Mental and Behavioral Health of Immigrants in the United States

Mental and Behavioral Health of Immigrants in the United States reviews research on immigrant mental health, acculturation, and multicultural psychology. The book is divided into three sections: Section A addresses the geographic and social context of immigration, including how parents and children navigate the acculturation process, how different cultural orientations affect behavior, and research methods on acculturation. Sections B and C focus on mental health issues common to Latinx, Asian, and Arab/Middle Eastern immigrants, and then more broadly across immigrant groups. Included here are a focus on depression, anxiety, and somatization, as well as alcohol abuse, insomnia, and issues for LGBTQ+ individuals. Pre- and post-migration stressors are discussed, as well as the effects of prejudice and bias, the mental health effects of religion and spirituality, and managing the demands of both work and family. Contributors from psychology, education, and social work provide different perspectives and identify opportunities for future research. Summarizes research on mental health issues common to immigrants Identifies prevalence of mental disorders among ethnic minorities in the United States Examines the impact of group-based discrimination on mental health Explores the impact of acculturation on mental health Reviews mental health issues specific to Latinx, Asian, and Middle Eastern immigrants Covers alcohol abuse, sleep, and other disorders across immigrant groups

Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.

Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.

""Cultural Identity and Mental Health is a unique book because it defines culture and identity from a developmental perspective; therefore delving more deeply into the psychological, social and biological aspects of the immigrant and refugee experience in the U.S.A. and it explains how these experiences help to shape the development of the person's cultural identity. The book presents a very detailed discussion on the concept of acculturation and reviews all of the available literature on the subject. It also covers the sociological, anthropological, political and economic aspects of the immigrant and refugee experience and how these variables impact on mental health, thus presenting the experience of migration from a very broad and humanistic perspective. This book embarks on a deep exploration of the psychodynamic experience of immigration, while at the same time covering the epidemiological risk factors and protective factors related to the immigrant experience; thus, presenting ample and up to date empirically-based data. The book has a unique chapter addressing the true and accurate statistics of immigrant criminality and explores and analyzes this data under a new lens, helping to dispel the myths that result from contemporary anti-immigrant rhetoric. It also explains the types of crimes committed by immigrants, immigrants as victims of crime, cultural crimes, and motivations and the explanatory narratives presented by those who violate immigration laws. In addition, it also covers the history of immigrant criminality in the United States. The book has another important chapter addressing Immigrant Narratives and the role and importance of the personal-historical narrative in life-story construction, and the narrative as a therapeutic tool that can help to repair the trauma of loss and dislocation suffered by many immigrants when they leave their country of origin and begin a life in a new host country. It also introduces the role of the new immigrant narratives in contemporary literature and how this literature can be used by teachers and parents to help integrate the experiences of the different generations of the immigrant family, as well as to educate the younger generations of Americans about the country's new cultural diversity. There is a chapter that explains the new concept of Transnational Identities that result from the improved communication technologies, as well as from more accessible travel, which have deeply changed the immigrant experience and are part of the new phenomenon of globalization. Another interesting chapter analyzes the phenomenon of Return Migrations comparing the points of view of the returning immigrant with those of the ones who stayed behind, further analyzing this topic from a psychological and socioeconomic perspective. It also explains the psychological meaning of Pilgrimages in which the pilgrim visits, not necessarily the land of his or her actual birth or upbringing, but the land of the ancestral family history, in an attempt to bridge the gaps between the generations and to better integrate the pilgrim's sense of ethnic and cultural identity. In addition, this book also has an extensive and well-documented chapter on the refugee experience, outlining the current world-wide refugee crisis and explaining the sociopolitical reasons behind the crisis, as well as offering new evidence-based treatments for this population. This is a very comprehensive and well-written book that covers adults, children, adolescents and families and describes the sociocultural experience of the various generations of immigrants in their adaptation to life in the U.S. It also explores the immigration-related family separations as well as the psychological impact faced by the children that stay behind and later re-unify with their parents in the U.S., as well as those families that are separated by deportation. Finally, the book also presents a comprehensive chapter on culturally-sensitive and culturally-competent evidence-based mental health treatments for the various generations of these populations, including recommendations on ethno-pharmacology. One of the many strengths of the book are the very compelling and clearly explained clinical cases, which help to illustrate the theoretical concepts that are presented in each chapter. This book is a very timely and very valuable contribution to the bio-psycho-social study of the immigrant experience to the U.S. in its first generation and beyond, and is an essential tool for students and professionals in the social sciences, in the fields of social work, psychology, medicine and psychiatry, and for members of government organizations responsible for urban planning, policy and budgets, as well as for agencies dealing with the reception, placement and assistance of immigrants and refugees. ""--

