Integrated Health Care for Latino Immigrants and Refugees: What Do They Need?

  • Deirdre LanesskogEmail author
  • Lissette M. Piedra


As the health care sector moves toward the integration of health and mental health care, service providers are posed to improve care for highly vulnerable immigrants and refugees. This chapter explores the tensions and misunderstandings that arise when immigrants engage with health care systems and institutions designed for English speakers familiar with American culture and systems of care. Such structures affect the quality of care immigrants and refugees receive, and overtime, contribute to health disparities for individuals, families, and communities. To counter language and cultural barriers, this chapter presents a vision for integrated health care that attends to variations in immigrant health care needs based on levels of acculturation, pre- and post-migration experiences, citizenship status, and settlement context. Finally, we discuss the role of integrated health and mental health care in leveraging immigrants’ strengths while mitigating their vulnerabilities.


Integrated health care Immigrants and refugees Communication competency 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.School of Social WorkCalifornia State University, San BernardinoSan BernardinoUSA
  2. 2.School of Social WorkUniversity of Illinois at Urbana ChampaignUrbanaUSA

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