Does Integrated Care Affect Healthcare Utilization in Multi-problem Refugees?

Carol C. White, Craig A. Solid, James S. Hodges, Deborah H. Boehm

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


A history of trauma is common in refugee populations and appropriate treatment is frequently avoided. Using a convenience sample of 64 patients in a Somali primary care clinic, a culture and trauma specific intervention was developed to address retention into appropriate treatment. One goal of the intervention was to improve the rate of engagement in psychotherapy after a mental health referral and to test the effect of psychotherapy on health care utilization using a staged primary care clinical tool. Forty-eight percent of patients given a mental health referral engaged in psychotherapy. Patients engaging in psychotherapy had higher baseline utilization and over 12 months trended towards less emergency room use and more primary care. Our findings suggest that the intervention improved referral and retention in mental health therapy for East African refugee women.

Original languageEnglish (US)
Pages (from-to)1444-1450
Number of pages7
JournalJournal of Immigrant and Minority Health
Issue number5
StatePublished - Oct 13 2015

Bibliographical note

Funding Information:
Authors received Grant support from Minneapolis Medical Research Foundation.

Publisher Copyright:
© 2014, Springer Science+Business Media New York.


  • Integrated care
  • Political trauma
  • Primary care
  • Refugees
  • Special populations


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