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Abstract
Effective interventions for trauma-related psychopathology exist but there are considerable barriers to access and uptake by refugee groups. There is a clear need for culturally appropriate and accessible interventions designed in collaboration with refugee groups. Islamic Trauma Healing is a lay led, group intervention specifically targeting healing the mental wounds of trauma within local mosques. Using Prophet stories and turning to Allah about traumatic experiences, this program incorporates cognitive and exposure principles into an Islamic-informed intervention. In Study 1, following a community event describing the program, 39 Somali participants completed a brief trauma screening and interest measure. In Study 2, pre- to post-group pilot data related to PTSD, depression, somatic symptoms, well-being, and satisfaction was examined for men’s and women’s groups (N = 13). Qualitative analysis of group and leader feedback was conducted. Both studies suggest a strong perceived need and match with the Islamic faith for the intervention, with large effects from the pre- to post-group (g = 0.76 to 3.22). Qualitative analysis identified themes of community, faith integration, healing, and growth. The program was well-received by participants and offers a promising model for the delivery of trauma-focused intervention to Muslim refugee communities.
Highlights
A civil war in Somalia emerged in 1991 as a result of sociopolitical discord and conflict between indigenous clans
Re-experiencing symptoms of nightmares or intrusive thoughts about the event were reported by 15.4%
Study 2 explored pre to post changes in posttraumatic stress disorder (PTSD) severity, somatic symptoms, depression, well-being, and satisfaction related to the Islamic Trauma Healing program in a small pilot study examining the initial feasibility of the program
Summary
A civil war in Somalia emerged in 1991 as a result of sociopolitical discord and conflict between indigenous clans. The growing number of Somali refugees entering the international community in recent decades provides an indicator of the demand for culturally aligned mental health services, because rates of chronic conditions such as posttraumatic stress disorder (PTSD) and depression are considerably higher for those from war-torn regions like Somalia. Given that many non-Western cultures, including Somalia, espouse spiritually-based beliefs regarding mental health and the existence of psychological disorders, the program is not referred to as “therapy” or “treatment” for “mental illness”. It provides participants with the core intervention techniques of Prolonged Exposure (PE) via a framework of Islamic principles and practices. In Study 2, we examined pilot data from pre- to post-intervention, including group member satisfaction and qualitative analysis
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