With over 1 in 5 Canadians identifying as an immigrant, Canada has been proud to call itself a nation of immigrants with a commitment to supporting refugees, from accepting thousands of Vietnamese refugees in the 1970s to Syrians fleeing civil war in 2015. In 2017, 44,000 refugees came as government-sponsored or privately sponsored refugees,…

How do we limit our focus to mental health when Indigenous teaching demands a much wider lens? How do we respond to mental health recovery when Indigenous experience speaks to a very different approach to healing, and how can we take up the health of Indigenous people in Canada without a discussion of identity and colonization? We cannot, for the…

In their qualitative study, Young and colleagues (2009) found that youth and adults with cerebral palsy (CP), spina bifida, and acquired brain injuries of childhood in the province of Ontario, Canada, perceive or have perceived their transfer from pediatric to adult-oriented health care services as a struggle. Although publications on transition…

In light of U.S. health care reform, notes that myths and exaggerations abound about health care in the United States and Canada. Briefly examines assertions and facts about financing, waiting, rationing, government intrusiveness, physicians and consumer satisfaction, technology, choice, and quality as they relate to both systems. (NB)

Health promotion and occupational therapy are a natural partnership. Therapists can expand their roles to include enabling, mediating, and advocating by incorporating health promotion and community concepts into their practice. (SK)

The University of Ottawa's occupational therapy program offers a community practice course that teaches students to identify biological, psychological, sociocultural, and spiritual needs of communities; to be aware of community resources; and to prepare for roles as consultant, educator, planner, service provider, broker, and interdisciplinary…

The Boarding Home Support Program for adults with mental health problems uses health promotion mechanisms of self-care, mutual aid, and healthy environments. The program is challenged by increased numbers of persons served, substandard homes, and conflicts between tenant and operator needs and between individual and group tenant needs. (SK)

One pressing issue in health care delivery is that the system is not organized to serve people from different ethnocultural communities. Based upon investigations of the management of chronic illness by first-generation Canadian women, proposes a transformative model for counseling which acknowledges the wisdom of women is proposed. (Author/EMK)

Health care providers may encroach on individual autonomy of older persons, especially those they define as at risk. Providers should seek to promote self-care skills, define the client as a group or community, and recognize clients' role in forming healthy public policy. (SK)

Challenges counselors to adapt to the multidisciplinary approach for the delivery of mental health services in Canada by moving from the provision of direct services to individual clients to providing indirect services such as program planning, implementation, evaluation, consultation, training, supervision of other workers, and administration as…

Over two decades Quebec's local health and social service centers have evolved a philosophy integrating community development into their programs. Community workers still experience marginalization, but they are striving to be recognized as members of multidisciplinary problem-solving teams. (SK)

Teachers' eyes glaze over when conversation turns to how international trade agreements might affect public education. Industry Canada says GATS (General Agreement on Trade in Services) will open up new markets in postsecondary education without damaging elementary/secondary education. MAI was deflected, but WTO agreements pose threats. (MLH)

The key concepts and methodologies of quality assurance programs used in health service delivery systems are reviewed, and it is suggested they could be readily applied to Canadian universities as a powerful administrative and curricular development tool that would define and enhance the quality of students' educational experiences. (Author/MSE)

Canada's deinstitutionalization and decentralization of mental health services has confronted communities with many problems. Families of the mentally ill are being required to do major caregiving without being provided with the necessary resources, as this case study illustrates. Counselors and health care professionals involved with families…

This article discusses seven "megatrends" in rehabilitation services for people with disabilities. They include changes in the demography of disability, the empowerment of people with disabilities, the policy of integration, and the rising cost of health and social services. Also considered are changes in rehabilitation service delivery…