Providing Psychological Services to Immigrant Children: Challenges and Potential Solutions
Abstract
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Canada is a diverse and multicultural country. More than one fifth of Canadians are foreign-born individuals from over 200 countries (Statistics Canada, 2017a). Whereas diversity and official multiculturalism makes Canada attractive for immigrants, the newcomers nonetheless face challenges in the areas of settlement, employment, and access to mental health services. These challenges are particularly acute for immigrant children. This article describes four major challenges related to the provision of psychological services to immigrant children and suggests potential solutions for each of these four challenges. The article concludes with the suggestion of a multilevel approach to address these challenges, and the collaborative inclusion of relevant stakeholders.
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Adair, J. K. (2015). The impact of discrimination on the early schooling experiences of children from immigrant families. Washington, DC: Migration Policy Institute.
Ahmad, F., Shik, A., Vanza, R., Cheung, A. M., George, U., & Stewart, D. E. (2004). Voices of South Asian women: Immigration and mental health. Women Health, 40, 113–130.
Alboim, N. & Cohl, K. (2012). Shaping the Future: Canada’s Rapidly Changing Immigration Policies. Retrieved from: http://www.hireimmigrants.ca/resources-tools/reports/shaping-the-future-canadas-rapidly-changing-immigration-policies/
Alexander, C., Burleton, D. & Fong, F. (2012). Knocking down barriers faced by new immigrants to Canada: Fitting the pieces together (TD Economics Special Report). Retrieved from: https://www.td.com/document/PDF/economics/special/ff0212_immigration.pdf
Beiser, M., Simich, L., & Pandalangat (2003). Community in distress: mental health needs and help-seeking in the Tamil community in Toronto. International Migration, 41, 233–245.
Bernal, G., Jimenez, M. I.-C., & Domenech, M. M.-R. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice. Professional Psychology: Research and Practice, 40, 361–368. doi:10.1037/a0016401
Berry, J. W., & Hou, F. (2016). Immigrant acculturation and wellbeing in Canada. Canadian Psychology / Psychologie Canadienne, 57(4), 254–264.
Brodhead, M. T., & Higbee, T. S. (2012). Teaching and maintaining ethical behavior in a professional organization. Behavior Analysis in Practice, 5(2), 82–88.
Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeny, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: evidence and lessons learned. Annual Review of Public Health, 16, 213–34.
Canadian Mental Health Association (2008). Mental health promotion: A framework for action. Toronto. Retrieved from: http://www.cmha.ca/public_policy/knowledge-exchange-a-framework-for-action-by-the-canadian-mental-health-association/#.WauVf8iGPIU
Chen, A. W., & Kazanjian, A. (2005). Rate of mental health service utilization by Chinese immigrants in British Columbia. Canadian Journal of Public Health, 96, 49–51.
Costigan, C. L., Su, T. F., & Hua, J. M. (2009). Ethnic identity among Chinese Canadian youth: A review of the Canadian literature. Canadian Psychology, 50, 261–272.
D’Souza, B. J. (2011, May 30). Children of immigrants and their challenges. Daily Canadian Immigrants. Retrieved from: http://canadianimmigrant.ca/featured/children-of- immigrants-and-their-challenges
Fong, E. H., Catagnus, R. M., Brodhead, M. T., Quigley, S., & Field, S. (2016). Developing the cultural awareness skills of behavior analysts. Behavior Analysis in Practice, 9(1), 84–94. http://doi.org/10.1007/s40617-016-0111-6
Ford, D. (2005, Winter). Intelligence testing and cultural diversity: Pitfalls and promises. Newsletter of National Research Center on Gifted and Talented. Retrieved from: http://nrcgt.uconn.edu/newsletters/winter052/
Gabovitch, E. (2014, April 1). Cultural considerations in autism diagnosis. Boston: Autism Consortium. Retrieved from: http://www.autismconsortium.org/blog/detail/cultural-considerations-in-autism-diagnosis
Griffin, K. W., & Botvin, G. J. (2010). Evidence-Based Interventions for Preventing Substance Use Disorders in Adolescents. Child and Adolescent Psychiatric Clinics of North America, 19(3), 505–526. http://doi.org/10.1016/j.chc.2010.03.005
Guilman, S. R. (2015). Beyond interpretation: The need for English-Spanish bilingual psychotherapists in counseling centers. James Madison Undergraduate Research Journal, 2(1), 26–30. Retrieved from: http://commons.lib.jmu.edu/cgi/viewcontent.cgi?article=1010&context=jmurj
Hammer, K. (2012, September 3). Why highly educated immigrant parents choose Canada. The Global and Mail. Retrieved from: https://www.theglobeandmail.com/news/national/education/why-highly-educated-immigrant- parents-choose-canada/article4517133/
Hansson, E., Tuck, A., Lurie, S. & McKenzie, K. (2010). Improving mental health services for immigrant, refugee, ethno-cultural and racialized groups: Issues and options for service improvement. Task Group of the Services Systems Advisory Committee, Mental Health Commission of Canada. Retrieved from: https://www.mentalhealthcommission.ca/English/system/files/private/Diversity_Issues_Options_Report_ENG_0.pdf
Hsu, L. & Alden, L. E. (2008). Cultural influences on willingness to seek treatment for social anxiety in Chinese- and European-heritage students. Cultural Diversity Ethnic Minority Psychology, 14, 215–223.
