scholarly journals A Scoping Review of Interventions Delivered by Peers to Support the Resettlement Process of Refugees and Asylum Seekers

2022 ◽  
Author(s):  
Daryl Mahon
Keyword(s):  
Psychological Distress ◽  
Scoping Review ◽  
Asylum Seekers ◽  
Culturally Responsive ◽  
Community Integration ◽  
Journal Articles ◽  
Inclusion Criteria ◽  
Civil Society Organisations ◽  
Refugees And Asylum Seekers ◽  
Peer Interventions

The aim of this scoping review is to conduct a systematic search of the literature as it pertains to interventions delivered by peers to refugees and asylum seekers during the resettlement process. A PRISMA-compliant scoping review based on Arskey and O'Malley's (2006) five steps was used. Four databases, Scopus, Embase, Ebsco, and ScienceDirect were searched for peer-reviewed articles published in English from 2000-2021. Studies were included if they reported on interventions, outcomes or the training received by adult peers to support refugees and asylum seekers during the resettlement process. Of an initial 632 journal articles retrieved, 14 met the inclusion criteria for this review. Most included studies were conducted in Western high-income countries, with the exception of one. Studies were heterogeneous in terms of the nationalities of peers and those receiving peer interventions; the outcomes reported on; the content of interventions, and the methodologies used. Findings suggest that peer interventions seem to be effective in addressing many of the challenges faced by refugees and asylum seekers. Community integration, acculturation and psychological distress are some of the key benefits. When such interventions are co-produced in participatory research involving refugees, asylum seekers and the civil society organisations that support this population, they are naturally culturally responsive and can therefore address issues relative to different ethnic needs during the resettlement process. This is the first scoping review to be conducted in this area and adds to what is a very limited body of research. Refugee, Asylum seeker, resettlement, scoping review

A Scoping Review of the Experiences of Violence and Abuse Among Sexual and Gender Minority Migrants Across the Migration Trajectory

2021 ◽  
pp. 152483802110438
Author(s):  
Edward J. Alessi ◽  
Shannon Cheung ◽  
Sarilee Kahn ◽  
Melanie Yu
Keyword(s):  
Scoping Review ◽  
Asylum Seekers ◽  
Steady Increase ◽  
Structural Barriers ◽  
Inclusion Criteria ◽  
Gender Minority ◽  
Culturally Informed ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Refugees And Asylum Seekers

Violence against sexual and gender minority (SGM) individuals has continued to proliferate globally. Yet, less is known about victimization among subgroups of SGM individuals, especially SGM immigrants, refugees, and asylum seekers. There has been a steady increase in this vulnerable group of migrants over the years, and emerging evidence has pointed to their heightened risk of victimization. We conducted a scoping review of the peer-reviewed literature that examined violence, abuse, and mental health among SGM individuals who migrate internationally. One hundred ninety-nine articles were identified by searching five scholarly databases and hand searching. Twenty-six articles met inclusion criteria. We first used the migration framework, which outlines the distinct phases of the migration trajectory (predeparture, travel, interception, destination, and return), to categorize findings and then identified four overarching themes to capture SGM migrants’ experiences at each phase: severe and prolonged violence and abuse related to sexual orientation or gender identity (predeparture); continued victimization and high-risk for sexual violence (travel); detainment- and deportation-related violence and abuse (interception and return); and new manifestations of violence and abuse while living with past trauma (destination). Violence and abuse began in childhood and continued in the host country, where they faced discrimination while managing posttraumatic stress disorder and depression. Findings indicate that SGM migrants are extremely vulnerable to victimization. There is an immediate need for policies to protect SGM individuals worldwide and for affirmative, culturally informed practices to help SGM migrants manage trauma and the structural barriers impeding recovery.

scholarly journals Oral health problems facing refugees in Europe: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eiad Zinah ◽  
Heba M. Al-Ibrahim
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Scoping Review ◽  
Asylum Seekers ◽  
Critical Appraisal ◽  
Oral Health Care ◽  
Health Problems ◽  
Host Countries ◽  
Refugees And Asylum Seekers

