Skip to main content

Illegal, Alien, and Other: Cultural Competency and Migration

Part of the Current Clinical Psychiatry book series (CCPSY)

Abstract

Immigration is a global phenomenon associated with intense social and political controversies, all of which contribute to a multitude of stressors often, although not always, associated with migration. This chapter reviews strategies for approaching migrants in a culturally competent manner, identifies challenges and stigma faced by migrant populations, and addresses how practitioners can think about and work with migrant youth and families in a sensitive and effective fashion, with a focus on speaking about and listening to migrant experiences.

Keywords

  • Mental health
  • Migration
  • Family mental health
  • Acculturation

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-20174-6_6
  • Chapter length: 11 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   59.99
Price excludes VAT (USA)
  • ISBN: 978-3-030-20174-6
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   79.99
Price excludes VAT (USA)
Hardcover Book
USD   109.99
Price excludes VAT (USA)

Bibliography

  1. Ai AL, Carretta HJ, Aisenberg E. Cultural strengths of Latino-American subgroups: differential associations with their self-rated mental and physical health. J Cross-Cult Psychol. 2017;48(9):1349–68.

    CrossRef  Google Scholar 

  2. Akhtar S. Chapter 7: “The next generation”. In: Immigration and acculturation: mourning, adaptation, and the next generation. Plymouth: Jason Aronson; 2010.

    Google Scholar 

  3. Alfaro MA, Bui NH. Mental health professionals’ attitudes, perceptions, and stereotypes toward Latino undocumented immigrants. Ethics Behav. 2018;28(5):374–88. https://www.tandfonline.com/doi/abs/10.1080/10508422.2017.1300773.

    CrossRef  Google Scholar 

  4. American Psychological Association. Presidential Task Force on Immigration. Crossroads: the psychology of immigration in the new century. 2012. http://www.apa.org/topics/immigration/report.aspx. Accessed 14 Aug 2014.

  5. Berry JW, Hou F. Acculturation, discrimination and wellbeing among second generation of immigrants in Canada. Int J Intercult Relat. 2017;61:29–39.

    CrossRef  Google Scholar 

  6. Berthold SM, Wong E, Schell T, Marshall G, Elliott M, Takeuchi D, Hambarsoomians K. US Cambodian refugees’ use of complementary and alternative medicine for mental health problems. Psychiatr Serv. 2007;58(9):1212–8.

    CrossRef  Google Scholar 

  7. Bhabha J, Schmidt S. Seeking asylum alone: unaccompanied and separated children and refugee protection in the U.S. J Hist Child Youth. 2008;1:127–38.

    Google Scholar 

  8. Breslau J, Aguilar-Gaxiola S, Borges G, et al. Risk for psychiatric disorder among immigrants and their U.S.-born descendants: evidence from the national comorbidity study-replication. J Ment Nerv Disord. 2007;195(3):189–95.

    CrossRef  Google Scholar 

  9. Burnett-Zeigler I, Borhnert KM, Ilgen MA. Ethnic identity, acculturation and the prevalence of lifetime psychiatric disorders among Black, Hispanic, and Asian adults in the U.S. J Psychiatr Res. 2013;47(1):56–63.

    CrossRef  Google Scholar 

  10. Chung K, Ivey SL, Guo W, Chung K, Nguyen C, Nguyen C, et al. Knowledge, attitudes, and practice toward epilepsy (KAPE): a survey of Chinese and Vietnamese adults in the United States. Epilepsy Behav. 2010;17(2):221–7.

    CrossRef  Google Scholar 

  11. Comănaru RS, Noels KA, Dewaele JM. Bicultural identity orientation of immigrants to Canada. J Multiling Multicult Dev. 2018;39(6):526–41.

    CrossRef  Google Scholar 

  12. Cook TM, Wang J. Descriptive epidemiology of stigma against depression in a general population sample in Alberta. BMC Psychiatry. 2010;10(1):29.

    CrossRef  Google Scholar 

  13. Fazel M, Stein A. The mental health of refugee children. Arch Dis Child. 2002;87:366–70.

    CAS  CrossRef  Google Scholar 

  14. Gillula J. Hispanic immigration and US economic growth. 2015. Retrieved from https://www.ihs.com/pdf/Hispanic-Immigration-and-Economic-Growth_219008110915583632.pdf.

