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Summary PDF: What works to reduce burnout and vicarious trauma among refugee service providers?

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What works to reduce burnout and vicarious trauma among refugee service providers?

There is strong evidence for a variety of strategies to reduce vicarious trauma, secondary traumatic stress, compassion fatigue, and burnout among helping professionals.

  • A strong body of evidence has developed in the past twenty years on reducing stress reactions among a variety of professional helpers in a wide range of settings and professions.
  • Strategies to reduce stress reactions share common features across all the types of staff stress reactions: vicarious trauma, secondary traumatic stress, compassion fatigue, and burnout.

 

Effective strategies encompass both organizational and self-care interventions.

  • The evidence suggests that self-care contributes to reduced stress, but that self-care alone is insufficient to mitigate staff stress and that organizational interventions to foster lower-stress work environments are vital.

 

Suggestive findings for resettlement staff mirror those for helping professionals generally.

  •  Three studies on resettlement staff suggest that their stressors and strategies for addressing them are similar to those of helping professionals in other settings. Furthermore, the evidence from studies of refugee service providers suggests that organizational transformation plays a vital role in staff well-being.

 

Refugee service providers should develop, implement, and evaluate policies and practices to mitigate staff stress reactions.

  • Evidence suggests that agencies should implement broad-based staff stress reduction strategies that:
    • Educate and engage senior leadership on the need to address staff stress reactions
    • Decrease staff workloads
    • Create comfortable, confidential workspaces and retreat spaces
    • Practice proactive, trauma-informed supervision
    • Enhance peer support opportunities
    • Individualize stress reduction approaches for each staff member
  • Refugee-serving organizations should encourage self-care among their staff, and provide opportunities for staff to use personal activities to reduce stress, but should recognize that self-care is not enough.
  • Because the evidence suggests that organizational factors are vital to the well-being of refugee service providers, organizations should examine steps they can take to lower their employees’ stress, such as those listed above. These steps should be based on the work-related risk factors identified in the literature, such as unreasonable workload expectations, lack of management support, and poor communication.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Cultural values and practices in alcohol and other drug use among immigrant youth: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
A short review of acculturation and addiction among immigrant and refugee communities in the United States and abroadNo evidence about impactSuggestive evidenceNo evidence about impact
Changing Latino adolescent’s substance use norms and behaviors: The effects of synchronized youth and parent drug use prevention interventionsPositive impactSuggestive evidencePositive impact
Connecting refugees to substance use treatment: A qualitative studyNo evidence about impactSuggestive evidenceNo evidence about impact
Families preparing a new generation: Adaptation of an adolescent substance use intervention for Burmese refugee familiesNo evidence about impactSuggestive evidenceNo evidence about impact
The impact of a parent-based prevention intervention on Mexican-descent youths’ perceptions of harm associated to drug use: Differential intervention effects for male and female youthsPositive impactSuggestive evidencePositive impact
A systematic review of qualitative research on substance use among refugeesNo evidence about impactSystematic reviewNo evidence about impact
Primary substance use prevention programs for children and youth: A systematic reviewInconclusive or mixed impactSystematic reviewInconclusive or mixed impact
Combining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda: A cluster-randomized feasibility trialPositive impactSuggestive evidencePositive impact
Epidemiology of substance use among forced migrants: A global systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
Drug use and criminality among unaccompanied refugee minors: A review of the literatureNo evidence about impactSuggestive evidenceNo evidence about impact
Evaluation of the integrated intervention for dual problems and early action among Latino immigrants with co-occurring mental health and substance misuse symptoms: A randomized clinical trialPositive impactImpact evaluationPositive impact
Culturally sensitive prevention programs for substance use among adolescents of color: A systematic review and meta-analysis of randomized controlled trialsPositive impactMeta-analysisPositive impact
Culturally sensitive treatment for underrepresented adolescents with substance use: A systematic reviewPositive impactSystematic reviewPositive impact
Family-based interventions of preventing substance use among immigrant youth: A scoping review.Positive impactSystematic reviewPositive impact
A systematic literature review of substance-use prevention programs amongst refugee youthNo evidence about impactSystematic reviewNo evidence about impact
Risk and protective factors for early substance use initiation: A longitudinal study of Mexican-origin youthNo evidence about impactSuggestive evidenceNo evidence about impact
Histories of violence among clients seeking substance use disorder treatment: A systematic mapping reviewNo evidence about impactSystematic reviewNo evidence about impact
Mental health help seeking among traumatized individuals: A systematic review of studies assessing the role of substance use and abuseNo evidence about impactSystematic reviewNo evidence about impact
Interventions to improve health among refugees in the United States: A systematic reviewPositive impactSystematic reviewPositive impact
Substance use and treatment disparities among Asian Americans, Native Hawaiians, and Pacific Islanders: A systematic reviewNo evidence about impactSystematic reviewNo evidence about impact
Outcomes of a brief motivational intervention for heavy alcohol use in racial or ethnic minority compared to white emerging adultsPositive impactSuggestive evidencePositive impact
Alcohol use trajectories of adult Latinx immigrants during their first decade in the United StatesNo evidence about impactSuggestive evidenceNo evidence about impact