Mental Health Needs of SOGIE Refugees in Canada: A Rapid Review

Publication: Canadian Journal of Community Mental Health
15 October 2024

Abstract

This rapid review investigated the mental health concerns of sexual orientation and gender identity expression (SOGIE) refugees in Canada. Database searches yielded 365 results across five databases, providing 12 papers for final thematic analysis once inclusion criteria were applied. Three themes emerged: (1) Stigma and discrimination negatively affected mental health and well-being; (2) SOGIE refugees faced challenges accessing services; and (3) the refugee claims process adversely affected well-being. Recommendations to improve SOGIE refugee well-being include implementing culturally safe policies in agencies, life-skills programs, and supportive spaces; promoting inclusivity, interprofessional collaboration between services, and innovative agency outreach to refugees; addressing biases in refugee claims boards and extending the refugee claim eligibility period.

Résumé

Cette recension rapide des écrits porte sur les difficultés de santé mentale des personnes réfugiées de diverses orientations sexuelles et identités de genre (OSIG) au Canada. Les recherches ont mis en évidence 365 résultats dans 5 bases de données, ce qui, à la suite de l’application des critères de sélection, a permis de retenir 12 articles qui ont été analysés thématiquement. Trois thèmes ont émergé : (1) La stigmatisation et la discrimination ont un impact négatif sur la santé mentale et le bien-être ; (2) Les personnes réfugiées de diverses OSIG ont eu des difficultés à accéder aux services ; (3) Le processus de demande d’asile a un effet néfaste sur le bien-être. Les recommandations pour améliorer le bien-être des personnes réfugiées de diverses OSIG incluent : la mise en œuvre de politiques culturellement sécuritaires, de programmes de formation sur les compétences de la vie quotidienne et d’espaces soutenants ; la promotion de l’inclusion, de la collaboration interprofessionnelle entre les services et de moyens novateurs pour contacter les personnes ; ainsi que la réduction des biais au sein des commissions étudiant les demandes d’asile et la prolongation de la période d’admissibilité pour faire une demande.

