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First published online December 21, 2009

Resettling Refugees and Safeguarding their Mental Health: Lessons Learned from the Canadian Refugee Resettlement Project

Abstract

The Ryerson University Refugee Resettlement Project (RRP), a decade-long study of 1348 Southeast Asian refugees who came to Canada between 1979 and 1981, is one of the largest, most comprehensive and longest-lived investigations of refugee resettlement ever carried out. Knowledge gleaned from the RRP about research methodology, about the resettlement experience, about the social costs of resettling refugees, about factors that promote or hinder integration, about risk and protective factors for refugee mental health, and about the refugees’ consumption of mental health and social services is summarized in the form of 18 “Lessons.” The lessons are offered in order to encourage and stimulate further research, as well to suggest policy and practice innovations that could help make resettlement easier, less costly, more effective, and more humane.

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References

Ali, J. ( 2002). Mental health of Canada’s immigrants. Health Rep, 13(Suppl), 101-13.
Antze, P., & Lambek, M. (Eds.) (1996). Tense past: Cultural essays in trauma and memory. Routledge: New York.
Bach, R.L., & Carroll-Seguin R. (1986). Labor force participation, household composition and sponsorship among Southeast Asian refugees. International Migration Review, 20(2), 381-404.
Bagheri A. ( 1992). Psychiatric problems among Iranian immigrants in Canada . Canadian Journal of Psychiatry, 37(1), 7-11.
Banks, J., Marmot, M.G., Oldfield, Z., & Smith, J. ( 2006). Disease and disadvantage in the United States and in England. JAMA, 295(295), 2037-2045.
Beiser, M. ( 1987). Changing time perspective and mental health among Southeast Asian refugees. Culture, Medicine and Psychiatry, 11, 437-464.
Beiser, M. ( 1988). Influences of time, ethnicity, and attachment on depression in Southeast Asian refugees. American Journal of Psychiatry, 145(1), 46-51.
Beiser, M. ( 1990). Migration: Opportunity or mental health risk. Triangle, 29(2-3), 83-90.
Beiser, M. ( 1999). Strangers at the gate. The "boat people’s" first ten years in Canada. Toronto: University of Toronto Press.
Beiser, M. ( 2006). Longitudinal research to promote effective refugee resettlement . Transcultural Psychiatry, 43(1), 56-71.
Beiser, M., Benfari, R.C., Collomb, H., & Ravel, J.-L. ( 1976). Measuring psychoneurotic behavior in cross-cultural surveys . Journal of Nervous and Mental Disease, 163, 10-23.
Beiser, M., Cargo, M., & Woodbury, M.A. (1994). A comparison of psychiatric disorder in different cultures: Depressive typologies in Southeast Asian refugees and resident Canadians. International Journal of Methods in Psychiatric Research, 4, 157-172.
Beiser, M., Collomb, H., & Ravel, J.L. ( 1981). Mastering change: Epidemiological and case studies. American Journal of Psychiatry, 138(4), 455-459.
Beiser, M., Collomb, H., Ravel, J.L., & Nafziger, C.J. (1976). Systemic blood pressure studies among the Serer of Senegal. Journal of Chronic Diseases, 29, 371-380.
Beiser, M., & Fleming, J.A.E. (1986). Measuring psychiatric disorder among Southeast Asian refugees. Psychological Medicine, 16, 627-639.
Beiser, M., & Hou, F. ( 2001). Language acquisition, unemployment and depressive disorder among Southeast Asian refugees: A 10-year study. Social Science & Medicine, 53, 1321-1334.
Beiser M., & Hou F. ( 2006). Ethnic identity, resettlement stress and depressive affect among Southeast Asian refugees in Canada. Social Science and Medicine, 63, 137-150.
Beiser, M., Hou, F., Hyman, I., & Tousignant, M. (2002). Poverty and mental health among immigrant and non-immigrant children. American Journal of Public Health, 92(2), 220-227.
Beiser M., & Hyman, I. ( 1997). Refugees’ time perspective and mental health. American Journal of Psychiatry, 154, 996-1002.
