Refugee Experience Research Articles

A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care

Aims Refugees experience physical and mental health issues that need attention following settlement in a new community. However, access to and utilisation of healthcare services is challenging. We aimed to explore the experience of refugee access to a dedicated multi-disciplinary refugee health team. Methods An interpretative qualitative study. 17 qualitative interviews were conducted with Ezidi refugees who attended a newly established multi-disciplinary refugee health program in a regional town in NSW, Australia. Data were analysed using an inductive thematic approach. Results Participants ( n = 17) identified as Ezidi and were from Iraq. Parents were between 23 and 57 years of age and had 1–12 children per family. Most had been in Australia between 2 and 5 years. Four key themes were identified: (1) Identifying the extent of health needs following a long wait to migrate; (2) Health support across the life span: the benefit of access to a multi-disciplinary team; (3) Gaps in cultural competence – impacted by understanding and interpreter access; and (4) Ongoing health and lifestyle concerns – influenced by understanding and education. Conclusions We identified the benefit of access to allied health for prompt diagnosis, treatment and management of conditions including congenital and developmental conditions, mental health and chronic diseases. Access to a dedicated team ensured early intervention for a broad range of health and social issues including early referral to services, close coordination and help to complete supporting paperwork and applications. Ongoing investments are needed to maintain this comprehensive and coordinated approach to care that is underpinned by a family centric approach.

EXPRESS: Resourcing Hope: Refugee Agentive Consumption Acts in Protracted Displacement

The global refugee crisis presents a complex challenge, with millions experiencing protracted displacement in inhospitable conditions. This study examines the lived experiences of Syrian refugee women in Lebanon, focusing on how they resource hope and maintain well-being amid forced liquidity and uncertainty. Drawing on ethnographic interviews with 26 Syrian refugee women, we uncover the profound effects of changed consumer roles and the critical function of agentive anchoring acts of consumption in resourcing hope. Our findings reveal that refugees employ four types of anchoring acts—domesticity, spirituality, self-care, and socializing—to momentarily restore normalcy, affirm dignity, and enhance well-being. These acts serve as vessels for resourcing and mobilizing hope, allowing refugees to ‘live through’ their present circumstances while aspiring for a better future. We introduce the concept of hope as a social resource that can be collectively shared and mobilized, highlighting the dynamic interplay between hope and hopelessness in refugee experiences. This research contributes to understanding how marketing and service systems can improve refugee well-being in protracted displacement, offering insights for stakeholders to create conditions that foster rather than inhibit subjective well-being among vulnerable consumers experiencing protracted displacement and involuntary liquidity in global modernity to resource hope.

Chronotopes of home and dislocation: recognising the lived experiences of refugees

ABSTRACT Forced migrants are often presented in public and private discourse from a reductive perspective focusing solely on their vulnerability and their status as refugees, without acknowledging other aspects of their identity and life history. This article investigates how refugee-background participants in qualitative research interviews drew on the chronotopes of home to construct a narrative of origin that foregrounded diverse aspects of their identity and emphasised their lived experiences in a fuller sense. In their narratives, participants contested representations of their home countries and of historical events, as well as representations of themselves, to challenge reductive identity constructions. Further, the narratives suggested that while widely known, mass-mediated chronotopes may assist in initial orientation to a location and event or time period, these generally provide a limited, and sometimes a highly contestable, representation of reality.

English in Displacement: Language Learning and Test Preparation Experiences of Refugees and Asylum Seekers

AbstractIn an effort to better support adult and refugee English language learners, this paper aims to focus on understanding the needs and experiences of one specific group, that is, refugee and asylum seeker healthcare professionals (RASHPs), based in the United Kingdom. RASHPs tend to be highly educated and experienced learners. One of their main objectives is to acquire high levels of English language proficiency and possibly return to clinical practice in their new host country. The data for the study come from an online survey that was completed by 106 respondents, followed by interviews conducted with three nurses and nine doctors. Additionally, two language test preparation teachers were also interviewed. The findings show that RASHPs represent a very diverse group of learners, with a range of linguistic backgrounds, age groups, and proficiency levels. Results further reveal that RASHPs often face a range of situational, technological and psycho‐social barriers that may prevent them from fully engaging with their English language and test preparation classes. The study concludes with a series of classroom and policy‐level recommendations that could help ensure better outcomes for refugee and asylum seeker learners.