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References

Alessi E. J. and Kahn S. 2017 A framework for clinical practice with sexual and gender minority asylum seekers Psychology of Sexual Orientation and Gender Diversity 4 4 383 -391 https://doi.org/10.1037/sgd0000244
Alessi E. J., Kahn S., and Van Der Horn R. 2017 A qualitative exploration of the premigration victimization experiences of sexual and gender minority refugees and asylees in the United States and Canada Journal of Sex Research 54 7 936 -948 https://doi.org/10.1080/00224499.2016.1229738
Alessi E. J., Kahn S., Ast R. S., Cheung S. P., Lee E. O. J., and Kim H. 2023 Learning from practitioners serving LGBTQ+ forced migrants and other diverse groups: Implications for culturally informed affirmative practice Journal of the Society for Social Work and Research 14 3 609 -631 https://doi.org/10.1086/716722
Alessi E. J., Kahn S., Greenfield B., Woolner L., and Manning D. D. 2020 A qualitative exploration of the integration experiences of LGBTQ refugees who fled from the Middle East, North Africa, and Central and South Asia to Austria and the Netherlands Sexuality Research and Social Policy 17 1 13 -26 https://doi.org/10.1007/s13178-018-0364-7
Alessi E. J., Kahn S., Woolner L., and Van Der Horn R. 2018 Traumatic stress among sexual and gender minority refugees from the Middle East, North Africa, and Asia who fled to the European Union Journal of Traumatic Stress 31 6 805 -815 https://doi.org/10.1002/jts.22346
Bockting W. O., Miner M. H., Swinburne Romine R. E., Hamilton A., and Coleman E. 2013 Stigma, mental health, and resilience in an online sample of the US transgender population American Journal of Public Health 103 5 943 -951 https://doi.org/10.2105/AJPH.2013.301241
Braun V. and Clarke V. 2006 Using thematic analysis in psychology Qualitative Research in Psychology 3 2 77 -101 https://doi.org/10.1191/1478088706qp063oa
Canadian Council for Refugees. (n.d.). About refugees and Canada’s response. https://ccrweb.ca/en/refugee-facts
Canadian Institute for Health Information. (2021). Wait times for community mental health counselling. https://yourhealthsystem.cihi.ca/hsp/inbrief?lang=en#!/indicators/090/wait-times-for-community-mental-health-counselling/;mapC1;mapLevel2;/
Cox E., Warren T., Khan M., Wilson C., Cameron R., Davis C., Coleman T., Steffler J., Coulombe S., and Woodford M. 2022 Experiences of discrimination and its impacts on well-being among racialized LGBTQ+ newcomers living in Waterloo Region, Ontario, Canada Health & Social Care in the Community 30 5 e2980 -e2988 https://doi.org/10.1111/hsc.13743
Envisioning Global LGBT Human Rights. (2015, January). Mental health challenges for LGBT asylum seekers in Canada. https://www.rainbowhealthontario.ca/wp-content/uploads/2015/01/Envisioning-Mental-Health-Sheet.pdf
Flett J. 2021 Youth-serving organizations’ inclusivity of LGBTQ newcomers in Canada—A content analysis Journal of Gay and Lesbian Social Services 33 3 356 -375 https://doi.org/10.1080/10538720.2021.1893242
Giwa S., Alessi E. J., Mullings D. V., and Carlson-Strain M. 2021 Are the needs of racialized lesbian, gay, bisexual, transgender, and queer newcomers in Newfoundland and Labrador being met? Preliminary findings from a focus group discussion with Canadian stakeholders International Journal of Social Welfare 30 3 342 -352 https://doi.org/10.1111/ijsw.12451
Gorczynski P. and Fasoli F. 2020 LGBTQ+ focused mental health research strategy in response to Covid-19 The Lancet Psychiatry 7 8 e56 https://doi.org/10.1016/s2215-0366(20)30300-x
Hadfield K., Ostrowski A., and Ungar M. 2017 What can we expect of the mental health and well-being of Syrian refugee children and adolescents in Canada? Canadian Psychology/Psychologie canadienne 58 2 194 -201 https://doi.org/10.1037/cap0000102
Haghiri-Vijeh R. 2022 Experiences of LGBTQIA+ migrants with nurses and other healthcare professionals in Canada Nursing Forum 57 6 1184 -1192 https://doi.org/10.1111/nuf.12819
Haghiri-Vijeh R. and Clark N. 2022 “If you can just break the stigma around it”: LGBTQI+ migrants’ experiences of stigma and mental health Qualitative Health Research 32 11 1595 -1606 https://doi.org/10.1177/10497323221111363
Huminuik K., Eslami M., Sherrell K., and Friesen C. 2022 Settlement-integrated refugee mental health Canadian Psychology/Psychologie canadienne 63 4 667 -677 https://doi.org/10.1037/cap0000345
Kahn S. and Alessi E. J. 2018 Coming out under the gun: Exploring the psychological dimensions of seeking refugee status for LGBT claimants in Canada Journal of Refugee Studies 31 1 22 -41 https://doi.org/10.1093/jrs/fex019
Kahn S., Alessi E. J., Kim H., Woolner L., and Olivieri C. J. 2018 Facilitating mental health support for LGBT forced migrants: A qualitative inquiry Journal of Counseling & Development 96 3 316 -326 https://doi.org/10.1002/jcad.12205
Kahn S., Alessi E. J., Woolner L., Kim H., and Olivieri C. J. 2017 Promoting the wellbeing of lesbian, gay, bisexual and transgender forced migrants in Canada: Providers’ perspectives Culture, Health & Sexuality 19 10 1165 -1179 https://doi.org/10.1080/13691058.2017.1298843
Kazi M. R., Chowdhury N., Chowdhury M. MZI., and Turin T. C. 2021 Conducting a rapid review for quick turnaround knowledge synthesis Health and Primary Care 5 2 https://doi.org/10.15761/hpc.1000213
