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Mental ill health is a leading cause of disability worldwide and is significantly higher among refugees and asylum seekers due to trauma, displacement, and resettlement stress. Primary healthcare clinics are often the first point of contact for newcomers including refugees, however many refugees experience barriers in accessing the mental health resources and supports they need. In addition, due to the complexity of mental health needs, many providers find it difficulty to provide integrated mental health services.
This project explores how, why, for whom, and in what contexts integrated mental health care works for refugees within and across primary health care settings. Building on a five-year realist evaluation funded by the Michael Smith Health Research BC (MSHRBC) Scholar Award, the study partners with primary healthcare centers in BC to test and refine a practical model of integrated care. Through interviews, fieldwork, and collaboration with healthcare providers and service users, i.e., refugees, the project aims to identify what makes integration successful in real-world settings.
Findings will guide the development of an evidence-based framework to support more equitable, person-centered, and coordinated mental health services for refugees, strengthening both policy and practice across BC and Canada.
Nancy Clark
Lancaster University
Sociology
Health and Related Sciences and Technology; Other
University of Victoria
Globalink Research Award
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Mitacs is funded by the Government of Canada, the Government of Alberta, the Government of British Columbia, Research Manitoba, the Government of New Brunswick, the Government of Newfoundland and Labrador, the Government of Nova Scotia, the Government of Ontario, Innovation PEI, the Government of Quebec, the Government of Saskatchewan, and the Government of Yukon.