but when it really mattered, it just had that little extra attitude consecutive wimbledon can push it. i really respect your loss. i think you are phenomenal tennis player and athletes. amazing talent. i mean you've been hearing all of that for many years. i never thought i'm going to say so many nice things about your consider considering the relationship. here is a bit of a god. i'm not gonna lie a thought applied well, but the 1st one is on the crew graduate. no back on your team. of course you've won the chairmanship, i don't even i only time going to be a little kids. i'm wires, you know my know menu, how you and i have a very tough relationship at times. but our thought, thank you for putting up with an arm and, and the crowd between the amazing couple weeks of naples. here it is. is this when has moved joker bitch above roger federer, the old time grand slam windows list? only raphael and the dull is still ahead of him. santa hamis and just sierra

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listening post. dissect the media on al jazeera. i i am for me. okay. and you're in the stream today. what is trauma doing to young people in garza, the majority of gases, 800000 children, have only ever known life under the israeli lab blockade. and a new report reveals extent of the mental crisis. perrin ah, trapped is a recent report by save the children in this report, save the children, found that 80 percent of children and young people garza suffer from depression, sadness, and fear. some other key findings, 9 out of 10 children feel less safe when they're alone. caregivers are also facing mental health issues. 9 out of 10 caregivers in gaza,

feel unhappy and anxious. let's take a closer look at that situation with our guest thought to jasa. hello, ines and jason. so good to have all 3 of you in our conversation today. let me remind everybody dot d as a who you are and what you do. please greet our stream audience. good afternoon or evening from now 71. this is yesterday, i'm a psychiatrist and they took us the community. nathan as well. just seeing you all are pleasure having you in as welcome to the stream, please introduce yourself to our audience around the world. hello everyone. this is ines patterson and i'm, i'm the project manager of we're not numbers a project. the euro made the human rights monitor. yet to have you and jason, welcome to the stream. please introduce yourself to of us. hi, good evening everyone. my name is jason lee, the country director for safety children in the occupied palestinian territory. and i'm calling you tonight from jerusalem. i get to have you all, all, all right,

so everybody who's watching right now, you seen how our panel is, you know the expertise. if you have a question for them or comment about children garza how they are managing or really how they are not managing the comment section is right here for you. jason. how do you survey the mental health of children who live in crisis situations? pretty much all year out. yes, a look. we 1st did a report and 5 years ago, after, after the 10 year anniversary of the globe garza brocade. and we wanted to see has the situation approved hasn't gotten worse, particularly with the, the escalation last year in may. and of course, the global cove lighting pandemic. so this year we did a refresher. we spoke to about $500.00 children and $160.00 caregivers. just to get a pulse and we get a sense of how things were. and you shared some of the disturbing reports or the findings of the report where again the situation has deteriorated. we've seen that children are having greater senses of anxiety, phoenix,

or depression of sadness and the resilience of children and the caregivers to cope is decreasing. and of course, you know, this is against the backdrop of ever increasing cycles of violence. instability, and the economic deprivation that we see because of the blockade in gaza. yes, i am looking at a piece that you wrote about mental health. a year ago, a year ago this month, a new mental health crisis is raging in garza recent bombings, my israel cause more than just physical trauma. and remind everybody this is. this is an opinion piece from last year, not from this year, but you could see national jasa that they were problems. what are you seeing now with young people and with kent and, and with that, i guess you know, for me, thank you for bringing this. i tell you something more surprising, which is that in 2014, that is about it. here's for now that we're all in effect shape. you know,

that came out of a commitment as graham doctor. we done anticipated that the problems would be only related to the throw mckee events that, that population and guys are still working with when exposed for. but also with the law says with the destruction of the buildings would be an ongoing disintegration and socio economic conditions. now that continue to be the case for years later and in 2021 it did. they did the self as it's one and the as you said, but her, i would likely go back with the main, i think key finding as you have what have you visited in that they've brought in the beginning of this event that 90 percent of the children are simply don't feel safe when they are away from that that's i think this is just, it says it's odd when, when more than one of the last attacks 90 percent, the children in the not to be safe that you know we, we are now a did a study and we went visited by a family in the family. hm. and the girl that went on that the family was exposed

