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Approaching pediatric mental health screening and care in immigration detention

Shela Sridhar1, Leah Ratner1, Matthew G Gartland2

  • 1Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, 75 Frances Street, Boston, MA, 02115, USA.

Lancet Regional Health. Americas
|March 24, 2025
PubMed

Insights

Migrant children in US detention face inadequate mental health care due to Immigration and Customs Enforcement (ICE) prioritizing enforcement over well-being. This study examines current practices and recommends policy changes for better care.

Area of Science:

  • Public Health
  • Pediatrics
  • Immigration Policy

Background:

  • Children in US immigration detention often have critical mental health needs.
  • A significant gap exists between care provided and US healthcare standards for detained migrant children.
  • The Immigration and Customs Enforcement (ICE) mandate prioritizes enforcement over child welfare.

Purpose of the Study:

  • To analyze pediatric mental health screening and treatment in US immigration detention.
  • To explore the influence of ICE's enforcement mandate on child health.
  • To propose policy recommendations for improving mental health services for detained children.

Main Methods:

  • Review of current pediatric mental health screening protocols.
  • Analysis of treatment practices within immigration detention facilities.
  • Examination of child protection frameworks and ICE's role.

Main Results:

  • Detained migrant children receive substandard mental health care.
  • ICE's enforcement focus conflicts with the right to health for children.
  • Inadequate care leads to detrimental long-term psychological harm.

Conclusions:

  • Current mental health care for detained migrant children is insufficient.
  • Policy reform is essential to align care with international child health standards.
  • Recommendations focus on prioritizing child well-being within detention settings.

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