Please note, this is not an open access database or repository. We have focused on creating simple summaries of reports and articles that we have accessed through websites and academic journals, with a focus on key findings, so that even if a full report is not free to access you can reference it. When possible, we include a link to wherever the original document is hosted (which may or may not be open-access). If you come across a link that is no longer active, please let us know and we can update it. There are also some reports that will have been submitted directly to the project. In this case, these reports are uploaded directly with permission from the author or publisher. Any original documents found on this site are stored in Canada on our secure servers

Bilingual Development in Children with Autism Spectrum Disorder from Newcomer Families

The home language environment and language abilities were compared between children with autism spectrum disorder (ASD) and children with typical development, both from newcomer families in Edmonton. Children were in elementary school, mostly 6 and 7 year olds. The goal was to understand if there were differences in bilingual development between children with ASD and children with typical development at the same age. Specifically, we wanted to understand if children with ASD have the capacity to become bilingual and whether this is supported by their communities, clinicians and educators. We conclude that children with ASD are more at risk than children with typical development for losing their heritage language. In other words, children with ASD have the capacity to be bilingual, but have limited opportunities to develop their heritage language. The home language environment and language abilities were compared between children with autism spectrum disorder (ASD) and children with typical development, both from newcomer families in Edmonton. Children were in elementary school, mostly 6 and 7 year olds. The goal was to understand if there were differences in bilingual development between children with ASD and children with typical development at the same age. Specifically, we wanted to understand if children with ASD have the capacity to become bilingual and whether this is supported by their communities, clinicians and educators. We conclude that children with ASD are more at risk than children with typical development for losing their heritage language. In other words, children with ASD have the capacity to be bilingual, but have limited opportunities to develop their heritage language.
This publication has no Abstract to dispaly

Refugee pathways out of homelessness in urban Alberta, Canada: implications for social justice-oriented counselling

The study explores the challenges faced by refugees and how social justice-oriented counselling can help them overcome these challenges. The research involved in-depth, semi-structured interviews with 20 refugees who had experienced homelessness. The findings reveal that refugees face multiple challenges, including language barriers, lack of social support, and limited access to resources. Social justice-oriented counselling was found to be effective in helping refugees overcome these challenges and find a better life. The study offers insights into how counselling can be tailored to meet the unique needs of refugees and promote social justice. The study explores the challenges faced by refugees and how social justice-oriented counselling can help them overcome these challenges. The research involved in-depth, semi-structured interviews with 20 refugees who had experienced homelessness. The findings reveal that refugees face multiple challenges, including language barriers, lack of social support, and limited access to resources. Social justice-oriented counselling was found to be effective in helping refugees overcome these challenges and find a better life. The study offers insights into how counselling can be tailored to meet the unique needs of refugees and promote social justice.
This publication has no Abstract to dispaly

CLIP Survey of Newcomers: Fall 2017 – Summary Report

The purpose of this survey was to better understand why Calgarians who were born outside of Canada do or do not access Canadian settlement services during their migration process. Many people advocated for more relevant, accurate information to be provided pre-arrival. They really wanted to know more about living in Canada and the realities of daily life in Calgary. This related to different social and economic systems in Canada—banking, housing, childcare, children’s education, health care, transit, and how to dress for Calgary’s weather—as well as social norms about environmental protection and recycling. Respondents also recommended various way to advertise settlement services and to help newcomers to effectively navigate the local service system upon arrival in Calgary. Helping newcomers find the programs that exist to help them is critical. More widespread, however, is the disconnection between the attraction of skilled workers and professionals to Canada and the realities of the job market in Calgary. Respondents lamented that they arrived with hope and optimism, only to find they had little chance of working in their chosen field upon arrival. Moreover, they found few if any appropriate supports to help them transition quickly or easily into the work they were trained to do. What this survey has shown is that better advertising of existing programs and services is essential. In addition, different kinds of services and supports are needed for professional and non-skilled migrants. The purpose of this survey was to better understand why Calgarians who were born outside of Canada do or do not access Canadian settlement services during their migration process. Many people advocated for more relevant, accurate information to be provided pre-arrival. They really wanted to know more about living in Canada and the realities of daily life in Calgary. This related to different social and economic systems in Canada—banking, housing, childcare, children’s education, health care, transit, and how to dress for Calgary’s weather—as well as social norms about environmental protection and recycling. Respondents also recommended various way to advertise settlement services and to help newcomers to effectively navigate the local service system upon arrival in Calgary. Helping newcomers find the programs that exist to help them is critical. More widespread, however, is the disconnection between the attraction of skilled workers and professionals to Canada and the realities of the job market in Calgary. Respondents lamented that they arrived with hope and optimism, only to find they had little chance of working in their chosen field upon arrival. Moreover, they found few if any appropriate supports to help them transition quickly or easily into the work they were trained to do. What this survey has shown is that better advertising of existing programs and services is essential. In addition, different kinds of services and supports are needed for professional and non-skilled migrants.
This publication has no Abstract to dispaly