Immigrants' voyages to a new land have been among the most exciting and noble of human endeavours. It is the amazing courage to flee oppression, to leave behind everything that is familiar, and to chance the hostility of a completely alien culture in order to find freedom, opportunity, and a better life. Immigrants often face difficulty adjusting to their new home in a new country for many reasons, including coping with trauma experienced in their native country, overcoming cultural and language barriers, and encountering discrimination. This can lead to severe and long-lasting psychological and behavioural problems, including depression, anxiety, post-traumatic stress disorder and a high risk for suicide.

Exploring Immigrant and Sexual Minority Mental Health provides mental health practitioners with up-to-date theory, cutting-edge research, and therapeutic strategies to assist them in their work with multicultural clients. By focusing on the immigrant psyche, this volume hones in on appropriate counseling interventions and effective, culturally-specific psychotherapeutic practices by introducing the use of Diversity and Identity Formation Therapy (DIFT), a theoretical concept designed for immigrant and sexual minority identity formation. This work can be used in interdisciplinary settings and is applicable for those working in a number of mental health disciplines including counseling, social work, therapy, and more.

This book offers a framework to guide mental health providers who work with refugees and immigrants.

This handbook is currently in development, with individual articles publishing online in advance of print publication. At this time, we cannot add information about unpublished articles in this handbook, however the table of contents will continue to grow as additional articles pass through the review process and are added to the site. Please note that the online publication date for this handbook is the date that the first article in the title was published online.

Save time—inform your clinical planning with core knowledge and tips offered from experienced clinicians! While many Hispanic groups have lived in the mainland United States for years, there now is a growth of new groups, such as Dominicans in New York City and Cuban refugees that are in need of culturally competent mental health care. Mental Health Care for New Hispanic Immigrants: Innovative Approaches in Contemporary Clinical Practice will help mental health clinicians gain insight into essential clinical issues facing those who work with these new immigrants. This text, designed to aid in direct clinical practice, will guide you in the effective delivery of comprehensive psychosocial services. It arms you with the latest demographic information and offers valuable suggestions for treatment in different modalities for under-served Hispanic groups. Mental Health Care for New Hispanic Immigrants: Innovative Approaches in Contemporary Clinical Practice presents insights and practice approaches from respected authorities and explores latest trends on these new populations. You’ll find an in-depth examination of the mental health disparities in Hispanic immigrants, a conceptual overview of reasons for immigration and migration patterns, and a look at the unique stressors new groups face which impact immigrants’ mental health. Detailed data on each group, important highlights of pertinent historical aspects, and in-depth discussions of helpful assessment, treatment, and practice issues provide effective approaches illustrated through discussion and case studies. In Mental Health Care for New Hispanic Immigrants: Innovative Approaches in Contemporary Clinical Practice, you will find: detailed research and clinical information about new immigrant groups explorations of the growth of new groups, such as Dominicans in New York City and Cuban refugees recently reaching the shores of Florida information on psychosocial stressors, psychiatric diagnoses, and utilization of services among undocumented immigrants effective outreach techniques a detailed list of resources including extensive Web sites, national centers for the study of Hispanic groups, and important published works used for research and practice up-to-date demographics on new groups Mental Health Care for New Hispanic Immigrants: Innovative Approaches in Contemporary Clinical Practice brings vital information geared to the direct practice professional in psychology, social work, psychiatric nursing, and psychiatry, as well as graduate-level students in these fields.

The growing importance of immigration in the United States today prompted this examination of the adequacy of U.S. immigration data. This volume summarizes data needs in four areas: immigration trends, assimilation and impacts, labor force issues, and family and social networks. It includes recommendations on additional sources for the data needed for program and research purposes, and new questions and refinements of questions within existing data sources to improve the understanding of immigration and immigrant trends.

