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Evidence Summary

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   Employment

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What strategies improve the outcomes of refugee women in employment programs?

This evidence summary, authored by Switchboard, summarizes the state of available evidence regarding strategies to improve the employment rates of refugee women in employment programs.

Limited but growing evidence shows positive impacts of national policies on the employment rates of refugees.

Canada’s Educational Credential Assessment requirement for economic migrants and private sponsorship programs has shown positive impacts on employment rates, the latter especially for women with lower educational levels.

Denmark’s 2016 work-first policy for refugees had a significant positive impact on men’s employment rates one year after arrival, but the impact on women appeared to be limited and potentially negative.

Systematic reviews identified no robust studies for refugees specifically and limited evidence for low-income populations.

A 2015 comprehensive systematic review of the effects of interventions on refugees’ labor force participation rate, employment rate, use of cash assistance, income, job retention, and quality of life identified no studies for inclusion due to methodological weaknesses. Consequently, the review, which included programs serving both women and men, did not find any evidence for or against any intervention.

Several interventions have been found to be effective at improving labor market outcomes of low-income adults in general. The strategies that appear most effective are financial incentives and sanctions, education, work experience, and training. Interventions that combine several strategies to help low-income workers find and keep jobs appear more effective than any single strategy.

Largely suggestive evidence provides some guidance on what could work for refugee women entering the labor market.

Extended case management is associated with higher household incomes and job satisfaction, in addition to significantly higher employment rates at six months and one year post-resettlement. However, benefits for women are not as clear as those for men.

Supporting women in developing skills and meeting educational attainment goals can lead to higher employment rates.

Opening opportunities for women to engage in the workforce in non-traditional ways, such as through entrepreneurship or gig work, could help overcome potential barriers surrounding traditional workplaces.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Supporting human trafficking survivor resiliency through comprehensive case managementSuggestiveSuggestive evidenceN/A
Bringing refugees from crisis to flourishing: The role of resettlement agencies and the church in facilitating integration and stabilitySuggestiveSuggestive evidenceN/A
Defining effective care coordination for mental health referrals of refugee populations in the United StatesSuggestiveSuggestive evidenceN/A
Meeting complex needs through community collaboration: A case studyInconclusive or mixed impactSuggestive evidenceInconclusive or mixed impact
Integrated behavioral health care for Karen refugees: a qualitative exploration of active ingredientsSuggestiveSuggestive evidencePositive impact
Outcomes for Youth Served by the Unaccompanied Refugee Minor Foster Care Program: A Pilot StudySuggestiveSuggestive evidenceInconclusive or mixed impact
Culturally congruent intensive case management service for three refugee communitiesSuggestiveSuggestive evidenceInconclusive or mixed impact
Connecting refugees to substance use treatment: a qualitative studySuggestiveSuggestive evidencePositive impact
Intensive psychotherapy and case management for Karen refugees with major depression in primary care: a pragmatic randomized control trialModerateImpact evaluationPositive impact
Defining effective care coordination for mental health referrals of refugee populations in the united statesSuggestiveSuggestive evidencePositive impact
A systematic review of social service programs serving refugeesStrongSystematic reviewInconclusive or mixed impact
Findings from an extended case management US refugee resettlement programSuggestiveSuggestive evidencePositive impact
Healthcare access for Iraqi refugee children in Texas: persistent barriers, potential solutions, and policy implicationsSuggestiveSuggestive 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 2012. To identify evidence related to case management with refugees, we searched the following websites and databases using the following population, methodology, and target intervention terms:

Websites and Databases Population Terms Methodology Terms Target Problem Terms
Campbell Collaboration
Cochrane Collaboration
Mathematica Policy Research
Urban Institute
Migration Policy Institute
CINAHL
ASSIA
Social Services Abstracts
Social Work Abstracts
PsycInfo
ERIC
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
“case manage*”