Ragamuffin House is a beautiful sanctuary in the heart of the city of Phnom Penh, and home to Ragamuffin Cambodia - an International Creative Arts Therapy Organisation (est.1999). We provide innovative and pioneering programmes that support those experiencing trauma or mental health problems. Our projects current programmes include:
Be-Yourself - is Cambodia's first Cambodian led Arts Therapy Service for Children and Adolescents.
Its been the result of training, pilot programmes and funding support from people like you!
Our team of Cambodian Therapists are able to offer tailor made therapeutic programmes for individuals, groups and communities.
They are working with children who have experienced trafficking, abuse, violence or who are living with HIV and experiences of poverty and complex social backgrounds.
Mental health services are vital to well-being and resillience for young people and their families, especially in countries where there are little resources and support. Arts Therapy provides a natural and gentle approach to empowering individuals and groups to realise who they are and their value and worth in the world.
Our team are witnessing a remarkable impact.
Ragamuffin’s Arts Therapy Clinic for children and young people has continued to develop in partnership with six organisations, Ragamuffin’s Arts Therapists are working with children and young people with diverse needs and who are often from complex and extremely difficult socio/economic backgrounds for example:
Working with Partner Organisations enables us to develop joined up services and strengthen the capacity of each organisation’s psychological services. Training, the development of policies and protocols for safeguarding children, and providing programmes of individual and group Creative Arts Therapy all serve to meet children in their need and deepen an understanding of the emotional and psychological needs of children for the staff team. This helps create a response to children that is insightful and sensitive. To this end, Ragamuffin Therapists also provide a specialist service that works alongside social workers, caregivers and medical staff.
“As I have observed Ragamuffin therapists work, I have gained new knowledge and have learnt a whole new way of being with children. For example, I have been learning how to encourage children to play, and to help them manage their challenges without reacting. In the past it was easy to be angry with the children, I didn’t know how to deal with their behaviour, as a result of our partnership with Ragamuffin, I have changed, I can encourage and support children, its helped me to understand and be patient. I’m now encouraging mothers and caregivers to learn how to play in this way with children – it’s a healing way, and I’ve seen the positive difference it makes. It’s increased my ability and confidence to be actively involved with the children and families.” (E & D Staff Member)
“ We have received, support encouragement, patience, motivation and new opportunities. Ragamuffin is a safe and peaceful place who we have been fortunate to link with and bring troubled and traumatised children from the community to get support. Our team have been able to observe how therapists work with children and learn so much in this process. It’s helped me to recognise and discover how to strengthen, value and understand partnership working, the management of collaboration and relationships between organisations.” (Director of E & D)
As a result there has been an increased recognition of the value and impact of arts therapy with those who are suffering distress. Increase corporation. Increased awareness in the whole organisation of mental health issues, arts therapy and sensitive effective responses and programme development. It also helps us to be more in tune with the need to prioritise mental health issues in the community and understand how they impact on a person, their family and the community.” (Director E & D)
The future of the Arts Therapy Clinic
I hope this Clinic will continue to help children in Cambodia and provide them a chance to explore, express, and acknowledge their pain and deeply felt emotions so that they can take their place in the world and make progress. The clinic allows traumatized children to search deep within themselves and helps them gain inner strength and confidence”. (Panchakna Khlok)
“I think it is so important for Ragamuffin’s Arts Therapy clinic to continue in the long term. So far, I have provided ongoing therapy to fragile and distressed clients- all my clients suffer severe depression, anxiety, and behavioural problems that are caused by sexual abuse, domestic violent, addiction, and HIV/AIDS. The clients have found this therapy process as the breath and sacred space to look deeply into their inner world that is full of unresolved conflict. And, it also helps them to find new positive relationship between their inside and outside world, and to navigate new hope, new way to solve their conflict, and to embrace self-love one again. (Serey Samchet – Arts Therapist)
You have and you can continue to make a difference by supporting our Cambodian Arts Therapy Team!
Thank you for being part of Be-Yourself Arts Therapy Service in Cambodia - committed to making a difference to he lives of traumatised and vulnerable children.
