Aims and benefits
START is a low-threshold and culturally integrative stabilization concept for children and adolescents with severe stress experiences, trauma sequelae and severe emotional stress. The structured therapy manual "START" was developed in the context of practical work with unaccompanied minor refugees in clearing and initial reception contexts and in the clinical care of child and adolescent psychiatry in Idar-Oberstein.
The START program will be tested for effectiveness in a larger randomized-controlled approach with more rigorous scientific framing and an adequate control group.
Reduction in stress experience as measured by the PSS-10 (Perceived Stress Scale) from baseline measurement to completion of the intervention (T1) relative to the wait-list control group.
Reduction in posttraumatic symptomatology measured with the IES-R (Impact of Event Scale) between baseline and completion of the intervention (T1) relative to the wait-list control group.
+49 6131 17 3281
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie
Until 2023 (first quarter)
SP1: Intervention for the initial stabilization of emotionally and psychologically stressed young refugees
Within the START project, an intervention for the initial stabilization of emotionally and psychologically severely stressed children and adolescents and underage refugees is being developed. The START training aims to help reduce stress and post-traumatic symptomatology, develop emotion regulation skills, and strengthen or even rebuild confidence in their own abilities.
Regardless of their country of origin, adolescent refugees can participate in this study if they are sufficiently fluent in one of the following languages:
German, English, Arabic, Dari, Somali.
As of the current
As of now, and due to the current war in the Ukraine, adolescent refugees from Ukraine and neighboring countries can also participate in the study.
SP2: Evaluation of a program for refugee children and their parents
The integration of refugee families in the host country is also dependent on the successful integration of their children in the crèche. Within the framework of the START Childcare study, we would therefore like to investigate the effectiveness of a mentalization-based and attachment-oriented program for crèche children and their parents with a migration background and/or refugee experiences in the context of the familiarization phase in the crèches.
SP3: Evaluation of an integrative group intervention in adolescents and young adults - a feasibility study
Subproject A3 realizes an 8-week group treatment targeting refugees with severe deficits in emotion regulation and management of everyday life. The START program covers training modules from different therapeutic approaches, including dialectic-behavioral therapy, trauma-focused cognitive behavioral therapy and biofeedback. A3 evaluates the feasibility of the START program in adolescents and young adults (18-25 years).
B1: Assessment of perceived stress in everyday life using e-diaries
In our subproject B1, we use a smartphone app to investigate the effectiveness of the START A1 intervention as well as perceived stress in the daily life of adolescent refugees. Compared to other assessment methods, electronic diaries have the advantage of mapping everyday experiences unbiased, dynamically, and in the context of intrapsychological and social processes.
B2: Perceived stress, emotions, and mentalization in childcare workers – an e-diary study
Within subproject B2, we want to test the effectiveness of the START A2 intervention in strengthening mentalization skills in the everyday working environment of childcare workers (see START A2). Mentalization refers to the ability to understand one’s own behavior or the behavior of other persons in a particular situation. Data will be collected in the everyday occupational life of childcare workers using e-diaries.