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Understanding Disparities: Mental Health and Neurodevelopmental Challenges, Supports and Barriers for Immigrant

Rachel Germaine Cluett1, Tasmia Hai2

  • 1Department of Psychology, Faculty of Arts, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.

Children (Basel, Switzerland)
|May 1, 2025
PubMed

Insights

Immigrant children in Canada need mental health services more but use them less than Canadian-born children. Cultural background impacts access to neurodevelopmental and mental health support for children.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Public Health Policy

Background:

  • Neurodevelopmental disorders (NDDs) and mental health disorders (MH) pose significant challenges for children in Canada.
  • Understanding NDD/MH service needs and barriers for immigrant children is crucial due to increased awareness but unclear service gaps.

Purpose of the Study:

  • To explore and compare NDD and MH problems and service management between Canadian-born and immigrant children in Canada.
  • To identify specific barriers to accessing NDD/MH services for immigrant children.

Main Methods:

  • An online survey was conducted with 682 parents (41.3% immigrants) using AskingCanadians.
  • Questionnaires assessed general mental health, child NDD/MH service needs, social support, service utilization, and access barriers.

Main Results:

  • Immigrant families reported 1.5 times less use of child mental health services despite higher needs.
  • Children of Canadian-born parents had higher NDD/MH assessment referral rates compared to immigrant children.
  • Parents of children with NDD/MH concerns reported significant educational barriers, particularly Canadian parents.

Conclusions:

  • Cultural background is vital in clinical approaches to NDD/MH services for children.
  • Increased awareness and reduced stigma are necessary to improve service access for NDD/MH.
  • Families of children with NDD/MH challenges continue to face significant barriers to support.
Abstract

Keywords:
childrenfamilyimmigrantmental healthneurodevelopmental disordersupport

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