Although immigrant women constitute a relatively large sector of Canadian society, the occupational therapy literature offers neither an analysis of their mental health needs nor any specific approach to addressing these. Because of this group's diversity on a number of dimensions, this paper focuses on non-English speaking, working-class immigrant women. The Model of Human Occupation is employed as a theoretical framework for analyzing their major mental health needs in the areas of work and family life. The principal implications of the moddel for direct and indirect occupational therapy involvement with these women are also discussed.