The Distress of Citizen-Children with Detained and Deported Parents

In immigration enforcement, many undocumented immigrants with children are often detained and deported. But it is their US-born citizen-children that have been overlooked in immigration debates and enforcement policies and practices. Citizen-children are at risk for negative psychological outcomes when families are fractured and destabilized by arrest, detention, and deportation. The children risk being torn from their parents and, often, their undocumented siblings. To add to the small but growing empirical base on the effects of living under the threat of deportation and actual deportation of parents, we compared the psychological status of three groups of citizen-children: (1) a group living in Mexico with their deported parents; (2) a group in the US with parents affected by detention or deportation; and (3) a comparison group of citizen-children whose undocumented parents were not affected by detention or deportation. We compared children on self-report and parent-report measures of behavioral adjustment, depression, anxiety, and self-concept. Across the three groups we found elevated levels of distress, and differences between children who had experienced a parent’s detention or deportation and those who had not. We discuss findings in the context of children’s clinical needs, future research, and implications for immigration enforcement policy and practices.     

The effect of acculturation and discrimination on mental health symptoms and risk behaviors among adolescent migrants in Israel

This study examines the role of acculturation, perceived discrimination, and self-esteem in predicting the mental health symptoms and risk behaviors among 1.5 and second generation non-Jewish adolescents born to migrant families compared with native-born Jewish Israeli adolescents in Israel. Participants included n = 65 1.5 migrant adolescents, n = 60 second generation migrant adolescents, and n = 146 age, gender, and socioeconomic matched sample of native-born Jewish Israelis. Participants completed measures of acculturation pattern, perceived discrimination, and self-esteem as well as measures of mental health symptoms and risk behaviors. Results show that migrant adolescents across generations reported worse mental health symptoms compared with native-born Jewish Israelis. However, only the 1.5 generation migrants reported higher engagement in risk behaviors compared with second generation migrants and native-born Jewish Israelis. Our findings further showed that acculturation plays an important role in predicting the mental health status of migrant youth, with those characterized with integrated acculturative pattern reporting lower mental health symptoms compared with assimilated acculturation pattern. Importantly, contextual factors, such as higher perception of discrimination in the receiving culture as well as individual factors such as lower self-esteem and female gender were strongly associated with worse mental health symptoms. The findings manifest the complex relationship between contextual factors and individual level variables in the acculturative process of migrants as well as the importance of examining the effect of migration generation on mental health outcomes.     

流动儿童歧视知觉与心理健康水平的关系及其心理机制

为了探讨流动儿童所感受到的歧视对他们心理健康水平的影响, 以及应对方式和自尊在其中所起的作用, 从北京市公立学校和打工子弟学校选取1164名流动儿童、从公立学校选取525名北京儿童、从流动儿童主要来源地的农村选取568名农村儿童作为被试, 采用问卷调查的形式, 测查了流动儿童感受到的歧视、他们的心理健康水平(社交焦虑、孤独感、抑郁)、应对方式和自尊。研究发现: (1) 流动儿童所感受到的社会歧视在学校类型、流动性上存在显著的差异, 打工子弟学校的流动儿童得分显著高于公立学校的, 流动性高的儿童得分显著高于流动性低的, 但在性别上不存在显著差异, 也不存在学校类型与性别和流动性的交互作用; (2) 流动儿童的心理健康水平在性别、学校类型和流动性上存在显著的差异, 女孩、来自公立学校的流动儿童、流动性高的儿童的心理健康水平显著差于与之相对应的被试, 除在社交焦虑和抑郁上存在学校类型和性别的交互作用外, 在孤独感上不存在学校类型和流动性的交互作用; (3) 不同类别儿童在心理健康水平上存在显著差异, 流动儿童在社交焦虑、孤独感上最差; (4) 除消极应对与自尊、积极应对与抑郁相关不显著外, 歧视、心理健康水平、应对方式、自尊两两之间都相关非常显著; (5) 歧视知觉对心理健康水平有显著的直接影响, 也通过应对方式和自尊对心理健康水平产生显著的影响。自尊不仅在歧视知觉与心理健康水平之间起到显著的部分中介作用, 在应对方式和心理健康水平之间也起到了显著的部分中介作用。     

