Reaching Out for Help: An Analysis of the Differences Between Refugees Who Accept and Those Who Decline Community Mental Health Services
In 2012, clinics in Louisville, Kentucky began to use the RHS-15 to screen for mental health issues among refugees. At the same time, mental health outreach programs were developed and implemented by the Mental Health Coordinator. Data from 563 refugee clients referred to the Mental Health Coordinator from 2012 to 2015 was analyzed to examine differences between refugees who accepted referral to community mental health services and those who declined on the variables age, gender, country of origin, time in the U.S., and referral source. Results indicate significant differences with regard to time in the U.S. and referral source. Those more likely to accept services included refugees in the U.S. more than 240 days and those referred by non-clinic sources. Findings improve our understanding of the characteristics of refugees who accept and decline mental health services and support the value of both formal screening and community outreach programs.
KeywordsRefugee/s Mental health Service utilization Screening Outreach
- 1.Office of Refugee Resettlement. Revised medical screening guidelines for newly arriving refugees. 2013. https://www.acf.hhs.gov/orr/resource/state-letter-12-09. Accessed 2 October 2016.
- 2.Hollifield M, Verbillis-Kolp S, Farmer B, Toolson EC, Woldehaimanot T, Yamazaki J, Holland A, Clair JS, SooHoo J. The Refugee Health Screener-15 (RHS-15): development and validation of an instrument for anxiety, depression, and PTSD in refugees. Gen Hosp Psychiatry. 2013;35(2):202–9.CrossRefPubMedGoogle Scholar
- 14.Abe-Kim J, Takeuchi DT, Hong S, Zane N, Sue S, Spencer MS, Appel H, Nicdao E, Alegría M. Use of mental health–related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American study. Am J Public Health. 2007;97(1):91–8.CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Pathways to Wellness. Refugee health screener-15: utilization request and agreement. 2012. http://refugeehealthta.org/wp-content/uploads/2012/09/RHS15_Packet_PathwaysToWellness-1.pdf. Accessed 2 October 2016.