NCIIP: Health

Policy Briefs

April 2024

Supporting Immigrant and Refugee Families through Infant and Early Childhood Mental Health Services

Young girl talks to a child psychologist

iStock.com/Lacheev

Infant and early childhood mental health (IECMH) services can offer vital support for young children’s healthy development. Yet, young children in immigrant and refugee families often do not benefit, due in part to lower levels of health-care coverage and limited cultural responsiveness in the field. This issue brief explores the benefits and barriers to supporting these children via IECMH services, and some ways to close key gaps.

Reports

January 2024

Immigrants’ Eligibility for U.S. Public Benefits: A Primer

A young nurse hugs an elderly patient in a wheelchair

iStock.com/PeopleImages

Immigrants’ eligibility for public benefits in the United States is governed by a complex patchwork of rules that make many groups of noncitizens eligible for some benefits but not others, while other noncitizens are excluded completely. This report provides an overview of immigrants’ eligibility for programs related to general assistance, health and nutrition, employment and income, education, housing, driver’s licenses, and more.

Reports

April 2023

A Path to Meeting the Medical and Mental Health Needs of Unaccompanied Children in U.S. Communities

Latina teenager in medical office with clinician

iStock.com/FatCamera

As the number of unaccompanied children entering U.S. communities has increased, many have faced barriers to accessing critical medical and mental health services. This report explores common barriers to care, promising practices for overcoming them, and strategies for strengthening services. It draws on interviews and focus groups with clinicians, social workers, and others working with this population as well as one-time unaccompanied children themselves.

Commentaries

March 2022

Opportunities Exist to Better Reach Dual Language Learner and Immigrant Families through Home Visiting Programs

A woman feeds a young child sitting on a white plastic chair

Bread for the World

Home visiting programs can offer critical integration-related supports, yet many Dual Language Learner (DLL) and immigrant families are known to be underserved. With reauthorization of the Maternal, Infant, and Early Child Home Visiting (MIECHV) program looming, Congress has an important opportunity to support families with young children—many of whom are still struggling with challenges exposed during the COVID-19 pandemic.

Commentaries

December 2020

Anticipated “Chilling Effects” of the Public-Charge Rule Are Real: Census Data Reflect Steep Decline in Benefits Use by Immigrant Families

iStock

Researchers, service providers, and others have long predicted that sweeping revisions by the Trump administration to the definition of who constitutes a public charge would deter large numbers of immigrant-led households from using federal means-tested public benefits for which they are eligible. Recently released Census Bureau data show they were right: During the administration's first three years, program participation declined twice as fast among noncitizens as citizens.

Commentaries

December 2020

The Role of Immigrant Health-Care Professionals in the United States during the Pandemic

Todd Jordan/Centers for Disease Control

With the U.S. health-care system buckling under the resurgent COVID-19 outbreak, policymakers could undertake efforts to enable skilled, underemployed international health-care professionals to practice. This would both make the health system more resilient and flexible, as well as introduce critical language and cultural skills important during the contact-tracing and vaccine rollout phases of the pandemic response, as this commentary explores.

Recent Activity

Reports April 2019 Immigrant Families and Child Welfare Systems: Emerging Needs and Promising Policies By Mark Greenberg, Randy Capps, Andrew Kalweit, Jennifer Grishkin and Ann Flagg	Multimedia April 3, 2019 Addressing Trauma in Young Children in Immigrant and Refugee Families through Early Childhood Programs
Policy Briefs April 2019 Mitigating the Effects of Trauma among Young Children of Immigrants and Refugees: The Role of Early Childhood Programs By Maki Park and Caitlin Katsiaficas	Commentaries August 2018 Through the Back Door: Remaking the Immigration System via the Expected “Public-Charge” Rule By Jeanne Batalova, Michael Fix and Mark Greenberg
Multimedia June 12, 2018 Chilling Effects: The Expected Public-Charge Rule and Its Impact on Immigrant Families	Reports June 2018 Chilling Effects: The Expected Public Charge Rule and Its Impact on Legal Immigrant Families’ Public Benefits Use By Jeanne Batalova, Michael Fix and Mark Greenberg
Reports January 2018 In the Age of Trump: Populist Backlash and Progressive Resistance Create Divergent State Immigrant Integration Contexts By Margie McHugh	Reports November 2016 A Study of Pregnancy and Birth Outcomes among African-Born Women Living in Utah By Jane M. Dyer and Laurie Baksh

