What is missing are independent, publicly available audits that walk alongside a returned young person for years, not weeks. Impact cannot be measured at the airport gate or at the end of a training course. What does migration related to MPTSD mean for reintegration? It is trauma layered upon trauma migration related to MPTSD, and it changes how a person thinks, trusts, sleeps, and hopes. Without measuring mental health recovery, employment durability, social reintegration, and repeat migration attempts, we measure movement, not stability.