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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 target 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 culture or 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 in the refugee context, but it is likely that they would need to undergo cultural 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. It was 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
Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: Study protocol for a multi-center randomized-control trialModerateImpact evaluationPositive impact
A systematic review of school-based social-emotional interventions for refugee and war-traumatized youthStrongSystematic reviewInconclusive or mixed impact
Embroidery (tatriz) and Syrian refugees: Exploring loss and hope through storytellingSuggestiveSuggestive evidencePositive impact
Day patient treatment for traumatic grief: Preliminary evaluation of a one-year treatment programme for patients with multiple and traumatic lossesSuggestiveSuggestive evidencePositive impact
The effectiveness of psychosocial interventions in war-traumatized refugee and internally displaced minors: Systematic review and meta-analysisStrongMeta-analysisInconclusive or mixed impact
Comparing trauma exposure, mental health needs, and service utilization across clinical samples of refugee, immigant, and U.S.-origin childrenSuggestiveSuggestive evidenceNo evidence about impact
Distrubed grief: Prolonged grief disorder and persistent complex bereavement disorderSuggestiveSuggestive evidenceNo evidence about impact
The traumatic grief inventory self-report version (TGI-SR): Introduction and perliminary psychometric evaluationSuggestiveSuggestive evidenceNo evidence about impact
Prospective risk factors for complicated grief: A review of the empirical literatureSuggestiveSuggestive evidenceNo evidence about impact
Correlates of grief-related disorders and mental health outcomes among adult refugees exposed to trauma and bereavement: A systematic review and future research directionsStrongSystematic reviewNo evidence about impact
Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and lossSuggestiveSuggestive evidenceNo evidence about impact
Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: Study protocol for a multi-center randomized-control trialModerateImpact evaluationPositive impact
A systematic review of school-based social-emotional interventions for refugee and war-traumatized youthStrongSystematic reviewInconclusive or mixed impact
Embroidery (tatriz) and Syrian refugees: Exploring loss and hope through storytellingSuggestiveSuggestive evidencePositive impact
Day patient treatment for traumatic grief: Preliminary evaluation of a one-year treatment programme for patients with multiple and traumatic lossesSuggestiveSuggestive evidencePositive impact
The effectiveness of psychosocial interventions in war-traumatized refugee and internally displaced minors: Systematic review and meta-analysisStrongMeta-analysisInconclusive or mixed 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 2012. To identify evidence related to case management with refugees, we searched the following websites and databases using the following population, methodology, and target outcome terms:

Websites and Databases Population Terms Methodology Terms Target Outcome Terms
ProQuest

PsycInfo

 

 

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

grief

OR

bereav*