Connecting refugees to substance use treatment: a qualitative study.

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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. This qualitative study explores factors that support and prevent refugees from connecting with chemical health treatment. Fifteen participants who identified as social service or public health professionals who work with refugees responded to an online, semistructured survey about their experiences referring refugees to substance use treatment. Resulting data was analyzed using thematic analysis. Themes emerged identifying a lack of culturally informed treatment models, policy issues, and client characteristics such as motivation and past trauma as barriers to engaging with treatment. Ongoing case management and coordination were identified as important to successful linkage. Findings from this study contribute to a better understanding of how to support refugees seeking substance use treatment and suggest that developing trauma informed, culturally relevant models of treatment that are integrated with primary health care and geographically accessible may enhance treatment linkage.

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McCleary, J. S., Shannon, P. J., & Cook, T. L. (2016). Connecting refugees to substance use treatment: a qualitative study. Social work in public health, 31(1), 1-8.

About This Study:

Outcome(s): Substance Use
Intervention(s): Referral to treatment
Intervention Duration: Various
Relevant ORR Program: Refugee Health Promotion, Refugee Support Services
Study Type: Suggestive evidence
Full Text Availability: Free
Direction of Evidence: Positive impact
Strength of Evidence: Suggestive
Population(s): Refugees
Gender(s) of Participants: All
Age(s) of Participants: Multiple Age Groups
Region(s) of Origin of Participants: Multiple Regions

Relevant Evidence Summaries:

The evidence was reviewed and included in the following summaries: