Art Therapy in Institutions
February 14-15, 2026
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Day 3, February 14, 2026
Art Therapy Inside the Institution: Building Third Spaces for Healing and Resistance
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Dr. Rochele Royster, PhD, ATR-BC, LCAT
Dr. Rochele Royster is an Assistant Professor in the Creative Arts Therapy Department at Syracuse University and the founder of the ME/WE Creative Arts Lab & Studio, a community-based art therapy and wellness space on the West Side of Syracuse. A community psychologist, artist, and board-certified art therapist, her work centers Black feminist care practices, cultural humility, and liberation-focused art therapy.
Dr. Royster has spent over two decades integrating arts-based healing into schools, community centers, hospitals, and public institutions—most notably through open art therapy studios designed to cultivate belonging, authorship, and collective care among marginalized youth. Her current scholarship explores sense of belonging, land-based healing, Black women’s community care models, and decolonial art therapy pedagogies. Her teaching emphasizes anti-oppressive group facilitation, embodied relational practice, and community-engaged research. She is committed to expanding interdisciplinary, culturally responsive art therapy that supports justice, wellness, and joy.
Dr. Royster has spent over two decades integrating arts-based healing into schools, community centers, hospitals, and public institutions—most notably through open art therapy studios designed to cultivate belonging, authorship, and collective care among marginalized youth. Her current scholarship explores sense of belonging, land-based healing, Black women’s community care models, and decolonial art therapy pedagogies. Her teaching emphasizes anti-oppressive group facilitation, embodied relational practice, and community-engaged research. She is committed to expanding interdisciplinary, culturally responsive art therapy that supports justice, wellness, and joy.
Finding Own Voice through Art Therapy in School
Art therapy is an effective modality for the population of first-generation immigrants exposed to traumatic experiences. This presentation presents the inclusion of an art-based approach in local Quebec schools, which support the cultural diversity of students while underlining the transcultural value of art therapy. In a group setting, this clientele can discover that they are able to shape their existence and to embrace new ways of interacting with the world. Consequently, the Expressive Therapies Continuum is used as a foundational framework. It is fundamental to consider the properties of art materials when implanting art-based programs since media are the vehicles for creative expression and non-verbal communication. This presentation focused on multicultural alliance, social empowerment and interpersonal development. Visual examples are presented at the same time as the presenter’s clinical experience and empirical research, including media properties and their fundamental use in public schools. Throughout her work with this population, the author's professional identity has been guided by her commitment to the art-making process, and to do so, she had to delve in her own experience as an artist and a second-generation migrant in Canada.
Learning objectives
By the end of this presentation, participants will be able to:
1. List and explain at least three art therapy directives based on the ETC, specifically designed to support adolescents from diverse backgrounds.
2. Participants will be able to identify and describe two art interventions that can be effectively used with immigrant adolescents in school-based settings.
3. Participants will demonstrate a basic understanding of qualitative research in schools by summarizing key concepts and applying ethical and cultural considerations.
4. Participants will critically reflect on their own cultural assumptions by understanding responses to art and identifying at least one insight about its impact on their clinical practice.
Learning objectives
By the end of this presentation, participants will be able to:
1. List and explain at least three art therapy directives based on the ETC, specifically designed to support adolescents from diverse backgrounds.
2. Participants will be able to identify and describe two art interventions that can be effectively used with immigrant adolescents in school-based settings.
3. Participants will demonstrate a basic understanding of qualitative research in schools by summarizing key concepts and applying ethical and cultural considerations.
4. Participants will critically reflect on their own cultural assumptions by understanding responses to art and identifying at least one insight about its impact on their clinical practice.
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Maria Riccardi MA, PhD(c), ATR-BC, OPQ
Art Today Opens Tomorrow - Art Therapy Program in Schools in Poland
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Katarzyna Góralczyk, MA
Reimagining Creative Arts Therapies Applied Learning Through Justice-Centered Community Innovation
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Heather McLaughlin, MA, ATR-BC, RMFT-S
TICAT©: Trauma-Informed Integrated Creative Arts Therapies Intervention Model
This presentation introduces TICAT© (Trauma-Informed Integrated Creative Arts Therapies), a field-tested intervention model designed to strengthen emotional healing and resilience in humanitarian contexts, with examples from refugee-camp and community-based implementations.
