Community-Based Interventions With Refugee Families Using a Family Systems Approach

Pejic, Vanja; Alvarado, Andrea E.; Hess, Robyn S.; Groark, Sarah

doi:10.1177/1066480716680189

Cited by 21 publications

(17 citation statements)

References 24 publications

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“…For example, communication between health care service providers and patients is of key importance for building trust in health care institutions, where insufficient health literacy and language issues may specifically constitute important barriers in this regard [69]. Additional refugee-related factors such as socio-economic position in the host society, gender roles, lack of adequate information, difficulties in navigating organization of the health care services, and cultural beliefs and practices in regard to health and illness may potentially hamper access to health care utilization [57,65,69,70,71,72,73]. Engagement of the refugee communities in the development of health care policy and delivery, as well as participatory health care research, are suggested to be viable for addressing such barriers to care [69,71,72,74,75].…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, community gatherings [57] and involvement in leisure activities [94] were reported to function as protective factors against depressive states and experiences of anxiety. In relation to healthcare, community-based approaches in psychiatry help to address sociocultural barriers to psychiatric care [72] and the quality of health care service delivery [52], resulting in increased access to preventive healthcare and consequent decreases in psychological distress [68,73]. Additionally, a community-based approach in research enables participants to address sensitive issues related to health risk behaviors [84] and emotional experiences, and this in turn results in decreased stress [73] and depression [75].…”

Section: Resultsmentioning

confidence: 99%

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A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers

Niemi

Manhica

Gunnarsson

et al. 2019

IJERPH

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Social participation plays a key role in the integration of refugees and asylum seekers into their host societies, and is also closely tied to the mental health of those populations. The aim of this scoping review was to study how the concept of social participation is described in empirical research, and how it is associated with mental health outcomes. Methods: In total, 64 studies were identified through searches in PubMed, PsycInfo, and Sociological Abstracts. These studies describe various forms of social participation among refugees and asylum seekers, and 33 of them also addressed various forms of mental health outcomes. Results: The identified studies described forms and conditions of social participation—both in the host country and transnationally—that could be synthesized into three broad dimensions: (1) Regulatory frameworks, conditions and initiatives; (2) Established societal organizations and social structures; and (3) Community organized groups. Each of these consisted of several sub-domains. The identified dimensions of social participation were also associated with psychosocial well-being and decreased psychological distress. Conclusions: There is a need for policies to enable and support the participation of refugees and asylum seekers in various dimensions of social structures in host societies. Social participation enhances resilience, re-establishes social lives, and acts as a protective factor against poor mental health outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers

Niemi

Manhica

Gunnarsson

et al. 2019

IJERPH

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“…Structural interventions focused on economic empowerment for conflict-affected persons have the potential to address food insecurity as well as SGBV. Though there is scant evidence on the effectiveness of GBV prevention interventions in humanitarian settings, particularly for youth, [64], family strengthening interventions may improve wellbeing among refugee households [65].…”

Section: Discussionmentioning

confidence: 99%

Social ecological factors associated with experiencing violence among urban refugee and displaced adolescent girls and young women in informal settlements in Kampala, Uganda: a cross-sectional study

