Relationship and Family Therapy for Newly-resettled Refugees: A Qualitative Inquiry of an Innovative, Needs-adapted Approach in Sydney, Australia

2017 ◽  
Vol 41 (S1) ◽  
pp. S622-S623
Author(s):  
A. Karageorge ◽  
P. Rhodes ◽  
R. Gray ◽  
R. Papadopoulos

IntroductionThe needs of refugees are of pivotal concern internationally. Relational trauma, in particular, is an area that is under-emphasised and under-researched. The strength to strength program (STS) was a rare, innovative relationship and family counselling service for recently-arrived refugees in Sydney, Australia during 2006–2014. The service model built on post-Milan systemic family therapy principles to include innovative cultural and trauma-informed aspects of care.ObjectivesWe were interested in the experiences of staff who delivered the program, and the ways in which more traditional, Western-informed modes of family therapy were transformed by the needs of refugee clients.AimsTo identify and describe transformations to the delivery of relationship and family counselling with refugees that enabled care, from the perspective of staff.MethodsA thematic analysis, guided by interpretive description, of individual interviews and focus groups with STS service staff (n = 20), including family therapists, bicultural workers and managers.ResultsKey themes pertaining to innovative aspects of the relationship and family counselling service provided by STS staff will be outlined and lessons for future service provision in this space considered.ConclusionsSTS is an example of staff-driven innovation to the therapeutic care of refugee families resettling in Western countries, taking into account the unique and complex set of cultural, practical and psychological needs. Important and timely lessons for future service delivery can be drawn from qualitative inquiry into the experiences of staff who deliver such programs, with refugee numbers continuing to increase internationally.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2021 ◽  
Vol 58 (9) ◽  
pp. 754-763

Background: In 2016, the Norwegian family counselling service implemented differentiated mediation to give cumstomized help. The differentiation tool (i.e., questionnaire) has never been evaluated. Method: Using a sample of 761 parents, we compared parent responses given over the phone to the family counselling service and anonymously to an electronic version of the questionnaire. Results: One-third of the parents underreported their challenges to the family counselling service, and only 15% of parents who, in the electronic questionnaire reported substanse abuse or violence in the relationship, revealed this to the service. Underreporters had higher interparental conflict and more symptoms of anxiety and depression. Parents who underreported problems with substanse abuse and violence had more physically violent conflicts. Conclusions: There is a need to improve the validity of the differentiation tool. We suggest that parents need information and a safe environment when completing the questionnaire. Electronic administration of the questionnaire may serve this purpose. Keywords: parental mediation, differentiated mediation, parental conflict, partner violence


2021 ◽  
Author(s):  
Solveig Dittman ◽  
Tonje Holt ◽  
Linda Larsen

In 2016, the Norwegian family counselling service implemented differentiated mediation to give cumstomized help. The differentiation tool (i.e., questionnaire) has never been evaluated.In a sample of 761 parents, we compared parent responses given over the phone to the service and anonymously to an electronic version of the questionnaire. One third of the parents underreported their challenges to the family counselling service, and only 15% of parents who in the electronic questionnaire reported substanse abuse or violence in the relationship, revealed this to the service. Underreporters had higher relationship conflict and more symptoms of anxiety and depression. Parents who underreported about problems with substanse abuse and violence had more physically violent conflicts. In conclusion, there is a need to improve the validity of the differentiation tool. We suggest that parents need more information and a safer environment when completing the questionnaire. The electronic administration may serve this purpose.


Author(s):  
Cecilia Tarnoki ◽  
Katheryne Puentes

Qualitative Inquiry and Research Design: Choosing Among Five Approaches (2018), by John W. Creswell and Cheryl N. Poth was written for anyone who is considering themselves to be researchers or interested in learning more about qualitative research. As students in doctoral programs studying family therapy at Nova Southeastern University, we felt that parts of the text were explicitly tailored toward the social sciences; however, the chapters are useful for anyone interested in qualitative research from many angles and aspects.


2020 ◽  
Vol 13 (4) ◽  
pp. 44-56
Author(s):  
Lesa Lorusso ◽  
Nam-Kyu Park ◽  
Sheila Bosch ◽  
I. Magaly Freytes ◽  
Ronald Shorr ◽  
...  

Objectives: To evaluate the diffusion of multisensory environments (MSEs) as an innovation at the Veterans Health Administration (VHA) and gather feedback regarding staff perceptions of barriers to uptake and effectiveness of MSEs for Veterans with dementia. Background: Responding to the need for nonpharmacological behavioral interventions, VHA funded the first MSE for Veterans with dementia in 2010. The room incorporated LED color-changing lights, bubble tubes, vibroacoustic furniture, music, and aromatherapy, and the success of this patient-centered sensory room fueled national rollouts in 2013 and 2015. Method: A qualitative interview approach was used. Thirty-two staff members participated from 12 of the 53 sites producing 21 individual interviews and 1 group interview with 11 participants. Results were analyzed by a team of eight researchers using the rapid qualitative inquiry method to identify common themes and major insights. Results: Important insights emerged with regard to staff members’ perceptions about the effectiveness of MSE therapy as well as barriers to uptake and suggested strategies for overcoming those barriers (e.g., empowering a champion, developing a clear maintenance plan). Conclusions: The findings from this research indicate MSEs are perceived as effective in improving behavior for Veterans with dementia and represent an innovation that has been well-diffused within the VHA, with great potential for future clinical applications.


2019 ◽  
Vol 17 (10) ◽  
pp. 24-26
Author(s):  
Andrew Bird

Support from a specialist counsellor can help overcome the emotional challenges of stoma formation


Author(s):  
Hyojin Im

The marginalization process of refugees during resettlement has rarely been explored empirically due to the challenges in identifying and accessing the population. To understand how stress and coping throughout the migration and resettlement processes can result in marginalization in refugees resettled in the United States, this study conducted in-depth individual interviews with 16 homeless Hmong refugee families. The findings revealed how cumulated adversities eroded coping resources and how impeded coping capacity fuels social isolation and marginalization. In addition, an enclosed family support system tends to limit types of available help and social interactions and thus frustrates the use of diversified coping strategies that are critical to healthy acculturation. This study underscores the importance of expanded resettlement services that promote both formal and informal social supports and enhance balanced social integration of the refugee community.


Author(s):  
William Mude ◽  
Lillian Mwanri

This paper was part of a large study that aimed to explore determinants of increased suicides among African youths in South Australia. As part of this larger study, narratives from participants indicated that identity crisis could be a potential determinant of suicide. This paper reports on how African youths negotiate and form identity in Australia. A qualitative inquiry was undertaken with 31 African youths using a focus group and individual interviews. Data analysis was guided by a framework for qualitative research. These youths negotiated multiple identities, including those of race, gender, ethnicity and their origin. ‘Freedom and opportunity’, ‘family relationships’, ‘neither belonging here nor there’ and ‘the ability to cope against the paradox of resourcefulness in Australia’ appeared to be important themes in negotiating individual identities. An opportunity was used to acknowledge privileges available in Australia relative to Africa. However, the extent to which individuals acted on these opportunities varied, affecting a person’s sense of purpose, identity formation and belonging in Australia. The loss of social networks following migration, and cultural differences between African and Australian societies, shaped the experience of belonging and identity formation. These findings are crucial as they indicate the need for policies and practices that consider experiences of youths as they form their identity in Australia. Further studies with large numbers of participants are needed to explore these issues further among African youths in Australia.


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