to 4 months, given what they decided to bring only that deals with, you know, and various. and is that a little has been working and she was involved 11, you know, been looking for if there was a been a lot of shame with feminist thoughts. it planned it that it adds a lot of attention to the mother in law. how they can deal with this holiday kind of cleaning the sheets in the morning with is not exactly sometimes there's a problem with water this atrocity. now the interesting thing is that the boy was 7 . now was having some sleep disturbances and what he used to do is just to sleep under his bed now. so we were talking to the fathers, the father and mother, and oh, why don't you also bring your child to the trauma. now the only concern was that, you know, most of the true and our neighborhoods have similar sh in of condition and not problems with feared with his with the think it time. why we should bank our child or i want some sell it 1st really there. there are

a lot of hidden ones. if you could save the old problems, i mentioned some of that campus that come into it not come to the surface. and i think the key point here is the feeling of a safety net is lacking. that other key important issue, which is that the parents, the family, the structure that was mainly helping them working their children is now within week out and week of the sources that people had is, are getting weaker and no matter how to. so the fact that i was just going to say story that i can really emphasize that because we've speak to a lot of children and we see this recurring pattened where children report being afraid of being away from the parents. i mean, i spoke to a 13 year old boy and for a 13 year old boy to actually admit that he constantly feels afraid when he's away from his mother. and this feeling of anxiety, even when at school doesn't feel safe, is worried about, is there going to be another attack?

is there could be another round of violence. is his home going to be though when he gets back is his family and friends going to be there? so i think, you know, this is the, the impact, the things that we don't see. i mean, often during an escalation, we can see the physical injuries that children sustain and we can treat them. but this is this deep seated anxiety, the deep seated fears that permeate through a child's life and carries through. i think this is the danger and this is what the report port shows that this prolonged exposure to conflict to violence, to economic deprivation. the ability of children to cope in the families is continued being eroded in as i want to show our audience the web page for your organization. because you work with and for young people who are able to express and tell their stories, that i won't be able to see this so that they can go and follow you in the future. we are not numbers. so that is the organization the and as is part of earlier we spoke to emily who told us some think so stock and so shocking that i

wanted you to have a listen to it and then respond known that you work with young people from gaza and so, you know, children stories, young people, stories so intimately has emily fast the, it's really lead black heed in garza impacts palestinian children practically from birth. you see higher rates of neonatal disorders and congenital birth. the facts when compared to there is really counterparts. and there's also more much higher infant mortality rate. and then there's also a tremendous psychological tool that this blockade is placing on past indian children are currently 55 percent report living with some sort of post traumatic stress disorder. and about 40 percent of palestinian young people report having seriously contemplated suicide at some point in their life.

actually this, this happened, this happens a lot in gaza and not, not only do you think what happened back in the past, i actually wrote about about about committing suicide and deeper. but in order to get them society, because of the situation that we are living and we are thinking about how to stimulate both young people who are living in under a siege for more than 15 years in which they lived for foreign military effects. they let them, they, they had the feeling of fear that they had the feeling of not being able to protect themselves or their, their children, their children. so the fear in the eyes of these, of these parents so that there wouldn't be able to protect them simply because there is no place to go to. so when we talk about about those young men, there are, there are lots of reasons that was such

a thing we talk about there are lots of graduates. we live in a high position area. we live in garza, which is that which is isolated from the whole world. lot of people, lot of graduate and the smallest amount of jobs. there are no jobs. jobs are rare, opportunities are very, very not available. are the time that the young men had have to, to find jobs that provide for them for themselves, for their families. they have to take the themselves on their families and they can do this. so sometimes they would, they would just reach a point in which they cannot, they cannot just deal with life and they're not numbers actually we are trying to, to deal with this numbers is the project in which we are within the stories of them behind it, the numbers in the news, in which we train young palestinians who,

who to read stories of what really happens with them in a way that the world would understand by we are not numbers. we're trying to isolate the or to break the isolation and do those young people are living and by which we allow them to talk about it, what really happens or with them. here in garza, he by the bad side, the good side, bright side, they're gonna missions there. they're sad moments about everything that happens with them. on youtube, i've got a really interesting question from one of our viewers, perhaps jasa, and in, as you can help with this artist has not allow, says, how long will it take for the children garza to be rehabilitated? and will this change their mental health as they grow? yes sir, you can start 1st as a medical professional. and then in, as you can tell us, is if, if that we have visitation, that, that going away from the, the situation that you're in, is that even possible?

yes or you didn't, you stop, you know, in 2829. we started our 1st what we called cross is a sponsor plan and, and this is a response for the 1st attack that happened in 20089. and you know how to use of her man and woman. both ecologists were visiting the most effective their houses and they me, it will lead to intervene. it's, it's like, oh, years later in 2014, just like 5 years, the thought one of our psychologists wasn't that she was a woman. that was walking to the same ed emmy's tennis was idle when suddenly a young girl just started to run towards her. though. but audio missed what audio map i am be waiting for, you know, do you remember me from the 1st attack of the biggest attack? so imagine that girl, you know, her house was this button to 1000 mine. it was also again, davis thought it wasn't working and she is fleeting, st. bucket and life. now in order for our, you know,

a coping mechanism off or healing in all us. that's just for our philippines, walk in the city of stability and all that. we need the children to feel say that they are lacking in vital that they are secure, given that they can think of a positive future that they can, you know, em back there that lives in and that they can achieve something. now unfortunately, out of those things are available in garza, for example, you know, until now, just few weeks ago they destroyed houses. they started that ability to process and that all of this for the houses that were destroyed the ball took over even though data issue, which is like an old thinks death remind people of this automatic events continue to be there. and soft dawns that keep flying in the skies every now and then we hear about the tensions that that is a possibility of another attack. you know, the whole community talks about this. what can we do that people who leave their houses or that space people did continued to be an alert at that moment. kennedy this, these 500000 edwards,

but it's based 1000 or in 110000 people in 2000 did it 21. so that kind of fab staying on the edge, you know, that there is no but that also that is not. it is not even that big difference between life and death. you know, because you can buy at any moment to anything that have been and more than 60, more than 60 children passed away and 2021. those students had their classmates. they went to schools though, susan allowed them, they felt the absence they know wendy, that have done other children with, with one. but so we need 1st to feel securely need that children to feel that the thing is fine. and then we need to think about the long term implications of being contin. explore settlement, for example, when parents report that the ability that the children are okay, they are not feeling well. they are not safe. it means also the other hand that they will not be able to study well. the other academic performance is that they could be as good as, as,

as they used to be their idea about the futures that to be that big to be a very nice one. it might be a little me one you know, to yasser in you detail this so beautifully. all of your life as a child is impacted your future you, i'm patient ambitions, your hopes. and as i'm going to show you something on which is from the save, the children report trapped. and on this graph, it, it looked at as a sample of children and asked them about their feelings. so the light orange column is the year 2018. the deep, bright, dark orange column is the year 2022 inch year. you can see the gap between here that the feelings are worse. so to children or young people this under the age of 15 were asked, are you feeling sad and depressed? more people they share than before? are you feeling feelings of grief more people issue than before? the fearful? yes. more than before. tense, nervous? yes. yes. the idea that young people should have these awful feelings. they're part

of life anyway, but in such concentration in us. what is that like? i just, i just want to, to, to, to comment on this and to build on, on what the 30 asset has just said is that children who have, who have been living these feelings before as the fear or the are being attacked their own of these feelings really not, they don't really lose such feelings because i mean some, i know someone who in 2014, i did a 2nd because of strep, who was just because of because of the thing, because it was very brutal back at the time. he wouldn't be able to stay alone. he wouldn't go to bed by himself. he wouldn't agree to walk in the darkness by him 7th

day. he wouldn't agree to do these things. also i know, i know for instance, someone someone i know i, i young man, i am a young man who was starting his life. he was, he was, he's a worker and he started to build his, his more room for his family and with the help of his, his wife. he was money. he managed to do this. but when, because at 900 started he didn't, wasn't able to work. but event with the, with the aggression, every time it happens during all these years, every time he built his house, he keeps losing, he's destroyed. and you can imagine how hard this is on the and them and them infinity. i mean, he worked hard to build his own house with his own future, but as children and then all of a sudden, just in one night and it just all went up. so you can, i can,

