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Evidence Summary

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What strategies improve the outcomes of refugee women in employment programs?

This evidence summary, authored by Switchboard, summarizes the state of available evidence regarding strategies to improve the employment rates of refugee women in employment programs.

Limited but growing evidence shows positive impacts of national policies on the employment rates of refugees.

Canada’s Educational Credential Assessment requirement for economic migrants and private sponsorship programs has shown positive impacts on employment rates, the latter especially for women with lower educational levels.

Denmark’s 2016 work-first policy for refugees had a significant positive impact on men’s employment rates one year after arrival, but the impact on women appeared to be limited and potentially negative.

Systematic reviews identified no robust studies for refugees specifically and limited evidence for low-income populations.

A 2015 comprehensive systematic review of the effects of interventions on refugees’ labor force participation rate, employment rate, use of cash assistance, income, job retention, and quality of life identified no studies for inclusion due to methodological weaknesses. Consequently, the review, which included programs serving both women and men, did not find any evidence for or against any intervention.

Several interventions have been found to be effective at improving labor market outcomes of low-income adults in general. The strategies that appear most effective are financial incentives and sanctions, education, work experience, and training. Interventions that combine several strategies to help low-income workers find and keep jobs appear more effective than any single strategy.

Largely suggestive evidence provides some guidance on what could work for refugee women entering the labor market.

Extended case management is associated with higher household incomes and job satisfaction, in addition to significantly higher employment rates at six months and one year post-resettlement. However, benefits for women are not as clear as those for men.

Supporting women in developing skills and meeting educational attainment goals can lead to higher employment rates.

Opening opportunities for women to engage in the workforce in non-traditional ways, such as through entrepreneurship or gig work, could help overcome potential barriers surrounding traditional workplaces.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Using culturally appropriate, trauma-informed support to promote bicultural self-efficacy among resettled refugees: A conceptual modelNo evidence about impactSuggestive evidenceNo evidence about impact
Working towards culturally responsive trauma-informed care in the refugee resettlement process: Qualitative inquiry with refugee-serving professionals in the United StatesNo evidence about impactSuggestive evidenceNo evidence about impact
A multitier model of refugee mental health and psychosocial support in resettlement: Toward trauma-informed and culture-informed systems of careNo evidence about impactSuggestive evidenceNo evidence about impact
Trauma-informed care for women who are forced migrants: A qualitative study among service providersNo evidence about impactSuggestive evidenceNo evidence about impact
Applying trauma-informed practices to the care of refugee and immigrant youth: 10 clinical pearlsNo evidence about impactSuggestive evidenceNo evidence about impact
Trauma-informed education support program for refugee survivorsPositive impactSuggestive evidencePositive impact
Capacity building for refugee mental health in resettlement: Implementation and evaluation of cross-cultural trauma-informed care trainingPositive impactSuggestive evidencePositive impact
“We learn and teach each other”: Interactive training for cross-cultural trauma-informed care in the refugee communityPositive impactSuggestive evidencePositive impact
Multi-tiered approaches to trauma-informed care in schools: A systematic reviewPositive impactSystematic reviewPositive impact
Pediatric perspectives and tools for attorneys representing immigrant children: Conducting trauma-informed interviews of children from Mexico and Central AmericaNo evidence about impactSuggestive evidenceNo evidence about impact
Trauma-informed practices in schools: A narrative literature reviewPositive impactSuggestive evidencePositive impact
Trauma-informed teaching for teachers of English as an additional languageNo evidence about impactSuggestive evidenceNo evidence about impact
Trauma-informed care in child health systemsNo evidence about impactSuggestive evidenceNo evidence about impact
Client experiences of trauma-informed care in social service agenciesNo evidence about impactSuggestive evidenceNo evidence about impact
Trauma-informed legal advocacy: Medicolegal approaches & best practices for immigration attorneysNo evidence about impactSuggestive evidenceNo evidence about impact
Cuidándome: A trauma-informed and cultural adaptation of a chronic disease self-management program for Latina immigrant survivors with a history of adverse childhood experiences and depression or anxiety symptomsPositive impactSuggestive evidencePositive impact
Trauma-informed care for unaccompanied children: Lessons learned for practice and policy developmentNo evidence about impactSuggestive evidenceNo evidence about impact
Teaching refugee children: Increasing teacher self-efficacy through trauma-informed trainingsNo evidence about impactSuggestive evidenceNo evidence about impact
Towards a trauma-informed ELT pedagogy for refugeesNo evidence about impactSuggestive evidenceNo evidence about impact
Fear not the trauma story: A trauma-informed perspective to supporting war-affected refugees in schools and classroomsNo evidence about impactSuggestive evidenceNo evidence about impact
Understanding and responsiveness in the trauma-informed adult ESL classroomNo evidence about impactSuggestive evidenceNo evidence about impact
Exploring the need for trauma-informed trainings within the school setting to support refugees and immigrants of MexicoNo evidence about impactSuggestive evidenceNo evidence about impact
Community as medicine: A trauma-informed yoga program for multi-cultural female immigrants identified in the primary care setting.No evidence about impactSuggestive evidenceNo evidence about impact
What does it mean to adopt a trauma-informed approach to research?: Reflections on a participatory project with young people seeking asylum in the UKNo evidence about impactSuggestive evidenceNo evidence about impact
Working with refugees in the US: Trauma-informed and structurally competent social work approachesNo evidence about impactSuggestive evidenceNo evidence about impact
Adapting and implementing evidence-based interventions for trauma-exposed refugee youth and familiesNo evidence about impactSuggestive evidenceNo evidence about impact
Trauma-informed lawyering in the asylum process: Engagement and practice in immigration lawPositive impactSystematic reviewPositive impact
Educating refugee and hurricane displaced youth in troubled times: Countering the politics of fear through culturally responsive and trauma-informed schoolingNo evidence about impactSuggestive evidenceNo evidence about impact
Building on the Strengths of a Cambodian Refugee Community Through Community-Based OutreachSuggestiveSuggestive evidencePositive impact
Building Resilience in Transcultural Adolescents: An Evaluation of a Group ProgramSuggestiveSuggestive evidencePositive impact
Health Realization Community Coping Intervention for Somali Refugee WomenSuggestiveImpact evaluationPositive impact
Randomized Controlled Trial of a Multilevel Intervention to Address Social Determinants of Refugee Mental HealthModerateImpact evaluationPositive impact
Understanding Immigration Trauma and the Potential of Home Visiting Among Immigrant and Refugee FamiliesModerateImpact evaluationPositive impact

