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Main course

Module 1: Immigration and social determinants of health

Module 2: Intro to Mental Health

Summary

Module 3: Key populations - women

Module 4: Key populations - children

Module 5: Key populations...

Summary

Module 6: Treatment and support

Summary

Module 7

Summary

Module 8: Service delivery + pathways to care

Summary

Module 9: Partnerships + mental health promotion

9.1 Strategies for promoting mental health
Strategies for promoting mental health + +
Summary

Module 10: Self-care

Summary Glossary
8.1.2

Factors that influence help-seeking

Video: Quick tips for enhancing access to services

With Axelle Janczur (Executive Director, Access Alliance)

At Access Alliance, a couple of years ago we did a focus group with our staff to say: “Let's make a list of all our access strategies and tactics.” And they are: Providing food and programs. Acknowledging that food and security is a big issue for the communities we work with. Providing tokens for people. Acknowledging that poverty is a big issue and if they don't have a token they can't get to where they need to get to in terms of services. Our language services are available everywhere in the organization, not just primary care but in our programs. Our secretaries are encouraged to use our interpretation services because language barriers are key. Our sites are barrier-free, that's an access tactic. Culturally competent practices: Supporting our staff to understand that they have to ask about culture, learn about what are different ways of understanding health. Having focused programming: for example, youth-focused programming, women-focused programming, family-focused programming sometimes can be understood as an access strategy because you're creating a more welcoming space for specific groups who might feel less inclined to access the service otherwise. Clinics like our walk-in clinic for the non-insured is an access strategy, it's completely barrier-free. Free services is also an access strategy. So these are all ways that organizations can, right from the get-go, be more accessible.

An individual's decision to seek care, when to seek it and from where is influenced by a number of factors. Some of the key elements in this decision-making process for immigrants and refugees include:
(Hansson et al., 2010; MHCC, 2016)
There are a variety of ways in which clients first access mental health services: