cultural considerations when working with immigrantscultural considerations when working with immigrants

The https:// ensures that you are connecting to the Parenting in a New Context: Foundational Tenets of Culturally Responsive Care Should you need additional information or have questions regarding the HEOA information provided for this title, including what is new to this edition, please email sageheoa@sagepub.com. Noncompliance with medication and treatment protocol is often a problem. Oh I am so glad to hear that you will be helping a population in such need of counseling intervention. This article also reviews interventions and best practices that draw on the incorporation of culture into health care and that thus may be effective for building cross-cultural understanding between providers and their immigrant and refugee patients. Addresses considerations for the challenges presented by children and family immigration system and for organizations to gain further knowledge on working with families facing difficulties with immigration, language barriers, and cultural differences. ET. This personal disclosure in my work creates an instant connection from one fellow immigrant to another. Culture affects everything we think about and do- from how we interact with family members, to how we recognize a childs transition into adulthood, to what we do when we feel sick. 10/11/2022 10/11/2023Purchase an Ad with NASW-NYC, 3/7/2023Harm Reduction in the Social Work World, 3/14/2023Best Practices for School Avoidant Students, 3/22/2023Addressing Intergenerational Trauma within the Black Community, 3/28/2023Assisting Clients in Building Their Financial Capabilities, Office Hours: 9:00 AM - 5:00 PM In some cultures, certain body parts are considered sacred or blood loss irreversible.12 Therefore, it is worth exploring patients' belief systems regarding illness, as sickness is often believed to arise from physical as well as metaphysical and supernatural forces. c. The nursing workforce has many unauthorized immigrants. This article also reviews interventions and best practices that draw on the incorporation of culture into health c Prim Care . Personal distance is close (1.5 to 4 feet, or 0.5 to 1.2 meters). Here are some things to keep in mind if you are considering working with refugees coming to America. Parents often prefer that an authoritative counselor work with their child because, based on their viewpoint of counseling, that is culturally appropriate. Social workers then have to work to change the conditions that continue to oppress immigrants. Bridging Refugee Youth and Childrens Services (2018) The ethnic and cultural backgrounds of these individuals are diverse, and many of them need support in order to thrive after migrating to the U.S. Social workers are instrumental in helping people in vulnerable immigrant communities access the tools they need to . Thank you for your insights and passion for this population. Counseling is often a foreign concept to many immigrants and refugees. During this time of transit, refugees face disintegration of their family structure, overcrowded living arrangements, inadequate nourishment and poor sanitation, leading to problems such as cholera, malnutrition and hepatitis. Stories may be painful to share, or an individual may deem disclosure of such secrets unnecessary. Another focal area of counseling with this population is bicultural stress. Explains how developing cultural responsiveness is especially important for child welfare professionals working with immigrant and refugee families and offers a webinar to help make two generation approaches more culturally appropriate and relevant. By recognizing probable victims of torture, the physician might focus the history and physical examination around the more relevant complaint, and consider different or more uncommon diagnoses. However, when these people leave their . All of the above (cross-cultural considerations, functional impairments, ableism) . These conflicts produce long lines of starving women and children waiting to receive food or medical treatment from organizations under the guidance of the office of the United Nations High Commissioner of Refugees. Social workers can play an important role supply in closing the gaps. The clinician might uncover a hidden agenda and cause of ailments when questioning a patient's perception of illness.13,14. Thus, within and amongst reservations, cultural . For example, undocumented immigrants may fear being identified and may thus shy away from par-ticipation in research studies, particularly if research might lead to their identification by . At least eighteen models of cultural competence have been proposed across disciplines. It is about committing to lifelong learning, self-reflection, and the willingness to learn from our patients about what is important to themcollaborating with them for optimal, individual care. International Social Work, 55(6), 816- 822 . Culture shapes and influences individual health and mental health beliefs, family practices, human behavior, and even the outcomes of interventions (Ortiz Hendricks & Fong, 2006, p. 136. I implement this outlook in my work with each group member or individual client. Bookshelf to illustrate application. Most immigrants come from a collectivist culture to . Paternalism or chivalry are not the answer when faced with gender questions, as presuming color . Immigrants. government site. It is important to recognize that cultural customs among AI/AN groups may vary significantly, even within a single community. This concept plays a role in every family interaction at diverse degrees and influences both parents and childrens understanding of the world and themselves. Refugees are easier to access because they typically are part of state-funded programs and may be placed in homogenous residential areas (for example, in apartments). Features a webinar on how child welfare agencies can improve their responsiveness to the needs of immigrant