An evaluation of a common elements treatment approach for youth in Somali refugee camps

L K Murray, B J Hall, S Dorsey, A M Ugueto, E S Puffer, A Sim, A Ismael, J Bass, C Akiba, L Lucid, J Harrison, A Erikson, P A Bolton, L K Murray, B J Hall, S Dorsey, A M Ugueto, E S Puffer, A Sim, A Ismael, J Bass, C Akiba, L Lucid, J Harrison, A Erikson, P A Bolton

Abstract

Background: This paper reports on: (1) an evaluation of a common elements treatment approach (CETA) developed for comorbid presentations of depression, anxiety, traumatic stress, and/or externalizing symptoms among children in three Somali refugee camps on the Ethiopian/Somali border, and (2) an evaluation of implementation factors from the perspective of staff, lay providers, and families who engaged in the intervention.

Methods: This project was conducted in three refugee camps and utilized locally validated mental health instruments for internalizing, externalizing, and posttraumatic stress (PTS) symptoms. Participants were recruited from either a validity study or from referrals from social workers within International Rescue Committee Programs. Lay providers delivered CETA to youth (CETA-Youth) and families, and symptoms were re-assessed post-treatment. Providers and families responded to a semi-structured interview to assess implementation factors.

Results: Children who participated in the CETA-Youth open trial reported significant decreases in symptoms of internalizing (d = 1.37), externalizing (d = 0.85), and posttraumatic stress (d = 1.71), and improvements in well-being (d = 0.75). Caregivers also reported significant decreases in child symptoms. Qualitative results were positive toward the acceptability and appropriateness of treatment, and its feasibility.

Conclusions: This project is the first to examine a common elements approach (CETA: defined as flexible delivery of elements, order, and dosing) with children and caregivers in a low-resource setting with delivery by lay providers. CETA-Youth may offer an effective treatment that is easier to implement and scale-up versus multiple focal interventions. A fullscale randomized clinical trial is warranted.

Keywords: cognitive behavioral therapy; implementation science; interventions; refugee; transdiagnostic; youth.

Figures

Fig. 1.
Fig. 1.
Flowchart of participants.

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Source: PubMed

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