Community-based Trauma-informed Care following Immigrant Family Reunification: A Narrative Review.

Abstract Many immigrant families made the decision to separate from their children and migrate to the United States (U.S.) hoping to reunite when able. Contrary to what is envisioned, the ultimate reunification can be a challenging transition. Reestablishing the parent-child relationship can be hindered by the anger, distress, vulnerability, and abuse the child may have experienced during the separation leading to behavioral concerns and depressive symptoms. The culmination of trauma and adverse childhood events (ACEs) prior to and following reunification is associated with an increased risk of anxiety, depression, behavioral disorders, and toxic stress. Unaddressed, these issues can lead to poor adult psychiatric health and limit a child's educational success and potential lifetime earnings. Trauma-informed programming has been an effective tool in addressing the mental health needs of refugee and immigrant children and may benefit this particular group of reunified families when held in a community setting alongside peer support. Familias Reunidas and Family Reunification and Resiliency Training (FUERTE) are two community-based programs that successfully guided recently reunified families through the process of reconnecting. Review of these programs suggests there is significance in the collaboration of healthcare providers, education specialists, and community liaisons in program creation, cultivation of a supportive group environment, incorporation of trauma-informed principles, and partnership with a community establishment. These components can lead to a reunification program that provides access to mental health services in order to work towards eliminating the health disparities affecting these families. Brief Summary: Family reunification can be a challenging transition for recently immigrated children whose parent(s) immigrated to the U.S. years before them. Community programming could provide access to trauma-informed care to overcome the emotional distress reunification can cause within families.