Beiser M., & Johnson, P. ( 2003). Sponsorship and resettlement success. Journal of International Migration and Integration, 4(2), 203-216.
Beiser, M., Johnson, P.J., & Turner, R.J. ( 1993). Unemployment, underemployment and depressive affect among Southeast Asian refugees. Psychological Medicine, 23, 731-743.
Beiser, M., Noh, S., Hou, F., Kaspar, V., & Rummens, J. ( 2001). Southeast Asian refugees’ perceptions of racial discrimination in Canada. Canadian Ethnic Studies, 33(1), 46.
Beiser, M., Turner, R.J., & Ganesan S. ( 1989). Catastrophic stress and factors affecting its consequences among Southeast Asian refugees. Social Science & Medicine, 28, 183-195.
Beiser M., & Wickrama, K.A.S. (2004). Trauma, time and mental health: A study of temporal reintegration and depressive disorder among Southeast Asian refugees. Psychological Medicine, 34(5), 899-910.
Beiser, M., Woodbury, M., & Cargo, M. ( 1994). A comparison of psychiatric disorder in different cultures: Depression typologies in Southeast Asian refugees and resident Canadians. International Journal of Methods in Psychiatric Research, 4, 157-172.
Berry, J.W. ( 1984). Multicultural policy in Canada: A social psychological analysis, Canadian Journal of Behavioural Science 16: 353-370.
Berry, J.W. ( 1997) Immigration, Acculturation, and AdaptationApplied Psychology. An International Review/Psychologie Appliquee: Revue Internationale, 46(1), 5-34.
Berry, J.W., & Blondel, T. ( 1970). Psychological adaptation of Vietnamese refugees in Canada . Canadian Journal of Community Mental Health, 1, 81-88.
Bland, R.C., & Orn, J. ( 1981). Schizophrenia: Sociocultural factors. Canadian Journal of Psychiatry, 26, 186-188.
Bobak, M., Murphy, M., Rose, R., & Marmot, M. ( 2007). Societal characteristics and health in the former communist countries of Central and Eastern Europe and the former Soviet Union: a multi-level analysis. Journal of Epidemiology and Community Health, 61, 990-996.
Boyd, M. ( 1992). Gender issues in immigration and language fluency. In B. R. Chiswick (Ed.), Immigration, language, and ethnicity: Canada and the United States (pp. 305-372). Washington, DC: The AEI Press.
Bradburn, N.M. ( 1969). The structure of psychological well-being. Chicago, IL: Aldine.
Breton, R. ( 1964). Institutional completeness of ethnic communities and the personal relations of immigrants. American Journal of Sociology, 70(2), 193-205.
Breton, R. ( 1978). The structure of relationships between ethnic collectivities . In L. Driedger (Ed.), The Canadian Ethnic Mosaic (pp. 55-73). Toronto: McClelland and Stewart.
Breton, R. ( 1981). Institutional completeness: Its use and misuse in ethnic relations research. Journal of Ethnic Studies, 9(2), 101-110.
Cain, V.S., & Kington, R.S. ( 2003). Investigating the role of racial/ethnic bias in health outcomes, racial/ethnic bias and health. American Journal of Public Health Editorials, 93(2), 191-192.
Canadian Task Force on Mental Health Issues Affecting Immigrants and Refugees. (1988). After the door has been opened: Mental health issues affecting immigrants and refugees in Canada (No. Ci96-38/1988E). Ottawa: Ministry of Supply and Services Canada.
Caplan, N., Whitmore, J.K., & Choy, M.H. ( 1989). The boat people and achievement in America: A study of family life, hard work and cultural values. Ann Arbor, MI: University of Michigan Press.
Citizenship and Immigration Canada (2008). Facts and Figures 2002, Immigration Overview. Retrieved, October 10, 2009, from http://www.cic.gc.ca/english/resources/statistics/facts2008/.../01.asp.
Clarke, T. ( 1994). Commitments on documented and undocumented migrants: Action Canada for population and development. International Migration, strategic issues paper #4, Report on Canada’s commitments and achievements, chapter x. Cairo: World Conference on Population and Development.
