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Summary PDF: What is the impact of peer support groups on refugees’ mental health?

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What is the impact of peer support groups on refugees’ mental health?

Multiple sources of strong evidence indicates that peer support groups can improve newcomer mental health symptoms.

  • Three systematic reviews, as well as four additional studies, demonstrate positive outcomes from peer support groups in various newcomer populations. Such groups appear to provide a unique benefit to both participants and newcomer leaders in enhancing social connections, expanding knowledge of community resources, and generally driving improvements in mental health, acculturation, and other outcomes.
  • Many peer support groups are culturally appropriate and strengths-based. They recognize and build newcomers’ strengths, including by offering opportunities to support one another through community-based activities. Positive outcomes remained consistent across various formats and structures.


Strong evidence supports the positive effects of building social support through various other types of structured peer interactions.

  • Peer support interventions in non-group-based formats have also demonstrated positive outcomes. Peer mentorship programs can help newcomer mentors build skills while supporting newcomer mentees with integration, problem solving, and relationship building.


Emerging research indicates that online support groups are an effective alternative to in-person groups.

  • Research indicates that, although digital literacy may pose a challenge for some, online support groups are still effective across various populations. Evaluations have found similar, or better, outcomes in areas of attendance, satisfaction, and mental health symptom management.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Leveraging interactive voice response technology to mitigate COVID-19 risk in refugee settlements in Uganda: Lessons learned implementing “Dial COVID” a toll-free mobile phone symptom surveillance and information dissemination toolPositive impactSuggestive evidencePositive impact
Considerations about engaging volunteers in crisis managementsNo evidence about impactSuggestive evidenceNo evidence about impact
Factors related to immigrants’ disaster preparedness: A scoping reviewNo evidence about impactSystematic reviewNo evidence about impact
The role of first-line managers in a pandemic in reducing the spread of infections and promoting the health and well-being of Rohingya refugeesNo evidence about impactSuggestive evidenceNo evidence about impact
Localising public health: Refugee-led organisations as first and last responders in COVID-19No evidence about impactSuggestive evidenceNo evidence about impact
Project prepared: Building community through disaster preparedness in San Jose’s Japantown and Hensley Historic DistrictNo evidence about impactSuggestive evidenceNo evidence about impact
Reaching invisible and unprotected workers on farms during the coronavirus pandemicPositive impactSuggestive evidencePositive impact
Considerations for COVID-19 management in reception centers for refugees, asylum seekers, and migrants, Spain 2020No evidence about impactSuggestive evidenceNo evidence about impact
Developing a disaster preparedness campaign targeting low-income Latino immigrants: focus group results for project PREP.No evidence about impactSuggestive evidenceNo evidence about impact
Medical interpreters and bilingual school staff: potential disaster information conduits?No evidence about impactSuggestive evidenceNo evidence about impact
Responding to a Mumps Outbreak Impacting Immigrants and Low-English-Proficiency Populations.Positive impactSuggestive evidencePositive impact
Global learning experiences during a domestic community health clinical.No evidence about impactSuggestive evidenceNo evidence about impact
Young people from refugee backgrounds as a resource for disaster risk reductionNo evidence about impactSuggestive evidenceNo evidence about impact
Pandemic influenza preparedness and response among immigrants and refugees.No evidence about impactSuggestive evidenceNo evidence about impact
Integrating Immigrant Families in Emergency Response, Relief and Rebuilding EffortsPositive impactSuggestive evidencePositive impact
A Bosnian Refugee Community’s Hidden Capacity in Preparation for a Natural Disaster in the United StatesNo evidence about impactSuggestive evidenceNo evidence about impact
Adaptation of a community health outreach model during the COVID-19 pandemic: The case of the Mexican consulates in the United States of AmericaPositive impactSuggestive evidencePositive impact
Refugee-led organizations’ crisis response during the COVID-19 pandemicNo evidence about impactSuggestive evidenceNo evidence about impact
Brokering resources during a pandemic: Exploring how organizations and clinics responded to the needs of immigrant communities during COVID-19No evidence about impactSuggestive evidenceNo evidence about impact
Emergency preparedness: Knowledge and perceptions of Latin American immigrantsNo evidence about impactSuggestive evidenceNo evidence about impact
Promoting Community Preparedness and Resilience: A Latino Immigrant Community-Driven Project Following Hurricane Sandy.Positive impactSuggestive evidencePositive impact
Emergency Preparedness: Knowledge and Perceptions of Latin American ImmigrantsSuggestiveSuggestive evidenceNo evidence about impact
Promoting Community Preparedness and Resilience: A Latino Immigrant Community-Driven Project Following Hurricane SandySuggestiveSuggestive evidencePositive impact
Developing a Disaster Preparedness Campaign Targeting Low-Income Latino Immigrants: Focus Group Results for Project PREPSuggestiveSuggestive evidenceNo evidence about impact
Medical Interpreters and Bilingual School Staff: Potential Disaster Information Conduits?SuggestiveSuggestive evidenceNo evidence about impact
Responding to a Mumps Outbreak Impacting Immigrants and Low-English-Proficiency PopulationsSuggestiveSuggestive evidencePositive impact
Global Learning Experiences During a Domestic Community Health ClinicalSuggestiveSuggestive evidenceNo evidence about impact
Young People from Refugee Backgrounds as a Resource for Disaster Risk ReductionSuggestiveSuggestive evidenceNo evidence about impact
Pandemic Influenza Preparedness and Response Among Immigrants and RefugeesSuggestiveSuggestive evidenceNo evidence about impact
Integrating Immigrant Families in Emergency Response, Relief, and Rebuilding EffortsSuggestiveSuggestive evidencePositive 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 2000. To identify evidence related to emergency preparedness among refugees, we searched the following websites and databases using the following population, methodology, and target problem terms:

Websites and Databases Population Terms Methodology Terms Target Problem Terms
Campbell Collaboration
Cochrane Collaboration
Mathematica Policy Research
Evidence Aid
Urban Institute
Migration Policy Institute
HHS OPRE
Medline
ASSIA
Social Services Abstracts
Social Work Abstracts
ReliefWeb
ALNAP
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
“disaster prepared*”
OR
“emergency prepared*”
OR
pandemic

For databases or websites that permitted only basic searches, free-text terms and limited term combinations were selected out of the lists above, and all resultant studies were reviewed for relevance. Conversely, for databases or websites with advanced search capability, we made use of relevant filters available. All search terms were searched in the title and abstract fields only in order to exclude studies that made only passing mention of the topic under consideration.

After initial screening, Switchboard evidence mapping is prioritized as follows:First priority is given to meta-analyses and systematic reviews, followed by individual impact evaluations when no meta-analyses or systematic reviews are available. Evaluations that are rated as impact evidence are considered before those rated as suggestive, with the latter only being included for outcomes where no evidence is available from the former. As noted earlier, for the present topic of refugee emergency preparedness, no meta-analyses, systematic reviews, or impact evaluations were available; thus,suggestive studies were included