scholarly journals Trauma-Informed Psychoeducation for Somali Refugee Youth in Urban Kenya: Effects on PTSD and Psychosocial Outcomes

2018 ◽  
Vol 11 (4) ◽  
pp. 431-441 ◽  
Author(s):  
Hyojin Im ◽  
Jennifer F. Jettner ◽  
Abdilkadir H. Warsame ◽  
Maimuna M. Isse ◽  
Dalia Khoury ◽  
...  
2021 ◽  
pp. 002076402110377
Author(s):  
Hyojin Im ◽  
Laura ET Swan

Background: Refugee youth often face numerous adversities before and during forced migration. Although experiences vary across settings and subpopulations, common mental disorders are prevalent among refugee youth who are displaced in low- and middle-income countries. It is important to examine how risk factors are intricately linked and contribute to common mental health issues to inform clinical practice and social policy. Aims: This study aims to test the pathways from risk factors previously identified as determinants of Somali refugee youth mental health (i.e. trauma exposure, substance use, social functioning, aggression) to symptoms of PTSD, depression, anxiety, and somatic pains. Method: We collected survey data in 2013, using snowball sampling to recruit Somali refugee youth (15–35 years old) living in Eastleigh, Kenya. We ran three structural equation models to assess paths from trauma exposure to mental health symptoms, through psychosocial factors including substance use, aggression, and functional impairment. We first conducted this analysis with a mixed-gender sample ( N = 305) and then assessed gender differences by running one model for male participants ( n = 124) and another for female participants ( n = 181). Results: In the mixed-gender sample, trauma exposure directly predicted substance use and both directly and indirectly predicted aggression, functional impairment, and mental health symptoms. Substance use directly predicted aggression and functional impairment, and substance use both directly and indirectly predicted mental health symptoms. The split-gender models revealed gender differences, with only functional impairment directly predicting mental health symptoms in the male sample and with many significant direct and indirect pathways in the female sample. Conclusions: This study shows the role of trauma exposure, substance use, aggression, and social functioning in determining mental health outcomes among refugee youth and how CMD symptoms are differently manifested across genders in this population.


2021 ◽  
pp. 107755952110250
Author(s):  
Heather T. Pane Seifert ◽  
Angela M. Tunno ◽  
Ernestine C. Briggs ◽  
Sherika Hill ◽  
Damion J. Grasso ◽  
...  

Polyvictimization is a robust predictor of emotional and behavioral problems and is linked to involvement in juvenile justice and other public sector systems. This study extends prior research by employing person-centered methods for identifying polyvictimization patterns among trauma-exposed, clinic-referred, justice-involved youth ( n = 689; ages 12–18 years) and how identified classes differ on psychosocial outcomes and demographic characteristics. Most participants had experienced multiple traumatic event (TE) types. Latent class analyses identified three classes: mixed trauma/bereavement exposure group (55.1%; Mean = 3.0 TE types); maltreatment polyvictimized group (29.3%; Mean = 5.7 TE types); and maltreatment plus extreme violence polyvictimized group (15.7%; Mean = 9.3 TE types). Polyvictimized youth were more likely to be female, in out-of-home placements, and experiencing negative psychosocial outcomes (e.g., Posttraumatic Stress Disorder). Hispanic/Latino youth were overrepresented in the extreme polyvictimized subgroup. Results underscore the need for cross-system coordination of trauma-informed, comprehensive services for clinic-referred, justice-involved youth.


Author(s):  
Emily Dzongowski ◽  
Himani Dhar

For psychiatrist Dr. Javeed Sukhera, quality mental health care for newcomer and refugee youth is extremely important. In particular, he advocates for trauma-informed care and awareness of implicit bias in medicine. Though frustrated with the currently inadequte funding of mental health treatment in Canada, Dr. Sukhera suggests that health professionals can take steps to provide care that serves the unique needs of refugee and newcomer populations. Fundamentally, he believes that this simply involves recognition of one’s own humanity and the common human experiences shared by refugees, newcomers, and healthcare providers alike.


Children ◽  
2019 ◽  
Vol 6 (8) ◽  
pp. 94 ◽  
Author(s):  
Kathleen K. Miller ◽  
Calla R. Brown ◽  
Maura Shramko ◽  
Maria Veronica Svetaz

Immigrant and refugee youth have higher rates of trauma than youth who are not transnational. While youth are incredibly resilient, trauma and toxic stress can result in poor health outcomes that persist throughout life. However, clinical interventions can promote resilience and decrease the negative impact of trauma. This article will review the principles of trauma-informed care and its application for the care of immigrant and refugee youth and their families by sharing concrete and feasible strategies for primary care providers and systems.


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