Lost in Translation? Embracing the Challenges of Working With Families From a Refugee Background

This article describes the difficulties a mainstream family therapy service experienced in working with families from a refugee background. The experience of six therapists and five bicultural workers, who are also the referring agents, was captured in focus groups, and the reflections that emerged shaped a four‐part approach for working with families from a refugee background. Live consultation, either by the family therapist or bicultural worker, is suggested as a way to marry the expertise of family therapists who are not cultural ‘insiders’ with the ‘lived experience’ and cultural expertise of bicultural support workers. The process of reflecting on therapeutic failure resulted in several principles for working therapeu‐tically with families with a history of refugee trauma, unmet resettlement needs and family relationship challenges. These include maintaining a flexible approach to therapy, ascertaining a clear understanding of the referral context, defining an explicit therapeutic contract from the first session, being mindful of the important role that language plays and terminating therapy if it is contra‐indicated.     

Generation,Displacement, and Deservedness among Karen Refugees in California

In this article, we draw on ethnographic interviews with sixteen Karen refugees living in San Diego, California to explore how experiences of exile, displacement, and resettlement differ along generational lines and complicate straightforward dichotomies between “involuntary refugees” and “economic migrants”. While older‐generation Karen experienced political violence and displacement first‐hand, younger‐generation Karen were born in refugee camps in Thailand and usually experienced violence and displacement through its impacts on extended families. Across both generations, Karen exerted agency in exile, displacement, and diaspora. The older generation used stays in refugee camps strategically as a means of economically supporting family members in Burma, while the younger generation view resettlement in the US as a way of achieving educational aspirations. This research points to the importance of generation as a dimension of refugee experience and to the problem of reinforcing victimhood within refugee communities rather than acknowledging refugee agency and resilience.     

Paraprofessionals in Refugee Resettlement

The increased demands of refugee resettlement have directed attention to the role and function of indigenous paraprofessionals, who share a common background experience with the client population. With training and supervision, such paraprofessionals can bridge cultural and linguistic barriers, and serve as role models. This article examines this topic from the experience of the recent Soviet Jewish refugee resettlement program in Boston.     

Effective child welfare practice with immigrant and refugee children and their families

This article presents a multistage migration framework to broaden the lens through which child welfare personnel can view immigrant and refugee families and their children. By better understanding the family's experiences in both emigration and immigration, including reasons for leaving their home country, experiences in transit, and reception and resettlement experiences in the United States, child welfare personnel are better equipped to assess their needs and provide effective prevention, protection, permanency, and family preservation services. Case examples illustrating the application of the framework and guidelines for program and practice are included.     

The Effects of Trauma on Acculturative Stress

ABSTRACT

There has been an influx of Southeast Asian refugees to the United States over the past 20 years, many of whom have experienced severe trauma. In their new country they face the formidable task of acculturation into a new, unfamiliar culture, often separated from their families and ethnic groups. This study sought to answer the question of whether the severity of trauma endured prior to and during migration affects the level of acculturative stress in a community sample of Cambodian refugees. Two major variables, the experience of trauma and acculturative stress, were examined through a cross-sectional research design which employed multiple regression statistical techniques to analyze the data. The results of the present study established that Cambodian refugees who experienced severe trauma prior to resettlement in the United States had significantly higher levels of acculturative stress than did those with less severe trauma histories.     

Domestic Violence Within Refugee Families: Intersecting Patriarchal Culture and the Refugee Experience

This article examines the stages of the refugee journey and the intersections of domestic violence with culture, trauma, resettlement and masculinity. Arguing that therapists must challenge aspects of culture that promote violations of women's human rights while understanding the unique situation of refugee families, the article concludes by identifying principles for therapeutic and community based interventions.     