Abstract Introduction Europe has been experiencing a flow of refugees and asylum seekers driven by conflicts or poverty. Their oral health is often neglected despite its clear impact on quality of life. Objective To explore the status of oral health among refugees and asylum seekers groups by examining the available literature and to determine which evidence exists regarding the problems they face in terms of oral health. Methods The current paper followed PRISMA guidelines. A scoping review methodology was followed to retrieve 2911 records from five databases and grey literature. Twelve articles met the following inclusion criteria: experimental research concentrated on the oral and dental health of refugees and/or asylum seekers between 1995 and 2020 in English. Analysis was both descriptive and thematic, whilst a critical appraisal was applied using the Critical Appraisal Skills Program (CASP). Results Seven studies (58,3%) were quantitative, while five studies (41,6%) were qualitative. In general, the quality of most of the studies (83.3%) was good. Limited access to oral health care services was shown with a higher prevalence of oral diseases compared to the native populations of the host countries. Approaches to improve oral health have been implemented in some studies and have shown positive outcomes. Conclusions Oral health care strategies should consider the oral health problems facing refugees in Europe, and oral health promotion campaigns are essential to give adequate guidance on how to access oral health care in the host countries.

scholarly journals Social participation, mental health in refugees and asylum seekers: A scoping review

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
H Manhica ◽  
M Niemi ◽  
D Gunnarsson ◽  
G Ståhle ◽  
S Larsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Participation ◽  
Scoping Review ◽  
Asylum Seekers ◽  
Refugees And Asylum Seekers

scholarly journals The oral health of refugees and asylum seekers: a scoping review

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Mark Tambe Keboa ◽  
Natalie Hiles ◽  
Mary Ellen Macdonald
Keyword(s):  
Oral Health ◽  
Scoping Review ◽  
Asylum Seekers ◽  
Refugees And Asylum Seekers

scholarly journals Efficacy and acceptability of psychosocial interventions in asylum seekers and refugees: systematic review and meta-analysis

2019 ◽  
Vol 28 (04) ◽  
pp. 376-388 ◽  
Author(s):  
G. Turrini ◽  
M. Purgato ◽  
C. Acarturk ◽  
M. Anttila ◽  
T. Au ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Psychological Distress ◽  
Asylum Seekers ◽  
Meta Analysis ◽  
Psychosocial Interventions ◽  
Moderate Quality ◽  
Refugees And Asylum Seekers ◽  
Quality Evidence

AbstractAimsIn the past few years, there has been an unprecedented increase in the number of forcibly displaced migrants worldwide, of which a substantial proportion is refugees and asylum seekers. Refugees and asylum seekers may experience high levels of psychological distress, and show high rates of mental health conditions. It is therefore timely and particularly relevant to assess whether current evidence supports the provision of psychosocial interventions for this population. We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) assessing the efficacy and acceptability of psychosocial interventions compared with control conditions (treatment as usual/no treatment, waiting list, psychological placebo) aimed at reducing mental health problems in distressed refugees and asylum seekers.MethodsWe used Cochrane procedures for conducting a systematic review and meta-analysis of RCTs. We searched for published and unpublished RCTs assessing the efficacy and acceptability of psychosocial interventions in adults and children asylum seekers and refugees with psychological distress. Post-traumatic stress disorder (PTSD), depressive and anxiety symptoms at post-intervention were the primary outcomes. Secondary outcomes include: PTSD, depressive and anxiety symptoms at follow-up, functioning, quality of life and dropouts due to any reason.ResultsWe included 26 studies with 1959 participants. Meta-analysis of RCTs revealed that psychosocial interventions have a clinically significant beneficial effect on PTSD (standardised mean difference [SMD] = −0.71; 95% confidence interval [CI] −1.01 to −0.41; I2 = 83%; 95% CI 78–88; 20 studies, 1370 participants; moderate quality evidence), depression (SMD = −1.02; 95% CI −1.52 to −0.51; I2 = 89%; 95% CI 82–93; 12 studies, 844 participants; moderate quality evidence) and anxiety outcomes (SMD = −1.05; 95% CI −1.55 to −0.56; I2 = 87%; 95% CI 79–92; 11 studies, 815 participants; moderate quality evidence). This beneficial effect was maintained at 1 month or longer follow-up, which is extremely important for populations exposed to ongoing post-migration stressors. For the other secondary outcomes, we identified a non-significant trend in favour of psychosocial interventions. Most evidence supported interventions based on cognitive behavioural therapies with a trauma-focused component. Limitations of this review include the limited number of studies collected, with a relatively low total number of participants, and the limited available data for positive outcomes like functioning and quality of life.ConclusionsConsidering the epidemiological relevance of psychological distress and mental health conditions in refugees and asylum seekers, and in view of the existing data on the effectiveness of psychosocial interventions, these interventions should be routinely made available as part of the health care of distressed refugees and asylum seekers. Evidence-based guidelines and implementation packages should be developed accordingly.

