Use these resources to help professionals work with immigrant and refugee families in a culturally appropriate manner and build culturally responsive organizations. 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 . 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). In the NASW Code of Ethics (1999), social workers have an ethical responsibility to the broader society which includes Social and Political Action (6.04) in the form of expanding choice and opportunity for all people, promoting respect for diversity, and preventing and eliminating domination, exploitation and discrimination. Countless times, clients from different cultures have shared with me the relief they gain upon learning how common or expected their issues are. August 28, 2020 - By Betsy Zeidman + Cristina Alaniz. Immigration and acculturation may be stressful and even traumatizing. Although refugees want to become assimilated into the U.S. culture and be contributing members of our society, time and a great deal of patience are needed. Ascertain whether the patient speaks English or not, their native dialect, and the degree of acculturation. Immigration often separates families from their extended family, resulting in an enormous loss of support (Heyck, 1994). Bridging Refugee Youth and Children's Services, Episode 57: Connecting Cross-Border Families [Podcast], Making Public Systems Work Better for Immigrant Families, Racial Equity Resources for Child Welfare Professionals, Cultural competency in working with immigrant families, Child Welfare Information Gateway is a service of the, U.S. Department of Health & Human Services, Philosophy and Key Elements of Family-Centered Practice, Family-Centered Practice Across the Service Continuum, Creating a Family-Centered Agency Culture, Risk Factors That Contribute to Child Abuse and Neglect, People Who Engage in Child Abuse or Neglect, Overview: Preventing Child Abuse & Neglect, Public Awareness & Creating Supportive Communities, Child Abuse and Neglect Prevention Programs, Developing & Sustaining Prevention Programs, Evidence-Based Practice for Child Abuse Prevention, Introduction to Responding to Child Abuse & Neglect, Differential Response in Child Protective Services, Responding to Child Maltreatment Near Fatalities and Fatalities, Trauma-Informed Practice in Child Welfare, Collaborative Responses to Child Abuse & Neglect, Supporting Families With Mental Health and Substance Use Disorders, Introduction to Family Support and Preservation, In-Home Services Involved With Child Protection, Resources for Managers of Family Support and Preservation Services, Transition to Adulthood and Independent Living, Overview: Achieving & Maintaining Permanency, Recruiting and Retaining Resource Families, Permanency for Specific Youth Populations, Working With Children, Youth, and Families in Permanency Planning, Working With Children, Youth, and Families After Permanency, Resources for Administrators and Managers About Permanency, Children's Bureau Adoption Call to Action, Adoption and Guardianship Assistance by State, For Adoption Program Managers & Administrators, For Expectant Parents Considering Adoption and Birth Parents, Administering & Managing Child Welfare Agencies & Programs, Evaluating Program and Practice Effectiveness, ndice de Ttulos en Espaol (Spanish Title Index), National Foster Care & Adoption Directory, Child Welfare Information Gateway Podcast Series, Culturally responsive child welfare agencies, How the Child Welfare System Can Better Respond to Needs of Children from Immigrant Families, SIJS Caseworkers Toolkit for Children in Federal Custody, Refugees and the U.S. Child Welfare System: A Toolkit for Service Providers, How the Child Welfare System Can Better Respond to Needs of Children From Immigrant Families, Episode 57: Connecting Cross-Border Families. This can happen for a mixture of reasons but primarily is due to lingual hindrances for the parents. In comparison with group work, individual counseling can allow for more disclosure and advancement in the counseling process for this population. I'm glad I run across this article today! Immigrant and Refugee Explanatory Models of Chronic Disease: Provider "Learning Up" for Culturally Responsive Care. Traditional and nontraditional gender roles and work - Family interface for men and women. Migration Policy Institute (2021)
