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      Factors Shaping the Lived Experience of Resettlement for Former Refugees in Regional Australia.

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          Abstract

          Refugees experience traumatic life events with impacts amplified in regional and rural areas due to barriers accessing services. This study examined the factors influencing the lived experience of resettlement for former refugees in regional Launceston, Australia, including environmental, social, and health-related factors. Qualitative interviews and focus groups were conducted with adult and youth community members from Burma, Bhutan, Sierra Leone, Afghanistan, Iran, and Sudan, and essential service providers (n = 31). Thematic analysis revealed four factors as primarily influencing resettlement: English language proficiency; employment, education and housing environments and opportunities; health status and service access; and broader social factors and experiences. Participants suggested strategies to overcome barriers associated with these factors and improve overall quality of life throughout resettlement. These included flexible English language program delivery and employment support, including industry-specific language courses; the provision of interpreters; community events fostering cultural sharing, inclusivity and promoting well-being; and routine inclusion of nondiscriminatory, culturally sensitive, trauma-informed practices throughout a former refugee's environment, including within education, employment, housing and service settings.

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          Author and article information

          Journal
          Int J Environ Res Public Health
          International journal of environmental research and public health
          MDPI AG
          1660-4601
          1660-4601
          January 13 2020
          : 17
          : 2
          Affiliations
          [1 ] Centre for Rural Health, University of Tasmania, Launceston, TAS 7250, Australia.
          [2 ] School of Social Sciences, University of Tasmania, Launceston, TAS 7250, Australia.
          [3 ] School of Health Sciences, University of Tasmania, Launceston, TAS 7250, Australia.
          [4 ] Translational Health Research Institute and School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia.
          [5 ] Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia.
          Article
          ijerph17020501
          10.3390/ijerph17020501
          7013408
          31941123
          accfd942-145d-44b8-a8c1-d86abfe06916
          History

          health services,housing,lived experience,public health,qualitative research,quality of life,refugee health,refugees,regional and rural Australia,resettlement,social environment

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