  15. Gjelten T. Should immigration require assimilation? The Atlantic. 2015. Available at: https://www.theatlantic.com/politics/archive/2015/10/should-immigration-require-assimilation/406759/. Accessed 28 Aug 2018.

  16. Goffman E. Stigma: notes on the Management of Spoiled Identity. Englewood Cliffs: Prentice-Hall; 1963.

    Google Scholar 

  17. Green D. The Trump hypothesis: testing immigrant populations as a determinant of violent and drug-related crime in the United States. Soc Sci Q. 2016;97:506–24. https://doi.org/10.1111/ssqu.12300.

    CrossRef  Google Scholar 

  18. Henderson SW, Sung D, Baily C. The diverse migrant: families, children, migration and acculturation. In: Cultural sensitivity in child and adolescent mental health. Boston: MGH Psychiatry Academy Press; 2016.

    Google Scholar 

  19. Hwang W, Wood J. Acculturative family distancing: links with self-reported symptomatology among Asian Americans and Latinos. Child Psychiatry Hum Dev. 2009;40:123–38.

    CrossRef  Google Scholar 

  20. Interian A, Martinez IE, Guarnaccia PJ, Vega WA, Escobar JI. A qualitative analysis of the perception of stigma among Latinos receiving antidepressants. Psychiatr Serv. 2007;58(12):1591–4.

    CrossRef  Google Scholar 

  21. Kennedy JF. A nation of immigrants, revised and enlarged edition. New York: Harper & Row; 1964.

    Google Scholar 

  22. Nadeem E, Lange JM, Edge D, Fongwa M, Belin T, Miranda J. Does stigma keep poor young immigrant and US-born black and Latina women from seeking mental health care? Psychiatr Serv. 2007;58(12):1547–54.

    CrossRef  Google Scholar 

  23. National Center for Farmworker Health. Agricultural worker demographics. 2018. Available at: http://www.ncfh.org/uploads/3/8/6/8/38685499/fs_demographics_2018.pdf. Accessed 27 Aug 2018.

  24. National Immigration Law Center. Health care providers and immigration enforcement. 2017. Available at: https://www.nilc.org/issues/immigration-enforcement/healthcare-provider-and-patients-rights-imm-enf/.

  25. Obama B. Remarks by the president in address to the nation on immigration. The White House; 2014.

    Google Scholar 

  26. Perlick DA. Special section on stigma as a barrier to recovery: introduction. Psychiatr Serv. 2001;52:1613–4.

    CAS  CrossRef  Google Scholar 

  27. Pew Research Center. 2017. http://www.pewresearch.org/fact-tank/2017/02/03/where-refugees-to-the-u-s-come-from/.

  28. Pumariega A, Rothe E, Pumariega J. Mental health of immigrants and refugees. Community Ment Health J. 2005;41(5):581–97.

    CrossRef  Google Scholar 

  29. Pumariega AJ, Rothe E, Mian A, et al. Practice parameter for cultural competence in child and adolescent psychiatric practice. J Am Acad Child Adolesc Psychiatry. 2013;52(10):1101–15.

    CrossRef  Google Scholar 

  30. Rao NR, Kramer M, Mehra A. The history of international medical graduate physicians in psychiatry and medicine in the United States: a perspective. In: Rao N, Roberts L, editors. International medical graduate physicians. Cham: Springer; 2016.

    CrossRef  Google Scholar 

  31. Romero AJ, Carvajal SC, Valle F, Orduña M. Adolescent bicultural stress and its impact on mental well-being among Latinos, Asian Americans, and European Americans. J Community Psychol. 2007;35:519–34. https://doi.org/10.1002/jcop.20162.

    CrossRef  Google Scholar 

  32. Rothe E, Tzuang D, Pumariega A. Acculturation, development, and adaptation. Child Adolesc Psychiatr Clin N Am. 2010;19:681–96.

