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As part of the University Institute with Regard to Cultural Communities mission of the CSSS de la Montagne, SHERPA develops research and training programs focused on “frontline health and social services in a multiethnic setting”.

The 2013-2017 program entitled “Health, social intervention and immigration: from global transformation to local adaptations” investigates two turning points: transformation by globalization and security-oriented discourse about paradigms that shape the fields of immigration and the evolving issues concerning service adaptation in a context committed to practice standardization.

The core research objective is to understand the problems that migrants face in accessing health and social services in Québec to make it possible to respond with innovative practices. The research articulates around three specific axes to adapt to the evolving local situations arising from migratory changes:

1. Globalization and immigration: better understanding for better intervention

  1. Document the way in which the new migratory phenomena and the transformation of the forms of exclusion are changing the configuration of factors that make immigrants vulnerable or that protect them;
  2. Document, comparatively, the policies and practices in social and health intervention in different national contexts in order to put Québec practices into perspective;
  3. Develop and evaluate intersectoral activities to minimize the sources of vulnerability and facilitate an appropriation of power by the immigrant and refugee communities.

2. Culturally adapt the practices in frontline health and social services

  1. Propose practices adapted to immigrant and refugee individuals and families, taking into account both the evidence and the factors limiting their application with these populations;
  2. Develop and assess leading-edge practices that facilitate collaboration, communication and access to frontline services for the immigrant and refugee clientele;
  3. Develop and assess state-of-the-art practices for improving the health and social adaptation of immigrant and refugee children, young people, and families.

3. Develop appropriate evaluative and ethical practices for a multiethnic environment

  1. Devise and implement an institutional evaluation policy and strategy to guide the introduction of assessments sensitive to the culture and the context;
  2. Perform systematic literature reviews to support administrative and clinical decision-making in first-line multiethnic settings in the health and social services;
  3. Set up an evaluation advisory team that could provide methodological support to the practitioners and researchers of the CSSS and other teams working with the multiethnic populations;
  4. Develop a process of ethical reflection on the issues of cultural and migratory diversity in clinical and research activities in a frontline multiethnic environment.