Facilitating Mental Health Support for LGBT Forced Migrants: A Qualitative Inquiry

Evidence suggests that lesbian, gay, bisexual, and transgender (LGBT) individuals who flee their countries of origin may arrive in host countries with persecution‐related mental health problems. This qualitative study explored facilitators and barriers to mental health care in Canada for forced migrants who are LGBT through the perspectives of 22 service providers and 7 migrants. Using thematic analysis, the authors identified 4 themes: recognizing stigma and shame, accessing competent mental health providers, managing distress/manifesting resilience, and healing through community connections. The authors discuss implications for counseling.     

Psychopathologie und Aufenthaltsstatus

This study compared the mental health status of various groups of people living in Switzerland. A total of 65 asylum seekers, 34 refugees, 21 illegal migrants, 26 migrant laborers and 56 Swiss citizens were assessed for psychopathological symptoms of posttraumatic stress, anxiety and depression. Specifically, it was tested if the residence permit status was associated with psychopathology if potentially confounding factors, such as social desirability, trauma history and integration were statistically controlled. The results showed that the majority of the asylum seekers, refugees and illegal migrants included in the study suffered from substantial psychopathological symptoms. An association between residence permit status and psychopathology was found even after controlling for other influencing factors. The results imply that not only trauma experiences lead to psychopathology in specific population groups with a migration background but also factors related to an insecure residence permit can contribute to psychopathological symptoms.     

Co-Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors: Associations with Health,Resilience, and Racial Disparities

It is important to understand racial/ethnic differences in adverse childhood experiences (ACEs), given their relationship to long-term physical and mental health, and the public health cost of the significant disparities that exist. Moreover, in order to inform interventions and promote resilience, it is critical to examine protective factors that mitigate the relationship between adversity and poor health. The current study utilized latent transition analyses (LTA) to examine co-occurring profiles of ACEs and protective factors (from school, family, and community contexts) and links to health outcomes among 30,668 Black (10.4%), Latinx (12.3%), and White youth (77.3%) ages 12–17 (52.5% male) who participated in the 2011–12 National Survey of Children's Health (NSCH). Results suggested that greater adversity was associated with worse health, while more access to protective factors was associated with better health. White youth had consistently lower endorsement of ACEs, greater access to protective factors, and better health compared to their Black and Latinx counterparts. Efforts to improve child health and racial/ethnic disparities in research and practice must consider adversity, protective factors, and the systemic inequities faced by racial/ethnic minority youth in the United States.     

Migrant mental health: a model for indicators of mental health and health care consumption.

OBJECTIVE: This study explores the relationship between mental health and health care consumption among migrants in the Netherlands. DESIGN: Samples of the Turkish (n = 648), Moroccan (n = 102), and Surinamese (n = 311) populations in Amsterdam were examined. The study tested a hypothesized model of risk factors for psychiatric morbidity, indicators of well-being, and indicators of health care consumption. The model was specified on the basis of information from earlier research on the sample and literature on the topic. The model was tested and refined using structural equation modeling. MAIN OUTCOME MEASURES: Psychiatric morbidity and well-being measures were assessed with the CIDI 1.1 and MOS-sf-36 subscales, respectively. Health care consumption was assessed by the question "Have you ever consulted one or more of these professionals or health care facilities with respect to mental health problems or problems related to alcohol or drugs usage?" RESULTS: The primary result of this study was the confirmation that health care consumption among migrants is predicted by need and predisposition factors, such as health condition and sociodemographic characteristics. In addition, mental health care consumption of migrants is predicted by acculturation characteristics. This result suggests an effect of cultural and migrant-specific factors in help-seeking behavior and barriers to mental health care facilities. CONCLUSIONS: Findings confirm the existence of migrant-specific mechanisms in health care consumption. Mental health care professionals should be aware of these. However, ignoring common ground for interventions unnecessarily creates distance between migrant groups and between migrant and indigenous Dutch groups.     

