Research Library

Since 2011, the armed conflict that began in the Syrian Arab Republic has displaced an estimated 12 million Syrians, forcing them to seek refuge in various countries around the world. Over half of those people are children. Education is key to integration of refugee children and is considered critical in bringing back a sense of normalcy, routine, as well as emotional and social well-being in their lives. In Canada, integration of Syrian refugee children in the public school system has, therefore, been identified as one of the vital aspects of their settlement needs. This article examines the challenges experienced by newly arrived Syrian refugee children as they struggle to integrate to the Canadian school system. Our research shows that Syrian refugee children not only find it difficult to make friends with local students but are also subjected to constant bullying and racism that affect their sense of belonging and connection. Making the views of these students explicit, we hope to provide a starting point for not only understanding their experiences in more detail, but also for developing educational strategies, resources and policies that might best meet the needs of these students and future refugee children and youth. Since 2011, the armed conflict that began in the Syrian Arab Republic has displaced an estimated 12 million Syrians, forcing them to seek refuge in various countries around the world. Over half of those people are children. Education is key to integration of refugee children and is considered critical in bringing back a sense of normalcy, routine, as well as emotional and social well-being in their lives. In Canada, integration of Syrian refugee children in the public school system has, therefore, been identified as one of the vital aspects of their settlement needs. This article examines the challenges experienced by newly arrived Syrian refugee children as they struggle to integrate to the Canadian school system. Our research shows that Syrian refugee children not only find it difficult to make friends with local students but are also subjected to constant bullying and racism that affect their sense of belonging and connection. Making the views of these students explicit, we hope to provide a starting point for not only understanding their experiences in more detail, but also for developing educational strategies, resources and policies that might best meet the needs of these students and future refugee children and youth.
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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.
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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.
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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

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

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

Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ health care choices with the first five to ten years of arrival in Calgary, Alberta. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong support system to facilitate better health choices and encourage health care service use among recent newcomers. Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ health care choices with the first five to ten years of arrival in Calgary, Alberta. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong support system to facilitate better health choices and encourage health care service use among recent newcomers.
This publication has no Abstract to dispaly

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

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

The purpose of this paper is to examine support needs of African refugee new parents in Canada. Separated from their traditional family and cultural supports, refugee new parents reported isolation and loneliness. They lacked support during pregnancy, birth, and postpartum and had limited interactions with people from similar cultural backgrounds. Refugees required support to access services and overcome barriers such as language, complex systems, and limited financial resources. Support preferences included emotional and information support from peers from their cultural community and culturally sensitive service providers. The purpose of this paper is to examine support needs of African refugee new parents in Canada. Separated from their traditional family and cultural supports, refugee new parents reported isolation and loneliness. They lacked support during pregnancy, birth, and postpartum and had limited interactions with people from similar cultural backgrounds. Refugees required support to access services and overcome barriers such as language, complex systems, and limited financial resources. Support preferences included emotional and information support from peers from their cultural community and culturally sensitive service providers.
This publication has no Abstract to dispaly