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改善加拿大移民群体获得心理健康服务的机会:障碍综述与建议

Improving Immigrant Populations' Access to Mental Health Services in Canada: A Review of Barriers and Recommendations.

作者信息

Thomson Mary Susan, Chaze Ferzana, George Usha, Guruge Sepali

机构信息

Ontario Multicultural Health Applied Research Network, Faculty of Community Services, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.

, 99 Gerrard Street East, SHE-690, Toronto, M5B 2K3, Canada.

出版信息

J Immigr Minor Health. 2015 Dec;17(6):1895-905. doi: 10.1007/s10903-015-0175-3.

DOI:10.1007/s10903-015-0175-3
PMID:25742880
Abstract

This article emerges from a scoping review of over two decades of relevant literature on immigrants' access to mental health services in Canada. Key online databases were searched to explore the gaps and opportunities for improving access to mental health services using a review framework provided by Arksey and O'Malley (Int J Soc Res Methodol 8:19-32, 2005). Immigrants and refugees came from diverse religious and cultural backgrounds and had complex mental health-related concerns that were not currently being adequately addressed by existing services. The major barriers to the utilization of mental health services included: those related to the uptake of existing health information and services; those that were related to the process of immigrant settlement; and barriers related to availability of appropriate services. A thematic analysis of the range of recommendations that emerge from these studies for improvement of research, practice and policy is provided.

摘要

本文源自对二十多年来加拿大移民获得心理健康服务的相关文献的范围界定综述。我们检索了主要在线数据库,以利用阿克西和奥马利提供的综述框架(《国际社会研究方法杂志》8:19 - 32,2005年)来探索改善心理健康服务可及性方面的差距和机会。移民和难民来自不同的宗教和文化背景,有着与心理健康相关的复杂问题,而现有服务目前并未充分解决这些问题。利用心理健康服务的主要障碍包括:与获取现有健康信息和服务相关的障碍;与移民定居过程相关的障碍;以及与适当服务的可获得性相关的障碍。本文还对这些研究中提出的一系列关于改进研究、实践和政策的建议进行了主题分析。

相似文献

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Improving Immigrant Populations' Access to Mental Health Services in Canada: A Review of Barriers and Recommendations.改善加拿大移民群体获得心理健康服务的机会:障碍综述与建议
J Immigr Minor Health. 2015 Dec;17(6):1895-905. doi: 10.1007/s10903-015-0175-3.
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Immigrant Mental Health, A Public Health Issue: Looking Back and Moving Forward.移民心理健康:一个公共卫生问题——回顾与展望
Int J Environ Res Public Health. 2015 Oct 27;12(10):13624-48. doi: 10.3390/ijerph121013624.
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Wait-List Controlled Pilot Trial of a Preventive Mental Health Intervention for Refugee Youth.针对难民青少年的预防性心理健康干预措施的等待名单对照试验性研究
J Immigr Minor Health. 2025 Aug 9. doi: 10.1007/s10903-025-01739-1.
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Mental Health Challenges and Barriers to Care Among Arab Refugees: A Scoping Review of US and Canadian Studies.

