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To achieve that, five pilot and seven fully powered Randomized Controlled Trials (RCTs) were conducted in seven countries: Jordan (camp setting, group format), Turkey (community setting, group format), Switzerland (community setting individual format), the Netherlands (community setting individual format), Germany (online), Sweden (online) and Egypt (online). \n\nThe RCTs include Syrian refugees of 18 years and above with elevated psychological distress (Kessler Psychological Distress Scale (K10>15)) and impaired daily functioning (WHO Disability Assessment Schedule 2.0 (WHODAS 2.0>16)). Participants are randomised into the intervention or care as usual control group, and complete follow-up assessments at 1-week, 3-month and 12-month follow-up. Primary outcomes are symptoms of depression and anxiety (25-item Hopkins Symptom Checklist). Secondary outcomes include daily functioning (WHODAS 2.0), PTSD symptoms (PTSD Checklist for DSM-5) and self-identified problems (PSYCHLOPS). 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