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Summary PDF: What is the impact of peer support groups on refugees’ mental health?

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What is the impact of peer support groups on refugees’ mental health?

Multiple sources of strong evidence indicates that peer support groups can improve newcomer mental health symptoms.

  • Three systematic reviews, as well as four additional studies, demonstrate positive outcomes from peer support groups in various newcomer populations. Such groups appear to provide a unique benefit to both participants and newcomer leaders in enhancing social connections, expanding knowledge of community resources, and generally driving improvements in mental health, acculturation, and other outcomes.
  • Many peer support groups are culturally appropriate and strengths-based. They recognize and build newcomers’ strengths, including by offering opportunities to support one another through community-based activities. Positive outcomes remained consistent across various formats and structures.


Strong evidence supports the positive effects of building social support through various other types of structured peer interactions.

  • Peer support interventions in non-group-based formats have also demonstrated positive outcomes. Peer mentorship programs can help newcomer mentors build skills while supporting newcomer mentees with integration, problem solving, and relationship building.


Emerging research indicates that online support groups are an effective alternative to in-person groups.

  • Research indicates that, although digital literacy may pose a challenge for some, online support groups are still effective across various populations. Evaluations have found similar, or better, outcomes in areas of attendance, satisfaction, and mental health symptom management.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Families preparing a new generation: Adaptation of an adolescent substance use intervention for Burmese refugee familiesNo evidence about impactSuggestive evidenceNo evidence about impact
The impact of a parent-based prevention intervention on Mexican-descent youths’ perceptions of harm associated to drug use: Differential intervention effects for male and female youthsPositive impactSuggestive evidencePositive impact
A systematic review of qualitative research on substance use among refugeesNo evidence about impactSystematic reviewNo evidence about impact
Primary substance use prevention programs for children and youth: A systematic reviewInconclusive or mixed impactSystematic reviewInconclusive or mixed impact
Combining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda: A cluster-randomized feasibility trialPositive impactSuggestive evidencePositive impact
Epidemiology of substance use among forced migrants: A global systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
Drug use and criminality among unaccompanied refugee minors: A review of the literatureNo evidence about impactSuggestive evidenceNo evidence about impact
Cultural values and practices in alcohol and other drug use among immigrant youth: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
A short review of acculturation and addiction among immigrant and refugee communities in the United States and abroadNo evidence about impactSuggestive evidenceNo evidence about impact
Changing Latino adolescent’s substance use norms and behaviors: The effects of synchronized youth and parent drug use prevention interventionsPositive impactSuggestive evidencePositive impact
Connecting refugees to substance use treatment: A qualitative studyNo evidence about impactSuggestive evidenceNo evidence about impact
Family-based interventions of preventing substance use among immigrant youth: A scoping review.Positive impactSystematic reviewPositive impact
A systematic literature review of substance-use prevention programs amongst refugee youthNo evidence about impactSystematic reviewNo evidence about impact
Risk and protective factors for early substance use initiation: A longitudinal study of Mexican-origin youthNo evidence about impactSuggestive evidenceNo evidence about impact
Histories of violence among clients seeking substance use disorder treatment: A systematic mapping reviewNo evidence about impactSystematic reviewNo evidence about impact
Mental health help seeking among traumatized individuals: A systematic review of studies assessing the role of substance use and abuseNo evidence about impactSystematic reviewNo evidence about impact
Interventions to improve health among refugees in the United States: A systematic reviewPositive impactSystematic reviewPositive impact
Substance use and treatment disparities among Asian Americans, Native Hawaiians, and Pacific Islanders: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
Outcomes of a brief motivational intervention for heavy alcohol use in racial or ethnic minority compared to white emerging adultsPositive impactSuggestive evidencePositive impact
Alcohol use trajectories of adult Latinx immigrants during their first decade in the United StatesNo evidence about impactSuggestive evidenceNo evidence about impact
Evaluation of the integrated intervention for dual problems and early action among Latino immigrants with co-occurring mental health and substance misuse symptoms: A randomized clinical trialPositive impactImpact evaluationPositive impact
Culturally sensitive prevention programs for substance use among adolescents of color: A systematic review and meta-analysis of randomized controlled trialsPositive impactMeta-analysisPositive impact
Culturally sensitive treatment for underrepresented adolescents with substance use: A systematic reviewPositive impactSystematic reviewPositive impact