Testing Group Psychological Help for Young Adolescent Syrian Refugees in Jordan

INTERVENTION: There are two arms to this trial. Arm 1: Early Adolescent Skills for Emotions. Arm 2: Enhanced Treatment as Usual. Therapy is group‐administered once‐weekly for 90 minutes over 7 weeks for young adolescents. In addition, there are 3 fortnightly 90‐minute group sessions that are administered separately for caregivers and occur during the course of the adolescents' program. Early Adolescent Skills for Emotions includes skills in psychoeducation, problem solving, arousal management, behavioural activation, and relapse prevention. The caregiver sessions involve psychoeducation, active listening, quality time, praise, caregiver self‐care and relapse prevention. The duration of the study for any participant will conclude after a 3‐month follow‐up assessment, resulting in participation duration of 20 weeks. Therapy is provided by local health workers. Treatment adherence is checked by supervisor observation and completing intervention checklist. CONDITION: Mental Health ‐ Anxiety Mental Health ‐ Depression Mental Health ‐ Other mental health disorders Psychological distress;Depression;Posttraumatic stress disorder; ; Psychological distress ; Depression ; Posttraumatic stress disorder PRIMARY OUTCOME: Psychological distress that are measured by the Pediatric Symptom Checklist [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] SECONDARY OUTCOME: Caregiver parenting skills as measured by the Alabama Parenting Scale [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] Caregiver psychological distress as measured by Kessler 6 [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] Caregiver report of child's psychological distress that are measured by the Pediatric Symptom Checklist ‐ Caregiver Version[Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] Depression that is measured by the Patient Health Questionnaire‐Adolescent. [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] Functioning as measured by the Impairment of Daily Functioning Questionnaire [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] Posttraumatic stress that is measured by The Children’s Impact of Events Scale [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] School attitude as measured by the Psychological Sense of School Membership [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] Well‐being as measured by Short Warwick‐Edinburgh Mental Wellbeing Scale [Pretreatment (week 1), posttreatment (week 9), & 3‐months (12 months as secondary timepoint) ] INCLUSION CRITERIA: Inclusion criteria are (a) Syrian refugees, (b) Pediatric Symptom Checklist 17 score of 15, (c) can understand instructions, (d) has a caregiver who can provide informed consent.