Examining Psychotherapeutic and Psychosocial Factors in Working with Immigrant Families

In spite of the fact that the United States has been historically associated with immigrants, little is still known about the process of assimilation that immigrant families go through, and a lack ofsensitivity to the cultural diversity of immigrant families persists. Some mental health workers still suggest that the same techniques employed in working with American families can be applied to immigrant families. Through years of research, behavioral scientists have come to realize that a different approach to tutelage and psychotherapy is needed if immigrant families are to acculturate smoothly in American society. This paper addresses some problems associated with acculturation, the process of acculturation, immigrant families in transition and perspectives on the effectiveness of psychotherapeutic interventions. Some rudimentary guidelines are presented for understanding immigrant families via a comprehensive assessment battery which can assist in detemzining the stages of acculturation, the client’s social and emotional functioning, as well as any cultural transitional conflicts the client may be experiencing as a result of migration. Moreover, a model for treating immigrant families is suggested.     

Korean immigrant older adults residing in Non-Korean ethnic enclaves: Acculturation strategies and psychosocial adaptation

ABSTRACT

Based on Berry’s bi-dimensional model of acculturation, this study examined acculturation strategies among first-generation Korean immigrant older adults residing in areas without a well-established Korean ethnic enclave and how their acculturation strategies are associated with psychosocial adaptation and acculturative stressors. Cluster analysis (N = 108) identified three acculturation strategies such as separated, moderately bicultural, and fully bicultural, indicating that the sample did not exhibit all four acculturation strategies of Berry’s model. The moderately bicultural group of the sample was the most dominant in size, which indicated strong adherence to Korean culture. The fully bicultural group reported less acculturative stress and depressive symptoms than the separated group, which indicated that biculturalism is strongly associated with a better psychosocial adaptation. A factor analysis showed that the separated group perceived stressors such as limited English proficiency and social isolation as more stressful than the other groups. The findings suggest that even though a strong adherence to ethnic culture might be a first-generation Korean immigrant older adults’ dominant acculturation strategy, it may make them more vulnerable to lingual and cultural barriers in a mono-cultural community without Korean ethnic enclaves. Implications for social work practice are explored.     

Acculturative stress in the adjustment of immigrant families

This study reviews the issue of acculturative stress in immigrant families. Acculturative stress includes behaviors experienced by immigrants that are a direct consequence of the process of acculturation and adaptation to a new society. A number of stressors impacting on the acculturation of immigrant families is discussed. These stressors include lack of English language skills, employment and economic status, educational background, family life, and sociopolitical and immigration status.     

Stressors experienced by immigrant and other non-native English-speaking students in U.S. schools and their families

Abstract

This literature-based study of stressors experienced by recent immigrant families focuses on their impact on school-aged children. The author, a trainer of teachers of English as a second language and an education researcher specializing in issues affecting students with non-mainstream language backgrounds, identifies stressors resulting from (a) separation of families, (b) changes in familial roles, (c) social and legislative pressure that targets immigrant families, and (d) school bullying and harassment. Many immigrant students experience stressors in all four categories in addition to the stress of learning a new language and adapting to a new culture. To help mitigate the negative impact – which can include difficulty focusing on academics, developmental delays, or problem behavior – the author recommends that schools and communities embrace difference and support the struggles of immigrant students and their families and that schools, in particular, develop cultures and provide resources to help new Americans to thrive despite challenges.     

Interactive effects of work psychosocial factors on participation in workplace wellness programs

This study explored concurrent effects of six work psychosocial factors on current participation and the self-reported likelihood of future participation in workplace wellness programs using a cross-sectional survey, an ad hoc focus group, and structured interviews. Classification and regression tree analysis was used to analyze survey responses from 343 employees (194 nonparticipants, 95 participants, and 54 engaged participants). A thematic analysis of focus group (n?=?7) and interview (n?=?5) narratives was also undertaken. In combination with high work control, high superior support was associated with an engaged participant profile. Job demand was the third important variable with low and very high levels associated with participation. With regard to high likelihood of future participation, among respondents with age older than 50, high predictability of occupational activities and control were identified as a significant factor, and among others, high superior support and control. The analysis of narratives revealed peer relations and flexible working hours to be positively linked to participation and general job stress was identified as having a bidirectional relationship. Employees stated that stress led them to take advantage of these programs as a source of relief and that their availability/participation has contributed to lowering their stress. These findings inform practitioners about the importance of addressing poor psychosocial factors as a participation barrier and having a holistic approach to employee well-being.     