Message from Carrie Herbert and Kit Loring - Directors of Arts Therapy Services, Ragamuffin International
August 2012 will bring us to the end of our 2-year pilot programme of Ragamuffin's Creative Arts Therapy Clinic for traumatised and distressed children, families and communities in Cambodia.
Ragamuffin’s critical incident and emergency de-briefing and staff-support for front line humanitarian organisations continues in response to demand in the region
As we come towards the end of a funding cycle in August, the need for our services in Cambodia is only increasing in a context where trauma is endemic and the incidence of trafficking, abuse and exploitation continues to rise. Unless we obtain ongoing funding - critical and much needed services will need to be cut back - so your support at this time remains so very important.
Obtaining funding for the ongoing sustainability of the clinic continues to be a challenge. The areas of mental health and Arts Therapy are notoriously underfunded globally. The challenge to Ragamuffin is how our services can meet the demand and continue to grow and strengthen in such a climate. The clinic service has met such a need amongst vulnerable children and young adult and has only just begun to take root. The following are some of the thoughts and reflections from the clinical team as we continue to promote the continuation of this work and work hard to secure its future in the same way that we are seeking to secure the future of the lives of marginalized and traumatised children and young people.
“As I am a Khmer citizen as well as an Arts Therapist with Ragamuffin, I am really please and proud that a clinic such as Ragamuffin exists in Cambodia. The Ragamuffin Project is the only clinic providing a professional standard of Arts Therapy in Cambodia. I have worked with so many children that make me realize how much suffering they endure. Trauma affects the quality of their lives because these children are living with suffering that penetrates deeply on their soul and their inner strength. Moreover, there are many children that could not safe at all. Ehen they they have chance of healing at the Arts Therapy clinic of Ragamuffin, I can comprehend positive change of them since they can use the inner strength from oneself.
If Clinic Therapy of Ragamuffin is ends in August, it is the most regret ever for me as well as many children in Cambodia as it would be a tremendous loss for them. I do not want the trauma to continue from generation after generation, it makes my heart ache. When I have worked with those children, they have told me that coming here to “Ragamuffin” means so much to them, moreover, this place is not only a beautiful place, but it also provides them a peaceful, safe place of healing that they have never had. This place it’s a place where they can truly be themselves and recover their heart and soul.
I hope this Clinic will continue to receive funding in order to continue helping children in Cambodia and provide them a chance to explore, express, and acknowledge their emotions, their world and work through the issues that cause them so much distress. Ragamuffin work allows traumatized children the ability to search deep within themselves and help them gain inner strength and confidence”. (Panchakna Khlok)
“I think it is so important for Ragamuffin clinic to be funded for long-term work at least for another 5 years in order to ensure the sufficient healing to the clients. Right now, I have provided ongoing therapy to 36 fragile clients including individual and group work. All my clients are suffer severe depression, anxiety, and behavioural problems that are caused by sexual abuse, domestic violence, addiction, and HIV/AIDS. The clients have found this therapy process as breath and sacred space to look deeply into their inner world that is full of unresolved conflict. And, it also helps them to find new positive relationship between their inside and outside world, and to navigate to new hope and a new way to solve their conflict, and to embrace self-love one again. Therefore, if the therapy process is uncompleted, their journey of self-discovery of finding light is stopped, and this will have strong impact on their courage and hope to move on in life. Sadly some who so need longer term support would go back to the same state of mind and be left with many unprocessed or unresolved issues”. (Serey Samchet – Arts Therapist)
Kit and I and the team here in Cambodia deeply appreciate your support and contribution to our Arts Therapy service for children and families in Cambodia.
Please see our thank you card attached with the opportunity of how to become a long-term friend of Ragamuffin by joining our partnership scheme – please let us know if that is of interest to you and we will provide further details.
We are aiming to continue to develop our support base through this scheme and create a network of people around the world who believe not only in the work of Ragamuffin, but also how Creative Arts Therapy can help support those most traumatised in our world.
Your support is important in many shapes and forms...including raising awareness, volunteering with specific skills - like fundraising and web building, through to donations - which of course can make a real practical difference to the service here.
Most importantly it’s the relationships that matter to us - as this is at the heart of the work we do. People together connected and believing in the gentle power of the Arts and Therapy in helping those with mental health problems.
Carrie and Kit on behalf of The Ragamuffin Team Cambodia
Development of Arts Therapy Service with M’Lop Tapang Centre for Street and working Children, Kompong Som, Cambodia. An Overview By Rachel Hiskins and Hun Jeudyla - Creative Arts Therapists.
M’Lop Tapang (MTP) and The Ragamuffin Project have been working together since 2004 in the development of capacity of the MTP team in both psychological services and staff support. The clinic partnership started in September 2010.
The mission for this partnership is to strengthen the resilience and internal/eternal resources of the children most at risk who use the MTP services. Together with MTP we aim to also help the reduction of the symptoms of distress, improve self-esteem and confidence, empowerment and social relationships. This partnership will also provide and support MTP staff that provide psychological care and add to the overall culture of care.
Reasons for Referral
The referrals stem from a broad range of psychological and behavioural issues, all have poverty as a major contributing factor in the overall well-being of the young people and their families. The Drop in Therapy clients are mainly self-referred which we believe enhanced their commitment and motivation for both the therapeutic process and a desire to develop personally in their lives. We have been deeply encouraged by the choices young people at MTP are making to use this service. We believe it has been made possible due to the context and organisation culture of care at MTP which fosters relationships and empowers young people to make positive choices in and for their lives.
Issues that are been addressed in sessions include the following areas: (please note that many of these issues are complex, multifaceted and interlinked – they are are long term and need, as a result, a long term investment in their care and support).
Art mediums used include the following: (Arts therapists work responsively with the creativity of a child or young person helping them to strengthen their creativity, innovation, assertiveness and choice, inner resources and literacy in emotions)
Outcomes from Drop in therapy and Open Studio
From the Drop In therapy, there have been 3 reported child protection cases to MTP. The identification of children at risk and those in existing abusive situations is critical. This has been an area where the partnership and the skill of MTP child protection team has been working effectively to respond and reduce risk of harm wherever possible. Ongoing follow up of these young people has enabled the Ragamuffin team to witness MTP’s child protection policy and team in action. We are together exploring the development of case conferencing with the Multi-disciplinary team of Child Protection, social workers, and counsellors/therapists so as to strengthen the multi-disciplinary care around children at risk and living in violent or abusive situations.
The clients have begun to develop an understanding of the therapeutic use of the arts, becoming increasingly open and receptive to exploring their own thoughts and feelings through a range of creative media. The children/young people are demonstrating the ability to develop rapport with the team and an increased confidence in attending and participating in sessions. Fort many Arts Therapy is a new experience, this can create some initial anxiety for some children, however, it doesn’t take long for them to understand and trust the process and so discover how their creative voice can empower, motivate and encourage them to be who they are. Over 80% of clients attending the drop in sessions would like to come more frequently to regular arts therapy sessions.
‘I am happy that I came and played and told my story – my life has many difficult stories”
“I am so happy and excited to come here and play and not work on the streets”
“I saw my future for the first time”
It is clear that providing the space purely for the client to be listened to and felt heard, allows them to express and begin to understand their own story.
“I want to continue to work with Ragamuffin in the future – its so important for these children and for us – we need to learn more how to give this kind of support to children.” (MTP Staff)
“It’s a very good psychological support and therapy program that can help people to explore themselves and could speak out or express their feelings of stress or suffering through using any form of creative expression, without needing to only focus on talking. I feel comfortable working with my clients when I use Arts Therapy, many are children who love drawing, drama, dancing... is a good way to make them interested with the therapy.”(MTP Staff)
Willderness Therapy Programme Pilot - a new innovative approach in Cambodia
Wilderness Therapist, Lois Woodward from the UK is now working with the Ragamuffin Project and is bringing a new and innovative dimension to our therapeutic service to include the therapeutic use of the outdoors, in adventure, play and outdoor pursuits.
