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

  • Deirdre LanesskogEmail author
  • Lissette M. Piedra
Chapter

Abstract

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.

Keywords

Integrated health care Immigrants and refugees Communication competency 

References

  1. Alvarez, K., Marroquin, Y. A., Sandoval, L., & Carlson, C. I. (2014). Integrated health care best practices and culturally and linguistically competent care: Practitioner perspectives. Journal of Mental Health Counseling, 36(2), 99–114.CrossRefGoogle Scholar
  2. Auxier, A., Farley, T., & Seifert, K. (2011). Establishing an integrated care practice in a community health center. Professional Psychology: Research and Practice, 42(5), 391–397.CrossRefGoogle Scholar
  3. Bao, Y. H., Alexopoulos, G. S., Casalino, L. P., Ten Have, T. R., Donohue, J. M., Post, E. P., … Bruce, M. L. (2011). Collaborative depression care management and disparities in depression treatment and outcomes. Archives of General Psychiatry, 68(6), 627–636.Google Scholar
  4. Blount, A. (2003). Integrated primary care: Organizing the evidence. Families, Systems and Health, 21(2), 121–133.CrossRefGoogle Scholar
  5. Brown, A., & Patten, E. (2014). Statistical portrait of Hispanics in the United States, 2012. Washington, DC: Pew Research Center. Retrieved from http://www.pewhispanic.org/2014/04/29/statistical-portrait-of-hispanics-in-the-united-states-2012/.Google Scholar
  6. Burns, L. R., & Pauly, M. V. (2002). Integrated delivery networks: A detour on the road to integrated health care? Health Affairs, 21(4), 128–143.CrossRefPubMedGoogle Scholar
  7. Derose, K. P., Bahney, B. W., Lurie, N., & Escarce, J. J. (2009). Immigrants and health care access, quality, and cost. Medical Care Research and Review, 24(3), 487–514.Google Scholar
  8. Engstrom, D. W., & Okamura, A. (2007). A nation of immigrants: A call for a specialization in immigrant well-being. Journal of Ethnic and Cultural Diversity in Social Work, 16(3-4), 103–111.CrossRefGoogle Scholar
  9. Engstrom, D. W., Piedra, L. M., & Min, J. W. (2009). Bilingual social workers: Language and service complexities. Administration in Social Work, 33(2), 167–185.CrossRefGoogle Scholar
  10. Frank, A. L., Liebman, A. K., Ryder, B., Weir, M., & Arcury, T. A. (2013). Health care access and health care workforce for immigrant workers in the agriculture, forestry, and fisheries sector in the Southeaster U.S. American Journal of Industrial Medicine, 56, 960. doi: 10.1002/ajim.22183.CrossRefPubMedGoogle Scholar
  11. Gregg, J., & Saha, S. (2007). Communicative competence: A framework for understanding language barriers in health care. Journal of General Internal Medicine, 22(Suppl. 2), 368–370.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Gresenz, C. R., Derose, K. P., Ruder, T., & Escarce, J. J. (2012). Health care experiences of Hispanics in new and traditional U.S. destinations. Medical Care Research and Review, 69(6), 663–678.CrossRefPubMedGoogle Scholar
  13. Harari, N., Davis, M., & Heisler, M. (2008). Strangers in a strange land: Health care experiences for recent Latino immigrants in Midwest communities. Journal of Health Care for the Poor and Underserved, 19(4), 1350–1367.CrossRefPubMedGoogle Scholar
  14. Hogg Foundation for Mental Health. (2008). Connecting body and mind: A resource guide to integrated health care in Texas and the United States. Austin, TX: Author.Google Scholar
  15. Imberti, P. (2007). Who resides behind the words? Exploring and understanding the language experience of the non-English-speaking immigrant. Families in Society: The Journal of Contemporary Social Services, 88(1), 67–73.CrossRefGoogle Scholar
  16. Jiménez, T. R. (2010). Replenished ethnicity: Mexican-Americans, immigration, and identity. Berkeley, CA: University of California Press.Google Scholar
  17. Jones-Correa, M. (2008). Race to the top? The politics of immigrant education in suburbia. In D. Massey (Ed.), New faces in new places: The changing geography of American immigration (pp. 308–340). New York, NY: Russell Sage.Google Scholar
  18. Kirmayer, L. J., Narasiah, L., Munoz, M., Rashid, M., Ryder, A. G., Guzder, J., … Pottie, K., (2011). Common mental health problems in immigrants and refugees: General approach in primary care. Canadian Medical Association Journal, 183(12), E959–E967.Google Scholar
  19. Lanesskog, D., Piedra, L. M., & Maldonado, S. (2015). Beyond bilingual and bicultural: Serving Latinos in a new growth community. Journal of Ethnic and Cultural Diversity in Social Work, 24(4), 300–317.CrossRefGoogle Scholar
  20. Lichter, D. T., & Johnson, K. M. (2006). Emerging rural settlement patterns and the geographic redistribution of America’s new immigrants. Rural Sociology, 71(1), 109–131.CrossRefGoogle Scholar
  21. Lichter, D. T., & Johnson, K. M. (2009). Immigrant gateways and Hispanic migration to new destinations. International Migration Review, 43(3), 496–518.CrossRefGoogle Scholar
