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NCIIP: Health
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The U.S. health-care workforce came under incredible strain during the COVID-19 pandemic. Longer-term trends—including the aging and increasing diversity of the U.S. population, and health-care worker retirement—are also shaping demand for services and the supply of health workers. This issue brief looks at how the skills and expertise of underutilized immigrant and refugee health professionals in the United States can be better leveraged to meet these challenges.
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.
The prevalence of mental-health symptoms among Latino high school students, immigrant and U.S. born alike, is closely related to their fears of immigration enforcement. And the situation may have worsened since the researchers sampled this population, given the COVID-19 pandemic and associated economic hardship have increased the stress on Latino communities that have been hit disproportionately hard, as this commentary explores.
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.
Although proven effective in supporting young children and their caretakers, home visiting programs are less likely to see the enrollment of immigrant and refugee families. This brief looks at the strategies some states and counties are using to boost the equity and quality of their home visiting services for these at-risk families, from rethinking how they assess the needs of resident families, to involving communities in program design and service provision.
This study explores the relationship between immigration enforcement and the mental health of Latino high school students, finding that majorities surveyed in both high- and low-enforcement environments reported fear that someone close to them could be deported, with resulting symptoms of conditions such as depression and PTSD. The report provides examples of how schools are responding to support the mental health and engagement of these students.
Across the United States, the skills of an estimated 263,000 immigrants and refugees with health-related degrees are going underutilized during a time of pandemic, with these health professionals either in low-skilled jobs or out of work. This fact sheet offers the first-ever state profiles of this population, including the states in which they live, the languages they speak, their fields of study, and legal statuses.
Immigrants make up a disproportionately high number of U.S. health-care workers, from doctors and nurses to home health aides. In 2018, more than 2.6 million immigrants worked in the U.S. health-care field. In the face of the coronavirus pandemic, immigrants have played a key role in the frontline response. This article explores the demographics of this group of essential workers by occupation, origin, language, education, and more.
Opportunities Exist to Better Reach Dual Language Learner and Immigrant Families through Home Visiting Programs
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.
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