Executive summary - Bridging gaps in mental health care systems using resilience‑oriented therapy: A multi-site randomised controlled trial in Rwanda

December 6, 2024

This report outlines the findings of a randomised controlled trial (RCT) that assessed how effectively Resilience-oriented therapy (ROT) enhances emotional resilience and recovery from trauma. ROT is a programme protocol launched by Interpeace in collaboration with Prison Fellowship Rwanda, Haguruka, and Dignity in Detention. The programme was implemented with the support of the Rwandan government and financed by the Swedish International Development Agency (Sida). The RCT tested and measured ROT’s impact. The findings revealed its strong effectiveness in addressing mental health issues related to emotional regulation, identity development, and behavioural self-management as well as strengthening individual psychological resilience.  The comparison between pre- and post-invention data demonstrated that depression rates dropped from 8.1 (22.5%) to 2.9 (8%), anxiety from 13.4 (33.5%) to 6.3 (15.7%), and borderline personality disorders from 4.5 (11.3%) to 2.6 (6.5%) among treatment group members.