{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:44:56Z","timestamp":1792093496489,"version":"4.4.0"},"reference-count":27,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n In 2023, over 117 million people were forcibly displaced worldwide, 40% of them children. Refugee children are at higher risk for posttraumatic stress disorder, depression, and anxiety, while professionals may struggle to address mental health and trauma-related concerns across unfamiliar cultural contexts. The Psychiatry Assisting the Culturally Diverse Community in Creating Healing Ties (PACCT) approach supports culturally responsive care for culturally diverse families, but first-line professionals often lack practical support to apply such an approach in routine care.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The study aimed to (1) identify professionals\u2019 support to inform the development of Implementing PACCT through a Culturally Contextualized Tool (IMPACCT), a digital decision-support tool; (2) map these needs onto the initial IMPACCT conceptualization; and (3) gather initial feedback from professionals to guide further refinement.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a qualitative descriptive study in 3 phases. First, we analyzed 905 anonymized help desk questions submitted between May 2021 and November 2023 to Solentra, a Belgian center of expertise providing transcultural mental health support and consultation for refugees and other vulnerable migrant populations. Questions were coded using a predeveloped framework to identify recurrent professional needs. Second, we mapped all help desk question categories onto the different components of the first conceptualization of IMPACCT to ensure that its content reflected users\u2019 questions and expectations. Third, 19 professionals working with refugee and migrant populations in Belgium were recruited through an open call between December 2024 and February 2025 using convenience sampling. After hands-on experience with a first iteration of IMPACCT, they provided feedback during semistructured interviews. These interviews were subsequently analyzed using deductive qualitative content analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In the help desk questions, trauma-related concerns were the most common, followed by anxiety\/stress and depressive symptoms. Acculturation was the most dominant culture-migration category. Most contexts were family- and school-oriented, and professionals were primarily asking for supervision or concrete next-step guidance. The interviews (N=19) found that the professionals thought that IMPACCT provided them with better-structured and early reflection, lessened some of the decision-making burden, and enabled a more structurally informed understanding of culture in the context of migration. Reported barriers included the time required and a lack of adaptation in workflow, with more experienced professionals reporting less perceived value. Additionally, participants suggested using IMPACCT as a training and\/or supervision aid in first-line services and as standard decision support in ambulatory and inpatient care.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The study offers first insights into the possible conceptualization of a digital decision-support tool for first-line professionals to help them support children with a refugee background. Further technical optimization of the tool, also taking into account first-user feedback, is, however, necessary before subsequently exploring its efficacy as well as effectiveness in strengthening first-line professionals\u2019 competencies in working with the vulnerable population.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/86809","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T21:00:06Z","timestamp":1788987606000},"page":"e86809-e86809","source":"Crossref","is-referenced-by-count":0,"title":["A Digital Tool for Culturally Responsive Reflection and Case Conceptualization in First-Line Services to Support Children With a Refugee Background: Development and Usability Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5436-6098","authenticated-orcid":false,"given":"Charlotte Angela","family":"Van Bogaert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3092-0787","authenticated-orcid":false,"given":"Benji","family":"Jame","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9095-8286","authenticated-orcid":false,"given":"Geertrui Maria","family":"Serneels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9237-9297","authenticated-orcid":false,"given":"Tom","family":"Van Daele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"R1","unstructured":"Global trends: forced displacement in 2023. United Nations High Commissioner for Refugees (UNHCR); 2024. 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A focus on African refugee families","volume":"5","author":"BeLue","journal-title":"Health Equity"},{"issue":"6","key":"R5","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1177\/00178969231182104","article-title":"Cultural competency and mental health training for medical students:learning from refugees and asylum seekers","volume":"82","author":"Silver","journal-title":"Health Educ J"},{"issue":"3","key":"R6","doi-asserted-by":"publisher","first-page":"66","DOI":"10.3390\/soc10030066","article-title":"Language discordance in mental health services: an exploratory survey of mental health providers and interpreters","volume":"10","author":"Mirza","journal-title":"Societies"},{"issue":"8","key":"R7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-015981","article-title":"Challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries: a systematic review and thematic synthesis of qualitative research","volume":"7","author":"Robertshaw","journal-title":"BMJ Open"},{"issue":"3","key":"R8","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1093\/eurpub\/ckx034","article-title":"Assessing trauma and mental health in refugee children and youth: a systematic review of validated screening and measurement tools","volume":"27","author":"Gadeberg","journal-title":"Eur J Public Health"},{"issue":"4","key":"R9","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1080\/01612840.2017.1285969","article-title":"An intervention supporting the mental health of children with a refugee background","volume":"38","author":"Serneels","journal-title":"Issues Ment Health Nurs"},{"key":"R10","unstructured":"Annual report 2023. Solentra; 2024. 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In: Trauma-Informed Care in Behavioral Health Services. Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services; 2014:61-88. 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