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Policy recommendations for the Ministry of Health

Health is a basic human right for all. The Ministry of Health needs to increase health providers’ awareness of the Interim Federal Healthcare Benefit (IFHB), provide immediate coverage from the Alberta Health Care Insurance Plan (AHCIP) to refugees, and include refugees as eligible beneficiaries under Alberta Labour funding accessibility. Health is a basic human right for all. The Ministry of Health needs to increase health providers’ awareness of the Interim Federal Healthcare Benefit (IFHB), provide immediate coverage from the Alberta Health Care Insurance Plan (AHCIP) to refugees, and include refugees as eligible beneficiaries under Alberta Labour funding accessibility.
This publication has no Abstract to dispaly

Policy recommendations for the Ministry of Justice

It is imperative that the Ministry of Justice improves the capacity and accessibility of Legal Aid, particularly when Alberta has seen a large increase in refugees in recent years. This will mitigate a significant barrier in the settlement sector, as well as strengthen Alberta’s social and economic fabric. It is imperative that the Ministry of Justice improves the capacity and accessibility of Legal Aid, particularly when Alberta has seen a large increase in refugees in recent years. This will mitigate a significant barrier in the settlement sector, as well as strengthen Alberta’s social and economic fabric.
This publication has no Abstract to dispaly

Access and utilization of mental health services for immigrants and refugees: Perspectives of immigrant service providers

Difficult migration journeys and challenges in leaving one country and adapting to another are detrimental to immigrants’ mental health. Often these life stressors are coupled with a lack of adequate support which makes the adaptation process even more challenging. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers’ perceptions of access to and use of mental health services for immigrants and refugees in Alberta. Barriers to access and use of mental health services include language barriers, cultural interpretations of mental health, stigma around mental illness, and fear of negative repercussions when living with a mental illness. Strategies to improve mental health service delivery include developing community-based services, attending to financial barriers, training immigrant service providers on mental health, enhancing collaboration across sectors in mental health service delivery, and advancing the role of interpreters and cultural brokers. Overall, immigrant service providers present a nuanced view of the complex and inter-related barriers immigrants and refugees experience and identify potential approaches to enhancing mental health service delivery. Difficult migration journeys and challenges in leaving one country and adapting to another are detrimental to immigrants’ mental health. Often these life stressors are coupled with a lack of adequate support which makes the adaptation process even more challenging. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers’ perceptions of access to and use of mental health services for immigrants and refugees in Alberta. Barriers to access and use of mental health services include language barriers, cultural interpretations of mental health, stigma around mental illness, and fear of negative repercussions when living with a mental illness. Strategies to improve mental health service delivery include developing community-based services, attending to financial barriers, training immigrant service providers on mental health, enhancing collaboration across sectors in mental health service delivery, and advancing the role of interpreters and cultural brokers. Overall, immigrant service providers present a nuanced view of the complex and inter-related barriers immigrants and refugees experience and identify potential approaches to enhancing mental health service delivery.
This publication has no Abstract to dispaly

A place to call home?: recent immigrant integration experiences in Lethbridge, Alberta

The settlement and integration of immigrants is a common policy focus for governments and researchers across the world. In Canada, these policies have become more relevant over the last twenty years. Still, most of the conversations about integration processes in Canada occur in the context of Canada’s largest and most diverse cities. In this thesis, I examine the settlement experiences of recent landed immigrants in Lethbridge—a small Albertan city. My analyses especially highlight the crucial roles that community support, length of residence, and admission class play in determining settlement outcomes of recent immigrants in Lethbridge, Alberta. Based on the data, it is safe to say that integration is promoted in Lethbridge, but immigrants still do not fare as well as the general population. The outcomes of integration process also varies depending on the lived experience of newcomers. For example, refugees are more susceptible to poorer outcomes of integration processes, while highly educated immigrants tend to perform relatively well. To increase the efficiency of integration programmes in Lethbridge, I propose to hire more immigrants to have their perspectives at the table in decision-making; increase access to and availability of relevant settlement information to immigrants; provide more mental health support; provide specific employment supports for economic immigrants; offer services to people without PR status. The settlement and integration of immigrants is a common policy focus for governments and researchers across the world. In Canada, these policies have become more relevant over the last twenty years. Still, most of the conversations about integration processes in Canada occur in the context of Canada’s largest and most diverse cities. In this thesis, I examine the settlement experiences of recent landed immigrants in Lethbridge—a small Albertan city. My analyses especially highlight the crucial roles that community support, length of residence, and admission class play in determining settlement outcomes of recent immigrants in Lethbridge, Alberta. Based on the data, it is safe to say that integration is promoted in Lethbridge, but immigrants still do not fare as well as the general population. The outcomes of integration process also varies depending on the lived experience of newcomers. For example, refugees are more susceptible to poorer outcomes of integration processes, while highly educated immigrants tend to perform relatively well. To increase the efficiency of integration programmes in Lethbridge, I propose to hire more immigrants to have their perspectives at the table in decision-making; increase access to and availability of relevant settlement information to immigrants; provide more mental health support; provide specific employment supports for economic immigrants; offer services to people without PR status.
This publication has no Abstract to dispaly

Canadian Refugee Sponsorship Programs: Experience of Syrian Refugees in Alberta, Canada

