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Evidence Summary

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What Strategies Support the Mental Health of Unaccompanied Refugee Minors?

There is strong evidence that therapeutic strategies grounded in cognitive behavioral therapy (CBT) reduce mental health symptoms among unaccompanied refugee minors (URMs).

▪ Three systematic reviews, three scoping reviews, and five suggestive studies highlight the reduction of post-traumatic stress disorder (PTSD) and trauma-related symptoms and other forms of mental health distress when interventions are grounded in CBT.

Substantial evidence supports group therapy as a strategy to reduce barriers and improve mental health outcomes.

▪ A systematic review noted that group therapy, where multiple URMs simultaneously participate in an intervention, improved overall engagement and outcomes, regardless of the setting and its combination with other interventions. Group therapy also reduces barriers to continued engagement with interventions, such as stigma and language, while increasing trust and community building.

There is strong evidence of the positive impact of culturally sensitive social support systems, such as care arrangements, in improving outcomes for URMs.

▪ Two systematic reviews indicate that URMs had better mental health outcomes when placed in an ethnically matched care placement setting (i.e., a URM living with at least one other person who identifies with the same ethnicity). Furthermore, the mental health outcomes of URMs are poorer if they have experienced trauma; reside in independent, lone, or large detention institutions; or if they are female.

Growing evidence encourages adapting treatment approaches and implementation delivery according to the unique needs of URMs.

▪  A suggestive study underscored the importance of incorporating religion and spirituality into interventions to enable the involvement of URMs in therapy and its role in helping them cope with trauma.

▪  Two suggestive studies and one systematic review promote the implementation of trauma-informed, culturally adapted interventions within school-based settings.

▪  A suggestive study highlighted the potential of multimodal co-therapy, which encompasses cultural, biological, narrative, and institutional approaches to improving URM mental health outcomes.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
The management of volunteers – What can human resources do? A review and research agendaInconclusive or mixed impactSuggestive evidenceInconclusive or mixed impact
Predictors of turnover amongst volunteers: A systematic review and meta-analysisInconclusive or mixed impactMeta-analysisInconclusive or mixed impact
Leadership and volunteers’ experiences in nonprofit organizations: A systematic literature reviewPositive impactSystematic reviewPositive impact
Designing and managing volunteer programsNo evidence about impactSuggestive evidenceNo evidence about impact
High-performance human resource practices and volunteer engagement: The role of empowerment and organizational identificationNo evidence about impactSuggestive evidenceNo evidence about impact
Feelings of ownership and volunteering: Examining psychological ownership as a volunteering motivation for nonprofit service organizationsNo evidence about impactSuggestive evidenceNo evidence about impact
The relationship between leadership behaviors and volunteer commitment: The role of volunteer satisfactionNo evidence about impactSuggestive evidenceNo evidence about impact
Nonprofit brand heritage: Its ability to influence volunteer retention, engagement, and satisfactionNo evidence about impactSuggestive evidenceNo evidence about impact
Communicating our way to engaged volunteers: A mediated process model of volunteer communication, engagement, and commitmentPositive impactSuggestive evidencePositive impact
Emotions matter: Understanding the relationship between drivers of volunteering and participationNo evidence about impactSuggestive evidenceNo evidence about impact
Evidence-based volunteer management: A review of the literatureInconclusive or mixed impactSystematic reviewInconclusive or mixed impact
The role of reconfiguring volunteer management in nonprofits in Hong Kong: Benefits and discontentsInconclusive or mixed impactSuggestive evidenceInconclusive or mixed impact
Unpacking the volunteer experience: The influence of volunteer management on retention and the promotion of the organizationNo evidence about impactSuggestive evidenceNo evidence about impact
Strategic leadership and management in nonprofit organizations: Theory and practiceNo evidence about impactSuggestive evidenceNo evidence about impact
Direct and indirect effects of transformational leadership on volunteers’ intention to remain at non-profit organizationsPositive impactSuggestive evidencePositive impact
Behind the crowdsourcing platform: Assessing volunteer recruitment and engagement instrumentsPositive impactSuggestive evidencePositive impact
Recruitment of volunteers with immigrant backgrounds: The impact of structural and individual aspectsNo evidence about impactSuggestive evidenceNo evidence about 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, 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
Campbell Collaboration

Cochrane Collaboration

Mathematica Policy Research

Urban Institute

Migration Policy Institute

CINAHL

ASSIA

Social Services Abstracts

Social Work Abstracts

PsycInfo

ERIC

 

Nonprofit

OR

NGO

OR

“nongovernmental organization”

OR

CBO

OR

“community based organization”

OR

ECBO

OR

“ethnic community based organization”

OR

“non profit organization”

OR

non-profit

OR

“not for profit organization”

 

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

“volunteer recruitment”

OR

“volunteer retention”

OR

“volunteer engagement”

OR

“volunteer management”

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 available filters. All terms were searched in the title and abstract fields only to exclude studies that made only passing mention of the topic under consideration.

After initial screening, Switchboard evidence mapping is prioritized as follows: 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.