Search Results (101)

Vocational education and training are essential for the integration of refugee youth into Greek society. Therefore, it seems that there is an urgent need for the Greek Ministry of Education and Religion and for the Ministry of Labour (herewith, Greek Ministries of Education and Labour) to redesign and adapt their strategies and practices to address the specific learning needs of refugee youth. The aim of this study is to explore the types of policies that the Ministries of Education and Labour should design, reform, and implement to increase the number of students attending vocational education and training in Greece. The researchers adopted a qualitative approach, using semi-structured interviews and questionnaires. Ten participants took part in the study: seven Refugee Education Coordinators based in camps across Greece, two experts from the European Centre for the Development of Vocational Training (CEDEFOP), and one academic specializing in adult education and serving as an EPALE Ambassador. The findings indicate that both Ministries of Education and Labour need to collaborate more closely in redesigning and implementing targeted policies for refugee students. These should include expanding reception classes in EPAS (vocational school) and EPAL (vocational high school) schools, reducing bureaucratic procedures, ensuring adequate staffing with trained teachers, and adopting simpler administrative processes. Full article

Refugees and asylum seekers (RASs) are among the most marginalised, vulnerable, and economically disadvantaged groups worldwide. As a result, many government and non-government organizations, including migrant-led community organizations (MLCOs), support RASs to improve their lives in their host countries. However, there is a lack of research on the role and challenges of MLCOs supporting RASs. Therefore, informed by the concepts of grassroots humanitarianism and ethnic capital, and based on data collected through focus group discussions, this article explores the rationale, activities, and challenges of Eritrean MLCOs in England. The findings indicate that MLCOs help fill some gaps left by government agencies by providing RASs with strong advocacy and support systems to protect their rights and meet their needs. Although volunteers with limited funding run these organizations, they utilise ethnic capital to provide knowledge, raise awareness, and deliver culturally sensitive services to RASs in their own language. This article advances understanding of MLCOs’ work and improves their services to better meet the needs of RASs. It also contributes to knowledge by highlighting MLCOs’ role as sites of learning and education. Full article

Second language acquisition (SLA) is critical for refugee integration and a determinant of health and health care access. Although numerous studies have examined language barriers and health communication, the reciprocal relationship between health and second language acquisition remains underexplored in public health research. This qualitative study draws on interviews with twenty Syrian refugees (nine men and eleven women, aged 22–65) resettled in Norway. Data were collected through semi-structured interviews and analysed using reflexive thematic analysis. Two overarching themes were identified: (1) Learning under strain: health problems and post-migratory stressors constrained SLA; and (2) Relational support: reciprocal interactions with neighbours, colleagues, and volunteers enabled both language learning and functional health. These social arenas acted as low-threshold, health-promoting settings that mitigated isolation and strengthened belonging. The study highlights that language operates as a social determinant of health: inclusive, relational spaces facilitate both SLA and health by enhancing communicative participation and access to care. Refugee integration policy should therefore support accessible community spaces outside formal education to strengthen social inclusion, health literacy and refugees’ ability to navigate health and welfare services. Full article

(1) Background: Mental health disparities persist across culturally diverse populations despite robust cognitive–behavioral therapy (CBT) efficacy evidence. Cultural neuroscience suggests that neurobiological processes underlying therapeutic mechanisms may exhibit culturally variable patterns, yet integration of neuroscientific frameworks into culturally adapted interventions remains limited. (2) Methods: Following PRISMA 2020 guidelines, we systematically searched PubMed/MEDLINE, PsycINFO, Scopus, and Web of Science (January 2014–December 2024) for peer-reviewed studies examining CBT interventions targeting depression, anxiety, PTSD, or psychological distress in culturally diverse populations. Ninety-four studies were synthesized using narrative methods; methodological heterogeneity precluded meta-analytic pooling. (3) Results: Culturally adapted CBT interventions consistently demonstrated superior outcomes compared to standard protocols across diverse populations. Group formats showed exceptional retention in collectivistic cultures, while hybrid technology-enhanced models achieved strong completion rates across contexts. Cultural adaptation enhanced engagement (e.g., 84% vs. 52% retention in refugee populations) and maintenance of treatment gains. Individual studies reported effect sizes ranging from d = 0.29 to d = 2.4; substantial within-group variability was observed, and identified patterns likely reflect learned cultural adaptations rather than inherent biological differences. Direct neuroimaging evidence within included studies remained limited (13.8%). (4) Conclusions: The evidence supports culturally adapted interventions as essential for equitable mental health outcomes. Cultural experiences may influence therapeutic processes, suggesting potential benefit from considering culturally variable processing patterns alongside universal mechanisms. However, conclusions regarding specific neural pathways remain preliminary, and individual assessment remains paramount, with cultural background representing one factor among many in treatment planning. Full article

