Dealing with difference: A scoping review of psychotherapeutic interventions with unaccompanied refugee minors.

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Abstract

Unaccompanied refugee minors (URMs) are a population at risk for developing mental problems, post-traumatic stress disorder, anxiety, and/or depression. Therapists working with URMs often have to overcome language and cultural barriers, while taking into account these young people’s specific needs. A growing literature describes a wide range of interventions designed to reduce psychopathologies and improve well-being. We summarized the different interventions used with URMs to get an overview of techniques used for reducing psychopathologies and difficulties of URMs and to give recommendations to help professionals. We searched eight databases for articles and books, imposing no restrictions on publication date or geographical region, and using English and French keywords. We included all studies (RCTs, case series, case study) that assessed an intervention with one or more URMs. Seventeen studies, reported in papers or book chapters, met the criteria for inclusion in our analysis. Only one RCT has been conducted with URMs but because of small sample size we cannot conclude on its efficacy. Other studies are case series or case studies and because of their study design, we cannot conclude whether one intervention is superior to others. Further research, with higher level of evidence, is needed to determine which types of intervention are most effective when working with URMs.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

What Strategies Support the Mental Health of Unaccompanied Refugee Minors?

There is strong evidence that therapeutic strategies grounded in cognitive behavioral therapy (CBT) reduce mental health symptoms among unaccompanied refugee minors (URMs). ▪ Three systematic reviews, three scoping reviews, and five suggestive studies highlight the reduction of post-traumatic stress disorder (PTSD) and trauma-related symptoms and other forms of mental health distress when interventions are grounded […]

About this study

AGE: Adolescents and/or Youth

DIRECTION OF EVIDENCE: Inconclusive or mixed impact

FULL TEXT AVAILABILITY: Free

GENDER: All

HOST COUNTRY: Multiple countries

HOST COUNTRY INCOME: Both

INTERVENTION DURATION: Varies

INTERVENTION: Cognitive Behavioral Therapy (CBT), Trauma-focused CBT (TF-CBT); Narrative Exposure Therapy for Kinds (kid-NET); Systemtic Approaches, Mulitmodal Approaches, Transcultrual Approaches

OUTCOME AREA: Mental Health

POPULATION: Unaccompanied Minors

REGION OF ORIGIN OF PARTICIPANT(S): Multiple Regions

STRENGTH OF EVIDENCE: Strong

TYPE OF STUDY: Systematic review

YEAR PUBLISHED: 2018

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