A Review of the Use of Trauma Systems Therapy to Treat Refugee Children, Adolescents, and Families

Kaplin, Daniel; Parente, Kristen; Santacroce, Francesca A.

doi:10.1080/15289168.2019.1687220

Cited by 12 publications

(7 citation statements)

References 83 publications

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“…For many children, detention at the border, housing in a refugee camp, or institutional care may span many years, effectively depriving them of the love and family so crucial to their healthy emotional development. Children who are relocated to the United State face new pressures, including learning a new language, adjusting to school, learning cultural norms, adjusting to the family's loss of status, and -for unaccompanied minors -dealing with a loss of family [6][7][8] . The series of traumatic experiences in three parts (before migration, during migration, and relocation after migration) has been labeled Trilateral Migration Trauma [9] .…”

Section: What Happens To the Children And Adolescents Who Experience ...mentioning

confidence: 99%

Complex PTSD and Forced Migration of Children and Adolescents from Latin America

Franco¹

2022

j. of psychol. res.

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In order to provide culturally competent care to children and adolescents that have been subject to forced migration, clinicians must first understand the unique trauma these individuals experienced. Victims of forced migration frequently experience trauma pre-displacement, typically resulting from the same factors that led to the forced migration. They then often experience trauma during the migration itself and post-migration as they settle in a new environment, sometimes without their families if they are unaccompanied minors. An increased risk of developing complex PTSD (C-PTSD) correlates with the number of adverse childhood experiences (ACEs) such as those experienced by children and adolescents that experience forced migration. Understanding the nuances of these traumas and their specific manifestations for the individual child or adolescent is critical for effective behavioral health support. Trauma signature (TSIG) analysis offers clinicians a method to understand the relationship between traumatic events and the physical and psychological consequences to best support these victims.

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Section: What Happens To the Children And Adolescents Who Experience ...mentioning

confidence: 99%

Complex PTSD and Forced Migration of Children and Adolescents from Latin America

Franco¹

2022

j. of psychol. res.

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“…Helpful clinical, educational, and community-based interventions were identified as follows, with attention to the socio-ecological levels at which an intervention is delivered: cognitive behavior therapy (CBT), narrative exposure therapy (NET), testimony psychotherapy, psycho-educational group therapy, eye movement desensitization and reprocessing therapy, creative therapy (individual level); family therapy, parent-child focused therapy (family level); school sensitization, robust anti-bullying policies (school level); cultural and spiritual celebrations and programs, and community sensitization (community level); and housing, training, and employment programs (governmental/non-governmental levels) [10,12,13,15,16]. In particular, multimodal approaches that address the mental health needs of refugee children in the context of the social environment are increasingly seen as holding promise [16], one example being Trauma Systems Therapy for Refugees [17].…”

Section: Refugee Childrenmentioning

confidence: 99%

Rapid Review to Inform the Rehabilitation and Reintegration of Child Returnees from the Islamic State

Weine

Brahmbatt

Cardeli

et al. 2020

Annals of Global Health

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Background: An estimated 49,000 women and children who lived in the Islamic State are being held in the Al-Hol refugee camp in Syria. Several countries have repatriated some of these women and children, though most have thus far refused to do so. Many countries are asking whether it is possible to successfully rehabilitate and reintegrate this group and how the evidence base could inform their approach. Objective: The overall objective of this paper is to inform the rehabilitation and reintegration of child returnees from the Islamic State by rapidly reviewing the evidence on children exposed to trauma and adversity. Methods: A rapid review was conducted to identify pertinent evidence regarding outcomes, risk and protective factors, and interventions and to build a framework that could guide policies and practices. Prior work in the areas of refugee children, war-impacted children, child criminal gang members, child victims of maltreatment, and child victims of sex trafficking was reviewed. Evidence was collected and analyzed from 31 prior reviews and studies. Findings: The Rehabilitation and Reintegration Intervention Framework (RRIF) incorporates five levels (individual, family, educational, community, and societal) and identifies five primary goals: 1) promoting individual mental health and well-being; 2) promoting family support; 3) promoting educational success; 4) promoting community support; and 5) improving structural conditions and protecting public safety. Implementing this framework requires public-private partnership with extensive civil society involvement. Conclusions: Rehabilitation and reintegration programs should be based on the evidence of prior work with children exposed to trauma and adversity. RRIF defines a multi-level approach that encompasses promoting individual mental health and well-being, family support, educational success, community support, structural conditions, and public safety. Further multi-disciplinary research is needed to develop evidence in several identified areas concerning child health and developmental problems, family custody, faith and religiosity, and violent extremism assessment and prevention.

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“…1). Interventions that assess and address stress across these four domains-not only trauma or clinical symptoms-may significantly improve mental health outcomes and psychosocial functioning among refugee and immigrant youth (Cardeli, Baldwin et al, 2020;Kaplin et al, 2019;Tyrer & Fazel, 2014). Providers and systems working with (or aspiring to work with) refugee and immigrant youth may find that integration of the Four Core Stressors framework, and associated tools, into their prevention and intervention programming improves provider effectiveness, comfort, and confidence in serving refugee and immigrant youth and families.…”

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confidence: 99%

The Refugee and Immigrant Core Stressors Toolkit (RICST): Understanding the Multifaceted Needs of Refugee and Immigrant Youth and Families Through a Four Core Stressors Framework

Davis

Winer

Gillespie

et al. 2021

J. technol. behav. sci.

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Research indicates that refugee and immigrant youth commonly face four core stressors during resettlement in a new country and culture: trauma, acculturative stress, resettlement stress, and isolation. This Four Core Stressors framework can be used to educate providers about these populations' unique needs and support assessment of relevant socioecological factors influencing health. To facilitate education, training, and dissemination of this framework and complement existing provider resources, we developed the Refugee & Immigrant Core Stressors Toolkit (RICST), a free, web-based toolkit that provides an overview of the Four Core Stressors framework, assessment questions across the four domains, scaffolding to identify needs and points of triage, and recommended interventions. Public hosting of the RICST via REDCap began in March 2018. In addition to the toolkit, users are prompted to provide location of service delivery, intended purpose of use, and interface feedback. Between March 2018 and October 2020, the RICST was used over 2300 times across 6 continents. Most providers used the toolkit to learn more about the needs of refugee and immigrant youth in general, and several noted that it is a valuable educational tool for staff unfamiliar with these populations. Open-ended qualitative feedback indicated high usability. Amidst historically high levels of forced displacement, tools to support provider effectiveness in working with these populations are increasingly needed. The RICST shows promise as an educational, assessment, and treatment-planning tool for providers working with refugee and immigrant families globally. Future directions include location-specific resource mapping and culture-specific intervention strategies.

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A Review of the Use of Trauma Systems Therapy to Treat Refugee Children, Adolescents, and Families

Cited by 12 publications

References 83 publications

Complex PTSD and Forced Migration of Children and Adolescents from Latin America

Complex PTSD and Forced Migration of Children and Adolescents from Latin America

Rapid Review to Inform the Rehabilitation and Reintegration of Child Returnees from the Islamic State

The Refugee and Immigrant Core Stressors Toolkit (RICST): Understanding the Multifaceted Needs of Refugee and Immigrant Youth and Families Through a Four Core Stressors Framework

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