Randomized Controlled Trial of a Multilevel Intervention to Address Social Determinants of Refugee Mental Health.

Randomized Controlled Trial of a Multilevel Intervention to Address Social Determinants of Refugee Mental Health. Am J Community Psychol. 2020 Feb 17;: Authors: Goodkind JR, Bybee D, Hess JM, Amer S, Ndayisenga M, Greene RN, Choe R, Isakson B, Baca B, Pannah M Abstract Understanding processes that support the well-being of the unprecedented numbers of forcibly displaced people throughout the world is essential. Growing evidence documents post-migration stressors related to marginalization as key social determinants of refugee mental health. The goal of this RCT was to rigorously test a social justice approach to reducing high rates of distress among refugees in the United States. The 6-month multilevel, strengths-based Refugee Well-being Project (RWP) intervention brought together university students enrolled in a 2-semester course and recently resettled refugees to engage in mutual learning and collaborative efforts to mobilize community resources and improve community and systems responsiveness to refugees. Data collected from 290 Afghan, Great Lakes African, Iraqi, and Syrian refugees at four time points over 12 months were used to test the effectiveness of RWP to reduce distress (depression and anxiety symptoms) and increase protective factors (English proficiency, social support, connection to home and American cultures). Intention-to-treat analyses using multilevel modeling revealed significant intervention effects for all hyp...
Source: American Journal of Community Psychology - Category: Psychiatry Tags: Am J Community Psychol Source Type: research