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Post-migration stress is an important aspect of refugees’ mental health, but little is known about the relationship with insomnia. The purpose of this study was to investigate the assication between different post-migration stress factors and insomnia among Syrian refugees living in Norway.

The authors analysed survey data from the REFUGE study with 873 Syrian adults who resettled in Norway between 2015 and 2017. Potential participants were randomly selected from The Norwegian Population Register. Insomnia was measured using the Bergen Insomnia Scale. Perceived-discrimination, navigation difficulties, financial strain and loss of social status were measured via the refugee post-migration stress scale. The authors ran logistic regression analyses, controlling for socio-demographics, potentially traumatic experiences and symptoms of post-traumatic stress.

Overall, 59% (95% CI, 56%–62%) of the sample reported experiencing insomnia. In the fully-adjusted model, only financial strain and navigation difficulties were significantly associated with increased odds of insomnia. Loss of social status was also related to insomnia but only before adjusting for symptoms of post-traumatic stress.

Financial strain and navigation difficulties appear to be the most important post-migration stress factors in terms of insomnia among Syrian refugees living in Norway. Ameliorating these difficulties could potentially reduce insomnia among refugees. Since insomnia is a risk factor for the subsequent development of post-traumatic stress and depression, it is important to prevent or improve symptoms of insomnia among Syrian refugees, especially considering the high prevalence found in this study.

The purpose of this study was to propose a benchmark model for the process of post-migration social adjustment based on the points of view and experiences of young individuals from forced-migration backgrounds.

Twelve young adults (18–24 years) living in Australia with an experience of forced migration and from various ethnic and cultural backgrounds were recruited. Semi-structured interviews were conducted and analyzed through thematic analysis.

The results showed that post-migration social adjustment requires effective interactions within individual, family and community domains. The participants proposed specific characteristics, enablers and barriers for each domain that can affect the process of social adjustment after the experience of forced migration.

Based on the reported points of view and experiences of participants in this study, the authors proposed an ecological model that can be considered as a preliminary benchmark to inform policymaking, research and services focusing on the social adjustment of young refugees. The practical implications for resettlement programs are discussed.

There are ongoing concerns that asylum seekers who have been tortured and who suffer trauma‐related mental disorders are being refused protection by countries in which they seek asylum. The study described here assessed a consecutive sample of recently arrived asylum seekers attending immigration agents in Sydney, Australia, using a series of structured measures. Participants were followed up to assess the outcomes of their refugee applications. The 73 participants, who had resided in Australia for an average of 4.3 months, reported high rates of torture (51%), and that group was at highest risk of suffering a combination of post‐traumatic stress disorder (PTSD) and major depression, a response pattern associated with substantial levels of psychosocial disability. Neither past torture nor current psychiatric disorder influenced the outcomes of refugee applications. The study raises further concerns that tortured asylum seekers and others with trauma‐related mental disorder may be at risk of repatriation to their countries of origin.

The purpose of this paper is to describe the diversity of trauma Latin American (LA) refugee children in the USA experience across migration. It proposes ways that practitioners and policymakers can use knowledge from existing research to improve services and respect the rights of LA children.

The paper used a systematic review approach supplemented by additional sources to capture current representative knowledge. The paper uses staged migration and social ecological approaches for organization and discussion.

LA children have historically and contemporarily been exposed to more instances and types of trauma than their non-immigrant US counterparts. LA refugee children have a high need for international protection that is not reflected in the US policy.

Knowledge of possible trauma types among LA children can inform practitioner expectations and prepare them for care management. Officers must be well-trained in both potential trauma-related content and geographic context and have excellent interviewing skills. Lawyers, advocates and judges – the latter who create precedent – play a critical role in children’s cases and should have access to high-quality, geographically and historically relevant and contemporary information.

The levels of violence in Latin America; the rate of child trauma; and the spike in unaccompanied children at the border compels the USA to reassess their positions on (a) refugee caps, (b) asylum screenings and (c) interception-related policies, protocol and practice.

This the first review to specifically focus on empirical trauma research specific to the LA child’s migration experience.

Dealing with the needs of asylum seekers and refugees presents a challenge to local health services, and mental health has been identified as the main health issue for this group. This paper reports the findings of a quantitative and qualitative study of the mental health care needs of asylum seekers and refugees in Newcastle upon Tyne. Primary and mental health services were found not to be meeting the needs of this group. In some practices, attitudes to asylum seekers among both GPs and other patients were reported as stigmatising. But there is evidence that many of the mental health problems of asylum seekers are related to post‐migration stress arising from practical and economic difficulties and experience of racism and other discrimination, highlighting the need to build support and social connections and include the needs of asylum seekers in local mental health promotion strategies.

Prolonged exposure to daily stressors can have long-term detrimental implications for overall mental health. For asylum seekers in European Union transit or destination countries, navigating life in reception centres can represent a significant burden. The purpose of this study was to explore post-migration stressors during residency in reception centres, and to formulate recommendations for adequate service provision in Belgium.