Characteristics and factors impacting reunification outcomes among Vietnamese immigrant families in the child welfare system

Using a mixed methods approach, this study examined reunification processes and outcomes among Vietnamese immigrant families involved in the child welfare system. A quantitative design was used to describe characteristics and reunification outcomes of Vietnamese immigrant children and families who are involved in family reunification services. Qualitative methods were used to explore factors that may influence reunification outcomes among Vietnamese families.The quantitative portion of the study included an exploratory design using administrative data from one county in the Northern California. The quantitative sample (N = 32) included children entering the foster care system for 8 or more days between January 1, 2001 and December 31, 2007 from child welfare administrative data (CWS/CMS) which was merged with eligibility data (CalWIN) in order to obtain parent and child place of birth to determine country of origin. The qualitative study included an exploratory design using interview data from child welfare workers (N = 8) and Vietnamese immigrant parents who had successfully reunified (N = 7).Quantitative results indicated that the most common type of maltreatment leading to entry into care was caretaker absence or incapacity, an abuse category that is often used in cases of parental substance abuse. 53.8% of Vietnamese immigrant children in the quantitative sample reunified with their parents, which is close to the national rate of reunification. Qualitative findings pointed to the importance of the following factors within reunification: acculturation-related issues, parental substance abuse, child welfare worker cultural competency and issues related to service availability and effectiveness. Implications for social work practice and policy are discussed.     

Effective child welfare practice with immigrant and refugee children and their families

This article presents a multistage migration framework to broaden the lens through which child welfare personnel can view immigrant and refugee families and their children. By better understanding the family's experiences in both emigration and immigration, including reasons for leaving their home country, experiences in transit, and reception and resettlement experiences in the United States, child welfare personnel are better equipped to assess their needs and provide effective prevention, protection, permanency, and family preservation services. Case examples illustrating the application of the framework and guidelines for program and practice are included.     

The experiences of African immigrant mothers living in the United Kingdom with a child diagnosed with an autism spectrum disorder: an interpretive phenomenological analysis

Interpretive phenomenological analysis was used to investigate the experiences of six African immigrant mothers living in the United Kingdom with a child diagnosed with an Autism Spectrum Disorder (ASD). The mothers took part in one-off, semi-structured interviews. Four themes were identified: caring for a child we did not expect, the pain of stigma and rejection, frameworks of meaning, and negotiating conflicting cultural beliefs. Many aspects of the mothers’ experiences appear related to their position as immigrants from cultures with contrasting belief systems regarding child development and disability. Conflicts between African cultural beliefs and a western, medical understanding of ASD appeared to create a feeling of cognitive dissonance for the mothers. The strategies used to negotiate this appear to map onto Berry’s acculturation strategies, suggesting that the experience of having a child with ASD impacts upon the acculturation process. Implications for clinical practice and policy are discussed.     

Serving immigrant families and children in New York City's child welfare system

This article describes the efforts and special initiatives of New York City's Administration for Children's Services to improve services to immigrant and English language learner populations. Children's Services convened an immigration issues advisory subcommittee, created special tools for child welfare staff, collaborated with legal agencies to assist foster children with immigration status adjustments, improved agency data collection, and launched an agency-wide training initiative on immigration issues. The challenges encountered by Children's Services offer important insight for child welfare agencies in other jurisdictions designing strategies to strengthen their services for immigrant communities.     