Studies included in the database focused on high-income or upper middle-income countries, including but not limited to the United States. Studies included must have been published since 2000. To identify evidence, we searched the following websites and databases using the following population, methodology, and target intervention terms:

Websites and Databases Population Terms Methodology Terms Target Intervention Terms
Campbell Collaboration
Cochrane Collaboration
Mathematica Policy Research
Evidence Aid
Urban Institute
Migration Policy Institute
HHS OPRE
ASSIA
Social Services Abstracts
Social Work Abstracts
PsycInfo
CINAHL
PILOTS
refugee
OR
immigrant
OR
“unaccompanied minor”
OR
asylee
OR
“temporary protected status”
OR
“victims of traffick*”
OR
“traffick* victims”
OR
T-Visa
OR
U-Visa
OR
Cuban
OR
Haitian
OR
Amerasian
evaluation
OR
impact
OR
program
OR
intervention
OR
policy
OR
project
OR
train*
OR
therapy
OR
treatment
OR
counseling
OR
workshop
OR
review
OR
meta-analysis
OR
synthesis
“strengths-based”

OR

“trauma-informed”

For databases or websites that permitted only basic searches, free-text terms and limited term combinations were selected out of the lists above, and all resultant studies were reviewed for relevance. Conversely, for databases or websites with advanced search capability, we made use of relevant filters available. All search terms were searched in the title and abstract fields only in order to exclude studies that made only passing mention of the topic under consideration.

After initial screening, Switchboard evidence mapping is prioritized as follows: First priority is given to meta-analyses and systematic reviews, followed by individual impact evaluations when no meta-analyses or systematic reviews are available. Evaluations that are rated as impact evidence are considered before those rated as suggestive, with the latter only being included for outcomes where no evidence is available from the former.