Conclusion

Abstract

This Conclusion discusses ideas that evolve out of the work presented in this volume; raises issues and questions for further study; and reconfigures previous work on the migration process.     

An East-West Approach to Serving Chinese Immigrants in a Mental Health Setting

Abstract

This article discusses the unique design of a community day treatment program that addresses the issues of loss and acculturation for a Chinese American immigrant population who suffers from chronic mental illness. The program utilizes an integrated, multi-cultural milieu of staff and clients to create a microcosm of the diversity of American society, and reflects the agency's belief in the affirmation of the clients' cultural heritage as a more effective way of supporting clients in their recovery process. Case vignettes are used to illustrate the importance of helping immigrant clients who are marginalized in society to feel accepted, empowered and hopeful in their lives in a new country.     

Posttraumatic Growth in Latina Immigrants

Abstract

This study used a Spanish version of the Posttraumatic Growth Inventory to examine the extent to which Latinas report post-traumatic growth (PTG) following the stressful experiences of immigration and explored demographic, stress-related and social context correlates of this growth (N = 100). Findings indicate a moderate level of stress and a high level of PTG but no association between stress and growth variables. Level of stressfulness was related to type of separation and to participation in counseling. Overall, posttraumatic growth was related to participation in counseling and the Philosophy of Life factor was related to the importance of religion. Findings support using a strength perspective to study and service Latina immigrants.     

Impact of the 1996 Welfare Reform and Illegal Immigration Reform and Immigrant Responsibility Acts on Caribbean Immigrants

SUMMARY

This paper examines the impact of the 1996 Welfare Reform and Illegal Immigration and Immigrant Responsibility Acts on Caribbean immigrants in the United States. Drawing from the conceptual framework posited by Dye's (1984) Elite Preference Modelof policy analysis, the author argues that the three laws have created enormous economic and psychological difficulties among families in the United States. Developing countries in the Caribbean region have been severely impacted by the law since they have had to accommodate returning citizens when they are deported under provisions of immigration policies. The question for consideration by this paper is how may the legal and human rights of deportees be balanced against the rights of the U.S. government to secure its borders and ensure the security of its citizens? The paper also addresses issues of immigration, and international relations particularly the north-south dialogue between powerful developed countries such as the United States and small developing states of the Caribbean.     

Introduction

Abstract

The United States social work literature on immigrants and immigration emphasizes one part of the migration process-the experiences of immigrants in this country. However, experiences in the country of origin that lead to emigration receive limited attention. Knowledge of the latter ultimately provides a context for understanding the immigration experience. This introduction, Thinking Beyond United States' Borders, presents the underlying ideas that provide the foundation for the discussions in this volume. It focuses on the interconnectedness between immigrants' country of origin and destination. Thus, a two-country perspective is embedded in this discussion and in the articles that follow.     

Mental Health Intervention with Hispanic Immigrants

Abstract

The underutilization of mental health services by Hispanic immigrants has been well documented in the literature. Hispanic immigrants encounter numerous obstacles which prevent them from successfully navigating through the mental health system. This reality is further compounded by the fact that research appears to suggest an increased rate of mental health disorders among Hispanics. This article underscores the importance of understanding the influence of a Hispanic client's worldview, language, and religion on the provision of mental health services. A case vignette is presented as a means of illustrating key conceptual points. Practice principles or conclusions drawn from this article should be used as a general guide by mental health practitioners.     

Chapter 9. Counseling South American Immigrants

Abstract

The Hispanic population in the United States is growing exponentially. There are a total of 1,506,654 South Americans in the United States who have come from Spanish-speaking countries. Most immigrants, if not all, experience difficulties triggered by migration, discrimination, acculturation, and second language acquisition. In this chapter, we briefly discuss major issues associated with migration and present literature and research on the construct of social support. We propose that integrating and utilizing social support during treatment will facilitate the adjustment process for the individual. We present interventions that allow the therapist to provide support while encouraging the client to seek support within him/herself and from other sources in the environment.     