Race-Related Differences in the Experiences of Family Members of Persons with Mental Illness Participating in the NAMI Family to Family Education Program

Families play an important role in the lives of individuals with mental illness. Coping with the strain of shifting roles and multiple challenges of caregiving can have a huge impact. Limited information exists regarding race-related differences in families’ caregiving experiences, their abilities to cope with the mental illness of a loved one, or their interactions with mental health service systems. This study examined race-related differences in the experiences of adults seeking to participate in the National Alliance on Mental Illness Family-to-Family Education Program due to mental illness of a loved one. Participants were 293 White and 107 African American family members who completed measures of problem- and emotion-focused coping, knowledge about mental illness, subjective illness burden, psychological distress, and family functioning. Multiple regression analyses were used to determine race-related differences. African American caregivers reported higher levels of negative caregiving experiences, less knowledge of mental illness, and higher levels of both problem-solving coping and emotion-focused coping, than White caregivers. Mental health programs serving African American families should consider targeting specific strategies to address caregiving challenges, support their use of existing coping mechanisms and support networks, and increase their knowledge of mental illness.     

Marginalized Identities,Trump-Related Distress,and the Mental Health of Underrepresented College Students

The current study sought to determine whether holding targeted marginalized identities was associated with greater experiences of distress related to Trump's presidency and whether participants’ level of Trump-related distress predicted decrements in mental health. Participants in the current longitudinal study included 338 underrepresented college students attending a predominantly White institution. Results indicated that individuals who held targeted marginalized identities reported greater Trump-related distress compared to their non-targeted counterparts, and that holding multiple targeted marginalized identities was associated with greater levels of Trump-related distress. Findings also indicated that Trump-related distress was associated with increases (relative to previous trajectories) in anxious but not depressive symptoms. Overall, our results suggest that a shift in sociopolitical circumstances that promulgates bigotry may be harmful to those who possess targeted marginalized identities.     

Mexican migrant-smuggling: A cross-border cottage industry

As the United States has intensified surveillance of its southern border with Mexico, unauthorized migrants have become increasingly dependent on hired smugglers when they cross the border and reach their destinations in the US interior. According to the US Immigration and Naturalization Service, tighter border controls have systematically transformed migrant smuggling into a sophisticated and highly profitable industry dominated by large-scale criminal syndicates that prey on migrants desperate to enter the US without official authorization. In this article I argue that despite the rise of larger-scale smuggling organizations, smuggling of migrants across the US-Mexico border is still undertaken by small-scale and/or part-time smugglers who are embedded in the Mexican migrant community itself. Moreover, I suggest that the logic that predicts the elimination of small-scale smugglers from the market is flawed because it is based on an unrealistic assessment of the requirements for mounting a successful smuggling enterprise. I base this claim on preliminary findings from an ongoing ethnographic study of migrant smuggling on the South Texas-Northeast Mexico border that I began in summer 1998.     

The Psychological Cost of Racial Discrimination: What is the Role of Residential Segregation?

Racial discrimination is known to harm health, but to what extent the health burden of racial discrimination is contingent on residential contexts is understudied. This study examines the moderating role of racial residential segregation in the relationship between racial discrimination and psychological distress. Nationally representative data from the 2002–2003 National Latino and Asian American Study were merged with metropolitan-level data from the U.S. Census. Logistic regression models were used to test the independent and joint contributions of racial discrimination and residential segregation to psychological distress among Asians and Latinxs, stratified by nativity status. Higher residential segregation (measured by the interaction index) is associated with lower odds of distress among U.S.-born Asians but not among other groups. As for the moderating effect, residential segregation exacerbates the positive association between discrimination and distress among foreign-born Asians (measured by the dissimilarity index) and foreign-born Latinxs (measured by the interaction index), but not among their respective U.S.-born counterparts. Taken together, the present study highlights that strategies to mitigate the psychological burden of racial discrimination need to move beyond individual-level efforts to incorporate neighborhood-based approaches. In particular, results provide empirical support for efforts to reduce residential segregation, particularly among immigrants who are discriminated against.     

