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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
Family Empowerment (FAME): A feasibility trial of preventive multifamily groups for asylum seeker families in the NetherlandsPositive impactSuggestive evidencePositive impact
Family interventions in traumatized immigrants and refugees: A systematic reviewPositive impactSystematic reviewPositive impact
Feasibility of implementation of a parenting intervention with Karen refugees resettled from Burma.Positive impactSuggestive evidencePositive impact
The utility of the Positive Parenting Program (Triple P) for refugee background parentsPositive impactSuggestive evidencePositive impact
Family-based mental health promotion for Somali Bantu and Bhutanese refugees: Feasibility and acceptability trialPositive impactImpact evaluationPositive impact
We left one war and came to another: Resource loss, acculturative stress, and caregiver-child relationships in Somali refugee familiesNo evidence about impactSuggestive evidenceNo evidence about impact
Understanding the role of acculturative stress on refugee youth mental health: A systematic review and ecological approach to assessment and interventionNo evidence about impactSystematic reviewNo evidence about impact
Family efficacy as a protective factor against immigrant adolescent risky behavior: A literature reviewNo evidence about impactSuggestive evidenceNo evidence about impact
A review of the use of trauma systems therapy to treat refugee children, adolescents, and familiesNo evidence about impactSuggestive evidenceNo evidence about impact
Refugees, asylum-seekers and undocumented migrants and the experience of parenthood: A synthesis of the qualitative literatureNo evidence about impactSystematic reviewNo evidence about impact
Brief Family Therapy for Refugee ChildrenSuggestiveSuggestive evidencePositive impact

Websites and Databases Population Terms Methodology Terms Target Outcome Terms
EBSCO Host

SAGE Journals

Google Scholar

 

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

“family therapy”

OR

“family counseling”

OR

“family dynamics”

OR

“family relationship”

OR

“family roles”

OR

“marriage counseling”

OR

“couples therapy”

OR

“relationship counseling”

OR

“child parent relationship”