本文引用的文献

1
From social liminality to cultural negotiation: Transformative processes in immigrant mental wellbeing.从社会阈限到文化协商:移民心理健康的转变过程
Anthropol Med. 2009 Dec 1;16(3):253-66. doi: 10.1080/13648470903249296.
2
Effect of service barriers on health status of aging South Asian immigrants in Calgary, Canada.服务障碍对加拿大卡尔加里市南亚老年移民健康状况的影响。
Health Soc Work. 2013 Feb;38(1):41-50. doi: 10.1093/hsw/hls065.
3
Influence of interpersonal violence on maternal anxiety, depression, stress and parenting morale in the early postpartum: a community based pregnancy cohort study.
阿拉伯难民的心理健康挑战与护理障碍:对美国和加拿大研究的范围综述
PRiMER. 2025 Jul 15;9:37. doi: 10.22454/PRiMER.2025.330739. eCollection 2025.
4
Mental health help-seeking behaviours of East Asian immigrants: a scoping review.东亚移民的心理健康求助行为:一项范围综述
Eur J Psychotraumatol. 2025 Dec;16(1):2514327. doi: 10.1080/20008066.2025.2514327. Epub 2025 Jul 9.
5
Parent and caregiver preferences for eHealth programs.家长和照顾者对电子健康项目的偏好。
BMC Public Health. 2025 Jul 3;25(1):2307. doi: 10.1186/s12889-025-22612-8.
6
Effectiveness of Interventions to Improve Digital Health Literacy in Forced Migrant Populations: Mixed Methods Systematic Review.改善被迫迁移人群数字健康素养的干预措施的有效性:混合方法系统评价
J Med Internet Res. 2025 Jun 25;27:e69880. doi: 10.2196/69880.
7
Access to mental healthcare for refugees, asylum seekers and migrants: an umbrella review of barriers.难民、寻求庇护者和移民获得心理保健服务:障碍的综合综述
BMJ Open. 2025 Jun 8;15(6):e096267. doi: 10.1136/bmjopen-2024-096267.
8
Impact of the Covid-19 pandemic on mental health of persons with disabilities: Insights from the 2021 Canadian Housing Survey.新冠疫情对残疾人心理健康的影响:来自2021年加拿大住房调查的见解
PLOS Glob Public Health. 2025 Jun 4;5(6):e0004728. doi: 10.1371/journal.pgph.0004728. eCollection 2025.
9
Coping Power at the REACH School Network: A pilot feasibility study.REACH学校网络中的应对能力:一项试点可行性研究。
Paediatr Child Health. 2024 Nov 17;29(8):493-500. doi: 10.1093/pch/pxae060. eCollection 2024 Dec.
10
Variations in Conduct, Attention Deficit Hyperactivity Disorder, Mood and Anxiety Disorders Among Children and Youth from Immigrant, Refugee, and Non-Immigrant Backgrounds in British Columbia, Canada: A Population-Based Study.加拿大不列颠哥伦比亚省移民、难民和非移民背景儿童及青少年的行为、注意力缺陷多动障碍、情绪和焦虑症差异:一项基于人群的研究
Child Psychiatry Hum Dev. 2025 May 3. doi: 10.1007/s10578-025-01842-2.
人际关系暴力对产妇产后早期焦虑、抑郁、压力和育儿士气的影响:基于社区的妊娠队列研究。
BMC Pregnancy Childbirth. 2012 Dec 15;12:153. doi: 10.1186/1471-2393-12-153.
4
International migration to Canada: the post-birth health of mothers and infants by immigration class.国际移民到加拿大:按移民类别划分的产妇和婴儿出生后健康状况。
Soc Sci Med. 2013 Jan;76(1):197-207. doi: 10.1016/j.socscimed.2012.11.001. Epub 2012 Nov 12.
5
Using critical ethnography to explore issues among immigrant and refugee women seeking help for postpartum depression.运用批判民族志研究方法探索寻求产后抑郁治疗的移民和难民女性群体中的问题。
Issues Ment Health Nurs. 2012 Nov;33(11):735-42. doi: 10.3109/01612840.2012.701707.
6
Risk factors and health profiles of recent migrant women who experienced violence associated with pregnancy.近期经历与妊娠相关暴力的移民女性的风险因素和健康状况。
J Womens Health (Larchmt). 2012 Oct;21(10):1100-6. doi: 10.1089/jwh.2011.3415. Epub 2012 Aug 17.
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Barriers and facilitators of social supports for immigrant and refugee women coping with postpartum depression.移民和难民妇女应对产后抑郁症时社会支持的障碍与促进因素
ANS Adv Nurs Sci. 2012 Jul-Sep;35(3):E42-56. doi: 10.1097/ANS.0b013e3182626137.
8
Cultural background and socioeconomic influence of immigrant and refugee women coping with postpartum depression.移民和难民妇女应对产后抑郁症的文化背景和社会经济影响。
J Immigr Minor Health. 2013 Apr;15(2):300-14. doi: 10.1007/s10903-012-9663-x.
9
Cultural competence and evidence-based practice in mental health: epistemic communities and the politics of pluralism.心理健康领域的文化能力与循证实践:认知共同体与多元主义政治
Soc Sci Med. 2012 Jul;75(2):249-56. doi: 10.1016/j.socscimed.2012.03.018. Epub 2012 Apr 23.
10
Immigrant and refugee social networks: determinants and consequences of social support among women newcomers to Canada.移民与难民社交网络:加拿大女性新移民社会支持的决定因素及后果
Can J Nurs Res. 2011 Dec;43(4):26-46.