El CAI - MSF’s Center for Integral Action - provides comprehensive care for migrants who’ve suffered from torture and other forms of extreme violence, including gang-related and sexual violence. The center offers long-term care on an outpatient basis, with psychological and psychiatric treatment at the core of the program, and social services - including support with applying for asylum, education, and job-training services also playing a big role. The center is also starting to provide physiotherapy services. El CAI is connected to a networks of shelters throughout Mexico, including those run by UNHRC and others, to identify people who could benefit from its specialized program. Up to now, most patients have come from Mexico’s southern border area. In November 2019, El CAI was actively treating 45 people. As this is an outpatient program and most patients are engaged in applying for asylum or attending school or job training, one sees around 10-15 people at the center on any given day; patients come for their counseling sessions or other activities. On average patients stay with the program for 3-4 months before they are ready to start the next chapter in their lives. So far, five patients have received asylum in Canada.