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Provider Perspectives of Services Addressing the Mental Health Needs of Resettled Refugee Youth


A range of services are provided to assist resettled refugees with meeting their basic needs and supporting their integration in the United States. The inability to adequately assess and address the mental health needs among youth in this population is a concern raised by service providers who work with resettled refugees. The current study aimed to gain the perspectives of those who serve this population about the strengths and barriers to mental health services addressing the needs of resettled refugee youth. We conducted individual interviews and applied inductive qualitative methods to identify themes. Supplemental survey data were collected as well; descriptive findings are integrated into the themes. Analysis resulted in six themes. Refugee youth service providers observe high levels of resilience and positive development among youth who engage in programs, in addition to concerns that many refugee youth might not be thriving nor accessing adequate services. Providers’ recommendations for best practices focus mainly on cultural competence and engagement with youth in the context of their families, communities, and groups, and less on individual counseling. A depth of nuance and complexity regarding language and cultural barriers. Results contribute greater understanding and credence to the importance for improving the capacity to recognize and intervene in refugee youth mental health needs. Offers important insight for assessment of refugee youth programs and well-being, enhancing youth services, and approaching further research.

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  • Bates, L., Baird, D., Johnson, D. J., Lee, R. E., Luster, T., & Rehagen, C. (2005). Sudanese refugee youth in foster care: The ‘lost boys’ in America. Child Welfare, 84, 631–648.

    PubMed  Google Scholar 

  • Betancourt, T. S., Abdi, S., Ito, B. S., Lilienthal, G. M., Agalab, N., & Ellis, H. (2015). We left one war and came to another: Resource loss, acculturative stress, and caregiver-child relationships in Somali refugee families. Cultural Diversity and Ethnic Minority Psychology, 21, 114–125.

    Article  Google Scholar 

  • Birman, D., & Tran, N. (2008). Psychological distress and adjustment of Vietnamese refugees in the United States: Association with pre- and post-migration factors. American Journal of Orthopsychiatry, 78, 109–120.

    Article  Google Scholar 

  • Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality and Quantity, 36, 391–409.

    Article  Google Scholar 

  • Bolton, E. E. (2016). PTSD in refugees. Retrieved from

  • Bronstein, I., & Montgomery, P. (2011). Psychological distress in refugee children: A systematic review. Clinical Child and Family Psychology Review, 14, 44–56.

    Article  Google Scholar 

  • Bruijn, B. (2009). Human development research paper: The living conditions and well-being of refugees. Retrieved from

  • Cohen, M. M., Tottenham, N. N., & Casey, B. J. (2013). Translational developmental studies of stress on brain and behavior: Implications for adolescent mental health and illness? Neuroscience, 249, 53–62.

    Article  Google Scholar 

  • Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks: Sage Publications.

    Book  Google Scholar 

  • Costigan, C. L., Koryzma, C. M., Hua, J. M., & Chance, L. J. (2010). Ethnic identity, achievement, and psychological adjustment: Examining risk and resilience among youth from immigrant Chinese families in Canada. Cultural Diversity and Ethnic Minority Psychology, 16, 264.

    Article  Google Scholar 

  • Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into Practice, 39, 124–130.

    Article  Google Scholar 

  • Delgado, M. (2017). Music, song, dance, and theater: Broadway meets social justice youth community practice. New York: Oxford University Press.

    Google Scholar 

  • Ellis, B. H., Kia-Keating, M., Yusuf, S. A., Lincoln, A., & Nur, A. (2007). Ethical research in refugee communities and the use of community participatory methods. Transcultural Psychiatry, 44, 459–481.

    Article  Google Scholar 

  • Ellis, B. H., MacDonald, H. Z., Lincoln, A. K., & Cabral, H. J. (2008). Mental health of Somali adolescent refugees: The role of trauma, stress, and perceived discrimination. Journal of Consulting and Clinical Psychology, 76, 184.

    Article  Google Scholar 

  • Exec. Order No. 13769, 3 C.F.R. 8977–8982 (2017).

  • Exec. Order No. 13780, 3 C.F.R. 13209–13219 (2017).

  • Fox, P. G., Rossetti, J., Burns, K. R., & Popovich, J. (2005). Southeast Asian refugee children: A school-based mental health intervention. The International Journal of Psychiatric Nursing Research, 11, 1227–1236.

    PubMed  Google Scholar 

  • Hanson, W. E., Creswell, J. W., Clark, V. L. P., Petska, K. S., & Creswell, J. D. (2005). Mixed methods research designs in counseling psychology. Journal of Counseling Psychology, 52, 224.

