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Culturally Responsive Psychiatric Services for Refugee and Immigrant Adolescents: Are Child and Adolescent Psychiatrists Prepared to Serve Refugee Children? A Focus on African Refugee Families
Open accessAbstract
The arrival of sub-Saharan African immigrants and refugees (AIRs) to the United States has been steadily increasing for the past several decades. Not only are AIR adolescents directly affected by previous migration processes, but they are also impacted by stress and the mental health of their parents, even if they were born in the United States to immigrant/refugee parents. Immigrant and refugee parents concerned with their child's behavior and emotions should be evaluated by a qualified mental health professional, including licensed counselors, psychologists, and child and adolescent psychiatrists. However, access to culturally responsive psychiatric care for youth is limited. African adolescents are additionally burdened by their own acculturation process, balancing multiple cultural expectations as well as feelings of social isolation resulting from perceived racism and discrimination.
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Professionals working with children with a refugee background frequently experience difficulties engaging with mental health problems and trauma-related behaviors in cultural contexts with which they might not be familiar.
“Professionals who work with children with a refugee background (eg, teachers, youth care workers, and clinicians) frequently experience difficulties engaging with mental health problems and trauma-related behaviors in cultural contexts with which they might not be familiar [4].”
From A Digital Tool for Culturally Responsive Reflection and Case Conceptualization in First-Line Services to Support Children With a Refugee Background: Development and Usability Study (2026) · cites this paper as [4]
The Conclusion (page not provided) says practicing psychiatrists feel unprepared to provide culturally responsive care to African immigrant and refugee children and adolescents, and notes that providers and patients may hold different beliefs about mental illness. It does not establish that teachers or youth care workers frequently have these difficulties, or specifically describe difficulty engaging with trauma-related behaviors. (LLM, conf=0.84)
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Cited by
Sorted by citations
Van Bogaert, C. A., Jame, B., Serneels, G. M., & Van Daele, T. (2026) · JMIR Formative Research · doi:10.2196/86809
Metadata
- Authors
- BeLue, R., Barnes, A., Manu, S., Luckett, C., & Adam, B.
- Affiliations
- Saint Louis University (US)
- University of Missouri (US)
- Corresponding author
- BeLue, Rhonda
- Venue
- Health Equity
- Publisher
- SAGE Publications
- Published
- 2021-05-01
- Volume
- 5
- Issue
- 1
- Pages
- 306-309
- ISSN
- 2473-1242 (ISSN-L)
- PMC
- PMC8139254
- OpenAlex
- W3160992528
- Cited by
- 2
- References
- 0
- Citations by year
- 2026: 1 · 2023: 1
- FWCI
- 0.15
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Health Equity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (UL1TR002345)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- culturally responsive care, refugee adolescents, migrant youth, African refugees, child and adolescent psychiatry, access to mental health care, acculturation, racism and discrimination, social isolation, parental mental health, sub-Saharan African migrants
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