LaViolette N. 2009 Independent human rights documentation and sexual minorities: An ongoing challenge for the Canadian refugee determination process The International Journal of Human Rights 13 2–3 437 -476 https://doi.org/10.1080/13642980902758234
Logie C. H., Lacombe-Duncan A., Lee-Foon N., Ryan S., and Ramsay H. 2016 “It’s for us—newcomers, LGBTQ persons, and HIV-positive persons. You feel free to be”: A qualitative study exploring social support group participation among African and Caribbean lesbian, gay, bisexual and transgender newcomers and refugees in Toronto, Canada BMC International Health and Human Rights 16 1 18 https://doi.org/10.1186/s12914-016-0092-0
Meyer I. H. 1995 Minority stress and mental health in gay men Journal of Health and Social Behavior 36 1 38 -56 https://doi.org/10.2307/2137286
Meyer I. H. 2003 Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence Psychological Bulletin 129 5 674 -697 https://doi.org/10.1037/0033-2909.129.5.674
Moagi M. M., van Der Wath A. E., Jiyane P. M., and Rikhotso R. S. 2021 Mental health challenges of lesbian, gay, bisexual and transgender people: An integrated literature review Health SA Gesondheid 26 1487 https://doi.org/10.4102/hsag.v26i0.1487
Moher D., Liberati A., Tetzlaff J., and Altman D. G. & PRISMA Group 2009 Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement BMJ (Clinical research ed) 339 b2535 https://doi.org/10.1136/bmj.b2535
Molnar, P. (2018). LGBTQ+ refugees in Canada. The Canadian Encyclopedia. https://www.thecanadianencyclopedia.ca/en/article/lgbtq2-refugees-in-canada
Mulé N. J. 2022 Mental health issues and needs of LGBTQ+ asylum seekers, refugee claimants and refugees in Toronto, Canada Psychology and Sexuality 13 5 1168 -1178 https://doi.org/10.1080/19419899.2021.1913443
Munro L., Travers R., St. John A., Klein K., Hunter H., Brennan D., and Brett C. 2013 A bed of roses?: Exploring the experiences of LGBT newcomer youth who migrate to Toronto Ethnicity and Inequalities in Health and Social Care 6 4 137 -150 https://doi.org/10.1108/EIHSC-09-2013-0018
Pachankis J. E. 2007 The psychological implications of concealing a stigma: A cognitive-affective-behavioral model Psychological Bulletin 133 2 328 -345 https://doi.org/10.1037/0033-2909.133.2.328
Reading R. and Rubin L. R. 2011 Advocacy and empowerment: Group therapy for LGBT asylum seekers Traumatology 17 2 86 -98 https://doi.org/10.1177/1534765610395622
Sajnani, R. (2014, June). Envisioning LGBT refugee rights in Canada: The impact of Canada’s new immigration regime. https://ocasi.org/sites/default/files/impact-canada-new-immigration-regime_0.pdf
Schick M., Zumwald A., Knöpfli B., Nickerson A., Bryant R. A., Schnyder U., Müller J., and Morina N. 2016 Challenging future, challenging past: The relationship of social integration and psychological impairment in traumatized refugees European Journal of Psychotraumatology 7 28057 https://doi.org/10.3402/ejpt.v7.28057
Statistics Canada. (2022, October). Immigrants make up the largest share of the population in over 150 years and continue to shape who we are as Canadians. https://www150.statcan.gc.ca/n1/daily-quotidien/221026/dq221026a-eng.htm
UN Human Rights Office. (2022, May). Forcibly displaced LGBT persons face major challenges in search of safe haven. https://www.ohchr.org/en/statements/2022/05/forcibly-displaced-lgbt-persons-face-major-challenges-search-safe-haven
United Nations High Commissioner for Refugees. (n.d. a). LGBTIQ+ refugees | UNHCR integration handbook. https://www.unhcr.org/handbooks/ih/age-gender-diversity/lgbtiq-refugees
United Nations High Commissioner for Refugees. (n.d. b). What is a refugee? from https://www.unhcr.org/what-refugee
Veale J. F., Peter T., Travers R., and Saewyc E. M. 2017 Enacted stigma, mental health, and protective factors among transgender youth in Canada Transgender Health 2 1 207 -216 https://doi.org/10.1089/trgh.2017.0031
Walther L., Rayes D., Amann J., Flick U., Ta T. M. T., Hahn E., and Bajbouj M. 2021 Mental health and integration: A qualitative study on the struggles of recently arrived refugees in Germany Frontiers in Public Health 9 https://doi.org/10.3389/fpubh.2021.576481
Yarwood V., Checchi F., Lau K., and Zimmerman C. 2022 LGBTQI + migrants: A systematic review and conceptual framework of health, safety and well-being during migration International Journal of Environmental Research and Public Health 19 2 869 https://doi.org/10.3390/ijerph19020869

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 43Number 1March 2024
Pages: 55 - 83

History

Version of record online: 15 October 2024

Key Words

  1. mental health
  2. access barriers
  3. sexual and gender minorities
  4. Refugees
  5. Canada

Mots-clés

  1. santé mentale
  2. obstacles d’accès
  3. minorités sexuelles et de genre
  4. réfugiés
  5. Canada

Authors

Affiliations

Arooran Ananthavel Murugan [email protected]
Wilfrid Laurier University
Robb Travers
Wilfrid Laurier University
Farid Louka
Wilfrid Laurier University
Karen Zaki
Wilfrid Laurier University
Melody Morton Ninomiya
Wilfrid Laurier University
Todd A. Coleman
Wilfrid Laurier University

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