“The police came in white protective suits and with batons, it was pure disaster” – a multi-stakeholder perspective on infection control in reception centers for asylum seekers during the COVID-19 pandemic in Germany

BackgroundThe COVID-19 pandemic presented unprecedented challenges, particularly for vulnerable populations residing in confined settings such as refugee shelters: Physical distancing measures were challenging to implement in shelters due to shared rooms or communal use of kitchens and sanitary facilities, which increased the risk of infections. Meanwhile, individuals’ capabilities for individual protection strategies were severely impaired by the structure of the shelters. Consequently, shelters had the duty to develop and implement strategies for the prevention and handling of SARS-CoV-2 infections. The aim of this study was to explore the perspectives of refugees, NGO employees, and shelter directors regarding COVID-19-related measures in German refugee shelters. The study aimed to identify challenges and conflicts arising from implemented measures, as well as expectations for improved support during the pandemic.MethodsSemi-structured and narrative interviews were conducted with 6 refugees, 6 facility managers, 12 NGO staff, and 2 social service agency staff from February to August 2022. Qualitative content analysis was employed to analyze the data, identifying overarching themes and codes.ResultsThe study uncovered challenges and conflicts resulting from pandemic measures, particularly mass quarantine orders, within refugee shelters. Lack of transparency and ineffective communication worsened tensions, with refugees feeling distressed and anxious. The quarantine experience had a negative impact on refugees’ mental health, which was exacerbated by limited social interaction and leisure-time activities. Shelter managers encountered administrative challenges when implementing measures due to facility constraints and limited resources, while NGO employees encountered obstacles in providing immediate assistance due to legal regulations and a lack of cooperation from shelter managers.ConclusionsThe study highlights that shelters are problematic institutions from a public health perspective. It shows the importance of implementing customized pandemic interventions in refugee shelters that take account of the diverse needs and experiences of both refugee and staff. To achieve this, we recommend to establish an ethics committee and involve various stakeholders in decision-making processes. Additionally, enhancing information dissemination to promote transparency and public understanding of measures is crucial. These insights can help develop comprehensive and effective pandemic plans for refugee shelters, ensuring better preparedness for future public health crises.

Beyond the Binary: The Issue of Intra-Minority Hostility and the Need to Challenge Conventional Victim/Perpetrator Frameworks Within Hate Studies.

It is well-established within the hate studies literature that the majority of hate crimes and incidents of targeted hostility are perpetrated by those in the "majority" society. In the UK, academic and official research consistently shows that young White, British males are most commonly the culprits of all forms of targeted victimization, especially racist hate. However, urban areas of "super-diversity" offer researchers an opportunity to understand hate crime victimization and perpetration in a more nuanced and comprehensive way. Hate studies research has slowly begun to highlight instances of people from marginalized and stigmatized groups being targeted on the basis of their identity by individuals who are also members of minority groups, sometimes even the same minority group as the victim. Very little is understood about this particular victimizing dynamic other than it appears to be an attempt by minority group members to "fit in" by adopting what they perceive to be majority group values and attitudes. By drawing from 44 qualitative in-depth interviews exploring the experiences of new migrants and refugees and observations from 20 months of grassroots engagement, this article challenges established theories of "othering" that overwhelmingly refer to binary, static majority/minority tensions. The stories of these too-often "hidden" victims of targeted hostility offer a fresh perspective on the relationships between victims of hate and perpetrators. The article also contributes new explanations as to why those who are often targeted go on to target others.

