"Female Newcomers’ Adjustment to Life in Toronto, Canada: Sources of Stress and Their Implications for Delivering Primary Mental Health Care"

Stress disorders and other mental ill health may be brought on by the disruption caused by resettlement. We examine female newcomers' experiences of adjusting to a new place, metropolitan Toronto, Canada and a new health care system. We consider sources of mental stress experienced during adjustment. We frame this adjustment as a process that happens over place and through time. Thematic findings of interviews (n = 35) with female newcomers from five cultural-linguistic groups are reported. Sources of stress in adjusting to life in Toronto include: navigating a new place, personal safety concerns, adapting to a new lifestyle, and finding employment. Sources of stress in adjusting to a new health care system include: learning how to access care, not having access to specialists, and adapting to a new culture of care. We conclude by considering the implications of what newcomers report for the delivery of primary mental health care (i.e. 'first contact' care).