Pilot Study of Testing Group Psychological Help for Adult Syrian Refugees in Jordan

INTERVENTION: There are two arms to this pilot trial. Arm 1: Group Problem Management Plus. Arm 2: Enhanced Treatment as Usual. Therapy is group‐administered once‐weekly for 90 minutes over 5 weeks for adult Syrian refugees. Group Problem Management Plus includes skills in psychoeducation, problem solving, arousal management, behavioural activation, and instruction in social support. Sessions will occur in centres in the Azraq Refugee Camp, Jordan. The duration of the study for any participant will conclude after a post‐intervention assessment, resulting in participation duration of 7 weeks. Therapy is provided by local health workers. CONDITION: Anxiety;Depression;Posttraumatic stress disorder; ; Anxiety ; Depression ; Posttraumatic stress disorder Mental Health ‐ Anxiety Mental Health ‐ Depression Mental Health ‐ Other mental health disorders PRIMARY OUTCOME: Anxiety that is measured by the Hopkins Symptom Checklist [Pretreatment (week 1), and posttreatment (week 6) ] Depression that is measured by the Hopkins Symptom Checklist[Pretreatment (week 1), and posttreatment (week 6) ] SECONDARY OUTCOME: Children's mental health as measured by the Pediatric Symptom Checklist.[Pretreatment (week 1), and posttreatment (week 6) ] Posttraumatic stress disorder as measured by the Posttraumatic Stress Checklist[Pretreatment (week 1), and posttreatment (week 6) ] INCLUSION CRITERIA: Inclusion criteria are (a) Syrian refugees, (b) psychological distress as measured by K10 scores of >16 and impaired functioning as measured by WHODAS score of >17, and (c) can understand instructions.