------- Type of assistance No. Name of organization Country provided ---------------------------------------------------------------------------------------------------------------- 1.................................... E.A.T.I.P.--Equipo Argentina.............. Medical, psychological, Argentino de Trabajo e social and legal. Investigacion Psicosocial. 2.................................... Asociacion Abuelas de Argentina.............. Psychological. Plaza de Mayo. 3.................................... Grupo Tortura Nunca Brazil................. Medical, psychological, Mais/Rio de Janeiro social and legal. (Group Torture Never More/RJ). 4.................................... A.C.A.T.--Acao dos Brazil................. Medical, psychological, Cristaos para a social and legal. abolicao da tortura. 5.................................... I.T.E.I.--Instituto de Bolivia................ Medical, psychological, Terapia e social and legal. Investigacion sobre las Secuelas de la Tortura y la Violencia Estatal. 6.................................... Corporacion de Chile.................. Medical, psychological Promocion y Defensa de and legal. los Derechos del Pueblo (CODEPU). 7.................................... F.A.S.I.C.--Fundacion Chile.................. Medical, psychological, de Ayuda Social de las social, legal and Iglesias Cristianas. financial. 8.................................... C.I.N.T.R.A.S.--Centro Chile.................. Medical, psychological de Salud Mental y and social. Derechos Humanos. 9.................................... Fondazione Terre des Colombia............... Medical, psychological hommes-Italia. and social 10................................... HIAS................... Ecuador/USA............ Psychological and social. 11................................... Asociacion para la Guatemala.............. Medical, psychological, Salud y el Desarrollo social, financial. Integral de Momostenaugo. 12................................... U.F.A.D.E.S.C.H.--Union Haiti.................. Medical and legal. des Formateurs-- Animateurs du Sud en Education Civique et le respect des Droits Humains. 13................................... Centro de Estudios Mexico................. Medical, psychological, Fronterizos y de social and legal. Promocion de los Derechos Humanos. 14................................... L.I.M.E.D.D.H.--Liga Mexico................. Legal, medical, Mexicana Para la psychological and Defensa de los Derech. financial. 15................................... C.C.T.I.--Colectivo Mexico................. Medical and contra la Tortura la psychological. Impunidad, A.C.. 16................................... COMISEDH--Comision de Peru................... Medical, psychological, Derechos Humanos. social, legal, and financial. 17................................... F.E.D.E.P.A.Z.--Fundaci Peru................... Medical, psychological, on Ecumenica para el social and legal. Desarrollo y la Paz. 18................................... Fundacion Richmond Peru................... Training. Fellowship del Peru. 19................................... C.A.P.S.--Centro de Peru................... Social and Atencion Psicosocial. psychological. 20................................... C.D.H.E.S.--Comision de El Salvador............ Medical and Derechos Humanos de El psychological. Salvador. 21................................... S.E.R.S.O.C.--Servicio Uruguay................ Medical, psychological de Rehabilitacion and social. Social. 22................................... Red de Apoyo por la Venezuuela............. Medical, psychological, Justicia y la Paz. social and legal. ---------------------------------------------------------------------------------------------------------------- EASTERN EUROPE [22 projects] ---------------------------------------------------------------------------------------------------------------- Type of assistance No. Name of organization Country provided ---------------------------------------------------------------------------------------------------------------- 1.................................... Fund Against Violation Armenia................ Medical, psychological, of Law. social and legal. 2.................................... Centre for Torture Bosnia and Herzegovina. Medical, psychological Victims. and social. 3.................................... Centre for Torture Bosnia and Herzegovina, Medical, psychological Victims--International Serbia and Montenegro. and social. Aid Network--Medica Zenica. 4.................................... Association Vive Zene.. Bosnia and Herzegovina. Medical, psychological and social. 5.................................... Assistance Centre for Bulgaria............... Medical, psychological, Torture Survivors. social and legal. 6.................................... International Croatia................ Medical, legal and Rehabilitation Centre financial. for Torture Victims. 7.................................... Society of Citizens Czech Republic......... Psychological and Assisting Migrants legal. (SOZE). 8.................................... Georgian Centre for Georgia................ Medical, psychological, Psychosocial and social and legal. Medical Rehabilitation of Torture Victims. 9.................................... Empathy................ Georgia................ Medical, psychological and social. 10................................... Cordelia Foundation.... Hungary................ Medical and pyschological. 11................................... ERRC--European Roma Hungary................ Legal. Rights Centre. 12................................... Helsinki Committee for Macedonia (Former Legal. Human Rights Macedonia. Yugoslavian Republic of). 13................................... Medical Rehabilitation Moldova (Republic of).. Medical, psychological, Centre for Torture social and legal. Victims ``Memoria''. 14................................... Centre for Victims of Poland................. Medical, psychological Political Persecutions. and legal. 15................................... ICAR Foundation........ Romania................ Medical, psychological, social and legal. 16................................... Romanian Independent Romania................ Legal. Society of Human Rights (SIRDO). 17................................... Stichting Russian Russian Federation..... Legal. Justice Initiative. 18................................... Nizhniy Novgorod Non- Russian Federation..... Medical, psychological, Governmental social and legal. Organization Committee Against Torture. 19................................... Public Verdict Russian Federation..... Psychological, social, Foundation. legal and other. 20................................... Human Rights Public Russian Federation/ Medical, psychological, Organization (NISO). Chechen Republic. social and legal. 21................................... International Aid Serbia and Montenegro.. Medical, psychological, Network (IAN)/Belgrade. social, legal, financial and other. 22................................... Committee for Human Serbia................. Psychological and Rights, Leskovac. legal. ---------------------------------------------------------------------------------------------------------------- WESTERN EUROPEAN AND OTHERS GROUP [83 projects] ---------------------------------------------------------------------------------------------------------------- Type of assistance No. Name of organization Country provided ---------------------------------------------------------------------------------------------------------------- 1.................................... Association for Australia.............. Psychological and Services to Torture social. and Trauma Survivors. 2.................................... The Treatment and Australia.............. Medical, psychological, Rehabilitation Unit social and financial. for Survivors of Torture and Trauma. 3.................................... Centre for Advocacy Australia.............. Legal. Support and Education for Refugees (CASE for Refugees). 4.................................... Verein ZEBRA........... Austria................ Medical, psychological, social and legal. 5.................................... OMEGA Health Care Austria................ Medical, psychological Centre. and social. 6.................................... HEMAYAT................ Austria................ Medical and psychological. 7.................................... Centre medico-psycho- Belgium................ Medical, psychological, social pour refugies social, legal, et victimes de torture financial and other. (EXIL). 8.................................... Medecins sans Belgium................ Psychological and Frontieres--Les social. projets belges. (MPORE). 9.................................... O.C.I.S.O.--Ottawa Canada................. Psychological. Community Immigrant Services Organization. 10................................... Calgary Catholic Canada................. Medical and Immigration Society. psychological. 11................................... Canadian Centre for Canada................. Psychological. Victims of Torture. 12................................... Edmonton Centre for Canada................. Psychological. Survivors of Torture and Trauma. 13................................... Reseau d'intervention Canada................. Medical, psychological aupres des personnes and social. ayant subi la violence organisee. 14................................... Vancouver Association Canada................. Psychological and for Survivors of social. Torture. 15................................... Service d'aide Canada................. Psychological. psychologique specialisee aux immigrants et refugies. 16................................... Federation France................. Legal. internationale des ligues des droits de l'homme. 17................................... Centre d'accueil et de France................. Medical, psychological, soins Primo Levi. social and legal. 18................................... Comite medical pour les France................. Medical, psychological exiles. and social. 19................................... OSIRIS................. France................. Medical and psychological. 20................................... Parcours de jeunes..... France................. Medical and psychological. 