Testing Group Psychological Help for Adult Syrian Refugees in Jordan

INTERVENTION: There are two arms to this 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 12‐month follow‐up assessment, resulting in participation duration of 60 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), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60). The primary timepoint is the 3‐month follow‐up assessment. ] Depression that is measured by the Hopkins Symptom Checklist [Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60). The primary timepoint is the 3‐month follow‐up assessment.] SECONDARY OUTCOME: Children's mental health as measured by the Pediatric Symptom Checklist[Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] Functional impairment as measured by the WHODAS[Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] Parenting skills as measured by the Alabama Parenting Questionnaire[Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] Personally identified problems as measured by the PSYCHLOPS[Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] Posttraumatic stress disorder as measured by the Posttraumatic Stress Checklist [Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] Prodromal psychotic symptoms as measured by the Brief Prodromal Questionnaire[Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] Prolonged grief as measured by the Prolonged Grief as measured by adapted version of the Prolonged Grief‐13[Pretreatment (week 1), posttreatment (week 6), and 3‐month follow‐up (week 18). 12‐month follow‐up (week 60)] INCLUSION CRITERIA: Inclusion criteria are (a) Syrian refugees, (b) psychological distress as measured by K10 scores of >15 and impaired functioning as measured by WHODAS score of >16, (c) can understand instructions, and (d) has a child in the ages 10‐16 years.