The Socio-Economic Impact of the Covid-19 Pandemic on Syrian Refugees in Turkey

Building upon empirical research, this study examines the socio-economic impact of the Covid-19 pandemic on Syrian refugees in Turkey by analyzing its implications on employment, livelihood opportunities, and social cohesion. More specifically, it focuses on the experiences of Syrian refugees to examine the ways in which they exert their agency to cope with the structural constraints when faced with ‘multiple crises’ in host countries, intersecting with the dynamics of a ‘normalized refugee crisis’. Our findings from fieldwork conducted in the top six refugee-hosting cities reveal that loss of jobs, limited access to decent work, increased dependency on external financial assistance, and social exclusion have been some of the most acute effects of the pandemic on refugees. Meanwhile, the perceived effects that refugees have on the host community’s welfare trigger problems that impede social cohesion. All in all, the study intends to highlight the far-reaching effects of the pandemic beyond its direct health implications by addressing the structural vulnerability of refugees and the importance of providing an enabling environment for socio-economic self-reliance.

Syrian refugee women's experiences of barriers to mental health services for postpartum depression.

To describe Syrian refugee women's experiences of the barriers to access mental health services for postpartum depression (PPD). A descriptive qualitative study was conducted. Fifteen purposefully selected Syrian refugee women who scored ≥10 on the Edinburgh Postnatal Depression Scale participated in the semi-structured telephone interviews. Transcripts were coded verbatim and analysed thematically according to the dimensions of Levesque's model of patient-centred access to healthcare. Data were collected between August 2022 and February 2023. Five themes with 14 subthemes were identified: (1) approachability covered lack of knowledge and misconceptions related to PPD and its treatment, lack of awareness of available psychosocial services and perceived need of mental health treatment; (2) acceptability comprised being a refugee, stigma of mental illness, cultural preferences of healthcare provider and language barrier; (3) availability and accommodation encompassed transportation barrier and location of the centre, no support for childcare and lack of time; (4) affordability included financial difficulties and health insurance coverage; (5) appropriateness comprised no screening for PPD and intermittent services with limited focus on mental health. The findings of this study reveal that Syrian refugee women experienced multi-faceted complex barriers to access mental health services for PPD. It is important for health professionals, including nurses, and policymakers to address the cultural mental health needs of this population and establish strategies to protect their legal and health rights. Our study has important practice and policy implications for establishing strategies designed specifically for refugee mothers to mitigate their perceived barriers to PPD treatment and ultimately improve their mental health. The Consolidated Criteria for Reporting Qualitative Research was used. No patient or public contribution. Participants were Syrian refugee women with PPD symptoms and contributed only to the interviews and member checking.

Panopticon, gaze, and rupture in the fantasy: The Syrian refugee experience in Turkey

Panopticon, gaze, and rupture in the fantasy: The Syrian refugee experience in Turkey

Metacognitive Training for Depression (D-MCT) for Arabic Speaking Patients with Refugee Experience: Cultural Adaptation and Piloting

Despite high demand, culturally adapted therapies for Arabic speaking refugee patients with depression are rare. Aim of the study was to culturally adapt and evaluate the group treatment Metacognitive Training for Depression (D-MCT) for them. The cultural adaptation of the D-MCT included translation and surface adaptation as well as an expert discussion. The comprehensibility, acceptance and feasibility of the outpatient culturally adapted D-MCT (CA-D-MCT) were then tested in an uncontrolled pilot study with n=11 refugee patients. The experts rated 83% of the translations and 78% of the illustrations as unproblematic in terms of equivalence. The acceptability and feasibility of the eight modules were predominantly positive. From the patients' perspective, the adapted training shows a high acceptance and comprehensibility for culturally sensitive, interpreter-supported implementation.

