Purpose: Delivering pediatric rehabilitation services to immigrant parents of children withdisabilities requires the practice of culturally sensitive care. Few studies have examined thespecific nature of culturally sensitive care in pediatric rehabilitation, especially the notions ofeffective communication and client engagement. Method: Interviews were held with 42therapists (10 social workers, 16 occupational therapists and 16 speech language pathologists)from two locations in Canada (Toronto and Quebec City). Data were analyzed using aninductive content analysis approach. Results: Study themes included the importance and natureof effective communication and client engagement in service delivery involving immigrantparents. Participants discussed using four main types of strategies to engage immigrantparents, including understanding the family situation, building a collaborative relationship,tailoring practice to the client’s situation and ensuring parents’ understanding of therapyprocedures. Conclusions: The findings illuminate the importance of effective, two-waycommunication in providing the mutual understanding needed by therapists to engageparents in the intervention process. The findings also richly describe the engagement strategiesused by therapists. Clinical implications include recommendations for strategies for therapiststo employ to engage this group of parents. Furthermore, the findings are applicable to serviceprovision in general, as engaging families in a collaborative relationship through attention totheir specific situation is a general principle of good quality, family-centered care.