In an earlier study we described a high rate of poor mental health in 63 refugee children from Chile and the Middle East during the first 18 mo of exile. In this follow-up study the mental health of 49 of these children is described in parent, teacher and child interviews 6-7 y after settlement in Sweden. The level of poor mental health in parent interviews has improved from 47% 18 mo after settlement to 22% (p < 0.01 in paired t-test) at follow-up. Conclusions: Eighteen percent of 34 children still in primary school were judged by their teachers to show deviant behaviour in the classroom. Three children were found to suffer from either reexperience or avoidance of painful memories, whereas only one neurologically impaired child fulfilled the criteria of PTSD according to DSM-IV. Recent stress in the family sphere and exposure to acts of organized violence in the country of origin are identified as the major determinants of poor mental health.

Refugee children Mental health child health services PTSD Immigration

teacher refugee Follow-Up Studies follow up mental health human immigration Refugees Middle East violence priority journal Child Behavior Disorders academic achievement interview Lebanon Sweden school child Humans avoidance behavior Adolescent parent male female Risk Factors Article behavior disorder major clinical study adult posttraumatic stress disorder Stress Disorders, Post-Traumatic Chile Child