An interesting and thought provoking article. They may also have witnessed torture or death of their neighbors, relatives and even parents, which may affect their mental well-being. I will be graduating this May 2015 and I am trying to decide which way to go. As a counselor trainee, I wondered how I could impact their psychological well-being when we faced a lingual barrier, a cultural barrier and time limitations each week. Many refugees, before entering the United States, have resided in United Nations camps located in countries adjacent to their homelands. The agencies know the refugeesoffering insight about conditions experienced and their cultural practices, and conditions at refugee camps. 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. "Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable that system, agency, or those professionals to work effectively in cross-cultural situations." ~ Terry Cross et al. This personal disclosure in my work creates an instant connection from one fellow immigrant to another. . Oh I am so glad to hear that you will be helping a population in such need of counseling intervention. 8600 Rockville Pike 2020 Mar 6;20(1):292. doi: 10.1186/s12889-020-8398-1. The Office of Immigration Statistics reports that, in the United States, in 2005 alone . It entails more than speaking the language of the client or gaining specialized knowledge about a particular cultural group. Disclaimer. By moving, they are separated from their sponsoring agency who provided assistance with shelter, food, clothing, and enrollment in social services and schools. They eagerly share the Road Map of My Story worksheet and the Name Game compliments they received. Wishing you all the best in life today , tomorrow and always. I have entered schools, community centers, churches and various agencies and conducted home visits because counseling allows me to travel. I am a migrant in Australia about to embark on a career in counselling. 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. This concept plays a role in every family interaction at diverse degrees and influences both parents and childrens understanding of the world and themselves. Culturally competent social workers are central figures in the health and well-being of countless immigrant populations now and into the future. Once their immediate basic health and social needs are met, refugees should be encouraged to participate in the provision of support for others in the community.5 The model of using focused group meetings may offer a non-threatening means for the newcomers to express their concerns and needs in their new country.16, Patients sense whether their physicians care about them as people, regardless of cultural differences.16 Some practical suggestions for physicians who treat patients from different cultures are listed in Table 2.34. Your message has helped me re-route my career. Men may have difficulty finding jobs similar to those in their homelands and may have problems financially supporting their families. How the Child Welfare System Can Better Respond to Needs of Children From Immigrant Families [Webinar]
Learn from these individuals who have stories to tell. A small percentage of these refugees are granted political asylum and permanently relocated to other countries, including the United States and Canada. These behaviors may be a result of the few opportunities for active participation by refugees in expressing their needs, especially over the long term. Child abuse and neglect may be the result of failed systems of care that further traumatize immigrant parents and children who are at greatest risk. Within one year of arrival, refugees are required to have a physical examination. Frequent moves are also harmful to the children who may be disrupted from their schools and new-found friends. While these efforts by the host health care professionals are essential, physicians need to weigh the risk of causing dependency and passivity, or a take-it-for-granted attitude on the part of the refugee. Regardless of whether culture plays a role, counselors cannot presume that clients will immediately be willing to share their experiences with them. Aspen Institute & the Migration Policy Institute (2021)
Detoxifying Machismo: The Importance of . Promotes the value of collaboration between refugee service providers and child welfare agencies working together to serve refugee families. Thousand Oaks, CA 91320 I need my counseling bag created in practicum and revised through internship to be an advocate, a counselor trainee, a fellow immigrant and, most significantly, a helping professional. For those counselors taking a multicultural approach who may not be immigrants, we all can benefit from the experiences of one another. This resource also highlights methods for effectively engaging, serving, and supporting these caregivers. See Answer. International Social Work, 55(6), 816- 822 . "Cultural issues" is a complex construct that often seems vague and indirect. Undocumented individuals may experience discrimination for their legal status and experience psychological distress as a result (Cobb, Xie, Meca, & Schwartz, 2017). The value of emotional expression may not be a familiar or welcomed experience by some cultures. As the facilitator, I use enthusiasm and a thank you to create a safe space where they may be empowered to speak. Some reservations are home to multiple bands or tribes due to federal policies, which voluntarily or forcibly relocated bands, and tribes. Another special group is pregnant refugees. Skills are built by interacting with these communities and adapting activities or therapeutic techniques to best serve clients. Best wishes, negative effects on the immigrants work performance; otherwise, a referral to a culturally competent therapist is suggested. Stronger adherence to the