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 If you come across a link that is no longer active, please let us know and we can update it.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

Activities and programmes that support the emotional wellness and well-being of refugees, immigrants and other newcomers within settlement agencies: a scoping review protocol

Obstacles to successful settlement—social isolation, language hardship, issues with employment, housing questions, transportation, barriers to health, education and government service access—all potentially play a role in emerging physical and mental health problems. The objective of this scoping review is to map the available evidence in order to provide an overview of the services and resources offered to refugees, immigrants and other newcomers by settlement agencies to support emotional wellness and well-being. Obstacles to successful settlement—social isolation, language hardship, issues with employment, housing questions, transportation, barriers to health, education and government service access—all potentially play a role in emerging physical and mental health problems. The objective of this scoping review is to map the available evidence in order to provide an overview of the services and resources offered to refugees, immigrants and other newcomers by settlement agencies to support emotional wellness and well-being.
This publication has no Abstract to dispaly

Older immigrant adults’ experiences and perceptions of physical activity

Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population. Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population.
This publication has no Abstract to dispaly

Immigrant physicians in Calgary

Immigrant doctors represent a significant portion of family physicians and specialists in Calgary. Even more could be certified to practice as doctors or in other related professions, but face high financial and regulatory barriers upon arriving. Facilitating their licensing to practice medicine would benefit them and all Calgarians. Immigrant doctors represent a significant portion of family physicians and specialists in Calgary. Even more could be certified to practice as doctors or in other related professions, but face high financial and regulatory barriers upon arriving. Facilitating their licensing to practice medicine would benefit them and all Calgarians.
This publication has no Abstract to dispaly

Intensified Exploitation and Mental Stress as Impacts of Changes to the Temporary Foreign Worker Program in Alberta, Canada

Effective policies are needed to address the issues of precarious status of migrant workers. The experience of migrant workers is highly structured by the policies and systems in destination countries. In Canada, policy changes have affected the experiences of migrants. We sought to examine the impact of changes to the Temporary Foreign Worker Program in 2015 on migrants in Alberta, one of Canada’s western provinces. The findings of our study reveal that the changes to the Temporary Foreign Worker Program in Canada in 2015 restricted the rights of these workers, intensified exploitation, and led to mental health strain for temporary foreign workers and their families. To attend to the marginal status of migrant workers, there is a need to broaden pathways to permanent resident status for low-wage temporary foreign workers in destination countries. Effective policies are needed to address the issues of precarious status of migrant workers. The experience of migrant workers is highly structured by the policies and systems in destination countries. In Canada, policy changes have affected the experiences of migrants. We sought to examine the impact of changes to the Temporary Foreign Worker Program in 2015 on migrants in Alberta, one of Canada’s western provinces. The findings of our study reveal that the changes to the Temporary Foreign Worker Program in Canada in 2015 restricted the rights of these workers, intensified exploitation, and led to mental health strain for temporary foreign workers and their families. To attend to the marginal status of migrant workers, there is a need to broaden pathways to permanent resident status for low-wage temporary foreign workers in destination countries.
This publication has no Abstract to dispaly

Quebec Health-Related Quality-of-Life Population Norms Using the EQ-5D-5L: Decomposition by Sociodemographic Data and Health Problems

