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Social Psychiatry and Psychiatric Epidemiology

Open Access 05-03-2025 | Review

Beyond shelter: a scoping review of evidence on housing in resettlement countries and refugee mental health and wellbeing

Authors: Sheenagh McShane, Karen Block, Emma Baker, Yuxi Li, Rebecca Bentley

Published in: Social Psychiatry and Psychiatric Epidemiology

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Abstract

Purpose

The number of displaced people globally has rapidly increased in the past decade. Housing is an important social determinant of health and a key contributor to poor health outcomes in refugee and asylum seeker populations. It is important to examine evidence for how housing impacts the mental health of refugees and asylum seekers. This review seeks to analyse the research describing how housing conditions and policies are associated with refugee mental health and wellbeing in high-income resettlement countries (such as the United States, Canada, and Australia).

Methods

A scoping review identified forty-four relevant studies. These studies examined various aspects of housing and/or accommodation and their association with mental health and wellbeing in resettled refugee populations.

Results

We found evidence of a relationship between four domains of housing—policy, suitability, environment and time—and mental health. Furthermore, we found evidence that refugees settling in high income countries experienced significant housing issues. Overall, problems with housing quality, location, accessibility (i.e., the nature of systems that govern access to housing) and suitability were associated with poorer mental health outcomes.

Conclusions

In high-income countries, the lack of choice and agency regarding housing contributed to poor mental health outcomes among refugees and asylum seekers. Policies and practices should prioritise the quality, suitability, and accessibility of refugee housing, look at ways to increase choice and agency in resettlement.
Appendix
Available only for authorised users
Footnotes
1
The term refugee is used to describe people who have arrived in a resettlement country with, or been subsequently granted, humanitarian visas. Asylum seekers have left their home country and are awaiting the outcome of their application for protection in another country.
 