21................................... Exilio Hilfe fur Germany................ Medical, psychological, Fluchtlinge und social and legal. Folteruberlebende e.V. 22................................... Caritas-Koln........... Germany................ Psychological. 23................................... Centre for the Germany................ Medical, psychological Treatment of Torture and social. Victims (Behandlungszentrum fur Folteropfer Berlin). 24................................... Xenion Psychosoziale Germany................ Medical and Hilfen fur politisch psychological. Verfolgte e.V.. 25................................... P.S.Z.--Psychosoziales Germany................ Psychological and Zentrum fuer social. Fluechtlinge Duesseldor. 26................................... Refugio, Bremen........ Germany................ Psychological. 27................................... Refugio, Munich........ Germany................ Medical, psychological, social and financial. 28................................... Medical Rehabilitation Greece................. Medical, psychological, Centre for Torture social and legal. Victims. 29................................... SPIRASI Centre for the Ireland................ Medical, psychological, Care of Survivors of social, legal and Torture. training. 30................................... Associazione Volontaria Italy.................. Medical, psychological, di Assistenza Socio- social and legal. Sanitaria e per i Diritti di Stranieri e Nomadi. 31................................... Casa del Diritti Italy.................. Psychological, social Sociali--Focus, Rome. and legal. 32................................... JRC--Assoc Centro Italy.................. Social, legal and Astalli. financial. 33................................... Medici contro la Italy.................. Medical, psychological, tortura. social, legal and financial. 34................................... Italian Refugee Council Italy.................. Medical, psychological, social and legal. 35................................... Exil Espana............ Spain.................. Medical, psychological and social. 36................................... Red Cross Sweden................. Medical, psychological Rehabilitation Centre and social. for Torture and War Victims in Goteborg. 37................................... Red Cross Sweden................. Psychological and Rehabilitation Centre social. in Uppsala. 38................................... Croix-Rouge Suisse..... Switzerland............ Medical, psychological and social. 39................................... Appartenances.......... Switzerland............ Psychological. 40................................... Unite de medecine des Switzerland............ Medical and voyages et des psychological. migrations. 41................................... Organisation mondiale Switzerland............ Medical, social and contre la torture. legal. 42................................... Human Rights Foundation Turkey................. Medical, psychological of Turkey. and social. 43................................... Legal Aid for Women Turkey................. Medical, psychological, Raped or Sexually social, legal and Assaulted by State financial. Security Forces, Istanbul, Turkey (Toplum ve Hukuk Arastirmalari Vakfi-- TOHAV. 44................................... TOHAV.................. Turkey................. Medical, psychological, social, legal and financial. 45................................... Helsinki Citizen's Turkey................. Psychological and Assembly. legal. 46................................... Prisoners of Conscience United Kingdom of Great Financial. Appeal Fund. Britain and Northern Ireland. 47................................... The Death Penalty United Kingdom of Great Legal. Project. Britain and Northern Ireland. 48................................... Women Against Rape..... United Kingdom of Great Psychological, social, Britain and Northern financial and legal. Ireland. 49................................... Kurdish Human Rights United Kingdom of Great Legal. Project. Britain and Northern Ireland. 50................................... Medical Foundation for United Kingdom of Great Medical, psychological, the Care of Victims of Britain and Northern social, legal and Torture. Ireland. financial. 51................................... Redress Trust.......... United Kingdom of Great Legal. Britain and Northern Ireland. 52................................... Ctre MULTICULT H. Serv. United States of Medical, psychological, America. social, legal, financial (emergency fund) and other. 53................................... Doctors of the WORLD... United States of Medical, psychological, America. social and legal. 54................................... TASSC--Helping Hand United States of Medical, psychological, Hands. America. social, legal, financial. 55................................... TASSC- Internat. United States of Psychological, social Communities. America. and financial 56................................... Acces ArabCom.Ctr...... United States of Medical, psychological, America. psychiatric, social and other. 