Developing culturally responsive services for working with refugee youth with mental health concerns
Acknowledgements Conflict of interest statement Disclaimer
Executive summary Research objective
Method Findings
Recommendations for service development and implementation
Table of contents Executive summary... iv Part one: Introduction and background... 1 Research aims... 1 Refugee youth and mental health needs... 2 Mental health services for refugee youth... 3 Service delivery and use in New Zealand... 6 Part one: Summary... 9 Part two: Issues and challenges faced by refugee youth presenting to mental health services in New Zealand... 10 Phase one: Factors influencing mental health needs... 10 Pre-migration trauma... 11 Post-migration and resettlement challenges... 12 Phase two: Challenges to accessing mental health services... 15 Personal and cultural... 17 Family... 22 Social and economic... 25 Service capability... 27 Limitations of the study... 33 Part two: Summary... 35 Let s get real and Real Skills Plus CAMHS... 36 Conclusion... 39 Appendix A: Design and method... 44 References... 50
List of tables Table 1: Summary of issues identified by refugee youth and their families... 16 Table 2: Summary of issues identified by health professionals... 17 Table 3: Questions identified by refugee youth and their families... 41 Table 4: Mental health and community professionals focus group participants... 46 Table 5: Refugee youth participants... 48
Part one: Introduction and background Research aims
Refugee youth and mental health needs
Mental health services for refugee youth
Service delivery and use in New Zealand
Part one: Summary
Part two: Issues and challenges faced by refugee youth presenting to mental health services in New Zealand Phase one: Factors influencing mental health needs
Pre-migration trauma
Post-migration and resettlement challenges
Phase two: Challenges to accessing mental health services
Table 1: Summary of issues identified by refugee youth and their families Issues and challenges Specific elements Personal and cultural Family Language Stigma and privacy Impact on schooling and work Paucity of mental health and service knowledge Social and economic Service capacity Lack of transport and waiting lists Capacity building
Table 2: Summary of issues identified by health professionals Issues and challenges Specific elements Family Service capability Managing family s goals and priorities Including family in interventions Managing interpreter s or support person s responses Liaising with other agencies Lack of cultural knowledge and skills Engagement difficulties Personal and cultural
Family
Social and economic
Service capability
Limitations of the study
Part two: Summary
Let s get real and Real Skills Plus CAMHS
Conclusion
Table 3: Questions identified by refugee youth and their families Questions 1. What is the youth s or family s understanding of why they are being seen? 2. What is their understanding about the service that they are seeing? 3. What are their expectations about the service, and what do they think or hope the service can help them with? 4. What are the key challenges the young person and their family continue to face since being in New Zealand? 5. From the challenges discussed, what is the young person s or family s primary concerns? 6. What does the family think is causing or contributing to the problems that the young person or family is experiencing? 7. What does the family think needs to occur to make things better? 8. Traditionally, if a similar problem occurred back in their home country, how would the family deal with the problem?
Appendix A: Design and method Research design Ethics approval
Recruitment strategies
Methods and data collection procedures Phase one Table 4: Mental health and community professionals focus group participants
Table 5: Refugee youth participants Data analysis
References