Sociopolitically and Trauma-Informed Public Health Practice With Latinx Families: Conceptual Framework and Best Practices.

Public health practitioners working with Latinx families in the United States must consider the historical contexts of colonization and slavery that have created conditions of violence, displacement, and social and economic marginalization throughout Latin America. Although shared experiences of colonization, dispossession, and migration affect all Latinxs, diverse national histories and sociopolitical contexts, migration patterns, and intersecting identities (e.g., gender, social class, race) complicate efforts to develop a uniform approach to this heterogeneous population. We provide a critical analysis of (1) how past experiences contribute to collective trauma and motivate migration, and (2) how these experiences are replicated in the United States through immigration-related adversities that deprive and threaten children and families through marginalization, fear of detention and deportation, and family separation brought on by a parent's deportation. This knowledge is imperative to advance research, practice, and policymaking with US Latinx populations. We provide best practice recommendations for a sociopolitically and trauma- informed public health workforce interfacing with Latinxs in the United States. (Am J Public Health. 2024;114(S6):S485-S494. https://doi.org/10.2105/AJPH.2024.307589) [Formula: see text].

Charting Directions for Research on Immigrant Children Affected by Undocumented Status.

Three groups of children from Mexico and Central America are vulnerable to effects of US immigration policies: 1) foreign-born children who entered the US with undocumented immigrant parents; 2) unaccompanied children who entered the US alone; and 3) U.S.-born citizen children of undocumented immigrant parents. Despite the recent demographic growth of these youth, scholarship on their strengths and challenges is under-theorized and isolated within specific disciplines. Hence, service providers, researchers, and policymakers have insufficient research to inform their efforts to support the children's wellbeing. A group of scholars and service-providers with expertise in immigrant children convened to establish consensus areas and identify gaps in knowledge of undocumented, unaccompanied, and citizen children of undocumented immigrant parents. The primary goal was to establish a research agenda that increases interdisciplinary collaborations, informs clinical practice, and influences policies. This report summarizes key issues and recommendations that emerged from the meeting.

Suicidality among immigrants: Application of the interpersonal-psychological theory.

Immigrants constitute a significant percentage of the total population living in the United States; however, there is a paucity of research unique to suicidality among immigrants. The present article examines the applicability of the three variables of the interpersonal-psychological theory of suicidal behavior-acquired capability for suicide, sense of thwarted belongingness, and perceived burdensomeness-to conceptualize, assess, and treat suicidality among immigrants. Risk and protective factors and mechanisms are discussed in the context of 2 case studies and immigrant paradox. Clinical implications include assessment and treatment of immigrant-specific experiences. Obstacles to treatment and future research directions are presented.

Latinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization.

This study examined mental health needs and risk factors associated with service use among Latinx high school students in two cities in the United States. We explored how socioeconomic characteristics, school location, youth and parental nativity, and self-perceived clinical needs were associated with the odds of youths seeing a mental health provider. Data were collected from 306 Latinx youths during the 2018-19 school year. Most youths (78%) self-reported symptoms of anxiety, trauma, or depression above the clinical range. None of these clinical needs predicted service utilization. Youth experiencing less economic hardship and having a mother from South America were almost five times more likely to use services than their counterparts. Similarly, males and older respondents were more likely to be underserved than females and younger respondents. Implications to ensure equitable access to services among older, low-income Latinx youth, particularly those from Central America, the Caribbean, and Mexico, are discussed.

Discrimination and PTSD among Latinx immigrant youth: The moderating effects of gender.

