Immigrants’ Experiences of Barriers and Enablers to Mental Health Services in Canada – A Scoping Review
摘要
Immigrants in Canada experience disproportionate barriers to mental health service access despite elevated risks stemming from migration-related stressors and systemic exclusion. This scoping review examines how multilevel factors shape access to mental health and psychosocial services for immigrant populations across Canada. Guided by the socio-ecological model, we analyzed 28 peer-reviewed studies spanning individual, interpersonal, community, and societal levels. Findings reveal persistent obstacles, including limited mental health literacy, cultural stigma, inadequate language support, and systemic fragmentation. However, the review also identifies enabling factors such as culturally aligned care models, community-based peer support, and virtual service innovations. Cross-cutting themes included stigma, language barriers, and financial constraints. By mapping both barriers and enablers, this review expands the current evidence base and highlights the need for integrated, culturally responsive mental health strategies. Structural reforms, community engagement, and trauma-informed digital interventions are recommended to reduce disparities and improve mental health equity for immigrant communities in Canada.