We have developed a database of research evidence to help resettlement service providers in the U.S provide evidence-based interventions and best address barriers that resettlement clients and other ORR-eligible populations face. To date, an initial number of research studies have been added to the database. More studies will be added on an ongoing basis. Use the search area to access content based on criteria like outcome, intervention, year, and study type, or use our advanced search feature to find evidence based on specific, customized criteria.

This library hosts materials developed by Switchboard and by former Office of Refugee Resettlement (ORR)-funded technical assistance (TA) providers (most in fiscal years 2016-2018, with selected earlier materials). This library links materials externally where: their formats were incompatible with internal hosting; they were developed by current ORR-funded TA providers; or they were developed by non-ORR funded authors who granted permission for the links.

Author Definitions

BRYCS
Bridging Refugee Youth and Children's Services
CLINIC
Catholic Legal Immigration Network, Inc. National Citizenship Capacity Building Project
CVT
Center for Victims of Torture National Capacity Building Project for Specialized Torture Treatment Centers
Higher
Higher Employment Services Technical Assistance
Mercy Housing
Mercy Housing Refugee Housing Program
META
Monitoring and Evaluation Technical Assistance Project
NPCT
National Partnership for Community Training Mental Health Technical Assistance Program
Project SOAR
Project for Strengthening Organizations Assisting Refugees
Welcoming America
Welcoming America's Welcoming Refugees Program
Other
Authors not receiving technical assistance funding from ORR

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Free Full TextEvaluating narrative exposure therapy for post-traumatic stress disorder and depression symptoms: A meta-analysis of the evidence base.

Publication Year: 2021
Outcome(s): PTSD Reduction
Intervention(s): NET
Relevant ORR Program(s): Refugee Health Promotion, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Wilson/Fish
Direction of Evidence: Inconclusive or mixed impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

Narrative exposure therapy (NET) is an intervention for trauma spectrum disorders. Originally developed to treat refugee populations, NET has since been tested for efficacy across different settings. In this review, the NET evidence base is examined through a retrieval, synthesis and appraisal of randomized controlled trials (RCTs) published since 2002. Two independent reviewers searched online …

Evaluating narrative exposure therapy for post-traumatic stress disorder and depression symptoms: A meta-analysis of the evidence base. Read More »

Free Full TextA Meta-Analysis of Group Interventions for Trauma and Depression Among Immigrant and Refugee Children

Publication Year: 2022
Outcome(s): PTSD Reduction
Intervention(s): Group interventions including CBT, art therapy, mindfulness, crisis management, EMDR, somatic soothing, emotional regulation.
Relevant ORR Program(s): Children's Services, Refugee School Impact Program, Unaccompanied Refugee Minors, Youth Mentoring
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

Purpose: A meta-analysis of group interventions to reduce post-traumatic stress symptoms (PTSS) and/or depression among refugee and immigrant children and adolescents. Methods: A systematic search was followed by independent reviews of each study for risk of bias. The meta-analysis pooled between- and within-condition effect sizes on PTSS and depression across studies using a random-effects model. …

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Free Full TextEffectiveness of self-help plus in preventing mental disorders in refugees and asylum seekers in Western Europe: A multinational randomized controlled trial

Publication Year: 2021
Outcome(s): General Distress Reduction
Intervention(s): Self-help Plus
Relevant ORR Program(s): Refugee Health Promotion, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Wilson/Fish
Direction of Evidence: Inconclusive or mixed impact
Strength of Evidence: Moderate

Introduction: Self-Help Plus (SH +) is a group-based psychological intervention developed by the World Health Organization for managing stress. Objective: To assess the effectiveness of SH+ in preventing mental disorders in refugees and asylum seekers in Western Europe. Methods: We conducted a randomized controlled trial in 5 European countries. Refugees and asylum seekers with psychological …

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Free Full TextImproving Mental Health in Refugee Populations: A Review of Intervention Studies Conducted in the United States.

Publication Year: 2020
Outcome(s): General Distress Reduction
Intervention(s): Psycho-education
Relevant ORR Program(s): Children's Services, Refugee Health Promotion, Refugee School Impact Program, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Unaccompanied Refugee Minors, Wilson/Fish, Youth Mentoring
Direction of Evidence: Positive impact
Strength of Evidence: Strong

Mental health is one of the most pervasive health concerns in the refugee population due to the combined effects of traumatic experiences prior to migration and post-migration stressors related to resettlement. The objectives of this systematic search were to synthesize evidence on the effectiveness and identify gaps of mental health interventions on mental health outcomes …

Improving Mental Health in Refugee Populations: A Review of Intervention Studies Conducted in the United States. Read More »

Free Full TextEvidence-based individual psychotherapy for complex posttraumatic stress disorder and at-risk groups for complex traumatization: A meta-review.

