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Expanding Possibilities: Flexibility and Solidarity with Under-resourced Immigrant Families During the COVID-19 Pandemic
Authors:Celia Falicov  Alba Niño  Sol D'Urso
Institution:1. University of California San Diego School of Medicine, San Diego, CA, USA;2. Alliant International University, San Diego, CA, USA;3. University of San Diego, San Diego, CA, USA
Abstract:The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID-19 crisis to the lessons we have learned over time as mental health professionals working with families in no-cost, student-managed community comprehensive health clinics in academic-community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID-19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi-Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty.
Keywords:Under-resourced  Immigrants  Community Clinic  Health Disparities  Latinx  Telehealth  COVID-19 Impact  de escasos recursos  inmigrantes  clínica comunitaria  desigualdad sanitaria  efecto de la COVID-19  telemedicina  缺乏资源的  移民  社区诊所  健康差别  COVID的影响  远程健康诊疗
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