    CrossRef  Google Scholar 

  33. Suárez-Orozco C, Todorova ILG, Louie J. Making up for lost time: the experience of separation and reunification among immigrant families. Fam Process. 2002;41(4):625–43.

    CrossRef  Google Scholar 

  34. Takeuchi DT, Zane N, Hong S, et al. Immigration-related factors and mental disorders among Asian Americans. Am J Public Health. 2007;97(1):84–90.

    CrossRef  Google Scholar 

  35. Toomey RB, Umaña-Taylor AJ, Williams DR, Harvey-Mendoza E, Jahromi LB, Updegraff KA. Impact of Arizona’s SB 1070 immigration law on utilization of health care and public assistance among Mexican-origin adolescent mothers and their mother figures. Am J Public Health. 2014;104(Suppl 1):S28–34. https://doi.org/10.2105/AJPH.2013.301655.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  36. Toppelberg CO, Collins BA. Language, culture, and adaptation in immigrant children. Child Adolesc Psychiatr Clin N Am. 2010;18:697–71.

    CrossRef  Google Scholar 

  37. Torres SA, Santiago CD, Walts KK, Richards MH. Immigration policy, practices, and procedures: the impact on the mental health of Mexican and Central American youth and families. Am Psychol. 2018;73(7):843–54.

    CrossRef  Google Scholar 

  38. Trump D. State of the union address. 2018. Available at: https://www.whitehouse.gov/briefings-statements/president-donald-j-trumps-state-union-address/.

  39. United Nations. 1997 Protocol relating to the Status of Refugees. 1997. Available at: http://www.un-documents.net/crsr.htm.

  40. United States Census Bureau. 2014. https://www.census.gov/library/visualizations/2014/demo/the-second-great-wave-of-immigration-growth-of-the-foreign-born-population-since-1970.html.

  41. Verhulp EE, Stevens GW, Pels TV, Van Weert C, Vollebergh WA. Lay beliefs about emotional problems and attitudes toward mental health care among parents and adolescents: exploring the impact of immigration. Cult Divers Ethn Minor Psychol. 2017;23(2):269.

    CrossRef  Google Scholar 

  42. Whitley R, Wang J, Fleury MJ, Liu A, Caron J. Mental health status, health care utilisation, and service satisfaction among immigrants in Montreal: an epidemiological comparison. Can J Psychiatry. 2017;62(8):570–9. http://journals.sagepub.com/doi/abs/10.1177/0706743716677724.

    CrossRef  Google Scholar 

  43. Wynaden D, Chapman R, Orb A, McGowan S, Zeeman Z, Yeak S. Factors that influence Asian communities’ access to mental health care. Int J Ment Health Nurs. 2005;14(2):88–95.

    CrossRef  Google Scholar 

  44. Yoon E, Lee DY, Koo YR, Yoo SK. A qualitative investigation of Korean immigrant women’s lives. Couns Psychol. 2010;38:523–53. https://doi.org/10.1177/0011000009346993.

    CrossRef  Google Scholar 

  45. Yoon E, Langrehr K, Ong LZ. Content analysis of acculturation research in counseling and counseling psychology: a 22-year review. J Couns Psychol. 2011;58:83–96. https://doi.org/10.1037/a0021128.

    CrossRef  PubMed  Google Scholar 

Download references

Acknowledgments

This chapter has been influenced by two prior chapters, Henderson, SW. (2016) Pity the Poor Immigrant: Stigma and Immigration. In: Stigma and Mental Health. MGH Psychiatry Academy Press, and Henderson, SW, Sung D, Baily, C. (2016) The Diverse Migrant: Families, Children, Migration and Acculturation. In: Cultural Sensitivity in Child and Adolescent Mental Health. MGH Psychiatry Academy Press.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Schuyler W. Henderson .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Henderson, S.W. (2019). Illegal, Alien, and Other: Cultural Competency and Migration. In: Parekh, R., Trinh, NH. (eds) The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health. Current Clinical Psychiatry. Humana, Cham. https://doi.org/10.1007/978-3-030-20174-6_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-20174-6_6

  • Published:

  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-20173-9

  • Online ISBN: 978-3-030-20174-6

  • eBook Packages: MedicineMedicine (R0)