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Caring for Families Separated by Changing Immigration Policies and Enforcement: A Cultural Psychiatry Perspective
Brandon A Kohrt1, Francis G Lu1, Emily Y Wu1
1Dr. Kohrt is with the Department of Psychiatry, George Washington University, Washington, D.C. Dr. Lu is with the Department of Psychiatry and Behavioral Sciences, University of California, Davis. Dr. Wu is with the Department of Child and Adolescent Psychiatry and Dr. Hinton is with the Department of Psychiatry, both at Massachusetts General Hospital and Harvard Medical School, Boston. Dr. Aggarwal and Dr. Lewis-Fernández are with the Department of Psychiatry, Columbia University, and with New York State Psychiatric Institute, New York. Dr. Parekh is with the Division of Diversity and Health Equity, American Psychiatric Association, Washington, D.C. Dr. Rousseau is with the Department of Psychiatry, McGill University, Montreal. The authors are members or guests of the Cultural Psychiatry Committee of the Group for the Advancement of Psychiatry. Dr. Kohrt is the project coordinator and Dr. Lewis-Fernández is the committee chair. Dr. Lewis-Fernández is also editor of this column.
Abstract:
Recent changes in U.S. immigration policies and enforcement have precipitated a 300% rise in arrests and planned deportations. Although some family members face deportation, other family members may have state-sanctioned status. Such mixed status puts hundreds of thousands of families at risk of forced separation and associated mental health problems. Building on cross-cultural work with refugee families and other groups and on work with families separated by parental incarceration, the authors provide recommendations to guide clinicians working with families who are separated or who fear separation. Mental health problems among separated families can in part be addressed through identifying the origins of distress, elucidating family structures and roles, strengthening communication practices, linking with legal and economic resources, and facilitating decision making through distress reduction.
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