57................................... Asian Americans........ United States of Medical, psychological, America. psychiatric, social and legal assistance. 58................................... El Rescate Legal United States of Legal. Services. America. 59................................... Gulf Coast Community United States of Medical, psychological, Care. America. social and legal. 60................................... Human Rights Initiative United States of Medical and of North Texas. America. psychological. 61................................... International Institute United States of Psychological and of Boston. America. social. 62................................... Greater Boston Legal United States of Psychological and Services. America. legal. 63................................... Khmer Health Advocates. United States of Psychological. America. 64................................... Legal Aid Foundation... United States of Legal. America. 65................................... Lowell Community Health United States of Medical, psychological, Center. America. social and financial. 66................................... Lutheran Children...... United States of Medical, psychological America. and social. 67................................... KHA--Khmer Health United States of Medical, psychological Advocates. America. and social. 68................................... Centre for Victims of United States of Medical, psychological Torture. America. and social. 69................................... Centre for United States of Medical, psychological, Multicultural Human America. social and legal. Services. 70................................... Centre for Survivors of United States of Medical, psychological Torture. America. and legal. 71................................... SOTI--Surv. San Diego.. United States of Medical, psychological, America. social and legal. 72................................... Minnesota Advocates for United States of Legal. Human Rights. America. 73................................... Physicians for Human United States of Medical, psychological Rights. America. and legal. 74................................... Programme for Torture United States of Medical and Victims. America. psychological. 75................................... Provident Counselling.. United States of Medical. America. 76................................... Advocates for Survivors United States of Medical, psychological, of Trauma and Torture, America. social and legal. Baltimore. 77................................... Bellevue Association... United States of Medical, psychological, America. social and legal. 78................................... Boston Medical Centre.. United States of Medical, psychological, America. social and legal. 79................................... Utah Health............ United States of Medical, psychological, America. social and legal. 80................................... Survivors of Torture, United States of Medical, psychological, International. America. social, legal and other. 81................................... The Centre for Justice United States of Legal. and Accountability. America. 82................................... Rocky Mountain United States of Medical, psychological Survivors Centre. America. and legal. 83................................... Torture Treatment United States of Medical, psychological, Centre (Oregon). America. social and legal. ---------------------------------------------------------------------------------------------------------------- In total, 165 projects. USAID, Washington, DC, July 27, 2007. Hon. Joseph R. Biden, Jr., Chairman, Committee on Foreign Relations, U.S. Senate, Washington, DC. Dear Mr. Chairman: Thank you for your letter of June 22, 2007, requesting detailed information about the U.S. Agency for International Development's support for international treatment centers, their programs, and recent grant assistance. Responses to your detailed questions are enclosed. If I can be of further assistance, please do not hesitate to let me know. Sincerely, James R. Kunder, Acting Deputy Administrator. ______ Question. How many programs globally are currently supported through the Victims of Torture Fund (VTF)? What proportion of funding is provided to entities which offer direct services to torture victims versus those which support research and provide training to health care providers? Answer. The Fund supports activities in 23 countries and regions: Africa: Burundi, Democratic Republic of the Congo, Ethiopia, Kenya, Namibia, Rwanda, Sierra Leone, Uganda, and Zimbabwe (9). Asia and Near Fast (ANE): Cambodia, Bangladesh, Indonesia, Nepal, Pakistan, West Bank Gaza, Sri Lanka, Tibet (through mission in India), and Timor Leste (9). Latin America and the Caribbean (LAC): Guatemala, Haiti, Peru, and a regional program based in Costa Rica (4). Europe and Eurasia (E&E): Kosovo (1). Approximately 60 percent of our funds are for direct services to torture victims, 35 percent for training health care providers, and 5 percent for research. Question. Approximately how many individuals currently are served, in total and disaggregated regionally, through programs funded by VTF? Answer. The fund supports 191 local organizations through our main partners in the form of sub-grants. The approximate number of individuals who have received direct services and been trained through our main partners and local organizations is broken down by region. ------------------------------------------------------------------------ Direct Region services Training ------------------------------------------------------------------------ Africa........................................ 