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Summary PDF: What works to reduce burnout and vicarious trauma among refugee service providers?

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What works to reduce burnout and vicarious trauma among refugee service providers?

There is strong evidence for a variety of strategies to reduce vicarious trauma, secondary traumatic stress, compassion fatigue, and burnout among helping professionals.

  • A strong body of evidence has developed in the past twenty years on reducing stress reactions among a variety of professional helpers in a wide range of settings and professions.
  • Strategies to reduce stress reactions share common features across all the types of staff stress reactions: vicarious trauma, secondary traumatic stress, compassion fatigue, and burnout.

 

Effective strategies encompass both organizational and self-care interventions.

  • The evidence suggests that self-care contributes to reduced stress, but that self-care alone is insufficient to mitigate staff stress and that organizational interventions to foster lower-stress work environments are vital.

 

Suggestive findings for resettlement staff mirror those for helping professionals generally.

  •  Three studies on resettlement staff suggest that their stressors and strategies for addressing them are similar to those of helping professionals in other settings. Furthermore, the evidence from studies of refugee service providers suggests that organizational transformation plays a vital role in staff well-being.

 

Refugee service providers should develop, implement, and evaluate policies and practices to mitigate staff stress reactions.

  • Evidence suggests that agencies should implement broad-based staff stress reduction strategies that:
    • Educate and engage senior leadership on the need to address staff stress reactions
    • Decrease staff workloads
    • Create comfortable, confidential workspaces and retreat spaces
    • Practice proactive, trauma-informed supervision
    • Enhance peer support opportunities
    • Individualize stress reduction approaches for each staff member
  • Refugee-serving organizations should encourage self-care among their staff, and provide opportunities for staff to use personal activities to reduce stress, but should recognize that self-care is not enough.
  • Because the evidence suggests that organizational factors are vital to the well-being of refugee service providers, organizations should examine steps they can take to lower their employees’ stress, such as those listed above. These steps should be based on the work-related risk factors identified in the literature, such as unreasonable workload expectations, lack of management support, and poor communication.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Piloting an interactive theater program to promote intimate partner violence awareness among refugees resettled in the United StatesInconclusive or mixed impactSuggestive evidenceInconclusive or mixed impact
Protecting rural church-going immigrant women from family violenceSuggestiveSuggestive evidenceN/A
Muslim refugee women’s perspectives on intimate partner violenceSuggestiveSuggestive evidenceN/A
“Why doesn’t she seek help for partner abuse?” An exploratory study with South Asian immigrant womenSuggestiveSuggestive evidenceN/A
A culturally sensitive intervention with domestically violent Latino immigrant menPositive impactSuggestive evidencePositive impact
Coping strategies among immigrant women who have experienced intimate partner violence in North America: A narrative reviewStrongSystematic reviewN/A
Self-empowerment of immigrant Latina survivors of domestic violence: A promotora model of community leadershipPositive impactSuggestive evidencePositive impact
Interdisciplinary treatment of family violence in traumatized refugee familiesSuggestiveSuggestive evidenceN/A
Improving access to domestic violence services for women of immigrant and refugee status: A trauma-informed perspectiveSuggestiveSuggestive evidenceN/A
Intimate partner violence prevention and intervention group-format programs for immigrant Latinas: a systematic review.StrongSystematic reviewPositive impact
Examining the preliminary efficacy of a dating violence prevention program for Hispanic adolescentsModerateImpact evaluationInconclusive or mixed impact
“Thank You, Sorry, Love”(TSL) Therapy With North Korean Refugee Women: A Pilot StudySuggestiveSuggestive evidencePositive impact
“En el grupo tomas conciencia (In group you become aware) Latino immigrants” satisfaction with a culturally informed intervention for men who batterSuggestiveSuggestive evidencePositive impact
A pilot study of a teen dating violence prevention program with Karen refugeesSuggestiveSuggestive 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 2000. To identify evidence, 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
Evidence Aid
Urban Institute
Migration Policy Institute
HHS OPRE
ASSIA
Social Services Abstracts
Social Work Abstracts
PsycInfo
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
“intimate partner violence” OR “domestic violence” ”

For databases or websites that permitted only basic searches, free-text terms and limited term combinations were selected out of the lists above, and all resultant studies were reviewed for relevance. Conversely, for databases or websites with advanced search capability, we made use of relevant filters available. All search terms were searched in the title and abstract fields only in order to exclude studies that made only passing mention of the topic under consideration.

After initial screening, Switchboard evidence mapping is prioritized as follows: First priority is given to meta-analyses and systematic reviews, followed by individual impact evaluations when no meta-analyses or systematic reviews are available. Evaluations that are rated as impact evidence are considered before those rated as suggestive, with the latter only being included for outcomes where no evidence is available from the former.