People who have suffered extreme violence and torture in Central America and Mexico can receive treatment at El CAI, the Center for Integrated Care in Mexico City run by Doctors Without Borders/Médecins Sans Frontières (MSF). Patients come to El CAI through the network of shelters along the migration route. Most of them have experienced and witnessed multiple episodes of brutal violence, and need the longer-term mental health care that EL CAI can provide. But they also need asylum in a safe country. "The first time I got into Mexico, I was kidnapped in Nuevo Laredo," said José, who fled from Honduras. "The same gangs from my country are here. But in my country it is much worse."