Learning the host language is a crucial factor in the settlement of migrants and refugees in a new country. It offers opportunities, but can also generate exclusion, marginalization, and isolation, hindering the possibilities of participation and the creation of social networks. Host language classes, therefore, play a crucial role, fostering critical awareness that enables learners to act within their social and cultural context. This promotes agency, autonomy, and empowerment, transforming differences into productivity and fostering social justice. This article focuses on classes of Portuguese as a host language (HL) in northern Portugal, examining how these contexts shape learners’ relationship with the language beyond depoliticized or subaltern approaches. It discusses the main obstacles and difficulties in these educational settings, as well as mechanisms that could contribute to more democratic and effective practices. Drawing on interviews with teachers (n = 10), trainers (n = 4), volunteers (n = 8), and students (n = 20) involved in the HL learning process, the content analysis highlights how policies and pedagogical practices impact students and how they are interpreted by these actors, revealing their impact on processes of participation, belonging, and citizenship. The results indicate an emergent form of collective autonomy in the relationship among students, the host society, and teachers, which means that teaching practices encompass not only the development of communication skills but also the civic and political awareness of learners. Lastly, while the language teachers identified more practical barriers in these teaching and learning contexts, the students described emotional and sociocultural obstacles. Full article

Challenges to the health and wellbeing of youth refugees in Kenya are well documented, particularly in refugee camps. However, amid protracted crises in the region, changes in refugee camp legislation and reduced funding are driving the further urbanization of refugees, necessitating a greater focus on understanding the hardships, movements, and challenges young urban refugees face. The focus of this paper is to document research on mapping the food supply chains, including points of intersection for young South Sudanese urban refugees in Kenya, and to identify barriers, constraints, and opportunities for procuring, growing, and selling food. This youth-led study, a follow-up to previous findings, included 40 participants aged 19 to 32. Youth food-resilience stories highlight critical areas for strategic intervention and provide insights into the design of spatially just and economically inclusive urban spaces. Applying a multimethod approach, including food diaries, food maps, and survey tools embedded in a learning platform, the paper weaves a narrative that highlights youth ingenuity in food security and provides insights for governments, policymakers, community leaders, and donors to support responsive, economically inclusive community design in addressing social challenges. Our findings indicate that improving the quality of life and food security of refugee youth is complex and requires a holistic approach. Without education and improvements in livelihoods, including urban agricultural opportunities, refugee youth’s health and wellbeing will continue to be affected. Full article

The language use of Ukrainian war refugees has attracted the attention of researchers worldwide due to the unprecedented number of individuals displaced since the onset of the war in 2022. Earlier studies have documented a shift in language use and attitudes in Ukraine, marked by a diminished role for Russian and increased prominence of Ukrainian both within the country and among Ukrainian émigré communities abroad. However, the role of age in this process has not yet been thoroughly investigated. Moreover, research on the specific characteristics of language shift and social integration among Ukrainian refugees in Canada is still insufficient. This article reports the results of a study aimed at examining how home languages shift and the use of the official languages among Ukrainian refugees in Canada may vary by age. The vresearch employed a mixed-methods approach, based on a survey (65 participants). In this research, quantitative data were drawn from the closed-ended survey questions, and open-ended questions were employed to illustrate quantitative results for more depth and insight. The results indicate that there are no significant differences in L1 and L2 or L3 by age in this sample. The study confirms a language shift from Ukrainian-Russian bilingualism in Ukraine to Ukrainian dominance, which does not differ by age or age group. What does differ by age and generation is the proficiency in English, English use, and the perceived difficulty in learning English, whereby younger participants reported higher proficiency in English, its higher use in daily communication, and less difficulty acquiring it, as compared to their older peers. While the findings align with previous research on language use among immigrants—including the impact of age—they offer new insights into the experiences of refugees, highlighting how different age groups respond to social pressures in migration. A further contribution of this study lies in addressing the language shift from the perspectives of both younger and older refugees and establishing that the language shift in Ukraine swept across all ages. Full article

This study analyzes factors influencing Ukrainian refugee labor market participation in Romania, based on a survey of 399 respondents. The analysis shows that only 21.7% of refugees were employed at the time of the survey. Significant predictors of employment were gender (men had higher employment rates), marital status (unmarried individuals were more active), and Romanian language proficiency, which tripled the chances of finding a job. Education level, English language skills, age, and number of children did not significantly predict employment. The findings also highlight a strong desire among refugees for language learning and professional training, indicating untapped integration potential. This research contributes to the literature on Ukrainian refugee integration by emphasizing the importance of language support policies and gender-sensitive measures. While acknowledging limitations such as convenience sampling and selection bias, our results offer valuable insights for public policy and future research on refugee integration in Europe. Full article

