Refugees resettled in the United States have disproportionately high rates of
psychological distress. Research has demonstrated the roles of post-migration stressors,
including lack of meaningful social roles, poverty, unemployment, lack of environmental
mastery, discrimination, limited English proficiency, and social isolation. We report a
multi-method, within-group longitudinal pilot study involving the adaptation for African
refugees of a community-based advocacy and learning intervention to address post-migration
stressors. We found the intervention to be feasible, acceptable and appropriate for
African refugees. Growth trajectory analysis revealed significant decreases in
participants’ psychological distress and increases in quality of life, and also
provided preliminary evidence of intervention mechanisms of change through the detection
of mediating relationships whereby increased quality of life was mediated by increases in
enculturation, English proficiency, and social support. Qualitative data helped to support
and explain the quantitative data. Results demonstrate the importance of addressing the
sociopolitical context of resettlement to promote the mental health of refugees and
suggest a culturally-appropriate, and replicable model for doing so.