International Journal of Migration Health and Social Care

Lester, Hannah; Ryakhovskaya, Yana; Olorunnisola, Titus S.

2023 International Journal of Migration Health and Social Care

doi: 10.1108/ijmhsc-09-2022-0098

Resilience is an increasingly important concept that contributes to sustainability and wellbeing of a community. Asset-based community development (ABCD) may offer promising approaches to boosting community resilience in Australia, especially within marginalised groups.Design/methodology/approachA scoping review was conducted to conceptualise existing literature on ABCD approaches to building resilience. Research databases were searched with relevant details.FindingsThirty-three sources were identified as meeting the inclusion criteria and were reviewed in terms of six themes: integration and identity, health, mental health, education, employment and community planning. Issues identified by the literature within these themes can be alleviated through asset-based approaches. Implications for planning of asset-based programs and policy change are discussed in light of the findings.Practical implicationsThe results of this study provide several implications for practise, policy recommendations and future research into this area. Results suggest that increasing capacity around asset-based coping mechanisms, such as support networks through religious and cultural groups, would promote community development and foster resilience. Furthermore, policy on refugees in multiple areas, such as psychological service provision and employment, should be redesigned in a way that acknowledges their complex and diverse needs and facilitates their integration into the community. Though multiple ways to achieve this goal have been explored in literature, a sustained and broader approach is necessary to see widespread change. Further research and funding are required to explore and implement appropriate responses. Based on the findings and discussion above, the authors make the following policy recommendations. Service providers need to be aware of and incorporate culturally appropriate programs in the areas of mental health assessment and intervention, education and employment. The trauma-informed approach should be used when dealing with refugee groups and other groups who have faced hardships. Government policy should focus on improving community engagement to create and strengthen social networks, which are vital in boosting integration into the community and increasing health education and access to services. Government should focus on asset-based approaches in designing education and employment integration programs to promote social belonging and community engagement, and thus, community resilience, which will consequently have beneficial individual and group outcomes. The current governmental policy surrounding refugees should be overhauled with the goal of successful refugee integration in mind, such as incorporating the ability for refugees to access vital services such as employment and skills transferability programs. Due to current policy, these services are inaccessible to a large portion of refugees, hindering their integration. Government needs to create specific guidelines for the provision of psychological services to refugees to improve the quality of mental health services available to this group.Originality/valueThis paper comprises an original data analysis of the relevant existing literature by the project team. The process was rigorous, and no content of the analysis has been published previously except the material published by other authors. All previously published materials were duly acknowledged.

Alnaji, Nada A.; Struwe, Leeza A.; Bagenda, Danstan

2023 International Journal of Migration Health and Social Care

doi: 10.1108/ijmhsc-04-2022-0050

Refugee mothers are at a significantly increased risk of suffering from postpartum depression. However, available tools to screen for it often use a Western paradigm of mental health, which may not be culturally appropriate, and may not account for the background stress experienced by refugees. The purpose of this study is to test and validate refugee health screener-13 (RHS-13), which was developed by consultation with refugees from different backgrounds among a group of Syrian refugee mothers living in Beqaa’s valley in Lebanon.Design/methodology/approachThe tool was tested on a sample of 103 women. Internal consistency of the items for each subscale was assessed using Cronbach’s alpha. An interitem correlation was performed to examine the most correlated items on the scale. Pearson correlation coefficient was calculated between each subscale and its diagnostic proxy. To find the best fit cutoff point between sensitivity and 1-specificity, ROC curves were used.FindingsRHS-13 is a reliable and valid tool to detect depression and anxiety among postpartum Syrian mothers (internal consistency 0.803, correlation with patient health questionnaire: 0.63 and correlation with generalized anxiety disorder-7: 0.73). The best fit cutoff points were 12, 15 and 25, indicating the severity of symptoms from mild to severe, respectively.Originality/valueRHS-13 is a valid tool among postpartum refugees in Lebanon and can be used by primary care physicians, mental health providers and social workers working with refugees from the Middle East to screen mothers for depression and anxiety.

