Disability and Rehabilitation
Volume 37, Issue 21, 2015, Pages 1961-1969

An examination of clinicians experiences of collaborative culturally competent service delivery to immigrant families raising a child with a physical disability (Article)

Fellin M.* , Desmarais C. , Lindsay S.
  • a Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, Toronto, ON M4G1R8, Canada, Manulife Centre for Community Health Research, Wilfrid Laurier University, Kitchener, ON, Canada
  • b Departement de Readaptation, Faculte de Medicine, Universite Laval, Quebec City, QC, Canada, CIRRIS, Quebec City, QC, Canada
  • c Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, Toronto, ON M4G1R8, Canada, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada

Abstract

Although collaborative, culturally competent care has been shown to increase positive health outcomes and client satisfaction with services, little is known about the ways that clinicians implement service delivery models with immigrant families having a child with a disability. The purpose of this study is to examine the experiences of clinicians working with immigrant families raising a child with a physical disability and to examine the views and experiences of clinicians providing collaborative, culturally competent care to immigrant families raising a child with a physical disability. Method: This study draws on in-depth interviews with 43 clinicians within two pediatric centers in Toronto and Quebec. Results: Our findings show that clinicians remove or create barriers for immigrant families in different ways, which affect their ability to provide culturally competent care for immigrant families raising a child with a physical disability. Conclusions: Our findings suggest that there is a need for more institutional support for collaborative, culturally competent care to immigrant families raising a child with a physical disability. There is a lack of formal processes in place to develop collaborative treatment plans and approaches that would benefit immigrant families.Implications for RehabilitationClinicians need greater institutional support and resources to spend more time with families and to provide more rehabilitative care in families homes.Building rapport with families includes listening to and respecting families views and experiences.Facilitate collaboration and culturally competent care by having team meetings with parents to formulate treatment plans. © 2014 Informa UK Ltd.

Author Keywords

parent involvement culture Immigrant interprofessional care child disability

Index Keywords

education handicapped child Disabled Children Quebec human Professional-Patient Relations rehabilitation Cultural Competency cultural competence human relation interview Humans migrant psychology Interviews as Topic male Emigrants and Immigrants patient satisfaction Parenting medical profession Ontario Health Occupations Health Services Accessibility child parent relation health care delivery Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939620214&doi=10.3109%2f09638288.2014.993434&partnerID=40&md5=039ae162a6c8ff91c657b6abfe8d70a7

DOI: 10.3109/09638288.2014.993434
ISSN: 09638288
Cited by: 7
Original Language: English