Drawing on trauma-informed, multi-modal creative arts practices, TICAT© supports both displaced populations and the aid workers who may experience compassion fatigue and burnout, by offering structured pathways for regulation, expression, and reconnection. Participants will be guided through the model’s six-step architecture, which mirrors the creative process and integrates somatic grounding, identity exploration, containment through “safe place” work, symbolic creation, collaborative “common ground” building, and embodied action/ritual for integration.
The presentation also highlights a participatory and sustainable implementation strategy, bringing analysis, co-planning with local partners, training-of-trainers, and supervised field piloting, to ensure cultural responsiveness and practical feasibility in complex settings.
Finally, TICAT© is situated within broader international capacity-building initiatives (including the CCA Erasmus+ network) that refine trauma-processing methods through embodiment and the creative arts, supporting empowerment, social inclusion, and community cohesion.
Learning objectives
By the end of this presentation, participants will be able to:
1. Describe the purpose and core principles of TICAT© (Trauma-Informed Integrated Creative Arts Therapies).
2. Outline the TICAT© six-step intervention and explain the clinical intention of each phase (e.g., grounding, safe place/containment, symbolic creation, common ground, integration/ritual).
3. Apply trauma-informed and culturally responsive considerations when adapting creative arts processes for refugee communities and other high-stress environments.
4. Identify practical strategies for sustainable implementation.
5. Recognize how TICAT© can support both service users and frontline helpers.
Drawing on trauma-informed, multi-modal creative arts practices, TICAT© supports both displaced populations and the aid workers who may experience compassion fatigue and burnout, by offering structured pathways for regulation, expression, and reconnection. Participants will be guided through the model’s six-step architecture, which mirrors the creative process and integrates somatic grounding, identity exploration, containment through “safe place” work, symbolic creation, collaborative “common ground” building, and embodied action/ritual for integration.
The presentation also highlights a participatory and sustainable implementation strategy, bringing analysis, co-planning with local partners, training-of-trainers, and supervised field piloting, to ensure cultural responsiveness and practical feasibility in complex settings.
Finally, TICAT© is situated within broader international capacity-building initiatives (including the CCA Erasmus+ network) that refine trauma-processing methods through embodiment and the creative arts, supporting empowerment, social inclusion, and community cohesion.
Learning objectives
By the end of this presentation, participants will be able to:
1. Describe the purpose and core principles of TICAT© (Trauma-Informed Integrated Creative Arts Therapies).
2. Outline the TICAT© six-step intervention and explain the clinical intention of each phase (e.g., grounding, safe place/containment, symbolic creation, common ground, integration/ritual).
3. Apply trauma-informed and culturally responsive considerations when adapting creative arts processes for refugee communities and other high-stress environments.
4. Identify practical strategies for sustainable implementation.
5. Recognize how TICAT© can support both service users and frontline helpers.
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Dr. Camilla Mele, PhD, MSc, MA, PM
The Applications of Narrative Drawing Intervention® in Different Countries
Dr. Monica Wong’s Narrative Drawing Intervention® (NDI) is not simply a combination of narrative therapy and art therapy. Rather, it is a newly developed clinical psychotherapy model that integratively blends these two well‑established therapeutic approaches. Drawing on more than a decade of clinical practice and research, Dr. Monica Wong founded NDI and developed a rigorous teaching framework. The method is designed to be accessible, practical, and easy to use, making it a valuable psychological tool.
NDI was studied by a group of professional helpers in Hong Kong, including psychologists, social workers, and counselors, who personally learned the approach and applied it in clinical cases. The research findings showed that 94% of the participants reported that this clinical psychotherapy model helped them achieve satisfactory therapeutic progress in their clinical practice.
Since 2008, beginning with the Wenchuan earthquake disaster area, Dr. Wong and her team have provided services across different countries, including China, Indonesia, India, Nepal, Australia and USA. Apart from working with people in need in various disaster sites, Dr. Wong provided training in government agencies, communities, primary and secondary schools, universities, hospitals, and other settings. She has also delivered presentations at various international forums.
