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<p>Migration during adolescence can pose significant challenges, particularly for vulnerable populations like Afghan migrants residing in Iran. Over the past four decades, Iran has witnessed a substantial influx of Afghan migrants, with a majority being under the age of 18. While the Iranian government and various non-governmental organizations (NGOs) strive to provide essential services such as education, financial support, and mental health resources, addressing the unique needs of this population requires innovative approaches. This study aimed to investigate the feasibility and acceptability of an Assertive Community Treatment (ACT) model in improving outcomes for Afghan migrant adolescents in Iran. We employed a semi-experimental pre-test/post-test design to investigate the feasibility and acceptability of the ACT intervention. Eleven Afghan migrant adolescents, aged 13–15, residing in a neighborhood north of Tehran and receiving services from the Mehr-o-Mah Empowerment Institute, participated in the study. Following informed consent from guardians and assent from the adolescents, the ACT intervention was implemented from October 2023 to February 2024. Data collection utilized a demographic checklist, ecomap, Hurts, Insults, Threats, and Screams tool, and the Illinois Bully Scale. SPSS 26 software facilitated data analysis, employing the Wilcoxon test to show pre- and post-intervention changes with a significance level set at <i>p</i> &lt; 0.05. This study demonstrated that ACT intervention can be used to support Afghan migrant adolescents. Adolescents participating in the study and their families reported improved outcomes after the intervention in the social network size, dietary diversity, frequency of domestic violence, participation in group activities, family connections with support organization, parental involvement, and contact with trusted adults. The findings suggest that the ACT intervention yielded encouraging improvements in the lives of Afghan migrant adolescents in Iran. However, future initiatives should address systemic barriers such as legal insecurity and economic instability. Moreover, employing flexible and gender-sensitive frameworks that promote equitable participation is crucial. Integrating ACT approaches within broader policy reforms can create a more supportive environment for Afghan migrant adolescents.</p>

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Addressing Complex Needs: Assertive Community Treatment with Afghan Migrant Adolescents in Iran

  • 期刊论文

  • 发表日期：

    2025年12月9日

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  • Samin Farahzadi,
  • Masoomeh Maarefvand,
  • Samaneh Hosseinzadeh

摘要

Migration during adolescence can pose significant challenges, particularly for vulnerable populations like Afghan migrants residing in Iran. Over the past four decades, Iran has witnessed a substantial influx of Afghan migrants, with a majority being under the age of 18. While the Iranian government and various non-governmental organizations (NGOs) strive to provide essential services such as education, financial support, and mental health resources, addressing the unique needs of this population requires innovative approaches. This study aimed to investigate the feasibility and acceptability of an Assertive Community Treatment (ACT) model in improving outcomes for Afghan migrant adolescents in Iran. We employed a semi-experimental pre-test/post-test design to investigate the feasibility and acceptability of the ACT intervention. Eleven Afghan migrant adolescents, aged 13–15, residing in a neighborhood north of Tehran and receiving services from the Mehr-o-Mah Empowerment Institute, participated in the study. Following informed consent from guardians and assent from the adolescents, the ACT intervention was implemented from October 2023 to February 2024. Data collection utilized a demographic checklist, ecomap, Hurts, Insults, Threats, and Screams tool, and the Illinois Bully Scale. SPSS 26 software facilitated data analysis, employing the Wilcoxon test to show pre- and post-intervention changes with a significance level set at p < 0.05. This study demonstrated that ACT intervention can be used to support Afghan migrant adolescents. Adolescents participating in the study and their families reported improved outcomes after the intervention in the social network size, dietary diversity, frequency of domestic violence, participation in group activities, family connections with support organization, parental involvement, and contact with trusted adults. The findings suggest that the ACT intervention yielded encouraging improvements in the lives of Afghan migrant adolescents in Iran. However, future initiatives should address systemic barriers such as legal insecurity and economic instability. Moreover, employing flexible and gender-sensitive frameworks that promote equitable participation is crucial. Integrating ACT approaches within broader policy reforms can create a more supportive environment for Afghan migrant adolescents.