Pages

Reports January 2013 A Profile of Immigrants in Arkansas: Changing Workforce and Family Demographics By Randy Capps, Kristen McCabe and Michael Fix	Reports September 2012 Black and Immigrant: Exploring the Effects of Ethnicity and Foreign-Born Status on Infant Health By Tiffany L. Green
Reports September 2012 Parenting Behavior, Health, and Cognitive Development among Children in Black Immigrant Families: Comparing the United States and the United Kingdom By Margot Jackson	Reports April 2012 Changing Demography and Circumstances for Young Black Children in African and Caribbean Immigrant Families By Donald J. Hernandez
Reports October 2009 Immigrants and Health Care Reform: What's Really at Stake? By Randy Capps, Marc R. Rosenblum and Michael Fix	Books February 2007 Securing the Future: U.S. Immigrant Integration Policy, A Reader

Recent Activity

Reports

April 2019

Immigrant Families and Child Welfare Systems: Emerging Needs and Promising Policies

With the children of immigrants a growing share of all U.S. children, and federal immigration enforcement and other policies undergoing significant change, some state and local child welfare agencies are developing new ways to improve how they work with immigrant families. This report examines key cultural, linguistic, and legal challenges, and how agencies are adjusting staffing, training, placement, and other policies to tackle them.

Video, Audio, Webinars

April 3, 2019

Addressing Trauma in Young Children in Immigrant and Refugee Families through Early Childhood Programs

During this webinar, speakers provide an overview of an MPI policy brief that seeks to raise awareness of the intersection of trauma and early childhood development, and how U.S. early childhood programs could more effectively address this trauma in young children in refugee and immigrant households. The participants discuss efforts to integrate trauma-informed approaches into early childhood systems and how home visiting services can effectively address trauma and mental health through a two-generation approach.

Policy Briefs

April 2019

Mitigating the Effects of Trauma among Young Children of Immigrants and Refugees: The Role of Early Childhood Programs

The first years of a child’s life are a time of immense growth, and exposure to trauma—if left unaddressed—can have significant, lifelong effects. This issue brief examines how young children of refugees and other immigrants may be affected by trauma, and what early childhood education and care programs, health-care providers, and others can do to mitigate its adverse effects.

Commentaries

August 2018

Through the Back Door: Remaking the Immigration System via the Expected “Public-Charge” Rule

A Trump administration “public-charge” rule expected to be unveiled soon could create the potential to significantly reshape family-based legal immigration to the United States—and reduce arrivals from Asia, Latin America, and Africa—by imposing a de facto financial test that 40 percent of the U.S. born themselves would fail, as this commentary explains.

Video, Audio, Webinars

June 12, 2018

Chilling Effects: The Expected Public-Charge Rule and Its Impact on Immigrant Families

This webinar highlights findings from an MPI report examining the potential impacts of expected changes to the public charge rule by the Trump administration. Leaked draft versions suggest the rule could sharply expand the number of legally present noncitizens facing difficulty getting a green card or extending a visa as a result of their family's use of public benefits. The rule likely would discourage millions from accessing health, nutrition, and social services for which they or their U.S.-citizen dependents are eligible.

Reports

June 2018

Chilling Effects: The Expected Public Charge Rule and Its Impact on Legal Immigrant Families’ Public Benefits Use

According to leaked drafts, the Trump administration is considering a rule that could have sweeping effects on both legal immigration to the United States and the use of public benefits by legal immigrants and their families. This report examines the potential scale of the expected rule’s impact, including at national and state levels and among children, as well as Hispanic and Asian American/Pacific Islander immigrants.

Reports

January 2018

In the Age of Trump: Populist Backlash and Progressive Resistance Create Divergent State Immigrant Integration Contexts

As long-simmering passions related to federal immigration policies have come to a full boil, less noted but no less important debates are taking place at state and local levels with regards to policies affecting immigrants and their children. As states are increasingly diverging in their responses, this report examines how some of the key policies and programs that support long-term integration success are faring in this volatile era.

Reports

November 2016

A Study of Pregnancy and Birth Outcomes among African-Born Women Living in Utah

Resettled African refugee women may experience particularly acute complications during pregnancy, birth, and the child's early infancy. Yet health care-providers and policymakers may not be aware of the particular challenges that these women and their children face. This report, examining women giving birth in Utah over a seven-year period, compares perinatal complications of the African born and a segment of the U.S. born.

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