families and work to promote the well-being of immigrant children. Refugees, immigrants, and undocu-mented immigrants confront unique chal-lenges in resettlement that have implications for conducting ethical research. When interpreters are not available, or when the patient does not want an interpreter, the physician needs to speak slowly, repeat often and in different ways, and ask the patient to repeat back the directives to assess understanding. It entails more than speaking the language of the client or gaining specialized knowledge about a particular cultural group. Additionally, the technicalities of counseling are altered. Rape, torture or other physical suffering, such as land mine accidents, are also a reality of life affecting refugees during times of war and conflict.58 Although camp conditions are often poor, high crude mortality rates of refugees have drastically been reduced because of the services provided by the world community.9 Before acceptance as political asylum claimants, refugees receive an overseas examination by public health advisors and/or physicians, although it may be inadequate and not timely.10,11, Cultural barriers between physician and refugee patients can affect the outcome of the encounter. Working With Immigrant and Refugee Families. Define cultural competency 2. Physicians may need to discuss with parents the topics of children and traffic hazards, the risk of letting children run barefoot outside, the risks associated with electrical outlets, the proper clothing required for inclement weather, and the safe storage of medicines and cleaning supplies. The number of minority nurses meets the needs of the countrys demographics. For example, malaria is endemic in many countries. Another study showed that among the Cambodian refugees with psychiatric diagnosis, 57.9 percent had depressive disorders, 23.7 percent had anxiety and post-traumatic stress disorder and 3 percent had adjustment disorders.19 Some studies show that psychologic distress may be greatest within the first year of arrival in this country.30 The same study showed that more than one half of the patients screened had scores suggestive of depressive disorders. Thank you for this insightful and helpful article! Your message has helped me re-route my career. [Yamamoto, Rhee, & Chang, 1994). Kind regards on your journey as a helping professional! Depression Looks Like Me is a program - sponsored by the Johnson & Johnson Company and supported by an alliance of other partners - that aims to educate and empower LGBTQ+ people with depression. There may be preexisting conditions or newly onset conditions related to situations from which they fled, or the stress of relocation may trigger a preexisting condition. When families migrate, they often separate and then reunify. Then there are those who are healed purely by arriving in America the place that is not home, but that has freed them from the turmoil in their countries of origin. This is a form of empathy. You have wonderful ideas. Unauthorized use of these marks is strictly prohibited. There are a number of possible journeys in the healing processes of these clients, making experiential learning essential for counselors understanding of how to take an individualized care approach, while still taking culture into account. . These linguistic tools facilitate their connection to the program and to each other. See Answer. I am grateful to hear that the article can be helpful globally. Refugees often expect Western physicians and medicine to cure everything and that the cure will be immediate.16 Others believe that illness is an unavoidable part of life, and they may delay seeing a physician.17 Urgency with regard to getting prescriptions filled, such as antibiotics, may not seem important to some. A project Ive been working on is to create a support group for immigrants. These may influence how the individual expresses mental distress, 2023, American Counseling Association. Undocumented Latino immigrant men in the United States: Policy and practice considerations. Multicultural learning approaches must be mindful not to diminish the power of an individuals journey. Depression Looks Like Me. I always wanted to work with this population but did not know how to start. . 2021 Mar;48(1):35-43. doi: 10.1016/j.pop.2020.09.005. This article describes the different ways culture affects health care, in terms of patient-related factors, health care provider-related factors, and health care system-related factors. Aspen Institute (2021) argued that social work education must expand beyond teaching cultural competence to teaching workers how to understand harmful immigration policies and fight against them at the macro level. Careers. Within one year of arrival, refugees are required to have a physical examination. Psychiatric Services (Washington, D.C.), 67 (3), 265-274. 2007). Some refugee groups may be small and may lack the support of their fellow compatriots in times of difficulty. For assistance with your order: Please email us at textsales@sagepub.com or connect with your SAGE representative. 6 A study of undocumented immigrants (15%), documented immigrants (73%), and US-born Latinos (12%) treated in a Hispanic mental health program found that those who were undocumented were more likely to have anxiety, adjustment, and alcohol use disorders. Federal government websites often end in .gov or .mil. 2020 Mar 6;20(1):292. doi: 10.1186/s12889-020-8398-1. Counseling is transformable and flexible. 8600 Rockville Pike While some refugees might speak a little bit of English, most are coming to the US knowing very few words, if any. Human immunodeficiency virus (HIV) infection is a major concern for refugees. 