2019
DOI: 10.1016/j.socscimed.2019.04.013
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Mental health of children held at a United States immigration detention center

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Cited by 63 publications
(61 citation statements)
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“…However, under less life-threatening circumstances, the coping mechanisms that have served the youth well in the past may create difficulties in the new environment [43,44]. Due to these coping mechanisms, it is wise to consider trauma in the differential diagnosis of youth presenting with behavioral concerns [45,46]. Externalizing behaviors associated with trauma are frequently misdiagnosed as ADHD or ODD.…”
Section: Ten Clinical Pearls For Applying a Trauma-informed Approamentioning
confidence: 99%
See 1 more Smart Citation
“…However, under less life-threatening circumstances, the coping mechanisms that have served the youth well in the past may create difficulties in the new environment [43,44]. Due to these coping mechanisms, it is wise to consider trauma in the differential diagnosis of youth presenting with behavioral concerns [45,46]. Externalizing behaviors associated with trauma are frequently misdiagnosed as ADHD or ODD.…”
Section: Ten Clinical Pearls For Applying a Trauma-informed Approamentioning
confidence: 99%
“…Pharmacological treatment for ADHD or ODD may not be effective or appropriate for the treatment of trauma-related behavioral challenges; thus, it is important to screen for trauma in order to offer proper management and treatment. It can be difficult to differentiate the cognitive impairment associated with chronic stress, anxiety, or depression from ADHD [45]. Therefore, if a diagnosis is in doubt and treatments have been ineffective, referring for an in-depth psychiatric assessment can often provide clarity.…”
Section: Ten Clinical Pearls For Applying a Trauma-informed Approamentioning
confidence: 99%
“…The Trump administration has shown a lack of empathy towards migrant children. A cross-sectional study involving 245 children in immigration detention in the U.S. in mid-2018 confirmed that the severely adverse impact of detention is detrimental to their mental health (MacLean et al 2019). Key study results included that "Children who had been forcibly separated from their mothers demonstrated significantly more emotional problems (49%, p = 0.003) and total difficulties (15%, p = 0.015) than those who had never been separated.…”
Section: Forced Child-family Separation Resulting From Us Immigratimentioning
confidence: 94%
“…As mentioned at the beginning of this article, whether one agrees or disagrees with the zero‐tolerance policy or implementation, there is mounting evidence that immigrant parent‐child separation has deleterious psychological and health effects for the children and family systems involved (MacLean et al., 2019a; Stange & Stark, 2019; Wood, 2018). Furthermore, it appears many immigrant children are not being treated in a manner consistent with pediatricians’ recommendation to “treat all immigrant children and families seeking safe haven who are taken into U.S. immigration custody with dignity and respect to protect their health and well‐being” (Linton, Griffin, & Shapiro, 2017).…”
Section: Discussionmentioning
confidence: 99%