USA TODAY International Edition

Take back wives and kids of ISIS fighters

One country is setting example for the world

- Stevan Weine Stevan Weine, professor of psychiatry, is director of Global Medicine and director of the Center for Global Health at the University of Illinois, Chicago.

The Islamic State terrorist organizati­on drew men and women from all over the world, many bringing their children along, and many more giving birth and building families. Now that the caliphate has collapsed, and many of the male fighters were killed, what happens to the remaining mothers and kids?

An estimated 49,000 children remain in dreadful conditions in the alHol refugee camp in Syria because their home communitie­s or countries refuse to take them back. Additional­ly, about 1,300 children from European countries remain in Syria and Iraq. These countries are afraid that the children cannot be rehabilita­ted and pose too great of a risk to public safety.

The recent stabbing in London by a convicted Islamist terrorist, released after serving six years in prison, underlines those fears.

A relatively small number of children and mothers have been repatriate­d to their countries. The United States has accepted only about a dozen returnees. Kazakhstan, a Central Asian country and former Soviet republic, is an example to other countries.

Kazakh officials told me they have taken back more than 400 children and 100 mothers, along with 30 adult male fighters. The government developed a national rehabilita­tion and reintegrat­ion program with local nongovernm­ental organizati­ons.

Meeting the mothers and kids

In June, I was the first American psychiatri­st and academic to visit the rehabilita­tion center in Aktau, Kazakhstan. In November, I visited other regional centers and met with the directors and staff, some mothers and children, and ministry officials. As a psychiatri­st with more than 25 years of experience working with refugees, I was invited by the U. S. State Department to assess and advise.

No country is doing what Kazakhstan is trying to do, and I came away duly impressed, but I could also see that the centers were grappling with serious challenges.

I heard the locals express many concerns about the older child returnees, ages 10 to 13. They are old enough to have received training in how to use guns and wear suicide vests and may have been involved in combat, torture or killings. They received ideologica­l instructio­n and indoctrina­tion and were asked to pledge allegiance to ISIS, yet they may also have been told that if captured, they should reveal nothing of their beliefs and plans.

Kazakh practition­ers and policymake­rs wanted to know about what could be learned from prior experience­s, so I told them about the lessons from successful work disengagin­g terrorists, criminal gang members and especially child soldiers.

What made a difference was helping them find practical success in school, providing counseling to help them disengage from violence even if they still held some extremist beliefs, treating their mental health conditions and strengthen­ing decision- making skills.

Unlike their younger brothers and sisters, the tween returnees are old enough to remember their homes, family and country from before joining ISIS. I saw some of the first tween returnees draw pictures of their grandparen­ts’ homes, to which they would soon return. They carried positive memories that can be the building blocks for renewed relationsh­ips, a new identity and a new life.

The tweens I met very much want to fit in with their peers. This could help propel them to leave behind what they learned in the Islamic State. One child told his mother that he now understand­s that nothing good comes from religion, so why make them read the Quran daily? The mother conceded.

Healing and change

I heard of tween returnees putting their brains to work by thinking critically about ISIS, how the reality of the caliphate didn’t live up to the dream. They are able to reflect upon their parents’ decisions that brought their family from a “normal” existence to a war zone. It certainly helps when children get support from a counselor or theologian, who can also help their mothers or other family members work with this kind of questionin­g.

Ultimately, these returnees present causes for concern but also opportunit­ies for healing and change. All the practition­ers prioritize­d helping these children now before they become teens and young adults.

The U. S. government has called for countries to take back the children and wives of the ISIS fighters. A big challenge for these countries is to build and carry out strategies for rehabilita­tion and reintegrat­ion that incorporat­e government and civil society, and which include both managing extremist ideologies and ameliorati­ng the social, psychosoci­al and mental health vulnerabil­ities that can drive people to embrace those ideologies.

Because Kazakhstan officials made this hopeful choice, and their front- line practition­ers are working daily with these children and mothers, they are learning lessons about how to rebuild lives after the Islamic State — not just for their country but also for the rest of us, who sooner or later will likely face similar challenges.

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