Literature
1.
2.
3.
4.
Solberg O et al (2020) Asylum-seekers’ psychosocial situation: a diathesis for post-migratory stress and mental health disorders? J Psychosom Res 130:109914PubMedCrossRef
5.
Blackmore R et al (2020) The prevalence of mental illness in refugees and asylum seekers: a systematic review and meta-analysis. PLoS Med 17(9):e1003337PubMedPubMedCentralCrossRef
6.
Robjant K, Hassan R, Katona C (2009) Mental health implications of detaining asylum seekers: systematic review. Br J Psychiatry 194:306PubMedCrossRef
7.
Chen W et al (2018) Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: findings from the first wave data of the BNLA cohort study. Lancet Psychiatry 4(3):218–229CrossRef
8.
Correa-Velez I, Gifford SM, Barnett AG (2010) Longing to belong: Social inclusion and wellbeing among youth with refugee backgrounds in the first three years in Melbourne, Australia. Soc Sci Med 71(8):1399PubMedCrossRef
9.
Ziersch A, Due C, Walsh M (2020) Discrimination: a health hazard for people from refugee and asylum-seeking backgrounds resettled in Australia. BMC Public Health 20(1):1–14
10.
Hynie M (2018) The social determinants of refugee mental health in the post-migration context: a critical review. Can J Psychiatry 63(5):297–303PubMedCrossRef
11.
O’Donnell AW, Stuart J, O’Donnell KJ (2020) The long-term financial and psychological resettlement outcomes of pre-migration trauma and post-settlement difficulties in resettled refugees. Soc Sci & Med 262:113246CrossRef
12.
Smith LA et al (2019) The mental health of former refugees in regional Australia: a qualitative study. Aust J Rural Health 27(5):459–462PubMedCrossRef
13.
Ziersch A et al (2020) Integration and social determinants of health and wellbeing for people from refugee backgrounds resettled in a rural town in South Australia: a qualitative study. BMC Public Health 20(1):1700PubMedPubMedCentralCrossRef
14.
Due C et al (2020) Housing and health for people with refugee- and asylum-seeking backgrounds: a photovoice study in Australia. Housing Stud 37:1598CrossRef
15.
Ziersch A, Due C (2018) A mixed methods systematic review of studies examining the relationship between housing and health for people from refugee and asylum seeking backgrounds. Soc Sci Med 213:199–219PubMedCrossRef
16.
Porter M, Haslam N (2005) Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons. JAMA 294(5):602PubMedCrossRef
17.
Ziersch A et al (2017) Exploring the relationship between housing and health for refugees and asylum seekers in South Australia: a qualitative study. Int J Environ Res Public Health 14(9):1036PubMedPubMedCentralCrossRef
18.
Smith L et al (2020) Factors shaping the lived experience of resettlement for former refugees in regional Australia. Int J Environ Res Public health 17(2):501PubMedPubMedCentralCrossRef
19.
Wille J (2011) Agency and belonging: southern sudanese former refugees’ reflections on life in Australia. Aust Rev African Stud 32(2):80–100
20.
Magan IM, Padgett DK (2021) “Home is where your root is”: place making, belonging, and community building among somalis in Chicago. Soc Work 66(2):101–110PubMedCrossRef
21.
Netto G (2011) Strangers in the city: addressing challenges to the protection, housing and settlement of refugees. Int J Housing Policy 11:285CrossRef
22.
Kaplan I (2020) Rebuilding shattered lives: integrated trauma recovery for people of refugee background, 2nd edn. The Victorian Foundation for Survivors of Torture Inc, Brunswick
23.
Flatau P et al (2015) The housing and homelessness journeys of refugees in Australia. Australian Housing and Urban Research Institute Melbourne Australia
24.
Ager A, Strang A (2008) Understanding integration: a conceptual framework. J Refug Stud 21(2):166–191CrossRef
25.
Mangrio E, Carlson E, Zdravkovic S (2020) Newly arrived refugee parents in Sweden and their experience of the resettlement process: a qualitative study. Scan J Public Health 48(7):699–706CrossRef
26.
Hocking DC (2021) To strive, to seek, to find, and not to yield: Narratives on the road to asylum. Transcult Psychiatry 58(2):200–214PubMedCrossRef
27.
Posselt M et al (2020) The mental health status of asylum seekers in middle- to high-income countries: a synthesis of current global evidence. Br Med Bull 134(1):4–20PubMedCrossRef
28.
van der Boor CF et al (2020) Systematic review of factors associated with quality of life of asylum seekers and refugees in high-income countries. Confl Heal 14(1):48CrossRef
29.
30.
