An Ecological Framework for Addressing the Mental Health Needs of Refugee Communities
Abstract
This book offers a unique angle of vision from which to consider how mental health professionals can respond effectively to the psychological needs of communities displaced by war and other forms of political violence. The view represents a departure from the medical model that has guided most mental health research and intervention with refugees. That model emphasizes the provision by highly trained professionals of clinicbased services such as psychotherapy and psychiatric medication. The focus is on healing or ameliorating symptoms of psychological distress within individuals, with little attention paid to mending damaged social relations within communities, or to strengthening naturally occurring resources within families and communities that could facilitate healing and adaptation.
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Forcibly displaced individuals are at an elevated risk of experiencing numerous traumatic events.
“Forcibly displaced individuals are at an elevated risk of experiencing numerous traumatic events (Miller & Rasco, 2004).”
From Crossing borders: a systematic review identifying potential mechanisms of intergenerational trauma transmission in asylum-seeking and refugee families (2020) · cites this paper as Miller & Rasco, 2004
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Miller, K. E., & Rasmussen, A. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.09.029 · Cited by 1,524 · see citing works
Self-citationPsychological distress in refugee children: a systematic review
Bronstein, I., & Montgomery, P. (2011) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-010-0081-0 · Cited by 634 · see citing works
Miller, K. E., Kulkarni, M., & Kushner, H. (2006) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.76.4.409 · Cited by 188 · see citing works
Self-citationPsychological Distress in Afghan Refugees: A Mixed-Method Systematic Review
Alemi, Q., James, S., Cruz, R., Zepeda, V., & Racadio, M. (2014) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-013-9861-1 · Cited by 170 · see citing works
Political violence and mental health: A multi-disciplinary review of the literature on Nepal
Tol, W. A., Kohrt, B. A., Jordans, M. J. D., Thapa, S. B., Pettigrew, J., Upadhaya, N., & de Jong, J. T. V. M. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.09.037 · Cited by 135 · see citing works
Bronstein, I., Montgomery, P., & Ott, E. (2013) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-012-0344-z · Cited by 107 · see citing works
Flanagan, N., Travers, A., Vallières, F., Hansen, M., Halpin, R., Sheaf, G., Rottmann, N., & Johnsen, A. T. (2020) · European Journal of Psychotraumatology · doi:10.1080/20008198.2020.1790283 · Cited by 97 · see citing works
“The longterm effects of myriad traumatic events and enduring sociopolitical stressors on refugee mental health have been the foci of considerable research across pre-, periand post-migration contexts – collectively termed the triple trauma paradigm (Miller & Rasco, 2004).”
BackgroundInfluentialMiller, K. E., & Rasmussen, A. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.07.020 · Cited by 69 · see citing works
Self-citationSpallek, J., Tempes, J., Ricksgers, H., Marquardt, L., Prüfer-Krämer, L., & Krämer, A. (2016) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-016-2339-2 · Cited by 17 · see citing works
- Authors
- Miller, K. E., & Rasco, L. M.
- ORCID
- Kenneth E. Miller
- Venue
- The Mental Health of Refugees
- Publisher
- Routledge
- Published
- 2004-05-20
- Pages
- 13-76
- OpenAlex
- W2905311156
- Cited by
- 114
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 8 · 2017: 4 · 2016: 9 · 2015: 4 · 2014: 9 · 2013: 12 · 2012: 8
- FWCI
- 3.09
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Routledge eBooks (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Education › Education and experiences of immigrants and refugees
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- refugee mental health, ecological model, displaced persons, community healing, interpersonal relationships, adaptation, psychological distress
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