Skip to main content

Immigrant and Refugee Adolescent Care: Challenges and Opportunities

  • Chapter
  • First Online:
Promoting Health Equity Among Racially and Ethnically Diverse Adolescents

Abstract

There are increasing numbers of adolescents from immigrant backgrounds in the United States. Providers caring for immigrant youth and their families need to be well versed in strategies to reach, build trust, and promote access to care for this population. Providers also need to be able to adopt family-centered approaches to engage, encourage, and empower immigrant adolescents and their family members and to promote shared decision-making between them. The chapter will describe strategies and approaches to best engage immigrant adolescents and their families in clinical care. A clinical vignette illustrates how healthcare providers caring for immigrant adolescents can use a family-centered approach. Additionally, the chapter highlights unique considerations in working with immigrant youth and their families, including the importance of understanding each patient’s migration history, common legal and advocacy concerns, and specific clinical challenges in caring for this community.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. U.S. Census Bureau. Characteristics of the U.S. foreign-born by generation: data for 2005–2009. 2010. Available at http://www.census.gov/population/www/socdemo/foreign. Accessed 20 Mar 2017.

  2. U.S. Census Bureau. Foreign-born population of the United States: current population survey—March 2004. 2007. Available at www.census.gov/population/www/socdemo/foreign/ppl-176.html. Accessed 20 Mar 2017.

  3. Refugee Health Program, Minnesota Department of Health. U.S. citizenship and immigration services (USCIS) visa designations. 2017. Available at http://www.health.state.mn.us/divs/idepc/refugee/designations.pdf. Accessed 15 Nov 2017.

  4. Patel S, Clarke A, Eltareb F, Macciomei E, Wicham R. Newcomer immigrant adolescents: a mixed-methods examination of family stressors and school outcomes. Sch Psychol Q. 2016;31(2):163–80.

    Article  Google Scholar 

  5. Schapiro N, Kools S, Weiss S, Brindis C. Separation and reunification: the experiences of adolescents living in transnational families. Curr Probl Pediatr Adolesc Health Care. 2013;43:48–68.

    Article  Google Scholar 

  6. Sirin S, Ryce P, Gupta T, Rogers-Sirin L. The role of acculturative stress on mental health symptoms for immigrant adolescents: a longitudinal investigation. Dev Psychol. 2013;49(4):736–48.

    Article  Google Scholar 

  7. Measham T, Guzder J, Rousseau C, Pacione L, Blais-McPherson M, Nadeau L. Refugee children and their families: supporting psychological well-being and positive adaptation following migration. Curr Probl Pediatr Adolesc Health Care. 2014;44(7):208–15. https://doi.org/10.1016/j.cppeds.2014.03.005

    Article  Google Scholar 

  8. Woodgate R, Busolo D, Crockett M, Dean R, Amaladas M, Plourde P. A qualitative study on African immigrant and refugee families’ experiences of accessing primary health care services in Manitoba, Canada: it’s not easy! Int J Equity Health. 2017. https://doi.org/10.1186/s12939-016-0510-x

  9. Statement, policy. Providing care of immigrant, migrant and border children. Pediatrics. 2013;131(6):2028–34. https://doi.org/10.1542/peds.2013-1099

    Article  Google Scholar 

  10. Svetaz M, Garcia-Huidobro D, Reynosos U, Ethezaz M. Using parallel care to uncover the needs of parents of adolescents: the experience of aqui para it/Here for you program for Latino youth and their families. J Adolesc Health. 2016;58(2):S90.

    Article  Google Scholar 

  11. Walden J, Valdman O, Mishori R, Carlough M. Building capacity to care for refugees. Fam Pract Manag. 2017;24(4):21–7.

    PubMed  Google Scholar 

  12. Thomas R, Chiarelli-Helminiak C, Ferraj B, Barrette K. Building relationships and facilitating immigrant community integration: an evaluation of a Cultural Navigator Program. Eval Program Plann. 2016;55:77–84.

    Article  Google Scholar 

  13. Valibhoy MC, Kaplan I, Swarc J. “It comes down to just how human someone can be”: a qualitative study with young people from refugee backgrounds about their experiences of Australian mental health services. Transcult Psychiatry. 2017;54(1):23–45. https://doi.org/10.1177/1363461516662810

    Article  Google Scholar 

  14. Hirani K, Payne D, Mutch R, Cherin S. Health of adolescent refugees resettling in high-income countries. Arch Dis Child. 2013;101:670–6. https://doi.org/10.1136/archdischild-2014-307221

    Article  Google Scholar 

  15. U.S. Department of Services, Administration for Families and Children, Office of Refugee Resettlement, Unaccompanied Children’s Program. Fact Sheet. 2016. Available via https://www.acf.hhs.gov/orr/about/ucs/facts-and-data. Accessed 27 Mar 2017.

  16. Macias-Konstantopoulos W. Caring for the trafficked patient: ethical challenges and recommendations for healthcare professionals. Am Med Assoc J Ethics. 2017;19(1):80–90.

    Google Scholar 

  17. Cowden J, Kreisler K. Development in children of immigrant families. Pediatr Clin N Am. 2016;63(5):775–93. https://doi.org/10.1016/j.pcl.2016.06.005

    Article  Google Scholar 

  18. Meca A, Schwartz E, Zamboanga B, Picadillo S, Soto D, Pattarroyo M, Benitez C, Gonzales-Backen M, Unger J, Baezconde-Garbanati L, Des Rosiers S, Villamar J. Personal and cultural identity development in recently immigrated Hispanic adolescents: links with psychosocial functioning. Cult Divers Ethn Minor Psychol. 2017;23(3):348–61.

    Article  Google Scholar 

  19. Jones C. Levels of racism: a theoretic framework and a Gardener’s Tale. Am J Public Health. 2000;90:1212–5.

    Article  CAS  Google Scholar 

  20. Center for Reproductive Rights. Contraceptive access in the United States. 2017. https://www.reproductiverights.org/project/contraceptive-access-in-the-united-states. Accessed 28 Aug 2017.

  21. United States Age of Consent Map. 2017. Available at https://www.ageofconsent.net/states. Accessed 28 Aug 2017.

  22. Kao T, Lupiya M, Clemon-Stone S. Family efficacy as a protective factor against immigrant adolescent risky behavior: a literature review. J Holist Nurs. 2014. https://doi.org/10.1177/0898010113518840

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roli Dwivedi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dwivedi, R., O’Donnell, M., Jankowski, K. (2019). Immigrant and Refugee Adolescent Care: Challenges and Opportunities. In: Barkley, L., Svetaz, M., Chulani, V. (eds) Promoting Health Equity Among Racially and Ethnically Diverse Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-97205-3_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-97205-3_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97204-6

  • Online ISBN: 978-3-319-97205-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics