Evidence

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. Click here to read Switchboard's Evidence Database Protocol.

Evidence Database | Advanced Evidence Search | Evidence Summaries

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 TextEvidence-Based Care for Iraqi, Kurdish, and Syrian Asylum Seekers and Refugees of the Syrian Civil War: A Systematic Review

Publication Year: 2016
Outcome(s): PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Services to Older Refugees
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Systematic review

We conducted a systematic review of literature reporting on the prevalence of assessment measures, treatments, and biomarkers used in the diagnosis and treatment of posttraumatic stress disorder (PTSD) in Iraqi, Kurdish, and Syrian refugees. We performed a search of medical, psychological, and sociological databases on all relevant literature published between January 2011 and March 2016. …

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Free Full TextReview of Refugee Mental Health Interventions Following Resettlement: Best Practices And Recommendations

Publication Year: 2010
Outcome(s): Anxiety Reduction, Depression Reduction, General Distress Reduction, PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Unaccompanied Refugee Minors
Direction of Evidence: Inconclusive or mixed impact
Strength of Evidence: Strong
Type of Study: Systematic review

Psychologists and other health professionals who deliver mental health services for individuals from refugee backgrounds need to have confidence that the therapeutic interventions they employ are appropriate and effective for the clients with whom they work. The review briefly surveys refugee research, examines empirical evaluations of therapeutic interventions in resettlement contexts, and provides recommendations for …

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Free Full TextTranscultural Telepsychiatry and Its Impact on Patient Satisfaction

Publication Year: 2010
Outcome(s): General Distress Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Services to Older Refugees
Direction of Evidence: Positive impact
Strength of Evidence: Suggestive
Type of Study: Suggestive evidence

A telepsychiatry project was conducted to improve access to culturally appropriate care providers (i.e. culturally competent, bilingual clinicians) by the use of videoconferencing. A self-completed retrospective questionnaire survey was conducted with asylum seekers, refugees, and migrants. The purpose of the referral was either for diagnostic assessment with a subsequent treatment recommendation, or for treatment via …

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Free Full TextPrevention of Psychological Distress and Promotion of Resilience Amongst Unaccompanied Refugee Minors in Resettlement Countries

Publication Year: 2019
Outcome(s): Anxiety Reduction, Depression Reduction, General Distress Reduction, PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Unaccompanied Children's Services, Unaccompanied Refugee Minors
Direction of Evidence: Inconclusive or mixed impact, Positive impact
Strength of Evidence: Strong
Type of Study: Systematic review

As increasing numbers of unaccompanied refugee minors (URMs) are arriving in Europe, there is a need to investigate which factors promote psychological resilience and improve their mental health. This review aims to identify preventive post settlement influences, including living arrangements, access to mental health services, and effective treatments that may improve mental health outcomes. A …

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Paid Full TextMeeting the Needs of Older Adult Refugee Populations with Home Health Services

Publication Year: 2017
Outcome(s): Anxiety Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Services to Older Refugees
Direction of Evidence: Positive impact
Strength of Evidence: Suggestive
Type of Study: Suggestive evidence

Adult refugees are at risk for negative health outcomes and inefficient health resource use, and meeting the multiple health needs of this vulnerable population is a challenge. The purpose of this study was to assess the impact of a home health care (HHC) pilot project on meeting the needs of older adult refugee patients. A …

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Paid Full TextEvidence-Based Psychological Interventions for Adult Survivors Of Torture And Trauma: A 30-Year Review

Publication Year: 2012
Outcome(s): Anxiety Reduction, Depression Reduction, PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Unaccompanied Refugee Minors
Direction of Evidence: Inconclusive or mixed impact, Positive impact
Strength of Evidence: Strong
Type of Study: Systematic review

The article presents a review of research on psychological interventions for adult resettled refugees, asylum seekers, and displaced persons. A randomized controlled trial (RCT) was conducted with the assistance of several databases such as PsycINFO, PubMed, and social services abstracts. Most of the studies report notable improvement in participants with posttraumatic stress disorder (PTSD). However, …

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Paid Full TextMental Health Interventions in Canada for Migrants Affected by State-Sanctioned Violence: An Effectiveness Study

Publication Year: 2011
Outcome(s): Depression Reduction, General Distress Reduction, PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Unaccompanied Refugee Minors
Direction of Evidence: Inconclusive or mixed impact, Positive impact
Strength of Evidence: Strong
Type of Study: Systematic review

This paper aims to describe the effectiveness of mental health interventions for migrants affected by extreme political violence. It is a literature review and synthesis of post-traumatic stress disorder (PTSD) interventions for Canadian-landed migrants who have been affected by state-sanctioned violence. Conceptualisations of trauma in current mental health systems may not be appropriate for this …

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Free Full TextComplementary and Alternative Medicine in the Treatment of Refugees and Survivors of Torture: A Review and Proposal for Action

Publication Year: 2012
Outcome(s): General Distress Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Unaccompanied Refugee Minors
Direction of Evidence: Inconclusive or mixed impact
Strength of Evidence: Strong
Type of Study: Systematic review

Survivors of torture and refugee trauma often have increased needs for mental and physical healthcare. This is due in part to the complex sequelae of trauma, including chronic pain, major depressive disorder, PTSD, and somatization. This article reviews the scientific medical literature for the efficacy and feasibility of some complementary and alternative medicine (CAM) modalities …

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Free Full TextThe Effectiveness of Narrative Exposure Therapy: a Review, Meta-Analysis and Meta-Regression Analysis

Publication Year: 2019
Outcome(s): Depression Reduction, PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Unaccompanied Refugee Minors
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

Narrative exposure therapy (NET) is a short-term psychological treatment for post-traumatic stress disorder (PTSD) that has been investigated in various contexts among traumatized refugees and other trauma survivors. Sustained treatment results have been reported, but the methodological quality of the trials needs a more thorough examination. To evaluate the effectiveness of NET for survivors of …

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Free Full TextTrauma-Focused Therapy for Refugees: Meta-Analytic Findings

Publication Year: 2015
Outcome(s): Depression Reduction, PTSD Reduction
Intervention(s): Mental health and psychosocial support services
Relevant ORR Program(s): Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services, Services to Older Refugees
Direction of Evidence: Positive impact
Strength of Evidence: Strong
Type of Study: Meta-analysis

High levels of trauma-related psychological distress have been documented among ethnically diverse refugees. As the number of refugees worldwide continues to grow, determining the efficacy of established methods of trauma-focused therapy for this population is crucial. This meta-analysis examined the results of randomized controlled trials of psychotherapeutic intervention for traumatized adult refugees. Comparisons of 13 …

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