What is your ‘first’ language in bilingual Canada? A study of language background profiling at publicly funded elementary schools across three provinces

Canada is a country with a complex linguistic and cultural landscape characterized by two official languages (English and French), a steady influx of immigrants, and a number of aboriginal communities. In a broader global environment bilingualism and multilingualism are increasingly recognized as a norm. In this paper, I review language background profiling practices at publicly funded Canadian elementary schools. While school boards recognize some aspects of bilingualism and multilingualism, most registration forms do not allow explicitly for the possibility of a child having more than one first/native language. Based on this paper’s analysis, I recommend (a) allowing parents to include more than one native language in registration forms, (b) include questions related to students’ dominance, primary language or most frequently used language; (c) distinguish between exposure to a language and spoken ability in a language. Canada is a country with a complex linguistic and cultural landscape characterized by two official languages (English and French), a steady influx of immigrants, and a number of aboriginal communities. In a broader global environment bilingualism and multilingualism are increasingly recognized as a norm. In this paper, I review language background profiling practices at publicly funded Canadian elementary schools. While school boards recognize some aspects of bilingualism and multilingualism, most registration forms do not allow explicitly for the possibility of a child having more than one first/native language. Based on this paper’s analysis, I recommend (a) allowing parents to include more than one native language in registration forms, (b) include questions related to students’ dominance, primary language or most frequently used language; (c) distinguish between exposure to a language and spoken ability in a language.
This publication has no Abstract to dispaly

Uninsured Maternity Patients in Calgary: Local Trends and Survey of Health Care Workers

Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians. Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians.
This publication has no Abstract to dispaly

Settlement experiences of Syrian refugees in Alberta

This report documents the settlement experiences of recently arrived Syrian refugees in Albertan cities. It then compares them across the three streams of sponsorship to better understand the perspectives of the refugees, the sponsors, and the social agencies that work with them. This report documents the settlement experiences of recently arrived Syrian refugees in Albertan cities. It then compares them across the three streams of sponsorship to better understand the perspectives of the refugees, the sponsors, and the social agencies that work with them.
This publication has no Abstract to dispaly

Effectiveness of Canada’s tuberculosis surveillance strategy in identifying immigrants at risk of developing and transmitting tuberculosis: a population-based retrospective cohort study

