International Family, Adult, and Child Enhancement Services (FACES): a community-based comprehensive services model for refugee children in resettlement

Am J Orthopsychiatry. 2008 Jan;78(1):121-32. doi: 10.1037/0002-9432.78.1.121.


The development of evidence-based mental health interventions for refugees is complicated by the cultural and linguistic diversity of the participants, and the need to balance treatment of past traumatic experiences with ongoing support during the process of acculturation. In an effort to gather "practice-based evidence" from existing mental health services for refugees, a collaborative study of International Family, Adult, and Child Enhancement Services (FACES), a comprehensive, community-based mental health program working with refugee children, was conducted to describe the program participants and service delivery model and to assess whether participants improved over time as a function of services. Results showed that participants improved, but that the improvement was not related to dosage of services. Implications of these findings for refugee mental health services are discussed and suggestions are made for future evaluation research of mental health services with refugees.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child Welfare*
  • Community Mental Health Services / organization & administration*
  • Delivery of Health Care
  • Emigrants and Immigrants / psychology*
  • Emigrants and Immigrants / statistics & numerical data*
  • Emigration and Immigration*
  • Family / psychology*
  • Female
  • Humans
  • Male
  • Refugees / psychology*
  • Refugees / statistics & numerical data*
  • Social Support*
  • Stress Disorders, Post-Traumatic / ethnology
  • United States / epidemiology