Peters MDJ et al (2015) Guidance for conducting systematic scoping reviews. John Wiley & Sons Ltd., United StatesCrossRef
31.
Arksey H, O’Malley L (2005) Scoping studies: towards a methodological framework. Int J Soc Res Methodol 8(1):19–32CrossRef
32.
Page MJ, The PRISMA et al (2020) statement: an updated guideline for reporting systematic reviews. BMJ 2021:n71
33.
34.
35.
36.
Huppert FA (2009) Psychological well-being: evidence regarding its causes and consequences. Appl Psychol Health Well Being 1(2):137–164CrossRef
37.
Eiroa-Orosa FJ (2020) Understanding psychosocial wellbeing in the context of complex and multidimensional problems. Int J Environ Res Public Health 17(16):5937PubMedPubMedCentralCrossRef
38.
Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef
39.
40.
Bhui K et al (2012) Forced residential mobility and social support: impacts on psychiatric disorders among Somali migrants. BMC Int Health Hum Rights 12:4PubMedPubMedCentralCrossRef
41.
Gewalt SC et al (2019) “If you can, change this system” -Pregnant asylum seekers’ perceptions on social determinants and material circumstances affecting their health whilst living in state-provided accommodation in Germany—a prospective, qualitative case study. BMC Public Health 19(1):287PubMedPubMedCentralCrossRef
42.
Palmer D, Ward K (2007) ‘Lost’: listening to the voices and mental health needs of forced migrants in London. Med Confl Surviv 23(3):198–212PubMedCrossRef
43.
Torlinska J, Albani V, Brown H (2020) Financial hardship and health in a refugee population in Australia: a longitudinal study. J Migr Health 1–2:100030PubMedPubMedCentralCrossRef
44.
Walther L et al (2020) Psychological distress among refugees in Germany: a cross-sectional analysis of individual and contextual risk factors and potential consequences for integration using a nationally representative survey. BMJ Open 10(8):e033658PubMedPubMedCentralCrossRef
45.
Bakker L, Cheung SY, Phillimore J (2016) The asylum-integration paradox: comparing asylum support systems and refugee integration in The Netherlands and the UK. Int Migr 54(4):118–132CrossRef
46.
Due C et al (2019) “At night he cries from dreams”: perceptions of children’s psychological distress and wellbeing amongst parents with refugee or asylum seeker backgrounds in Australia. Aust Psychol 54(5):438–449CrossRef
47.
Gillespie S et al (2020) Residential mobility, mental health, and community violence exposure among Somali refugees and immigrants in North America. Health Place 65:102419PubMedCrossRef
48.
49.
Vitale A, Ryde J (2016) Promoting male refugees’ mental health after they have been granted leave to remain (refugee status). Int J Ment Health Promot 18(2):106–125CrossRef
50.
Whitsett D, Sherman MF (2017) Do resettlement variables predict psychiatric treatment outcomes in a sample of asylum-seeking survivors of torture? Int J Soc Psychiatry 63(8):674–685PubMedCrossRef
51.
Leiler A et al (2019) Mental health and quality of life among asylum seekers and refugees living in refugee housing facilities in Sweden. Soc Psychiatry Psychiatr Epidemiol 54(5):543–551PubMedCrossRef
52.
Warfa N et al (2006) Post-migration geographical mobility, mental health and health service utilisation among Somali refugees in the UK: a qualitative study. Health Place 12(4):503–515PubMedCrossRef
53.
Gewalt SC et al (2018) Psychosocial health of asylum seeking women living in state-provided accommodation in Germany during pregnancy and early motherhood: a case study exploring the role of social determinants of health. PLoS ONE 13(12):e0208007PubMedPubMedCentralCrossRef
54.
Karlsson S (2019) ‘You said “home” but we don’t have a house’—children’s lived rights and politics in an asylum centre in Sweden. Childrens Geogr 17(1):64–75CrossRef
55.
Whitehouse K et al (2021) A qualitative exploration of post-migration stressors and psychosocial well-being in two asylum reception centres in Belgium. Int J Migr, Health & Soc Care 17(3):241–258CrossRef
56.
57.
58.
Bernardes D et al (2010) Asylum seekers’ perspectives on their mental health and views on health and social services: contributions for service provision using a mixed-methods approach. Int J Migr, Health & Soc Care 6(4):3–19CrossRef
59.
Beza S et al (2021) Health-related quality of life among refugees and asylum seekers in Northern Greece. J Immigr Minor Health 24:437PubMedCrossRef
60.
Dudek V, Razum O, Sauzet O (2022) Association between housing and health of refugees and asylum seekers in Germany: explorative cluster and mixed model analysis. BMC Public Health 22(1):48PubMedPubMedCentralCrossRef
