The Somali refugee and immigration situation, now in its third decade, is among the most sustained in the world—a third generation of refugees is being born in exile. Currently, one in six Somalis live outside of Somalia. In Seattle, nearly one-third of refugees are Somali, numbering 2,560 (the largest refugee group in the city). In looking at risk factors, refugees often experience stress and trauma in their countries of origin, during their escape/journey of immigration, as well as during the relocation process. This is referred to as the Triple-Trauma paradigm (Michulka, 2009). In the case of Somali refugees, many have had to leave their communities behind and separate from family and friends for very long periods before being able to permanently relocate.