“There was a need in the community”: Practitioners’ Motivations to Providing Mental Health Services to Forced Migrants

Millions of individuals around the globe have been displaced from their countries due to disasters, including persecution, war, disease, famine, and weather events. Many forced migrants (FMs) experience mental health concerns that warrant treatment but often face significant barriers to care, including a limited pool of mental health practitioners (MHPs) who are competent, willing, and able to serve them. In Alaska, the Working Alongside Refugees in Mental Health (WARM) program was developed to address this need. After conducting the first WARM workshop, our team sought to understand how MHPs in Alaska are recruited and retained in working with forced migrants to further develop and maintain our program. We examined MHPs’ motivations to work with FMs through 13 qualitative semi-structured interviews with MHPs who engage in such work. Experiences with FMs and awareness of FMs in their communities, competence, and connections with other practitioners increased MHPs’ motivation and led to service delivery. Community psychology is well positioned to enhance services for FMs through both practitioner-level interventions and systemic interventions. Strategies for increasing and sustaining MHPs’ motivations to work with FMs include: forming connections with other MHPs and trusted individuals and organizations, increasing competence to work with FMs via specialized training networks, integrating experiences working with FMs into training programs, and engaging in advocacy to address systems-level barriers to care.