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 If you come across a link that is no longer active, please let us know and we can update it.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

Discrimination, Psychological Isolation, and Flight from School

Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability. Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability.
This publication has no Abstract to dispaly

Fewer losses in the cascade of care for latent tuberculosis with solo interferon-gamma release assay screening compared to sequential screening

Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA. Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA.
This publication has no Abstract to dispaly

Exploring beneficial practices of mental health professionals working with refugees

Evidence suggests that despite growing numbers of refugees entering Alberta each year, there may not be enough counsellors equipped to provide helping services. Within the counselling context, refugees are identified as at risk for developing complex psychological challenges, requiring culturally sensitive counselling that incorporates diverse culture and language differences. This case study explored how three Alberta-based mental health professionals provide helpful counselling services to refugees and how they prepared to attain competencies and relevant experiences required for providing appropriate, culturally sensitive interventions to refugees. Evidence suggests that despite growing numbers of refugees entering Alberta each year, there may not be enough counsellors equipped to provide helping services. Within the counselling context, refugees are identified as at risk for developing complex psychological challenges, requiring culturally sensitive counselling that incorporates diverse culture and language differences. This case study explored how three Alberta-based mental health professionals provide helpful counselling services to refugees and how they prepared to attain competencies and relevant experiences required for providing appropriate, culturally sensitive interventions to refugees.
This publication has no Abstract to dispaly

Does Community Size Matter in the Settlement Process? The Experience of Syrian Refugees in Lethbridge in Alberta, Canada

The article documents refugee experience in the first year of their settlement in a small city in Canada and then explores whether the size of the community matters in the settlement processes. This is based on an extensive study of Syrian refugee settlement experiences in one large Canadian city (Edmonton) and one small Canadian city (Lethbridge). The findings argue that contrary to existing scholarly literature, small municipalities such as Lethbridge were more creative, nimble, and efficient in settling Syrian newcomers. In small cities, however, lack of denominational and non-denominational organizations to complement government assistance, the onset of compassionate fatigue among the city dwellers, and limited retention of newcomers due to limited employment opportunity are real threats to the settlement process immediately after newcomers’ arrival and in the long term. A more substantial role of municipal governments in the refugee resettlement process is recommended to offset the disproportionate burden settlement sector carries. The article documents refugee experience in the first year of their settlement in a small city in Canada and then explores whether the size of the community matters in the settlement processes. This is based on an extensive study of Syrian refugee settlement experiences in one large Canadian city (Edmonton) and one small Canadian city (Lethbridge). The findings argue that contrary to existing scholarly literature, small municipalities such as Lethbridge were more creative, nimble, and efficient in settling Syrian newcomers. In small cities, however, lack of denominational and non-denominational organizations to complement government assistance, the onset of compassionate fatigue among the city dwellers, and limited retention of newcomers due to limited employment opportunity are real threats to the settlement process immediately after newcomers’ arrival and in the long term. A more substantial role of municipal governments in the refugee resettlement process is recommended to offset the disproportionate burden settlement sector carries.
This publication has no Abstract to dispaly

Exploring social bridging, sense of belonging, and integration amongst the Syrian refugee community

The civil war in Syria caused an upheaval to all aspects of life for its citizens, resulting in an unprecedented number of Syrians arriving in Canada as refugees. While government and settlement agencies responded by addressing their immediate needs, other aspects of their integration, specifically their social integration, were much less prioritized and minimally resourced. This study drew on Ager & Strang’s (2008) Domains of Integration Framework and their description of social bridging to explore this aspect of social integration of refugees in greater detail. A qualitative descriptive methodology was applied to explore how Syrian refugees describe their experiences of building social bridges in Canada, and how these bridges impact their sense of belonging and overall integration. Semi-structured interviews were conducted with twelve adult members of the Syrian refugee community, and thematic analysis was used to interpret the data. The civil war in Syria caused an upheaval to all aspects of life for its citizens, resulting in an unprecedented number of Syrians arriving in Canada as refugees. While government and settlement agencies responded by addressing their immediate needs, other aspects of their integration, specifically their social integration, were much less prioritized and minimally resourced. This study drew on Ager & Strang’s (2008) Domains of Integration Framework and their description of social bridging to explore this aspect of social integration of refugees in greater detail. A qualitative descriptive methodology was applied to explore how Syrian refugees describe their experiences of building social bridges in Canada, and how these bridges impact their sense of belonging and overall integration. Semi-structured interviews were conducted with twelve adult members of the Syrian refugee community, and thematic analysis was used to interpret the data.
This publication has no Abstract to dispaly