The article documents the settlement experiences of Syrian refugees in a major city in Alberta, Canada, in the first year of their resettlement. It then compares them across the three government and private sponsorship programs to understand which program is most effective in helping refugees settle and integrate in Canada. The findings suggest that all three programs were largely successful in bringing in Syrian refugees, from various asylum countries in the Middle East to safe places in Canada. However, the settlement experience of refugees varied after they arrived in Canada. Challenges in learning English and finding employment were paramount among all three refugee streams. Contrary to some academic literature, privately sponsored refugees faced resettlement challenges similar to their counterparts in the two other sponsorship streams. The article documents the settlement experiences of Syrian refugees in a major city in Alberta, Canada, in the first year of their resettlement. It then compares them across the three government and private sponsorship programs to understand which program is most effective in helping refugees settle and integrate in Canada. The findings suggest that all three programs were largely successful in bringing in Syrian refugees, from various asylum countries in the Middle East to safe places in Canada. However, the settlement experience of refugees varied after they arrived in Canada. Challenges in learning English and finding employment were paramount among all three refugee streams. Contrary to some academic literature, privately sponsored refugees faced resettlement challenges similar to their counterparts in the two other sponsorship streams.
This publication has no Abstract to dispaly

Refugee Claimants in Alberta

The backgrounder on referral in Alberta’s settlement and integration sector provides insights into the challenges faced by the referral system and offers suggestions for improvement. The document draws on interviews with agencies and identifies three categories of suggestions that could benefit referral processes: fostering information availability and dialogue between agencies, standardizing tools and processes, and building relationships. The backgrounder also highlights issues related to confidentiality in referral processes and the variation in how agencies approach this. Suggestions for sharing informational resources and the need for a directory of services are also discussed. The document concludes by emphasizing the importance of ongoing efforts to enhance existing processes, tools, and relationships in the short-term. The backgrounder on referral in Alberta’s settlement and integration sector provides insights into the challenges faced by the referral system and offers suggestions for improvement. The document draws on interviews with agencies and identifies three categories of suggestions that could benefit referral processes: fostering information availability and dialogue between agencies, standardizing tools and processes, and building relationships. The backgrounder also highlights issues related to confidentiality in referral processes and the variation in how agencies approach this. Suggestions for sharing informational resources and the need for a directory of services are also discussed. The document concludes by emphasizing the importance of ongoing efforts to enhance existing processes, tools, and relationships in the short-term.
This publication has no Abstract to dispaly

Leaving Homelands to finding Homes: Refugee Housing Affordability in Calgary

The issue of refugee housing affordability in Calgary is one which needs attention. In the coming years, Canada is expected to increase its refugee resettlement targets to approximately 15% of its total immigration quota. Data provided by CCIS shows a concentration of refugees living in the far north part of Calgary, some small portions in the Southwest, and a large concentration in the Forest Lawn/Northeast part of Calgary. This study assumes that the largest motivating factor for resettlement in these areas is housing affordability, constrained largely by refugee settlement funding. A survey of refugee budgets, when compared to available mean and lower quartile rental data, mostly corroborates this assumption. Single refugees are likely to face housing affordability issues far more than their counterparts with children, primarily due to the lack of child benefits. Refugee claimants, those seeking asylum in Canada, were at the greatest risk for homelessness in Calgary. It is recommended that the federal government consider granting refugee claimants benefits, and that the primary mechanism for increasing refugee housing affordability should be increasing cash transfers, including the possibility of a national housing benefit, to all Canadians. The issue of refugee housing affordability in Calgary is one which needs attention. In the coming years, Canada is expected to increase its refugee resettlement targets to approximately 15% of its total immigration quota. Data provided by CCIS shows a concentration of refugees living in the far north part of Calgary, some small portions in the Southwest, and a large concentration in the Forest Lawn/Northeast part of Calgary. This study assumes that the largest motivating factor for resettlement in these areas is housing affordability, constrained largely by refugee settlement funding. A survey of refugee budgets, when compared to available mean and lower quartile rental data, mostly corroborates this assumption. Single refugees are likely to face housing affordability issues far more than their counterparts with children, primarily due to the lack of child benefits. Refugee claimants, those seeking asylum in Canada, were at the greatest risk for homelessness in Calgary. It is recommended that the federal government consider granting refugee claimants benefits, and that the primary mechanism for increasing refugee housing affordability should be increasing cash transfers, including the possibility of a national housing benefit, to all Canadians.
This publication has no Abstract to dispaly

Supporting the resettlement of a Syrian family in Canada: The social work resettlement practice experience of Social Justice Matters

The Syrian conflict and war has contributed to the largest refugee crisis in recent history. Many refugees are seeking protection and safety for their family. This article discusses the context of the Syrian refugee crisis and how a group of social work faculty members are responding by supporting the resettlement of a Syrian refugee family in Canada. Private sponsorship options, grassroots activities, and the role of social work in resettlement are discussed. The paper explores the experiences of one refugee sponsor group composed of social work faculty, argues that social worker have an important role to play in refugee resettlement (through private sponsorship and other social work-related activities). This article concludes with a call to action for social workers to strengthen their support and involvement in the resettlement of refugees. The Syrian conflict and war has contributed to the largest refugee crisis in recent history. Many refugees are seeking protection and safety for their family. This article discusses the context of the Syrian refugee crisis and how a group of social work faculty members are responding by supporting the resettlement of a Syrian refugee family in Canada. Private sponsorship options, grassroots activities, and the role of social work in resettlement are discussed. The paper explores the experiences of one refugee sponsor group composed of social work faculty, argues that social worker have an important role to play in refugee resettlement (through private sponsorship and other social work-related activities). This article concludes with a call to action for social workers to strengthen their support and involvement in the resettlement of refugees.
This publication has no Abstract to dispaly

Caring for pregnant refugee women in a turbulent policy landscape: perspectives of health care professionals in Calgary, Alberta

Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources. Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources.
This publication has no Abstract to dispaly

The Settlement Experiences of Syrian Newcomers in Alberta: Social Connections and Interactions

Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion. Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion.
This publication has no Abstract to dispaly