Cottle, T.J. ( 1967). The Circles Test: An investigation of perceptions of temporal relatedness and dominance. Journal of Projective Techniques and Personality Assessment, 31, 58-71.
Cottle, T.J. ( 1969). The location of experience: A manifest time orientation . Acta Psychological (Amsterdam), 28, 129-149.
Cottle, T.J. ( 1976). Perceiving time: A psychological investigation of men and women. New York: Wiley.
Cross, W.E., Jr. ( 1991). Shades of Blacks: Diversity in African-American identity . Philadelphia, PA: Temple University Press.
Deahl, M. ( 2000). Psychological debriefing: Controversy and challenge. Australian and New Zealand Journal of Psychiatry, 34, 929-939.
Devins, G.M., Beiser, M., Dion, R., Pelletier, L.G., & Edwards, R.G. ( 1997). Cross-cultural measurements of psychological well-being: The psychometric equivalence of Cantonese, Vietnamese, and Laotian translations of the Affect Balance Scale. American Journal of Public Health, 87(5), 794-799.
DeVoretz, D., Beiser, M., & Pivenko, S. ( 2005). The economic experiences of refugees in Canada. In P. Waxman & V. Colic-Peisker (Eds.), Homeland wanted: Interdisciplinary perspectives on refugee resettlement in the West (pp. 1-21). New York: Nova Science Publishers.
Dewing, M., & Leman, M. ( 2006). Canadian Multiculturalism. Ottawa : Library of Parliament. Parliamentary Information and Research Services. Retrieved, October 10, 2009, from http://www.parl.gc.ca/information/library/PRBpub./936-e.htm.
Din-Dzietham, R., Nembhard, W.N., Collins, R., & Davis, S.K. ( 2004). Perceived stress following race-based discrimination at work is associated with hypertension in African-Americans: The Metro Atlanta heart disease study, 1999-2001. Social Science & Medicine, 58, 449-461.
Dion, K.L. ( 2001). The social psychology of perceived prejudice and discrimination . Canadian Psychology, 43, 1-10.
Dunlop, D.D., Song, J., Lyons, J.S., Manheim, L.M., & Chang, R.W. ( 2003). Racial/ethnic differences in rates of depression among pre-retirement adults: Research and practice. American Journal of Public Health, 93(11), 1945-1952.
Eisenstadt, S.N. ( 1954). The absorption of immigrants. London : Routledge and Kegan.
Ellenberger, H.F. ( 1993). The pathogenic secret and its therapeutics, in Beyond the Unconscious: Essays of Henri F. Ellenberger. In M. Micale (Ed.), History of Psychiatry. Princeton, NJ: Princeton University Press.
Fass, S. ( 1986). Innovations in the struggle for self-reliance. International Migration Review, 20, 351-380.
Fazel, M., Wheeler, J., & Danesh, J. ( 2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365(April 9), 1309-1314.
Finch, B.K., Kolody, B., & Vega, W.A. ( 2000). Perceived discrimination and depression among Mexican-origin adults in California. Journal of Health and Social Behavior, 41(3), 295-313.
Frideres, J.S. ( 1989). Visible minority groups and second language programs: Language adaptation. International Journal of the Sociology of Language, 80, 83-98.
Friedlander, S. ( 1979). When memory comes. Toronto: McGraw-Hill.
Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalao, M., Gold, J. et al. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346, 982-987.
George, L.K., Blazer, D.G., Woodbury, M.A., & Manton, K.G. ( 1989). Internal consistency of DSM-III diagnoses. In L. N. Robins & J. E. Barrett (Eds.), The validity of psychiatric diagnosis . New York: Raven Press.
Glazer, N. ( 1954). Ethnic groups in America: From national culture to ideology . In M. Berger, T. Abel, & C. Page (Eds.), Freedom and Control in Modern Society (pp. 158-173). New York: Van Nostrand.
Goldfield, N., & Lee W. ( 1982). Caring for Indochinese refugees. American Family Physician, 26(3), 157-160.