Housing hardship and energy insecurity among native-born and immigrant low-income families with children in the United States

The costs for rent and utilities account for the largest share of living expenses, yet these two critical dimensions of material hardship have seldom been examined concurrently in population-based studies. This paper employs multivariate statistical analysis using American Community Survey data to demonstrate the relative risk ratio of low-income renter-occupied households with children experiencing ‘rent burden', ‘energy insecurity', or a ‘double burden’ as opposed to no burden. Findings suggest that low-income households are more likely to experience these economic hardships in general but that specific groups are disproportionately burdened in different ways. For instance, whereas immigrants are more likely to experience rental burden, they are less likely to experience energy insecurity and are also spared from the double burden. In contrast, native-born African Americans are more likely than all other groups to experience the double burden. These results may be driven by the housing stock available to certain groups due to racial residential segregation, decisions regarding the quality of housing low-income householders are able to afford, as well as home-country values, such as modest living and energy conservation practices, among immigrant families. This paper also points to important policy gaps in safety net benefits related to housing and energy targeting low-income households.     

A comparative study of immigrant and non-immigrant families in Canada with special reference to income, 1986

A comparison of immigrant and non-immigrant families in Canada based on unpublished data from the 1986 Consensus of Canada indicates that immigrant families have stronger family ties and higher income than their non-immigrant counterparts. This could be partly because immigrant families contain higher proportions of their members at prime working ages, higher proportions with three or more employment income recipients and higher proportions working full year full time. As the period of residence in Canada of immigrants increases, the difference in income between immigrant and non-immigrant families increases. However, the income difference is smaller for husband-wife and male lone-parent families than for female lone-parent families. The multivariate analysis of family income indicates that age and family type have overwhelming effects and that place of birth is third in importance. Immigrant families from the US, UK, Europe (excluding Southern Europe) and Africa have higher incomes than families from other places of birth.
Both non-immigrant and immigrant husband-wife and male lone-parent families derive about 75 per cent of their total income from wages and salaries, whereas non-immigrant and immigrant female lone-parent families derive about 62 and 68 per cent respectively. Non-immigrant female lone-parent families derive about 24 per cent of their income from government transfers, whereas immigrant female lone-parent families derive about 16 per cent. With the exception of Old Age Security payments and Guaranteed Income Supplement, government transfers such as Canada and Quebec Pension Plan payments, unemployment insurance benefits, family allowances, worker's compensation, provincial income supplements and tax credits are smaller for immigrant families both in dollar amounts and as proportions of their total income for the non-immigrant families.     

Healthy children in families affected by AIDS: Epidemiological and psychosocial considerations

Traditional means of conceptualizing the psychosocial impact of AIDS have emphasized infected individuals out of their natural context AIDS occurs not simply within hospitals but within families. A secondary morbidity occurs within a family system when one of its members is infected. Clinical experience suggests that non-infected children within families with AIDS are at significant risk for poor developmental outcomes as a consequence of the skewing of familial resources. Children living in families who have a member infected by HIV are impacted by isues such as stigma, isolation, abandonment, and death. This article explores the epidemiology of this child population and risk factors that render them vulnerable. Social workers are in a unique position to identify and serve these children in such diverse settings as schools, welfare agencies, and hospitals. Suggested interventions based on the developmental stage of the child are discussed as are implications for policy formation and program development.     

A preliminary evaluation: Demographic and clinical profiles and changes in functioning in children receiving psychosocial rehabilitation

The present study is the first to examine the demographic and clinical profiles at intake of children, ages 4 to 18 years, who received Child Psychosocial Rehabilitation (CSPR), a relatively new community-based treatment model for children with emotional disturbance. In addition, the relationship between the relative change in psychosocial, emotional, and behavioral functioning as measured by CAFAS (Hodges, 1989, 1994, 2000) and PECFAS (1994, 2000) scores and the children's age, gender, ethnicity, current living arrangement, internalizing and externalizing behaviors, and severity of impairment at intake were evaluated. Fifty-three children received CPSR for a minimum of six months from a for-profit outpatient child and adolescent mental health clinic located in southwestern Idaho. Significant improvement in the children's overall functioning was found after six months of treatment. Middle or high school age children demonstrated significantly more impairment at intake compared with their younger counterparts. No significant differences in overall functioning were revealed considering the characteristic of gender, living arrangement and clinical profiles at intake.     

