title: Immigrant Mental Health, A Public Health Issue: Looking Back and Moving Forward.
abstract: The Mental Health Commission of Canada's (MHCC) strategy calls for promoting the health and wellbeing of all Canadians and to improve mental health outcomes. Each year, one in every five Canadians experiences one or more mental health problems, creating a significant cost to the health system. Mental health is pivotal to holistic health and wellbeing. This paper presents the key findings of a comprehensive literature review of Canadian research on the relationship between settlement experiences and the mental health and well-being of immigrants and refugees. A scoping review was conducted following a framework provided by Arskey and O'Malley (Int J Soc Res Methodol 8:19-32, 2005). Over two decades of relevant literature on immigrants' health in Canada was searched. These included English language peer-reviewed publications from relevant online databases Medline, Embase, PsycInfo, Healthstar, ERIC and CINAHL between 1990 and 2015. The findings revealed three important ways in which settlement affects the mental health of immigrants and refugees: through acculturation related stressors, economic uncertainty and ethnic discrimination. The recommendations for public health practice and policy are discussed.
authors.affiliation: Faculty of Community Services, Ryerson University, 99 Gerrard Street East, SHE-690; 350 Victoria Street, Toronto, ON M5B 2K3, Canada. ugeorge@ryerson.ca.
authors.forename: Usha
authors.initials: U
authors.lastname: George
authors.affiliation: Faculty of Community Services, Ryerson University, 99 Gerrard Street East, SHE-690; 350 Victoria Street, Toronto, ON M5B 2K3, Canada. marysusan.thomson@ryerson.ca.
authors.forename: Mary S
authors.initials: MS
authors.lastname: Thomson
authors.affiliation: Community Studies, Sheridan College, 7899 McLaughlin Road, Brampton, ON L6Y 5H9, Canada. ferzana.chaze@sheridancollege.ca.
authors.forename: Ferzana
authors.initials: F
authors.lastname: Chaze
authors.affiliation: School of Nursing; Ryerson University, Faculty of Community Services; 350 Victoria Street, Toronto, ON M5B 2K3, Canada. sguruge@ryerson.ca.
authors.forename: Sepali
authors.initials: S
authors.lastname: Guruge
mesh_terms: D000069:Acculturation; D002170:Canada; D054242:Emigrants and Immigrants / Q000523:psychology*; D004641:Emigration and Immigration; D006801:Humans; D008603:Mental Health; D011634:Public Health; D012036:Refugees / Q000523:psychology*
keywords: Canada; immigrants; mental health; public health; settlement