Healthcare Barriers and Policy Implications for Non-Syrian Refugees Under International Protection in Türkiye

Türkiye hosts the largest number of refugees in the world, but research has mainly focused on Syrian refugees. This study fills this gap by exploring the experiences of non-Syrian refugees in accessing health services in Türkiye challenges they face. Using a qualitative methodology, 32 participants were selected, and data was collected through in-depth interviews. The analysis revealed three main themes: "health conditions of refugees," "difficulties in accessing health services" and "Professionals’ recommendations". The findings indicate that non-Syrian refugees face significant obstacles, including legal restrictions, financial constraints, language barriers, lack of knowledge of rights and discriminatory attitudes on the part of some health professionals. Access to mental health treatment was particularly difficult for non-Syrian refugees. This study has significant implications for policy makers and healthcare providers and identifies critical areas for intervention to improve access to essential healthcare services.

Consent as Social Reproduction: Making Space for the Transformative Labour of Refugee and Migrant Anti-violence Advocates in Australia

ABSTRACT Following #MeToo, sexual violence and consent have become more important to Australian governments, policy makers, and organisations addressing gender-based violence. Locating consent in a specific social system of ‘labour’, this article takes social reproduction as an entry point to examine the experiences of refugee and migrant anti-violence advocates in Australia. I suggest that current discourses of consent, as bodily autonomy and judicial power, act as a site of social reproduction through the creation of norms that uphold patriarchy and whiteness. Considered in this way, marginalised groups such as refugee and migrant women are not afforded adequate space and resources to theorise consent based on their own lived experiences. Interview participants (n = 19) are active in their ethnic and faith communities addressing GBV, as well as in organisations such as NGOs and policy domains. Utilising a lens of ‘Transformative Labour’ (Swanson, Resha Terae, and Erin Devorah Carreon. 2024. “Uncovering the Transformative Labor in Black Women’s Community Work.” Affilia, 08861099231223935. https://doi.org/10.1177/08861099231223935), the findings demonstrate the limits of consent when applied to refugee and migrant communities; the ways a history of different feminisms play out in current front-line interventions; and how mainstream, dominant groups might make space for marginalised groups to articulate their own identities, and the time and resources to theorise consent based on their own struggles.

The impact of liminal legal status on labor market experiences: a comparative study of Sudanese asylum seekers and refugees in Israel

ABSTRACT This article examines the labor market experiences of Sudanese forced migrants in Israel under prolonged temporary legal status. It underscores how regulatory and legal frameworks, particularly the mechanism of institutional ambiguity as a form of legal violence, shape migrants’ socioeconomic outcomes. Employing a mixed-methods approach and comparative analysis, the study adopts Menjívar’s, C. (2006. “Liminal legality: Salvadoran and Guatemalan immigrants’ lives in the United States.” American Journal of Sociology 111 (4): 999–1037) concept of ‘liminal legality’ as an analytical lens to compare the experiences of asylum seekers and refugees. The findings reveal significant disparities between these two groups in employment patterns, wages, and exposure to exploitative working conditions, primarily driven by differences in legal status . Asylum seekers are disproportionately relegated to unskilled, precarious jobs at the bottom of the employment ladder, facing heightened vulnerability to exploitative working conditions. Refugees, despite their relatively ‘premium’ status, also encounter significant constraints in labor market participation, reflecting their confinement to the secondary labor market. By highlighting these disparities, this article advances our knowledge of how positions along the continuum of liminal legality shapes employment outcomes among forced migrants. It also contributes to the broader discourse on socio-political and legal barriers that hinder migrant integration.

Sexual and Reproductive Healthcare Needs of Refugee Women Exposed to Gender-Based Violence: The Case for Trauma-Informed Care in Resettlement Contexts.

