Promoting Mental Health in a Refugee Community Using the RHS-15 and Pathways to Wellness

2.50
Hdl Handle:
http://hdl.handle.net/10755/621959
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Promoting Mental Health in a Refugee Community Using the RHS-15 and Pathways to Wellness
Author(s):
Salt, Rebekah J.; Constantino, Margaret E.; Dotson, Emma L.
Lead Author STTI Affiliation:
Delta Alpha-at-Large
Author Details:
Rebekah J. Salt, PhD, MN, RN, Professional Experience: 2012-present--Assistant Professor, University of Texas Health Science Center at San Antonio, School of Nursing, 2008-2012 -- Assistant Professor, College of Nursing, University of New Mexico, Albuquerque, NM 2007-2008—Lecturer, School of Nursing, University of Washington, Bothell/Tacoma, WA 1999-2002 -- Private Consultant-Healthcare Technology, Spacelabs Medical, Redmond, WA 1983-1997 -- Staff Nurse, HI, FL, MD, OR, WA. Tenure-track faculty. Education: instruct at the BSN and Master’s levels. Program of Research: social determinants of health exploring microcredit as employment within the context of women’s health. Author of 4 publications focusing on microcredit and women’s health. Numerous presentations at the local, state, national, and international levels. Author Summary: Dr. Salt’s program of research in social determinants of health specifically addresses employment and health within the context of microcredit. She promotes community-engaged scholarship through her work with microcredit organizations in the United States. Currently Dr. Salt is working with the Center for Refugee Services and the San Antonio Refugee Health Clinic focusing on strategies to decrease health disparities.
Abstract:

Purpose: The purpose of this study was to pilot the Refugee Health Screener (RHS-15) and the Pathways to Wellness (PW) intervention program with refugees at the Center for Refugee Services (CRS) in San Antonio, Texas. The specific aims were: 1) To compare the pre and post RHS-15 survey and PW intervention scores, and 2) To identify internal and structural barriers affecting resettlement with a refugee woman’s sewing group at the CRS.

Background: Refugees often suffer life-threatening circumstances prior to flight from their countries. During the resettlement process, they face internal and structural barriers that can affect transition to life in the United States. Studies have reported a higher prevalence of depression and post-traumatic stress disorder (PTSD) in this population. The CRS is as an independent 501(c)3 nonprofit agency whose mission is to promote self-sufficiency and successful resettlement for refugees. The organization hosts a sewing group every week for women to create and sell their wares at an on-site market. These income-generating activities (IGA) are often referred to as cottage industries.

Methods: The RHS-15 consists of 15 questions, screens for common mental conditions in refugees, takes about 4 to 12 minutes to complete, and has been translated into eleven languages. Pathways to Wellness is an intervention that incorporates a support group model and consists of eight 90-minute sessions. The program is designed to help refugees recognize symptoms and understand stigma associated with mental health conditions in the United States. All participants were recruited in person from the woman’s sewing group at the CRS. The purpose of the study was framed around greater good as it was important for the women to know that their input could help other refugees.

Results: Twelve women from six different countries regularly attended the PW sessions. Several of the women were proficient in English. Over seventy percent of the participants who took the surveys scored above threshold on the RHS-15 and required referrals. There were no significant differences in pre-post surveys results; however, the stories that emerged during the PW sessions were powerful. The women discussed the challenges of resettlement related to safe housing, cultural and social norms, stigma, and isolation. Finally, the social cohesion observed in the sessions suggests that participation in a cottage industry could be a protective factor against social isolation and depression.

Conclusion: The resettlement process can be difficult for refugees. Good mental health is important for their successful transition into life in the United States. Using culturally sensitive screening tools and interventions may decrease some of the stigma associated with mental health conditions and lead to improved health outcomes for refugees. Community organizations that provide resources such as income-generating opportunities, has the potential to decrease the multiple internal and structural barriers that refugees experience during the resettlement process.