Kim, S., & Cardemil, E. (2012). Effective psychotherapy with low-income clients: The importance of attending to social class. Journal of Contemporary Psychotherapy, 42(1),27–35. http://doi.org/10.1007/s10879-011-9194-0
Kirmayer, L.J., Fung, K., Rousseau, C., Lo, H. T., Menzies, P., Guzder, ... McKenzie, K. (2012). Guidelines for training in cultural psychiatry. Canadian Journal of Psychiatry, 57(3). Retrieved from: http://www.multiculturalmentalhealth.ca/wpcontent/uploads/2013/10/2012_CPA_Training-in-Cultural-PsychiatryEN.pdf
Leanza, Y., Miklavcic, A., Boivin, I., & Rosenberg, E. (2014). Working with interpreters. In L. J. Kirmayer, J. Guzder, & C. Rousseau (Eds.),Cultural consultation: Encountering the other in mental health care (pp. pp. 89-114). New York, NY: Springer SBM.
Memon, A., Taylor, K., Mohebati, L. M., Sundin, J., Cooper, M., Scanlon, T., & de Visser, R. (2016). Perceived barriers to accessing mental health services among black and minority ethnic (BME) communities: A qualitative study in Southeast England. BMJ Open, 6(11), e012337. http://doi.org/10.1136/bmjopen-2016-012337
Mental Health Commission of Canada. (2013). The Mental health strategy for Canada: A youth perspective. Ontario: Author. Momani, B. (2016, September 14). Immigration is a net economic benefit –this is a story Canada should build on. The Globe and Mail. Retrieved from: https://beta.theglobeandmail.com/reportonbusiness/robcommentary/immigration-is-a-net-economic-benefitthisis-a-story-canada-should-buildon/article31854798/?ref=http://www.theglobeandmail.com&
Mushquash, C. J., & Bova, D. L. (2007). Cross-cultural assessment and measurement issues. Journal on Developmental Disabilities, 13(1), 53–65.
Nann, B. (2015). Common issues for newcomers.BC. Victoria Immigrant and Refugee Centre Society. Retrieved April 4, 2015 from http://www.vircs.bc.ca/settlement/common_issues.phpNegy, C. (Ed.) (2008). Cross-cultural psychotherapy: Toward a critical understanding of diverse clients (2nd ed.). Reno, Nevada: Bent Tree Press.
Noh, S., Beiser, M., Kaspar, V., Hou, F., & Rummens, J. (1999). Perceived racial discrimination, depression, and coping: A study of Southeast Asian refugees in Canada. Journal of Health Social Behaviour, 40, 193–207.
Noh, S. & Kaspar, V. (2003). Perceived discrimination and depression: moderating effects of coping, acculturation, and ethnic support. American Journal of Public Health, 93, 232–238.
Parcesepe, A. M., & Cabassa, L. J. (2013). Public Stigma of Mental Illness in the United States: A Systematic Literature Review. Administration and Policy in Mental Health, 40(5),384–399. http://doi.org/10.1007/s10488-012-0430-z
Pedersen, P. B., Lonner, W. J., Draguns, J. G., Trimble, J. E., & Rio, M. R. S. (Eds.). (2015). Counselling across cultures (7th ed.). Los Angeles. Sage
Plante, T. G. (2014). Four steps to improve religious/spiritual cultural competence in professional psychology. Spirituality in Clinical Practice, 1(4), 288–292. http://dx.doi.org/10.1037/scp0000047
Randhawa, G., Ferreyra, M., Ahmed, R., Ezzat, O., & Pottie, K. (2013). Using machine translation in clinical practice. Canadian Family Physician, 59(4), 382–383.
Reardon, T., Harvey, K., Baranowska, M., O’Brien, D., Smith, L., & Crewell, C. (2017). What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies. European Child & Adolescent Psychiatry, 26, 623–647.
Ricento, T., Cervatiuc, A., MacMillan, F., & Masoodi, S. (2008). Insights into funded ESL programs. Calgary, Canada: Faculty of Education, University of Calgary.
Ryder, A. G. & Dere, J. (2010). Canadian diversity and clinical psychology: Defining and transcending ‘cultural competence’.College of Alberta Psychologists Monitor, 35, 1–13.
