Search Results (263)

Refugee-serving primary health centres/clinics (PHCs) provide culturally safe, integrated care for refugee children, yet little is known about how their health conditions and outcomes are assessed. This scoping review examines the current literature on the health conditions and outcomes of refugee children aged 0–5 years and how they are measured in refugee-serving PHCs in Canada. In partnership with the New Canadians Health Centre and guided by Joanna Briggs Institute methodological guidelines, we systematically searched Medline, CINAHL, Scopus, and Embase. Included studies focused on refugee children in Canada and reported health conditions, outcomes, and their measurements within PHCs. Twenty-five studies (2008–2024) met the inclusion criteria, most from Ontario (n = 11), followed by Alberta and Saskatchewan (n = 4 each). Reported health conditions or outcomes (n = 24) spanned the physical (n = 19), developmental, and mental health domains (n = 5). Communicable (e.g., gastrointestinal infections, hepatitis) and non-communicable conditions (e.g., malnutrition, vitamin D deficiency) were mostly reported. Although some standardized approaches were used, substantial variability exists across provinces and conditions or outcomes measured. Findings reveal a disproportionate focus on physical health and notable variability and gaps in child health measures, limited cultural adaptation, and lack of longitudinal data. Standardized, culturally responsive, and age-appropriate measurement approaches are needed to enhance health equity and inform evidence-based policy for refugee children in Canada. Full article

Migrant populations drive Canada’s demographic expansion, making their successful integration a national priority. However, research has consistently shown that refugees and immigrants experience declining mental health and encounter significant barriers to accessing culturally appropriate mental health support. This scoping review examined the breadth of evidence on culturally adapted mental health education (MHE) programs for migrant populations, including those that integrate traditional and complementary healing practices, and their effectiveness. Systematic searches across six databases (Medline, EMBASE, PsycINFO, Global Health, CINAHL, and Scopus) identified 4075 peer-reviewed articles, with 28 studies meeting inclusion criteria. These included mental health education and awareness programs that integrate psychoeducation and skill-building. Inclusion criteria required cultural adaptation of programs through one or more approaches such as language modification, culturally adapted content, community-based delivery, or integration of traditional and complementary healing practices. Thematic analysis of the programs revealed seven key themes characterizing effective MHE programs: cultural adaptation and sensitivity, addressing unique migration-related stressors, integration of traditional and Western approaches, use of theoretical frameworks and evidence-based practices, rigorous evaluation methodologies, application of holistic frameworks, and community-based peer support models. Programs predominantly utilized psychoeducation and culturally adapted interventions, with common theoretical frameworks including cognitive–behavioral therapy and the PRECEDE–PROCEED model. Across the reviewed studies, program evaluations reported positive outcomes including increased mental health literacy, reduced stigma, enhanced coping skills, and decreased depression, anxiety, and PTSD symptoms, suggesting that culturally adapted MHE programs are acceptable and feasible interventions for migrant populations. 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

Women in vulnerable living situations with schizophrenia face intersecting challenges, including migration-related trauma, caregiving burdens, and systemic barriers such as cultural dislocation, limited healthcare access, and stigma. These factors heighten vulnerability compared with men and contribute to delayed diagnoses, poor treatment adherence, and adverse outcomes. Advances in artificial intelligence (AI) and digital tools offer potential support, though they should be regarded as complementary rather than stand-alone solutions. This review synthesizes literature on gender-specific care for women with schizophrenia, examining clinical, social, and reproductive needs alongside the impact of migration and psychosocial adversity. Emerging models, including women-focused psychiatric units, perinatal services, and community therapeutic spaces, illustrate holistic approaches that integrate the medical, psychological, and social dimensions of care. Digital interventions, such as smartphone applications, mobile health tools, and digital participation strategies, are considered supportive extensions that offer opportunities to improve access, reduce costs, and enhance continuity of care. Despite this promise, digital tools remain under-validated for women in precarious contexts. Ethical challenges, including algorithmic bias, data privacy risks, and the exclusion of undocumented or marginalized groups, further constrain equitable implementation. This review aims to articulate conceptual linkages among gender, migration, and digital innovation in schizophrenia care, identifying thematic patterns, ethical tensions, and structural limitations in the existing literature. The synthesis provides a foundation for future hypothesis development and interdisciplinary research to advance inclusive and equity-driven mental health interventions. Full article