Social Justice Advocacy by and for Tibetan Immigrants

Abstract

Advocacy for immigrants empowers them to fight for social justice. For Tibetan immigrants this struggle for justice inside their home country has been part of their U.S. immigration experience. They have also been part of New York City immigrant coalitions that are advocating for basic services lost during the 1996 Welfare Reform. The need for more equable access to education is also addressed. Finally, the harshness of expedited removal of asylum seekers needs to be supplanted by procedures that safeguard human rights.     

Chapter 7. Mental Health Intervention with Dominican Immigrants

Abstract

Dominicans are a significant force in the changing composition of Hispanic immigration in the United States, and all indications are that they will continue to be in the years to come. A framework has been applied in which Dominican culture, psychosocial strengths and risks, and treatment implications are explored in the context of how Dominicans appear to be similar to and different from other Hispanic groups in the U.S. Much more needs to be done in terms of elaborating this combination of homogeneity and heterogeneity. Mental health practitioners who are open to such inquiry, and to keeping an open mind regarding the possibilities of modifications in therapeutic techniques and modality choices, will find Dominicans to be a clinically responsive, and an enjoyable population to work with.     

Return Migration

Abstract

Immigration to the United States (U.S.) is made for many different reasons, which may be economic, political, or social or any combination of them, and subsequent reverse migration may occur for any of the same reasons. Discussion of immigration and the variety of circumstances attendant to it are wide-ranging, but usually such discussions rely on figures related to migration into the country and overlook, either purposefully or accidentally the fact that return migration has always been a significant movement in this country. This article raises the issue of limited data gathering by the U.S. on reverse migration despite the sizeable amount and quite reliable demographic information on arrivals. Discussions of social services for immigrants, therefore, cannot be considered complete or even competent if they do not include careful consideration of and attention to return migration.     

Working with Caribbean Immigrants After the World Trade Center Tragedy

SUMMARY

Caribbean immigrants were among those transfixed by the destruction and human suffering caused by the World Trade Center tragedy. An emergent cliché is that life will never be the same after September 11th. This study explores the issues that impact the health and well-being of English-speaking Caribbean immigrants and challenges social workers to reassess their intervention with immigrant populations in the Post 9/11 era.     

Immigration and the Remaking of New York

Abstract

The 1965 Immigration and Nationality Act abolished quotas that favored European immigrants, and for the first time placed all countries on an equal footing. The law resulted in increased overall immigration, and altered the sources of immigrants to the U.S. Since 1970, New York City has absorbed 2.6 million immigrants, primarily from non-European sources, who have dramatically altered the City's racial/Hispanic mix. Using immigration and birth records, as well as data from decennial censuses, this paper examines immigration to New York and assesses the demographic impact of these flows on the City's population.

Current immigrant flows have noticeably increased the ethnic diversity within the major race/Hispanic groups. This is largely due to increases in refugee flows, and to recent changes in immigration law that allow for “diversity” visas, which are aimed at countries that are under-represented in immigration flows to the U.S. Diversity immigration has provided New York with a continuing flow of new groups, most recently from Bangladesh, Mexico, Ghana, Nigeria, and Senegal, who have established enclaves in many of the City's neighborhoods. The increasing diversity poses serious challenges for social service and health care professionals, who need to devise new strategies to deal with the disparate socioeconomic backgrounds, cultures, and belief systems of new ethnic groups. This is especially important given that New York's ethnic mix will continue to be churned, especially by way of diversity immigration and refugee flows from all parts of the globe.     

Chapter 11. The Future of Culturally Competent Mental Health Care for Latino Immigrants

Abstract

This chapter underscores the importance of cultural competence in the provision of effective mental health services to Latino immigrants. Culturally competent mental health care must be understood within the context of a social-political-economic framework that is changing on a continual basis. Health and mental health care reform for Latino immigrants must be linked to both practice-based research efforts and timely diffusion of best practice innovations. Cultural competence must be integrated as a valued component of the organizational structure of mental health systems of care.     

