Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.
This book provides a framework to guide mental health providers who work with refugees and immigrants. Nearly 70 million people today are refugees or forcibly-displaced migrants. More than half of them are children suffering from the effects of dislocation and violence. The authors describe the unique needs and challenges of serving these populations, and offer concrete steps for providing evidence-based, culturally-responsive care. Using the socioecological model, the authors conceptualize the developing child as living within concentric circles that include family, school, neighborhood, and society, embedded within a cultural context. Mental health providers identify and provide targeted support to combat disruptions within any or all of these ecological layers. Chapters examine the complex ways in which culture impacts the refugee experience, barriers to engagement in mental health practice and strategies for overcoming them, assessment, collaborative and integrated mental health interventions, and efforts to increase resilience in children, families, and communities. The book is an essential guide for mental health providers, and all who seek to help children in need.
Social work practice with refugees and immigrants requires specialized knowledge of these populations and specialized adaptations and applications of mainstream services and interventions. Because they are often confronted with cultural, linguistic, political, and socioeconomic barriers, these groups are especially vulnerable to psychological problems such as anxiety, depression, alienation, grief, and post-traumatic stress disorder, as well as concerns arising from inadequate health care. Institutionalized discrimination and anti-immigrant policies and attitudes only exacerbate these challenges. The second edition of Best Practices for Social Work with Refugees and Immigrants offers an update to this comprehensive guide to social work with foreign-born clients and an evaluation of various helping strategies and their methodological strengths and weaknesses. Part 1 sets forth the context for evidence-based service approaches for such clients by describing the nature of these populations, relevant policies designed to assist them, service-delivery systems, and culturally competent practice. Part 2 addresses specific problem areas common to refugees and immigrants and evaluates a variety of assessment and intervention techniques in each area. Using a rigorous evidence-based and pancultural approach, Miriam Potocky and Mitra Naseh identify best practices at the macro, meso, and micro levels to meet the pressing needs of uprooted peoples. The new edition incorporates the latest research on contemporary social work practice with refugees and immigrants to provide a practical, up-to-date resource for the multitude of issues and interventions for these populations.
Few issues on the American political agenda are more complex or divisive than immigration. There is no shortage of problems with current policies and practices, from the difficulties and delays that confront many legal immigrants to the large number of illegal immigrants living in the country. Moreover, few issues touch as many areas of U.S. domestic life and foreign policy. Immigration is a matter of homeland security and international competitiveness, as well as a deeply human issue central to the lives of millions of individuals and families. It cuts to the heart of questions of citizenship and American identity and plays a large role in shaping both America's reality and its image in the world. Immigration's emergence as a foreign policy issue coincides with the increasing reach of globalization. Not only must countries today compete to attract and retain talented people from around the world, but the view of the United States as a place of unparalleled openness and opportunity is also crucial to the maintenance of American leadership. There is a consensus that current policy is not serving the United States well on any of these fronts. Yet agreement on reform has proved elusive. The goal of the Independent Task Force on U.S. Immigration Policy was to examine this complex issue and craft a nuanced strategy for reforming immigration policies and practices.
Immigrant children and youth are the fastest-growing segment of the U.S. population, and so their prospects bear heavily on the well-being of the country. Children of Immigrants represents some of the very best and most extensive research efforts to date on the circumstances, health, and development of children in immigrant families and the delivery of health and social services to these children and their families. This book presents new, detailed analyses of more than a dozen existing datasets that constitute a large share of the national system for monitoring the health and well-being of the U.S. population. Prior to these new analyses, few of these datasets had been used to assess the circumstances of children in immigrant families. The analyses enormously expand the available knowledge about the physical and mental health status and risk behaviors, educational experiences and outcomes, and socioeconomic and demographic circumstances of first- and second-generation immigrant children, compared with children with U.S.-born parents.