In this presentation, Dr. Wong and her colleagues will introduce Narrative Drawing Intervention® (NDI), explaining what it is and the rationale behind its development. Dr. Wong will also share her experience of applying NDI with diverse client groups across different countries. The presentation will conclude with a live demonstration.
Learning objectives
At the end of this presentation, participants will be able to:
1. Define Narrative Drawing Intervention® (NDI) as an integrative psychotherapy model and explain how it differs from simply combining narrative therapy and art therapy.
2. Describe the rationale and core principles behind NDI’s development.
3. Summarize evidence and implementation insights from NDI training and practice.
4. Identify appropriate client groups and contexts where NDI can be applied, informed by Dr. Wong’s cross-cultural and disaster-response experience.
5. Observe and outline the key steps of NDI through a live demonstration, noting how the method is facilitated in session.
NDI was studied by a group of professional helpers in Hong Kong, including psychologists, social workers, and counselors, who personally learned the approach and applied it in clinical cases. The research findings showed that 94% of the participants reported that this clinical psychotherapy model helped them achieve satisfactory therapeutic progress in their clinical practice.
Since 2008, beginning with the Wenchuan earthquake disaster area, Dr. Wong and her team have provided services across different countries, including China, Indonesia, India, Nepal, Australia and USA. Apart from working with people in need in various disaster sites, Dr. Wong provided training in government agencies, communities, primary and secondary schools, universities, hospitals, and other settings. She has also delivered presentations at various international forums.
In this presentation, Dr. Wong and her colleagues will introduce Narrative Drawing Intervention® (NDI), explaining what it is and the rationale behind its development. Dr. Wong will also share her experience of applying NDI with diverse client groups across different countries. The presentation will conclude with a live demonstration.
Learning objectives
At the end of this presentation, participants will be able to:
1. Define Narrative Drawing Intervention® (NDI) as an integrative psychotherapy model and explain how it differs from simply combining narrative therapy and art therapy.
2. Describe the rationale and core principles behind NDI’s development.
3. Summarize evidence and implementation insights from NDI training and practice.
4. Identify appropriate client groups and contexts where NDI can be applied, informed by Dr. Wong’s cross-cultural and disaster-response experience.
5. Observe and outline the key steps of NDI through a live demonstration, noting how the method is facilitated in session.
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Monica Wong, PsyD, Reg. Clin. Psych. (HKADCP), AFHKPS, Full Member APA, RP (Ahpra), AThR (ANZACATA)
Creating Ethical and Transcultural Art Therapy Programs in Humanitarian Institutions
Art therapists increasingly work within institutional settings that support forcibly displaced persons, including humanitarian organisations, reception centres, and community-based services. While these contexts provide vital access to care, they also present complex challenges related to structure, accountability, cultural difference, and trust-building. This presentation draws on practice-based research exploring manualised, resilience-building art therapy interventions developed in collaboration with The Red Pencil and institutional partners in Spain and Greece.
The presentation examines how manualisation can support ethical, safe, and effective art therapy practice within institutional frameworks, while still allowing for creative flexibility and transcultural responsiveness. It outlines the development and implementation of a structured nine-session art therapy programme designed to foster emotional regulation, agency, social connection, and resilience among forcibly displaced adults. Particular attention is given to working creatively across cultural and linguistic differences, adapting materials and metaphors, and negotiating institutional constraints without compromising therapeutic integrity.
The presentation also highlights the relational labour involved in establishing and sustaining institutional partnerships, emphasising trust, communication, and interdisciplinary collaboration as essential components of effective practice. Its central aim is to offer insight into a transferable model for art therapists working within institutions that support displaced populations, while contributing to broader discussions on ethics, scalability, and transculturality in global art therapy practice.
Learning objectives
At the end of this presentation, participants will be able to:
1. Explain how manualised art therapy programs can support ethical, safe, and effective practice within institutional settings.
2. Describe the structure and clinical aims of a nine-session resilience-building art therapy program (e.g., emotional regulation, agency, social connection, resilience).
