Research Library

Canada’s National Housing Strategy acknowledges that identity factors are closely connected to housing vulnerability. Specifically, it identifies 12 groups at heightened risk of negative housing outcomes in Canada. In this research, we focus on the intersection of two of these groups: LGBTQ people and refugees. Existing studies establish that members of both groups are vulnerable to discrimination, homelessness, and housing unaffordability. However, they have largely been examined separately, and with limited insights into the factors that produce vulnerability. To develop a more nuanced and systemic account of LGBTQ refugees’ housing vulnerability, we conducted a study in Alberta, Canada. Utilizing Crenshaw’s theory of intersectionality, and drawing on policy documents and key-informant interviews, we identified three types of barriers to housing. We conclude that an intersectional approach provides a foundation for systemic explanations of housing vulnerability that are too often absent in policy. Canada’s National Housing Strategy acknowledges that identity factors are closely connected to housing vulnerability. Specifically, it identifies 12 groups at heightened risk of negative housing outcomes in Canada. In this research, we focus on the intersection of two of these groups: LGBTQ people and refugees. Existing studies establish that members of both groups are vulnerable to discrimination, homelessness, and housing unaffordability. However, they have largely been examined separately, and with limited insights into the factors that produce vulnerability. To develop a more nuanced and systemic account of LGBTQ refugees’ housing vulnerability, we conducted a study in Alberta, Canada. Utilizing Crenshaw’s theory of intersectionality, and drawing on policy documents and key-informant interviews, we identified three types of barriers to housing. We conclude that an intersectional approach provides a foundation for systemic explanations of housing vulnerability that are too often absent in policy.
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Pre-arrival services are considered important in the settlement and integration of immigrants and newcomers in Canada. Filipinos comprise one of the largest groups of non-white immigrants and newcomers in Canada since the 1980s. Of all immigrant groups from non-western countries Filipinos are visibly marked as the “other” yet are considered “ideal’ workers in certain occupational categories like health and service industries where they are most concentrated. Filipinos in Alberta invariably accessed pre-arrival services before arriving in Canada (provided either by the Canadian or Philippine governments; provided by church groups, placement or recruitment agencies, immigration lawyers, and family or other social networks). Those Filipinos without any formal support prior to their arrival in Alberta have made use of varied strategies to find information to assist them in their settlement in the province. In general, pre-arrival services defined early success in the settlement and integration of Filipinos in Alberta. These services eventually shaped the choices and decisions they made upon arrival, and were viewed positively, albeit lacking in many ways. All Filipinos in the study are convinced that gender-neutral pre-arrival services provide a better integrative approach for inclusion in Canada, where both males and females are given the same quality of service and information. Pre-arrival services are considered important in the settlement and integration of immigrants and newcomers in Canada. Filipinos comprise one of the largest groups of non-white immigrants and newcomers in Canada since the 1980s. Of all immigrant groups from non-western countries Filipinos are visibly marked as the “other” yet are considered “ideal’ workers in certain occupational categories like health and service industries where they are most concentrated. Filipinos in Alberta invariably accessed pre-arrival services before arriving in Canada (provided either by the Canadian or Philippine governments; provided by church groups, placement or recruitment agencies, immigration lawyers, and family or other social networks). Those Filipinos without any formal support prior to their arrival in Alberta have made use of varied strategies to find information to assist them in their settlement in the province. In general, pre-arrival services defined early success in the settlement and integration of Filipinos in Alberta. These services eventually shaped the choices and decisions they made upon arrival, and were viewed positively, albeit lacking in many ways. All Filipinos in the study are convinced that gender-neutral pre-arrival services provide a better integrative approach for inclusion in Canada, where both males and females are given the same quality of service and information.
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The CCIS Centre for Refugee Resilience Youth-Family Therapy Evaluation report highlights the positive impact of therapy services provided by CCIS to immigrant and refugee families in Calgary. The report covers the evaluation methods, client demographics, therapy outcomes, perspectives on coordinated family supports, opportunities for improvement, and conclusions and recommendations. The report also includes case examples and an executive summary. The evaluation shows that CCIS has been successful in addressing the trauma-related experiences of newcomer families and provides recommendations for further improvement. The CCIS Centre for Refugee Resilience Youth-Family Therapy Evaluation report highlights the positive impact of therapy services provided by CCIS to immigrant and refugee families in Calgary. The report covers the evaluation methods, client demographics, therapy outcomes, perspectives on coordinated family supports, opportunities for improvement, and conclusions and recommendations. The report also includes case examples and an executive summary. The evaluation shows that CCIS has been successful in addressing the trauma-related experiences of newcomer families and provides recommendations for further improvement.