Good, B., & Kleinman, A. ( 1985). Epilogue: Culture and depression. In A. Kleinman & B. Good (Eds.), Culture and depression (pp. 491-506). Berkeley: University of California Press.
Greeley, A. ( 1971). Why can’t they be like us? America’s White ethnic groups. New York: E. P. Dutton .
Grinberg L. ( 1984). A psychoanalytic study of migration: Its normal and pathological aspects. Journal of the American Psychoanalytic Association, 32, 13-38.
Haines, D.W. ( 1987). Patterns of Southeast Asian refugee employment. Ethnic Groups, 7, 39-59.
Handlin, O. ( 1951). The uprooted (2nd ed.). Boston, MA: Little, Brown.
Harrell, J.P., Hall, S., & Taliaferro, J. (2003). Physiological responses to racism and discrimination: An assessment of the evidence, racial/ethnic bias and health. American Journal of Public Health, 93(2), 244-248.
Henry, F., Tator, C., Mattis, W., & Rees, T. ( 1995). The colour of democracy: Racism in Canadian society. Toronto: Harcourt Brace and Company.
Hinton, L., Tiet, Q., Tran, C.G., & Chesney, M. ( 1997). Predictors of depression among refugees from Vietnam: A longitudinal study of new arrivals. The Journal of Nervous & Mental Disease, 185(1), 39-45.
Hollifield, M., Warner, T.D., Lian, N., Krakow, B., Jenkins, J.H., Kessler, J. et al. (2002). Measuring trauma and health status in refugees: A critical review. The Journal of American Medical Association (JAMA), 288(5), 611-621.
Holmes, T.H., & Masuda, M. ( 1973). Life change and illness susceptibility. In J. P. Scott, & E. C. Senay (Eds.), Separation and depression: Clinical and research aspects. Washington, DC: American Association for the Advancement of Science.
Hou, F., & Beiser, M. ( 2006). Learning the language of a new country: A ten-year study of English acquisition by Southeast Asian refugees in Canada, International Migration, 44(1), 135-165.
Idler, E.L., & Angel, R.J. ( 1990). Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. American Journal of Public Health, 80, 446-452.
Johnson, P.J. ( 1988). The impact of ethnic communities on the employment of Southeast Asian refugees. Amerasia, 14, 1-22.
Kazemipur A., & Halli, S.S. ( 2000). The new poverty in Canada: Ethnic groups and ghetto neighbourhoods . Toronto: Thompson Educational Publishing.
Kessler, R.C., McGonagle, K.A., Swartz, M., Blazer, D.G., & Nelson, C.B. ( 1993). Sex and depression in the National Comorbidity Survey I: Lifetime Prevalence, Chronicity and Recurrence. Journal of Affective Disorders, 29, 85-96.
Kessler, R.C., Mickelson, K.D., & Williams, D.R. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the United States . Journal of Health and Social Behavior, 40(3), 208-230.
Kirmayer, L.J. ( 1996). Landscapes of memory: Trauma, narrative, and dissociation . In P. Antze & M. Lambek (Eds.), Tense past: Cultural essays in trauma and memory (pp. 173-198). New York: Routledge.
Kleinman, A. ( 1982). Neurasthenia and depression: A study of somatization and culture in China. Culture, Medicine and Psychiatry, 6, 117-190.
Kuo, W. ( 1976). Theories of migration and mental health: An empirical testing on Chinese-Americans. Social Science Medicine, 10, 297-306.
Lee, G.Y. ( 1997). Indochinese refugee families in Australia: A multicultural perspective. In Cultural Diversity and the Family, Ethnic Affairs Commission of New South Wales, Vol. 3 International Year of the Family Project .
Lee, M. ( 2004). State of the BC Economy 2004, Canadian Centre for Policy Alternatives, BC Office, May 2004.
Li, P. ( 2000). Earnings disparities between immigrants and native-born Canadians. Canadian Review of Sociology and Anthropology, 37(3), 289-311.
Littlewood, R. ( 1992). Psychiatric diagnosis and racial bias: empirical and interpretive approaches. Social Science and Medicine, 34, 141-149.
