Research Article
Volume 5 Issue 7 - 2021
Mental Health Issues Affecting Refugee Youth in Canada who Experienced Family Loss and Separation in their Country of Origin
Akm Alamgir1*, Serena Nudel2 and Gemechu Adimassu Abeshu3
1Co-PI, Impact of Family Loss and Separation on Refugee Youth Project, Research and Evaluation Department, Access Alliance Multicultural Health and Community Services, Canada
2Co-PI, Impact of Family Loss and Separation on Refugee Youth Project, Canada
3Postdoctoral Researcher, York University, Toronto, Canada
*Corresponding Author: Akm Alamgir, Co-PI, Impact of Family Loss and Separation on Refugee Youth Project, Research and Evaluation Department, Access Alliance Multicultural Health and Community Services, Canada.
Received: May 23, 2021; Published: June 26, 2021


The objective of this article is to understand the key mental health problems affecting unaccompanied refugee youth in Canada who experienced family loss and separation in their country of origin. This article is based on a research project that adopted a multi-phase sequential research design/strategy. This strategy entails that the first phase consisted of a scoping literature review to synthesize existing evidence and to identify knowledge gaps related to post-migration effects of loss and separation on the well-being of refugee youth and their families. The data collection phase included two focus groups with service providers and three focus group sessions with the refugee youth themselves. Refugee youth face several mental health problems resulting from pre-migration, peri-migration, and post-migration conditions. This study demonstrated that a significant number of unaccompanied refugee youth experience mental illness. The most commonly reported mental illnesses among the youth were post-traumatic stress disorder (PTSD), depression, and anxiety. Many of the refugee youth developed coping strategies to help deal with their sadness about family loss or disappearance and the circumstances they were currently in surrounding their settlement. The article concludes that experiences of separation from or loss of one or more family members affect refugee youth's mental health negatively. Nevertheless, most refugee youth approached for this study were not interested in talking about these, due to their perceived stigma and aversion to openly discussing mental health issues. The current support service and policies in Canada are serving refugee youth to meet their needs partially. There is an opportunity to build the capacity of the service providers with generated evidence, make the service navigation tools more user-friendly, and advocate amendment of the policies to address the real needs of the separated refugee youth.


Keywords: Refugee Youth; Family Loss and Separation; Mental Health; PTSD, Trauma; Access Alliance; Canada