The purpose of this study was to determine Quebec population norms from the questionnaire EQ-5D-5L (a self-assessed, health related, quality of life questionnaire). Among people who completed the questionnaire, those with lower scores were those who had a low or high body mass index; were smokers; were single, divorced, or widowed; had no children; were unemployed or sick; had lower education or lower annual income; and had a family or personal history of serious illness. Immigrants had higher scores. There was no difference in gender and urban or rural population. The score logically decreased with worsening health status. Similar results were observed for subjects’ satisfaction with their health or life. Subjects with lower scores were less willing to take risks. Subjects who declared they were affected by health problems presented significant lower utility scores (utility score reflects the level of physical, mental, and social functioning associated with a particular health state and the preference weight the general population gives to that health state). This is the first study to present utility score norms for EQ-5D-5L for the Quebec population. These results will be useful for comparison with quality-adjusted life-year studies to better interpret their results. Moreover, utility norms were provided for 21 health problems, which was rarely done. The purpose of this study was to determine Quebec population norms from the questionnaire EQ-5D-5L (a self-assessed, health related, quality of life questionnaire). Among people who completed the questionnaire, those with lower scores were those who had a low or high body mass index; were smokers; were single, divorced, or widowed; had no children; were unemployed or sick; had lower education or lower annual income; and had a family or personal history of serious illness. Immigrants had higher scores. There was no difference in gender and urban or rural population. The score logically decreased with worsening health status. Similar results were observed for subjects’ satisfaction with their health or life. Subjects with lower scores were less willing to take risks. Subjects who declared they were affected by health problems presented significant lower utility scores (utility score reflects the level of physical, mental, and social functioning associated with a particular health state and the preference weight the general population gives to that health state). This is the first study to present utility score norms for EQ-5D-5L for the Quebec population. These results will be useful for comparison with quality-adjusted life-year studies to better interpret their results. Moreover, utility norms were provided for 21 health problems, which was rarely done.
This publication has no Abstract to dispaly

The availability of pharmacists with Additional Prescribing Authorization in relation to the distribution of vulnerable populations – A cross-sectional study

For vulnerable patients (immigrants or those with low income), it is crucial for pharmacists to be accessible to allow patients benefit from pharmacists’ advanced services, such as independent prescribing. This research examines the geographical relationship between Alberta pharmacists with Additional Prescribing Authorization (APA) and a neighbourhood’s proportion of vulnerable populations. Our research shows that high income areas estimated to have 0.44 more APA pharmacists. Similarly, areas with the highest number of recent immigrants were estimated to have 0.66 more APA pharmacists than other aggregated dissemination areas. A sizable proportion of the Alberta population still does not have access to a pharmacist with APA, and those with APA seem to concentrate in areas with higher income and higher proportions of the population who are immigrants. Future research should examine the utilization of expanded scope of practice in relation to the distribution of vulnerable populations. For vulnerable patients (immigrants or those with low income), it is crucial for pharmacists to be accessible to allow patients benefit from pharmacists’ advanced services, such as independent prescribing. This research examines the geographical relationship between Alberta pharmacists with Additional Prescribing Authorization (APA) and a neighbourhood’s proportion of vulnerable populations. Our research shows that high income areas estimated to have 0.44 more APA pharmacists. Similarly, areas with the highest number of recent immigrants were estimated to have 0.66 more APA pharmacists than other aggregated dissemination areas. A sizable proportion of the Alberta population still does not have access to a pharmacist with APA, and those with APA seem to concentrate in areas with higher income and higher proportions of the population who are immigrants. Future research should examine the utilization of expanded scope of practice in relation to the distribution of vulnerable populations.
This publication has no Abstract to dispaly

Re-envisioning Resilience from African Immigrants’ Perspectives

Investigations into immigrant resilience are now being called for in scholarly reviews of literature, policy, and practice related to immigrants, following decades in which the challenges they face in or pose to Western host societies took centre stage. Focusing on resilience not only recognizes immigrants’ strengths and contributions to their new homelands, but also creates a fertile landscape to explore possible pathways to optimize migration outcomes. The findings of focus group discussions with African immigrant stakeholders (service providers, community/religious leaders, and staff of policy-making bodies) in three Canadian cities align with this new emphasis. However, these findings also raise crucial questions about current conceptualizations of resilience applied to immigrants. Our thematic analysis indicates that African immigrants attach meanings, processes, and values to resilience that differ from conceptions of resilience in the scholarly literature. Their viewpoints and lived experiences presented below offer new understandings that prompt a re-evaluation of currently held assumptions about resilience rooted in Western individualistic notions about mental health. These assumptions, our study show, do not capture African immigrants’ settlement experiences and long-term adaptation to life in Western nations—as collectivist cultures. Investigations into immigrant resilience are now being called for in scholarly reviews of literature, policy, and practice related to immigrants, following decades in which the challenges they face in or pose to Western host societies took centre stage. Focusing on resilience not only recognizes immigrants’ strengths and contributions to their new homelands, but also creates a fertile landscape to explore possible pathways to optimize migration outcomes. The findings of focus group discussions with African immigrant stakeholders (service providers, community/religious leaders, and staff of policy-making bodies) in three Canadian cities align with this new emphasis. However, these findings also raise crucial questions about current conceptualizations of resilience applied to immigrants. Our thematic analysis indicates that African immigrants attach meanings, processes, and values to resilience that differ from conceptions of resilience in the scholarly literature. Their viewpoints and lived experiences presented below offer new understandings that prompt a re-evaluation of currently held assumptions about resilience rooted in Western individualistic notions about mental health. These assumptions, our study show, do not capture African immigrants’ settlement experiences and long-term adaptation to life in Western nations—as collectivist cultures.
This publication has no Abstract to dispaly