Littrel, J., & Beck, E. ( 2001). Predictors of depression in a sample of African-American homeless men: Identifying effective coping strategies given varying levels of daily stressors. Community Mental Health Journal, 37(1), 15-29.
Lutz, C. ( 1985). Depression and the translation of emotional worlds. In A. Kleinman & B. Good (Eds.), Culture and Depression (pp. 63-100). Berkeley : University of California Press.
Macfarlane, I.J. ( 2002) The Australian economy: Past, present and future, Reserve Bank of Australia Bulletin, (April), 6-11.
Mak, A.S., & Nesdale, D. ( 2001). Migrant distress: The role of perceived racial discrimination and coping resources. Journal of Applied Social Psychology, 31(12), 2632-2647.
Marmot, M. ( 2006). Status Syndrome: A challenge to medicine. British Medical Journal, 295(17), 1304-1307.
Marsella, A. ( 1979). Depressive experience and disorder across cultures. In H.C. Triandis & J. Draguns (Eds.), Handbook of Cross-Cultural Psychology, Volume 6. Boston, MA: Allyn and Bacon.
Marshall, G.N., Schell, T.L., Elliott, M.N., Berthold, S.M., & Chi-Ah, C. (2005). Mental health of Cambodian refugees 2 decades after resettlement in the United States. The Journal of the American Medical Association (JAMA), 294(5), 571-579.
Matthey, S., Barnett, B.E., & Elliott, A. ( 1997). Vietnamese and Arabic women’s responses to the Diagnostic Interview Schedule (depression) and self-report questionnaires: Cause for concern. Australian and New Zealand Journal of Psychiatry, 31, 360-369.
McNally, R.J., Bryant, R.A., & Ehlers, A. ( 2003). Does early psychological intervention promote recovery from posttraumatic stress? Psychological science in the public interest, 4(2), 45-79.
Mesch, G.S. ( 2003). Language proficiency among new immigrants: The role of human capital and societal conditions. The case of immigrants from the FSU in Israel, Sociological Perspectives, 46(1), 41-58.
Mollica, R. ( 2006). Healing invisible wounds: Paths to hope in a violent world. Orlando, FL: Harcourt.
Mollica, R.F., Poole, C., & Tor, S. ( 1998). Symptoms, functioning and health problems in a massively traumatized population: The legacy of the Cambodian tragedy. In B. P. Dohrenwend (Ed.), Adversity, stress and psychopathology. New York: Oxford University Press.
Murphy, H.B.M. ( 1973). Migration and the major mental disorders: A reappraisal . In C. Zwingmann & M. Pfister-Ammende (Eds.), Uprooting and after (pp. 204-220). New York: Springer-Verlag.
Murphy, H.B.M. ( 1977). Migration, culture and mental health. Psychological Medicine, 7(4), 677-684.
Nakavachara J., & Rogge J.R. ( 1987). Thailand’s refugee experience. In J. R. Rogge (Ed.), Refugees: A Third World Dilemma (pp. 269-281). Totowa, NJ: Rowman and Littlefield.
Nesdale, D., Rooney R., & Smith, L. ( 1997). Migrant ethnic identity and psychological distress. Journal of Cross-Cultural Psychology, 28, 569-588.
Neuwirth, G., & Clark, L. ( 1981). Indochinese refugees in Canada: Sponsorship and adjustment . International Migration Review, 15, 131-140.
Noh, S., Beiser, M., Kaspar, V., Hou, F., & Rummens, J. ( 1999). Perceived racial discrimination, depression, and coping: A study of Southeast Asian refugees in Canada. Journal of Health and Social Behavior, 40, 193-207.
Obeyesekere, G. ( 1985). Depression, Buddhism, and the work of culture in Sri Lanka. In A. Kleinman & B. Good (Eds.), Culture and depression (pp. 134-152). Berkeley: University of California Press.
Oberg, K. ( 1960). Culture shock: Adjustment to the cultural environments . Practical Anthropology, 7, 177-182.
