“…More importantly for social workers, studies increasingly associate PTSD, comorbid depression, and psychological distress in refugee populations (see Momartin, Silove, Manicavasagar, & Steel, 2004) with insecure environments, emotional and cognitive turmoil related to the experience of forced migration, postmigration conditions (e.g., adapting to new living conditions in countries of asylum or resettlement), and structural stressors such as problematic and complex refugee determination processes (Gerritsen et al, 2006;Hauff & Vaglum, 1995;Lacroix, 2006;Masinda, 2004;Rousseau, Crepeau, Foxen, & Houle, 2002). Refugees and asylum seekers are affected not only by premigration traumatic events, but also by the changed circumstances of their lives that may compound this situation, thus creating a cumulative effect on their ability to cope with resettlement processes.…”