This study examines stressors, general stress levels, coping strategies, and subjective well-being in a sample of 144 ethnically diverse, urban adolescents (mean age of 13). The most frequently reported stressors include the death of a family member, feeling socially isolated, family financial problems, injury of a family member, and parents arguing. The most common coping strategies are seeking support, acceptance, active coping, using distraction, and venting. Positive and negative affect are related to many coping strategies, but only humor buffered the relationship between stress and negative affect. Venting exacerbates the negative relationship between stress and life satisfaction. Implications for helping ethnically diverse, urban adolescents cope with stressors and maintain well-being are discussed.

More than 100,000 Somali refugees have resettled in the United States, creating a need for additional research about mental health needs and premigration experiences that precede resettlement. The purpose of this study was to learn more about premigration traumatic experiences, the process of acculturation following resettlement, and the relationship between premigration trauma, acculturation, and mental health. Eighty Somali refugees from two mid-sized Midwestern cities participated. It was hypothesized that acculturation would mediate the relationship between premigration trauma and mental health symptoms. The results partially supported this hypothesis, dependent upon the dimension of acculturation included in the path analysis. Unexpected relationships among the various acculturation dimensions in the model (American cultural identity, English language competency, and American cultural competency) occurred with traumatic experiences, mental health symptoms, and time in the United States. We discuss implications and directions for future research, practice, advocacy, and training.

According to 2019 data, there are 26 million refugees and 3.5 million asylum seekers around the globe, representing a major humanitarian crisis. This Major Contribution provides information on the experiences of refugees resettled in the United States via the presentation of five manuscripts. In this introductory article, we address the current refugee crisis, refugee policies, and resettlement processes in the United States, as well as the American Psychological Association’s response to the crisis and the role of counseling psychology in serving refugees. Next follows three empirical articles, addressing aspects of the resettlement experiences of three groups of refugees: Somali, Burmese, and Syrian. The final article provides an overview of a culturally responsive intervention model to use when working with refugees.

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Successful collaboration between primary care and mental health professionals faces numerous barriers. Offering integrated primary care services provides a promising alternative to mental health referrals. This national study investigated the prevalence and rate of mental health facilities offering integrated primary care and differences by state. We used 2 years of the National Mental Health Services Survey to identify outpatient mental health treatment facilities in the United States (total N = 9,889; 2015: n = 5,019; 2020: n = 4,870). We used multiple logistic regression to model whether treatment facilities offered integrated primary care. We defined state as a random effect, adjusted for covariates, and reported predicted probabilities. Overall, 17.5% of treatment facilities (n = 1,731) offered integrated primary care. Access to integrated services increased over time, such that the odds of integration were higher in 2020 (vs. 2015, aOR = 1.19, 95% CI [1.07, 1.33], p , .01). The predicted probability of offering integrated primary care varied widely by state over time, with several states demonstrating sharp decreases in access to integrated services. A modest increase in mental health facilities offering integrated primary care demonstrates a promising trend and signifies an improvement in the U.S. healthcare system. At the same time, not everyone with a need for integrated primary care has access, as integrated care is scarce and decreasing in several states. In addition, the private ownership of mental health clinics is increasing, but these facilities are falling behind in offering integrated services. Valuable lessons may be learned from states with rapidly expanding integration programs and from nonprofit treatment providers. Clinical Impact StatementIntegrated primary care may improve behavioral health outcomes but both the prevalence and incidence of integrated services vary widely by state. Access to integrated care is decreasing in several states while increasing rapidly in others.