In June 2012 the first wilderness therapy pilot programme will be run my Lois and The Ragamuffin Team with M'Lop Tapang in Kep, Cambodia. The pilot programme is for young people who are living with challenging and distressing life experiences such as domestic violence, poverty and HIV. The pilot wilderness therapy/ creative therapy project will benefit 6 young people suffering from traumatic experiences who will have opportunity to experience an innovative form of therapeutic intervention combining creative arts, adventurous activities, wilderness expedition, camp craft, teambuilding, play, exploration and therapeutic support.
Wilderness Therapy has successfully been used with adolescents ‘at-risk’ of disaffection in the UK (Woodward, 2010) and with traumatised, militarised youth in south Africa (Schell-Faucon, 2001). Wilderness and creative therapies have been combined in programmes to treat young people suffering from addictions and with mental health conditions in the US (Crisp, 1996) this innovative programme, combining wilderness and creative therapies, is the first of its kind to be explored in Cambodia.
The pilot project will test will the following questions;
The programme will be evaluated to inform the design of future creative/wilderness therapy programmes at Ragamuffin Project.
Please contact us if you would like to know more or specifically support this exciting programme.
Crisp, S (1996) An Investigation of Selected Innovative Mental Health Programs for Adolescents using Wilderness and Adventure Activities as a Primary Therapeutic Modality in the United Kingdom, United States of America and New Zealand. Winston Churchhill fellowship, Melbourne
Schell-Faucon, S (2001) Journey into the Inner Self and Encounter with the Other: Transformation Trails with Militarised Youth of Katorus, Centre for the study of violence and reconciliation.
Woodward, LJ (2010) How can increased access to the outdoor environment via a 22 week intervention project have positive impact on emotional intelligence and self esteem of young people at-risk of disaffection?, Swansea University
Jacqueline Lee is an InTheField Traveler with GlobalGiving who is visiting our partners’ projects throughout Southeast Asia. Her “Postcard” from the visit in Phnom Penh, Cambodia:
On March 5, 2012 – I was able to visit Ragamuffin Project's Arts Therapy Clinic in Phnom Penh Cambodia and meet with Carrie and project staff. Immediately upon entering the Arts Therapy Clinic, I felt calm and at ease. Beyond the white building where therapy is done, there is a relaxing pond with fish and a back office. I was told that the participants are able to relax at the pond between sessions.
Carrie and the staff were open to discuss the programs, challenges, goals, and how the monitoring and evaluation is built into the program. After this we toured the space and a group therapy session was going on beyond the windows in the main room. Kids were smiling, playing, drawing, and interacting with two staff. The upstairs therapy room was designed as a "ship." When you walk in - the area is supposed to represent taking a journey through a storm towards "the light on shore". This journey is depicted in beautiful paintings around the space designed by a friend of Carrie's.
Finally, I was able to sit with Sam and Dyla, two staff therapists, on the giant colorful main-room pillows to discuss their background and the Ragamuffin art therapy program. This area was for children and adults to use as a peaceful and creative safe space after severe trauma. Creative therapy includes toys, art, music.. anything to allow participants' to express what they cannot say, understand, or immediately confront. Dyla also told me that because some children cannot travel to Ragamuffin's clinic - the staff will go to them to support and care via art therapy.
Overall Ragamuffin Project is providing an innovative and positive response to a need for trauma therapy via art, music, and creative outlets for children. Their success stories include breakthroughs in ability to communicate, reflect, and destress – as well as behavioral changes and a decrease in opting in for violence. The Ragamuffin Project, clinic, and even staff eminated care, expertise, creativity, and peace.
Run for Hope - Three welsh women are running with Ragamuffin Cambodia on the 11th of March in the 1st Sihanoukville International Half Marathon for Ragamuffin's Creative Arts Therapy Centre - all donations will go towards providing an opportunity for vulnerable and traumatized young people to benefit from Wilderness and Creative Arts Therapy. This will enable them to build confidence, self-esteem, strengths and hope in managing complex life challenges such as violence, abuse and poverty.
As Ragamuffin’s Arts Therapy Clinic for children and young people continues to grow and develop we have a challenge to resource and fund this ongoing work.
In partnership with six organisations, Ragamuffin’s Arts Therapists are working with children and young people with diverse needs and who are often from complex and extremely difficult socio/economic backgrounds for example:
Creative arts therapy for Individuals and groups of children from challenging backgrounds where there is poverty, domestic violence, abuse, addictions and child labour.
