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

Fact Sheets November 2022 A Profile of Low-Income Immigrants in the United States By Julia Gelatt, Valerie Lacarte and Joshua Rodriguez	Commentaries September 2022 The Public-Charge Final Rule Is Far from the Last Word By Jonathan Beier and Essey Workie
Reports July 2022 The Missing Link: Connecting Eligible Asylees and Asylum Seekers with Benefits and Services By Essey Workie, Lillie Hinkle and Stephanie Heredia	Reports July 2022 Changing the Playbook: Immigrants and the COVID-19 Response in Two U.S. Communities By Randy Capps and Michael Fix
Policy Briefs June 2022 Immigrant Children’s Medicaid and CHIP Access and Participation: A Data Profile By Valerie Lacarte	Policy Briefs April 2022 Leveraging the Skills of Immigrant Health-Care Professionals in Illinois and Chicago By Jeanne Batalova and Michael Fix
Commentaries March 2022 Opportunities Exist to Better Reach Dual Language Learner and Immigrant Families through Home Visiting Programs By Maki Park and Jazmin Flores Peña	Commentaries June 2021 A Solvable Challenge: Improving Asylee Access to Health and Other Benefits By Essey Workie, Mark Greenberg and Lillie Hinkle

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Policy Briefs June 2022 Immigrant Children’s Medicaid and CHIP Access and Participation: A Data Profile By Valerie Lacarte	Policy Briefs April 2022 Leveraging the Skills of Immigrant Health-Care Professionals in Illinois and Chicago By Jeanne Batalova and Michael Fix
Policy Briefs April 2021 The Integration of Immigrant Health Professionals: Looking beyond the COVID-19 Crisis By Jeanne Batalova, Michael Fix and José Ramón Fernández-Peña	Policy Briefs October 2020 Supporting Immigrant and Refugee Families through Home Visiting: Innovative State and Local Approaches By Caitlin Katsiaficas
Reports September 2020 Immigration Enforcement and the Mental Health of Latino High School Students By Randy Capps, Jodi Berger Cardoso, Kalina Brabeck, Michael Fix and Ariel G. Ruiz Soto	Fact Sheets July 2020 Brain Waste among U.S. Immigrants with Health Degrees: A Multi-State Profile By Jeanne Batalova, Michael Fix and Sarah Pierce
Fact Sheets May 2020 Barriers to COVID-19 Testing and Treatment: Immigrants without Health Coverage in the United States By Randy Capps and Julia Gelatt	Policy Briefs November 2019 Health Insurance Coverage of Immigrants and Latinos in the Kansas City Metro Area By Randy Capps and Ariel G. Ruiz Soto

Pages

Video, Audio

October 27, 2015

Young Refugee Children: Their Schooling Experiences in the United States and in Countries of First Asylum

In this webinar, the authors of three papers on the experiences of refugee children present their findings, with a focus on how such experiences affect their mental health and education.

Video, Audio

September 11, 2015

Growing Up in America: The Extent and Impacts of Discrimination on Young Children from Immigrant Families

On this webinar, researchers explore the types of discrimination that young children of immigrants may experience, the related educational, psychological, and social impacts, and recommendations for addressing discrimination.

EventPH 2015.3.31 Unaccompanied Child Migration to the United States Flickr CBP Processing Unaccompanied Children

Video, Audio

March 31, 2015

Child and Family Migration to the United States: Continuing Flows and Evolving Responses

A webinar examining the shifting pattern of Central American child and family migration between 2011 and 2014 and expectations for 2015, the policy challenges presented by the rising inflow, and how states, localities, the U.S. government, and other countries in the region are responding to this recent trend.

Recent Activity

Fact Sheets

November 2022

A Profile of Low-Income Immigrants in the United States

Immigrants in the United States experience strong economic mobility overall. But for some, limited educational attainment and English proficiency, and the challenges of restarting life in a new country, can result in low incomes and economic hardship. This fact sheet looks at the origins, states of residence, demographic and socioeconomic characteristics, and employment of low-income immigrants.

Commentaries

September 2022

The Public-Charge Final Rule Is Far from the Last Word

The Biden administration public-charge final rule undoes deep restrictions imposed during the Trump era, codifying much of the policy in place from 1999 to 2019. Yet confusion and fear over triggering negative immigration consequences will continue to keep many immigrants and their U.S.-born relatives from accessing benefits and services for which they are eligible absent a robust educational campaign, this commentary explains.

Reports

July 2022

The Missing Link: Connecting Eligible Asylees and Asylum Seekers with Benefits and Services

Asylees in the United States are eligible for many of the same benefits and services as refugees, but many may not be aware of this fact. For asylum seekers awaiting a decision in their case, available assistance is far more limited, but similar information gaps exist. This report examines which supports are available to asylees and asylum seekers and offers recommendations to improve how they are connected with programs for which they are eligible.

Reports

July 2022

Changing the Playbook: Immigrants and the COVID-19 Response in Two U.S. Communities

U.S. cities and towns have responded to COVID-19 in ways that are as diverse as the communities they aim to support. This report looks at how two very different locations—Worthington, MN, and the greater Houston area—incorporated immigrants into their relief efforts, through partnerships, strategic outreach, targeted assistance, and more. The report also highlights useful lessons for responses to future emergencies.

Policy Briefs

June 2022

Immigrant Children’s Medicaid and CHIP Access and Participation: A Data Profile

Medicaid and the Children’s Health Insurance Program help many children in low-income families access health care. But under federal rules, hundreds of thousands of children are ineligible due to immigration status. This brief presents U.S. and state-level estimates of immigrant children who are eligible for and participate in these programs and considers the impact of state policies that expand access to public health insurance.

Policy Briefs

April 2022

Leveraging the Skills of Immigrant Health-Care Professionals in Illinois and Chicago

Immigrants play important roles across the U.S. health-care workforce, but not all of those with in-demand health and medical degrees are able to put their skills to work. Addressing this skill underutilization, or “brain waste,” has only become more important during the pandemic. This brief examines the extent of skill underutilization among immigrants with health degrees in Illinois, a state with a long history of immigration, and efforts to better leverage these skills.

Commentaries

March 2022

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

Commentaries

June 2021

A Solvable Challenge: Improving Asylee Access to Health and Other Benefits

While asylees are eligible for many of the same public benefits and services as resettled refugees, including health care and employment assistance, there is no system to inform them of their eligibility and to help connect them to resources. MPI estimates that fewer than 20 percent of those granted asylum in recent years received Office of Refugee Resettlement benefits during their first year. The U.S. government could address this gap with a few simple measures.

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