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IMMIGRATION RESETTLEMENT AND HEATLH

IMMIGRATION RESETTLEMENT AND HEATLH. Morton Beiser CM, MD, FRCP, Professor or Distinction, Ryerson University, Member, Board of Directors OMHARN. The Damaged. “…the waifs and strays of Europe….freaks of creation.” (The Mail and Empire, 1899 )

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IMMIGRATION RESETTLEMENT AND HEATLH

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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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