Engaging Refugee Families in a Family-Strengthening Intervention to Promote Child Mental Health and Family Functioning

Author(s):  
Rochelle L. Frounfelker ◽  
Tej Mishra ◽  
Bhuwan Gautam ◽  
Jenna M. Berent ◽  
Abdirahman Abdi ◽  
...  
Author(s):  
Jala Rizeq ◽  
Daphne J. Korczak ◽  
Katherine Tombeau Cost ◽  
Evdokia Anagnostou ◽  
Alice Charach ◽  
...  

AbstractWe examined pathways from pre-existing psychosocial and economic vulnerability to mental health difficulties and stress in families during the COVID-19 pandemic. Data from two time points from a multi-cohort study initiated during the COVID-19 pandemic were used. Parents of children 6–18 years completed questionnaires on pre-COVID-19 socioeconomic and demographic factors in addition to material deprivation and stress due to COVID-19 restrictions, mental health, and family functioning. Youth 10 years and older also completed their own measures of mental health and stress. Using structural equation modelling, pathways from pre-existing vulnerability to material deprivation and stress due to COVID-19 restrictions, mental health, and family functioning, including reciprocal pathways, were estimated. Pre-existing psychosocial and economic vulnerability predicted higher material deprivation due to COVID-19 restrictions which in turn was associated with parent and child stress due to restrictions and mental health difficulties. The reciprocal effects between increased child and parent stress and greater mental health difficulties at Time 1 and 2 were significant. Reciprocal effects between parent and child mental health were also significant. Finally, family functioning at Time 2 was negatively impacted by child and parent mental health and stress due to COVID-19 restrictions at Time 1. Psychosocial and economic vulnerability is a risk factor for material deprivation during COVID-19, increasing the risk of mental health difficulties and stress, and their reciprocal effects over time within families. Implications for prevention policy and parent and child mental health services are discussed.


Author(s):  
Jordan Farrar ◽  
Theresa S. Betancourt

Family-based preventive interventions have strong potential for promoting family functioning and mental health in children. This chapter reports on one such intervention, the Family Strengthening Intervention (FSI), initially developed and tested in Rwanda to improve communication and parenting in HIV/AIDS-affected families with school-age children. Currently, an early childhood development version of the FSI is being piloted for delivery by lay workers with Rwandan families living in extreme poverty. Because of its flexible nature, the FSI has also been adapted for use with Bhutanese and Somali Bantu refugee families in the Greater Boston area, with overall aims to improve family functioning, improve caregiving practices, and positively impact the mental health of school-age refugee children. While highlighting the innovative nature of this intervention, issues related to feasibility, acceptability, sustainability, and do-no-harm protocols are presented. The chapter concludes with recommendations for future family-based programming.


Mindfulness ◽  
2021 ◽  
Author(s):  
Qian-Wen Xie ◽  
Xiaolu Dai ◽  
Renhui Lyu ◽  
Shuang Lu

Abstract Objectives Involving parents and children in mindfulness-based interventions may holistically benefit family well-being. This meta-analysis systematically reviews and synthesizes the effects of mindfulness-based parallel-group (MBPG) interventions, which simultaneously involve parent and child, on family functioning, and the mental health of parents and children. Methods A total of 20 relevant studies were identified from 14 databases. The overall intervention effect size was estimated by pooled standardized mean difference. Moderator analyses were performed to explain the variability in intervention effects. Risk of bias and publication bias were also assessed. Results MBPG interventions showed minor-to-small positive effects on family functioning (d = 0.182, 95% CI [0.045, 0.319]), parental mental health (d = 0.238, 95% CI [0.110, 0.365]), and child mental health (d = 0.325, 95% CI [0.137, 0.513]). The effects of MBPG interventions on child mental health varied significantly by child age, child gender, recruitment setting, type of parent group, other activities in child group, other activities in parent group, and study design. Conclusions MBPG interventions show promising effects in improving mental health of both parents and children as well as in improving overall family functioning. However, significant variations exist in characteristics of participants, interventions, and study designs. Given the limited evidence currently available, more studies are needed to assess the determinants of effectiveness in MBPG interventions. Protocol Registration: PROSPERO #CRD42020164927


2008 ◽  
Author(s):  
Makiko Okuyama ◽  
Mayuko Izumi ◽  
Takeo Fujiwara ◽  
Yukiko Osada

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