This study examines the perceived mental health of Ukrainian female forced migrants in Ireland through the lens of the socio-ecological model (SEM). Using binomial logistic regression on a 2023 online survey dataset (N = 656), it explores multi-level predictors across individual, relationship, community, and societal domains. Results indicate that individual-level factors explain the largest proportion of variance in perceived mental health (Nagelkerke R² = 0.399). Employment status, self-rated physical health, and coping strategies were key determinants: part-time employment and good physical health were associated with higher odds of good perceived mental health. In contrast, avoidant coping and worsening health were associated with poorer outcomes. Relationship-level factors (R² = 0.194) also contributed significantly; lack of social support and deteriorating family or friendship ties were linked to poorer mental health, whereas participation in refugee meetings was strongly protective. Community-level factors (R² = 0.123) revealed that unstable housing, living with strangers, and declining neighbourhood relationships were associated with reduced mental well-being. At the societal level (R² = 0.168), insufficient access to psychological support and excessive exposure to Ukrainian news were associated with poorer outcomes, while moderate news engagement was protective. The findings highlight the multifaceted nature of refugees’ perceived mental health, emphasising the interdependence of personal resilience, social connectedness, and systemic support. Full article

The refugee population is increasing worldwide, and in South Korea, the refugee population, including children and adolescents, is also rapidly increasing. This study aimed to compare the psychological problems of North Korean refugee adolescents with those of South Korean adolescents and to evaluate their mental health characteristics. Methods: This cross-sectional comparative study assessed psychological problems using the Korean version of the Youth Self-Report Scale (K-YSR) among 206 South Korean adolescents and 130 North Korean refugee adolescents enrolled in middle and high schools in Gyeonggi Province. The inclusion criteria included adolescents aged 13–18 years at middle or high school and residing in South Korea for at least 6 months (for North Korean refugees). Data were collected in October 2025. Results: North Korean refugee adolescents showed significantly higher scores of anxiety/depression (F = 11.304, p < 0.001, η² = 0.033), somatic symptoms (F = 20.997, p < 0.001, η² = 0.060), social immaturity (F = 11.083, p < 0.001, η² = 0.032), rule-breaking behavior (F = 12.851, p < 0.001, η² = 0.037), and aggressive behavior (F = 50.386, p < 0.001, η² = 0.132). Notably, the largest effect size (η² = 0.132) was observed in the aggressive behavior domain, while the somatic symptoms also showed a moderate effect size (η² = 0.060). In the ANCOVA analysis, controlling for gender and age as covariates, female students scored higher in the anxiety/depression and somatic symptoms domains, while male students scored higher in the rule-breaking behavior and aggressive behavior domains. Conclusions: North Korean refugee adolescents experience various psychological difficulties during their adaptation to South Korean society. These results can be used as basic data to detect mental health problems in North Korean adolescent refugees early and develop customized support plans. Full article

Background: Poverty, disability, and mental health may reinforce one another. Forced displacement can compound these challenges, yet comparable data on displaced and non-displaced groups in the same setting are scarce. This study examines associations among mental health, disability, pessimism, loneliness, self-esteem, and financial security for refugees and nearby host communities in Mozambique. Methods: Ultra-poor adults—refugees (n = 134) and Mozambican nationals living near the settlement (n = 314)—were identified using a World Bank poverty scorecard. Surveys captured depression (PHQ-9), anxiety (GAD-7), disability (Washington Group Short Set), and socioeconomic characteristics. Results: Symptom rates are high in both groups—depression: 34% (refugees) vs. 29% (hosts); anxiety: 25% overall—with women reporting higher levels. Disability prevalence is substantial (refugees 25%; hosts 22%). Respondents with disabilities show markedly higher rates of depression (≈2×) and anxiety (≈3×). Financial security is negatively associated with symptom scores: a one-unit-higher financial security index correlates with a 0.069 lower anxiety score (p < 0.05) and a 0.069 lower depression score (p < 0.01). Pessimism is positively associated with poorer mental health; anxiety and depression are more than 2.5× as prevalent among chronically pessimistic respondents. Loneliness shows no clear association with anxiety or depression in this sample, whereas low self-esteem is strongly associated with both; prevalence of GAD and depression is more than twice as high among those with low self-esteem. Conclusions: We document strong associations between poverty, disability, and mental health. These patterns underscore the importance of strengthening mental and public health services for both refugees and hosts, with particular attention to women and disabled individuals. Full article

