Characteristics of Successful and Unsuccessful Mental Health Referrals of Refugees.
In this community based participatory research study, we explored key characteristics of mental health referrals of refugees using stories of providers collected through an on-line survey. Ten coders sorted 60 stories of successful referrals and 34 stories of unsuccessful referrals into domains using the critical incident technique. Principal components analysis yielded categories of successful referrals that included: active care coordination, establishing trust, proactive resolution of barriers, and culturally responsive care. Unsuccessful referrals were characterized by cultural barriers, lack of care coordination, refusal to see refugees, and system and language barriers. Recommendations for training and policy are discussed.
School of Social Work, University of Minnesota, 105 Peters Hall, 1404 Gortner Avenue, St. Paul, MN, 55108, USA. pshannon@umn.edu.
Patricia J
PJ
Shannon
Research Department, Center for Victims of Torture, Minneapolis, MN, USA.
Gregory A
GA
Vinson
School of Social Work, University of Minnesota, St. Paul, MN, USA.
Tonya L
TL
Cook
Center for Victims of Torture, Minneapolis, MN, USA.
Evelyn
E
Lennon
D003144:Communication Barriers; D055812:Community-Based Participatory Research; D065246:Culturally Competent Care; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D015146:Midwestern United States; D025341:Principal Component Analysis; D036301:Qualitative Research; D012017:Referral and Consultation; D012036:Refugees; D011795:Surveys and Questionnaires; D035502:Trust
Mental health system navigation; Refugee barriers to care; Refugee mental health; Refugee mental health screening; Refugee service utilization