Dr. Kohrt is with the Department of Psychiatry, George Washington University, Washington, D.C. Dr. Lu is with the Department of Psychiatry and Behavioral Sciences, University of California, Davis. Dr. Wu is with the Department of Child and Adolescent Psychiatry and Dr. Hinton is with the Department of Psychiatry, both at Massachusetts General Hospital and Harvard Medical School, Boston. Dr. Aggarwal and Dr. Lewis-Fernández are with the Department of Psychiatry, Columbia University, and with New York State Psychiatric Institute, New York. Dr. Parekh is with the Division of Diversity and Health Equity, American Psychiatric Association, Washington, D.C. Dr. Rousseau is with the Department of Psychiatry, McGill University, Montreal. The authors are members or guests of the Cultural Psychiatry Committee of the Group for the Advancement of Psychiatry. Dr. Kohrt is the project coordinator and Dr. Lewis-Fernández is the committee chair. Dr. Lewis-Fernández is also editor of this column.
Psychiatr Serv. 2018 Dec 1;69(12):1200-1203. doi: 10.1176/appi.ps.201800076. Epub 2018 Aug 20.
Recent changes in U.S. immigration policies and enforcement have precipitated a 300% rise in arrests and planned deportations. Although some family members face deportation, other family members may have state-sanctioned status. Such mixed status puts hundreds of thousands of families at risk of forced separation and associated mental health problems. Building on cross-cultural work with refugee families and other groups and on work with families separated by parental incarceration, the authors provide recommendations to guide clinicians working with families who are separated or who fear separation. Mental health problems among separated families can in part be addressed through identifying the origins of distress, elucidating family structures and roles, strengthening communication practices, linking with legal and economic resources, and facilitating decision making through distress reduction.
最近美国移民政策和执法的变化导致逮捕和计划驱逐出境的人数增加了 300%。尽管一些家庭成员面临被驱逐出境，但其他家庭成员可能具有州批准的身份。这种混合身份使数十万家庭面临被迫分离和相关心理健康问题的风险。基于对难民家庭和其他群体的跨文化工作以及对因父母入狱而分离的家庭的工作，作者提出了一些建议，以指导为可能分离或担心分离的家庭提供服务的临床医生。通过确定痛苦的根源、阐明家庭结构和角色、加强沟通实践、与法律和经济资源联系以及通过减轻痛苦来促进决策，可以部分解决分离家庭的心理健康问题。