This paper assesses literature regarding the sexual and reproductive healthcare (SRH) needs of resettled refugee women who experienced gender-based violence (GBV) and trauma-informed care (TIC) principles utilized among SRH service providers. A systematic search identified relevant studies published between 2000 and 2021; no articles found reflected both SRH and TIC principles among refugee women. The search was therefore separated into two aims: to review the literature about SRH needs for refugee women in resettlement countries who experienced GBV (Aim 1) and to examine the use of TIC principles in SRH care among women who experienced GBV (Aim 2). Thematic analysis of the articles identified key themes. Twenty-six articles were included in the analysis across both aims (Aim 1 = 8, Aim 2 = 18). Aim 1 articles shared three factors shaping the SRH needs of resettled refugee women: the centrality of violence and trauma; structural barriers to SRH care; and actions, practices, and resources for service providers. Aim 2 articles illustrated seven key principles of TIC used in SRH service provision, such as empowerment; trauma-specific services and integrated care; connection; safety; collaboration; identity culture and context; and trustworthiness. Resettled refugee women's experiences of violence necessitate trauma-informed SRH health care. While there is limited peer-reviewed literature regarding TIC-SRH care for refugee women, the findings regarding the SRH needs of refugee women and the findings regarding the implementation of TIC in SRH collectively frame recommendations for how SRH can be infused with TIC. An example from practice, in the form of the Refugee Women's Health Clinic, is included as an exemplar of TIC SRH principles in action for the health of resettled refugee women who have survived gendered violence.

Public libraries’ role in supporting Ukrainian refugees: A focus on Hungary and Poland

The Russian invasion of Ukraine in February 2022 led to Europe’s largest displacement of people since World War II, with significant substantial numbers of Ukrainian refugees seeking shelter in neighbouring countries. International research attests to the crucial roles public libraries can play in the reception and integration of refugees. However, diverse professional and geographical contexts and sociopolitical landscapes in which libraries work to support refugee reception and integration processes, necessitate ongoing and renewed focus on the topic. Therefore, this study examines how public libraries in Hungary and Poland responded to the influx of Ukrainian refugees, investigating their roles, programmes and partnerships. Using mixed methods, the study analyses previously unexamined 2018 questionnaire results and conducts 12 subsequent interviews with library staff. Findings reveal that libraries addressed a spectrum of user needs falling into three broad phases. Initially, they focussed on primary needs during the first phase, transitioning to settlement-related needs in the second phase. Variances between Poland and Hungary emerged during this phase, with Hungary primarily serving transient refugees and those with Hungarian backgrounds, while Poland saw a higher number of refugees of Ukrainian background settling. In the final phase, libraries emphasized literacy, integration and cultural support, aligning with reading and collection-oriented services. Service provision was characterized by nontraditional services in the first phase, non-collection-oriented services in the second phase and collection-oriented services in the third phase, with information provision central to all three phases. The study underscores public libraries’ role in addressing community needs, rooted in their core values of inclusivity and community engagement. However, their effectiveness hinges on inclusion in community-level efforts, awareness among new groups and securing economic and political support. Further research is warranted to explore library services to refugees globally amid increasing global migration and to understand the experiences of refugees using library services.

Narratives of Agency: Understanding the Refugee Experience through Paintings at the EU’s External Borders

Narratives of Agency: Understanding the Refugee Experience through Paintings at the EU’s External Borders

Affordances of in-School Video Production for a Plurilingual Adolescent with Interrupted Formal Education and Refugee Experiences: A (Hopeful) Case Study

As Canada is increasingly committing to refugee resettlement, there is a critical need to understand how youth from refugee backgrounds can be supported to achieve their full potential in Canadian schools. This multi-year qualitative ethnographic case study explores the affordances of in-school video production for one plurilingual adolescent learner with significantly interrupted formal education and refugee experiences. Youth from refugee backgrounds have been shown to utilize digital multimodal composing (DMC), defined as the use of digital tools to make meaning in multiple modes (e.g., languages, images, sounds, gestures), including video production, to express their identities and strengthen relationships. However, few studies have explored the affordances of DMC specifically for youth from refugee backgrounds with interrupted formal education, at school in their settlement contexts. Guided by sociocultural and multimodal approaches to literacy, as well as an identity investment perspective on participation in learning, the study identifies three thematic patterns of video-production affordances: (1) overcoming the language barrier; (2) showcasing fluency; and (3) countering deficit perceptions. The study helps educators and teacher-educators better understand the affordances of in-school video production for youth from refugee backgrounds with significantly interrupted formal education.