Background/Objectives: Trauma-related distress poses significant mental health challenges, with psychotherapy serving as a primary intervention. The Walters Method is a promising new alternative that may help where traditional methods fall short (i.e., in complex or violent cases), but before it can be implemented widely, the existing evidence on the effectiveness of other psychotherapies for trauma-related distress must be mapped to see how and where it relates to other techniques. The aim of this scoping review was to provide an overview of existing evidence on the effectiveness of psychotherapy for trauma-related distress. Methods: A scoping review was conducted to better understand the effectiveness of psychotherapies for trauma-related distress (including PTSD, acute stress disorder, or other serious mental health issues). Results: Thirty-three articles were analysed. Included articles included adults with PTSD, incarcerated women, childbirth trauma survivors, female survivors of sexual abuse, hospitalised COVID-19 patients, adults with serious mental illness, veterans and active soldiers, firefighters, and refugees. Eye Movement Desensitisation and Reprocessing and Cognitive Behavioural Therapy were the most studied and effective treatments. Prolonged Exposure and Narrative Exposure Therapy were less common but noteworthy. Other therapies, including psychodynamic approaches, are seldom studied but have proven effective when explored, highlighting knowledge gaps and potential missed opportunities. Success with these alternative approaches—especially in complex trauma cases like intimate partner violence or child loss where EMDR and CBT may be less effective—suggests they have potential, but further research is needed for validation. Conclusions: This review offers novel contributions to the field by emphasising innovative therapeutic perspectives that extend beyond traditional, more studied, evidence-based approaches such as CBT and EMDR, thereby expanding treatment options for diverse clinical presentations. Alternative therapies show promise, particularly for complex trauma cases like intimate partner violence or child loss where established approaches may be less effective; however, further research is needed to validate their efficacy across diverse populations. Selection of psychotherapy should be based on clients’ goals and comfort, and the cultural and contextual compatibility between the person and intervention. Future research should prioritise underexplored therapies to address current knowledge gaps and improve treatment accessibility for varied clinical needs. Full article

Refugee children and adolescents face significant psychological and social challenges, especially in camps or during post-resettlement. We conducted a meta-synthesis of 24 qualitative studies including 870 participants aged 3–19 to explore how they perceive trauma, considering gender, age, and unaccompanied status. Thematic analysis identified five core themes: (1) mental health perceptions, showing reluctance to disclose distress due to stigma and cultural norms; (2) stigma regarding refugee status, reflecting societal prejudice and barriers to integration; (3) desire to belong, including social withdrawal, family cohesion, and religious coping; (4) gender-specific needs, with girls facing early marriage, safety threats, and psychosocial vulnerability; and (5) discrimination from host communities, including verbal, physical, and institutional exclusion. Participants reported pervasive emotional distress, identity conflicts, somatic symptoms, and disrupted social relationships. The findings highlight the complex, multi-layered impact of forced displacement. Thematic analysis proved effective for capturing lived experiences, coping strategies, and contextual influences. These results underscore the urgent need for culturally sensitive, trauma-informed interventions addressing mental health, social support, and protective factors to promote the well-being and integration of refugee minors. The scarcity of research in high-risk camp and detention settings underscores the importance of qualitative inquiry to inform culturally grounded, multi-level psychosocial support. Full article

