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Summary PDF: What can help refugees process traumatic grief?

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What can help refugees process traumatic grief?

There is limited strong evidence on interventions that specifically target traumatic grief.
–  Prolonged and traumatic grief are usually closely associated with post-traumatic stress disorder (PTSD) and therefore many interventions targeted PTSD with grief symptoms as an auxiliary diagnosis
–  There appear to be some differences in interventions that target grief as a result of loss of homeland and grief as a result of loss of a loved one, particularly if that loss occurred in a traumatic manner.

Evidence on interventions with refugee populations that target grief is limited.
–  The available evidence is limited to interventions for clinically-diagnosed grief disorder. There is a breadth of evidence involving interventions targeting PTSD, however it is unclear how many of these may target grief as a confounding factor or have been adapted to address grief as the central condition. Additionally, there is no available evidence on whether interventions targeting traumatic grief in the general population would be successful for the refugee context, although it is likely that they would need to undergo contextual adaptations.
– There is some evidence that interventions with youth or interventions focusing on creative expression in adults are more open to individuals who do not have a diagnosis, but rather are experiencing any level of grief.

There is fairly robust information on interventions for refugee youth that target various mental health conditions, including traumatic grief.
– School-based programs were specifically analyzed and found that the school setting can be an effective location for intervention but that school personnel may need specialized support from clinicians to increase effectiveness of programming

Post TitleStrength of EvidenceType of StudyDirection of Evidence
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
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
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
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