et al. 2019

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BackgroundResearch on violence targeting urban forcibly displaced adolescent girls and young women (AGYW) is limited, particularly regarding polyvictimization (exposure to multiple forms of violence). Yet there is a global trend of refugee urbanization, and urban AGYW are at the nexus of violence disparities among adolescents, forcibly displaced persons, and slum dwellers. This study explored factors associated with young adulthood violence (> 16 years) (YAV) and intimate partner violence (IPV) among forcibly displaced AGYW in Kampala, Uganda.MethodsWe conducted a cross-sectional survey with forcibly displaced AGYW aged 16–24 from five informal settlement (slum) communities across Kampala (Kabalagala, Rubaga, Kansanga, Katwe, Nsambya) using peer network sampling. We assessed YAV (experienced at age 16 or above) (sexual, physical, emotional violence) and recent (past 12-month) IPV (physical, sexual, control violence). We conducted descriptive statistics, followed by multinomial logistic regression analyses to explore social ecological factors (e.g., intrapersonal: depression; interpersonal: sexual relationship power, community: food insecurity) associated with experiencing YAV and YAV polyvictimization, and IPV and IPV polyvictimization.ResultsOver half of participants (n = 333; mean age = 19.31; SD = 2.56, range = 16–24) reported YAV (n = 179; 53.7%) and 9.3% (n = 41) reported YAV polyvictimization. Most participants that were in an intimate relationship in the last 12 months (n = 200; 85.8%) reported IPV, among these, 45.5% reported one form of IPV and 54.5% reported IPV polyvictimization. In adjusted analyses, experiencing any YAV was significantly associated with: adolescent sexual and reproductive health (SRH) stigma; sexual relationship power; mobile app usage; depressive symptoms; childhood abuse; and childhood polyvictimization. In adjusted analyses YAV polyvictimization was associated with: depressive symptoms; childhood polyvictimization; sexual relationship power; and food insecurity. Recent IPV polyvictimization in adjusted analyses was associated with owning/using a mobile phone and depressive symptoms. Participants with higher sexual relationship power had lower odds of recent IPV polyvictimization.ConclusionFindings suggest that YAV and IPV polyvictimization require urgent attention among forcibly displaced AGYW in Kampala. Multi-level strategies are required to address intrapersonal e.g. (depression), interpersonal (e.g. childhood abuse, sexual relationship power) and community (e.g. adolescent SRH stigma, food insecurity) factors associated with experiencing violence. Future research can tailor approaches to advance health, agency and human rights among urban forcibly displaced AGYW.

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“…For example, communications between health-care service providers and patients are of key importance for building trust in health-care institutions, where insufficient health literacy and language issues may constitute significant barriers (Lazar et al, 2013). Additional refugeerelated factors, such as socio-economic positions in the host society, gender roles, lack of adequate information, difficulties in navigating the health-care services and cultural beliefs and practices with regard to health and illness may potentially hamper access to health care (Conviser, 2007;Evans, 2011;Lazar et al, 2013;Cheng et al, 2015;Gerber et al, 2017;Pejic et al, 2017;Worabo, 2017). Engaging the refugee communities in the development of health-care policies and their delivery, as well as participatory health-care research, is suggested as a way of removing the barriers to care (Lindgren and Lipson, 2004;Lazar et al, 2013;Cheng et al, 2015;Riggs et al, 2015;Pejic et al, 2017).…”

Section: Previous Researchmentioning

confidence: 99%

Diversity and health strategies for newly resettled refugees

Vikdahl

Ståhle

Gunnarsson

et al. 2020

IJMHSC

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Purpose In general, newly resettled refugees have poorer physical and mental health than native-born Swedes. This indicates that the society must make special efforts to enable refugees to attain health that is on a par with the rest of the population. The challenges rest primarily with employees in the public sector. But what resources do professionals need to meet the refugees’ health needs? This paper is about the need to develop strategies for professionals working with diversity and health, with a focus on the establishment of newly resettled refugees in Sweden. Thus, the purpose of this paper is to identify the needs and obstacles in working with diversity and health for the newly resettled. Design/methodology/approach The paper is based on focus group interviews with 40 professionals working in three large municipalities and one County Administrative Board, all of whom work with challenges related to migration and health on a daily basis. Findings The needs expressed by the interviewees are primarily about developing and improving communications. Three important areas of communication were expressed: how information can be transferred from sender to receiver, institutionalization and interactions at different levels. Originality/value This paper identifies important needs and obstacles when working with diversity and health in Sweden, with a focus on the establishment of newly resettled refugees. It is an important contribution because refugees in general have poorer physical and mental health than native-born Swedes and strategies to improve their health, therefore, need to be further developed.

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Community-Based Interventions With Refugee Families Using a Family Systems Approach

Cited by 21 publications

References 24 publications

A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers

A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers

Social ecological factors associated with experiencing violence among urban refugee and displaced adolescent girls and young women in informal settlements in Kampala, Uganda: a cross-sectional study

Diversity and health strategies for newly resettled refugees

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