OBJECTIVE: Discrimination is a minority-related stressor that contributes to mental health disparities between Latinx youth and their racial/ethnic peers. Discrimination activates the body's stress response system, resulting in a higher allostatic load that can cause mental health problems such as PTSD. We explored 1) the relation between perceived discrimination and PTSD symptoms among Latinx immigrant youth, and 2) how gender moderates this relation. METHODS: We conducted surveys with 306 Latinx first- and second-generation immigrant youth during the 2018-19 school year in Harris County, Texas and Rhode Island. RESULTS: We found that youth who perceived more discrimination were more likely to report PTSD symptoms. Female participants reported higher levels of PTSD symptoms than males, including higher levels of avoidance and reexperiencing symptoms. Perceived discrimination was associated with increased PTSD symptoms, including hypervigilance and avoidance symptoms, for female participants but not males. These interactions did not differ by location. CONCLUSION: These results further provide support for research into discrimination as a potentially traumatic experience linked to PTSD and underscore the importance of including discrimination in assessments of trauma and adverse childhood outcomes among Latinx immigrant youth. Results further suggest the importance of an intersectional approach to understanding how discrimination relates to PTSD among Latinx immigrant youth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

An ecological expansion of the adverse childhood experiences (ACEs) framework to include threat and deprivation associated with U.S. immigration policies and enforcement practices: An examination of the Latinx immigrant experience.

The Adverse Childhood Experiences (ACEs) framework has contributed to advances in developmental science by examining the interdependent and cumulative nature of adverse childhood environmental exposures on life trajectories. Missing from the ACEs framework, however, is the role of pervasive and systematic oppression that afflicts certain racialized groups and that leads to persistent threat and deprivation. In the case of children from immigrant parents, the consequence of a limited ACEs framework is that clinicians and researchers fail to address the psychological violence inflicted on children from increasingly restrictive immigration policies, ramped up immigration enforcement, and national anti-immigration rhetoric. Drawing on the literature with Latinx children, the objective of this conceptual article is to integrate the ecological model with the dimensional model of childhood adversity and psychopathology to highlight how direct experience of detention and deportation, threat of detention and deportation, and exposure to systemic marginalization and deprivation are adverse experiences for many Latinx children in immigrant families. This article highlights that to reduce bias and improve developmental science and practice with immigrants and with U.S.-born children of immigrants, there must be an inclusion of immigration-related threat and deprivation into the ACEs framework. We conclude with a practical and ethical discussion of screening and assessing ACEs in clinical and research settings, using an expanded ecological framework that includes immigration-related threat and deprivation.

Immigration Enforcement Fear and Anxiety in Latinx High School Students: The Indirect Effect of Perceived Discrimination.

PURPOSE: Immigration enforcement policies and negative rhetoric about immigrants harm the psychological well-being of Latinx youth in immigrant families, particularly those who are most vulnerable because of their own or their loved ones' legal status. According to the Integrative Model for the Study of Developmental Competencies among Minority Children, discrimination may be one pathway to explain how vulnerability to restrictive immigration policies affects Latinx youth mental health. METHODS: We collected data from 306 Latinx high school students from immigrant families in Harris County, Texas, and Rhode Island to (1) determine the direct effect of immigration enforcement fear (a proxy for the social position of vulnerable legal status) on adolescents' anxiety; (2) explore the effect of immigration enforcement fear on anxiety through the pathway of perceived discrimination; and (3) test whether the different enforcement climates in the two study sites moderate these pathways. Total anxiety and subscales measuring separation, social, school, generalized, and somatic anxiety subtypes were analyzed. RESULTS: Immigration enforcement fear was related to increased somatic and separation anxiety in both first- and second-generation Latinx adolescents. Perceived discrimination partially mediated the association between immigration enforcement fear and separation and somatic anxiety; data collection site did not moderate these effects. CONCLUSIONS: Immigration policies and rhetoric have psychological consequences. Although the adolescents in our study face multiple stressors, immigration enforcement fear may heighten their perception of discrimination, in turn, likely elevating their physiological and family separation anxiety.

Exploring Mexican-origin intimate partner abuse survivors' help-seeking within their sociocultural contexts.

