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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
Efficacy of Psychological Interventions on Depression Anxiety and Somatization in Migrants: A Meta-analysisStrongMeta-analysisInconclusive or mixed impact
Imagery rehearsal therapy and/or mianserin in treatment of refugees diagnosed with PTSD: Results from a randomized controlled trialModerateImpact evaluationNo impact
Narrative exposure therapy for posttraumatic stress disorder: A meta-analysis of randomized controlled trialsStrongMeta-analysisInconclusive or mixed impact
A meta-analysis of school-based interventions for student refugees, migrants, and immigrantsStrongMeta-analysisPositive impact
Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis.StrongMeta-analysisPositive impact
Trauma-focused psychotherapies for post-traumatic stress disorder: a systematic review and network meta-analysisStrongMeta-analysisPositive impact
Psychological interventions for posttraumatic stress disorder and depression in refugees: A meta-analysis of randomized controlled trialsStrongMeta-analysisPositive impact
A Full Systematic Review on the Effects of Cognitive Behavioural Therapy for Mental Health Symptoms in Child RefugeesStrongSystematic reviewPositive impact
Exposure therapy for PTSD: A meta-analysisStrongMeta-analysisPositive impact
Evidence-based individual psychotherapy for complex posttraumatic stress disorder and at-risk groups for complex traumatization: A meta-reviewStrongMeta-analysisPositive impact
Improving Mental Health in Refugee Populations: A Review of Intervention Studies Conducted in the United StatesStrongN/APositive impact
Effectiveness of self-help plus in preventing mental disorders in refugees and asylum seekers in Western Europe: A multinational randomized controlled trialModerateN/AInconclusive or mixed impact
A Meta-Analysis of Group Interventions for Trauma and Depression Among Immigrant and Refugee ChildrenStrongMeta-analysisPositive impact
Evaluating narrative exposure therapy for post-traumatic stress disorder and depression symptoms: A meta-analysis of the evidence baseStrongMeta-analysisInconclusive or mixed impact
Efficacy and Acceptability of Psychosocial Interventions in Asylum Seekers and Refugees: Systematic Review and Meta-AnalysisStrongMeta-analysisInconclusive or mixed impact, No impact, Positive impact
Common Mental Disorders in Asylum Seekers and Refugees: Umbrella Review of Prevalence and Intervention StudiesStrongSystematic reviewInconclusive or mixed impact, No impact, Positive impact
Enhancing Need Satisfaction to Reduce Psychological Distress in Syrian RefugeesModerateImpact evaluationNo impact, Positive impact
Chronic Pain in Refugees with Posttraumatic Stress Disorder (PTSD): A Systematic Review on Patients’ Characteristics and Specific interventionsStrongSystematic reviewInconclusive or mixed impact, Positive impact
Digital Game-Based Education for Syrian Refugee Children: Project HopeModerateImpact evaluationPositive impact
An Integrative Adapt Therapy for Common Mental Health Symptoms and Adaptive Stress Amongst Rohingya, Chin, and Kachin Refugees Living in Malaysia: A Randomized Controlled TrialModerateImpact evaluationPositive impact
Complex PTSD and Phased Treatment in Refugees: A Debate PieceStrongSystematic reviewInconclusive or mixed impact, Positive impact
Psychological Interventions for Post-Traumatic Stress Disorder in Refugees and Asylum Seekers: A Systematic Review and Meta-AnalysisStrongMeta-analysisInconclusive or mixed impact, No impact, Positive impact
The Effectiveness of Narrative Exposure Therapy: a Review, Meta-Analysis and Meta-Regression AnalysisStrongMeta-analysisPositive impact
Complementary and Alternative Medicine in the Treatment of Refugees and Survivors of Torture: A Review and Proposal for ActionStrongSystematic reviewInconclusive or mixed impact
Evidence-Based Psychological Interventions for Adult Survivors Of Torture And Trauma: A 30-Year ReviewStrongSystematic reviewInconclusive or mixed impact, Positive impact
Meeting the Needs of Older Adult Refugee Populations with Home Health ServicesSuggestiveSuggestive evidencePositive impact
Prevention of Psychological Distress and Promotion of Resilience Amongst Unaccompanied Refugee Minors in Resettlement CountriesStrongSystematic reviewInconclusive or mixed impact, Positive impact
Evidence-Based Care for Iraqi, Kurdish, and Syrian Asylum Seekers and Refugees of the Syrian Civil War: A Systematic ReviewStrongSystematic reviewPositive impact
Tell Your Story: A Randomized Controlled Trial of an Online intervention to Reduce Mental Health Stigma and Increase Help-Seeking in Refugee Men with Posttraumatic StressModerateImpact evaluationPositive impact
Treating Posttraumatic Stress Disorder in Female Victims of Trafficking Using Narrative Exposure Therapy: A Retrospective AuditSuggestiveSuggestive evidencePositive impact
Imagery Rescripting as Treatment for Complicated PTSD in Refugees: A Multiple Baseline Case Series StudySuggestiveSuggestive evidencePositive impact
Psychosocial Interventions for Children and Adolescents After Man-Made and Natural Disasters: A Meta-Analysis and Systematic ReviewStrongMeta-analysisPositive impact
Intermediated Communication by Interpreters in Psychotherapy with Traumatized RefugeesSuggestiveSuggestive evidencePositive impact
Preventive Mental Health Interventions for Refugee Children and Adolescents in High Income SettingsStrongSystematic reviewInconclusive or mixed impact, Positive impact
Guidelines for Psychiatric Care of Torture SurvivorsStrongSystematic reviewInconclusive or mixed impact, Positive 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, 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
ASSIA
Social Services Abstracts Social Work Abstracts PsycInfo
CINAHL
PILOTS

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 ORreview
OR meta-analysis OR
synthesis

“mental health” OR
depression
OR
anxiety
OR
“post-traumatic stress disorder”
OR
PTSD

 

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.