African, Caribbean, and Black (ACB) communities face increased COVID-19 morbidity and mortality, coupled with significant barriers to vaccine acceptance and uptake. Addressing these challenges requires innovative, multifaceted strategies. Peer-led interventions, grounded in critical health literacy (CHL) and critical racial literacy (CRL), and integrating collaborative equity learning processes, can enhance community capacity, empowerment, and health outcomes, contributing to long-term health equity. This paper describes and presents the evaluative outcomes of a peer-led intervention aimed at enhancing COVID-19 vaccine confidence and acceptance. The Peer-Equity Navigator (PEN) intervention consisted of a specialized training curriculum grounded in CHL and CRL. Following training, PENs undertook a 5-month practicum in community or health settings, engaging in diverse outreach and educational activities to promote vaccine literacy in ACB communities. The evaluation utilized a modified Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) Framework, using quantitative and qualitative methods to collect data. Sources of data included tracking records with community feedback, and a PEN focus group, to assess program feasibility, outreach, and effectiveness. From 16 September 2022, to 28 January 2023, eight trained PENs conducted 56+ community events, reaching over 1500 community members. Both PENs and community members reported high engagement, endorsing peer-led, community-based approaches and increased vaccine literacy. The PEN approach proves feasible, acceptable, and effective in promoting positive health behaviors among ACB communities. This intervention has clear implications for health promotion practice, policy, and research in equity-deserving communities, including immigrants and refugees, who also face multiple and intersecting barriers to health information and care. Full article

Refugee and immigrant communities face a host of dynamic health challenges. This essay discusses the importance of prioritizing the impacts of resettlement on mental health and provides examples of how creating a collective network of culturally responsive, trauma-informed, and healing-centered providers—centered on community-based best practices and knowledge—is integral to fostering community resilience. Additionally, it will examine how resettlement challenges intersect with systemic barriers to culturally responsive care and related Social Determinants of Health (SDOH), including economic stability, health care access and quality, and social and community contexts. Drawing upon experiences from a statewide network spanning southern and northern California—and based on interim mixed-methods program evaluation data and practitioner reflections highlighting one community partner’s experience—we provide key learnings that demonstrate how coalition building, cultural humility, and provider training can improve client well-being, reduce mental health disparities, and address the relevant SDOH. Key learnings illustrate the importance of the following: (1) coalition building to co-create trusted provider referral networks and support peer-to-peer learning to enhance client care; (2) provider trainings and capacity building on healing-centered and culturally responsive practices to address SDOH; (3) centering cultural humility; and (4) building a peer-based workforce who speak similar languages and share lived experiences to provide deeper cultural connections and build trust. Our experiences demonstrate that the co-creation of strong mental health provider networks is critical to strengthening the fabric of community resilience. Full article

While previous studies have explored the use of digital technologies in cultural heritage site reconstruction, limited attention has been given to systems that simultaneously support cultural restoration and psychological healing. This study investigates how multimodal, deep learning–assisted digital technologies can aid displaced populations by enabling both digital reconstruction and trauma relief within virtual environments. A demonstrative virtual reconstruction workflow was developed using the Great Mosque of Aleppo in Damascus as a case study. High-precision three-dimensional models were generated using Neural Radiance Fields, while Stable Diffusion was applied for texture style transfer and localized structural refinement. To enhance immersion, Vector Quantized Variational Autoencoder–based audio reconstruction was used to embed personalized ambient soundscapes into the virtual space. To evaluate the system’s effectiveness, interviews, tests, and surveys were conducted with 20 refugees aged 18–50 years, using the Impact of Event Scale-Revised and the System Usability Scale as assessment tools. The results showed that the proposed approach improved the quality of digital heritage reconstruction and contributed to psychological well-being, offering a novel framework for integrating cultural memory and emotional support in post-disaster contexts. This research provides theoretical and practical insights for future efforts in combining cultural preservation and psychosocial recovery. Full article

