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Purpose: The purpose of this paper is to explore the “active ingredients” of integrated behavioral health care (IBHC) from the perspective of Karen refugee participants in an IBHC intervention. Design/methodology/approach: This paper is based on in-depth, semi-structured interviews with participants (n=40) who have received an IBHC intervention for one year. These qualitative data are supplemented […]
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The Unaccompanied Refugee Minor (URM) Foster Care Program annually serves about 1,300 foreign-born youth with legal eligibility. This paper shows results from a cross-sectional, descriptive pilot study (n = 30 interviews) in the domains of education, employment, health, mental health, risky behaviors, and social connections. Results show that most URM youth (86.7%) had graduated from […]
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In 1999 an intensive case management (ICM) mental health service targeting Afghan, Sri Lankan, and Somali communities was established in Toronto. The program provides culturally and linguistically appropriate ICM. Using administrative data of clients enrolled in the program from 2006 to 2010, we examined the effectiveness of the program by assessing the enrollment status two […]
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An emerging body of literature identifies substance use as a growing concern among refugees resettling in the United States. Like immigrants, refugees may face cultural, linguistic, or systems barriers to connecting with mainstream substance use treatment programs, which may be compounded by refugees’ unique experiences with exposure to trauma, displacement in refugee camps, and resettlement. […]
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Background: Despite an unparalleled global refugee crisis, there are almost no studies in primary care addressing real-world conditions and longer courses of treatment that are typical when resettled refugees present to their physician with critical psychosocial needs and complex symptoms. We studied the effects of a year of psychotherapy and case management in a primary […]
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Objectives: Refugee populations arriving to the United States report high rates of exposure to trauma and associated psychiatric distress that may necessitate referrals to mental health services. Although refugee arrivals receive a voluntary health screening, mental health screening is not routine. Public health providers report that one barrier to mental health screening concerns uncertainty about how […]
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Purpose: The global forced migration crisis calls for responsive, research-supported social services. This systematic review examines available research on social service programs implemented with refugees worldwide. Methods: Through accessing academic databases, reviewing article reference lists and websites, and contacting experts, we identified 1,402 sources, 68 of which met review inclusion criteria and were selected for […]
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This evaluation considers 434 households that participated in an Extended Case Management program from March 2009 through July 2011 in Salt Lake City, Utah, in the United States. Substantial improvements in wellbeing and reductions in needs in relation to health, employment, finances, housing, education, and family/community circumstances were observed over the course of 2 years. Variations […]
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To identify access barriers to healthcare and potential interventions to improve access for Iraqi refugee children. Four focus groups were conducted using consecutive sampling of Iraqi refugee parents residing in the US for 8 months to 5 years. Eight key-informant interviews also were conducted with employees of organizations serving Iraqi refugee families, recruited using snowball sampling. Focus […]
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While rigorous evidence is limited, the literature suggests that case management is associated with numerous positive outcomes. The body of evidence is largely suggestive in rigor and yields generally positive outcomes, although some studies show mixed results. The one available impact study yields positive results. The available studies have examined diverse outcomes such as self-sufficiency, […]