Refugee resettlement in Calgary

The inflow of refugees to Calgary fluctuates widely over time, and varies considerably by country of origin. Social agencies must adapt to a continuously shifting kaleidoscope of people, cultures, languages and needs. The inflow of refugees to Calgary fluctuates widely over time, and varies considerably by country of origin. Social agencies must adapt to a continuously shifting kaleidoscope of people, cultures, languages and needs.
This publication has no Abstract to dispaly

Welcome to Canada: Why are family emergency shelters ‘home’ for recent newcomers?

Although Canada is recognized internationally as a leader in immigration policy, supports are not responsive to the traumatic experiences of many newcomers. Many mothers and children arriving in Canada are at elevated risk of homelessness. Individual and group interviews with 18 newcomer mothers with current or recent experiences with homelessness and with 16 service providers working in multiple sectors were conducted. Three main themes emerged: gendered and racialized pathways into homelessness; system failures, and pre- and post-migration trauma. This study revealed structural barriers rooted in preoccupation with economic success that negate and exacerbate the effects of violence and homelessness. The impacts of structural discrimination and violence are embedded in federal policy. It is critical to posit gender and culturally appropriate alternatives that focus on system issues. Although Canada is recognized internationally as a leader in immigration policy, supports are not responsive to the traumatic experiences of many newcomers. Many mothers and children arriving in Canada are at elevated risk of homelessness. Individual and group interviews with 18 newcomer mothers with current or recent experiences with homelessness and with 16 service providers working in multiple sectors were conducted. Three main themes emerged: gendered and racialized pathways into homelessness; system failures, and pre- and post-migration trauma. This study revealed structural barriers rooted in preoccupation with economic success that negate and exacerbate the effects of violence and homelessness. The impacts of structural discrimination and violence are embedded in federal policy. It is critical to posit gender and culturally appropriate alternatives that focus on system issues.
This publication has no Abstract to dispaly

Dual-language books: Enhancing engagement and language awareness

This study in Calgary, AB explored how dual-language books (DLBs) can foster literacy instruction and learner engagement through language awareness. Canada’s changing demographics have resulted in mother tongue diversity and many urban schools identifying at least 25% of students as being English language learners, making it crucial to include a mix of languages in classroom interactions to engage all learners. The case study combined prereading linguistic prompts with a reading of 10 DLBs, one each week, by guest readers in Urdu, Tagalog, and Spanish, alongside the teacher reading in English. Video recordings and surveys collected data on the teacher’s, guest readers’, and learners’ reflections on the experience. Findings indicate that regardless of the learners’ linguistic heritage or English language competence, the DLBs offered a unique support for literacy engagement while fostering a focus on language awareness, reading strategies, and higher order engagement with text. This study in Calgary, AB explored how dual-language books (DLBs) can foster literacy instruction and learner engagement through language awareness. Canada’s changing demographics have resulted in mother tongue diversity and many urban schools identifying at least 25% of students as being English language learners, making it crucial to include a mix of languages in classroom interactions to engage all learners. The case study combined prereading linguistic prompts with a reading of 10 DLBs, one each week, by guest readers in Urdu, Tagalog, and Spanish, alongside the teacher reading in English. Video recordings and surveys collected data on the teacher’s, guest readers’, and learners’ reflections on the experience. Findings indicate that regardless of the learners’ linguistic heritage or English language competence, the DLBs offered a unique support for literacy engagement while fostering a focus on language awareness, reading strategies, and higher order engagement with text.
This publication has no Abstract to dispaly