Delivering Exercise Services to Refugees and Asylum Seekers in High-Income Countries

ABSTRACT Given the recent unprecedented number of refugees resettled in the United States of America yearly, exercise professionals in high-income countries are increasingly likely to engage with refugees and asylum seekers in their practice. Resettled refugees and asylum seekers often experience an array of stressors, including traumatic experiences associated with forced displacement, postdisplacement challenges, and cultural adjustment. These stressors place refugees and asylum seekers at greater risk of both mental and physical health disparities than people who have not experienced forced displacement. While exercise is associated with improved physical and mental health outcomes, refugees and asylum seekers are at a high risk of inactivity, and they face barriers at interpersonal, structural, and sociocultural levels. This expert commentary outlines strategies to address considerations in working with refugees and asylum seekers, including the impact of the refugee experience, the need to harness the client’s strengths and resources to foster exercise self-efficacy, and the cultural capability of the exercise workforce. The aims are to draw attention to the refugee experience and to equip exercise professionals with guidance to provide quality, person-centered, and strength-based services to refugees and asylum seekers within a safe and culturally sensitive environment.

The impact of age-related differences in emotion dysregulation on refugee mental health and social outcomes.

The refugee experience is typically characterized by exposure to numerous premigration traumatic events and postmigration stress in the resettlement environment. Refugees' experiences can lead to elevated rates of psychopathology, including posttraumatic stress disorder (PTSD) and depression. Emotion regulation is a key mechanism contributing to mental health outcomes among refugees. This study examined the impact of age on the association between emotion regulation and critical social outcomes relevant to refugee resettlement, such as social engagement and functional impairment. Participants were 1,081 Arabic-, Farsi-, Tamil- and English-speaking adult refugees. Premigration trauma exposure, postmigration stressors, PTSD symptoms, depressive symptoms, emotion regulation, social engagement, and functional impairment were measured. A series of hierarchical regression and Poisson regression analyses revealed emotion dysregulation as a significant predictor of functional impairment, β =.36, p <.001, and social engagement, Exp B = 0.99, p =.002. A significant interaction between age and emotion dysregulation was associated with both PTSD, β =.05, p =.048 and depressive symptoms, β =.06, p =.010, suggesting a stronger positive association between emotion dysregulation and both PTSD and depressive symptom severity for older individuals. Postmigration stressor exposure, emotion dysregulation, and older age are important factors that may negatively impact social engagement and functional impairment in the resettlement environment. Additionally, higher levels of trauma exposure may negatively impact social engagement. These findings have implications for public health and social services in the context of resettled refugee communities.

Humanitarianism, victimisation, and bordering processes: debating the refugee experience in the classroom

Abstract Set in the peak of the so-called “European Migrant Crisis” and situated in the conflict-affected Cypriot context, this article examines Greek-Cypriot High School students’ representations of Syrian refugees as they were debated in classroom discussion. Drawing on ethnographic research that took place in 2016 in a Lower Secondary School in Cyprus, we analyse the interactional dynamics through which ‘bordering’ processes took place, showing how different types of borders were (re)-negotiated and re-instated in the classroom. Considering the sociohistorical context of Cyprus, we also investigate how teachers’ and students’ understandings of borders and ethnic identity-making were reshaped by local discourses. Our analysis shows that teachers, despite prompting students to take an active stance towards Syrian refugees as part of a peacebuilding stance, mobilised ethnocentric discourses that victimised refugees, portraying them as someone whose agency is taken away from, and for whom we can speak and act. Approaching borders as social constructs, we show how the national border separating “us” and “them” was construed and reaffirmed in such discussions, and how the representation of refugees as ‘the victim’ functioned as a way of narrating the ‘cultural fantasies’ of the national self.