scholarly journals A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers

2019 ◽  
Vol 16 (20) ◽  
pp. 4027 ◽  
Author(s):  
Maria Niemi ◽  
Hélio Manhica ◽  
David Gunnarsson ◽  
Göran Ståhle ◽  
Sofia Larsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Social Participation ◽  
Scoping Review ◽  
Asylum Seekers ◽  
Protective Factor ◽  
Well Being ◽  
Social Structures ◽  
Mental Health Outcomes ◽  
Refugees And Asylum Seekers

Social participation plays a key role in the integration of refugees and asylum seekers into their host societies, and is also closely tied to the mental health of those populations. The aim of this scoping review was to study how the concept of social participation is described in empirical research, and how it is associated with mental health outcomes. Methods: In total, 64 studies were identified through searches in PubMed, PsycInfo, and Sociological Abstracts. These studies describe various forms of social participation among refugees and asylum seekers, and 33 of them also addressed various forms of mental health outcomes. Results: The identified studies described forms and conditions of social participation—both in the host country and transnationally—that could be synthesized into three broad dimensions: (1) Regulatory frameworks, conditions and initiatives; (2) Established societal organizations and social structures; and (3) Community organized groups. Each of these consisted of several sub-domains. The identified dimensions of social participation were also associated with psychosocial well-being and decreased psychological distress. Conclusions: There is a need for policies to enable and support the participation of refugees and asylum seekers in various dimensions of social structures in host societies. Social participation enhances resilience, re-establishes social lives, and acts as a protective factor against poor mental health outcomes.

scholarly journals Trust Amongst Refugees in Resettlement Settings: a Systematic Scoping Review and Thematic Analysis of the Literature

2021 ◽  
Author(s):  
Ryan Essex ◽  
Erika Kalocsányiová ◽  
Nataliya Rumyantseva ◽  
Jill Jameson
Keyword(s):  
Scoping Review ◽  
Asylum Seekers ◽  
Quantitative Methods ◽  
Population Group ◽  
Major Theme ◽  
Major Focus ◽  
Primary Research ◽  
Research Activity ◽  
Exclusion Criteria ◽  
Refugees And Asylum Seekers

AbstractTrust is of particular relevance to refugee populations, given the adverse, often protracted and liminal nature of the refugee journey. What trust means, how it shapes and is shaped by this journey, is crucially important for this population group and it can vary substantially. The extent, range and nature of research activity in this area are limited; this article therefore reports on a systematic scoping review that explored trust amongst refugees and asylum seekers in resettlement settings. Studies were included if they were primary research and explored trust amongst refugees and asylum seekers in a resettlement context and excluded if trust was not a major focus of the study (i.e. a number of studies were excluded that explored related concepts, such as social capital), if the study did not identify participants as refugees or asylum seekers or the study examined trust in a transitory setting. Following the application of inclusion and exclusion criteria, 24 studies remained, which were reviewed and analysed. Sixteen studies used qualitative methods, six used quantitative methods and one used mixed methods. Trust was presented as fundamentally relational, taking shape between and within refugees, asylum seekers and others. Trust was also presented as temporal and contextual, across refugee journeys, hardships experienced and resettlement. A major theme was the fundamental need in resettlement for a restoration of lost or damaged trust.