Autism in the context of humanitarian emergency: The lived experiences of Syrian refugee parents of children on the autism spectrum

This study explored the support and service experiences of resettled Syrian refugee parents of autistic children in terms of their pre- and post-migration. These lived experiences were investigated with participants (n = 3) through semi-structured interviews using interpretive phenomenological analysis. This study identified the supports and services parents received, their experiences with those services, their overall experiences with resettlement having an autistic child(ren), the implications of culture in support/service provision, and their perceived areas of service need during and after their resettlement in Alberta, Canada. Parents all had unique experiences that were delineated through clustered emergent themes and subsequently organized into a superordinate conceptual structure. The results of the study are discussed in the context of theory and relevant literature to elucidate and make findings applicable. Practical implications and future directions are discussed. This study explored the support and service experiences of resettled Syrian refugee parents of autistic children in terms of their pre- and post-migration. These lived experiences were investigated with participants (n = 3) through semi-structured interviews using interpretive phenomenological analysis. This study identified the supports and services parents received, their experiences with those services, their overall experiences with resettlement having an autistic child(ren), the implications of culture in support/service provision, and their perceived areas of service need during and after their resettlement in Alberta, Canada. Parents all had unique experiences that were delineated through clustered emergent themes and subsequently organized into a superordinate conceptual structure. The results of the study are discussed in the context of theory and relevant literature to elucidate and make findings applicable. Practical implications and future directions are discussed.
This publication has no Abstract to dispaly

Immigrant Mothers’ Perspectives of Barriers and Facilitators in Accessing Mental Health Care for Their Children

Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications. Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.
This publication has no Abstract to dispaly

Parenting challenges of African immigrants in Alberta, Canada

African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities. African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities.
This publication has no Abstract to dispaly

Schistosoma and Strongyloides screening in migrants initiating HIV Care in Canada: a cross sectional study

Following migration from Schistosoma and Strongyloides endemic to non-endemic regions (i.e. Canada), people remain at high risk for complications from these chronic infections. HIV co-infected persons are particularly vulnerable to the serious and potentially fatal consequences of untreated helminth infection. While general screening guidelines exist for parasitic infection screening in immigrant populations, they remain silent on HIV positive populations. This study assessed the seroprevalence, epidemiology and laboratory characteristics of these two parasitic infections in a non-endemic setting in an immigrant/refugee HIV positive community. We argue that routine parasite screening should be included as part of standard HIV care in non-endemic areas. Following migration from Schistosoma and Strongyloides endemic to non-endemic regions (i.e. Canada), people remain at high risk for complications from these chronic infections. HIV co-infected persons are particularly vulnerable to the serious and potentially fatal consequences of untreated helminth infection. While general screening guidelines exist for parasitic infection screening in immigrant populations, they remain silent on HIV positive populations. This study assessed the seroprevalence, epidemiology and laboratory characteristics of these two parasitic infections in a non-endemic setting in an immigrant/refugee HIV positive community. We argue that routine parasite screening should be included as part of standard HIV care in non-endemic areas.
This publication has no Abstract to dispaly

Voices of refugee youth

Using PhotoVoice, this research explored the settlement experiences of refugee youth who have exited high school and are in a program designed by an Albertan school board to support their language and academic needs. Newcomer youth encounter profound academic and social stresses as they attempt to create a new identity and sense of belonging in their new home. This project examined what it means for refugee youth to recuperate a place of belonging. By focusing on the notion of belonging rather than barriers to settlement, the findings revealed that at the core of the youth’s efforts, connecting to people, especially in school, in addition to connecting to the natural world, fostered feelings of well-being and belonging. Educational implications include recommendations for schools and teachers supporting newcomer youth. Using PhotoVoice, this research explored the settlement experiences of refugee youth who have exited high school and are in a program designed by an Albertan school board to support their language and academic needs. Newcomer youth encounter profound academic and social stresses as they attempt to create a new identity and sense of belonging in their new home. This project examined what it means for refugee youth to recuperate a place of belonging. By focusing on the notion of belonging rather than barriers to settlement, the findings revealed that at the core of the youth’s efforts, connecting to people, especially in school, in addition to connecting to the natural world, fostered feelings of well-being and belonging. Educational implications include recommendations for schools and teachers supporting newcomer youth.
This publication has no Abstract to dispaly