Strengthening the Link

Abstract

Through exploration of definitional issues and current migration realities, this article discusses ways in which emphasis on the international dimensions of social work with immigrants and refugees offers opportunities to improve practice and to enhance the relevance of international social work to the profession. The international character of present day migration is illustrated through discussion of the transnational family and the economic and other relationships that tie immigrants to their countries of origin. The paper concludes with recommendations for increased cross-national professional collaboration.     

Adoption of Performance Measurement: Evidence of Mexican Municipalities

In this article we define and estimate empirical models to study the determinants of adoption of performance indicators by Mexican municipalities. Building upon previous studies, we prove whether the adoption decision depends on the locality size, variables related to resources, and the political/cultural differences. We implement the empirical models using the data from 300 municipalities for the year 2000. Unlike related literature that relies on surveys applied to local officials, our data from independent and dependent variables were obtained from different sources in order to avoid common-source bias. The estimated logit and probit models confirm the hypotheses.     

Neither Here Nor There

Abstract

Since 1917 all Puerto Ricans, whether island- or mainland-born, are United States citizens. Physical proximity and relatively affordable transportation encourages Puerto Rican migration to the mainland United States. Puerto Rican migration takes three forms: the “one- way migrants,” who move permanently to the mainland; the “return migrants” who migrate to the mainland but after many years return to the island and reestablish residence; and the “circular migrants” who migrate back and forth between the island and the mainland spending substantial periods of residence in both places. The following analysis emphasizes the conditions that instigate the departure of Puerto Rican migrants from both the island and the mainland, and discusses the implications of Puerto Rican circular migration for social work and the provision of social welfare programs and services.     

On the Age Against the Poor

Abstract

This article focuses on Dominican migration to the United States (U.S.) after 1965. Dominicans left their homeland pressured by economic needs, the desire to improve their lives, and encouraged by a de facto immigration policy that facilitated their exodus. Once in the U.S., most Dominicans encounter an economy that increasingly demands skills and levels of schooling they do not possess. Rather than a prosperous life, in the new land, Dominicans face high unemployment levels and an alarming state of poverty. Paradoxically, while the needs of Dominicans continue to be unmet in the new society, the social policies and the conditions that push them out of their country remain in effect. On its part, the U.S. has responded by adopting a number of immigration laws to control the entrance of unwanted and unneeded job-seekers. As a result, the number of Dominicans coming to the U.S. has begun to decline as the number of Dominicans deported to the Dominican Republic has increased. In the end, poor Dominicans are pushed back and forth by both societies whose immigration policies mask their unwillingness to respond to the needs of the group. The article also discusses the impact on the Dominican community of 9/11 and the crashing of the AA flight 587, on November 12, 2001.     

Resilience in the Face of Adversity: African Immigrants' Mental Health Needs and the American Transition

The aims of this qualitative study were to explore key sources of emotional distress and coping strategies among West African immigrants. Thirty-eight adult West African immigrants participated in six semistructured, open-ended focus group sessions. Focus group data were analyzed using a grounded theory approach. While participants reported high levels of psychological distress associated with racial/cultural discrimination, intimate partner violence, parenting, extended-family demands, and problematic immigration status, they demonstrated resilience and the ability to identify a range of coping strategies that draw on their cultural heritage. Only two of the participants reported having used psychological services; both outcomes were negative. The findings of this study are considered in terms of their clinical implications.     

Investigating the Refugee Health Disadvantage Among the U.S. Immigrant Population

Much health-disparities research focuses on race and ethnicity, but nativity has proved to be a crucial factor in explaining the immigrant health advantage. Foreign-born subgroups with certain immigration statuses, such as refugees, may have an initial disadvantage. Using nationally representative survey data, we explore differences in health outcomes by analyzing two visa category subgroups in the United States: refugees and nonrefugee immigrants. Our findings show that refugees have a significant disadvantage across multiple health outcomes. This suggests that current refugee health-screening practices should be changed to take into account broader issues, such as chronic disease and functional limitation.