A review of the use of trauma systems therapy to treat refugee children, adolescents, and families

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Abstract

Children and adolescents within refugee families face adverse childhood experiences emanating from multiple sources. These traumatic events can begin with persecution within their country of origin, during the migration process, and within their re-settled countries. More specifically, these children and their families are more prone to the four core stressors being: traumatic, acculturative, isolative and resettlement stress. Trauma Systems Therapy for Refugees (TST-R) is a promising treatment model to address child and adolescent mental health disparities revolving around direct and vicarious trauma. In TST-R, the treatment team systematically targets the needs of the child, while collaborating with cultural brokers from the refugee community, their school, and family unit. Researchers have used TST-R as an intervention for reducing trauma symptoms in Somali, Somali-Bantu, and Bhutanese children, adolescents, and their families. We review the strengths and limitations of this model. Further research is needed to determine its applicability to other communities within the United States and abroad.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

How do family interventions impact functioning of newcomer household dynamics?

One strong source of evidence and several smaller moderate and suggestive studies show that interventions on intergenerational relationships can help decrease negative mental health symptoms and increase positive parenting practices. Multiple studies reported significant improvements in the overall mental health of both child and caregiver participants. Caregivers reported high levels of satisfaction with several different…

About this study

AGE: Multiple Age Groups

DIRECTION OF EVIDENCE: No evidence about impact

FULL TEXT AVAILABILITY: Paid

HOST COUNTRY: United States

POPULATION: Refugees

STRENGTH OF EVIDENCE: No evidence about impact

TYPE OF STUDY: Suggestive evidence

YEAR PUBLISHED: 2019

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