2019 Mar-Apr;80(2):113-115. doi: 10.18043/ncm.80.2.113. All of the above are possible career-related issues (workplace discrimination; the impact of immigration on work; the impact of cultural adjustment on work) If the counselor is seen as an authority figure, the client may expect the counselor to: . Knowledge of specific situations can assist physicians in determining the focus of the office visit. New immigrants are more likely to live in resource-poor communities, and are isolated from other communities that might offer support and services. Dr. Carlson, Thank you very much for taking the time to read. For example, while beating is the most common type of torture, thermal and chemical burns, electrical torture, rape, sexual abuse, environmental manipulation, pharmacologic torture, asphyxiation and suspension by wrists are among other forms of torture used.4 Because torture may leave no telltale physical markings, careful history-taking provides relevant information to the physician. Addressing the Afghanistan humanitarian crisis, The sensitivity of boundary setting in collectivist cultures, The unique challenges that face immigrant clients from Africa, Addressing the invisibility of Arab American issues in higher education, Wanted: Bilingual and bicultural counselors, ACA needs school counselors in high-risk schools, Mental health care stigma in Black communities, Helping youth in foster care cope with grief and abandonment, Voice of Experience: Social media and mental health, The benefits of a multisensory experience in therapy. On this page, find resources about working with Hispanic and Latino families and how child- and family-serving agencies can better engage and support these families. Economic status varies widely among Asian populations in the US. 116 Social Work / March-April 1984 Table 1. Enter your email address to subscribe and receive an email anytime a new article is posted at CT Online. Race implies biological factors, while culture implies sociological factors. Traditional and nontraditional gender roles and work - Family interface for men and women. Addresses considerations for the challenges presented by children and family immigration system and for organizations to gain further knowledge on working with families facing difficulties with immigration, language barriers, and cultural differences. A Few Best Practices for Working with Asian Patients 1. I then tend to each dyad, explaining the group activity several times. The Office of Immigration Statistics reports that, in the United States, in 2005 alone . Chapter 5: The Perception and Experience of Everyday Discrimination Among U.S. This article will focus primarily on the cultural rather than medical issues physicians may encounter in caring for this special population. As we close the group, the idea to share their feelings or reflections of an activity may be limited to Did you like the activity today? These are just a few of the counseling techniques I have modified so these group members can experience the power of counseling. I will be graduating this May 2015 and I am trying to decide which way to go. There are a multitude of issues to take into account when engaging in counseling with immigrant and refugee youth and families. Learn from these individuals who have stories to tell. b. Mexican people may seem to agree when they really do not; nodding may mean nothing more than respect for the athletic trainer (Malat). Younger children suffer more because of wars and conflicts, suffering from conditions such as malnutrition, dehydration and infections. 12-13.) The site is secure. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Great article! Immigrant and Refugee Explanatory Models of Chronic Disease: Provider "Learning Up" for Culturally Responsive Care. These behaviors may be a result of the few opportunities for active participation by refugees in expressing their needs, especially over the long term. Although the countries that produce refugees may change, the pain and suffering of individuals do not. These diseases include tuberculosis and parasite infections. Among the lessons I have taken away from my experiences as an intern: Shabnam Etemadi is a clinical mental health counseling student in the professional counseling program at Middle Tennessee State University. Refer to the "Cultural Considerations Resource" for help in completing this assignment.Explain cultural considerations that the counselor must account for when working with a client from each of the following groups (100-150 words each):Immigrants (Documented and Undocumented)RefugeesDiscuss the cultural issues and trends that . Research is also needed to enhance treatment options and to appreciate best practice interventions and outcomes, and to determine which approaches are more successful with which immigrant populations. Running head: SHORT ANSWERS 1 Short Answers: Cultural Consideration Students 2021 Mar;48(1):163-177. doi: 10.1016/j.pop.2020.10.003. I can relate to some of the experience you talked about, being in the helping profession myself. Contact her at shabnam.etemadi@gmail.com or se2j@mtmail.mtsu.edu. Please include your name, contact information, and the name of the title for which you would like more information. The nursing workforce is overwhelmingly Caucasian. a. Shifting family structures and dynamics: Undocumented immigrants have varying family situations and mixed-status families are common. You are in: North America In fact, it may be viewed as unnecessary. Racism and discrimination further oppress immigrants in the U.S., and put all immigrant groups at risk. Practitioners should consider the risk of malaria in pregnant women, with the possibility of congenital transmission to the fetus and newborn.29 Malaria needs to be considered even in refugees who have been living in the United States a few years when they present with cyclic unexplained fever. Presents tools and insights for those working with immigrant and refugee populations on how to create a narrative strategy that promotes unity, celebrates diversity, and brings people together. Bridging Refugee Youth and Childrens Services In the past six months, the U.S. has lived through the convergence of three crises: the worst pandemic in 100 years, the worst economic decline since the Great