Living under the perceived threat of detention and deportation is having harmful mental health effects on undocumented immigrants and their families, according to Dr. Concepcion Barrio, associate professor at the USC Suzanne Dworak-Peck School of Social Work.
“It just creates an air of constant fear and being on edge,” she said. “They are afraid to go outside, to look out of place in a certain neighborhood, and to go out and seek a job.”
Children who are undocumented or who have parents or caretakers who are undocumented can be especially vulnerable to the mental health challenges of family separation, resulting in a number of harmful behavioral changes that can interrupt important childhood development.
“Imagine your family ripped apart. That’s going to have reverberations across family members for years to come,” added Dr. Barrio.
Although the current administration insists that it is prioritizing the removal of criminals, immigration advocates point to the growing number of arrests of noncriminal undocumented immigrants as a sign that those priorities no longer exist.
The Impact of Stress on Children
Among the noncriminal immigration violators are undocumented immigrants with children. From 2009-2013, the Migration Policy Institute (MPI) estimates that more than 5 million children under 18 — 4.1 million of which were U.S. citizens — lived with an undocumented parent.
Information on the number of children whose parents are deported is scarce. However, MPI estimates that as many as 500,000 deportees between 2009 and 2013 may have been parents, affecting roughly the same number of U.S.-citizen children.
Regardless of their documentation status, children with undocumented family members are not shielded from living under the constant fear that their loved ones may be taken from them without warning.
“Just knowing that your parents are undocumented, even if they are not in the process of deportation, produces a state of persistent stress which has both physical, as well as psychological and emotional consequences,” said Dr. Barrio.
Children who live in a heightened or prolonged state of stress, sometimes called toxic stress, in their formative years without necessary adult care and intervention can overload their stress response system, physically affecting brain functions such as learning and reasoning.
“The child’s brain is still developing up to the age of 22, so they are very vulnerable to the biological processes that affect the brain during development,” said Dr. Barrio.
While she noted that academic performance tends to be the most measurable way to show the impact of this stress, she added that many families who she has encountered facing these situations also report mental health disorders.
“When children are traumatized, that trauma is a pivotal moment in their life that’s going to define how they see themselves — how they identify as a person of color, as an American, as a Mexican American, as a young person, as a student,” said Dr. Barrio.
In addition to these individual consequences, deportation can also cause deterioration of crucial familial relationships and a dissolution of the family network, which sometimes forces children into the foster care system. Often, families with undocumented immigrants must navigate these obstacles while also encountering discrimination, racism and racial profiling.
Providing the necessary mental health interventions to undocumented communities can be a challenge for social workers. Many families are fearful of accessing critical mental health services due to the risk of exposing a family member as undocumented. Additionally, Latinos and immigrants attach a social stigma to mental health challenges.
“The culture is kind of a double-edged sword. It’s protective in that you’re insulated by a culture that is generally collectivistic and family-oriented, where faith and hope are huge protective factors,” said Dr. Barrio. “But on the other side of it, there is such a misunderstanding and a lack of adequate information about mental health and mental illness that it interferes with timely help-seeking and being open to receiving help.”
To better address the needs of families facing mental health challenges, Dr. Barrio and Dr. Paula Helu-Brown partnered with the Mexican Consulate of Los Angeles to create a first-of-its-kind mental health counseling program which offers free services on site for clients regardless of immigration status. USC has now developed a smaller program at the Consulate General of El Salvador in Los Angeles.
“We are hoping to also create a culture where people feel comfortable in utilizing mental health services,” said Dr. Helu-Brown, who serves as a clinical coordinator and community liaison for the program.
Participants in the programs meet with a USC intern, under the supervision of a licensed social worker, who is trained to conduct speedy mental health evaluations. If a case is manageable, interns provide brief cognitive behavioral therapy where they focus on teaching coping skills and teaching adults how to deal with anxiety and depression.
If a person has more severe mental health conditions, interns will refer that individual to a community provider for a higher level of care. USC is also planning to provide telehealth treatment for children in 2018.
Dr. Helu-Brown hopes to see social workers implement lessons learned from their experience over the past year by working with consulates, where programs are available for those facing deportation, and community centers to support immigrants.
“[These programs] are trying to provide job opportunities. They are trying to provide health related services; school for their children; legal support. That can help ease some of that anxiety,” Dr. Helu-Brown said.
But she also noted that families facing stress and anxiety related to their documentation status can learn to cope by relying on each other.
“What I tell them is to always try to draw on the support they get from their community,” she said. “It is important to stay together and to support each other. If they are religious or spiritual, draw strength and hope from that. And understand how politics are kind of like an ebb and flow. Things might be a certain way now, but hopefully as time moves on and people learn from experiences things might be a little different.”
Relying on organizations such as schools and universities, as well as community-based, faith-based and advocacy organizations to fill in service gaps. For example, the list notes that staff at schools in Los Angeles were able to incorporate community mental health programs into their services, while high schools in Chicago hired counselors specifically for immigration-related issues. Immigrant advocacy organizations across the country have also helped to establish support groups for families impacted by deportation and have rallied to provide short-term financial support to mixed-status families.
Strengthening trust in service providers by working with organizations with deep ties to communities. Families with undocumented immigrants are more likely to trust organizations that have been proven advocates for their communities, share the same religious affiliations, and employ staff that have the same background as the communities that they serve.
Developing an understanding of the various immigration statuses and connecting with immigration specialists for their expertise in order to help assess relief options. For example, the Illinois Department of Children and Family Services (DCFS) offers state social workers training sessions on immigration issues at an annual conference and created a handbook for social workers that offers explanation on immigration statuses and how that can affect child welfare.
Coordinating with child welfare agencies, Immigration and Customs Enforcement, and foreign consulates to ensure that children’s rights are protected, make certain that parents maintain contact with children, and plan for family reunification. For example, the Illinois DCFS has successfully worked with the Mexican consulate to locate parents after deportation and conduct home visits in Mexico to ensure that children who are reunited with their parents are in a safe and secure setting.