223424 Coming of Age in a New Land: Factors for Success

Sunday, November 7, 2010

Judith Sayad , Center for the Study of Response to Social Catastrophe, UIC-School of Public Health and UIC College of Medicine, Chicago, IL
Protracted civil war and unrest in Africa has dramatically increased the number of refugee families seeking resettlement in the U.S. Many of these families arrive after multiple relocations in Africa, with few financial resources, stressed family relationships and mental health symptoms of stress, depression and PTSD. The purpose of this ethnographic study is to explore the factors for successful social and mental health adjustment of the adolescent members of the participating families (Liberian and Burundian families relocating to Chicago or Boston, n=80). Data was collected over a two year period by trained indigenous community health workers and academic investigators and includes in-depth interviews with parents, adolescents and providers, shadowing observations and formal case studies; this dataset includes over 300 primary sources as well as secondary data. Thematic analysis was conducted using atlas ti. Several themes related to adjustment have emerged: pre-migration experiences, family solidarity, parental education and parental mental health status. Adolescents struggling to adjust reported difficulties in school (learning English, catching up academically); missing family members back home; lack of privacy; and problems developing peer relationships. Adolescents thriving in their new surroundings often relied upon community connections, especially through their faith communities. Parental participation in education assisted adjustment. Results point towards the importance of a culturally tailored intervention to strengthen community connections and assist parents and adolescents to adjust to the U. S. education system. Policy implications include the need to revisit the type of services offered to refugee families and the length of time needed for successful resettlement.

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe at least three factors for successful adjustment among adolescents arriving in the U. S. as refugees. Explain barriers for success in this population. Explain the mental health impacts of delayed and/or compromised adjustment in this population.

Keywords: Adolescents, Refugees

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked on this study as part of my MPH program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.