61.
Haase A, Rohmann A, Hallmann K (2019) An ecological approach to psychological adjustment: a field survey among refugees in Germany. Int J Intercult Relat 68:44–54CrossRef
62.
Hauge AL, Stoa E, Denizou K (2017) Framing outsidedness—aspects of housing quality in decentralized reception centres for asylum seekers in Norway. Hous Theory Soc 34(1):1–20CrossRef
63.
Toscani L et al (2007) Health status of returnees to Kosovo: do living conditions during asylum make a difference? Public Health 121(1):34–44PubMedCrossRef
64.
Walther L et al (2020) Living conditions and the mental health and well-being of refugees: evidence from a large-scale German survey. J Immigr Minor Health 22(5):903–913PubMedPubMedCentralCrossRef
65.
66.
Hedstrom E et al (2021) Exploring parenting narratives in asylum seeking populations in Sweden: examining the effect of post-migration stress on families through grounded theory. J Refug Stud 34(3):3381–3398CrossRef
67.
Correa-Velez I, Gifford SM, McMichael C (2015) The persistence of predictors of wellbeing among refugee youth eight years after resettlement in Melbourne. Aust Soc Sci & Med 142:163–168CrossRef
68.
Rowley L, Morant N, Katona C (2020) Refugees who have experienced extreme cruelty: a qualitative study of mental health and wellbeing after being granted leave to remain in the UK. J Immigr Refug Stud 18(4):357–374CrossRef
69.
Haigh F et al (2021) Mental wellbeing impact assessment of refugee transitional housing support program. University of New Sout Wales, Sydney
70.
Miller KE et al (2002) Bosnian refugees and the stressors of exile: a narrative study. Am J Orthopsychiatry 72(3):341–354PubMedCrossRef
71.
Silvius R (2016) Neo-liberalization, devolution, and refugee well-being: a case study in Winnipeg, Manitoba. Canad Ethnic Stud 48(3):27–44CrossRef
72.
Mansour A et al (2022) Housing and health: an updated glossary. J Epidemiol Commun Health 76(9):833–838CrossRef
73.
Campbell MR et al (2018) Social determinants of emotional well-being in new refugees in the UK. Public Health 164:72–81PubMedCrossRef
74.
Kivling-Boden G, Sundbom E (2001) Life situation and posttraumatic symptoms: a follow-up study of refugees from the former Yugoslavia living in Sweden. Nord J Psychiatry 55(6):401–408PubMedCrossRef
75.
Nikolai K et al (2020) Problems faced by Syrian refugees and asylum seekers in Switzerland. Swiss Med Wkly 150:w20381CrossRef
76.
Ziersch A et al (2017) Belonging begins at home: housing, social inclusion and health and wellbeing for people from refugee and asylum seeking backgrounds. Flinders Press, Adelaide
77.
Hynek N et al (2020) A system model of post-migration risk factors affecting the mental health of unaccompanied minor refugees in Austria—a multi-step modeling process involving expert knowledge from science and practice. Int J Environ Res Public Health 17(14):5058PubMedPubMedCentralCrossRef
78.
Eisen E, Howe G, Cogar M (2021) The impact of post-migration factors on posttraumatic stress and depressive symptoms among asylum seekers in the United States. J Immigr Refug Stud 19(4):573–586CrossRef
79.
Goodson LJ, Phillimore J (2008) Social capital and integration: the importance of social relationships and social space to refugee women. Int J Divers Organ, Commun, Nat 7(6):181
80.
Strang AB, Quinn N (2019) Integration or isolation? Refugees’ social connections and wellbeing. J Refug Stud 34(1):328–353CrossRef
81.
Hocking DC, Kennedy GA, Sundram S (2015) Social factors ameliorate psychiatric disorders in community-based asylum seekers independent of visa status. Psychiatry Res 230(2):628–636PubMedCrossRef
82.
83.
Singh A et al (2019) Housing disadvantage and poor mental health: a systematic review. Am J Prev Med 57(2):262–272PubMedCrossRef
84.
Adam F et al (2021) “Lost in transition”? Integration of refugees into the local housing market in Germany. J Urban Aff 43(6):831–850CrossRef
85.
Nassim M et al (2022) Spatiality of social stress experienced by refugee women in initial reception centers. J Int Migr Integr 23(4):1685–1709
86.
Bentley R, Baker E, Aitken Z (2019) The ‘double precarity’of employment insecurity and unaffordable housing and its impact on mental health. Soc Sci Med 225:9–16PubMedCrossRef
Metadata
Title
Beyond shelter: a scoping review of evidence on housing in resettlement countries and refugee mental health and wellbeing
Authors
Sheenagh McShane
Karen Block
Emma Baker
Yuxi Li
Rebecca Bentley
Publication date
05-03-2025
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-025-02851-1