Integrated behavioral health care for Karen refugees: a qualitative exploration of active ingredients

Year Published:

Abstract

Purpose:
The purpose of this paper is to explore the “active ingredients” of integrated behavioral health care (IBHC) from the perspective of Karen refugee participants in an IBHC intervention.

Design/methodology/approach:
This paper is based on in-depth, semi-structured interviews with participants (n=40) who have received an IBHC intervention for one year. These qualitative data are supplemented by descriptive quantitative data from those same participants.

Findings:
This research suggested that IBHC increased awareness and access to behavioral health services, and that IBHC may be especially amenable to treating complex health conditions. The research also found that IBHC provided a point of regular contact for patients who had limited time with their primary care providers, which helped to enhance access to and engagement with health care.

Practical implications:
IBHC has the potential to meet the complex needs of Karen resettled refugees living in an urban setting in the USA.

Originality/value:
IBHC is a promising approach to help meet the mental health needs of refugees in the USA. There are, however, gaps in knowledge about the “active ingredients” of IBHC. This paper helps fill these gaps by studying how IBHC works from the perspective of a group of Karen refugees; these are critical perspectives, missing in the literature, which must be heard in order to better address the complex conditions and needs of resettled refugees.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

What are the impacts of case management on refugees?

While rigorous evidence is limited, the literature suggests that case management is associated with numerous positive outcomes. The body of evidence is largely suggestive in rigor and yields generally positive outcomes, although some studies show mixed results. The one available impact study yields positive results. The available studies have examined diverse outcomes such as self-sufficiency,…

About this study

AGE: Adults

DIRECTION OF EVIDENCE: Positive impact

FULL TEXT AVAILABILITY: Paid

HOST COUNTRY: United States

HOST COUNTRY INCOME: High

INTERVENTION DURATION: Weekly or biweekly sessions for approximately one year

OUTCOME AREA: Mental Health

POPULATION: Refugees

REGION OF ORIGIN OF PARTICIPANT(S): Asia – South

STRENGTH OF EVIDENCE: Suggestive

TYPE OF STUDY: Suggestive evidence

YEAR PUBLISHED: 2018

More STUDIES

Primary substance use prevention programs for children and youth: A systematic review

An updated synthesis of research on substance abuse prevention programs can promote enhanced uptake of programs with proven effectiveness, particularly when paired with information relevant to practitioners and policy makers.To assess the strength of the scientific evidence for psychoactive substance abuse prevention programs for school-aged children and youth.A systematic review was conducted of studies published…

A systematic review of qualitative research on substance use among refugees

Aims To evaluate qualitative research on substance use and substance use disorders (SUDs) among refugees in terms of practitioners’ and substance users’ attitudes, beliefs and experiences. Methods Six medical, allied health and social sciences databases (EBSCO, PubMed, ScienceDirect, Web of Science, Scholar and the Cochrane Library) were systematically searched in a time frame between January…

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 youths

Parent training (PT) interventions reduce the likelihood of youth problematic behaviors, including drug use. However, the dissemination of culturally adapted PT interventions in low‐income Latina/o immigrant communities remains scarce. In this selective prevention study, we examined the extent to which exposure to CAPAS‐Youth, a culturally adapted version of the PT intervention known as GenerationPMTO©, resulted…