Providing crisis services to refugee clients demands that practitioners dev
elop knowledge and skills to address the trauma that accompanies migration.
Beyond coping with the basic standards for living in a new country, surviv
ors of torture must also deal with the legacy of their experiences from the
ir homeland. Due to the complexity of issues surrounding the effects of tor
ture, crisis interventions must be centered in a multidisciplinary communit
y effort. Crisis events faced during the migration process are reviewed in
this paper with special attention to the particular needs of survivors of t
orture. The effects of torture, including physiological, psychological, and
social impacts are reviewed. Selected professional issues faced by profess
ionals who work with refugee populations are discussed including, the asses
sment of torture impact on the family, developing a working alliance with c
ulturally diverse refugees, countertransference issues in working with surv
ivors of torture, and recommendations for mobilizing a multidisciplinary ap
proach to intervention.