i can understand that much numbers statistics. moving to this amount into 2020. i'm not surprising because this is what really happens. i said, jason, i am thinking these are numbers. the reason this report is, is, is so's so shocking is because the numbers are so high for children who are in distress. and so you can't put out that report without saying now, what are we going to do about it? which is where i want to pivot our conversation and this is what i want to go. i'm going to start with dr. ishmael because i'm really curious about what level of services and help will be available for young people who need it. festival. he's dr . ishmael and then jason, please pick up of the back of him a and i also sorta and then was good in the ceo with couldn't help us. you know,

i don't and i'm with had been a minute or so i had them, i should have a share with you to see a he has a whole know he had yeah, thanks for that. look, i, i would agree, i think one of the 1st things that we need to do is to make sure that the triggers or the stresses are removed. a lot of the work that save the children dance and we see that children are resilient, they can recover. there is to hope for them and they have dreams and hopes, like every child in the world. but in order for that to happen, the stresses have to be removed. so the constant violence that surrounds their lives, the conflict, the economic deprivation, which means the blockade should be lifted. and of course, equally important is the provision and access to critical mental health and

psychosocial support. so this means that the ability to see social workers psychologist, therapist for themselves, continued treatment, but also the caregivers because parents are also affected. i mean, i report shows that the parents themselves express this incredible degree of sadness, anxiety, and feelings of hopelessness because they see what their children are going through . they see the physical manifestations and they feel powerless, and unable to do anything about it. i jason, an ass and wasa, i'm gonna ask you, i'm going to pushing to ask these questions from our audience very quickly so i can include more of them at jason. this one is an atom, wiley. why isn't? this is a situation where the children are living in a crisis. why isn't this regarded as a war crime and treated as such? jason, just briefly. so this is a difficult question. i mean, there are global accountant, lead me accountability mechanisms that exist, and one of them is the protecting children in armed conflict and save the children

were doing a lot of work to actually make sure that these impacts the violations that occur on the rights of children. that documented and actually been presented to the united nations security council to make sure that all duty bearers have an obligation. and these are obligations. it's not about what a state wants to do or likes to do, but it's an obligation to protect children. so these are the existing global accountant, lead me accountability mechanism that we need to strengthen, to ensure that children are top safe, especially in conflict. why am i also want to end on, on a note, because a lot of the audience are asking, how can we help? how can we link up with families or i'm going to see if i can't share them with you in this show, i will make sure that i would read out all of our guests handle so that they, you can help them and follow them as well. but also, what kind of activities, what practical methods are there to help children who are in distress, who are living in fear these what some people told us earlier, wanted to contribute to the show. there are organizations providing drama therapy

and our therapy for children, as well as providing counseling in schools. but resources are scarce because facilities were bombed. and while the occupation and blockade persist, it's very difficult for children to recover from the trauma. because the root cause is of the trauma ongoing, look, it is the root cause of this endless maintenance crisis. and the international community must pressure israel. i mediately lift its closure of closer to ensure that future generations of children kind of bring back more hopeful and have more dignified lives. it, as i have to show our audience something that i found on the we are not numbers a twitter account, have a look here. everybody. and this is so important. sorrow generates creativity to siblings, rama an arm at abraham, and their colleague uses akhil had invented a rescue robot. he did this because they have seen people buried in rubble before

look at their faces. look at what they doing is in this incredible is this part of the hearing in us is a how young people hill? yes, it is actually in gaza. all the resources, everything is looked on on the on them it's on the doors. but somehow they find their own ways somehow they try the create. they try to find a way in order to express themselves in order to show the way that we can. and this, in this thread that you just saw, the young men were able to invent this tool in which they can, they can help people to go out there. now we have a story like over there, like i'm not sure if you know her, but then it was 22 years old. she was, she was,

she was an english you then she i love it. sure. had fred, you chair. but then and 2021, she lost when need to, people of her family shows her. her mother had this sort of brother shopped, other kids were the right at the end of the show. but i don't want to want to know what i'm good. so what i was going to say that is that she was under there for 1111 hours and they couldn't find her. so after 11 i was she was, she was able to be a to be taken out. but i think that young men here are young, but able to do this. all right. amazing. and i thank you so much. one incredible story to end on. and i stopped after jason, you choose commenters as well. really appreciate you. i put all my cats handles on my twitter account and you can follow them then i'm watching. i'll see you next time. take. ah

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