42,200 430 Latin America and Caribbean................... 12,900 300 Asia, Near East............................... 7,600 670 Europe and Eurasia............................ 500 70 Total....................................... 63,200 1,470 ------------------------------------------------------------------------ Question. What is the process for awarding a grant through the VTF? In fiscal years 2006 and 2007, how many entities received grants through the VTS, who were the recipients, and what was the funding level awarded to each? Answer. The Victims of Torture Fund awards grants through competition or unsolicited proposals with most grants competed and awarded by USAID Missions in specific countries. Each year the Fund sends a statement to USAID Missions which provides solicitation guidelines and a description of programs and desired outcomes. The Fund works with USAID's regional bureaus in Washington to identify Missions and programs that are most suitable for meeting the Victim of Torture Fund mandate. Often Victims of Torture programs are included in broader mission solicitations or ongoing efforts. (Burundi, Uganda are examples). All solicitations are awarded in consultation with the USAID Mission. Those countries where awards were not competed must provide justification to USAID/Washington. Most often the justification for the exception to competition is the unique capability of a single organization to provide in-country support to victims of torture. Sometimes the cover of a grant's broader range of activities provides a measure of security for local NGOs that seek to support this cause but may be operating in an environment that is more restrictive with regard to this issue. Solicitation for competitive awards by country may be found at www.grants.gov. Organizations interested in submitting unsolicited proposals should first submit a concept paper to the appropriate USAID Mission and to the USAID program manager, Mr. Lloyd Feinberg, Bureau of Democracy, Conflict and Humanitarian Assistance, Office of Democracy and Governance (email: LFeinberg@usaid.gov). In keeping with its legislative mandate, the Fund gives priority to programs that treat and rehabilitate torture-affected individuals. Proposals for training and research are also considered. Program activities eligible for funding should aim to: Increase access to services that improve the status and function of torture-affected individuals, their families, and communities and that promote healing. Improve the quality of interventions for torture-affected individuals and communities through the study of the impact of interventions. Increase the capacity of organizations and individuals involved in delivering services to torture-affected individuals, their families and communities. Increase knowledge and dissemination of findings related to long-term improvements in function and healing. In 2006, VTF provided the following amounts to entities listed below: ------------------------------------------------------------------------ Amount (in Country Entity dollars) ------------------------------------------------------------------------ DemocraticRepublic of the Congo International 1,218,000. (DRC). RescueCommittee: includes sub- grants to 17 local organizations. DemocraticRepublic of the Congo Cooperazione 335,000. (DRC). Internationale. Zimbabwe........................ Pact, Inc.: 1,225,000. includes sub- grants to 4 local organizations. LAC Regional.................... Inter-American 600,000. Institute forHuman Rights: includes sub-grants to 23 local organizations. Global.......................... Center for Victims 1,200,000. of Torture: includes sub- grants to 23 local organizations. U.S............................. Boston University.. 457,782. Guatemala....................... United Nations 540,000. Development Program: includes sub-grants to 16 local organizations. Indonesia....................... International 896,218. Catholic Migration Commission:include s sub-grants to 7 local organizations. Peru............................ Center for 477,000. Psychosocial Attention: includes sub- grants to 6 local organizations. Peru............................ Institute for Legal 123,000. Defense. Tibet (through mission in India) Tibetan Voluntary 250,000. Health. ------------------------------------------------------------------------ Final funding figures for 2007 are not yet available. Question. Are grants awarded based on a competitive process? If not, what process was used to select grantees? Answer. Grants are awarded based on the process described in response to question three. In 2006, for example, the Minnesota-based Center for Victims of Torture (CVT) submitted an unsolicited proposal requesting an extension of an ongoing grant. In Haiti, a Request for Application (RFA) was issued for a competitive award. Of the 14 agreements within the existing portfolio, it is estimated that 10 of them (71 percent) were originally competitively awarded (Burundi, Democratic Republic of Congo, Uganda, Zimbabwe, Timor Leste, Indonesia, Nepal, Sri Lanka, Latin America Regional, and Haiti). Question. Of the 2006 and 2007 grantees, how many entities had received funding in prior years? Which were they? Answer. For 2006, all grantees listed in the table under question three received prior awards. A new activity was planned in Haiti. A new award was made to the International Catholic Migration Commission in Indonesia, although they had received funding previously. Most awards are for 2-3 years and are incrementally funded each year. Decisions on awards in 2007 are pending receipt of final budget figures. Question. What oversight mechanisms exist to evaluate the effectiveness of the programs? What is USAID's process for conducting such oversight? Answer. VTF is working with staff from the Center for International Health and Development at the Boston University School of Public Health and the Center for Victims of Torture (CVT) in Minnesota, to evaluate promising interventions in order to strengthen the quality of services for survivors of torture. By understanding their impact, we are bitter able to identify best practices and lessons learned .and sustain ongoing efforts. With Boston University staff, the Fund has conducted qualitative studies with our partners in Indonesia, Mexico, Haiti, and the DRC. These assessments were conducted as the first phase of a larger program of technical assistance supporting VTF grantees. They included workshops on the design, implementation, monitoring, and evaluation of programs in Guatemala, Uganda, Indonesia, DRC, Kenya, Cambodia, Pakistan, Peru, Sri Lanka, and Sierra Leone. The purpose is to help grantees design psychosocial programs to treat survivors of torture and to develop more rigorous systems of monitoring and evaluation of programs. As a follow-up to initial qualitative studies and workshops, Boston University and CVT will be working closely with partners in DRC, Indonesia, Peru, Sierra Leone and Cambodia to design and implement impact studies in the coming year. USAID is conducting oversight through a program manager, who is assisted by contractor staff to review progress reports, maintain contact with the field, and conduct monitoring visits. U.S. Department of Health & Human Services, Administration For Children And Families, Washington, DC, July 20, 2007. Hon. Joseph R. Biden, Jr., U.S. Senate Committee on Foreign Relations, Washington, DC. Dear Senator Biden: Secretary Leavitt has asked me to thank you for your letter requesting information about the Department of Health and Human Services' (HHS) support for domestic centers and programs specializing in the treatment of victims of torture and to respond to you directly. I am pleased to provide you with the following information in response to the questions included in your letter. Question. How many domestic programs are currently supported by the appropriated funding? What proportion of funding is provided to entities which offer direct services to torture victims versus those which support research and provide training to health care providers? Answer. A total of 22 programs are currently supported by the appropriated funding administered by the Administration for Children and Families' (ACF) Office of Refugee Resettlement (ORR). Of these 22 programs, 20 are funded as Assistance to Torture Survivors Through Direct Services. Two programs are funded as Technical Assistance to Organizations and Institutions Providing Direct Services to Torture Survivors. The 20 programs that provide direct services to torture victims receive 91.5 percent of the total grant funding. The two grantees providing technical assistance receive the remaining 8.5 percent of grant funding. Question. Approximately how many individuals are currently served through the domestic programs, and what are the primary countries of origin of the individuals who are served? Answer. During the first six months of the current grant period (9/ 30/06-3/31/07), the 20 grantees providing direct services to torture survivors reported serving 3,220 individuals. The primary countries of origin as reported by program grantees are: Cameroon, Ethiopia, Iran, Congo, Iraq, Sudan, and Togo. Question. What is the process for awarding a grant under this program? In fiscal years 2006 and 2007, how many entities received grants, who were the recipients, and what was the funding level awarded to each entity? Answer. ORR issues a Funding Opportunity Announcement inviting applications for Services for Survivors of Torture. The most recent Funding Opportunity Announcement was issued in the Spring of 2006 for project periods of up to 