BUILDING STRONGER CONNECTIONS & A SAFE SPACE FOR UNDOCUMENTED PATIENTS

phdreamers.org

Yadira Ortiz, Executive Director, Pre-Health Dreamers

Maria De Los Angeles Almaraz, Project Coordinator, Pre-Health Dreamers

Denisse Rojas Marquez, MPP, Co-Founder,

Lucy Ogbu-Nwobodo, MD, MS, MAS, MGH/McLean Psychiatry Resident

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Proper self-care is a revolutionary act for immigrants!

EXAMPLES�

CONCRETE WAYS TO SERVE THE UNDOCUMENTED COMMUNITY

• Establish partnerships between non-profits with community healthcare workers.
• Translators from community = partnerships
• Write letters to support legal cases and or removal of bracelets from detention centers
• Coordinate with traditional healers for patients who believe in non-traditional medicine.
• Include your diversity, equity and inclusion taskforce.
• Provide training to your staff to increase cultural awareness, knowledge, and skills.

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Source: http://files.kff.org/attachment/Issue-Brief-Health-Coverage-and-Care-of-Undocumented-Immigrants

CONCRETE WAYS TO SERVE THE UNDOCUMENTED COMMUNITY

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• Learn about health coverage and the process for immigrants.
• Include family and community members in health care decision making.
• Expand hours of operation.
• Reminder: Find outside organizations that work with the population! Do not put it on your patients to teach you or tell their story.

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GOING BEYOND DIVERSITY TRAINING

ADVOCACY - CONNECTING TO COMMUNITY RESOURCES

• If you are faculty, include advocacy into your didactics, curriculum and scholarly products.
• Administrators - Equip physicians to address workplace discrimination, deportation fears or asylum evaluations, increasing diversity in faculty/staff.
• This will be team effort/”taskforce”
• Connect with lawyers and advocacy groups which are vital for patients.
• Medical professionals caring for undocumented patients should become familiar with community organizations and contact these partners for help. (AMA Journal of Ethics issue on Undocumented Immigrants)

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RESOURCES FOR ATTENDEES

unitedwedream.org/wp-content/uploads/2017/10/F_NLPA-UWD-Mental-Health-Resources.pdf

https://19lwtt3nwtm12axw5e31ay5s-wpengine.netdna-ssl.com/wp-content/uploads/2020/02/Coping_Resources_English.pdf

Know Your Rights, Know Your Patients’ Rights

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https://www.ilrc.org/sites/default/files/resources/family_preparedness_plan.pdf

bit.ly/3gQWx3J

RESOURCES FOR ATTENDEES

• Additional resources in California
• Medi-Cal
• ​​​​​​​​​​​​​​​​​​Young Adult Expansion
• Immigrant-health-community-packet
• Covered California Eligibility: How do I know if I qualify?
• COVID-19 Resource Guide for California Immigrants
• California Health Care Resources for Undocumented Immigrants from Hispanas Organized for Political Equality (HOPE)

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Proper self-care is a revolutionary act for immigrants!

THANK YOU!

CITATION

Immigrants And Health Care: Sources Of Vulnerability

https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.26.5.1258

Health Policy Brief: Reducing Access Disparities in California by Insuring Low-Income Undocumented Adults

https://healthpolicy.ucla.edu/publications/Documents/PDF/2019/undocumented-policybrief-feb2019.pdf

Health Coverage and Care of Undocumented Immigrants

https://www.kff.org/racial-equity-and-health-policy/issue-brief/health-coverage-and-care-of-undocumented-immigrants/

Potential benefits, limitations, and harms of clinical guidelines

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1114973/

Evidence-based clinical guidelines for immigrates

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168666/pdf/183e824.pdf

Medicine's Authority to Advocate: Responsibilities and Limitations

https://journalofethics.ama-assn.org/article/medicines-authority-advocate-responsibilities-and-limitations/2014-11

Cultural Competence in Health Care: Is it important for people with chronic conditions? (what is cultural competence in health care?)

https://hpi.georgetown.edu/cultural/

Best Practices for Teaching Care Management of Undocumented Patients

https://journalofethics.ama-assn.org/article/best-practices-teaching-care-management-undocumented-patients/2019-01

Access to health care for undocumented migrants from a human rights perspective: A comparative study of Denmark, Sweden, and the Netherlands

https://www.hhrjournal.org/2013/08/access-to-health-care-for-undocumented-migrants-from-a-human-rights-perspective-a-comparative-study-of-denmark-sweden-and-the-netherlands/

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CITATION

IMMIGRATION ISSUES: HOW TO CHOOSE WHICH DOCTOR YOU ASK TO WRITE A LETTER IN SUPPORT OF AN IMMIGRATION CASE?

http://familyvoices.org/wp-content/uploads/2018/06/FV-Immigration-Toolkit-How-to-Choose-Physician-to-Write-Letter-English-8.2017r.pdf

Guidelines for support letters- NILC

https://drive.google.com/file/d/1VONpjFM_CIBqaLgHtYpETQxkJ5UykJ6Q/view?usp=sharing

Undocumented and Uninsured Part 1

https://www.labor.ucla.edu/publication/undocumented-and-uninsured-part-1-no-papers-no-health-care/

https://www.labor.ucla.edu/wp-content/uploads/2018/06/UndocumentedandUninsuredPart2.pdf

NILC Family Preparedness Plan

https://www.ilrc.org/sites/default/files/resources/family_preparedness_plan.pdf

Supporting Mental Health of Immigrant Communities

https://www.mhanational.org/sites/default/files/1245p2%20Paredes.pdf

The Coalition for Immigrant Mental Health (CIMH)

https://ourcimh.org

Mental Health Resources for U.S. Immigrants

https://www.verywellmind.com/mental-health-resources-for-people-who-immigrated-to-the-united-states-5079531

Mental Health: Taking Care of Yourself and Loved Ones

https://www.informedimmigrant.com/resource-type/mental-health/

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