Community Mental Health Engagement with Racially Diverse Populations summarizes research on reducing mental health disparities in underserved populations through community engagement programs. It discusses the efficacy of such programs with specific populations of people of color and cultures, for specific disorders, and via specific communities. It identifies how and why community engagement works with these populations, how best to set up new community programs, the steps and stakeholders to success, and includes case studies showing successes and the challenges involved. Identifies how and why these programs achieve success through patient engagement Explores efficacy with specific ethnicities and cultures Discusses efficacy of programs through schools, churches, non-profits, and more Includes case studies with their successes and challenges Provides guidelines on the development and implementation of community programs

What will the ethnic, racial and cultural face of the United States look like in the upcoming decades, and how will the American population adapt to these changes? Immigration, Cultural Identity, and Mental Health: Psycho-social Implications of the Reshaping of America outlines the various psychosocial impacts of immigration on cultural identity and its impact on mainstream culture. Thoroughly researched, this book examines how cultural identity relates to individual mental health and should be taken into account in mental health treatment. In a time when globalization is decreasing the importance of national boundaries and impacting cultural identity for both minority and mainstream populations, the authors explore the multiple facets of what immigration means for culture and mental health. The authors review the concept of acculturation and examine not only how the immigrant's identity transforms through this process, but also how the immigrant transforms the host culture through inter-culturation. The authors detail the risk factors and protective factors that affect the first generation and subsequent generations of immigrants in their adaptation to American society, and also seek to dispel myths and clarify statistics of criminality among immigrant populations. Further, the book aims to elucidate the importance of ethnicity and race in the psycho-therapeutic encounter and offers treatment recommendations on how to approach and discuss issues of ethnicity and race in psychotherapy. It also presents evidence-based psychological treatment interventions for immigrants and members of minority populations and shows how psychotherapy involves the creation of new, more adaptive narratives that can provide healing, personal growth, and relevance to the immigrant experience. Throughout, the authors provide clinical case examples to illustrate the concepts presented.

The story of West Indian immigrants to the United States is generally considered to be a great success. Mary Waters, however, tells a very different story. She finds that the values that gain first-generation immigrants initial success--a willingness to work hard, a lack of attention to racism, a desire for education, an incentive to save--are undermined by the realities of life and race relations in the United States. Contrary to long-held beliefs, Waters finds, those who resist Americanization are most likely to succeed economically, especially in the second generation.

Having the knowledge and capacity to deliver therapy to a diverse population is recognized as benefiting client-therapist relationships and producing positive clinical outcomes. In fact, the APA requires that psychologists be aware of and respect the cultural characteristics of their clients which includes psychologists being aware of any biases and prejudice they may hold. Being aware of cultural characteristics, which include age, gender, ethnicity, race, religion and other cultural factors, is important. In the United States, minority ethnic groups are growing substantially, with 28% of the U.S. population identifying as races other than white (U.S. Census, 2016). Additionally, approximately 65 million people in America speak a foreign language that is not English, with over 25 million people having limited English language proficiency. With a diverse pool of clients, helping professionals should be better prepared to work with diverse clients. This handbook offers clinicians a comprehensive resource with which to work with diverse populations. The myriad discussions among the chapters include: Ethical guidelines for working with culturally diverse clients Cultural considerations in psychological assessment and evaluation Behavioral health service delivery with culturally diverse clients Cross-cultural factors in the treatment of trauma related disorders Cultural considerations in the assessment and behavioral treatment of substance use disorders Handbook of Cultural Factors in Behavioral Health expertly offers clinicians a comprehensive set of resources and tools that will assist them working with diverse clients. Clinicians working with culturally diverse clients, as well as researchers and students learning about how cultural factors are relevant to the helping profession will all find this volume an integral addition to their library.

Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

DSM-5® Handbook of the Cultural Formulation Interview provides the background, context, and detailed guidance necessary to train clinicians in the use of the Cultural Formulation Interview (CFI), which was created as part of the 2007-2013 DSM revision process. The purpose of the CFI -- and this unique handbook -- is to make it easier for providers to account for the influence of culture in their clinical work to enhance patient-clinician communication and improve outcomes. Cultural psychiatry as a field has evolved enormously from the days when it was principally concerned with epidemiological and clinical studies of disease prevalence; it now examines a multitude of issues, primary among them the differing patient, family, and practitioner models of illness and treatment experiences within and across cultures. The editors, all of whom have been intimately involved in the evolution of the field, have designed the book and accompanying videos for maximum instructional and clinical utility. The Handbook boasts many strengths and useful features, including: A detailed description of each of the three CFI components: a core 16-item questionnaire, which can be applied in any clinical setting with any patient by any mental health clinician; an informant version of the core CFI used to obtain information from caregivers; and 12 supplementary modules that expand on these basic assessments. This material facilitates implementation of the CFI by clinicians. Over a dozen clinical vignettes are included to illustrate use of the three components, and the Handbook also includes multiple videos that demonstrate the application of portions of the core CFI, and several supplementary modules. Strategies for incorporating the CFI into clinical training are identified and discussed, furthering the objective of developing culturally-sensitive and astute practitioners. The theoretical bases of the CFI are explored, raising questions for discussion and identifying areas for further research. The CFI is a valuable tool for all patients, not just those judged to be culturally different. The CFI has been called the single most practically useful contribution of cultural psychiatry and medical anthropology to clinical psychiatry, primary care, and medicine in general. DSM-5® Handbook on the Cultural Formulation Interview is the only book on the market that equips readers with the skills and insight to incorporate the CFI into practice, making it a critically important addition to the clinical literature.

