Highlights Few studies examine the intersection between migration status with other social determinants of migrant health Qualitative studies are relevant to give a voice to migrants to better understand relationships between levels of social determinants in health Our study offers a framework that incorporates the dynamic and multilevel aspects of migrant health More longitudinal studies are needed to investigate the health impacts of multiple stressors on Haitian migrants

Multicultural community liaison officers work to help families from culturally diverse backgrounds adapt to their environments. The purpose of this research project was to better understand the dynamic that exists between schools, child protective services (CPS) and families. Twelve liaison officers were asked in semistructured interviews for their thoughts on the roles they play, the conditions affecting the impact of their actions, and the relational dynamics between the various players concerned about children at risk of abuse. Thematic analysis was conducted on the verbatim transcripts from the interviews. The liaison officers spoke of five roles they play in the course of direct interventions with families (e.g., referring party) or with collaborators (e.g., facilitator). When they determine there is a risk of abuse, they say they perform a preventive role, a reporting role or a report decision-making support role, or else they provide post-reporting support. These roles are influenced by individual, organizational and relational circumstances between players, such as unequal power relationships. The results of this research shed light on a variety of interorganizational factors that can be targeted when seeking to promote cooperation between families, liaison officers, schools and CPS. The findings also underscore the importance of practices that are more sensitive to the cultural aspects of interacting with families whose children are more likely to be reported to CPS, but also of the need for appropriate training for multicultural community liaison officers on the implications of the provisions of the Youth Protection Act.