3 years. In accordance with HHS grants policy, applications are evaluated and rated by an independent review panel on the basis of specific evaluation review criteria, as stated in the published announcement. The attached chart (see below) provides a listing of the 22 entities funded under the fiscal year (FY) 2006 appropriation for 3- year project periods, beginning September 30, 2006. At this time, continuation applications are being reviewed for award with FY 2007 appropriated funding, subject to satisfactory progress by the grantee in the first year of the project period. It is expected that the continuation funding will be commensurate with FY 2006 funding levels. Question. Are grants awarded based on a competitive process? If not, what process was used to select grants? Answer. Grants are awarded for the Services for Survivors of Torture Program based on a competitive process, as described above. Question. Of the 2006 and 2007 grantees, how many entities had received funding in prior years? Which were they? Answer. All of the 22 programs that were funded in FY 2006 and are being funded in FY 2007 for the 3-year project period that began September 30, 2006, had received funding in prior years. Question. What oversight mechanisms exist to evaluate the effectiveness of the programs? What is O's process for conducting such oversight? Answer. ORR has implemented the following oversight mechanisms to evaluate the effectiveness of the programs: On-site Monitoring: ORR has dedicated staff who administer and oversee the Services for Survivors of Torture Program. Staff regularly conduct on-site monitoring visits to review performance, client outcome evaluation and reporting, data collection processes and instruments, and financial management. Progress Reporting: All grantees are required to submit semi-annual Program Progress Reports and Financial Status Reports to ORR. In their applications for funding, programs identify specific client-based outcomes that show how persons who have been tortured will benefit from their services. Grantees report their success in achieving their projected outcomes in their semi-annual progress reports. These reports are reviewed against the original applications for funding to determine progress and accomplishments. ORR staff conduct follow-up with grantees on an ongoing basis to discuss their performance, challenges, and promising practices. I hope this information is helpful to you. Please call me if I can be of any further assistance. Sincerely, Daniel C. Schneider, Acting Assistant Secretary for Children and Families. Office of Refugee Resettlement (ORR)--Funded Torture Treatment Programs, FY 2006 ------------------------------------------------------------------------ Grant ORR funded program amount (in dollars) ------------------------------------------------------------------------ National Technical Assistance Center for Victims of Torture--National Capacity Building 470,000 Project................................................. Gulf Coast Jewish Family Services--National Partnership 335,000 for Community Training.................................. California Survivors of Torture, International...................... 475,000 Asian Americans for Community Involvement................ 380,000 Program for Torture Victims.............................. 475,000 Legal Aid Foundation of Los Angeles...................... 265,000 Colorado Rocky Mountain Survivors Center.......................... 535,000 Florida Florida Center for Survivors of Torture, Gulf Coast Jewish Family Services475,000........................... Georgia Center for Torture and Trauma Survivors, DeKalb County 385,000 Board of Health......................................... Illinois The Marjorie Kovler Center for the Treatment of Survivors 535,000 of Torture, Heartland Alliance for Human Needs and Human Rights.................................................. Maryland Lutheran Immigration and Refugee Service................. 380,000 Advocates for Survivors of Torture and Trauma............ 395,000 Massachusetts Boston Center for Refugee Health and Human Rights, Boston 475,000 Medical Center Corporation.............................. Harvard Program in Refugee Trauma/Massachusetts General 375,000 Hospital................................................ Michigan Arab Community Center for Economic and Social Services... 475,000 Minnesota Center for Victims of Torture............................ 535,000 Missouri Comprehensive Services for Torture Survivors Program, 475,000 City of St. Louis Mental Health Board of Trustees....... New York Bellevue/NYU Program for Survivors of Torture, NYC-Health 535,000 & Hospitals Corporation................................. Oregon Torture Treatment Center of Oregon, Oregon Health & 400,000 Science University...................................... Texas Center for Survivors of Torture.......................... 415,000 Utah Utah Health and Human Rights Project, TIDES Center....... 285,000 Virginia Center for Multicultural Human Services.................. 415,000 ------------------------------------------------------------------------