title: Thriving, Managing, and Struggling: A Mixed Methods Study of Adolescent African Refugees' Psychosocial Adjustment.
abstract: OBJECTIVE
  The purpose of this mixed method study was to characterize the patterns of psychosocial adjustment among adolescent African refugees in U.S. resettlement.
  
  
  METHODS
  A purposive sample of 73 recently resettled refugee adolescents from Burundi and Liberia were followed for two years and qualitative and quantitative data was analyzed using a mixed methods exploratory design.
  
  
  RESULTS
  Protective resources identified were the family and community capacities that can promote youth psychosocial adjustment through: 1) Finances for necessities; 2) English proficiency; 3) Social support networks; 4) Engaged parenting; 5) Family cohesion; 6) Cultural adherence and guidance; 7) Educational support; and, 8) Faith and religious involvement. The researchers first inductively identified 19 thriving, 29 managing, and 25 struggling youths based on review of cases. Univariate analyses then indicated significant associations with country of origin, parental education, and parental employment. Multiple regressions indicated that better psychosocial adjustment was associated with Liberians and living with both parents. Logistic regressions showed that thriving was associated with Liberians and higher parental education, managing with more parental education, and struggling with Burundians and living parents. Qualitative analysis identified how these factors were proxy indicators for protective resources in families and communities.
  
  
  CONCLUSIONS
  These three trajectories of psychosocial adjustment and six domains of protective resources could assist in developing targeted prevention programs and policies for refugee youth. Further rigorous longitudinal mixed-methods study of adolescent refugees in U.S. resettlement are needed.
authors.affiliation: University of Illinois at Chicago, Department of Psychiatry, Chicago, United States.
authors.forename: Stevan Merrill
authors.initials: SM
authors.lastname: Weine
authors.forename: Norma
authors.initials: N
authors.lastname: Ware
authors.forename: Toni
authors.initials: T
authors.lastname: Tugenberg
authors.forename: Leonce
authors.initials: L
authors.lastname: Hakizimana
authors.forename: Gonwo
authors.initials: G
authors.lastname: Dahnweih
authors.forename: Madeleine
authors.initials: M
authors.lastname: Currie
authors.forename: Maureen
authors.initials: M
authors.lastname: Wagner
authors.forename: Elise
authors.initials: E
authors.lastname: Levin
keywords: African; adjustment; adolescents; protective resources; psychosocial; refugee