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American Academy of Pediatrics
From the American Academy of PediatricsPolicy Statement

Providing Care for Children in Immigrant Families

Julie M. Linton, Andrea Green and COUNCIL ON COMMUNITY PEDIATRICS
Pediatrics September 2019, 144 (3) e20192077; DOI: https://doi.org/10.1542/peds.2019-2077
Julie M. Linton
Departments of Pediatrics and Public Health, School of Medicine Greenville, University of South Carolina, Greenville, South Carolina;Department of Pediatrics, School of Medicine, Wake Forest University, Winston-Salem, North Carolina; and
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Andrea Green
Larner College of Medicine, The University of Vermont, Burlington, Vermont
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    FIGURE 1

    Population of immigrant children in the United States, 2017. Reprinted with permission from The Annie E. Casey Foundation, KIDS COUNT Data Center, https://datacenter.kidscount.org.

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    FIGURE 2

    CIF, 2016. Reprinted with permission from The Annie E. Casey Foundation, KIDS COUNT Data Center, https://datacenter.kidscount.org.

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    TABLE 1

    Definitions

    TermDescription
    Children in immigrant families (CIF)Children who are foreign born and those who are born in the United States and have at least 1 parent who was foreign born
    Immigrant childrenChildren born outside the United States
    Lawful permanent residents (LPR)Immigrants with permission to live and work permanently in the United States
    RefugeeChildren or adults who fled persecution in their home countries and legally entered the United States after being screened and approved by US agencies abroad
    AsylumStatus that can be granted to people already in the United States who have a well-founded fear of persecution by or permitted by their government on the basis of 1 of 5 grounds and who satisfy the requirements for refugee status
    T nonimmigrant status (“T visa”)Victims of severe forms of trafficking who can demonstrate that they would suffer extreme hardship involving unusual or severe harm if removed from the United States
    U nonimmigrant status (“U visa”)Victims of certain serious crimes who have cooperated with law enforcement in the investigation or prosecution of the crime
    Special immigrant juvenile status (SIJS)Noncitizen minors who were abused, neglected, or abandoned by 1 or both parents
    Temporary protected status (TPS)Status granted to individuals physically present in the United States who are from countries designated by the Secretary of the US Department of Homeland Security as unsafe to accept their return
    J-1 classification (exchange visitors)Status granted to those who intend to participate in an approved program for the purposes of teaching, instructing or lecturing, studying, observing, conducting research, consulting, demonstrating special skills, receiving training, or receiving graduate medical education or training
    Deferred Action for Childhood Arrivals (DACA)Temporary relief from deportation with strict criteria based on age of arrival to United States, whether the individual is in school or working, and whether the individual has no criminal offenses or threats
    Deferred Action for Parents of Americans and Lawful Permanent ResidentsTemporary relief from deportation for parents of children who are US citizens or have LPR that was never implemented
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    TABLE 2

    Questions to Elicit the Patient Explanatory Model

    Questions
    1. What do you call this problem?
    2. What do you believe is the cause of this problem?
    3. What course do you expect it to take? How serious is it?
    4. What do you think this problem does inside your body?
    5. How does it affect your body and your mind?
    6. What do you most fear about this condition?
    7. What do you most fear about the treatment?
    • Copyright 2006 Kleinman and Benson.45 Reprinted under the terms of the Creative Commons Attribution License.

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Pediatrics
Vol. 144, Issue 3
1 Sep 2019
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Providing Care for Children in Immigrant Families
Julie M. Linton, Andrea Green, COUNCIL ON COMMUNITY PEDIATRICS
Pediatrics Sep 2019, 144 (3) e20192077; DOI: 10.1542/peds.2019-2077

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Providing Care for Children in Immigrant Families
Julie M. Linton, Andrea Green, COUNCIL ON COMMUNITY PEDIATRICS
Pediatrics Sep 2019, 144 (3) e20192077; DOI: 10.1542/peds.2019-2077
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  • Article
    • Abstract
    • Demographics
    • Resilience and Integration
    • Cultural Humility and Safety
    • Care of CIF: Core Competencies
    • Practice-Level Barriers and Potential Opportunities
    • Systems-Level Barriers and Potential Opportunities
    • Immigration and Related Legal Issues
    • Summary and Recommendations
    • Conclusions
    • Lead Authors
    • Council on Community Pediatrics Executive Committee, 2017–2018
    • Liaisons
    • Staff
    • Acknowledgment
    • Footnotes
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