Overcoming the deficiency of refugee mental health research

2019 ◽  
Author(s):  
Kristina Kalfic ◽  
Glenn Mitchell ◽  
Lezanne Ooi ◽  
Sibylle Schwab ◽  
Natalie Matosin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Research ◽  
Asylum Seekers ◽  
Scientific Discovery ◽  
Mental Health Research ◽  
Psychiatric Research ◽  
Risk And Resilience ◽  
Refugee Mental Health ◽  
Refugees And Asylum Seekers

The growing number of refugees and asylum seekers are one of the most significant global challenges of this generation. We are currently witnessing the highest level of displacement in history, with over 65 million displaced people in the world. Refugees and asylum seekers are at higher risk to develop mental illness due to their trauma and chronic stress exposures, and particularly post-migration stressors. Yet global and Australian psychiatric research in this area is greatly lacking, particularly with respect to our understanding of the molecular underpinnings of risk and resilience to mental illness in traumatised populations. In this Viewpoint, we explore the reasons behind the lack of refugee mental health research and use this context to propose new ways forward. We believe that scientific discovery performed with a multidisciplinary approach will provide the broad evidence-base required to improve refugee mental health. This will also allow us to work towards the removal of damaging policies that prolong and potentiate mental health deterioration among refugees and asylum seekers, which impacts not only on the individuals but also host countries’ social, economic and healthcare systems.

Outcome and Safety of Different Cumulative Doses and Protocols of Intravenous Methylprednisolone in Moderate to Severe and Active Graves’ Ophthalmopathy

2019 ◽  
Vol 43 (1) ◽  
pp. 15
Author(s):  
Amelya Permata Sari ◽  
M Sidik ◽  
Syntia Nusanti
Keyword(s):  
Clinical Outcome ◽  
Literature Search ◽  
Oral Route ◽  
Eye Disease ◽  
Aperture Size ◽  
Journal Articles ◽  
Inclusion Criteria ◽  
Intravenous Methylprednisolone ◽  
Graves Ophthalmopathy ◽  
Graves Orbitopathy

Background: Graves’ ophthalmopathy (GO), also known as Graves’ orbitopathy or thyroid eye disease, has a potential sight-threatening complications. The activity and severity are important determinants in GO and are implications for treatment. Intravenous Glucocorticoid (GC) was associated with significantly greater efficacy and was better tolerated than oral route in the treatment of patients with moderate to severe and active GO. Intravenous GC has a variation cumulative dose and protocols; meanwhile the optimal treatment is still undefined. The aim of this literature review was to analyze the outcome and safety of different cumulative doses and protocols of intravenous methylprednisolone of patients with moderate to severe and active GO. Methods: The literature search was conducted from Google Scholar and Pubmed for journal articles that were published and related to the use of IVGC in moderate to severe and active GO Results: From the keywords mentioned, titles were screened for eligibility and seventeen articles were found. After being checked for the duplication, the articles were screened based on the abstracts and/or full texts. As many as eight articles met the inclusion criteria, others were excluded. Conclusion: Intravenous GC therapy in moderate to severe and active GO provide effect in reducing CAS, decreasing lid aperture size, decreasing proptosis size, and disappearing diplopia. A protocol uses a low cumulative doses (<5 g) of methylprednisolone weekly for 6 weeks and then halved dose weekly for another 6 weeks are preferred due to higher response in clinical outcome and safety profile.

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