Experiences of Undocumented Parents Reuniting with Children Who Entered the United States as Unaccompanied Minors.

In 2021, the United States saw an exponential influx of unaccompanied migrant children crossing the U.S.-Mexico border. Upon apprehension at the border, unaccompanied children are placed in the Office of Refugee Resettlement (ORR) temporary shelter facilities. The ORR is responsible for locating, vetting, and releasing the children to their family, guardians, or a suitable sponsor. Undocumented parents seeking reunification may fear cross-examination and background checks. This study aimed to explore the experiences of undocumented families reunified with their children with the help of a community-based organization (CBO). A collective case study method was used to collect qualitative data from seven parents. Respondent parents expressed their rationale for allowing their children to cross the U.S.-Mexico border, their experience with the ORR, and the reasons they pursued community-based guidance. The results document the depth of trauma and difficulties parents of unaccompanied migrant children face with American service providers. It is recommended that immigration-related government agencies form relationships with culturally diverse organizations that are trusted by immigrant communities.

Prevalence of and risk factors for substance use among Afghan refugees in Iran: An exploratory study.

Afghan refugees may be a high-risk group for substance use problems. However, research is scarce in this area, specifically among Afghan refugees in one of their main host countries, Iran. This study aimed to estimate the prevalence of substance use among this population and explore the associated risk factors using a mixed-methods design. Findings suggest that 4.2% of the surveyed households had at least one adult member using illicit drugs. Moreover, results show that substance use among Afghans had statistically significant associations with illiteracy, lack of documentation, living in slum areas, and multidimensional poverty. Policy implications are discussed and recommendations provided.

Enhancing empathy among humanitarian workers through Project MIRACLE: Development and initial validation of the Helpful Responses to Refugees Questionnaire.

BACKGROUND: Empathy is an important tool needed for service providers working with people who have experienced trauma, such as refugees and torture survivors. However, the high caseloads, rigorous deadlines, and overwhelming circumstances under which humanitarian workers typically operate often make it challenging to employ empathy. The Helpful Responses to Refugees Questionnaire (HRRQ) was developed to measure empathetic responsiveness, a core skill of Motivational Interviewing, among service providers working with refugees, including torture survivors. METHODS: The HRRQ was adapted specifically for measuring empathy in refugee contexts, including among asylum-seekers and torture survivors. Face validity and content validity were established by a panel of refugee resettlement experts prior to administration. The instrument was then administered via an online survey to a national sample of refugee service providers (valid N=90). FINDINGS: The HRRQ demonstrated good psychometric properties. INTERPRETATION: The HRRQ has several potential applications for work with refugees, including torture survivors. It could be used as a supervisory tool to assess service providers' skills in this area and provide feedback for improvement, if needed. It could also be used as a screening tool for hiring new staff as part of a comprehensive screening and selection process. Finally, it may be used as a pretest-posttest to evaluate the impact of staff training in motivational interviewing. Limitations of this study and implications for future research are discussed.

Adult Hospice Social Work Intervention Outcomes in the United States.

A descriptive and critical analysis of the available empirical literature on social work psychosocial intervention outcomes for adult hospice patients and caregivers was conducted. The electronic bibliographic databases CINHAL (EBSCO), MEDLINE, ProQuest, EMBASE, Campbell Collaboration, and The Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library) were searched. Search criteria were (a) social work interventions, (b) intervention was tested, (c) adult hospice patients and/or caregivers, (d) studies within the United States, (e) and studies between 2004 and 2014. Of the 21 studies that met the initial search criteria, 5 publications met all review criteria. Based on assessment of study results, intervention effect, and quality of evidence, the ADAPT Problem-Solving Intervention (PSI) and the Hospice Caregiver Support Project have some indications of practical effect on caregiver quality of life, anxiety, stress, and problem-solving skills. The Caregiver Life Line (CaLL) intervention had little to no effect on caregiver role stress or coping skills. The few available studies provide foundational insight into the need for the expansion of research efforts to evaluate hospice social work interventions and document the contributions of social work to the field.

Ryan White CARE Act Part D: matches and gaps in political commitment and local implementation.

This article demonstrates the opportunities for and challenges of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act Part D to implementing its mandate for comprehensive family-centered systems of care for women, infants, children, and youth with HIV/AIDS. Part D legislation should promote practices addressing families with models for basic security, judiciously embrace those universal public health policies aiming to improve children's overall welfare, and consistently repudiate those policies infringing on human rights of women infected with HIV, or ignoring their children's basic needs. The proposed revisions to Part D implementation may renew its political commitment to serving the needs of families who are HIV affected.