Socio-culturally induced distress among migrant labourers in India: a qualitative inquiry

The present study has explored the experiences of distress among Indian migrant labourers with the help of qualitative method. The data were collected using a semi-structured interview schedule where 40 unskilled migrant labourers, 20 males and 20 females participated in the study. The obtained data were analysed using constructivist grounded theory. Findings have given an insight of the dialects (idioms of distress) used by migrants to express their distress. Further, findings divulged that the essence of the migrant labourers’ distress is largely rooted in their culturally defined roles, prevailing socio-cultural norms, apathy of legal and structural system to address their needs and to protect their rights in the host culture (place of migration). The findings draw our attention to design health intervention programmes for migrant and immigrant communities, in India as well as across the world, that amalgamate the elements of collectivistic culture in order to ensure the complete social, psychological, and physical wellbeing of above said communities.     

Psychological distress, loneliness and disability in old age

With the growth in the number of older people, an increase of mental health problems might be expected. Reducing the amount of suffering and dependence due to poor mental health in old age is a priority requiring a good understanding of the determinants of psychological distress. The objectives were: (a) to measure the prevalence of psychological distress and loneliness in old men and women, living in the community, (b) to clarify the association between psychological distress, health and other explanatory variables and (c) to determine relationship between loneliness and psychological distress. We performed a cross-sectional study of 999 people aged 65+. The variables studied were psychological distress (GHQ-12) and self-reported loneliness. The prevalence of psychological distress was 20%. Illness and disability are related to psychological distress in old age; the feeling of loneliness is the single most important predictor of psychological distress, and not knowing neighbours increases the probability of depression. Attempts to improve detection and management of psychological distress in sick older people, in those who appear isolated and express loneliness should be evaluated.     

“I didn’t understand their system,and I didn’t know what to do”: Migrant Parents’ Experiences of Mandated Therapy for Their Children

In this phenomenological study, we explored the experiences of migrant parents whose children received mandated therapy in Southern California. Migrants are people who move to a host country either voluntarily as immigrants or involuntarily as refugees. Mandated therapy means that the school or court system required that their children receive services from a mental health provider. Parents often participated by having to take parenting classes and join in some sessions with their children; however, the children were the identified clients. We conducted eight, in-depth interviews with migrant parents. We employed Giorgi and Giorgi’s (Qualitative research in psychology: expanding perspectives in methodology and design. American Psychological Association, Washington, 2003; Qualitative psychology: a practical guide to research methods. Sage, London, 2008) phenomenological psychological research approach to analyze data. Analysis revealed four constituents, which are overarching themes related to the essential structure of the shared phenomenon: (a) migrant parents encountered discrimination and devaluation; (b) migrant parents experienced increased exposure to US culture and the mental health system, which accelerated acculturation; (c) the degree of cultural sensitivity exhibited by providers both positively and negatively influenced participants’ attitudes and perceptions toward mental health services; and (d) migrant parents used their mandated therapy experiences as opportunities to examine their family relationships and to learn new skills and concepts.     

Hurricane Andrew: Psychological distress among shelter victims

This study examined psychological distress and functioning among Hurricane Andrew victims who lost their homes and were living in shelters. Four and one-half weeks after Hurricane Andrew struck southern Florida, 89 (45 males, 44 females) Blacks, Hispanics, and Whites completed a questionnaire. The questionnaire asked for information about psychological and psychophysiological symptoms, use of mental health services, coping responses, and extent of preparation for the storm. The findings suggest that loss of home and property were related to distress and depression. About one-quarter of the sample were moderately depressed. Over one-third of the sample reported experiencing psychological and psychophysiological distress. Approximately one-half of the subjects did not take the hurricane warnings seriously. White subjects began preparing earlier for the storm, and evacuated their homes more frequently than did Black subjects. Implications of the findings and future research directions are discussed.     