Women's responses to partner abuse are shaped by their particular sociocultural contexts. In this study, quantitative data were collected from 75 Mexican-origin women who survived intimate partner abuse, to identify variables associated with help-seeking to survive relationship abuse. Help-seeking was defined as use of formal (e.g., shelter) and informal (e.g., family) sources. Variables included two cultural variables: machismo (i.e., adherence to traditional gender roles) and familismo (i.e., valuing family cohesion and reciprocity), and four sociostructural variables: income, education, English proficiency, and immigrant status. Results indicated participants with higher levels of familismo sought informal help more frequently than those with lower levels. Women with grade school education, no English proficiency, and undocumented status sought formal help less frequently than those not constrained by these barriers.

Integration of Unaccompanied Migrant Youth in the United States: A Call for Research.

Between October 2013 and July 2016, over 156,000 children traveling without their guardians were apprehended at the US-Mexico border and transferred to the care of the Office of Refugee Resettlement (ORR). During that same period, ORR placed over 123,000 unaccompanied migrant youth-predominantly from Central America-with a parent or other adult sponsor residing in the US. Following placement, local communities are tasked with integrating migrant youth, many of whom experience pre- and in-transit migration traumas, family separation, limited/interrupted schooling, and unauthorised legal status, placing them at heightened risk for psychological distress, academic disengagement, maltreatment, and human trafficking. Nonetheless, fewer than 10% of young people receive formal post-release services. This paper addresses the paucity of research on the experiences of the 90% of children and youth without access to post-release services. To bridge this gap, this article: (a) describes the post-release experiences of unaccompanied youth, focusing on legal, family, health, and educational contexts; (b) identifies methodological and ethical challenges and solutions in conducting research with this population of young people and their families; and (c) proposes research to identify structural challenges to the provision of services and to inform best practices in support of unaccompanied youth.

Frequency and perceived effectiveness of strategies to survive abuse employed by battered Mexican-origin women.

This study documented the frequency and perceived effectiveness of battered Mexican-origin women's usage of formal and informal help and personal strategies to survive abuse. Semistructured interviews were conducted with 75 battered Mexican-origin women. Consistent with survivor theory, results indicated that participants sought help multiple times from several formal and informal help sources; some (i.e., shelter, family) were perceived more effective than others (i.e., lawyer, in-laws). Participants engaged in various personal strategies to survive abuse; some (i.e., using faith/religion) were rated more effective than others (i.e., placating the batterer). Responses to open-ended questions suggest why specific help sources and strategies were/were not effective and provide socioculturally specific suggestions for improving services. This study illuminates battered Mexican-origin women's strengths and barriers that impede their survival efforts. Contributions include focusing on a subset of battered Latinas and documenting the frequency and perceived effectiveness of a wide array of help sources and strategies.

Relationship styles of self-focused autonomy, other-focused connection, and mutuality among Mexican American and European American college students.

The author examined relationship styles of self-focused autonomy (SFA), other-focused connection (OFC), and mutuality among 415 European and Mexican American young adults in 2 U.S. colleges. Mutuality was the most commonly reported style for both ethnic groups, although Mexican American men were more likely than the others to indicate that they had the SFA style. Mexican American participants perceived their fathers' styles as SFA more often than did the others regarding either of their parents' styles. Mutuality was associated with the best mental-health outcomes regardless of gender or ethnicity. The present results indicate that the cultural influences on autonomy and connection are complex and that collectivistic cultural contexts may sometimes promote autonomy concerns in men.

The psychosocial impact of detention and deportation on U.S. migrant children and families.

Approximately 4.5 million U.S. citizen children live in mixed-status families, in which at least 1 family member is an unauthorized migrant and therefore vulnerable to detention and deportation from the United States (Passel & Cohn, 2011). This article critically examines the current state of the literature on the psychosocial consequences of detention and deportation for unauthorized migrants, mixed-status families, and their U.S.-born children. In particular, drawing on social and psychological theory and research, we (a) review the impact of parents' unauthorized status on children; (b) summarize the literature on the impact of detention processes on psychosocial well-being; (c) describe the dilemma faced by a mixed-status family when a parent faces deportation; (d) examine the current social scientific literature on how parental deportation impacts children and their families; and (e) summarize several policy recommendations for protecting children and families.