Malloy, Alix; Rogers, Corinne Marie; Caine, Vera; Clandinin, D. Jean

2023 International Journal of Migration Health and Social Care

doi: 10.1108/ijmhsc-06-2022-0058

Refugees living with disabilities are among the most vulnerable, isolated and marginalized populations, and, of this group, children are particularly vulnerable. The purpose of this study is to identify current knowledge and research gaps specific to the experiences of refugee families who have children with disabilities. The authors assess the quality of evidence and describe the theoretical underpinnings of research that focuses on refugee families who have children with disabilities.Design/methodology/approachThe authors searched nine electronic databases from database inception for English language, peer-reviewed publications. The authors identified themes from the included studies.FindingsThe authors identified 10 studies that fit their inclusion criteria and shown key findings in the form of six themes. Families who have children with disabilities experience structural barriers; their experiences are impacted by family factors and the degree and kind of support received, as well as the knowledge of parents about their rights. Gender differences made visible the precarious situations experienced by girls with disabilities. Gaps in educational standards and the capacity of schools, particularly in refugee camps, were highlighted.Research limitations/implicationsThe authors show that there is a lack of evidence-based research focusing on refugee children’s own experiences of living with disabilities. Children’s experiences that were visible were, for the most part, attended to through other’s accounts of their experiences. Many studies that the authors found (the current knowledge to date) describe children with disabilities through third-party accounts, including parents, caregivers and those who provided services to this population. There is an urgent need to explore the experiences of children who have disabilities and are displaced from their home country.Originality/valueThis systematic review focuses on refugee children experiences that has not been conducted before and identifies the research gaps for this group. Attention to how disabilities are understood philosophically and who are defined as refugees are needed in order for the research to accrue in ways that build a consistent body of literature. Without some consistency, it is not possible for studies to build on one another.

Ramburn, Triya Tessa; Wu, Yufei Mandy; Kronick, Rachel

2023 International Journal of Migration Health and Social Care

doi: 10.1108/ijmhsc-09-2022-0095

Community gardens are increasingly used as interventions during the resettlement of refugees and other migrants. Little is known about how garden programs might support their mental health and wellbeing. Given the links between climate change and forced migration, community gardens are especially relevant, as they can also support climate change mitigation. This study aims to document psychosocial outcomes of gardening programs for refugees and migrants, and mechanisms leading to these outcomes.Design/methodology/approachThe authors searched major databases and the grey literature up to 2021, resulting in the inclusion of 17 peer-reviewed and 4 grey literature articles in a thematic, qualitative analysis.FindingsFour consistent themes arose from the analysis: community gardening programs promoted continuity and adaptation (81% of articles), social connectedness (81%), overall wellbeing (95%) and a sense of meaning and self-worth (67%). The results suggest that community gardens can strengthen psychosocial pillars that are key to the recovery and resettlement of refugees and migrants. The land-based and social nature of community gardening may enable connections to the land and others, nurture a sense of belonging in the host country and provide a link to the past for those from agricultural backgrounds.Research limitations/implicationsFurther participatory action research is needed to develop guidelines for the successful implementation of community gardens by resettlement organisations.Originality/valueThis review indicates that community gardens can be effective psychosocial interventions as part of a network of services supporting the resettlement of refugees and migrants.

Samanta, Ramkrishna; Munda, Jadab; Mandal, Sourav; Adhikary, Mihir

2023 International Journal of Migration Health and Social Care

doi: 10.1108/ijmhsc-07-2022-0068

Migration appears to be a determinant in health-care utilisation, particularly among the elderly in India. Ageing and migration are essential socio-demographic phenomena in the 21st century for developing and developed countries to establish better public health-care policies. This study aims to focus on the status and determinants of health-care utilisation among elderly migrants who have migrated after attaining the age of 45 and above.Design/methodology/approachThis study used the data from the first wave of the longitudinal ageing study in India (LASI) in 2017–2018. Two outcome variables were used to examine the health-care utilisation, including in-patient and out-patient care. Binary logistic regression was used to explore the predictors of healthcare utilisation in terms of in-patient and out-patient care among the elderly migrant population.FindingsA total of 82.9% of elderly migrants had visited out-patient care when they were sick, whereas 15.3% have used in-patient care. Enabling factors, such as wealth quintile and health insurance, and need factor, such as chronic disease and self-rated health, were more significant factors influencing the health-care utilisation.Originality/valueThis study contributes to our understanding of older migrants’ health-care utilisation. Focussing on this study’s outcome, policymakers and decision makers may consider improving older migrants’ access to health-care by raising their income level, offering local health insurance and health awareness programs.