here - Education Management Corporation
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Inland Empire<br />
Bringing Help and Hope to<br />
Orphaned Children in Rwanda<br />
In a country like Rwanda, w<strong>here</strong> more than 60% of residents live below the poverty line and more than 83% live in<br />
rural areas, the daily struggle to provide basic necessities like clean drinking water, food and protection from diseases<br />
like malaria can be overwhelming. Unfortunately, it is often the case that those developing nations often suffer from a<br />
history of violence and political instability that leaves citizens and future generations scarred and without the mental<br />
health resources to recover.<br />
Argosy University, Inland Empire Director of Clinical Training and Assistant Professor Dr. Brenda Navarrete is<br />
working to make a difference with the Coalition for Change, an organization dedicated to improving mental health<br />
services in developing countries. Over the winter break, her efforts extended to rural Rwanda, w<strong>here</strong> she worked near<br />
the Congo border to develop a mental health program for the Noel Orphanage.<br />
The Noel Orphanage is the largest of its kind in the nation, serving more than 600 orphans. Its children are victims of a<br />
series of devastating traumas and events – orphaned, in many cases, for reasons tied to the 1994 100-day genocide that<br />
took place in the country. Orphans at Noel are victims of the HIV/AIDS epidemic, abandonment, extreme poverty, and<br />
a poor health care system that leaves a high mortality rate for<br />
mothers during childbirth. The orphanage serves children from<br />
infants to young adults, and strives to meet their needs in a country<br />
with little money to help counter this type of ongoing and largescale<br />
suffering.<br />
During her trip, Dr. Navarrete implemented a mental health<br />
program that included a manual she developed for use with<br />
the children. Training modules on general mental health, child<br />
development, depression, anxiety, post-traumatic stress disorder,<br />
grief and loss, and attachment were presented in the guide. In<br />
addition, she developed a workbook of activities for the children that<br />
focused on improving mood, self-esteem, relaxation, meditation and<br />
identity development.<br />
Her time at the orphanage was spent training nurses and other longterm<br />
staff on how to identify mental health symptoms in children<br />
and how to use the activities she had developed with the children.<br />
This manual was translated in Kinyarwanda and is currently in use.<br />
Dr. Navarrete also worked with administrative staff from the<br />
orphanage and from several medical clinics in the area to develop<br />
crisis management plans for addressing events such as reports of<br />
physical and sexual abuse in their facilities.<br />
“I believe we are all capable of making a great impact on our society,<br />
probably more than we realize. Whether this impact be good or bad,<br />
the magnitude of the impact is up to us,” said Navarrete. “We all<br />
have gifts and resources to offer others whether it be in our local or<br />
international communities. This does not require for us to have any<br />
unusual talents or abilities, just the belief that our actions are capable<br />
of bringing about positive change in the world. My trip to Rwanda<br />
was an extremely rewarding experience that provided me with<br />
valuable opportunities for cultural exchange and personal growth. It<br />
reinforced my sense of global responsibility and my enthusiasm for<br />
greater social involvement.”