Research was conducted in two reception centres in Belgium. A total of 41 in-depth interviews were carried out with asylum seeker residents (n = 29) and staff (n = 12). Purposive recruitment was used for asylum seekers (for variation in length of centre residency and family status) and staff (variation in job profiles). Interviews were conducted in English, French or with a translator in Arabic or Dari. Interviews were audio-recorded, transcribed verbatim and manually coded using thematic analysis.

Asylum seekers face significant constraints with regard to their living conditions, including total absence of privacy, overcrowding and unhygienic conditions. These act as continuous and prolonged exposure to daily stressors. Several barriers to accessing activities or integration opportunities prevent meaningful occupation, contribute towards eroded autonomy and isolation of asylum seeker residents. Inadequate capacity and resources for the provision of psychosocial support in reception centres leads to a sense of abandonment and worthlessness.

Analysis indicates that structural and practical challenges to adequately support asylum seekers are rooted in policy failures necessary for appropriate resourcing and prioritization of preventative measures. Such deliberate decisions contribute towards state deterrence strategies, eroding both individual well-being and manufacturing a crisis in the systems of support for asylum seekers.

Refugee and asylum-seeking women are particularly vulnerable to experiencing mental health difficulties during the perinatal period, with social factors compounding these experiences. Research is limited into the mental health needs of perinatal women who are refugees or seeking asylum. The purpose of this paper is to examine the best available international evidence on this topic and to discuss the findings with relevance to the UK context.

A modified population, intervention, comparison, outcome was used to formulate the research question and search strategy. Databases searched were: cumulative index of nursing and allied health literature, Medline, PsychINFO, Web of Science and Scopus. Guided by the Preferred Reporting Items for Systematic Reviews and Meta-analysis framework, results were screened against an inclusion and exclusion criteria. Each study underwent a quality assessment in which they were appraised using the mixed methods appraisal tool.

Eight papers were retrieved, and a thematic analysis was conducted. Two major themes were identified: mental health needs and social influences. Refugees and asylum seekers are likely to have experienced trauma as reasons for migration. Post-migration stressors, including hostility and dispersal from social networks, lead to cumulative trauma. These each add to the mental health needs of perinatal refugee and asylum-seeking women that cannot be ignored by policymakers, health and social care services or professionals.

Refugee and asylum-seeking women are particularly vulnerable to mental health difficulties in the perinatal period. Stressors accumulated pre-, during and post-migration to the host country exacerbate mental distress. In the UK, the treatment of this population may be detrimental to their mental health, prompting the need for greater critical awareness of the socioecological environment that refugee or asylum-seeking women experience.

The purpose of this paper is to describe Karen refugee women’s experience of resettlement and the factors which structured community capacity to support their mental health and well-being.

A postcolonial and feminist standpoint was used to bring Karen women’s voice to the knowledge production process. Data were collected through ethnographic field observation, in-depth semi-structured individual and focus group interviews with Karen women as well as healthcare and social service providers.

Three interrelated themes emerged from the data: Karen women’s construction of mental health as “stress and worry”; gender, language and health literacy intersected, shaping Karen women’s access to health care and social resources; flexible partnerships between settlement agencies, primary care and public health promoted community capacity but were challenged by neoliberalism.

Karen women and families are a diverse group with a unique historical context. Not all the findings are applicable across refugee women.

This paper highlights the social determinants of mental health for Karen women and community responses for mitigating psychological distress during resettlement.

Public health policy requires a contextualized understanding of refugee women’s mental health. Health promotion in resettlement must include culturally safe provision of health care to mitigate sources of psychological distress during resettlement.

This research brings a postcolonial and feminist analysis to community capacity as a public health strategy.

The aim of this paper is to explore mental ill health among newly arrived immigrants to Sweden, in relation to their legal status and previous exposure to threats, violence and separation and to investigate how their health care needs were met.

Records of health interviews and examinations performed January 1, 2010 to May 31, 2011, in one of six eligible primary health care centers (PHCC) in Stockholm County, Sweden were analysed.

In total, 555 records were collected and reviewed with regard to: age, sex, legal status (asylum seekers and others), exposure to threats and/or violence, exposure to separation from family member, symptoms or diagnoses, and measures taken. Reported symptoms of mental ill health were labeled mental ill health. Where health interviews led to medical examination, records from these were retrieved to investigate the care offered and given. Reporting symptoms of mental ill health was common (43 percent) among the study population. Exposure to threats and violence and separation was more common among asylum seekers who also tended to be more vulnerable to mental ill health than others who had experienced similar exposure.

The health care system should consider the eco‐social conditions that favor recovery. A more generous policy of access to health care among adult asylum seekers is needed and could be an important part of the social stability during the asylum process and in the integration process.

The study demonstrates the need for more structured studies of mental health among asylum seekers in Sweden.