The children attending Arts Therapy sessions have demonstrated the capacity to build strong connections and friendship both with each other and the therapists. They have understood the process and allowed themselves to become deeply involved with both their creative process and their challenging life experiences. They have been able to be more aware and express their feelings through different arts form such as drawing, singing, picture making, movement and play.
“when I drew the picture, I thought of my family’s problem and I have put all the feelings inside this image and this made me feel so much relief ” (10 year old client)
The group of children have learnt how to respect each other, to understand their personal and the group’s boundaries through their play and establishing corporate ground rules. They report experiencing warmth and love from each other as they have been learning to listen, hear and respect each other. Exploring understanding, empathy and forgiveness. Practicing how to manage relationships with each other in a safe and healthy way is enabling them to not follow destructive role models in their village and community life, enabling them to be more empowered. Some children noticed the positive changes happened to a few children in their group. For example, one of the boys said:
“ Recently, I noticed how Meyya has changed a lot since she came to Ragamuffin, she did not curse or beat other children in the village like before, the older children do that – its like you are showing us a new way”
Due to the organization and therapy team observation and the children’s own reflections, all the children do not have any safe place for them to play within their community. Coming to the arts therapy group has given them the opportunities to explore their creativity, resilience and positive resources, capacity to build up good relationships, to be connected, to be heard, and to be themselves. There were some key themes emerged through their arts work such as child labour, violence, family problem and poverty. Children have witnessed the violence of their family and other children’s family. They have suppressed a lot of individual and collective and trauma, and they were impacted in various ways such as losing motivation at school, depression, stealing, using drug, and bullying other. This creative arts therapy is critical for the development of these vulnerable children both now and in the future.
Development of research partner – The International Resilience Centre, Canada.
In order to both strengthen our research into the effectiveness of the clinic and also to explore and measure the impact of arts therapy on the levels of resilience in children and young people who use the service. The ragamuffin project are partnering with a pioneering International programme and will become one 5 programmes around the world exploring and disseminating models of best practice when working with young people.
Wilderness Therapy and therapeutic use of the Outdoors -
In September 2011 we were also joined by a Wilderness Therapist, Lois Woodward from the UK who is bringing a new and innovative dimension to our therapeutic service to include the therapeutic use of the outdoors, in adventure, play and outdoor pursuits.
These two recent developments are helping Ragamuffin develop the clinical work into new and rigorous areas and we are excited as a team of the benefits to Cambodian young people who face challenges.
“The children are lucky to have Ragamuffin’s support. I’ve noticed that they have better self-esteem, have less behavioural problems and are more open to exploring how we might support their medical care.” (Partner rganisatin Social Worker)
“Our collaboration with Ragamuffin is critical for the well-being of our clients, we are so please to have this partnership and see the benefits it is having. In the future we hope that this service can benefit all the clients in our care” (Director of Partner organisation)
The partnerships also help Ragamuffin to support and respond to critical incidents and emergencies for the teams. Recent critical incident de-briefing has been provided for one partner who have been working to support children and women on the frontline of community land rights and eviction processes in Cambodia. A safe place where they can bring the impact of the work on themselves and receive professional supervision enables them to be more effective in the care of those they work with.
“As I am a Khmer citizen as well as an art therapist with Ragamuffin, I am really please and proud that a clinic such as Ragamuffin exist in Cambodia. The Ragamuffin Project the few clinics was having the standard professional in Cambodia to use creative therapy tools. More than a year that I have been working as an Art Therapist in Ragamuffin, I have worked with many children that make me realize how they live in suffering condition, which affected from society to their life. Trauma affects the quality of their human being because those children are living with suffering that penetrates deeply on their soul and their inner strength. Moreover, there are many children that could not safe with themselves at all. At the event that they have chances to healing from Clinic Art Therapy of Ragamuffin, I can comprehend positive change of them since they can use the inner strength from oneself.