Pasick, R.J., Stewart, S.L., Bird, J.A., & K’Onofrio, C.N. (2001). Quality of data in multiethnic health surveys. Public Health Reports, 116(Supp 1), 223-243.
Pedersen, S. ( 1949). Psychopathological reactions to extreme social displacements (refugee neuroses). Psychoanalytic Review, 36, 344-354.
Pendakur, R. ( 2000). Immigration and the labor force: Policy, regulation and impact. Montreal: McGill-Queen’s University Press.
Phan, T., Steel, Z., & Silove, D. ( 2004). An ethnographically derived measure of anxiety, depression and somatization: The Phan Vietnamese psychiatric scale. Transcultural Psychiatry, 41(2), 200-232.
Phinney, J.S. ( 1990). Ethnic identity in adolescents and adults: Review of research. Psychological Bulletin, 108, 499-514.
Phinney, J.S. ( 1991). Ethnic identity and self-esteem: A review. Hispanic Journal of Behavioural Sciences, 13, 193-208.
Phinney, J.S., Horenczyk, G., Liebkind, K., & Vedder, P. ( 2001). Ethnic identity, immigration and well-being: An interactional perspective. Journal of Social Issues, 57(3), 493-510.
Phinney, J.S., & Kohatsu, E.L. ( 1997). Ethnic and racial identity development and mental health . In J. Schulenberg, J. L. Maggs, & K. Hurrelmann (Eds.), Health risks and developmental transitions during adolescence (pp. 420-443). New York: Cambridge University Press.
Porter, M., & Haslam, N. ( 2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis . The Journal of the American Medical Association (JAMA), 294(5), 602-612.
Refugee Council of Australia (1993) Refugees and unemployment, Bureau of Immigration and Population Research. Bulletin, 9, 46-49.
Reitz, J.G. ( 1998). Warmth of the welcome: The social causes of economic success for immigrants in different nations and cities. Boulder, CO: Westover Press.
Robins, L.N., & Regier, D.A. ( 1991). Psychiatric disorders in America: The Epidemiologic Catchment Area Study. New York: Free Press .
Rumbaut, R.G. ( 1985). Mental health and the refugee experience: A comparative study of Southeast Asian refugees. In T. Owan, B. Bliatout, K. M. Lin et al. (Eds.), Southeast Asian mental health: Treatment, prevention, services, and research. Rockville, MD: National Institute of Mental Health .
Rumbaut, R.G. ( 1998). Portraits, patterns and predictors of the refugee adaptation process: A comparative study of Southeast Asian refugees. In D. W. Haines (Ed.), Refugees and Immigrants: Cambodians, Laotians, and Vietnamese in America. Totowa, NJ: Rowman and Littlefield.
Samuel, T.J. ( 1987). Economic adaptation of Indochinese refugees in Canada . In K. Chan & D. Indra (Eds.), Uprooting, loss and adaptation: The resettlement of Indochinese refugees in Canada. Ottawa : Canadian Public Health Association.
Schieffelin, E.L. ( 1985). The cultural analysis of depressive affect: An example from New Guinea. In A. Kleinman & B. Good (Eds.), Culture and Depression . Berkeley: University of California Press.
Sellers, R.M., & Shelton, J.N. ( 2003). The role of racial identity in perceived racial discrimination . Journal of Personality and Social Psychology, 84(5), 1079-1092.
Silove, D., Steel, Z., Bauman, A., Chey, T., & McFarlane, A. ( 2007). Trauma, PTSD and the longer-term mental health burden amongst Vietnamese refugees: A comparison with the Australian-born population . Social Psychiatry and Psychiatric Epidemiology, 42, 467-476.
Simich, L., Beiser, M., & Mawani, F. ( 2002). Issues and commentaries, paved with good intentions: Canada’s refugee destining policy and paths of secondary migration. Canadian Public Policy, 28(4), 597-607.
Starr, P.D., & Roberts, A.E. ( 1982). Community structure and Vietnamese refugee adaptation: The significance of context. International Migration Review, 16, 595-618.
