Mental Health and Psychosocial Needs of Syrian Refugees: A Literature Review and Future Directions
Keywords:Syrian refugees, refugee mental health, refugee crisis, refugee resettlement, psychosocial wellbeing, well-being
Since 2011, the Syrian refugee crisis has resulted in a massive displacement of Syrians, inside and outside of Syria. The enormous psychosocial needs of displaced Syrians have been documented by various reports and studies. With expected arrivals of Syrian refugees resettling in the United States in the near future, the intensity of the challenges for both resettlement agencies and the Syrian refugees themselves are expected to increase. A literature review was conducted for publications produced between March 2011 and January 2017. Academic and grey literature were explored to provide an overview of the psychosocial well-being and cultural characteristics of Syrians. Additionally, current models were analyzed to identify future directions for social work practice. It is vital to understand the Syrian refugee crisis through a multidisciplinary lens. Responding to the challenges found among Syrians requires deliberate consideration for sociocultural, historical, and political issues that uniquely describe them and their contexts. Identifying psychosocial needs may facilitate other aspects of resettlement outcomes, such as employment, education, and social integration. Incorporating a holistic model that reflects trauma-informed and human rights perspectives into clinical as well as policy practices is critical for better overall resettlement outcomes for Syrian refugees, and refugee populations in general.
Acarer, E. (2015, January 17). Kamplardaki Kadin ticareti. Cumhuriyet. Retrieved from http://www.cumhuriyet.com.tr/haber/turkiye/188373/Kamplardaki_kadin_ticareti.html
Acarturk, C., Konuk, E., Cetinkaya, M., Senay, I., Sijbrandij, M., Gulen, B., & Cuijpers, P. (2016). The efficacy of eye movement desensitization and reprocessing for post-traumatic stress disorder and depression among Syrian refugees: Results of a randomized controlled trial. Psychological Medicine, 46, 2583-2593. doi:10.1017/S0033291716001070
Alpak, G., Unal, A., Bulbul, F., Sagaltici, E., Bez, Y., Altindag, A., . . . Savas, H. A. (2015). Post-traumatic stress disorder among Syrian refugees in Turkey: A cross-sectional study. International Journal of Psychiatry in Clinical Practice, 19, 45-50. doi:10.3109/13651501.2014.961930
Anani, G. (2013). Dimensions of gender-based violence against Syrian refugees in Lebanon. Forced Migration Review, 44, 75-78.
Aziz, I. A., Hutchinson, C. V., & Maltby, J. (2014). Quality of life of Syrian refugees living in camps in the Kurdistan region of Iraq. PeerJ, 2, e670. doi:10.7717/peerj.670
Beiser, M. (2006). Longitudinal research to promote effective refugee resettlement. Transcultural Psychiatry, 43, 56-71. doi:10.1177/1363461506061757
Blight, K. J., Ekblad, S., Persson, J., & Ekberg, J. (2006). Mental health, employment and gender. cross-sectional evidence in a sample of refugees from Bosnia-Herzegovina living in two Swedish regions. Social Science & Medicine, 62, 1697-1709. doi:10.1016/j.socscimed.2005.08.019
Boswall, K., & Al Akash, R. (2015). Personal perspectives of protracted displacement: An ethnographic insight into the isolation and coping mechanisms of Syrian women and girls living as urban refugees in northern Jordan. Intervention, 13, 203-215. doi:10.1097/WTF.0000000000000097
Bou Khalil, R. (2013). Where all and nothing is about mental health: Beyond posttraumatic stress disorder for Displaced Syrians. American Journal of Psychiatry,170, 1396-1397.
Bowen, E. A., & Murshid, N. S. (2016). Trauma-informed social policy: A conceptual framework for policy analysis and advocacy. American Journal of Public Health, 106, 223–229. http://doi.org/10.2105/AJPH.2015.302970
Brown, K. S., Jones, L.N., Nilsson, J.E., Russell, E.B., & Klevens C.L. (2006). The empowerment program: An application of an outreach program for refugee and immigrant women. Journal of Mental Health Counseling, 28, 38–47.