Publication Year: 2022
Outcome(s): PTSD Reduction
Intervention(s): TF-CBT, EMDR, NET
Relevant ORR Program(s): Children's Services, Refugee Health Promotion, Refugee School Impact Program, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Unaccompanied Refugee Minors, Wilson/Fish, Youth Mentoring
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

Background: The current meta-review of meta-analyses on psychotherapy research for complex post-traumatic stress disorder (CPTSD) and samples at risk of complex traumatization has three aims: first, to provide an overview of efficacy of individual psychotherapies; second, to compare the quality of the meta-analyses; and third, to assess statistical power.Methods: The literature search was conducted until …

Evidence-based individual psychotherapy for complex posttraumatic stress disorder and at-risk groups for complex traumatization: A meta-review. Read More »

Free Full TextExposure therapy for PTSD: A meta-analysis

Publication Year: 2022
Outcome(s): PTSD Reduction
Intervention(s): Exposure Therapy
Relevant ORR Program(s): Refugee Health Promotion, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Wilson/Fish
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

Posttraumatic stress disorder (PTSD) is associated with high morbidity and functional impairment in the absence of effective treatment. Exposure therapy for PTSD is a trauma-focused treatment that typically includes in vivo and/or imaginal exposure. The goal of this meta-analysis was to examine the overall efficacy of exposure therapy for PTSD compared to various control conditions. …

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Free Full TextA Full Systematic Review on the Effects of Cognitive Behavioural Therapy for Mental Health Symptoms in Child Refugees

Publication Year: 2021
Outcome(s): Anxiety Reduction
Intervention(s): CBT
Relevant ORR Program(s): Children's Services, Refugee School Impact Program, Unaccompanied Refugee Minors, Youth Mentoring
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Systematic review

Global conflict in 2019 created record numbers of displaced children. These children have experienced multiple traumas and subsequently suffer high levels of mental health symptoms. Cognitive-behavioural therapy (CBT) is commonly used for post-traumatic stress disorder (PTSD), depression and anxiety, however the current evidence-base of CBT in child refugees is sparse, with mixed results. This study …

A Full Systematic Review on the Effects of Cognitive Behavioural Therapy for Mental Health Symptoms in Child Refugees Read More »

Free Full TextPsychological interventions for posttraumatic stress disorder and depression in refugees: A meta-analysis of randomized controlled trials.

Publication Year: 2020
Outcome(s): PTSD Reduction
Intervention(s): EMDR, NET, CA-CBT, CBT
Relevant ORR Program(s): Refugee Health Promotion, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Wilson/Fish
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

Millions of refugees around the globe suffer from posttraumatic stress disorder (PTSD) and/or depression. We conducted a meta-analysis of randomized controlled trials (RCTs) to determine the efficacy of psychological interventions for PTSD and/or depression in refugees. The meta-analysis was registered on the PROSPERO database (CRD42017071384). A search using the Medline, PsycINFO, and PILOTS databases was …

Psychological interventions for posttraumatic stress disorder and depression in refugees: A meta-analysis of randomized controlled trials. Read More »

Free Full TextTrauma-focused psychotherapies for post-traumatic stress disorder: a systematic review and network meta-analysis

Publication Year: 2021
Outcome(s): PTSD Reduction
Intervention(s): Trauma‐focused psychotherapies
Relevant ORR Program(s): Refugee Health Promotion, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Wilson/Fish
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

INTRODUCTION: Meta-analytic reviews suggest similar outcomes across trauma-focused psychotherapies for adults with post-traumatic stress disorder (PTSD). However, this conclusion may be premature due to suboptimal statistical-review methodologies. Network meta-analysis (NMA) allows a detailed rank-ordering of the efficacy of established psychotherapy interventions derived from indirect evidence as well as results from direct head-to-head comparisons. OBJECTIVE: We …

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Free Full TextParenting interventions for refugees and forcibly displaced families: A systematic review

Publication Year: 2022
Outcome(s): General Distress Reduction
Intervention(s): Parenting Interventions
Relevant ORR Program(s): Refugee Health Promotion, Refugee Support Services, Targeted Assistance Grant Discretionary Program, Wilson/Fish
Direction of Evidence: Inconclusive or mixed impact
Strength of Evidence: Strong

Globally, an estimated 79.5 million individuals have been displaced, nearly 40% of whom are children. Parenting interventions may have the potential to improve outcomes for displaced families. To investigate this, we conducted a systematic review to identify the types of caregiver or parenting interventions that have been evaluated among displaced families, to assess their efficacy …

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