Well-being at school is central to successful learning and dealing with challenges at school. While previous research mostly explored general student well-being, less attention has been paid to the specific challenges faced by refugee students, who enter the school system as lateral entrants and represent a particularly vulnerable group. Building on an established multilevel theoretical framework, we examine the interplay between individual factors (e.g., academic performance), social factors (e.g., peer relationships), and structural factors (e.g., school type). In addition to general factors, we particularly focus on refugee-specific factors (such as PTSD, asylum procedure uncertainties, and integration policies), which we integrate into the analytical model using the Cultural Stress Theory. Our analyses utilise data from the study ‘ReGES—Refugees in the German Educational System’. The sample comprises 2415 refugee adolescents who arrived in Germany between 2014 and 2018 and attend lower secondary school. Results from our multivariate analyses reveal that refugee-specific factors are significantly related to well-being beyond common predictors. An uncertain residence status, perceived discrimination, and cultural problems are negatively related to well-being at school, while teachers’ support for refugees shows positive associations. These results have important implications for educational policy and practice in supporting refugee student integration. Full article

This article presents a comprehensive evaluation of image segmentation methods for monitoring morphological changes in refugee camps, comparing five distinct approaches: ESRI Landviewer clustering, K-means clustering, U-Net segmentation, Meta’s Segment Anything Model (SAM) and ArcGIS segmentation. Using high-resolution satellite imagery from Al-Azraq refugee camp in Jordan (2014–2023) as a case study, this research systematically assesses each method’s performance in detecting and quantifying settlement pattern changes. The evaluation framework incorporates multiple validation metrics, including overall accuracy, the Kappa coefficient, F1-score and computational efficiency. The results demonstrate that ArcGIS’s ISO clustering and classification approach achieves superior performance, with 99% overall accuracy and a Kappa coefficient of 0.95, significantly outperforming the other tested methods. While Meta SAM shows promise in object detection, its performance degrades with aerial imagery, achieving only 75% accuracy in settlement pattern recognition. The study establishes specific parameter optimization guidelines for humanitarian contexts, with spectral detail values of 3.0–7.0 and spatial detail values of 14.0–18.0, yielding optimal results for refugee settlement analysis. These findings provide crucial methodological guidance for monitoring refugee settlement evolution and transition, contributing to more effective humanitarian response planning and settlement management through integrating remote sensing and machine learning technologies. Full article

The forced migration of tens of thousands of refugee doctors exacerbates a phenomenon referred to as “brain waste”. Based on the Arksey and O’Malley model, this scoping review conducted in SCOPUS, ProQuest, CINAHL, and ERIC via EBSCO examines three decades of peer-reviewed literature (1990–2022) on resettled Afghan and Arab refugee International Medical Graduates (rIMGs) attempting, most often unsuccessfully, relicensing/professional reentry in the USA, Canada, the EU, Australia, and New Zealand. The search identified 760 unique citations, of which only 16 met the inclusion/exclusion criteria. Included publications explored (1) systemic and personal barriers to rIMG professional reentry and (2) existing supporting reentry programs and policy recommendations. The findings point to inconsistencies in evaluating medical education credentials and to racial profiling, inequities, and discrimination in residency interviews. The support provided by some programs was perceived as inadequate, confusing, biased, and gendered. The rIMG personal barriers identified included refugees’ unique limitations and life adversities. The review grasps a collection of isolated support programs with widely varying learning performance, unclear buy-in from residency program directors, and weak policy impacts. This analysis highlights the need for legislated and standardized rIMG reentry support programs to reduce physician shortages, health disparities, and, ultimately, IMG brain waste. Full article

Background: Ukrainian refugees fleeing the conflict between Russia and Ukraine may face significant challenges to their physical, psycho-emotional, social, and spiritual wellbeing. Aim: To identify the health needs of Ukrainian refugees seen in primary care facilities in Tenerife, Canary Islands, Spain. Methods: A mixed-methods design was employed. Quantitative data were obtained through a descriptive analysis of health records, while qualitative data were collected via focus group interviews and thematic analysis of testimonies. Results: The sample comprised 59 individuals (45.4% of all patients seen). Eight participants from five family groups took part in the focus group. The typical profile of a Ukrainian refugee in the Canary Islands is female (79.7%), relatively young, with a high socio-cultural background, generally in good health, travelling alone or with her minor children. The main reasons for consultation were routine health check-ups and control blood tests. The NANDA-I nursing diagnoses indicated a need for psycho-emotional care, with the most prevalent being Risk for Relocation Stress Syndrome (27.1%); Interrupted Family Processes, Disturbed sleep pattern, Risk for Impaired Resilience (13.6% each); and Anxiety (11.9%). Participants rated the healthcare system positively, but language barriers and long waiting times for access to specific services were noted as limitations. The primary social demands include seeking employment, learning the language, and increasing support groups among Ukrainians themselves. Conclusions: This study underscores the need for a tailored approach to refugee care, considering their unique circumstances and needs. Early provision of information about available healthcare services and protocols can facilitate access, manage expectations, and aid decision-making. Full article