Resettlement can be an uncertain time for refugees as they have often suffered life-threatening circumstances prior to flight from their countries, yet few resettlement programs screen for mental health. The purpose of this study was to pilot the Refugee Health Screener-15 (RHS-15) to assess mental health and the Pathways to Wellness intervention to identify internal and structural barriers affecting resettlement with a refugee women's sewing group. Community collaborations that create healthy social and physical environments through access to resources, economic opportunities, and social support promote a holistic approach to health and can improve quality of life for this vulnerable population. © 2017 Taylor & Francis Group, LLC.

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vulnerable population refugee mental health service health promotion health care planning mass screening nursing mental health human Refugees middle aged Health Resources Aged social support Mental Disorders mental disease quality of life Humans psychology female pilot study Community Mental Health Services organization and management group process Group Processes adult Social Environment migration Emigration and Immigration participatory research Community-Based Participatory Research Pilot Projects Health Services Accessibility Texas health care delivery