# The Power of Collective Design: Co-Creating Healing-Centered Mental Health Care for Refugee and Immigrant Families

## TL;DR

This paper highlights how co-creating healing-centered mental health care with refugee and immigrant communities can improve well-being and reduce disparities.

## Contribution

The paper introduces a model of collective design using community-based practices to address mental health and social determinants in resettled populations.

## Key findings

- Coalition building and peer learning enhance trusted provider networks and client care.
- Provider training in healing-centered practices reduces mental health disparities.
- Cultural humility and peer-based workforce improve trust and cultural connections.

## Abstract

Refugee and immigrant communities face a host of dynamic health challenges. This essay discusses the importance of prioritizing the impacts of resettlement on mental health and provides examples of how creating a collective network of culturally responsive, trauma-informed, and healing-centered providers—centered on community-based best practices and knowledge—is integral to fostering community resilience. Additionally, it will examine how resettlement challenges intersect with systemic barriers to culturally responsive care and related Social Determinants of Health (SDOH), including economic stability, health care access and quality, and social and community contexts. Drawing upon experiences from a statewide network spanning southern and northern California—and based on interim mixed-methods program evaluation data and practitioner reflections highlighting one community partner’s experience—we provide key learnings that demonstrate how coalition building, cultural humility, and provider training can improve client well-being, reduce mental health disparities, and address the relevant SDOH. Key learnings illustrate the importance of the following: (1) coalition building to co-create trusted provider referral networks and support peer-to-peer learning to enhance client care; (2) provider trainings and capacity building on healing-centered and culturally responsive practices to address SDOH; (3) centering cultural humility; and (4) building a peer-based workforce who speak similar languages and share lived experiences to provide deeper cultural connections and build trust. Our experiences demonstrate that the co-creation of strong mental health provider networks is critical to strengthening the fabric of community resilience.