Canada is internationally recognized as a leader in welcoming refugee newcomers. However, there is limited evidence about how well refugee newcomers fare after arriving in Canada, and the effectiveness of resettlement services and supports. A system theory of change was developed to guide assessments of complexity across the refugee-serving sector that seek to investigate refugees’ lived experiences and evaluate practice across multiple levels. This article describes the process of developing the system theory of change, Life Beyond Refuge, and the implications for community-level practice, public policy, and ultimately, resettlement outcomes for refugee newcomers.
1 January 2021 in Canadian Journal of Program Evaluation
This practice note describes the unique features of, and lessons learned from, UEval, an innovative one-week “evaluation institute” at the Faculty of Extension, University of Alberta. This initiative responds to an identified community and university need to provide contextual and socially relevant evaluation-focused educational opportunities to learners across disciplines and sectors. UEval is guided by principles of participatory and experiential learning and brings together undergraduates, graduates, and community professionals as co-learners for a mutually beneficial and sustainable educational experience. During the week, learners explore and apply evaluation theory through project-based curricula and develop evaluative responses to community-informed issues.
As a framework for understanding the structural factors that affect health, the social determinants of health (SDoH) have particular significance during the developmental stage of adolescence. When the global coronavirus pandemic (COVID-19) began, public health measures (PHMs) implemented to curb its spread shifted adolescents’ daily lives and routines, initiating changes to their mental health. The purpose of this study was to apply the SDoH to investigating the impacts of the pandemic-related PHMs on the mental health of adolescents in Canada. Using a youth engagement approach, interviews were conducted with 33 adolescents aged 14–19 years from two sites in Alberta, Canada. Participants shared their experiences of adjusting to the PHMs and how these shaped their mental health. Findings indicate that PHMs particularly affected the social determinants of education, access to health services, employment and income security, and social support amongst adolescents as online schooling, loss of connection with peers, income instability, and limited health services affected their mental health. Most commonly, adolescents expressed feeling greater anxiety, depression, or loneliness as the SDoH shifted with the PHMs. As we continue to understand the mental health impacts of the pandemic, the SDoH framework can be used to identify salient social determinants and evaluate these determinants post-pandemic. This study draws attention to the need for policies and programs that protect access to key SDoH at such a critical life stage as adolescence and promote their mental health resilience in shifting SDoH contexts.
1 January 2024 in Global Qualitative Nursing Research
Public health measures (PHMs) implemented during the COVID-19 pandemic introduced sudden changes to adolescents’ everyday routines and required adolescents to repeatedly adapt their routines at a critical developmental stage. While meant to protect physical health, the PHMs destabilized mental health. Using a youth-engaged approach and interpretive description, this study explored adolescents’ perspectives on their mental health in relation to the COVID-19 pandemic-related PHMs in Canada from March 2020 to the time of data collection in March 2022. Four Youth Research Collaborators contributed an adolescent lens to informing study activities, and a total of 33 high-school aged adolescents ages 14 to 19 completed individual interviews. Findings suggest an overarching concept of a “timeline” through which adolescents described their experiences. Most adolescents described their mental health as worsening during the initial lockdown, although some adolescents experienced positive mental health outcomes. Several adolescents felt their mental health had not recovered after the PHMs were fully lifted. This study contributes young Canadians’ unique voices to the literature on the pandemic-related PHMs and adolescent mental health. It is essential that the impacts of the pandemic on adolescent mental health continue to be a focus of research and programming to better understand and address its ongoing effects.