Sadavoy, J., Meier, R., & Ong, A. Y. (2004). Barriers to access to mental health services for ethnic seniors: The Toronto study. Canadian Journal of Psychiatry, 49, 192–199.
Schreiber, R., Stern, P. N., & Wilson, C. (1998). The contexts for managing depression and its stigma among black West Indian Canadian women. Journal of Advanced Nursing, 27, 510–517.
Shields, J., Drolet, J. & Valenzuela, K. (2016). Immigrant settlement and integration services and the role of non-profit service providers. A cross national perspective on trends, issues and evidence. Working paper. Retrieved from: http://www.ryerson.ca/content/dam/rcis/documents/RCIS%20WP%202016_01%20Shields%20et%20al%20final.pdf
Spilka, M. J., & Dobson, K. S., (2015). Promoting the internationalization of evidence-based practice: Benchmarking as a strategy to evaluate culturally transported psychological treatments. Clinical Psychology: Science and Practice, 22, 58– 75.
Squires, A., Aiken, L. H., van den Heede, K., Sermeus, W., Bruyneel, L., Lindqvist, R., ... Zikos, D. (2013). A Systematic Survey Instrument Translation Process for Multi-Country, Comparative Health Workforce Studies. International Journal of Nursing Studies, 50(2), 264–273. http://doi.org/10.1016/j.ijnurstu.2012.02.015
Statistics Canada. (2003). Ethnic diversity survey: Portrait of a multicultural society. Retrieved from: http://publications.gc.ca/Collection/Statcan/89-593-X/89-593-XIE2003001.pdf
Statistics Canada. (2008). Immigrants’ perspectives on their first four years in Canada: Highlights from three waves of the Longitudinal Survey of Immigrants to Canada. Retrieved from: http://www.statcan.gc.ca/pub/11-008-x/2007000/9627-eng.htm#14
Statistics Canada. (2013). Immigration and ethnocultural diversity in Canada. Retrieved from: http://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011001-eng.cfm
Statistics Canada. (2017a, October 25). Immigration population in Canada. Retrieved from: https://www150.statcan.gc.ca/n1/pub/11-627-m/11-627-m2017028-eng.htm
Statistics Canada. (2017b, October 25). Census in brief:Children with an immigrant background- Bridging cultures. Retrieved from: https://www12.statcan.gc.ca/census-recensement/2016/as-sa/98-200-x/2016015/98-200-x2016015-eng.cfm
Stewart, J. M., Lohoar, S., & Higgins, D. J. (2011). Effective practices for service delivery coordination in Indigenous communities. Closing the Gap Clearinghouse. Australian Government. Retrieved from: http://www.aboriginalaffairs.nsw.gov.au/pdfs/about/closing-the-gap.pdf
Tran, T.V. (2009). Developing cross-cultural measurement invariance.Oxford, UK: Oxford University Press.
United Way Toronto. (2013). It’s more than poverty: Employment, precocity and household well-being. Retrieved from https://www.unitedwaytyr.com/document.doc?id=91
Vang, Z., Sigouin, J., Flenon, A., & G agnon, A. (2015). The healthy immigrant effect in Canada: A systematic review. Population Change and Life course Strategic Knowledge Cluster Discussion Paper Series/Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail,3(1), 1–43.
Walsh, K. A. (2014, March 27). Ten most popular countries for immigrants. Retrieved from: http://www.therichest.com/rich-list/most-popular/10-most-popular-countries-for-immigration/3
Ward, E. C., Clark, L. O., & Heidrich, S. (2009). African American women’s beliefs, coping behaviors, and barriers to seeking mental health services. Qualitative Health Research, 19(11), 1589–1601. http://doi.org/10.1177/1049732309350686
World Health Organization. (2014). Mental health: a state of well-being. Retrieved from: http://www.who.int/features/factfiles/mental_health/en/
Wu, H. P., Garza, E., & Guzman, N. (2015). International students’ challenge and adjustment to college. Education Research International, 2015, 1–9. doi:10.1155/2015/202753
Yee, J. (2006). Striving for best practices and equitable mental health care access for racialized communities in Toronto. Retrieved from: http://accessalliance.ca/sites/accessalliance/files/documents/EquitableMentalHealthCareAccessResearchReport.pdf
Yong, A. G., Lemyre, L., Farrell, S., & Young, M. Y. (2016). Acculturation in preventive health for immigrants: A systematic review on influenza vaccination programs in a socio-ecological framework. Canadian Psychology/Psychologie canadienne, 57(4), 340–355.
Young, R. A., & Tolley, E. (2011). Immigrant settlement policy in Canadian municipalities. Montreal: McGill-Queen's University Press.
