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www.childrenspartnership.org @kidspartnership The Children’s Partnership Mayra E. Alvarez, MHA President April 10, 2018 California Reducing Disparities Project to Advance Mental Health Equity What’s at Stake: Immigrant Mental Health
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Page 1: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

The Children’s Partnership

Mayra E. Alvarez, MHA

President

April 10, 2018

California Reducing

Disparities Project to

Advance Mental Health Equity

What’s at Stake:

Immigrant Mental Health

Page 2: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

The Children’s Partnership (TCP) is a California-based national children’s advocacy organization

committed to improving the lives of underserved children where they live, learn, and play with

breakthrough solutions at the intersection of research, policy, and community engagement.

Since 1993, TCP has been a leading voice for children and a critical resource for communities

across California and the nation, working every day to champion policies that provide all

children with the resources and opportunities they need to thrive.

Our Mission

Page 3: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

California’s Children

Source: Kidsdata.org (Lucile Packard Foundation for

Children's Health)

Page 4: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Federal Actions: Impact on Immigrant

Families

Multiple Anti-Immigration

Executive Orders

Rescission of the Deferred

Action for Childhood Arrivals

(DACA) Program & Temporary

Protected Status (TPS)

Shift in enforcement priorities

2018 Federal Budget

Pending public charge regulation

Page 5: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

State Attorney General Xavier Becerra

• Dreamers/DACA

• Muslim Travel Ban

• Border Wall

State legislation

• 2017: SB 54 (De Leon): California Values Act

• 2017: AB 699 (O’Donnell): Educational equity: immigration

• 2018: AB 1862 (Santiago, Carrillo): $10 million addition to One

California for TPS-related legal services for those facing deportation

2018 State Budget

• Maintains coverage for Health4All Kids - 218,571 undocumented

children enrolled

State Response: California

Page 6: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

State Impact: California

Fearing ICE raids, San Jose father

tells children: ‘Be prepared to be

alone’

January 29, 2018

Immigrant arrested by ICE after

dropping daughter off at school,

sending shockwaves through

neighborhood

March 3, 2017

National City residents rally behind family with parents in immigration

detentionJune 7, 2017

Refugees from Vietnam who have been in

US for decades are being detained and

targeted for deportation, immigrants rights

group says

February 28, 2018

Page 7: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Family separation

Harms children’s mental and physical

health

Undermines family economic security

Climate of fear further restricts

children’s access to education, public

benefits, and other services

How Immigration Enforcement Harms

Children

Page 8: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Fall 2017 : Provider Survey

Fall 2017: Parent and Youth Focus

Groups

• Inland Empire

• Central Valley

Fall/Spring 2018: Family Survey

Key Informant Interviews

June 23, 2018: Community

Symposium – Inland Empire

Ongoing: Policy and Action Agenda

Healthy Mind, Healthy Future

Page 9: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

2017: California Children in Immigrant

Families: The Health Provider Perspective

Partners:

California Primary Care Association

(CPCA)

California Program on Access to Care

(CPAC)

Cecilia Ayón (Associate Professor at the

School of Public Policy, UC Riverside)

Methodology: electronic survey (n=151)

Focus on access to care, types of services

needed, and immigrant family health and

wellbeing

“The children are scared for their parents…”

Health Provider, California

Page 10: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

2017: California Provider Survey

“I am seeing an increase in depressive, anxious, and somatic symptoms, as

well as recurrent trauma symptoms from the past. People are extremely

scared.” Health Provider, California

Page 11: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

2017: California Provider Survey

“In meeting with key staff of elementary, middle, and high schools, there are consistent concerns that

immigrant parents are too scared to attend school events, resource fairs, and obtain services due to

the fear of immigration taking them away from their family. Our families report concerns and fears

about going grocery shopping, walking their kids to school, and seeking mental health/dental/vision

services using Medi-Cal, as they think it might lead to an INS raid.” Health Provider, California

Page 12: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

2017: California Provider Survey

“Patients and families have concerns about discrimination and fear not only about health care, but also

education, employment, etc. Families report increased stress levels regarding immigration and fear

around family disruption and separation.” Health Provider, California

Page 13: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

2017: California Provider Survey

“One undocumented parent told me that she was nervous about getting mental health care services

because of ‘all the questions we ask,’ referring to the high number of intake forms required for our

services.” Health Provider, California

Page 14: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Fall 2017: Focus Groups

• Latino and API families

• Central Valley, Inland Empire

Fall 2017/Spring 2018: Family Survey

• Reach: 495 households

• Methods: organizations identified as

surveyors

2018: Immigrant Families Research

• Bay Area

• Central Valley

• Inland Empire

• Los Angeles County

• Orange County

• Southern Border

Page 15: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

2018 Snapshot: Family Focus Groups

“As a mother, I am worried. It keeps me up at night.

Because of the president, Mr. Donald Trump, the kids

are learning how to hate.”

-Latino immigrant parent, Riverside

“I am scared that someone wants to remove me from my

house... I may be at a store with my children and they

arrest me, that is something that worries me.”

-Latino immigrant parent, Fresno

“I mean right now I feel like I live in Third World country. You

know like in a camp sometimes the guard comes and catches

people and sends them back.”

-API immigrant parent, Fresno

“It’s like hanging from a string that can be cut at any time.”

– Young Latino male (16-21), Riverside

Page 16: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

43% of parents see both as their biggest

obstacles

• 47% of Latinos see their immigration

status and 46% see President Trump as

their biggest obstacle

More than one-third say other obstacles they

face include:

• not having the money to reach their goals

(35%) and

• racism or the fact that some people are

biased against people like me (35%)

2018 Snapshot: Immigrant Family Survey

Parents see their immigration status and President Tru

mp as the biggest obstacles to meeting their personal goal

s.

Page 17: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Methods: 20 key informant interviews

Key informants:

• community members, promotoras, immigrant

rights leaders, health advocates, social

workers, mental health experts, attorneys, and

others

Goal:

• learn about the health needs, barriers to care,

and recommended policy and practice

changes.

• Identify best practices in local and statewide

responses to immigration enforcement

activities in various communities

2018: Key Informant Interviews

Page 18: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Moving Forward: Awareness & Support

Public education

Share accurate, up-to-date

information

Individual civic engagement

Role of storytelling

Advocacy tools - talking points and

factsheets

Secure resources are available to

support:

Community organizations

Legal services in communities

Services for undocumented parents

Page 19: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Health, Social Services and Child

Welfare

• Educational resources for

understanding immigrant

families’ rights related to

health care and social

services

• Better tools and interventions

to help make referrals to

social, mental health, or legal

services

• Connection to community

organizations and school

personnel

• Ensure eligibility and

enrollment for immigrant

families

Moving Forward: System Changes

Page 20: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Moving Forward: Education Partners

The role of schools and early

learning providers

Training and education

Create welcoming spaces

School climate

All In For Safe Schools

Coalition to support AB 699

implementation

Training and development

of materials

Page 21: The Children’s Partnership...2018/04/10  · The Children’s Partnership (TCP) is a California-based national children’s advocacy organization committed to improving the lives

www.childrenspartnership.org @kidspartnership

Thank you!Mayra Alvarez

[email protected]

213-341-1222

@KidsPartnership

@mayraealvarez


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