Does Studying with the Local Students Effect Psycological Symptoms in Refugee Adolescents? A Controlled Study

Integration of refugees into the education system at the resettlement country is a significant issue. In this study, we investigated how refugee students are affected in terms of psychological symptoms by studying in the same classroom with their local peers. This cross-sectional study was conducted during the school year in Mardin, Turkey. Participants consisted of 105 Syrian refugee adolescents and 66 Turkish adolescents attending a secondary school. The participants completed the socio-demographic data form, war-related traumatic experiences questions, and the Strengths and Difficulties Questionnaire (SDQ). Syrian refugees had lived for an average of 5 years in Turkey. Number of adolescents who have more than one traumatic experience was 50 (47.6%). As quantified by the SDQ, it has been found that children who experience more than one traumatic event have more psychological problems than those who experienced only one traumatic event in all areas except the social problems subscale. Emotional Problems Subscale, Peer Problems Subscale and Total SDQ scores have shown statistically significant differences according to classroom typology. Experiencing a traumatic moment in war increased the psychiatric symptoms of adolescents as quantified by the SDQ. If refugee children study in the same classes as non-refugee children, their psychiatric symptoms were less frequent.

     

Iraqi refugees in Jordan: lessons for practice with refugees internationally

Asylum seekers, refugees who are resettled in third countries or those who are forced into refugee camps, present new challenges to social work practitioners. In an attempt to advance theory and develop specialised practice in the area of refugee studies within social work as an international profession, we argue that whatever the flight context, the country of asylum or of resettlement, there is a process underlying what Malkki referred to as refugeeness. This article focuses on the situation of Iraqi refugees in Jordan as an example of the challenges that confront today's refugees. We show that salient issues raised in a local community centre's needs assessment mirror those elements that are central to integration processes that have been discussed in much of the refugee studies literature across the world. We show how these concerns are closely linked to processes that resettled refugees and asylum seekers face, regardless of the country of resettlement. We introduce a framework for analysing an individual refugee's situation and show how an international phenomenon is linked to local practice.     

Social work with Bosnian Muslim refugee children and families: a review of the literature

More than two million Bosnian Muslims were ethnically cleansed in the Balkan region; of these, 200,000 were killed while the others were forced to flee their homes and become refugees. This article focuses on the influence of societal and cultural values coupled with wartime experiences on the transition of Bosnian refugee families to their new countries. Consideration is given to culturally competent theoretical frameworks and practice principles social workers can use to assist Bosnian Muslim children and families in their adaptation process within their resettlement communities.     

Cultural integration through shared learning among resettled Bhutanese women

ABSTRACT

The multidimensional needs of recently resettled refugees have been well documented and range from elevated rates of mental illness and health care challenges to difficulties accessing resources due to language and literacy barriers. These factors are largely responsible for the challenges resettled refugees face in acquiring and maintaining stable employment. It is possible that achieving financial stability through steady employment and purposeful money management may alleviate some stressors associated with the resettlement process, though research in this area that is specific to refugees is in its infancy. What is clear, however, is that a traditional approach to mental health treatment (i.e., therapy in a traditional office setting) may lack effectiveness because of the lack of attention to extraneous stressors such as poverty, transportation, and language and literacy challenges that impact resettled refugees. The purpose of this study was to qualitatively assess the impact of a group-based financial education course and social enterprise on the self-reported mental health (i.e., post-traumatic stress symptoms, depression, anxiety, and somatization) of Bhutanese refugee women resettled in the United States. The study also sought to evaluate the acceptability and overall satisfaction with various components of the intervention. This qualitative study was a follow-up to a larger quantitative study that included 65 Bhutanese women who were resettled to the southwestern United States by a large resettlement agency. The results of this study offer insights into the lived experiences of Bhutanese refugees in the United States, particularly related to cultural integration bolstered by group-based education and shared learning opportunities.     