Steel, Z., Silove, D., Phan, T., and Bauman, A. ( 2002). Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study . The Lancet, 360(October 5), 1056-1062.
Stewart, M. ( 2000). Chronic conditions and caregiving in Canada: Social Support strategies. Toronto: University of Toronto Press.
Strand, P.J. ( 1984). Employment predictors among Indochinese refugees. International Migration Review, 18(1), 50-64.
Taylor, C. ( 1992). Multiculturalism and the politics of recognition. Princeton, NJ: Princeton University Press.
Tran, T.V. ( 1991) Sponsorship and employment status among Indochinese refugees in the United States. International Migration Review, 25(3), 536-550.
Tyhurst, L. ( 1951). Displacement and migration: A study in social psychiatry . American Journal of Psychiatry, 107, 561-568.
Tyhurst, L. ( 1977). Psychological first aid for refugees. Mental Health and Society, 4, 319-343.
U.S. Department of Health and Human Services (HHS). ( 1989). Report to the congress: Refugee resettlement program . Washington, DC: U.S. Government Printing Office.
Verkuyten, M., & Thijs, J. ( 2006). Ethnic discrimination and global self-worth in early adolescents: The mediating role of ethnic self-esteem. International Journal of Behavioral Development, 30, 2, 107-116.
Viviani, N., Coughlan, J.E., & Rowland, T. ( 1993). Indochinese in Australia: The issues of unemployment and residential concentration. Canberra: Australian Bureau of Statistics.
Wang, S., & Lo, L. ( 2004) Chinese immigrants in Canada: Their changing composition and economic performance. Working Paper Series No. 30. Toronto: Joint Centre of Excellence for Research on Immigration and Settlement (CERIS).
Weiss, M.G., & Kleinman, A.K. (1988). Depression in cross-cultural perspective: Developing a culturally informed model. In P. Dasen, N. Sartorius, & J. Berry (Eds.), Psychology, culture and health: Towards applications (pp. 179-206). Beverley Hills, CA: Sage.
Weissman, M.M. ( 1987). Advances in psychiatric epidemiology: Rates and risks for major depression. American Journal of Public Health, 77, 445-451.
Weissman, M.M., & Klerman, G.L. ( 1977). Sex differences in the epidemiology of depression. Archives of General Psychiatry, 34, 98-111.
Westermeyer J., Neider, J., & Vang, T.F. ( 1984). Acculturation and mental health: A study of Hmong Refugess at 1.5 and 3.5 years postmigration. Social Science and Medicine, 18(1), 87-93.
Westermeyer, J., Vang, T.F., & Neider, J. ( 1983a) Migration and mental health among Hmong refugees: Association of pre- and post-migration stress with self-rating scales. Journal of Nervous and Mental Disease, 171, 86-91.
Westermeyer, J., Vang, T.F., & Neider, J. ( 1983b). Refugees who do and do not seek psychiatric care: An analysis of pre-migratory and post-migratory characteristics. Journal of Nervous and Mental Disease, 171, 92-96.
Williams, D.R., Neighbors, H.W., & Jackson, J.S. ( 2003). Racial/ethnic discrimination and health: Findings from community studies. Racial/ethnic bias and health. American Journal of Public Health, 93(2), 200-208.
Wooden, M. ( 1991). The experience of refugees in the Australian Labor Market, International Migration Review, 25(3), 514-535.
Woon, Y. ( 1987). The mode of refugee sponsorship and the socio-economic adaptation of Vietnamese in Victoria: A three-year perspective. In K. B. Chan & D. M. Indra (Eds.), Uprooting, loss and adaptation: The resettlement of Indochinese in Canada (pp. 132-146). Ottawa: Canadian Public Health Association.
Zhou, M., & Bankston, C.L. III (1994). Social capital and the adaptation of the second generation: The case of Vietnamese youth in New Orleans. International Migration Review, 28, 821-845.

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Article first published online: December 21, 2009
Issue published: December 2009

Keywords

  1. integration
  2. mental health
  3. refugee
  4. resettlement
  5. Southeast Asian

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