"Immigrant and Refugee Families: Global Perspectives on Displacement and Resettlement Experiences uses a family systems lens to discuss challenges and strengths of immigrant and refugee families in the United States. Chapters address immigration policy, human rights issues, economic stress, mental health and traumatic stress, domestic violence, substance abuse, family resilience, and methods of integration."--Open Textbook Library.

Is the emotionally disturbed person a victim of forces beyond his awareness, over which he has no control? This is the belief on which neuropsychiatry, psychoanalysis, and behavior therapy are all based. But what if this premise is wrong? What if a person’s psychological difficulties stem from his own erroneous assumptions and faulty concepts of himself and the world? Such a person can be helped to recognize and correct distortions in thinking that cause his emotional disturbance. Now one of the founders of cognitive therapy has written a clear, comprehensive guide to its theory and practice, highlighting such important concepts as: · Learning the meaning of hidden messages · Listening to your automatic thoughts · The role of sadness, anger, and anxiety · Understanding and overcoming phobias and depression · Applying the cognitive system of therapy to specific problems “A book by a significant contributor to our knowledge… immensely readable, logical, and coherent… This is Beck at his best.”—Psychiatry

Latinos are the fastest growing and largest minority group in the United States. In 2008, this group numbered over 47 million; by 2050, the population is expected to triple, reaching 133 million. Traditionally, Latinos have immigrated to large urban centers (e.g., New York, Los Angeles) that over long periods of time developed a complex infrastructure to receive new immigrants. Increasingly, new Spanish-speaking immigrants are moving into areas of the country previously unfamiliar to them. Although urban co-ethnic communities continue to be the destination of many newcomers, immigrants from Mexico, Central America, and South America in pursuit of low-skilled labor opportunities are settling in small towns and rural areas of the South and Midwest. This new demographic trend has resulted in the creation of the term "new growth communities," which refers to small rural areas that are now home to a small but rapidly growing Hispanic population. Unfortunately, these communities, which are now present in many states across the country (e.g., Illinois, North Carolina), lack the infrastructure necessary to meet the needs of Latino immigrants (e.g., access to health care, immigration assistance, and breaking down language barriers). The lack of an infrastructure and the lack of an established ethnic community to facilitate the assimilation of new immigrants present an ongoing challenge, especially in the area of Latino mental health. The volume focuses on dealing with systemic issues and on providing innovative ideas for development of infrastructure of services. This text will advance ways to understand and ameliorate mental health disparities both from research and experiential perspectives.

Clear, comprehensive, and accessible, this textbook presents an overview of the contemporary American mental health system and its impact on clients and social workers. The failure of the system to provide quality care for the mentally ill is explored, including issues and policies that social workers face in accessing mental health care for their clients, while also discussing the ways in which social workers can improve the overall functioning of the system and promote the development and expansion of policy and practice innovations. This is the first textbook to examine the lack of understanding of the roots of mental illness, the challenges in classification of mental disorders for social workers, and difficult behavioral manifestations of mental illness. By looking at the flaws and disparities in the provision of mental health services, especially in relation to the criminal justice system and homelessness and mental illness, social work students will be able to apply policy and practice to improve mental health care in their everyday work. A focus on the lived experiences of the mentally ill and their families, along with the experiences of social workers, adds a unique, real-world perspective. Key Features: Delivers a clear and accessible overview and critique of social work in the broader context of mental health care in the US Reviews historical and current mental health policies, laws, and treatments, and assesses their impact on social services for the mentally ill Investigates racial and ethnic disparities in mental health provision Incorporates the experiences of people with mental illness as well as those of social workers Offers recommendations for future social work development of mental health policies and services Includes Instructors Manual with PowerPoint slides, chapter summaries and objectives, and discussion questions Addresses CSWE core competency requirements