There are distinctions noted in mental healthcare service uptake based on immigration status among racialized immigrants in Canada. Research focused on understanding mental healthcare disparities in accessing care within this broad population group often attends to individual-level drivers, which detracts from how systemic factors play a role in producing disparities. Through a three project study, this dissertation aims to explore how access to mental healthcare services among this broad population is influenced by different factors. First, a scoping review aimed to identify barriers and facilitators encountered by racialized immigrants when accessing mental healthcare services across Canada. Second, a qualitative descriptive study explored 16 racialized immigrants’ experiences of accessing mental health services in Ontario, Canada. Third, a qualitative descriptive study centred on the perspectives of both 16 service users and 10 mental healthcare service providers to explore how the immigration and mental healthcare systems coalesce together and play a role in shaping access to services. The findings from all three studies demonstrate how individual and systemic-level factors produce certain inequities for racialized immigrants when accessing mental healthcare services in Ontario. Improving access to mental healthcare services for this broad population group requires attention to how service delivery exists and is shaped by macro-level factors. By highlighting legal status as a starting point for interrogation related to understanding disparities in access, a more nuanced understanding can be gained to pinpoint drivers contributing to the issue. There also needs to be an emphasis on situating how the existing mental healthcare infrastructure plays a role, specifically how access is mediated through one’s legal status. Racialized immigrants are not a monolithic group and therefore, development of equitable policies, programs, and service delivery related to mental health should account this complexity rather than a one-size-fits-all approach. / Dissertation / Doctor of Philosophy (PhD) / Racialized immigrants in Canada experience barriers when accessing mental healthcare services. While there is research that documents these barriers, there is a lack of focus on understanding how this large population’s experiences can be shaped by their legal status. The goal of this dissertation was to understand factors that influence racialized immigrants’ access to mental healthcare services in Ontario, Canada. To explore this issue, this was done through a scoping review and interviews with 16 service users and 10 mental healthcare providers. The findings point to gaps in mental healthcare services that are driven by both system and individual level factors. Meaning changes to improve services must start at the top, specifically changes to policies that limit access to care. However, it is important to not use a blanket approach in developing solutions for this broad population because it will limit how services can be adapted to their unique needs.
| Identifer | oai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/29846 |
| Date | January 2024 |
| Creators | Salam, Zoha |
| Contributors | Ameil, Joseph, Global Health |
| Source Sets | McMaster University |
| Language | English |
| Detected Language | English |
| Type | Thesis |
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