  1. Abojedi A., et al. “Impact of family loss and separation on refugee youth: Implications for policy and programs - Scoping review”. Canadian Diversity2 (2020): 37-46.
  2. Arksey H and O’Malley L. “Scoping studies: Towards a methodological framework”. International Journal of Social Research Methodology: Theory and Practice1 (2005): 19-32.
  3. Bambra C., et al. “Tackling the wider social determinants of health and health inequalities: evidence from systematic reviews”. Journal of Epidemiology and Community Health4 (2010): 284-291.
  4. Bogic M., et al. “Long-term mental health of war- refugees: a systematic literature review”. BMC International Journal of Human Rights in Healthcare 15 (2015): 29.
  5. Braveman P and Gottlieb L. “The social determinants of health: it’s time to consider the causes of the causes”. Public Health Reports2 (2014): 19-31.
  6. Braun V and Clarke V. “Reflecting on reflexive thematic analysis”. Qualitative Research in Sport, Exercise and Health 4 (2019): 589-597.
  7. Demott M., et al. “A controlled early group intervention study for unaccompanied minors: Can Expressive Arts alleviate symptoms of trauma and enhance life satisfaction?” Scandinavian Journal of Psychology6 (2017): 510-518.
  8. Denov M and Bryan C. “Social navigation and the resettlement experiences of separated children in Canada”. Refuge: Canada’s Journal on Refugees1 (2014): 25-34.
  9. Earnest J., et al. “Resettlement experiences and resilience in refugee youth in Perth, Western Australia”. BMC Research Notes 8 (2015): 236.
  10. Fazel M., et al. “Prevalence of serious mental disorder in 7,000 refugees resettled in western countries: a systematic review”. Lancet9467 (2005):1309-3014.
  11. Fazel M., et al. “Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors”. The Lancet9812 (2012): 266-282.
  12. Flicker S and Nixon SA. “The DEPICT model for participatory qualitative health promotion research analysis piloted in Canada, Zambia and South Africa”. Health Promotion International3 (2014).
  13. Harris HP and Zuberi D. “Harming refugee and Canadian health: the negative consequences of recent reforms to Canada’s Interim Federal Health Program”. Journal of International Migration and Integration 16 (2015): 1041-1055.
  14. Hyndman J., et al. “Sustaining the Private Sponsorship of Resettled Refugees in Canada”. Frontiers in Human Dynamics 3 (2021): 1-13.
  15. Hynie M. “The social determinants of refugee mental health in the post-migration context: A critical review”. The Canadian Journal of Psychiatry / La Revue Canadienne de Psychiatrie5 (2018): 297-303.
  16. Jakobsen M., et al. “Prevalence of psychiatric disorders among unaccompanied asylum-seeking adolescents in Norway 10 (2014): 53-58.
  17. Kyriakides C., et al. “Beyond Refuge: Contested Orientalism and Persons of Self-Rescue”. Canadian Ethnic Studies02 (2018): 59-78.
  18. Kyriakides C., et al. “Status Eligibilities: The Eligibility to Exist and Authority to Act in Refugee–Host Relations”. Social Forces1 (2019): 279-302.
  19. Miller G., et al. “Health psychology: developing biologically plausible models linking the social world and physical health”. Annual Review of Psychology 60 (2009): 501-524.
  20. Müller LRF., et al. “Mental health and associated stress factors in accompanied and unaccompanied refugee minors resettled in Germany: A cross- sectional study”. Child and Adolescent Psychiatry and Mental Health1 (2019): 1-14.
  21. O’Brien KK., et al. “Advancing scoping study methodology: a web-based survey and consultation of perceptions on terminology, definition and methodological steps”. BMC Health Services Research1 (2016): 305.
  22. Open Source Framework (2020).
  23. Porter M and Haslam N. “Pre-displacement and post-displacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis”. The Journal of the American Medical Association5 (2005): 602-612.
  24. Seglem KB., et al. “Predictors of depressive symptoms among resettled unaccompanied refugee minors”. Scandinavian Journal of Psychology5 (2011).
  25. Siriwardhana C., et al. “Systematic review of resilience and mental health outcomes of conflict-driven adult forced migrants”. Conflict Health 8 (2014): 13.
  26. Steel Z., et al. “Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systemic review and meta-analysis”. The Journal of the American Medical Association5 (2009): 537-549.
  27. Suárez-Orozco C., et al. “Growing up in the shadows: The developmental implications of unauthorized status”. Harvard Educational Review3 (2011): 438-472.
  28. “High Commissioner’s Dialogue on Protection Challenges- Children on the Move (2016).
  29. Unterhitzenberger J and Rosner R. “Case report: Manualized trauma-focused cognitive behavioral therapy with an unaccompanied refugee minor girl”. The European Journal of Psychotraumatology1 (2016): 1-5.
  30. Vervliet M., et al. “The mental health of unaccompanied refugee minors on arrival in the host country”. Scandinavian Journal of Psychology1 (2014): 33-37.
  31. Walker J and Zuberi D. “School-aged Syrian refugees resettling in Canada: Mitigating the effect of pre-migration trauma and post-migration discrimination on academic achievement and psychological well-being”. Journal of International Migration and Integration 21 (2020): 397-411.
  32. World Health Organization and Calouste Gulbenkian Foundation. Social determinants of mental health. Geneva, Switzerland: WHO (2014).
Citation: Akm Alamgir., et al.“Mental Health Issues Affecting Refugee Youth in Canada who Experienced Family Loss and Separation in their Country of Origin”. EC Emergency Medicine and Critical Care 5.7 (2021): 68-79.

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