Description:
In this presentation, Mary Bunn takes a broader look at some of the family-based mental health models that emerged from a recent systematic review that have been tested to some extent with different refugee communities. This background information may be useful to SOT programs as they develop their own family-based mental health work or family-strengthening-related work with survivors of torture. In this session, Dr. Bunn also reviews some of the preliminary findings from the survey that participants in the 2022 ORR Grantee meeting completed regarding the needs of families they are seeing in their programs and the current and future family services that programs offer.
Presenter:
Dr. Mary Bunn, Research Scientist at the University of Illinois at Chicago, Department of Psychiatry. She is also a faculty member and Co-Director of the Global Mental Health Research and Training Program in the UIC Center for Global Health and a clinical faculty member in the Mood and Anxiety Disorder Program where she provides therapy services to survivors of war and forced migration.
Topic:
A Summary of Findings from the May 2022 NCB Survey on Family-Based Mental Health and Psychosocial Services in SOT (Survivor of Torture) Programs
Resources Shared in the June Virtual Town Meeting:
PowerPoint of Presentation: Family Strengthening_SOTTownHall6.20.22_edited.pdf
Systematic reviews of school-based models for refugee children
- Sullivan, A. L., & Simonson, G. R. (2016). A systematic review of school-based social-emotional interventions for refugee and war-traumatized youth. Review of Educational Research, 86(2), 503-530. https://doi.org/10.3102/0034654315609419
- Tyrer, R. A., & Fazel, M. (2014). School and community-based interventions for refugee and asylum-seeking children: A systematic review. PloS one, 9(2), e89359. https://doi.org/10.1371/journal.pone.0089359
- Bennouna, C., Khauli, N., Basir, M., Allaf, C., Wessells, M., & Stark, L. (2019). School-based programs for supporting the mental health and psychosocial wellbeing of adolescent forced migrants in high-income countries: A scoping review. Social Science & Medicine (1982), 239, 112558.
What do we know about training and supervision for providers?
- Jean Rhodes work, in regards to training, supervising and support of lay or non-specialized providers: The Center for Evidence-based Mentoring https://cebmentoring.org/
- Review on supporting non-specialist providers: Supporting and Sustaining Nonspecialists to Deliver Mental Health Interventions in Low- and Middle-Income Countries: An Umbrella Review
Post-migration Living Difficulties (PMLD)
Resources shared by Karen Fondacaro of the NESTT program: Here are three articles on Post-migration Living Difficulties (PMLD) and the conclusion of the most recent one is that PMLD appear to influence anxiety and depression above and beyond past trauma. We also conducted a study (not published) with similar findings. The articles emphasize the importance of interventions also attending to current stressors and not just past trauma. The 2016 article did find that past trauma did explain more variance in rates of PTSD but not mood and anxiety.
- Li, S., Liddell, B., & Nickerson, A. (2016). The relationship between post-migration stress and psychological disorders in refugees and asylum seekers. Current Psychiatry Reports, 18(9). https://doi.org/10.1007/s11920-016-0723-0
- Miller, K. E., & Rasmussen, A. (2010). War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks. Social Science & Medicine, 70(1), 7–16. https://doi.org/10.1016/j.socscimed.2009.09.029
- Schick, M., Morina, N., Mistridis, P., Schnyder, U., Bryant, R. A., & Nickerson, A. (2018). Changes in post-migration living difficulties predict treatment outcome in traumatized refugees. Frontiers in Psychiatry, 9. https://doi.org/10.3389/fpsyt.2018.00476 (Article may be downloaded for free)
Intergenerational Trauma
- Sangalang, C. C., & Vang, C. (2017). Intergenerational trauma in refugee families: A systematic review. Journal of Immigrant and Minority Health, 19(3), 745–754. https://doi.org/10.1007/s10903-016-0499-7
Studies of Family History from Emory University
- Robin Fivush: https://pubmed.ncbi.nlm.nih.gov/22122420/ Knowledge of family history as a clinically useful index of psychological well-being and prognosis: A brief report Marshall P Duke 1, Amber Lazarus, Robyn Fivush
Article
- “The Family Stories that Bind Us” by Bruce Feiler in the New York Times: https://www.nytimes.com/2013/03/17/fashion/the-family-stories-that-bind-us-this-life.html. Suggested by Tim Kelly. May be behind the NYT paywall.
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