As such, it is relevant to review previous needs assessment methods used with refugee populations. In many states, mental health screenings are not formally conducted during the resettlement process. In North Carolina, resettlement providers and agencies have been reluctant to conduct mental health screenings because there are few – if any – mental health services available to refugees should a need be identified. Time constraints, costs, lack of available interpreters, and inability to follow up with newly arrived individuals also contribute to the paucity of available screening (Pathways to Wellness, 2011). Numerous mental health screening tools have been developed to assess the extent of this gap in refugee services, but none have proven comprehensive yet brief enough to ascertain refugees' immediate mental health needs (The New Mexico Refugee Symptoms Checklist-121; The Hopkins Symptoms Checklist-25; The Posttraumatic Symptoms Scale-Self Report). More recently, however, the Pathways to Wellness Project (2011) developed the Refugee Health Screener – 15 (RHS-15) for refugee resettlement agencies and conducted numerous studies to ensure its reliability and validity. Due to the brevity, cost-effectiveness, and reliability of this measure, the