Poverty has forced over a million children in Uganda to live on the streets. These children often come from families where they suffered violence and sexual abuse. Besides starvation and unhygienic conditions, street children face physical and sexual abuse. The perpetrators range from adults such as the police to other street children. For our study, we recruited sixteen former street children, eight boys and eight girls. They were living in a child welfare facility at the time of research. We used the mixed research method for our research design. For quantitative research, we used two measures: CRIES-13 (Children's Revised Impact of Event Scale-13), CYRM-28 (Child & Youth Resilience Measure). We used a qualitative case research method to analyze the themes in the sandplay process. The quantitative results indicated that the group sandplay therapy improved PTSD Symptoms and resilience. The qualitative results revealed several common themes such garbage, salvation and big project.

This study categorized and analyzed the themes and symbols that appeared in the sandplay therapy of Myanmar Chin children living as refugees in Malaysia. The researcher provided individual sandplay therapy to five children attending a UN refugee school in Malaysia for four weeks in July 2018. There were five sessions for each child and 50 minutes per session. The researcher used a Kalffian sandplay approach to provide a free and protected space for the children. They used Creswell’s (2007) qualitative case study method to understand the themes and symbols and, through a comprehensive analysis of all cases, they found five common themes and symbols. These themes were ‘fear/threat and the resistance from the heart to it’, ‘protection and care’, ‘the existence of god and guilt feelings’, ‘the effort to recover normal life’, and ‘do not give up hope for a normal life’. The refugee children expressed their emotional pain in the sand tray so that the traumas they had experienced while escaping and the chaos in their present lives appeared prominently and repeatedly there. As the sessions progressed, however, they expressed a hope to return to their normal lives as they recovered some sense of stability. They could more easily express their inner pain in sandplay than in language, and project themselves safely and express their emotions. It is a fact that, like all other children, the innate and archetypal healing power of these refugee children’s psyche allowed them to respond strongly to sandplay, despite the short-term therapeutic intervention, the horrors of their experiences and the unstable situations they face. Future research should evaluate the effectiveness of a psychotherapeutic approach that considers the social and cultural specificity of refugee children and their various emotional problems and secure economic aid and legal status for them.