The rising rates of immigration have resulted in challenges to both physical and mental health, primarily stemming from the circumstances of social isolation experienced by individuals compelled to leave their homes. This study aims to identify the occupational needs and experiences of refugees and applicants for international protection in different studies. The search strategy was carried out in the PubMed, Web of Science, Scopus, LILACS, ScieLO, and Dialnet databases. The studies were selected without temporal restriction up to December 2024 and included populations aged 18 years and older. A total of 654 articles were identified, of which 26 met the inclusion criteria for analysis in this review. Of these, 18 were qualitative studies, while the remaining ones were meta-ethnography, scoping, narrative, or literature reviews, case studies, or quantitative studies. Occupational therapy adopts a holistic approach that seeks to address both occupational needs and rights. The included studies underscore the significance of occupational therapy interventions for refugee populations, highlighting and clarifying the occupational deprivations and unmet needs experienced by this group. Full article

Background: Although Türkiye hosts the largest population of Syrian refugees in the world, research on the vulnerability factors contributing to food insecurity among Syrian refugee mothers remains scarce. The aim of this study was to investigate the relationships between maternal food insecurity, diet quality, and mental health outcomes among Syrian refugee mothers with young children living in Türkiye. Methods: This cross-sectional study involved 285 Syrian mothers living in Türkiye with children under five years of age. Maternal food insecurity was assessed via the Food Insecurity Experience Scale (FIES), diet quality was evaluated via the Healthy Eating Index-2020 (HEI-2020), and the Patient Health Questionnaire-9 (PHQ-9) was used to evaluate mental health conditions. Data were collected through face-to-face surveys conducted by two native Arabic translators, and the analyses included sociodemographic characteristics, anthropometric measurements, diet quality, food insecurity status, and mental health status. Results: The prevalence of moderate/severe food insecurity and poor diet quality among refugee mothers amounted to 30% and 59.3%, respectively. Mothers experiencing food insecurity presented significantly lower levels of mental health and diet quality (p < 0.05). A one-unit increase in the food insecurity score was associated with an increase of 1.031 units in the total Patient Health Questionnaire-9 (PHQ-9) score. The model demonstrated that food insecurity accounted for 30.2% of the variance in PHQ scores (R² = 0.302). Low income, lack of institutional aid, short length of stay, and number of children significantly increase the likelihood of poor dietary quality among refugee mothers. Conclusions: Food insecurity was found to be a widespread problem for mothers who are refugees from Syria. It was significantly associated with poorer nutritional quality and mental health issues in mothers. These findings suggest the need for expanding social support programs, implementing effective public health interventions for food security, and securing an overall improvement of maternal health. Full article

As Canada experiences a growing number of newcomer students with refugee backgrounds, K-12 educators face challenges to meet students’ unique academic, linguistic, and psychosocial needs. This paper examines the role of educational technology (EdTech) to bridge the resource and training gap by enhancing teacher preparedness through an accessible, inclusive, and trauma-informed digital resource. This study presents a qualitative case study methodology to analyze the interactive online manual, Supporting Teachers to Address the Mental Health of Students from War Zones. The research utilizes three data sources: feedback from 110 educators through a questionnaire, observational data from 69 students from two separate pre-service teacher cohorts, and an expert evaluation report conducted by university curriculum specialists. Findings suggest that successful EdTech for refugee-background student initiatives must be trauma-informed, strength-based, culturally responsive, and designed with usability and accessibility in mind. Furthermore, collaboration between K-12 educators, researchers, and developers is vital to ensure that there is alignment of pedagogy and technology. Full article