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Due to the ongoing conflict in Syria, approximately 50,000 Syrian refugees arrived in Canada between 2015 and 2020. Upon arrival, Syrians needed to find housing, employment, healthcare, and language training. They also had to address psychosocial needs, such as cultivating social supports and establishing a sense of safety, which are critical for mitigating trauma and stress related to resettlement. In March 2020, the global COVID-19 pandemic was declared, and disproportionately impacted refugees by compounding pre-existing and systemic health, social, and economic inequities. Refugees are identified as particularly vulnerable during the pandemic due to the precarious working, living, economic, and health conditions they often face. Only three Canadian studies to date have explored Syrian refugee experiences during COVID-19: one used quantitative methods, the other focused on postnatal women, and one explored housing stability. Therefore, there is a dearth of qualitative information regarding how Syrian refugees in Canada have been impacted by the pandemic, especially regarding their psychosocial adaptation during this period. This study explored the impact of the COVID-19 pandemic for Syrian refugees in Canada and identified supports needed, from the perspectives of Syrian refugees themselves. This study is embedded within a broader community-based participatory research project investigating psychosocial adaptation with the Syrian refugee community and used qualitative description and thematic analysis to examine semi-structured interviews conducted with 10 Syrian refugees. Due to the ongoing conflict in Syria, approximately 50,000 Syrian refugees arrived in Canada between 2015 and 2020. Upon arrival, Syrians needed to find housing, employment, healthcare, and language training. They also had to address psychosocial needs, such as cultivating social supports and establishing a sense of safety, which are critical for mitigating trauma and stress related to resettlement. In March 2020, the global COVID-19 pandemic was declared, and disproportionately impacted refugees by compounding pre-existing and systemic health, social, and economic inequities. Refugees are identified as particularly vulnerable during the pandemic due to the precarious working, living, economic, and health conditions they often face. Only three Canadian studies to date have explored Syrian refugee experiences during COVID-19: one used quantitative methods, the other focused on postnatal women, and one explored housing stability. Therefore, there is a dearth of qualitative information regarding how Syrian refugees in Canada have been impacted by the pandemic, especially regarding their psychosocial adaptation during this period. This study explored the impact of the COVID-19 pandemic for Syrian refugees in Canada and identified supports needed, from the perspectives of Syrian refugees themselves. This study is embedded within a broader community-based participatory research project investigating psychosocial adaptation with the Syrian refugee community and used qualitative description and thematic analysis to examine semi-structured interviews conducted with 10 Syrian refugees.
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Dr. Tonya Callaghan at the University of Calgary, in partnership with the Centre of Newcomers, is studying the challenges and gaps in settlement services for LGBTQ2S+ newcomers to Calgary. This emerging research project hopes to tangibly change policy and practice around creating and implementing trauma-informed supports for the intersectional experiences of LGBTQ2S+ newcomers. Dr. Tonya Callaghan at the University of Calgary, in partnership with the Centre of Newcomers, is studying the challenges and gaps in settlement services for LGBTQ2S+ newcomers to Calgary. This emerging research project hopes to tangibly change policy and practice around creating and implementing trauma-informed supports for the intersectional experiences of LGBTQ2S+ newcomers.
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As Canada and other high-income countries continue to welcome newcomers, this study aimed to 1) understand newcomer parents’ attitudes towards routine-childhood vaccinations (RCVs), and 2) identify barriers newcomer parents face when accessing RCVs in Alberta (Calgary, Edmonton and High River). Overall, parents in the focus groups were motivated and willing to vaccinate their children but experienced several barriers related to their capability and opportunity to access RCVs. Five main themes emerged: 1) lack of reputable information about RCVs, 2) language barriers when looking for information and asking questions about RCVs, 3) lack of access to a primary care provider (PCP), 4) lack of affordable and convenient transportation options, and 5) due to the COVID-19 pandemic, lack of available vaccine appointments. The findings highlight that several barriers faced by newcomer families ultimately stem from issues related to accessing information about RCVs and the challenges families face once at vaccination clinics, highlighting opportunities for health systems to better support newcomers in accessing RCVs. As Canada and other high-income countries continue to welcome newcomers, this study aimed to 1) understand newcomer parents’ attitudes towards routine-childhood vaccinations (RCVs), and 2) identify barriers newcomer parents face when accessing RCVs in Alberta (Calgary, Edmonton and High River). Overall, parents in the focus groups were motivated and willing to vaccinate their children but experienced several barriers related to their capability and opportunity to access RCVs. Five main themes emerged: 1) lack of reputable information about RCVs, 2) language barriers when looking for information and asking questions about RCVs, 3) lack of access to a primary care provider (PCP), 4) lack of affordable and convenient transportation options, and 5) due to the COVID-19 pandemic, lack of available vaccine appointments. The findings highlight that several barriers faced by newcomer families ultimately stem from issues related to accessing information about RCVs and the challenges families face once at vaccination clinics, highlighting opportunities for health systems to better support newcomers in accessing RCVs.