Budosan, B., Benner, M. T., Abras, B., & Aziz, S. (2016). Evaluation of one mental health/psychosocial intervention for Syrian refugees in Turkey. International NGO Journal, 11, 12-19. doi:10.5897/INGOJ2016.0305
Bushak, L. (2016). Refugees in America’s healthcare system: How refugee families get the care they need to build new live. Retrieved from http://www.medicaldaily.com/refugee-healthcare-371676
CARE. (2013). Syrian refugees in urban Jordan. Retrieved from http://www.care.org/syrian-refugees-urban-jordan
Centers for Disease Control and Prevention. (2013). Immigrant and refugee health. Retrieved from http://www.cdc.gov/immigrantrefugeehealth/guidelines/refugee-guidelines.html
Center for Middle Eastern Strategic Studies. (2014). Suriye’ye komsu ulkelerde Suriyeli multecilerin durumu: Bulgular, sonuclar ve oneriler. Retrieved from http://www.orsam.org.tr/tr/trUploads/Yazilar/Dosyalar/201452_189tur.pdf
Charles, L., & Denman, K. (2013). Syrian and Palestinian Syrian refugees in Lebanon: The plight of women and children. Journal of International Women's Studies, 14, 96-111.
Cultural Orientation Resource Center. (2014, November). Refugees from Syria. Retrieved from http://www.culturalorientation.net/library/publications
Dewachi, O., Skelton, M., Nguyen, V.K., Fouad, F.M., Sitta, G.A., Maasri, Z. & Giacaman, R. (2014). Changing therapeutic geographies of the Iraqi and Syrian wars. The Lancet, 383, 449–457.
Dwairy, M. (2006). Counseling and Psychotherapy with Arabs and Muslims: A Culturally Sensitive Approach. Teachers College Press, New York: NY.
El Chammay, R.E., Kheir, W., & Alaouie, H. (2013). Assessment of mental health and psychosocial support services for Syrian refugees in Lebanon. Retrieved from http://data.unhcr.org/syrianrefugees/download.php?id=4575
Ferris, E. & Kirişci, K. (2015). What Turkey’s open-door policy means for Syrian refugees. Retrieved from http://www.brookings.edu/blogs/order-from-chaos/posts/2015/07/08-turkey-syrian-refugees-kirisci-ferris
Fitzsimons, S., & Fuller, R. (2002). Empowerment and its implications for clinical practice in mental health: A review. Journal of Mental Health, 11, 481-499. doi:10.1080/09638230020023
Gale, P. (2004). The refugee crisis and fear: populist politics and media discourse. Journal of Sociology, 40, 321-340.
Gabiam, N. (2016). Humanitarianism, development, and security in the 21st century: Lessons from the Syrian refugee crisis. International Journal of Middle East Studies, 48, 382-386. doi:10.1017/S0020743816000131
Hassan, G., Kirmayer, L.J., Mekki- Berrada, A., Quosh, C., El Chammay, R., Deville-Stoetzel, J.B.,…Ventevogel, P. (2015). Culture, context and the mental health and psychosocial wellbeing of Syrians: A review for mental health and psychosocial support staff working with Syrians affected by armed conflict. Retrieved from http://www.unhcr.org/55f6b90f9.pdf
Hassan, G., Ventevogel, P., Jefee-Bahloul, H., Barkil-Oteo, A., & Kirmayer, L. J. (2016). Mental health and psychosocial wellbeing of Syrians affected by armed conflict. Epidemiology and Psychiatric Sciences, 25, 129-141.
Hijazi, Z. & Weissbecker, I. (2015) Syria Crisis: Addressing Regional Mental Health Needs and Gaps in the Context of the Syria Crisis. Retrieved from http://internationalmedicalcorps.org/document.doc?id=526
Hollander, A. (2013). Social inequalities in mental health and mortality among refugees and other immigrants to Sweden--epidemiological studies of register data. Global Health Action, 6, 21059.
