Mental health of displaced and refugee children resettled in low-income and middle-income countries: risk and protective factors

Children and adolescents who are forcibly displaced represent almost half the world's internally displaced and refugee populations. We undertook a two-part systematic search and review of the evidence-base for individual, family, community, and societal risk and protective factors for the menta...

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Bibliographic Details
Published in:The Lancet (British edition) 2012, Vol.379 (9812), p.250-265
Main Authors: Reed, Ruth V, MRCPsych, Fazel, Mina, Dr, Jones, Lynne, MRCPsych, Panter-Brick, Catherine, Prof, Stein, Alan, Prof
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Biological and medical sciences
Child
Children
Children & youth
Developing Countries - economics
Epidemiology
Female
General aspects
Humans
Income
Integrated approach
Internal Medicine
intervention
Low income groups
Male
Medical sciences
mental disorders
Mental Disorders - epidemiology
Mental Disorders - etiology
Mental Health
Miscellaneous
Psychology, Adolescent
Psychology, Child
Public health. Hygiene
Public health. Hygiene-occupational medicine
Refugees
Refugees - psychology
research policy
Reviews
risk
Risk factors
Socioeconomics
Violence
Warfare
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Summary:Children and adolescents who are forcibly displaced represent almost half the world's internally displaced and refugee populations. We undertook a two-part systematic search and review of the evidence-base for individual, family, community, and societal risk and protective factors for the mental health outcomes of children and adolescents. Here we review data for displacement to low-income and middle-income settings. We draw together the main findings from reports to identify important issues and establish recommendations for future work. We draw attention to exposure to violence as a well established risk factor for poor mental health. We note the paucity of research into predictor variables other than those in the individual domain and the neglect of other variables for the assessment of causal associations, including potential mediators and moderators identifiable in longitudinal work. We conclude with research and policy recommendations to guide the development and assessment of effective interventions.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(11)60050-0