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Exploring Immigration Resettlement and Health: Beyond the Healthy Immigrant Effect

This examination delves into the complexities of immigration resettlement and its impact on health. It challenges prevailing notions such as the "Healthy Immigrant" effect and highlights the various contingencies affecting immigrant health, including age, culture, and mental health conditions. Through a critical lens, it assesses research models, evidence quality, and shortcomings for a more comprehensive understanding. The text emphasizes the need for solutions that address these complexities to promote immigrant well-being.

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Exploring Immigration Resettlement and Health: Beyond the Healthy Immigrant Effect

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  1. IMMIGRATION RESETTLEMENT AND HEATLH Morton Beiser CM, MD, FRCP, Professor or Distinction, Ryerson University, Member, Board of Directors OMHARN

  2. MODELS OF IMMIGRANT HEALTH

  3. The Damaged “…the waifs and strays of Europe….freaks of creation.” (The Mail and Empire, 1899) "…drunkards, paupers, loafers and jailbirds…” (Henri Bourassa, 1919)

  4. The Disillusioned

  5. It’s Not That Simple: It Rarely Is

  6. The Depleted • The “Healthy Immigrant” effect: • Problems with Methods: • Time vs. Cohort • Measurement • Regression to the mean? • Applicable to everything and to everybody?

  7. The Depleted • Contingencies: • Depends on the Condition – TB, CVS, Mental Disorder? • Age variations • Ethnocultural variations • Another big Problem: • Passive model. Neglects situation and resilience.

  8. Immigration Resettlement and Health • Lets’ examine research: Anything other than a critical examination is not respectful: • 1. Underlying models: heuristic or hortatory? • 2. Nature and quality of evidence? • 3. Are contingencies considered -- age, gender, ethnocultrual background, immigration cohort, immigration class, etc? • 4. What are the shortcomings? – and there are always shortcomings. • 5. What’s remediable, and what would it take to implement solutions?

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