Hutchinson, M., & Dorsett, P. (2012). What does the literature say about resilience in refugee people? implications for practice. Journal of Social Inclusion, 3, 55-78.
Jabbar, S. A., & Zaza, H. I. (2016). Evaluating a vocational training programme for women refugees at the Zaatari camp in Jordan: Women empowerment: A journey and not an output. International Journal of Adolescence and Youth, 21, 304-319. doi:10.1080/02673843.2015.1077716
James, L., Sovcik, A., Garoff, F., & Abbasi, R. (2014). The mental health of Syrian refugee children and adolescents. Forced Migration Review, 47, 42-44.
Jefee-Bahloul, H., & Khoshnood, K. (2014). Mental health research in the Syrian humanitarian crisis. Frontiers in Public Health, 44, 1-2. doi:10.3389/fpubh.2014.00044
Jefee-Bahloul, H., Moustafa, M., Shebl, F.M., & Barkil-Oteo, A. (2014). Pilot assessment and survey of Syrian refugees’ psychological stress and openness to referral for telepsychiatry (PASSPORT Study). J Telemed E-Health, 20, 977-979. doi:10.1089/tmj.2013.0373
Jefee-Bahloul, H., Barkil-Oteo, A., Pless-Mulloli, T., & Fouad, F. M. (2015). Mental health in the Syrian crisis: Beyond immediate relief. The Lancet, 386,1531-1531. doi:10.1016/S0140-6736(15)00482-1
Jeon, W., Yoshioka, M., & Mollica, R.F. (2001). Science of Refugee Mental Health: New Concepts and Methods. Retrieved from http://hprt-cambridge.org/wp-content/uploads/2011/01/ScienceofRefugeeMentalHealth.pdf
Lama, S., François, K., Marwan, Z., & Sami, R. (2016). Impact of the Syrian crisis on the hospitalization of Syrians in a psychiatric setting. Community Mental Health Journal,52, 84-93. doi:10.1007/s10597-015-9891-3
Masterson, A. R., Usta, J., Gupta, J., & Ettinger, A. (2014). Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. Bmc Women’s Health, 14, 25-25. doi:10.1186/1472-6874-14-25
Migration Policy Institute (2017). Trump Executive Order on Refugees and Travel Ban: A Brief Review. Retrieved from http://www.migrationpolicy.org/research/trump-executive-order-refugees-and-travel-ban-brief-review
Mollica, R. & McDonald, L. (2002). Old stereotypes, new realities: Refugees and mental health. UN Chronicle, 39. Retrieved from www.un.org/pubs/chronicle/2002/issue2/0202p29_refugees_and_mental_health.html
Moustafa, M. (2015). Telepsychiatry and mental health care for Syrian refugees in Turkey (Order No. 3717905). Available from ProQuest Dissertations & Theses Global. (1711728428). Retrieved from http://search.proquest.com.gate.lib.buffalo.edu/docview/1711728428?accountid=14169
Nazzal, K. H., Forghany, M., Geevarughese, M. C., Mahmoodi, V., & Wong, J. (2014). An innovative community-oriented approach to prevention and early intervention with refugees in the United States. Psychological Services, 11, 477-485. doi:10.1037/a0037964
Nelson, J. A. (2008). Tele-mental health: Advancements and opportunities. Home Health Care Management & Practice, 21, 70-71. doi:10.1177/1084822308322285
Newman, E., & Selm, J.V. (2003). Refugees and forced displacement: International security, human vulnerability, and the state. Tokyo, Japan: United Nations University Press.
Office of Refugee Resettlement. (2016). Office of Refugee Settlement. Retrieved from http://www.acf.hhs.gov/programs/orr/
Pace, M., Al-Obaydi, S., Nourian, M. M., & Kamimura, A. (2015). Health services for refugees in the United States: Policies and recommendations. Public Policy and Administrative Research, 5, 63-68.
