Background: Maladaptive appraisals, such as thoughts about experiencing a permanent and disturbing change and about being a fragile person in a scary world, are associated with posttraumatic stress reactions (PTSR) for trauma-exposed children and adolescents. Less is known about what puts young people at risk for developing such appraisals, and the differential relationship between the types of appraisals and PTSR.

Scalable light-touch programs that align with the Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) approach is becoming an established intervention model for refugee youth with symptoms of post-traumatic stress. Teaching Recovery Techniques (TRT) is one example and, as TF-CBT guidelines state, parent sessions are included as the model relies on parents to provide support and instigate the techniques. In addition to traumatic stress, refugee families are often subjected to acculturative, isolation and resettlement stress.

There is an increasing need for mental health care to adapt assessment and treatment to cultural and social variety of populations. If cultural factors are not properly assessed, patients may receive an incorrect diagnosis, or the severity of their condition may be misjudged (1). Further, a lack of clinicians’ cultural sensitivity can create communication barriers leading to a patient’s breakdown of trust in the therapeutic process and a hesitancy to communicate important information (2).

COVID-19 may pose a mental health risk to funeral service workers (FSWs). In this cross-sectional survey, 278 Dutch FSWs were assessed three months after the acute phase of the pandemic ended. The FSWs reported on burnout symptoms (BAT-12), work engagement (UWES-9), wellbeing (MHC-SF) mental health indicators, and retrospectively on work stress and perceived support during the acute phase of the pandemic. Data-analyses included descriptive statistics and linear regression. Mental health scores were compared with norm scores.