An independent evaluation of the Program of Assistance for Survivors or Torture and Trauma (PASTT), a specialist service available to refugees who settle in Australia and are survivors of pre-migration conflict and human rights abuses including physical and psychological harm. The program is funded by the Department of Health and Aged Care and administered by not-for-profit state and territory-based agencies forming the Forum of Australian Services for Survivors of Torture and Trauma (FASSTT).

This evaluation examines the implementation (appropriateness, acceptability, challenges), outcomes (client, third-party provider, and community), and economic considerations related to PASTT service provision, including in regional and rural areas. 

Research Findings

There are, in total, 36 key findings arising from the evaluation. Nine findings relate to implementation appropriateness; eight each to regional and rural service delivery, and outcomes achieved; nine to economic analysis; and two to alignment with best practice. 

The program demonstrates clear appropriateness in meeting client needs and effectiveness in improving access and outcomes for refugee communities. This includes improving psychosocial health, well-being, and engagement with Australian society.

There is a continued need for the program to build the skills and capacity of mainstream services, particularly in regional areas, to respond to and care for refugee clients appropriately. It is recommended that investing in community capacity building is necessary to sustain long-term connections with communities to reduce stigma and contribute to early intervention and prevention and that a new funding allocation model be considered for the longevity of the program.