The UNHCR reported that over 123.2 million people were forcibly displaced worldwide by the end of 2024, with the mental health of refugees emerging as a critical issue. In the UK, asylum seekers and refugees make up around 13% of immigrants and the number is increasing year on year. The Immigration and Asylum Act 1999 aimed to ensure that most cases of asylum seekers would be decided fairly, and within six months. However, it has been argued that long wait times and systemic inequalities and inequities within the asylum system have contributed to heightened mental health problems among refugees even once they gain refugee status. The present study aimed to examine the factors that refugees perceive as limiting their ability and willingness to access mental health services in the UK. A systematic review of 15 relevant articles followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results highlight intersecting perceived limitations to accessing mental health services, such as language difficulties, cultural disconnection regarding mental health including stigma and prejudice, mistrust of services as well as structural barriers including general service limitations and the involuntary transient nature of many refugees’ lives. Policy recommendations emphasize integrating ethnic minority organizations into services, developing culturally adapted services that take into consideration the views of refugees, and ensuring holistic approaches to address socio-economic determinants. Full article

Background: Displaced individuals endure challenges, including conflict, forced migration, family separation, human rights violations, limited access to essential services, and increased exposure to violence and abuse. These hardships significantly impact their mental health, often leading to heightened trauma-related symptoms. Methods: We used a cross-sectional correlational design in refugee camps, homes, and centers across Jordan and Spain. 200 refugees with confirmed status in the past ten years were recruited. Demographic data were collected via a demographic form, the PTSD-8 Inventory assessed traumatic symptoms, and data analysis included descriptive statistics, independent t-tests, one-way ANOVA, and Chi-square tests. Results: Most participants had a secondary education, were unemployed, and had low incomes. PTSD symptoms were prevalent, with rates of recurrent thoughts (63.5%), re-experiencing events (57.5%), nightmares (50.5%), sudden reactions (56.5%), activity avoidance (53.5%), avoidance of specific thoughts or feelings (56.5%), jumpiness (53.5%), hypervigilance (53.5%), feeling on guard (41.5%), and general avoidance (43.5%) rated from rarely to most of the time. All symptoms were significantly more frequent among refugees in Jordan than in Spain. Conclusions and Recommendations: Intrusive thoughts were more frequent among females, urban residents, and unemployed individuals. Avoidance behaviors were higher in married and unemployed individuals. Hypervigilance was more prevalent among females, married individuals, and those with lower incomes. Regionally, females and married individuals in Jordan exhibited more intrusive thoughts and avoidance. In Spain, intrusive thoughts and hypervigilance were more common among females and the unemployed. The findings highlight the urgent need for targeted mental health interventions, particularly in refugee camps like those in Jordan, where PTSD symptom rates were significantly higher. Programs should prioritize trauma-focused therapies, such as Cognitive Behavioral Therapy, while adopting gender-sensitive approaches to address the heightened vulnerability of women and unemployed individuals. Given the strong link between unemployment and symptom severity, livelihood support and vocational training should be integrated into psychosocial care. Policymakers in host countries like Jordan could benefit from adopting integration strategies similar to Spain’s, which may contribute to lower PTSD prevalence. Additionally, community-based awareness initiatives could improve early symptom recognition and access to care. Future research should explore longitudinal outcomes to assess the long-term impact of displacement and resettlement conditions on mental health. Full article

The Method for the Empowerment of Trauma Survivors (METS) is a recovery-oriented group intervention tailored to refugees and asylum seekers who experienced traumatic events. This study explores how undocumented migrants in the Netherlands experience participation in METS, how these experiences relate to changes in their mental well-being, and which aspects of the intervention participants find most valuable. A qualitative case study was conducted involving in-depth, individual interviews with undocumented migrants who participated in METS. Interviews focused on participants’ experiences with the intervention and perceived changes in mental well-being. Five main themes emerged: connectedness, group dynamics, personal development, emotional well-being, and practical aspects. Changes in mental well-being were often subtle, difficult to articulate, and in some cases temporary. While some participants reported positive developments, many continued to face significant challenges and did not experience notable improvement. No participants reported negative outcomes as a result of participation. METS appears suitable for a heterogeneous population with diverse cultural, religious, and educational backgrounds. Reported benefits often related to group participation rather than METS-specific characteristics. Future research is warranted to further explore whether METS is a valuable addition to existing transdiagnostic psychosocial group interventions. Full article