"Active" and "Passive" Resettlement: The Influence of Support Services and Refugees' own Resources on Resettlement Style

This paper explores the process of resettlement among recent refugees in Perth, Western Australia. We propose four refugee resettlement styles created through the interaction of a number of factors. These factors can be clustered as: (1) the social features of refugees (their human, social, and cultural capital), and (2) the host society's responses to refugee settlers (Australia's resettlement policy and services and the broader influence of the host society's responses to refugees). We propose that refugees approach their resettlement in predominantly active (“achievers” and “consumers”) or passive (“endurers” and “victims”) ways and that these are differentially successful strategies. Medicalization of the refugee experience in Australia is a factor that may influence refugees to adopt a passive “victim role”, so we propose that a greater emphasis during early resettlement should be placed on refugees' own culturally defined priorities such as employment and stable housing. The argument developed in this paper is supported by data from two qualitative research projects conducted in Western Australia. The fieldwork consisted of interviews, focus groups, and participant observation, and targeted refugees from the former Yugoslavia and the Horn of Africa who arrived in Australia during the 1990s and 2000s, as well as resettlement service providers.     

Conceptual Framework for Marriage Education Programs for Stepfamily Couples with Considerations for Socioeconomic Context

Stepfamily couples face unique challenges that put them at higher risk for dissolution than non-stepfamily couples. Risks for stepfamily couples are magnified in the context of lower economic resources, making low-income stepfamily couples a key target population for intervention and for community education programs. Existing programs and services for couples often do not address the unique situations of stepfamilies. This article builds on previous reviews that have offered information on important research themes and assessment of available curricula for stepfamily couples and presents a more comprehensive conceptual model to guide program design and services for stepfamily couples inclusive of specific objectives, as well as conditions and antecedents affecting content and prioritized needs. The goal is to enhance efforts to strengthen more vulnerable couples in complex families.     

Hispanic Parental Experiences of Learning a Child Identifies as a Sexual Minority

Sexual minority youth (SMY) who do not feel loved and supported by their families face greater challenges and often experience various health disparities. The coming out process is often difficult for all SMY and their families. Although there is limited research on the impact of sexual orientation disclosure on families, there is even less that focuses exclusively on Hispanic families. This qualitative study explores the impact on a sample of Hispanic parents of having a child come out as lesbian, gay, or bisexual. The results demonstrate that although coming out is often challenging for SMY and their families, these challenges may be exacerbated for Hispanics due to cultural factors that contribute to children living at home longer and negative reactions to being gay. Parental reactions, impacts of disclosure on the family, and the impact of cultural factors are discussed. This study helps illuminate how cultural factors influence the coming out experience of Hispanic parents. These findings are important for understanding the experiences of these families to provide culturally appropriate resources for families navigating the coming out process.     

Evaluating a multiple-family group access intervention for refugees with PTSD

The purpose of this study was to analyze the effects of a multiple-family group in increasing access to mental health services for refugees with posttraumatic stress disorder (PTSD). This study investigated a nine-session multiple-family group called Coffee and Families Education and Support with refugee families from Bosnia-Herzegovina in Chicago. Adults with PTSD (n = 197) and their families were randomly assigned to receive either the intervention or a control condition. The results indicated that a multiple-family group was effective in increasing access to mental health services and that depression and family comfort with discussing trauma mediated the intervention effect. Further well-designed studies of family interventions are needed for developing evidence-based interventions for refugee families.     

Resettlement and reintegration: Single mothers’ reflections after homelessness

Previous research has identified that most families who become homeless are women with dependent children. Homeless families are reported to have a variety of complex needs; however, little is known about the experiences of families once they are re-housed. The aim of this study is to explore psychosocial issues related to the resettlement experiences of single mothers following a period of homelessness. Qualitative semi-structured interviews were used to gather data from 21 women living in a UK Midlands city. Thematic analysis was used to draw conclusions from the data. Findings indicated that, despite exposure to major stressors, most women had begun the process of resettlement by improving their physical surroundings. Women had achieved personal growth as they had managed to escape violence, overcome homelessness and create new opportunities for themselves and their children. Suggestions are made for future research and improvements to services which would promote resettlement in this population.     

