Journal of Immigrant and Minority Health

, Volume 17, Issue 5, pp 1444–1450

Does Integrated Care Affect Healthcare Utilization in Multi-problem Refugees?

  • Carol C. White
  • Craig A. Solid
  • James S. Hodges
  • Deborah H. Boehm
Original Paper

DOI: 10.1007/s10903-014-0088-6

Cite this article as:
White, C.C., Solid, C.A., Hodges, J.S. et al. J Immigrant Minority Health (2015) 17: 1444. doi:10.1007/s10903-014-0088-6


A history of trauma is common in refugee populations and appropriate treatment is frequently avoided. Using a convenience sample of 64 patients in a Somali primary care clinic, a culture and trauma specific intervention was developed to address retention into appropriate treatment. One goal of the intervention was to improve the rate of engagement in psychotherapy after a mental health referral and to test the effect of psychotherapy on health care utilization using a staged primary care clinical tool. Forty-eight percent of patients given a mental health referral engaged in psychotherapy. Patients engaging in psychotherapy had higher baseline utilization and over 12 months trended towards less emergency room use and more primary care. Our findings suggest that the intervention improved referral and retention in mental health therapy for East African refugee women.


Refugees Political trauma Integrated care Special populations Primary care 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol C. White
    • 1
  • Craig A. Solid
    • 2
  • James S. Hodges
    • 3
  • Deborah H. Boehm
    • 4
  1. 1.Center for Victims of TortureSt. PaulUSA
  2. 2.Minneapolis Medical Research FoundationMinneapolisUSA
  3. 3.Division of BiostatisticsUniversity of MinnesotaMinneapolisUSA
  4. 4.Division of General Internal MedicineHennepin County Medical CenterMinneapolisUSA

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