An internet survey of emotional health,treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia

The present internet survey examined the demographic characteristics of Chinese-speaking international students in Australia, psychological distress levels as measured by the Kessler-10 (K-10) Item scale, help-seeking history and preferences, as well as treatment barriers. Of the 144 respondents, 54% reported high psychological distress (mean K-10 score?=?23.96; SD?=?9.03). However, only 9% of those who were highly distressed reported they had sought mental health services in the past year. While the majority preferred help from informal social networks, they tended to favour mental health services over traditional culture-specific forms of help. Common barriers to accessing mental health services reported by respondents with high psychological distress included costs or transportation concerns, limited knowledge of available services, time constraints, the perception that symptoms were not severe enough to warrant treatment, language difficulties and lack of knowledge of symptoms of psychological distress. Although the majority preferred face-to-face treatments over internet treatments, a considerable percentage of respondents were willing to try either treatment modality. Chinese-speaking international students are a high risk group for developing psychological distress, yet they tend to underuse mental health services. Education about the effectiveness of face-to-face and online treatments may increase treatment seeking by this population.     

Racial disparities in mental health service use by adolescents who thought about or attempted suicide

Differences in rates and predictors of mental health service use among 2,226 Black, Hispanic, and White adolescents (aged 12-17) who reported recent suicidal thoughts or an attempt were examined. Black adolescents were 65% (OR = .65, p < .05), and Hispanic adolescents were 55% (OR = .55, p < .001), as likely as White adolescents to report service use, even when controlling for need for care and ability to secure services. Suicide attempt and psychiatric symptoms each interacted with race to increase the odds of service use uniquely for White adolescents. Results indicate that racial disparities characterize adolescents' mental health service use even when suicide risk increases.     

The faith community and mental health resilience amongst Australian Ismaili Muslim youth

The religio-cultural community of minority ethnic migrants can strongly affect post-migration adaptation. Whilst religion itself may influence resilience, the social support network it provides may also play a role. Extant literature on resilience and migrant communities has largely focused on refugees whilst the experience of younger voluntary migrants and second-generation immigrants, who may experience “acculturative stress”, has been overlooked. This study examines 18–25 year old diasporic and post-diasporic Ismaili Muslim youth in Australia. Of the 11 youth respondents, five were Australian-born/raised (“post-diasporic”) and six were recent immigrants (“diasporic”). Five community leaders were also interviewed for triangulation. Respondents were obtained using purposive and convenience sampling in two Australian cities. Results demonstrate how faith engagement and civic participation were utilised in developing resilience when facing mental health stressors encountered during the migratory and acculturative processes.     

Thinking of threats: Economic threat appraisals and health threat appraisals predict differential racial attitudes during COVID-19

We examined whether perceptions of the health and economic threats posed by COVID-19 predict different patterns of intergroup attitudes, using data gathered during the early phase of the pandemic. Using data from 1339 geographically and politically diverse White US residents, we show that subjective economic threat predicted general anti-outgroup attitudes, while subjective health threat predicted negative attitudes towards both Asian and Latinx (“stereotypically foreign”) outgroups but not towards other outgroups. Among 303 geographically and politically diverse Black US residents, the pattern instead suggested that threat (regardless of type) was associated with reduced evaluative differentiation between racial ingroups and outgroups.     

A processing fluency explanation of bias against migrants

This research investigated whether people are biased against migrants partly because they find migrants more difficult to cognitively process than nonmigrants. In Study 1, 181 undergraduate students evaluated migrant and nonmigrant members of two minimal groups and reported the difficulty that they experienced in thinking about each type of target. Participants rated migrants less positively than nonmigrants, and difficulty ratings partially mediated this effect. Study 2 (N = 191) replicated these findings and demonstrated similar findings for individuals who had been excluded from minimal groups. This evidence implies that migrant bias can be explained partly in terms of the difficulty that people have in processing information about migrants, and that it is related to migrants’ exclusion from their original group.