G A Klein, J Weitzenfeld
The use of analogues in comparability analysis
Applied ergonomics
persistent disparities access mental health care refugee immigrant children families pose unique challenges policy practice study examined service provider perspectives barriers opportunities improving mental health supports newcomer children families canada semistructured individual group interviews conducted 33 leadership frontline staff 14 organizations health education settlement social service sectors hamilton ontario interview data analyzed using framework method participants described barriers systems provider individual family levels prevented newcomer families accessing benefiting mental health supports structural barriers included inadequate services funding complexity systems cultural tensions lack prevention early identification providerlevel barriers included lack representation mental health knowledge cultural competency staff shortages burnout individual familylevel barriers included lack mental health literacy primacy settlement needs stigma fear high threshold helpseeking participants recommendations reimagining care related newcomer engagement person familycentered care cultural responsiveness mental health promotion prevention workforce diversity development collaborative integrated care knowledge generation uptake intersection structural provider individualfamilylevel barriers reduce newcomer families access effectiveness mental health supports reducing disparities mental health access care require paradigm shift way mental health care conceptualized delivered newcomer children families