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Summary PDF: What works to improve mental health of refugee children and adults?

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What works to improve mental health of refugee children and adults?

There is very strong evidence that numerous interventions are effective in improving the mental health of child and adult refugees. Specifically, cognitive behavioral therapy (CBT), trauma-focused interventions (TF), and psycho-education (PE) have been shown to improve symptoms related to anxiety, depression, post-traumatic stress disorder, and/or general distress in refugee populations. Furthermore, cultural adaptations of these interventions yield additional effectiveness over and above their non-adapted counterparts. School-based and group programs for refugee children and high-support living environments for unaccompanied minors have been shown to improve children’s mental health. A number of additional interventions for refugee adults and children have inconclusive effects or moderate support. Finally, digital technologies including telehealth, online interventions, and video games show promising results for increasing access to care as well as improving outcomes.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Defining effective care coordination for mental health referrals of refugee populations in the United StatesSuggestiveSuggestive evidenceN/A
Meeting complex needs through community collaboration: A case studyInconclusive or mixed impactSuggestive evidenceInconclusive or mixed impact
Supporting human trafficking survivor resiliency through comprehensive case managementSuggestiveSuggestive evidenceN/A
Bringing refugees from crisis to flourishing: The role of resettlement agencies and the church in facilitating integration and stabilitySuggestiveSuggestive evidenceN/A
Integrated behavioral health care for Karen refugees: a qualitative exploration of active ingredientsSuggestiveSuggestive evidencePositive impact
Outcomes for Youth Served by the Unaccompanied Refugee Minor Foster Care Program: A Pilot StudySuggestiveSuggestive evidenceInconclusive or mixed impact
Culturally congruent intensive case management service for three refugee communitiesSuggestiveSuggestive evidenceInconclusive or mixed impact
Connecting refugees to substance use treatment: a qualitative studySuggestiveSuggestive evidencePositive impact
Intensive psychotherapy and case management for Karen refugees with major depression in primary care: a pragmatic randomized control trialModerateImpact evaluationPositive impact
Defining effective care coordination for mental health referrals of refugee populations in the united statesSuggestiveSuggestive evidencePositive impact
A systematic review of social service programs serving refugeesStrongSystematic reviewInconclusive or mixed impact
Findings from an extended case management US refugee resettlement programSuggestiveSuggestive evidencePositive impact
Healthcare access for Iraqi refugee children in Texas: persistent barriers, potential solutions, and policy implicationsSuggestiveSuggestive evidencePositive impact

Studies included in the database focused on high-income or upper middle-income countries, including but not limited to the United States. Studies included must have been published since 2012. To identify evidence related to case management with refugees, we searched the following websites and databases using the following population, methodology, and target intervention terms:

Websites and Databases Population Terms Methodology Terms Target Problem Terms
Campbell Collaboration
Cochrane Collaboration
Mathematica Policy Research
Urban Institute
Migration Policy Institute
CINAHL
ASSIA
Social Services Abstracts
Social Work Abstracts
PsycInfo
ERIC
refugee
OR
immigrant
OR
“unaccompanied minor”
OR
asylee
OR
“temporary protected status”
OR
“victims of traffick*”
OR
“traffick* victims”
OR
T-Visa
OR
U-Visa
OR
Cuban
OR
Haitian
OR
Amerasian
evaluation
OR
impact
OR
program
OR
intervention
OR
policy
OR
project
OR
train*
OR
therapy
OR
treatment
OR
counseling
OR
workshop
OR
review
OR
meta-analysis
OR
synthesis
“case manage*”