Keywords:
cottage industries; mental health; refugees
Repository Posting Date:
19-Jul-2017
Date of Publication:
19-Jul-2017
Other Identifiers:
INRC17PST434
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titlePromoting Mental Health in a Refugee Community Using the RHS-15 and Pathways to Wellnessen_US
dc.contributor.authorSalt, Rebekah J.en
dc.contributor.authorConstantino, Margaret E.en
dc.contributor.authorDotson, Emma L.en
dc.contributor.departmentDelta Alpha-at-Largeen
dc.author.detailsRebekah J. Salt, PhD, MN, RN, Professional Experience: 2012-present--Assistant Professor, University of Texas Health Science Center at San Antonio, School of Nursing, 2008-2012 -- Assistant Professor, College of Nursing, University of New Mexico, Albuquerque, NM 2007-2008—Lecturer, School of Nursing, University of Washington, Bothell/Tacoma, WA 1999-2002 -- Private Consultant-Healthcare Technology, Spacelabs Medical, Redmond, WA 1983-1997 -- Staff Nurse, HI, FL, MD, OR, WA. Tenure-track faculty. Education: instruct at the BSN and Master’s levels. Program of Research: social determinants of health exploring microcredit as employment within the context of women’s health. Author of 4 publications focusing on microcredit and women’s health. Numerous presentations at the local, state, national, and international levels. Author Summary: Dr. Salt’s program of research in social determinants of health specifically addresses employment and health within the context of microcredit. She promotes community-engaged scholarship through her work with microcredit organizations in the United States. Currently Dr. Salt is working with the Center for Refugee Services and the San Antonio Refugee Health Clinic focusing on strategies to decrease health disparities.en
dc.identifier.urihttp://hdl.handle.net/10755/621959-
dc.description.abstract<p><strong><strong>Purpose: </strong></strong><span>The purpose of this study was to pilot the Refugee Health Screener (RHS-15) and the Pathways to Wellness (PW) intervention program with refugees at the Center for Refugee Services (CRS) in San Antonio, Texas. The specific aims were: 1) To compare the pre and post RHS-15 survey and PW intervention scores, and 2) To identify internal and structural barriers affecting resettlement with a refugee woman’s sewing group at the CRS.</span></p> <p><strong>Background: </strong>Refugees often suffer life-threatening circumstances prior to flight from their countries. During the resettlement process, they face internal and structural barriers that can affect transition to life in the United States. Studies have reported a higher prevalence of depression and post-traumatic stress disorder (PTSD) in this population. The CRS is as an independent 501(c)3 nonprofit agency whose mission is to promote self-sufficiency and successful resettlement for refugees. The organization hosts a sewing group every week for women to create and sell their wares at an on-site market. These income-generating activities (IGA) are often referred to as cottage industries.</p> <p><strong>Methods: </strong>The RHS-15 consists of 15 questions, screens for common mental conditions in refugees, takes about 4 to 12 minutes to complete, and has been translated into eleven languages. Pathways to Wellness is an intervention that incorporates a support group model and consists of eight 90-minute sessions. The program is designed to help refugees recognize symptoms and understand stigma associated with mental health conditions in the United States. All participants were recruited in person from the woman’s sewing group at the CRS. The purpose of the study was framed around greater good as it was important for the women to know that their input could help other refugees.</p> <p><strong>Results: </strong>Twelve women from six different countries regularly attended the PW sessions. Several of the women were proficient in English. Over seventy percent of the participants who took the surveys scored above threshold on the RHS-15 and required referrals. There were no significant differences in pre-post surveys results; however, the stories that emerged during the PW sessions were powerful. The women discussed the challenges of resettlement related to safe housing, cultural and social norms, stigma, and isolation. Finally, the social cohesion observed in the sessions suggests that participation in a cottage industry could be a protective factor against social isolation and depression.</p> <p><strong>Conclusion: </strong>The resettlement process can be difficult for refugees. Good mental health is important for their successful transition into life in the United States. Using culturally sensitive screening tools and interventions may decrease some of the stigma associated with mental health conditions and lead to improved health outcomes for refugees. Community organizations that provide resources such as income-generating opportunities, has the potential to decrease the multiple internal and structural barriers that refugees experience during the resettlement process.</p>en
dc.subjectcottage industriesen
dc.subjectmental healthen
dc.subjectrefugeesen
dc.date.available2017-07-19T20:46:10Z-
dc.date.issued2017-07-19-
dc.date.accessioned2017-07-19T20:46:10Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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