Conceptualizing mental health service delivery for refugee and forcibly displaced communities: A scoping review of service models and frameworks for populations impacted by trauma or displacement

为难民和被迫流离失所群体构建心理健康服务模式:针对受创伤或流离失所影响人群的服务模式和框架的范围界定综述

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Abstract

OBJECTIVE: Refugees and other forcibly displaced populations are at high risk for mental health and psychosocial problems due to experiences of violence and trauma, compounded by displacement stressors. While there are mental health best practices and evidence-based approaches, many of these are highly specialized and clinically focused. There is a need for an integrated and expanded mental health service delivery framework to inform work across the multiple contexts where services are needed to improve the mental health and psychosocial well-being of forcibly displaced populations in the United States. To inform the development of such a framework, this review synthesized the literature on mental health service delivery models for populations impacted by trauma and/or displacement, including service components, workforce needs, and key theories and concepts. METHOD: A scoping review approach was used, and 35 publications were retained for analysis. Content and thematic analysis approaches were used to analyze the data. RESULTS: Frameworks and service delivery models were identified for diverse, trauma-affected populations. Across frameworks, 11 different service categories were identified, inclusive of basic support, mental health promotion, and prevention and treatment services. Several workforce types implemented services, including community members, peers, school-based staff, government agents, and health professionals. Gaps included limited attention to whole systems approaches, stigma, and outcomes. CONCLUSIONS: Overall, these findings and gaps can inform the development of a model to guide integrated delivery of mental health services for refugee and other forcibly displaced populations in the United States. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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