3. identify key adaptation points for transcultural and multilingual contexts.
4. Apply partnership strategies for institutional work by identifying core relational practices that sustain effective implementation without compromising therapeutic integrity.
The presentation examines how manualisation can support ethical, safe, and effective art therapy practice within institutional frameworks, while still allowing for creative flexibility and transcultural responsiveness. It outlines the development and implementation of a structured nine-session art therapy programme designed to foster emotional regulation, agency, social connection, and resilience among forcibly displaced adults. Particular attention is given to working creatively across cultural and linguistic differences, adapting materials and metaphors, and negotiating institutional constraints without compromising therapeutic integrity.
The presentation also highlights the relational labour involved in establishing and sustaining institutional partnerships, emphasising trust, communication, and interdisciplinary collaboration as essential components of effective practice. Its central aim is to offer insight into a transferable model for art therapists working within institutions that support displaced populations, while contributing to broader discussions on ethics, scalability, and transculturality in global art therapy practice.
Learning objectives
At the end of this presentation, participants will be able to:
1. Explain how manualised art therapy programs can support ethical, safe, and effective practice within institutional settings.
2. Describe the structure and clinical aims of a nine-session resilience-building art therapy program (e.g., emotional regulation, agency, social connection, resilience).
3. identify key adaptation points for transcultural and multilingual contexts.
4. Apply partnership strategies for institutional work by identifying core relational practices that sustain effective implementation without compromising therapeutic integrity.
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Liliana Montoya De la Cruz, MA
Day 4, February 15, 2026
(Solution-Focused) Art Therapy LOM® in Public Institutions
In Switzerland, art therapy in the form of the LOM® method is represented in numerous organizations, highlighting its broad acceptance and professional recognition. The method, formally known as Solution-Focused Art Therapy LOM®, was developed in 1980 by art therapist Bettina Egger and psychotherapist Jörg Merz. It arose from the need for a structured approach that facilitates emotional problem-solving through painting, without requiring symbolic interpretation of the images produced. LOM® has demonstrated particular efficacy in the treatment of trauma, unresolved conflicts, stress, anxiety and relational difficulties. Its effectiveness is further supported by links to contemporary neuroscience, which shows how new neural pathways can be established through creative processes. By engaging in techniques such as painting “neutral” images (metaphors) or working with the non-dominant hand, clients can reduce hyperarousal, achieve emotional distance, and reorganize internal states. This process generates a new neurological imprint, thereby altering emotional reactivity in a measurable way.
The approach is distinguished by its systematic structure. LOM® is classified as a brief therapy modality, characterized by clear therapeutic boundaries and an emphasis on observable progress. The use of structured questioning, metaphorical framing, and a judgment-free setting contributes to the method’s replicability and reliability in clinical practice. Since its foundation, LOM® has spread beyond Switzerland to other countries in Europe, where it has been integrated into both clinical and academic contexts. LOM®’s combination of theoretical rigor and practical applicability makes it a versatile tool for therapeutic work with individuals and groups. Its ability to foster rapid and sustainable emotional change, with lasting results that reduce stress even in the long term, positions it as a valuable contribution to the field of contemporary psychotherapy and art therapy.
Learning objectives
By the end of this presentation, participants will be able to:
1. Describe the methodology of (Solution-Focused) Art Therapy LOM®
2. Apply Metaphors for Somatic Experiences
3. Explain the implementation of (Solution-Focused) Art Therapy LOM® in Organizations
The approach is distinguished by its systematic structure. LOM® is classified as a brief therapy modality, characterized by clear therapeutic boundaries and an emphasis on observable progress. The use of structured questioning, metaphorical framing, and a judgment-free setting contributes to the method’s replicability and reliability in clinical practice. Since its foundation, LOM® has spread beyond Switzerland to other countries in Europe, where it has been integrated into both clinical and academic contexts. LOM®’s combination of theoretical rigor and practical applicability makes it a versatile tool for therapeutic work with individuals and groups. Its ability to foster rapid and sustainable emotional change, with lasting results that reduce stress even in the long term, positions it as a valuable contribution to the field of contemporary psychotherapy and art therapy.
Learning objectives
By the end of this presentation, participants will be able to:
1. Describe the methodology of (Solution-Focused) Art Therapy LOM®
2. Apply Metaphors for Somatic Experiences
3. Explain the implementation of (Solution-Focused) Art Therapy LOM® in Organizations
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Cora Egger, MA
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Rahel Brügger, MA, MPF
Designing Reflective and Restorative Spaces for Burn Caregivers in a Public Hospital
This presentation focuses on the application of short-term, trauma-informed art therapy to support caregivers in a public hospital burn unit in South India. The approach is embedded within mandated early intervention protocols and integrated into an interdisciplinary healthcare system as part of psychosocial care for complex burn trauma. Art therapy is offered as an adjunct to caregiver education modules on wound care, surgical rehabilitation, nutrition, physiotherapy, and the impact of trauma. This study aims to address a gap in the literature by examining caregivers’ experiences in bi-monthly art therapy groups. Interventions were tailored to caregivers’ needs and availability during their hospital stay.
Adopting a phenomenological lens, three key insights emerged, highlighting the efficacy of art therapy in: identifying instances of domestic violence and self-inflicted injury; illustrating patient-caregiver dynamics that informed the structure of extended care strategies; and supporting relaxation, emotional regulation, and stress relief. The findings suggest that creative spaces and processes offered moments of regulation, meaning-making, hope, and reassurance. The study further evidences the role of art therapy groups as containers for distress, means of articulating fear of death, and spaces that foster peer learning and validate caregiving efforts.
Learning objectives
At the end of this presentation, the participants will be able to:
1. Describe at least three creative strategies for delivering art therapy in short-term or time-limited sessions
2. Differentiate between repetition-based and response-based interventions, and explain their effective application
3. Identify key considerations for adapting art therapy to diverse community needs
Adopting a phenomenological lens, three key insights emerged, highlighting the efficacy of art therapy in: identifying instances of domestic violence and self-inflicted injury; illustrating patient-caregiver dynamics that informed the structure of extended care strategies; and supporting relaxation, emotional regulation, and stress relief. The findings suggest that creative spaces and processes offered moments of regulation, meaning-making, hope, and reassurance. The study further evidences the role of art therapy groups as containers for distress, means of articulating fear of death, and spaces that foster peer learning and validate caregiving efforts.
Learning objectives
At the end of this presentation, the participants will be able to:
1. Describe at least three creative strategies for delivering art therapy in short-term or time-limited sessions
2. Differentiate between repetition-based and response-based interventions, and explain their effective application
3. Identify key considerations for adapting art therapy to diverse community needs
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Sruthi Sriram, MA, AThR, RYT
The Use of Art Therapy in an Intensive Treatment Program for Adults Living with Severe Obsessive-Compulsive Disorder (OCD)
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Linda E. Chapman, RP, RCAT, Clinical Member OSRP
Behind the Mask: A Weekly Art Therapy Group on a Male Psychiatric Intensive Care Unit
This presentation explores the development and impact of a weekly art therapy group on a male Psychiatric Intensive Care Unit (PICU) within a busy London NHS hospital. Over 2.5 years, the group has evolved into a collaborative, inclusive, and psychologically safe space where patients can express themselves creatively. Co-facilitated by an Arts Psychotherapist and the ward’s Activities Coordinator, the group has become a key component of ward culture, offering an important counterbalance to an environment often shaped by risk management, containment, and medical intervention.
Open to both patients and staff, the group promotes an alternative mode of communication rooted in creativity, co-production, and mutual respect. Its collaborative ethos has visibly transformed the ward environment: artworks and poems created in the group are displayed throughout the unit and along the corridor leading to the ward entrance, while co-designed murals serve as lasting symbols of belonging, dignity, and shared ownership. No distinction is made between patient and staff contributions, reinforcing a non-hierarchical culture.
The session will highlight how collaborative art therapy can support self-regulation, relational repair, emotional safety, and a more compassionate inpatient culture. It demonstrates how creativity can shift institutional narratives, recognising patients not as passive recipients of care but as resourceful, expressive, and resilient individuals.
