The Children s Partnership

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Avis Lambert
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1 The Children s Partnership California Reducing Disparities Project to Advance Mental Health Equity What s at Stake: Immigrant Mental Health Mayra E. Alvarez, MHA President April 10, 2018

Our Mission 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

2 Our Mission 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.

3 California s Children Source: Kidsdata.org (Lucile Packard Foundation for Children's Health)

4 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

State Response: California 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):

5 State Response: California 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 Impact: California National City residents rally behind family with parents in immigration detention June 7, 2017 Fearing ICE raids, San Jose father tells children: Be prepared to be alone

6 State Impact: California National City residents rally behind family with parents in immigration detention June 7, 2017 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 Refugees from Vietnam who have been in US for decades are being detained and targeted for deportation, immigrants rights group says February 28, 2018

7 How Immigration Enforcement Harms Children 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

8 Healthy Mind, Healthy Future 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

Public Policy, UC Riverside) Methodology: electronic survey (n=151) Focus on access to care, types of services

9 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

10 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

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,

11 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

2017: California Provider Survey Patients and families have concerns about discrimination and fear not only about health care, but also education,

12 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

13 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

14 2018: Immigrant Families Research 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 Bay Area Central Valley Inland Empire Los Angeles County Orange County Southern Border

15 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

2018 Snapshot: Immigrant Family Survey Parents see their immigration status and President Tru mp as the biggest obstacles to meeting their personal goal s.

16 2018 Snapshot: Immigrant Family Survey Parents see their immigration status and President Tru mp as the biggest obstacles to meeting their personal goal s. 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: Key Informant Interviews Methods: 20 key informant interviews Key informants: community members, promotoras, immigrant rights leaders, health advocates, social workers, mental health experts,

17 2018: Key Informant Interviews 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

18 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

Moving Forward: System Changes Health, Social Services and Child Welfare Educational resources for understanding immigrant families rights related to health care and social services Better tools

19 Moving Forward: System Changes 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

20 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

21 Thank you! Mayra

SUPPORTING IMMIGRANT FAMILIES AND THEIR CHILDREN

SUPPORTING IMMIGRANT FAMILIES AND THEIR CHILDREN Perspectives from Bay Area Public Health Departments and Behavioral Health Programs Local Health Departments and Funders supporting and protecting the health