Parents and children exposed to war and relocation have high rates of negative relational and mental health outcomes. This study tested the feasibility of implementing an adapted evidence-based parenting intervention for contexts of trauma and relocation stress. Eleven Karen refugee caregivers from Burma participated in the intervention. Participants and a focal child completed ethnographic interviews as well as structured assessments at baseline and follow-up. Caregivers reported changes in their teaching, directions, emotional regulation, discipline, and child compliance. Children reported changes in these areas and in positive parent involvement. Caregivers reported higher mental health distress immediately after the intervention, potentially due to increased awareness. Researchers made personalized referrals for counseling services as needed. Children reported a decrease in mental health symptoms. © 2017 American Association for Marriage and Family Therapy

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refugee Family Therapy follow up Follow-Up Studies human Refugees Stress Disorders, Traumatic child behavior ethnology procedures United States Humans psychology Treatment Outcome problem behavior male Adolescent preschool child female Child, Preschool Evidence-Based Medicine Myanmar Parenting Parent-Child Relations adult posttraumatic stress disorder evidence based medicine child parent relation Child