Background Adolescent refugees face many challenges but also have the potential to become resilient. The purpose of this study was to identify and characterize the protective agents, resources, and mechanisms that promote their psychosocial well-being. Methods Participants included a purposively sampled group of 73 Burundian and Liberian refugee adolescents and their families who had recently resettled in Boston and Chicago. The adolescents, families, and their service providers participated in a two-year longitudinal study using ethnographic methods and grounded theory analysis with Atlas/ti software. A grounded theory model was developed which describes those persons or entities who act to protect adolescents (Protective Agents), their capacities for doing so (Protective Resources), and how they do it (Protective Mechanisms). Protective agents are the individuals, groups, organizations, and systems that can contribute either directly or indirectly to promoting adolescent refugees’ psychosocial well-being. Protective resources are the family and community capacities that can promote psychosocial well-being in adolescent refugees. Protective mechanisms are the processes fostering adolescent refugees’ competencies and behaviors that can promote their psychosocial well-being. Results Eight family and community capacities were identified that appeared to promote psychosocial well-being in the adolescent refugees. These included 1) finances for necessities; 2) English proficiency; 3) social support networks; 4) engaged parenting; 5) family cohesion; 6) cultural adherence and guidance; 7) educational support; and 8) faith and religious involvement. Nine protective mechanisms identified were identified and grouped into three categories: 1) Relational (supporting, connecting, belonging); 2) Informational (informing, preparing), and; 3) Developmental (defending, promoting, adapting). Conclusions To further promote the psychosocial well-being of adolescent refugees, targeted prevention focused policies and programs are needed to enhance the identified protective agents, resources, and mechanisms. Because resilience works through protective mechanisms, greater attention should be paid to understanding how to enhance them through new programs and practices, especially informational and developmental protective mechanisms.

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Mixed methods research, which combines elements of qualitative and quantitative research approaches, should be well suited to studying refugee mental health. However, thishas not yet been adequately discussed nordemonstrated within the existingscienti¢c literature. This paper aims to begin to ¢ll this gap and describes how mixed methods have been used in refugee mental health research. Twenty-nine articles from the health and social sciences literature were systematically reviewed with a focus on study designs and key ¢ndings.The studies reviewed were mostly conducted in high income countries in Europe, Australia, and North America.The mixed methods studies largely involved surveys and interviews, and the designs were mostly sequential and explanatory. The key mixed methods ¢ndings were in the domains of loss of connection, loss of status, lack of adequate services and resilience. One mixed methods research example, which studied protective resources among adolescent refugees in US resettlement, is o¡ered to illustrate some advantages of mixed methods data collection and analysis.There is, however, a need for further research on refugee mental health which takes advantage of the full spectrum of mixed methods designs to address priority needs and questions, especially involving resilience and resilience focused interventions.

Recent high-profile cases and scientific research on lone actor terrorist attackers have indicated that there may be an association with mental illness. Simultaneously, countering violent extremism (CVE) initiatives have recently been placing more emphasis on building intervention (aka secondary prevention) programmes to address this matter, with mental health professionals possibly playing important roles in preventing lone actor terrorist attacks. Mental health professionals can contribute to intervention programmes, as practitioners and as leaders, but more so by drawing upon the threat assessment model, than because of a possible association with mental illness. A public-private partnership in Los Angeles, based on a well-regarded, community-based service for addressing targeted school violence, is attempting to further develop such services. A tabletop exercise was used as a strategy for jumpstarting interventions, so as to engage mental health and other community partners, build trust between stakeholders, and identify capacities and gaps that need to be addressed to ensure successful implementation. Further progress and future success will depend upon equitable, ethical, evidence-based, and community collaborative practices.

This study examined condom use and intimacy among Tajik male migrants and their regular female partners in Moscow, Russia. This study included a survey of 400 Tajik male labour migrants; and longitudinal ethnographic interviews with 30 of the surveyed male migrants and 30 of their regular female partners. 351 (88%) of the surveyed male migrants reported having a regular female partner in Moscow. Findings demonstrated that the migrants’ and regular partners’ intentions to use condoms diminished with increased intimacy, yet each party perceived intimacy differently. Migrants’ intimacy with regular partners was determined by their familiarity and perceived sexual cleanliness of their partner. Migrants believed that Muslim women were cleaner than Orthodox Christian women and reported using condoms more frequently with Orthodox Christian regular partners. Regular partners reported determining intimacy based on the perceived commitment of the male migrant. When perceived commitment faced a crisis, intimacy declined, and regular partners renegotiated condom use. The association between intimacy and condom use suggests that HIV prevention programmes should aim to help male migrants and female regular partners to dissociate their approaches to condom use from their perceptions of intimacy.