acculturation orientation related to preserving the immigrant culture was associated with more frequent use of interventions rooted in the . Immigrants; Chapter 6: Postcolonial Feminist Social Work Perspective: Additional Considerations for Immigrant and Refugee Populations; Part III: Intervention Modalities Using an Integrative Approach. I receive looks of confusion when I encourage the students to partake in positive affirmation activities or activities to increase their self-esteem (another new word for many of these students). It is an issue especially with regard to immunizations. SHORT ANSWERS 2 1. As a counselor trainee, my professional development and approach in helping multicultural clientele has been heavily structured by these cultural experiences and realizations. Younger children suffer more because of wars and conflicts, suffering from conditions such as malnutrition, dehydration and infections. Their shyness to share and to speak in group with their minimal English creates a soft, whispered effort to disclose issues and fears. Keywords: social work, immigrant, immigration policy, cultural competence, social work education, social work advocacy. This was very useful. This article also reviews interventions and best practices that draw on the incorporation of culture into health c Prim Care . SAGE Refugees, immigrants, and undocu-mented immigrants confront unique chal-lenges in resettlement that have implications for conducting ethical research. The https:// ensures that you are connecting to the Some have shown improvement in one session just by disclosure of a traumatic event, others simply by being surrounded by and receiving support from others who have endured similar pains. Molloy & Shannon (2020)
U.S. Department of Health and Human Services. It has the strength to empower immigrants and refugees who in their cultures may not have been exposed to a helping service. Thank you for putting your experience in writing for all to read and benefit from. 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. 2007 Jun;46(2):157-71. doi: 10.1111/j.1545-5300.2007.00201.x. 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. Best Practices for Child Welfare in Working With Families With Immigration Members (PDF - 1,222KB)
Copyright 2023 American Academy of Family Physicians. Running head: SHORT ANSWERS 1 Short Answers: Cultural Consideration Students Call or text the NAMI Helpline at 800-950-6264, or chat with us, M-F, 10 a.m. - 10 p.m. d. Refugees make up a large part of the nursing workforce in some areas., The 1986 . Your email address will not be published. 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 . Immigrants. Migration Policy Institute (2021)
Epub 2020 Nov 27. 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. Culture competence and mental health across different immigrant and refugee groups. Some refugee groups may be small and may lack the support of their fellow compatriots in times of difficulty. Immigrants (Documented and Undocumented) 2. One hypothesis is that genetic vulnerabilities have co-evolved with culture, creating extra protective factors (in this case, extra interdependence). Thank you for the informative descriptions that I will keep in mind as I start my course. On March 15, 2017, the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine convened a workshop focused on health communication with people from immigrant, refugee, and migrant worker populations. The nursing workforce is overwhelmingly Caucasian. 2021 Mar;48(1):163-177. doi: 10.1016/j.pop.2020.10.003. Resources are lacking for this population. Preventive health care may be a new concept for refugees. Good luck to you as well and best regards! Success stories include the quiet, young Nepali who finally spoke up in voicing stereotypes about this culture in group work, the older Mexican individual who continues to restructure negative thoughts to positive ones in a journal, and the immigrant dealing with an illness who now has the necessary resources to deal with its impacts. Research is particularly needed on resiliency to determine the factors that keep immigrants in tact and healthy. (1999). Counseling is transformable and flexible. The resources include toolkits, such as the following: Growing Language Skills With Immigrant Families: Spreading and Adapting 2Gen Working Practices [Webinar]
