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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
Prevalence, determinants, and effects of food insecurity among Middle Eastern and North African migrants and refugees in high-income countries: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
Links of the Supplemental Nutrition Assistance Program with food insecurity, poverty, and health: Evidence and potentialPositive impactSystematic reviewPositive impact
Exploring neighborhood transformations and community gardens to meet the cultural food needs of immigrants and refugees: A scoping reviewPositive impactSystematic reviewPositive impact
Ethnic markets and community food security in an urban “food desert”No evidence about impactSuggestive evidenceNo evidence about impact
Interventions to address food insecurity among adults in Canada and the US: A systematic review and meta-analysisInconclusive or mixed impactSystematic reviewInconclusive or mixed impact
Community gardens for refugee and immigrant communities as a means of health promotionPositive impactSuggestive evidencePositive impact
Combating child summer food insecurity: Examination of a community-based mobile meal programPositive impactSuggestive evidencePositive impact
Experiences and effects of food insecurity among recently resettled refugees from the Congo warsNo evidence about impactSuggestive evidenceNo evidence about impact
Food insecurity and food resource utilization in an urban immigrant communityNo evidence about impactSuggestive evidenceNo evidence about impact
Dietary intake and nutritional status among refugees in host countries: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
A systematic review of the evaluation of interventions to tackle children’s food insecurity.Positive impactSystematic reviewPositive impact
Does urban agriculture improve food security? Examining the nexus of food access and distribution of urban produced foods in the United States: A systematic reviewInconclusive or mixed impactSystematic reviewInconclusive or mixed impact
Achieving the four dimensions of food security for resettled refugees in Australia: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
Food security interventions among refugees around the globe: A scoping reviewInconclusive or mixed impactSystematic reviewInconclusive or mixed impact
Determinants of food security among people from refugee backgrounds resettled in high-income countries: A systematic review and thematic synthesisNo evidence about impactSystematic reviewNo evidence about impact
A culturally specific community supported agriculture (CSA) program to improve diet in immigrant communities in Brooklyn, New YorkPositive impactSuggestive evidencePositive impact
Food security of temporary foreign farm workers under the Seasonal Agricultural Worker Program in Canada and the United States: A scoping reviewNo evidence about impactSystematic reviewNo evidence about impact
Food insecurity transitions and housing hardships: Are immigrant families more vulnerable?No evidence about impactSuggestive evidenceNo evidence about impact
Food insecurity as a social determinant of mental healthNo evidence about impactSuggestive evidenceNo evidence about impact
Understanding cultural acceptability for urban food policyNo evidence about impactSuggestive evidenceNo evidence about impact
Food insecurity in the United States of America: An examination of race/ethnicity and nativityNo evidence about impactSuggestive evidenceNo evidence about impact
Barriers and facilitators to food security among adult Burundian and Congolese refugee females resettled in the USNo evidence about impactSuggestive evidenceNo evidence about impact