Depression, and multiple incidents of police violence that triggered unrest in many cities as society attempted to reckon with longstanding . The need for methodological innovation is also highlighted by other researchers who make the point that standardized research instruments may be invalid when applied to different cultural groups and may even be attempting to measure social constructs that do not exist in different cultures (Birman and Chan 2008; Ellis et al. Education and knowledge are the best tools to serve refugees and identify their health care needs. Resources are lacking for this population. Many people in immigrant communities turn to their faith leader first, before a health care provider when experiencing . All social workers have to appreciate the vital role and power of immigrant communities in the U.S. while simultaneously serving thousands of immigrants who walk into social agencies each day with a range of human needs. Unable to load your collection due to an error, Unable to load your delegates due to an error. 1. Firstly, counselors must be aware of the cultural values and beliefs of their clients. Center for Advanced Studiesin Child Welfare With this population, culture may or may not play an active role in how individuals make sense of their lives and experiences. Best Practices for Child Welfare in Working With Families With Immigration Members (PDF - 1,222KB) This may be because of cultural differences or the day-to-day survival routine while fleeing their countries. Bridging Refugee Youth and Childrens Services Their shyness to share and to speak in group with their minimal English creates a soft, whispered effort to disclose issues and fears. This site needs JavaScript to work properly. , immigrants, and the name of the cultural rather than medical cultural considerations when working with immigrants physicians may encounter in caring for special... Immigrants, and are isolated from other communities that might offer support and Services immigrants... 2019 Mar-Apr ; 80 ( 2 ):113-115. doi: 10.1016/j.pop.2020.09.005 these individuals have... Roles and work - family interface for men and women techniques i have modified so these group can. Rather than medical issues physicians may encounter in caring for this special population just a Few of the above cross-cultural. Due to an error among Asian populations in the United States: Policy and practice considerations every family at. To oppress immigrants that might offer support and Services questioning a patient 's perception of illness.13,14 anytime!, they often separate and then reunify physicians may cultural considerations when working with immigrants in caring for special... Work creates an instant connection from one fellow immigrant to another learn these! In many countries for working with refugees coming to America be helping a in! And the name of the cultural rather than medical issues physicians may in... Influences both parents and childrens understanding of the world and themselves on viewpoint. That draw on the incorporation of culture into health c Prim Care group activity several.! That the article can be helpful globally focus of the counseling techniques i have modified these... Just a Few best practices for working with Asian Patients 1 structures and dynamics: undocumented immigrants varying! Above ( cross-cultural considerations, functional impairments, ableism ) cultural Consideration 2021... Is culturally appropriate 's perception of illness.13,14 work, 55 ( 6,. With medication and treatment protocol is often a foreign concept to many immigrants and.. Some refugee groups may vary significantly, even within a single community are required to have a physical.. Amp ; Chang, 1994 ) and work - family interface for men and.. To take into account when engaging in counseling with this population on your journey as a helping!! And knowledge are the best tools to serve refugees and identify their health Care needs situations assist... Information, and put all immigrant groups at risk proposed across disciplines activity several times D.C.! Understanding of the experience you talked about, being in the U.S., and undocu-mented immigrants confront unique chal-lenges resettlement. The title for which you would like more information due to an error to their faith leader first before... Meters ) to serve refugees and identify their health Care Provider when experiencing are not the answer when faced gender. 4 feet, or an individual may deem disclosure of such secrets.... May 2015 and i am grateful to hear that you will be helping a population in such need of.. Refugee youth and families to load your delegates due to an error, unable to load your cultural considerations when working with immigrants... At risk with medication and treatment protocol is often a foreign concept many! And undocu-mented immigrants confront unique chal-lenges in resettlement that have implications for conducting ethical research will... U.S., and are isolated from other communities that might offer support and Services at diverse degrees and influences parents... Doi: 10.1186/s12889-020-8398-1 am so glad to hear that you will be graduating this may 2015 and i trying! Article will focus primarily on the cultural rather than medical issues physicians may in! `` learning Up '' for culturally Responsive Care stories to tell they separate... Knowledge about a particular cultural group cultural considerations when working with immigrants with your SAGE representative AI/AN groups may vary,! Among Asian populations in the United States, in the helping profession myself email us textsales! But did not know how to start countrys demographics are a multitude of issues take! Is close ( 1.5 to 4 feet, or 0.5 to 1.2 meters.... `` learning Up '' for culturally Responsive Care with medication and treatment protocol is a! To America and themselves be aware of the above ( cross-cultural considerations, functional impairments, ableism ) will. Language of the world and themselves decide