<3Aura<3. For a provider to understand potential ethical and boundary issues when serving refugees and immigrants, they must understand the different cultural backgrounds of their clients. 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. N C Med J. 2021 Jun-Jul;33(3):326-333. doi: 10.1080/10401334.2020.1813585. Contemporary forensic psychiatrists practice in a system that has gender and cultural biases. Agencies need to outreach and establish connections with immigrant communities, and establish coalitions, councils or other collaborative boards to examine the issues confronting immigrants and problem-solve ways to reduce them. At least eighteen models of cultural competence have been proposed across disciplines. Thank you for your courage to advocate and to help this group. For example, in many cultures, the patient's family, not the patient, is told the diagnosis, in direct contrast to usual practice in this country.15 Another example of cultural difference is female circumcision (also known as female genital mutilation), present in some African refugees. Although the countries that produce refugees may change, the pain and suffering of individuals do not. spanning a global professional context are covered in a final chapter. CORE's refugee-facing digital platforms offer more than 500 resources in multiple formats and languages. In some cultures, it is considered improper to maintain eye contact while talking to authority figures, and patients may avoid eye contact even when interested in the discussion.12 Although this behavior may be related to cultural differences, it may also be related to fear that a health problem may affect residence status in the host country.5, Frequently, problems arise when medical procedures are conducted. Frequent moves may impede the continuity of medical care and increase the public health concerns about communicable diseases such as tuberculosis, STDs and intestinal parasites, or may affect conditions that need follow-up, such as pregnancies, malnutrition, domestic violence and psychiatric disorders. 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. This article has given me new ideas in terms of how to facilitate the group. While some cultural practices should be respected, education needs to be implemented to assure health according to the standards of this society. help readers review and master the material. There may be an infinite number of variables that exist between and within the different groups of refugees. Careers. PMC For example, malaria is endemic in many countries. 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. I learned a lot from your takeaway lessons as I would like to become a multicultural LPC. One study showed a very high prevalence (65 percent) of post-traumatic stress disorders among the refugees who fled from the genocide in the former Yugoslavia.30 While women are tortured less often than men, the methods often differ. Child welfare professionals should be mindful of the diverse cultural beliefs and practices among the families and communities they serve. Required fields are marked *. Cultural Considerations. A project I've been working on is to create a support group for immigrants. Thank you for reading! The Child Welfare League of America defines cultural competence as: The ability of individuals and systems to respond respectfully and effectively to people of all cultures . Immigrants, Chapter 6: Postcolonial feminist social work perspective: Additional considerations for immigrant and refugee populations, UNIT III. It also requires well-educated, well-trained and experienced social workers who can effectively deal with increasingly diverse and troubled immigrant individuals and families. Bridging Refugee Youth and Childrens Services (2018)
Enter your email address to subscribe and receive an email anytime a new article is posted at CT Online. Multicultural learning approaches must be mindful not to diminish the power of an individuals journey. Over 40 million immigrants live in the United States today, according to Pew Research Center more than in any other country. Nonverbal cues are often more important than words. Highlights agency- and practitioner-level best practices for supporting immigrant families. I can relate to some of the experience you talked about, being in the helping profession myself. You have wonderful ideas. In refugee families, violence is often hidden because the victim is often isolated from the general community and may not know how or where to ask for help. Thus, these parents may consider my client-centered, nondirective approach to be foreign and even undesirable when first introduced. 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 . 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: . CrossRef Google Scholar Remennick, L. I. official website and that any information you provide is encrypted National Child Traumatic Stress Network (2020)
I do not need an office to help people. In some cultures, children assume responsibility for younger siblings and may be left alone, creating potential for harm. Keywords: Bookshelf Presents information to help child welfare professionals in partnering with refugee and immigrant caregivers. Thanks for sharing your experiences and perspectives with us. Distt. Best of luck to you as well. Women of the "sandwich" generation and multiple roles: The case of Russian immigrants of the 1990s in Israel. Chronic Disease: Provider `` learning Up '' for culturally responsive organizations expected their issues.! More than 500 resources in multiple formats and languages you to create a support group for immigrants,! And a thank you for the informative descriptions that I will keep in as! Their families the relief they gain upon learning how common or expected their issues are Pike 2020 6. 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