In Canada, tuberculosis disproportionately affects people who were born abroad. The national tuberculosis medical surveillance programme aims to prevent these cases. These people are referred (referrals) for further in-country surveillance after migration if they have a history of active tuberculosis or have features of old, healed tuberculosis on chest radiograph. Others who are not referred (non-referrals) do not undergo surveillance. In this study we looked at the risk of transmitting TB that comes from referrals and non-referrals. We also compared the transmission rates between the two groups. To make this comparison, we looked at information that Alberta Tuberculosis Registry had about foreign-born migrants (aged 15-64 years). We looked at information about people who came to Alberta between Jan 1, 2002, and Dec 31, 2013. We were interested in cases that had culture-positive pulmonary tuberculosis. We found that the incidence of culture-positive pulmonary disease was nine times higher in referrals than all non-referrals and five times higher in referrals than non-referrals from high-risk countries. Despite a much higher incidence of pulmonary tuberculosis in referrals than non-referrals, referrals were 80% less likely to transmit tuberculosis. But we suggest that instead of focusing only on referrals, Canada could consider screening and treatment of latent tuberculosis in all migrants from high-risk countries. In Canada, tuberculosis disproportionately affects people who were born abroad. The national tuberculosis medical surveillance programme aims to prevent these cases. These people are referred (referrals) for further in-country surveillance after migration if they have a history of active tuberculosis or have features of old, healed tuberculosis on chest radiograph. Others who are not referred (non-referrals) do not undergo surveillance. In this study we looked at the risk of transmitting TB that comes from referrals and non-referrals. We also compared the transmission rates between the two groups. To make this comparison, we looked at information that Alberta Tuberculosis Registry had about foreign-born migrants (aged 15-64 years). We looked at information about people who came to Alberta between Jan 1, 2002, and Dec 31, 2013. We were interested in cases that had culture-positive pulmonary tuberculosis. We found that the incidence of culture-positive pulmonary disease was nine times higher in referrals than all non-referrals and five times higher in referrals than non-referrals from high-risk countries. Despite a much higher incidence of pulmonary tuberculosis in referrals than non-referrals, referrals were 80% less likely to transmit tuberculosis. But we suggest that instead of focusing only on referrals, Canada could consider screening and treatment of latent tuberculosis in all migrants from high-risk countries.
This publication has no Abstract to dispaly

The Oral Health of Preschool Children of Refugee and Immigrant Families in Manitoba

Children of newcomers to Canada are at a moderate to high risk for developing early childhood caries (ECC). The purpose of this study was to investigate the oral health of preschool children of refugee and immigrant families in Winnipeg. We recruited 211 children. Overall, 45.5% of the children had ECC and 31.8% had severe ECC (S-ECC). Infant dental enucleation was observed in 6 children. Things that we associate with severity of oral health conditions were increasing age, the presence of debris on teeth, parents believing their child has dental problems and the presence of enamel hypoplasia. Overall, ECC is prevalent in children of newcomer families in Manitoba. These data will inform advocacy efforts to improve access to dental care and tailor early childhood oral health promotion and ECC prevention activities for refugees and recent immigrants. Children of newcomers to Canada are at a moderate to high risk for developing early childhood caries (ECC). The purpose of this study was to investigate the oral health of preschool children of refugee and immigrant families in Winnipeg. We recruited 211 children. Overall, 45.5% of the children had ECC and 31.8% had severe ECC (S-ECC). Infant dental enucleation was observed in 6 children. Things that we associate with severity of oral health conditions were increasing age, the presence of debris on teeth, parents believing their child has dental problems and the presence of enamel hypoplasia. Overall, ECC is prevalent in children of newcomer families in Manitoba. These data will inform advocacy efforts to improve access to dental care and tailor early childhood oral health promotion and ECC prevention activities for refugees and recent immigrants.
This publication has no Abstract to dispaly

Unspoken Skills and Tactics: Essentials for Immigrant Professionals in Integration to Workplace Culture

Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches. Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches.
This publication has no Abstract to dispaly

Sociodemographic Correlates of Clinical Laboratory Test Expenditures in a Major Canadian City

Objectives: The increasing cost of clinical laboratory testing is a challenge in our health care system. This study calculates the annual clinical laboratory test costs. Results: While more women received laboratory testing (58.4%), men had slightly higher testing costs per capita. Except for Chinese, visible minority and Aboriginal populations had higher testing costs. There was an inverse correlation between testing cost and household income. Higher costs were found in those without postsecondary education and the unemployed. Furthermore, another factor that affect the costs is where patients live and access healthcare. Conclusions: Laboratory costs are different depending on social and economic background of patients. Objectives: The increasing cost of clinical laboratory testing is a challenge in our health care system. This study calculates the annual clinical laboratory test costs. Results: While more women received laboratory testing (58.4%), men had slightly higher testing costs per capita. Except for Chinese, visible minority and Aboriginal populations had higher testing costs. There was an inverse correlation between testing cost and household income. Higher costs were found in those without postsecondary education and the unemployed. Furthermore, another factor that affect the costs is where patients live and access healthcare. Conclusions: Laboratory costs are different depending on social and economic background of patients.
This publication has no Abstract to dispaly