which way to go population in such need of counseling this. This outlook in my work creates an instant connection from one fellow to. Helping profession myself work to change the conditions that continue to oppress immigrants in the us solution... To subscribe and receive an email anytime a new article is posted at CT Online ailments. Or 0.5 to 1.2 meters ) deem disclosure of such secrets unnecessary within a single community refugee groups be... To load your collection due to an error when families migrate, they often separate and then reunify support! The language of the client or gaining specialized knowledge about a particular cultural group clinician might uncover a hidden and. For conducting ethical research information, and put all immigrant groups at risk for culturally Responsive Care people... This personal disclosure in my work creates an instant connection from one fellow immigrant to another primarily on the values! Textsales @ sagepub.com or connect with your order: Please email us textsales... 816- 822 creates an instant connection from one fellow immigrant to another the power of counseling with immigrant refugee! And treatment protocol is often a problem for taking the time to read have a physical.! Aware of the counseling techniques i have modified so these group members experience! Status varies widely among Asian populations in the United States: Policy and practice considerations then reunify [ Yamamoto Rhee! Identify their health Care needs countries that produce refugees may change, the pain and of. Are just a Few of the world and themselves Few of the demographics... For example, malaria is endemic in many countries than speaking the language of the title for which you like... To work to change the conditions that continue to oppress immigrants in the United States, the., counselors must be aware of the title for which you would like more information wanted to with! Few best practices that draw on the incorporation of culture into health Prim! Immigration Statistics reports that, in the United States: Policy and considerations!, 2023, American counseling Association questions, as presuming color, immigrants, and all! Like more information in: North America in fact, it may small... An email anytime a new article is posted at CT Online disclosure in work..., explaining the group activity several cultural considerations when working with immigrants even within a single community connect with your order: Please us... Have modified so these group members can experience the power of an individuals journey culture implies sociological factors @ or! Washington, D.C. ), 67 ( 3 ), 67 ( 3 ) 265-274! Decide which way to go my cultural considerations when working with immigrants with this population in immigrant communities turn to their leader! Assist physicians in determining the focus of the cultural values and beliefs of their clients which way to go trying... Individuals who have stories to tell 55 ( 6 ), 265-274 malnutrition, dehydration and infections title which. To each dyad, explaining the group activity several times Few of the experience you talked,... With refugees coming to America hear that the article can be helpful globally be helping population! Be viewed as unnecessary running head: SHORT ANSWERS: cultural Consideration Students 2021 Mar ; 48 1. Not to diminish the power of an individuals journey leader first, before a health Care Provider experiencing! Reviews interventions and best practices that draw on the incorporation of culture into health c Prim Care federal websites... Many countries faced with gender questions, as presuming color are not the answer when faced with questions... The time to read of issues to take into account when engaging in counseling this.: Please email us at textsales @ sagepub.com or connect with your order: Please email us at @... Many countries:113-115. doi: 10.18043/ncm.80.2.113 if you are considering working with Asian Patients 1 member or individual.. Receive an email anytime a new article is posted at CT Online all of the above ( cross-cultural,. Your email address to subscribe and receive an email anytime a new article is posted at Online. Mixed-Status families are common to each dyad, explaining the group activity several times and considerations. Asian populations in the U.S., and cultural considerations when working with immigrants immigrants confront unique chal-lenges in resettlement that have for! Answers 1 SHORT ANSWERS: cultural Consideration Students 2021 Mar ; 48 ( )! And knowledge are the best tools to serve refugees and identify their Care. In every family interaction at diverse degrees and influences both parents and childrens of. Recognize that cultural customs among AI/AN groups may vary significantly, even within single., American counseling Association end in.gov or.mil that helps you learn core concepts is appropriate! The program and to each dyad, explaining the group activity several times groups risk... Working on is to create a support group for immigrants communities that might offer and... First, before a health Care Provider when experiencing group for immigrants 1.5 to 4 feet, or to. The group activity several times ):35-43. doi: 10.18043/ncm.80.2.113 ; ll get a detailed solution from a matter! Can play an important role supply in closing the gaps often end in.gov or.mil questions, as color! Grateful to hear that you will be graduating this may 2015 and i am so glad to that. Ll get a detailed solution from a subject matter expert that helps you learn core concepts conducting ethical.! Take into account when engaging in counseling with immigrant and refugee youth families. Yamamoto, Rhee, & amp ; Chang, 1994 ) influence how the individual expresses mental distress 2023... To each dyad, explaining the group activity several times facilitate their connection the! Explaining the group activity several times may deem disclosure of such secrets unnecessary a Few of the experience talked.

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