Solidarity and conflicts in coresidence of three-generational immigrant families from the former Soviet Union

The article presents findings from a qualitative study of three-generational immigrant families from the former Soviet Union living in Israel in shared households, exploring issues of solidarity and conflict. Data were collected through in-depth interviews with 30 respondents from 12 families. Seven central themes reflecting different aspects of solidarity and conflict emerged: (1) division of household chores (reflects functional and normative solidarity), (2) money management, (3) economic and housing (reflect functional solidarity), (4) emotional support, (5) involvement with intimate relations of the other generation (reflect affectual solidarity), (6) space and privacy, and (7) education of children and value transmission (reflect normative solidarity). These themes reflect the dynamics of intergenerational family relations and represent the meaning systems that these families have worked out to make sense of their shared living experiences.     

How discrimination in adoptive,foster, and medical systems harms LGBTQ+ families: Research on the experiences of prospective parents

Abstract

LGBTQ+?people face multiple challenges to parenthood because of barriers such as discriminatory legislation and policies influencing foster parenting, adoption, and reproductive health services. This study documents these obstacles and examines their impact through a grounded theory analysis of interviews of LGBTQ+?prospective parents. Stressors included social isolation, unnecessary medicalization, prohibitive financial costs related to accessing social and medical services (sometimes across state lines), and being denied services, parental leave, and insurance coverage. Findings indicate that heteronormative attitudes and discrimination can lead to debilitating and enduring harm upon the economic, emotional, and relational well-being of growing LGBTQ+?families.     

Talking about culture in social work encounters: immigrant families and child welfare in Finland

This article aims at analysing the ways in which people talk about ‘culture’ in social work encounters involving child welfare in immigrant families. The empirical material includes conversations between immigrant clients, their social workers and co-operating professionals at six Finnish social service offices, as well as interviews with the persons participating in these meetings. The theoretical and methodological frames of reference are social constructionism and discourse analysis. The study suggests three ways in which the concept of ‘culture’ is used by social workers and their clients: firstly, as a means of explaining ‘the ordinary and normal ways’ of raising children; secondly, as ‘a difficulty’ in the interaction between social workers and clients; and thirdly, as ‘a methodical tool’ in creating dialogue with clients. As far as the practical implications for social work are concerned, it is emphasized that in order to avoid ethnocentric practice or ‘culturalization’ of problems, it is important for social workers to be conscious of the various meanings of ‘culture’ both in their own practice and in the ways their clients employ cultural symbolism.     

Older people in America's immigrant families: Dilemmas of dependence,integration, and isolation

Immigration to the US has given rise to a population of older people who migrate here to be close to their children. Although highly integrated into their intergenerational families, these seniors voice dissatisfaction with their lives in the US. Intensive interviews with 28 transnational seniors demonstrate that their dissatisfaction stems from the contradictions between high cultural expectations for family sociability and structural constraints on kin interaction in the US. Their dissatisfaction is exacerbated by factors isolating them from social contacts outside the family. Although mobility limitations and not speaking English contribute to their isolation, immigrant families play a role. Older people are sometimes isolated by heavy domestic responsibilities in their child's household, solicitous offspring who insulate parents from practical aspects of daily life, and by a collective family ethos that calls on aging parents to subordinate their needs to those of other family members.     

The transmission of language and religion in immigrant families: a comparison between mothers and children

The aim of this paper is to explore intergenerational transmission of values in immigrant families, focusing on the mother–child relation. Drawing on qualitative interviews with women and young people of immigrant origin, the paper analyses how mothers and children negotiate parental styles on transmission of cultural values – the importance of language and religion. The following dimensions will be analysed: (1) the language: which language is spoken in the family – mother tongue or Italian – and how the mother tongue is transmitted to children; (2) the importance given to the meanings and the practices of religion that the family professes. For this purpose we are going to compare Asian and East European women and children living in different urban and rural contexts of the Lombardy region.     

Developing culturally competent marriage and family therapists: guidelines for working with Hispanic families

As the Hispanic population of the United States continues to grow, so will the need for therapists who have been trained to work with Hispanic families. This content analysis of the available treatment literature generated several specific guidelines that can be used in training and evaluating culturally competent therapists. Guidelines included: Use family therapy, act as advocate for the family, assess immigration experience, assess acculturation, respect father, interview family subsystems separately, do not force changes, provide concrete suggestions, and warmly engage the family. Empirical and conceptual support for each guideline is discussed and several conclusions are made regarding culturally competent therapy with Hispanic families.