COVID: Using the DAN Model with Couples to Increase Family Resilience

The COVID‐19 pandemic has massively impacted our society, affecting both wider systems and smaller ones alike. Families across the world have had to adapt to a new style of living, dominated by uncertainty, which is testing their resilience. Within this context, we have asked ourselves, as systemic therapists, what can be done to provide support and a sense of understanding to families. In this article, it is argued that therapeutic tools taken from a manualised intervention to promote resilience in couples can provide valuable help to families who are struggling in this difficult time. This intervention, developed at the Iscra Institute in Modena, Italy, is called Digital, Analogic, and Narrative (DAN). The tools used in the DAN model are described in this paper and their application in practice is illustrated through a case study.     

#WE SPEAK: exploring the experience of refugee youth through participatory research and poetry

Despair and a sense of hopelessness have been uninvited fellow travellers for many refugees. Despite the myriad challenges facing refugee populations there are numerous barriers to accessing services in a South African context. This is especially true for refugee youth who often fall through the gap of support given to adults or children. This paper explores the benefits of following a narrative, reflexive approach to participatory action research with refugee youth living in Durban, South Africa. We conducted a series of workshops with a focus on creating safe dialogical spaces, identity and values, agency, social connection and performativity using a Critical Reflexive Framework. What emerged early in the research was a sense of despair due to challenges like poverty and xenophobia, making daily life stressful and unsafe. This was coupled with feelings of hopelessness in a future lacking in possibilities. When these feelings are not dealt with it can result in psychological distress and involvement in a range of antisocial behaviours. However, by following a strength-based methodology in creative interventions to re-member abilities, opportunities can be created for rendering hope and agency. The experience is explored through the voices of participants using narrative dialogical analysis and poetic inquiry.     

Working together as culture brokers by building trusting alliances with bilingual and bicultural newcomer paraprofessionals

The authors' reflect on the challenges and rewards of partnering as casework supervisors with bilingual and bicultural newcomer paraprofessionals in resettlement work with refugee youth. Such individuals are generally recruited for their linguistic abilities and cultural knowledge, but they can lack formal clinical training or licensing credentials. Drawing on their own experience as supervisors of bilingual and bicultural newcomer paraprofessionals from Cambodia, Laos, and Vietnam, the authors compare their early attempts to establish trust and communication with insights gained in more recent supervisory experiences. Recommendations are offered that promote mutual understanding between newcomer paraprofessionals and their Western-trained supervisors.     

Promoting positive development among refugee adolescents

Of the estimated 35.3 million refugees around the world (UNHCR, Figures at a Glance, 2022), approximately 50% are children under the age of 18. Refugee adolescents represent a unique group as they navigate developmental tasks in an unstable and often threatening environment or in resettlement contexts in which they often face marginalization. In addition to physiological, social, and psychological changes that mark adolescence, refugee youth often face traumatic experiences, acculturative stress, discrimination, and a lack of basic resources. In this consensus statement, we examine research on refugee adolescents' developmental tasks, acculturative tasks, and psychological adjustment using Suárez-Orozco and colleague's integrative risk and resilience model for immigrant-origin children and youth proposed by Suárez-Orozco et al. Finally, we discuss recommendations—moving from proximal to more distal contexts.     

The Indochinese Refugees

Cambodian, Laotian and Vietnamese refugees who have come to North American host countries via the South Asian camps have been exposed to many potentially traumatic events and have been submitted to an alienating migration process. A comprehensive analysis of their experience both in refugee camps and North American host countries is facilitated by the use of various stress theories. The stressors of change, acculturation, bereavement and trauma are identified with regard to the migration process of the Indochinese refugees as well as to the pre- and post-migration period. Some implications for practice in social, physical and mental health settings are underlined: in particular a sensitivity to the meaning of physical illness within this population, to the cultural reticence towards mental health consultation, to the possibility of longterm vulnerability to post-traumatic stress disorders and to increasing value conflicts within the family. Intervention experiences both in the South Asian refugee camps and in North American host countries suggests the importance of traditional healers and natural support networks.