Link between housing and community factors and mental health and psychological well-being of refugee parents and children in high-income countries: A systematic review
Clinical Snapshot
PICO Framework
| P — Population | Refugee parents and children in high-income countries |
| I — Intervention | Various housing arrangements (family/relative housing, foster care) and community factors (social support) |
| C — Comparator | Reception centres, lack of social support, presence of discrimination |
| O — Outcomes | Mental health and psychological well-being outcomes |
Bottom Line
This systematic review of 30 studies provides important evidence that housing and community factors significantly impact refugee mental health in high-income countries. Key findings show family-based accommodation consistently produces better mental health outcomes than reception centres, while social support networks are protective and perceived discrimination is harmful. The evidence strongly supports policy shifts toward family-based housing arrangements and enhanced community support programs. However, the review is limited by the small number of included studies and lack of quantitative synthesis. Notable evidence gaps exist for parental mental health outcomes and school-related factors. For Australian clinicians, these findings support advocating for family reunion programs, community-based accommodation, and culturally responsive mental health services. The research reinforces the importance of addressing social determinants of mental health in refugee populations through policy and practice changes.
Key Findings
P Value: Not reported
Effect Size: Not quantified in abstract
Primary Outcome: Mental health and psychological well-being outcomes in refugee populations
Nnt Or Sensitivity: Qualitative findings: family-based housing arrangements consistently superior to reception centres for mental health outcomes
Confidence Interval: Not reported
Clinical Application
High feasibility - recommendations align with existing Australian refugee settlement programs and community support frameworks Highly relevant to Australian refugee policy, particularly for Department of Home Affairs settlement services and state-based refugee support programs. Supports existing community sponsorship models and family reunion policies. Refugee families and children in Australia, particularly those in temporary accommodation or reception centres
Abstract
Whilst forced migration is known to significantly increase the risk of mental health problems, the influence of post-migration factors for refugee children and parents in high-income countries remains understudied. However, systemic post-migration factors have the potential to be modified by policy and practice to improve outcomes. This systematic review identifies the housing and community factors examined in research and their link to the mental health and psychological well-being of refugee parents and children in high-income countries. Adhering to the PRISMA guidelines, we searched the databases of PubMed, PsycINFO and Embase for studies published in peer-reviewed journals until the 17th of October 2025. Of the 11,588 studies identified, 30 were eligible for inclusion in this review. Our findings particularly suggest favourable mental health outcomes among those living with their families/relatives or foster care as opposed to reception centres, as well as those with social support. Perceived discrimination consistently showed an association with negative mental health outcomes. The findings suggest a gap in the evidence base focusing on parents, education and school-related factors. We recommend that policy makers provide family-based living arrangements and improve access to spaces for social support. Future research in this field will benefit from further sub-group analyses.
References
- 1.Tamming, T., Hume, I., Said, G., & Albert, I. (2026). Link between housing and community factors and mental health and psychological well-being of refugee parents and children in high-income countries: A systematic review. Global Public Health. https://doi.org/10.1080/17441692.2026.2649068
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