This publication has no Abstract to dispaly

What can be learned about the healthcare access of undocumented workers? How can health equity be advanced through sensitivity to the process of precaritization and the precarities informing their lives? Thailand and Spain are the only countries in the world that offer the same healthcare access to undocumented migrants as citizens. Most European countries only offer emergency services: France, the Netherlands, Portugal, Spain, and Switzerland allow undocumented migrants to access similar services to citizens if they meet conditions (proof of identity; length of residence in the country). European cities such as Ghent, Frankfurt, and Dusseldorf, offer barrier-free healthcare. Throughout the USA, Federally Qualified Health Centers support care to the uninsured regardless of immigration status. In Canada, Ontario and Quebec, provide a base level of healthcare access to undocumented migrants, and a small number of stand-alone community-based clinics offer additional care and specialized services. To promote healthcare for undocumented migrants in Alberta, barrier-free access to vaccination, COVID-19 treatment, and proof of vaccinations are essential, but an equity lens to healthcare service— informed by analytic understanding and robust approach to precaritization as a social determinant, is most needed. What can be learned about the healthcare access of undocumented workers? How can health equity be advanced through sensitivity to the process of precaritization and the precarities informing their lives? Thailand and Spain are the only countries in the world that offer the same healthcare access to undocumented migrants as citizens. Most European countries only offer emergency services: France, the Netherlands, Portugal, Spain, and Switzerland allow undocumented migrants to access similar services to citizens if they meet conditions (proof of identity; length of residence in the country). European cities such as Ghent, Frankfurt, and Dusseldorf, offer barrier-free healthcare. Throughout the USA, Federally Qualified Health Centers support care to the uninsured regardless of immigration status. In Canada, Ontario and Quebec, provide a base level of healthcare access to undocumented migrants, and a small number of stand-alone community-based clinics offer additional care and specialized services. To promote healthcare for undocumented migrants in Alberta, barrier-free access to vaccination, COVID-19 treatment, and proof of vaccinations are essential, but an equity lens to healthcare service— informed by analytic understanding and robust approach to precaritization as a social determinant, is most needed.
This publication has no Abstract to dispaly

The City of Edmonton is a diverse and constantly evolving city. As more newcomers move to the city, the need for specific language resources changes and organizations must adapt to these changes. Edmonton has many organizations that specifically assist newcomers with integrating into society. These organizations include Edmonton Immigrant Services Association (EISA), Islamic Family and Social Services Association (IFSSA), Action for Healthy Communities, Catholic Social Services and the Edmonton Mennonite Centre for Newcomers (EMCN), among others. Other organizations provide services to specific cultural groups, such as language and culture schools, which also assist newcomers. This thesis will discuss the research project “Mapping Spaces of Translation and Interpretation in Edmonton,” which mapped and documented organizations that make use of translation and interpretation to provide services for newcomers, immigrants, and refugees, within Edmonton and surrounding areas. The project sought to research the following two questions: 1) How do organizations within the city of Edmonton that provide services to newcomers utilize translation (text-to-text) or interpretation (spoken/verbal) to facilitate their services? 2) What challenges do these organizations face in using translation and interpretation while providing their services? The City of Edmonton is a diverse and constantly evolving city. As more newcomers move to the city, the need for specific language resources changes and organizations must adapt to these changes. Edmonton has many organizations that specifically assist newcomers with integrating into society. These organizations include Edmonton Immigrant Services Association (EISA), Islamic Family and Social Services Association (IFSSA), Action for Healthy Communities, Catholic Social Services and the Edmonton Mennonite Centre for Newcomers (EMCN), among others. Other organizations provide services to specific cultural groups, such as language and culture schools, which also assist newcomers. This thesis will discuss the research project “Mapping Spaces of Translation and Interpretation in Edmonton,” which mapped and documented organizations that make use of translation and interpretation to provide services for newcomers, immigrants, and refugees, within Edmonton and surrounding areas. The project sought to research the following two questions: 1) How do organizations within the city of Edmonton that provide services to newcomers utilize translation (text-to-text) or interpretation (spoken/verbal) to facilitate their services? 2) What challenges do these organizations face in using translation and interpretation while providing their services?
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Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue. Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue.
This publication has no Abstract to dispaly

Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage. Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage.
This publication has no Abstract to dispaly