    Article  Google Scholar 

  • Heptinstall, E., Sethan, V., & Taylor, E. (2004). PTSD and depression in refugee children: Associations with pre-migration and post-migration stress. European Child & Adolescent Psychiatry, 13, 373–380.

    Article  Google Scholar 

  • Jasso, G. (2011). Migration and stratification. Social Science Research, 40, 1292–1336.

    Article  Google Scholar 

  • Kelly, B. L., & Doherty, L. (2017). A historical overview of art and music-based activities in social work with groups: Nondeliberative practice and engaging young people’s strengths. Social Work with Groups, 40, 187–201.

    Article  Google Scholar 

  • LeBlanc, K., & Waters, T. (2005, March). Schooling in refugee camps. Retrieved from

  • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry (Vol. 75). Thousand Oaks: Sage Publications.

    Google Scholar 

  • Lustig, S. L., Kia-Keating, M., Knight, W. G., Geltman, P., Ellis, H., Kinzie, J. D., Keane, T., & Saxe, G. N. (2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 24–36.

    Article  Google Scholar 

  • Murray, K. E., Davidson, G. R., & Schweitzer, R. D. (2010). Review of refugee mental health interventions following resettlement: Best practices and recommendations. American Journal of Orthopsychiatry, 80, 576–585.

    Article  Google Scholar 

  • Nakeyar, C., Esses, V., & Reid, G. J. (2018). The psychosocial needs of refugee children and youth and best practices for filling these needs: A systematic review. Clinical Child Psychology, 23, 186–208.

    Article  Google Scholar 

  • National Child Traumatic Stress Network (2005). Mental health interventions for refugee children in resettlement: White paper II. Retrieved from

  • Newland, K. (2015, October). The U.S. record shows refugees are not a threat. Retrieved from

  • Office of Refugee Resettlement (2017). What we do. Retrieved from

  • Orellana, M. F. (2016). Immigrant children in transcultural spaces: Language, learning, and love. New York: Routledge.

    Google Scholar 

  • Pew Research Center (2017). U.S. resettles fewer refugees, even as global number of displaced people grows. Retrieved from

  • QSR International (2018).

  • Ray, B. K., & Morse, A. (2004). Building the new American community: Newcomer integration and inclusion experiences in non-traditional gateway cities. Sponsored by the Office of Refugee Resettlement Washington, DC: Migration Policy Institute.

    Google Scholar 

  • Refugee Council, U. S. A. (2018). History of the U.S. refugee resettlement program. Retrieved from

  • Rhodes, A. M., & Schechter, R. (2014). Fostering resilience among youth in inner city community arts centers: The case of the artists collective. Education and Urban Society, 46, 826–848.

    Article  Google Scholar 

  • Romeo, R. D. (2014). The teenage brain: The stress response and the adolescent brain. Current Directions in Psychological Science, 22, 88–93.

    Google Scholar 

  • Serap, K., Oddgeir, F., Thormod, I., Selcuk, S., & Oppedal, B. (2018). Resilience and acculturation among unaccompanied refugee minors. International Journal of Behavioral Development, 42, 52–63.

    Article  Google Scholar 

  • Sleijpen, M., Boeije, H. R., Kleber, R. J., & Mooren, T. (2016). Between power and powerlessness: A metaethnography of sources of resilience in young refugees. Ethnicity & Health, 21, 158–180.

    Article  Google Scholar 

  • U.S. Office of Refugee Resettlement (2018). About unaccompanied refugee minors. Retrieved from

  • Umaña-Taylor, A. J., & Updegraff, K. A. (2007). Latino adolescents’ mental health: Exploring the interrelations among discrimination, ethnic identity, cultural orientation, self-esteem, and depressive symptoms. Journal of Adolescence, 30(4), 549–567.

    Article  Google Scholar 

  • Wesley Urban Minstries (2014). Newcomer youth support services—Evaluation. Retrieved from

  • Zarrett, N., & Lerner, R. M. (2008, February). Ways to promote the positive development of children and youth (Research Brief No. 2008-11). Retrieved from

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Correspondence to Shandra S. Forrest-Bank.

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Forrest-Bank, S.S., Held, M.L. & Jones, A. Provider Perspectives of Services Addressing the Mental Health Needs of Resettled Refugee Youth. Child Adolesc Soc Work J 36, 669–684 (2019).

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  • Refugee youth
  • System of care
  • Mental health
  • Positive youth development