I do not want the trauma to continue from generation after generation, it makes my heart ache. When I have worked with those children, they have told me that they like to come here to “Ragamuffin”, moreover, this place is not only a beautiful place, but it also provides them a peaceful, safety and healing that they have never had besides this place it’s a place where they can truly be themselves and recover their heart and soul.
I hope this Clinic will continue to receive funding in order to continue helping children in Cambodia and provide them a chance to explore, express, and acknowledge their emotions, their world and process, and allows traumatized children the ability to search deep within themselves and help them gain inner strength and confidence”. (Panchakna Khlok)
“I think it is so important for Ragamuffin clinic to be founded for a long-term work at least for another 5 years in order to ensure the sufficient healing to the clients. Right now, I have provided ongoing therapy to 36 fragile clients including individual and group work. All my clients are suffered by severe depression, anxiety, and behavioural problems that are caused by sexual abuse, domestic violent, addiction, and HIV aid. The clients have found this therapy process as the breath and sacred space to look deeply into their inner world that is full of unresolved conflict. And, it also helps them to find new positive relationship between their inside and outside world, and to navigate new hope, new way to solve their conflict, and to embrace self-love one again. Therefore, if the therapy process is uncompleted, their journey of self-discovery of finding light is stopped, and this will give strong impact to their courage and hope to move on in life. Obviously, they would go back to the same state of mind or left with many unprocessed or unresolved issue”. (Serey Samchet – Arts Therapist)
Why is the Ragamuffin Arts Therapy clinic important?
What if the funding ends, what will happen and what will be the impact on the client and family?
(The Ragamuffin Clinical Team 2012)
Every contribution makes a difference.
Thank you for your contribution and ongoing support.
Carrie Herbert on behalf of the Ragamuffin Team Cambodia
Director of Arts Therapy Services
Cambodia November 2011
The Khmer rouge trials continue and stir up memories. It is not that anything has been forgotten; not really, it is just that it is easier to live with the past if you try to forget it. It is, of course, impossible, and the pain, visceral and bitter haunts the lives of the Cambodian people who lived through the war and unsettles their children.
We are in our 10th year of working in Cambodia. Those who were not protected as children and young adults struggle to find the resources to protect children today – it operates like a blind spot on awareness; it has always been thus. Like a child who has never known the affirmation and security of loving parents has no internalised model of what this means.
Whilst there are parents who love their children and are doing all they can to care for them and prepare them for a future free of the trauma they suffered, there is nonetheless an increasing number of child abuse cases that few staff are equipped to effectively manage.
This is an intrinsic part of Ragamuffin’s work: to identify children at risk and provide a safe enough environment within the clinic for them to disclose their suffering and ask for help. Along with the training of staff teams in safeguarding Children using the powerful creative tools of Arts Therapy where Drama especially enables the re-creation of a real life situation and an opportunity to rehearse and refine a response in the context of a safe and supervised training process.
We are, of course, not the only ones. This is an objective for many who work with vulnerable children. But for a child who seeks help from one of our therapy team in the context of the Ragamuffin clinic the therapist is sometimes the first and only one with whom the child feels their cry is heard and the anguish felt understood and respected.
It is very difficult to imagine a time here when there will be sufficient statutory resources to provide such services in Cambodia. For now The Ragamuffin Project is the only organisation in Cambodia providing Creative Arts Therapy, Training and clinical supervision.
The Ragamuffin Arts Therapy Team work with over 200 children and young adults monthly in individual and group therapy sessions. Young people are enabled to express their most difficult stories, emotions and pain through the safety of the imagination and creativity. A creative distance enables them to speak sometimes for the first time about their stories of rape, abuse, violence and trauma. These are unfortunately endemic issues in Cambodia and together with our partner organisations FRC/CRC, ISF, MTP, E&D, LICHADO we are seeking to address what lies at the root of these issues.
Your support is making the difference to the lives and souls of this work. This investment is an investment in the existing and ongoing capacity of this country. It is making a difference and will make a difference. Be inspired and be encouraged. When people feel well and happy in their body heart soul and mind they become true participants of their families and communities investing in the future for themselves, their children and their nation.
"Your expression of care in the form of financial support continues to be an investment in the futures of children, and the adults who seek to serve them."
Kit Loring & Carrie Herbert
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