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Culturally Responsive Services as a Path to Equity in Mental Healthcare
Abstract
Indigenous peoples, immigrants and refugees and racialized groups, as well as some long-established ethnic, linguistic, cultural and religious communities, experience inequities in mental health in Canadian society. These inequities result from social structural determinants of health that are embedded in the cultural knowledge, values and attitudes of the specific group as well as those of the larger society. Culture shapes the experience and expression of mental health problems, modes of coping, pathways to care and the effectiveness of treatment and prevention, as well as the processes of resilience and recovery. Systematic attention to culture in the provision of mental health services can improve access, utilization and health outcomes. We review models to address diversity in mental healthcare and identify key areas in which we believe policy innovation is urgently needed: 1. Cultural competence, safety and anti-racism training and accreditation standards for practitioners and for healthcare education, service systems and institutions; 2. National regulations and quality assurance standards to ensure use of language interpreters; 3. Development of a cadre of culture brokers to improve clinical communication; and 4. Integration of attention to culture in service systems design, as well as clinical practice.
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“Approaches such as intercultural therapy emphasize an understanding of the client’s cultural background, values, and beliefs to optimize treatment outcomes [203].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [203]
In the citing paper
“Individualized therapy models, such as CBT and ACT, which emphasize self-directed coping and personal resilience, are more commonly used [203].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [203]
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Items 101–122 of 122
The Relationship Between Cultural Identity, Help-Seeking Attitudes, and Mental Health
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“Studies have high-lighted the need for culturally responsive intervention to better improve the experience of immigrants (Kirmayer & Jarvis, 2019; Lemos & Garcia, 2020).”
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Ambrose, A., Deloria, R., Palová, K., & Kazemi, F. (2025) · International Journal of Migration Health and Social Care · doi:10.1108/ijmhsc-01-2025-0001
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Oluwoye, O. A., Stokes, B., Crisanti, A. S., García, K. S., Kriegel, L. S., Puzia, M., Sanchez, A. L., Shelton, R. C., & Weeks, D. L. (2025) · Trials · doi:10.1186/s13063-025-09280-0
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“…services, and community-based supports often hinges on the results of psychoeducational evaluations, even though these tools have been developed within Western paradigms that rarely reflect Indigenous worldviews, epistemologies, or relational contexts (Gone, 2013; Kirmayer & Jarvis, 2019).”
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“Spirituality is often a central focus in traditional Indigenous healing practices around the globe [9,10], offering a sense of meaning and purpose in individual and community life [9].”
Agana, T. A., Akapule, S. A., & Mokulogo, R. K. (2026) · African Quarterly Social Science Review · doi:10.51867/aqssr.3.1.43 · Cited by 2
“According to academics of embodied cognition, learning happens not just through abstract reasoning but also through bodily participation and environmental atonement (Varela et al., 2017; Kirmayer & Jarvis, 2019).”
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Kirmayer, L. J., Bemme, D., & Jarvis, G. E. (2026) · Transcultural Psychiatry · doi:10.1177/13634615261445845
“…of inclusion ” and “ mutual learning ” within and across mental health systems and other institutions by foregrounding experiences of mis-recognition, marginalization, and epistemic injustice as clinically and politically salient (Bemme et al., 2024; Kirmayer, 2011, 2019; Kirmayer & Jarvis, 2019).”
InfluentialSelf-citationLim, E., Hamamura, T., Dantas, J. A. R., Dovchin, S., Dryden, S., & Tankosić, A. (2026) · Nursing Reports · doi:10.3390/nursrep16060204
“They also minimise the responsibility of healthcare systems to address emerging forms of new racism within healthcare settings and to implement systemic changes necessary to improve mental health service utilisation among CaRM communities [35,36].”
Yıldız, I., Cerchiaro, F., Rommes, E. W. M., & Das, E. A. (2026) · Emotion, space and society · doi:10.1016/j.emospa.2026.101200
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Jin, J., Jones, M. C., Vaughn, N. A., Angelone, D. J., Wallace, L. C., Charles, D., & Yücel, E. (2026) · Health Science Reports · doi:10.1002/hsr2.73300
“These approaches are rooted in understanding the lived experience of the individual from a bottom‐up perspective and prioritize safety, respect, and dignity, which can likely enhance healthcare engagement [48, 49].”
Innovating Mental Health Care for Migrants in the Netherlands: Policy and Practice
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Metadata
- Authors
- Kirmayer, L., & Jarvis, G.
- Affiliations
- Jewish General Hospital (CA)
- Venue
- HealthcarePapers
- Publisher
- Longwoods Publishing
- Published
- 2019-09-16
- Volume
- 18
- Issue
- 2
- Pages
- 11-23
- ISSN
- 1488-917X (ISSN-L)
- 1929-6339
- OpenAlex
- W2980215970
- Cited by
- 123
- References
- 0
- Citations by year
- 2026: 28 · 2025: 23 · 2024: 21 · 2023: 18 · 2022: 14 · 2021: 14 · 2020: 4 · 2019: 1
- FWCI
- 16.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- culturally responsive mental health services, mental health equity, indigenous peoples, immigrants and refugees, racialized communities, cultural competence, anti-racism training, interpreters, culture brokers, structural determinants of health, access to mental health care, health policy, Canada
- MeSH terms
- Health Equity, Indigenous Peoples, Mental Disorders, Canada, Health Personnel, Health Policy, Humans, Mental Health Services, Quality of Health Care, Refugees, Emigrants and Immigrants, Cultural Competency, Social Determinants of Health
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