Learning objectives
At the end of this presentation, participants will be able to:
1. Describe how a weekly, co-facilitated art therapy group can be developed and sustained within a male PICU setting.
2. Identify core elements that support psychological safety and inclusion in high-risk inpatient environments.
3. Explain how collaborative artmaking can promote self-regulation, relational repair, and emotional safety for patients and staff in intensive care contexts.
4. Evaluate how visible creative outputs can influence ward culture and strengthen belonging and dignity.
Open to both patients and staff, the group promotes an alternative mode of communication rooted in creativity, co-production, and mutual respect. Its collaborative ethos has visibly transformed the ward environment: artworks and poems created in the group are displayed throughout the unit and along the corridor leading to the ward entrance, while co-designed murals serve as lasting symbols of belonging, dignity, and shared ownership. No distinction is made between patient and staff contributions, reinforcing a non-hierarchical culture.
The session will highlight how collaborative art therapy can support self-regulation, relational repair, emotional safety, and a more compassionate inpatient culture. It demonstrates how creativity can shift institutional narratives, recognising patients not as passive recipients of care but as resourceful, expressive, and resilient individuals.
Learning objectives
At the end of this presentation, participants will be able to:
1. Describe how a weekly, co-facilitated art therapy group can be developed and sustained within a male PICU setting.
2. Identify core elements that support psychological safety and inclusion in high-risk inpatient environments.
3. Explain how collaborative artmaking can promote self-regulation, relational repair, and emotional safety for patients and staff in intensive care contexts.
4. Evaluate how visible creative outputs can influence ward culture and strengthen belonging and dignity.
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Fiona Grainger, MA
The Art of Survival: Psychosis as a Creative Response to Oppressive Systems (A Forensic Perspective)
At the intersection of carceral and psychiatric principles, forensic mental health services sit in extremity at the end of the long spectrum between non-restrictive and oppressive provisions. We work with those who experience severe psychological distress, often committing societally abhorrent crimes from places of intense fear, overwhelm and psychological collapse.The physical locks, perimeter fences and security protocols symbolically mirror the oppression the vast majority of our service users have faced systematically in the form of structural marginalisation. Despite the widespread adoption of trauma-informed care principles, these environments frequently perpetuate forms of physical oppression and emotional sublimation that contradict the very ethos of trauma-informed practice.
I believe that embodied, arts-based methodologies offer a unique avenue to engage with the complexity of the application of psychotherapy in forensic settings, acknowledging those that offend to receive the containment of the institution. By incorporating somatic inquiry this research aims to reveal forms of resistance, agency, and healing (in both service user and therapist) that conventional verbal or quantitative methods may overlook. Phenomenological approaches aligned with abolitionist paradigms allow for nuanced exploration of lived experience, capturing the psychological realities of forensic systems that exist in a language outside of words.
Learning objectives
By the end of the presentation, the participants will be able to:
1. Critically examine the ethical and clinical tensions of delivering trauma-informed psychotherapy within oppressive environments
2. Explore the role of embodied and arts-based methodologies in rediscovering agency
3. Explore the application of abolitionist and social justice focused frameworks to art psychotherapy
I believe that embodied, arts-based methodologies offer a unique avenue to engage with the complexity of the application of psychotherapy in forensic settings, acknowledging those that offend to receive the containment of the institution. By incorporating somatic inquiry this research aims to reveal forms of resistance, agency, and healing (in both service user and therapist) that conventional verbal or quantitative methods may overlook. Phenomenological approaches aligned with abolitionist paradigms allow for nuanced exploration of lived experience, capturing the psychological realities of forensic systems that exist in a language outside of words.
Learning objectives
By the end of the presentation, the participants will be able to:
1. Critically examine the ethical and clinical tensions of delivering trauma-informed psychotherapy within oppressive environments
2. Explore the role of embodied and arts-based methodologies in rediscovering agency
3. Explore the application of abolitionist and social justice focused frameworks to art psychotherapy
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Naomi Rule, MA, HCPC, BAAT, IAFP
Restorative Justice: How Visual Arts Can Help
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Marian Frances Liebmann, MA, PhD, PGCE, CQSW, HCPC, BAAT
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