Helpseeking of immigrant and native born parents: a qualitative study from a montreal child day hospital.
OBJECTIVE
This qualitative study of the perceptions of native-born Canadian and immigrant parents whose children attended a psychiatric day hospital for significant behavior impairment, focused on parental helpseeking pathways, explanatory models of mental health, and referral or access experiences.


METHODS
A sample of ten immigrant and ten native born parents were recruited for semi-structured interviews analyzed thematically to discern similarities and differences between the two groups.


RESULTS
The immigrant group more frequently reported barriers and delays in accessing mental health services. They often reported lack of primary care physicians and language barriers. They were less likely to have a biomedical perspective or to use specialized resources for their children prior to admission. Both groups reported apprehension about medication trials, though the immigrant parents were less likely to agree to psychopharmacological treatment. None of the professionals treating parents for mental health problems initiated referral of their impaired children.


CONCLUSIONS
Based on the qualitative analysis of this sample, native born single parents and immigrant parents may feel especially vulnerable to lack of social support. Adjustments of primary care, schools and community resources, as well as promoting best practices of culturally competent child mental health care, may increase access and willingness to pursue treatment in both groups.
Centre for Child Development and Mental Health, Institute of Community and Family Psychiatry, Montreal, Quebec.
Jaswant
J
Guzder
Sennait
S
Yohannes
Phyllis
P
Zelkowitz
access; cultural competence; day hospital; helpseeking; immigrant health