**8.6 Which efficiency, during and after those actions?**

In September 2007, we noted an improvement rate in the health condition of 89.32% of the participating children and teenagers. Residual symptoms were dominated by behavior disorders, insomnia and headaches. Most studies have reported an improvement in symptoms or a decline in the level of psychopathology in the course of time (from some months to a number of years) with the majority of the children. The duration and the degree of remission depends, on the degree of exposure to traumatic stress, of the manner in which families react and of the social support for families (Cordahi & al, 2002).

To back our psychotherapeutic action, we implemented medical treatment, especially some amitryptillin (35-75 mg/day).

The premature giving up of the drugs parallels a general observation marked by the difficulty for Ivoirians to take drugs on a long term basis, which could explain the short period of medication and the lack of compliance. Or the medical treatment, especially antidepressive may permit to attenuate the symptoms and favor thus the verbalization of the psychic pain and allow a psychotherapeutic access (Deniau& Cohen, 2011).

The continuous psychosocial help permits the improvement of emotional disorders in children and teenagers. Supported by a psychosocial environment, the children had seen their situations improve. This is particularly the case when antidepressant medication is used to support psychotherapeutic and psychosocial intervention. However the reluctance of Ivorians to take medication on a long-term basis often undermines the potential clinical outcomes of post-conflict interventions for psychological consequences of traumatic stress. In line with African tradition, which argues that a child belongs to the community before belonging to his parents, child orphans always found someone to accommodate them in our study settings. The fact that the children returned to their village after the war, that they found a home, a house, and a place in the community was certainly comforting for children who returned from war. In our view reintegration of former child soldiers into accepting homes gave the children new meaning to the children against the background of chaos brought about by the war and its associated trauma. Finding a home gives the child a new sense of being human, hope as a member of the human community where war dehumanizes, to find parental comfort and love where solitude and acts of violence enslaves human beings.