Sami, S., Williams, H. A., Krause, S., Onyango, M. A., Burton, A., & Tomczyk, B. (2014). Responding to the Syrian crisis: The needs of women and girls. Lancet, 383, 1179-1181. doi:10.1016/S0140-6736(13)62034-6
Seng, J. S., Lopez, W. D., Sperlich, M., Hamama, L., & Reed Meldrum, C. D. (2012). Marginalized identities, discrimination burden, and mental health: Empirical exploration of an interpersonal-level approach to modeling intersectionality. Social Science and Medicine,75, 2437-2445.
Silove, D. (2004). The challenges facing mental health programs for post-conflict and refugee communities. Prehospital and Disaster Medicine, 19, 90-96.
Skran, C. & Daughtry C. N. (2007) The study of refugees before “refugee studies”. Refugee Survey Quarterly, 26, 15-35.
Spiegel, P., & Rubenstein, L. (2017). The academic case for repealing trump's refugee and travel ban. The Lancet, 389, 679-680. doi:10.1016/S0140-6736(17)30332-X
Stein, B.N. (1986). The experience of being a refugee: Insights from the research literature. Retrieved from https://www.msu.edu/course/pls/461/stein/MNREXP1.html
Stenmark, H., Catani, C., Neuner, F., Elbert, T., & Holen, A. (2013). Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study. Behavior Research and Therapy, 51, 641-647. doi:10.1016/j.brat.2013.07.002
The White House (2017). Executive Order: Protecting the nation from foreign terrorist entry into The United States. Retrieved from https://www. whitehouse.gov/the-press-office/2017/01/27/executive-order-protectingnation-foreign-terrorist-entry-united-states.
United States Congress House (2015). Admitting Syrian refugees: The intelligence void and the emerging homeland security threat. Retrieved from https://www.gpo.gov/fdsys/pkg/CHRG-114hhrg96168/pdf/CHRG-114hhrg96168.pdf
U.S. Department of State. (2015). New U.S. Humanitarian Assistance to Respond to Syria Crisis. Retrieved from http://www.state.gov/r/pa/prs/ps/2015/09/247115.htm
UNHCR. (2013) In Lebanon, Syrian Refugees Resort to ‘Survival Sex’. Retrieved from http://www.unhcr.org/cgi-bin/texis/vtx/refdaily?pass=52fc6fbd5&id=51f8a31a5
UNHCR. (2014a). Asylum Trends, First half 2014. Retrieved from http://www.unhcr.org/5423f9699.html
UNHCR. (2014b). Assessment of mental health and psychosocial support needs of displaced Syrian in Jordan. Retrieved from https://data.unhcr.org/syrianrefugees/download.php?id=6650
UNHCR. (2015). 2015 UNHCR country operations profile – Turkey. Retrieved from http://www.unhcr.org/pages/49e48e0fa7f.html
UNHCR. (2017). Syria regional refugee response. Retrieved from http://data.unhcr.org/syrianrefugees/regional.php
USAID. (2017). Syria complex emergency – Fact sheet #5. Retrieved from https://www.usaid.gov/crisis/syria/fy17/fs05
Weinstein, N., Khabbaz, F., & Legate, N. (2016). Enhancing need satisfaction to reduce psychological distress in Syrian refugees. Journal of Consulting and Clinical Psychology, 84, 645-650. doi:10.1037/ccp0000095
Welsh, T. (2015, November 20). 8 Facts About the U.S. Program to Resettle Syrian Refugees. The U.S. News. Retrieved from http://www.usnews.com/news/articles/2015/11/20/8-facts-about-the-us-program-to-resettle-syrian-refugees
WHO. (2015). World Health Organization Syrian Arab Republic. Retrieved from http://applications.emro.who.int/dsaf/EMROPUB_2015_EN_1876.pdf?ua=1
Williams, M. E., & Thompson, S. C. (2011). The use of community-based interventions in reducing morbidity from the psychological impact of conflict-related trauma among refugee populations: A systematic review of the literature. Journal of Immigrant and Minority Health, 13, 780-794. doi:10.1007/s10903-010-9417-6
Zetter, R., & Ruaudel, H. (2014). Development and protection challenges of the Syrian refugee crisis. Forced Migration Review, 47, 6-10.
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