"This book is an optimal tool for instructors and students of graduate classes in social work and related disciplines." --Journal of Immigrant and Minority Health "I applaud social work students, professors, and social workers who seek to serve and empower the immigrant community. This text is a great tool toward raising awareness of the many issues immigrants face, and helping them find solutions." --Frank Sharry, Executive Director, America's Voice "The book is a major contribution to social workers and their clients as it addresses advocacy on behalf of immigrants and refugees during a social, economic and political period that restricts immigrants' rights and service access." --Dr. Diane Drachman, Associate Professor, University of Connecticut School of Social Work Successful social work with immigrants must begin with an understanding of their legal status and how that status impacts their housing, employment, health care, education, and virtually every other aspect of life. Chang-Muy and Congress present social workers with the only book on the market to emphasize the legal aspect of immigrant issues as well as critical practice and advocacy issues. Topics discussed include historical and current trends in immigration, applicable theories for practice with immigrants, policy and advocacy methods, and the need for cultural competence. By providing comprehensive coverage of both the legal and practice issues of this complex field, this book will help social service professionals and graduate students increase their cultural sensitivity and work more effectively with immigrants. Key Features: Covers the latest aspects of the immigration debate and discusses how social workers are affected by emerging immigration policies Discusses special populations such as refugees, elderly immigrants, and victims of international trafficking Includes case studies on the most critical issues immigrants face today: legal processes, physical and mental health issues, employment difficulties, family conflicts, and more Instructional Materials Available! Free to instructors with a verified order of seven or more copies. Email [email protected] to request syllabus and PowerPoint slides.
The lore of the immigrant who comes to the United States to take advantage of our welfare system has a long history in America's collective mythology, but it has little basis in fact. The so-called problem of immigrants on the dole was nonetheless a major concern of the 1996 welfare reform law, the impact of which is still playing out today. While legal immigrants continue to pay taxes and are eligible for the draft, welfare reform has severely limited their access to government supports in times of crisis. Edited by Michael Fix, Immigrants and Welfare rigorously assesses the welfare reform law, questions whether its immigrant provisions were ever really necessary, and examines its impact on legal immigrants' ability to integrate into American society. Immigrants and Welfare draws on fields from demography and law to developmental psychology. The first part of the volume probes the politics behind the welfare reform law, its legal underpinnings, and what it may mean for integration policy. Contributor Ron Haskins makes a case for welfare reform's ultimate success but cautions that excluding noncitizen children (future workers) from benefits today will inevitably have serious repercussions for the American economy down the road. Michael Wishnie describes the implications of the law for equal protection of immigrants under the U.S. Constitution. The second part of the book focuses on empirical research regarding immigrants' propensity to use benefits before the law passed, and immigrants' use and hardship levels afterwards. Jennifer Van Hook and Frank Bean analyze immigrants' benefit use before the law was passed in order to address the contested sociological theories that immigrants are inclined to welfare use and that it slows their assimilation. Randy Capps, Michael Fix, and Everett Henderson track trends before and after welfare reform in legal immigrants' use of the major federal benefit programs affected by the law. Leighton Ku looks specifically at trends in food stamps and Medicaid use among noncitizen children and adults and documents the declining health insurance coverage of noncitizen parents and children. Finally, Ariel Kalil and Danielle Crosby use longitudinal data from Chicago to examine the health of children in immigrant families that left welfare. Even though few states took the federal government's invitation with the 1996 welfare reform law to completely freeze legal immigrants out of the social safety net, many of the law's most far-reaching provisions remain in place and have significant implications for immigrants. Immigrants and Welfare takes a balanced look at the politics and history of immigrant access to safety-net supports and the ongoing impacts of welfare. Copublished with the Migration Policy Institute
We live in an age of constantly shifting populations, as immigrants and refugees seek a safe haven from war, famine and poverty. The healthcare of these dispossessed people is now a stark challenge not only in zones of conflict but in those wealthier countries that have offered sanctuary. The book is based on the authors' combined forty-plus years of work as clinicians and teachers in refugee and immigrant health. It is written with clinicians and students in mind and is thus practical, yet theory-based, so it can be used in the field and as a teaching text. It bridges physical health (highlighting infectious disease risks), mental health, and spiritual issues; and encompasses population-specific information on history of immigration, culture and social relations, communications, religions, pregnancy and childbirth, end-of-life issues, and health screening. It also details health beliefs and practices of 30 cultures from more than 40 countries.
Designed for students of social work, public policy, ethnic studies, community development, and migration studies, Immigrant and Refugee Children and Families provides the best knowledge for culturally responsive practice with immigrant children, adolescents, and families. This textbook summarizes the unique circumstances of Asian/Pacific Islander, Latino, South Asian, African, and Middle Eastern immigrant and refugee populations and the challenges faced by the social service systems, including child welfare, juvenile justice, education, health, and mental health care, that attempt to serve them. Each chapter features key terms, study questions, and resource lists, and the book meets many Council on Social Work Education Educational Policy and Accreditation Standards (EPAS) competencies. The book addresses the policy landscape affecting immigrant and refugee children in the United States, and a final section examines current and future approaches to advocacy.