  22. Liebert, S., & Ameringer, C. F. (2013). The health care safety net and the affordable care act: Implications for Hispanic immigrants. Public Administration Review, 73(6), 810–820.CrossRefGoogle Scholar
  23. Livingston, G. (2009). Hispanics, health insurance, and health care access. Washington, DC: Pew Research Center. Retrieved from http://www.pewhispanic.org/2009/09/25/hispanics-health-insurance-and-health-care-access/.Google Scholar
  24. López-Cevallos, D. (2014). Are Latino immigrants a burden to safety net services in nontraditional immigrant states? Lessons from Oregon. American Journal of Public Health, 104(5), 781–786.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Okie, S. (2007). Immigrants and health care: At the intersection of two broken systems. The New England Journal of Medicine, 357(6), 525–529.CrossRefPubMedGoogle Scholar
  26. Partida, Y. (2007). Addressing language barriers: Building response capacity for a changing nation. Journal of General Internal Medicine, 22(Suppl 2), 347–349.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Passel, J. R., & Cohn, D. (2009). A portrait of undocumented immigrants in the United States. Washington, DC: Pew Hispanic Center.Google Scholar
  28. Perreira, K. M., Crosnoe, R., Fortuny, K., Pedroza, J., Ulvestad, K., Weiland, C., … Chaudry, A. (2012). Barriers to immigrants’ access to health and human services programs. Washington, DC: U.S. Department of Health and Human Services, Office of Human Services Policy.Google Scholar
  29. Piedra, L. M., Andrade, F. C. D., & Larrison, C. R. (2011). Building response capacity: The need for universally available language services. In L. P. Buki & L. M. Piedra (Eds.), Creating infrastructures for Latino mental health (pp. 55–75). New York, NY: Springer.CrossRefGoogle Scholar
  30. Piedra, L. M., & Engstrom, D. W. (2009). Segmented assimilation theory and the life model: An integrated approach to understanding immigrants and their children. Social Work, 54(3), 270–277.CrossRefPubMedGoogle Scholar
  31. Portes, A., Fernandez-Kelly, P., & Light, D. (2012). Life on the edge: Immigrants confront the American health system. Ethnic and Racial Studies, 35(1), 3–22.CrossRefPubMedGoogle Scholar
  32. Portes, A., Light, D., & Fernandez-Kelly, P. (2009). The U.S. health system and immigration: An institutional interpretation. Sociological Forum, 24(3), 487–514.CrossRefPubMedPubMedCentralGoogle Scholar
  33. Roth, B. J., Golzales, R. G., & Lesniewski, J. (2015). Building a stronger safety net: Local organizations and the challenges of serving immigrants in the suburbs. Human Service Organizations: Management, Leadership, & Governance, 39(4), 348–361.Google Scholar
  34. Ruiz, E., Aguirre, R. T. P., & Mitschke, D. B. (2013). What leads non-U.S.-born. Latinos to Access Mental Health Care? Social Work in Health Care, 52(1), 1–19.CrossRefPubMedGoogle Scholar
  35. Sanchez, K., Chapa, T., Ybara, R., & Martinez, O. N. (2012). Enhancing the delivery of health care: Eliminating health disparities through a culturally & linguistically centered integrated health care approach: Consensus statements and recommendations. Washington, DC: U.S. Department of Health and Human Services and Hogg Foundation for Mental Health, Office of Minority Health.Google Scholar
  36. Schwartz, A. L., Domenech Rodríguez, M. M., Santiago-Rivera, A., Arredondo, P., & Field, L. D. (2010). Cultural and linguistic competence: Welcome challenges from successful diversification. Professional Psychology: Research and Practice, 41, 210–220.CrossRefGoogle Scholar
  37. Schyve, P. M. (2007). Language differences as a barrier to quality and safety in health care: The joint commission perspective. Journal of General Internal Medicine, 22(Suppl 2), 360–361.CrossRefPubMedPubMedCentralGoogle Scholar
  38. Singer, S. J., Burgers, J., Freidberg, M., Rosenthal, M. B., Leape, L., & Schneider, E. (2011). Defining and measuring integrated patient care: Promoting the next frontier in health care delivery. Medical Care Research and Review, 68(1), 112–127.CrossRefPubMedGoogle Scholar
  39. Sue, D. W., Bernier, J. E., Durran, A., Feinberg, L., Pedersen, P., Smith, E. J., & Vasquez-Nuttall, E. (1982). Position paper: Cross-cultural counseling competencies. The Counseling Psychologist, 10, 45–52.Google Scholar
  40. Suro, R., Wilson, J. H., & Singer, A. (2011). Immigration and poverty in America’s suburbs (Metropolitan opportunity series, Vol. 20). Washington, DC: The Brookings Institution. Retrieved from http://www.brookings.edu/research/papers/2011/08/04-immigration-suro-wilson-singer.Google Scholar
  41. White, C. C., Solid, C. A., Hodges, J. S., & Boehm, D. H. (2014). Does integrated care affect healthcare utilization in multi-problem refugees? Journal of Immigrant and Minority Health, 17, 1444. doi: 10.1007/s10903.CrossRefGoogle Scholar
  42. World Health Organization. (May, 2008). Integrated health services – What and why? Technical Brief No. 1, Geneva: World Health Organization.Google Scholar

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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