“…Immigrant families often experience uncertainty about whether they will be able to reunite with their family members, either in the United States or by returning to their country of origin. Many are also uncertain about the safety or even survival of family members who remain in dangerous conditions back home (Hauck, Lo, Maxwell, & Reynolds, ; Yakushko, ). Policies related to the deportation of undocumented immigrants generate great uncertainty and fear of separation among families, as described by Glick (): Although official U.S. policy encourages family reunification through immigration, current practices and some popular rhetoric suggest a more limited concern with maintaining family stability among immigrants and virtually no such concern for undocumented family members who are subject to deportation.…”
Section: Our Conceptual Model: Shifting the Burden Of Resiliencementioning
confidence: 99%
“…Immigrant families often experience uncertainty about whether they will be able to reunite with their family members, either in the United States or by returning to their country of origin. Many are also uncertain about the safety or even survival of family members who remain in dangerous conditions back home (Hauck, Lo, Maxwell, & Reynolds, 2014;Yakushko, 2010). Policies related to the deportation of undocumented immigrants generate great uncertainty and fear of separation among families, as described by Glick (2010):…”
Section: Uncertainty and Family Separationmentioning
Immigrant families settling in the United States face pressures to acculturate and become self‐sufficient, yet their lives are highly regulated by restrictive and punitive policies and programs that may hinder their ability to cope with exposure to trauma and to build resilience. We theorize that U.S. policies and practices may exacerbate immigration‐related trauma experiences and/or create new traumas and stressors for families. To demonstrate our reasoning, we use exemplar cases from our community‐based participatory research project in partnership with immigrant women. We situate and contextualize the lived experiences and uncertainties of immigrant families and offer a new conceptual model for understanding how macro‐level forces may impede immigrants' resilience. The model includes uncertainty and family separation; ecosystemic trauma and stress, including institutional betrayal trauma; limited navigational capital; and erosion of collectivism and community solidarity. Implications for future research and theory development are discussed.
“…Immigrant families often experience uncertainty about whether they will be able to reunite with their family members, either in the United States or by returning to their country of origin. Many are also uncertain about the safety or even survival of family members who remain in dangerous conditions back home (Hauck, Lo, Maxwell, & Reynolds, ; Yakushko, ). Policies related to the deportation of undocumented immigrants generate great uncertainty and fear of separation among families, as described by Glick (): Although official U.S. policy encourages family reunification through immigration, current practices and some popular rhetoric suggest a more limited concern with maintaining family stability among immigrants and virtually no such concern for undocumented family members who are subject to deportation.…”
Section: Our Conceptual Model: Shifting the Burden Of Resiliencementioning
confidence: 99%
“…Immigrant families often experience uncertainty about whether they will be able to reunite with their family members, either in the United States or by returning to their country of origin. Many are also uncertain about the safety or even survival of family members who remain in dangerous conditions back home (Hauck, Lo, Maxwell, & Reynolds, 2014;Yakushko, 2010). Policies related to the deportation of undocumented immigrants generate great uncertainty and fear of separation among families, as described by Glick (2010):…”
Section: Uncertainty and Family Separationmentioning
Immigrant families settling in the United States face pressures to acculturate and become self‐sufficient, yet their lives are highly regulated by restrictive and punitive policies and programs that may hinder their ability to cope with exposure to trauma and to build resilience. We theorize that U.S. policies and practices may exacerbate immigration‐related trauma experiences and/or create new traumas and stressors for families. To demonstrate our reasoning, we use exemplar cases from our community‐based participatory research project in partnership with immigrant women. We situate and contextualize the lived experiences and uncertainties of immigrant families and offer a new conceptual model for understanding how macro‐level forces may impede immigrants' resilience. The model includes uncertainty and family separation; ecosystemic trauma and stress, including institutional betrayal trauma; limited navigational capital; and erosion of collectivism and community solidarity. Implications for future research and theory development are discussed.
“…By the end of the month, students have chosen their own research project and written a final paper addressing a relevant refugee health or culture topic, which are posted on the IFMC website 25. Research electives are also available to medical students and have resulted in peer-reviewed publications 26 27…”
IntroductionThe International Family Medicine Clinic (IFMC) was established in 2002 by the University of Virginia Department of Family Medicine to provide comprehensive, timely, culturally sensitive and high-quality healthcare to the growing refugee and special immigrant population in Central Virginia, USA.MethodsThe purpose of this paper is to describe the IFMC, with a specific focus on interprofessional roles, interprofessional collaboration, community partnerships and the services and resources available to IFMC patients.ResultsThe clinic has served over 3100 refugees from 60 countries in its 16-year history. In 2019, the clinic staff now includes 4 attending physicians, 2 nurse practitioners and 14 residents who have dedicated clinic time to see refugees; a registered nurse care coordinator and a social worker dedicated to the IFMC refugee population; 2 clinical psychologists and doctoral students in clinical psychology; and a clinical pharmacist. The IFMC also provides onsite psychiatric care. A process flow map depicts the interconnectivity of interprofessional team members working together with other specialty care providers within the medical centre and with community partners on behalf of refugee patients through the resettlement process.ConclusionIndividuals who arrive in the USA as refugees are a particularly vulnerable patient group and often require an interprofessional team approach. The IFMC may serve as a model for other institutions interested in starting a similar interprofessional, refugee-centred medical home.
“…As well as increasing population figures, immigrants contribute to many aspects of host nation culture, including health, education, and economy. The ability of immigrants to successfully integrate into existing cultures is dependent on factors such as class, education, duration of residence, and the context of migration (Hauck, Lo, Maxwell, & Reynolds 2014;Ogbu & Simmons, 1998;Ramanathan, 2015). Whereas some immigrants relocate willingly for socio-economic reasons, others, such as refugees and slaves, by virtue of their powerlessness, may have little control over their migration patterns.…”
Section: Jeunes Immigrants Au Sein Des éColes Axées Sur La Promotion mentioning
In this essay, we review empirical, theoretical, and substantial grey literature in relation to immigrant youth and health promoting schools (HPS). We examine the health promotion concept to consider how it may inform the HPS model. Using Canada as an example, we examine current immigrant youth demographics and define several key terms including immigrant, youth, and health. Our review highlights important knowledge gaps related to the role of education and migration as antecedents to immigrant youth health and wellbeing as well as qualitative and educational research approaches. We conclude by providing recommendations for future immigrant youth research in the context of HPS.
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