Tips for successful home visits with Latino families:Julie Smithwick, LMSW Executive Director, PASOs
Objectives 1. Explain different social, political, economic and cultural dynamics that may affect relationships between Latino individuals and home visiting professionals. 2. Identify helpful, practical and concrete strategies and resources for providing home visitation services and outreach to Latino families.
PASOs (“steps” in Spanish)Mission PASOs helps the Latino community and service providers work together for strong and healthy families. We do this through education, support and grassroots leadership development.
US population by Race/Ethnicity(2010) Total 308,745,538 100% White 223,553,265 72.4%Hispanic/Latino 50,477,594 16.3 %African American 38,929,319 12.6 %Source: US Census Bureau
Definition of Hispanic or Latino Origin Used in the 2010 Census“Hispanic or Latino” refers to a person ofCuban, Mexican, Puerto Rican, South orCentral American, or other Spanishculture or origin regardless of race
US Hispanic/LatinoPopulation More than half of the growth in the total population of the United States between 2000 and 2010 was due to the increase in the Hispanic population2nd largest Hispanic population worldwide 1. Mexico: 108.7 million 2. US: 50.5 million
Immigration status Naturalized citizens: 11.3 million (32%) Legal Permanent Residents: 10.4 million (29%) Unauthorized immigrants (undocumented): 10.3 million (29%) Refugees (immigrants who fled persecution): 2.5 million (7%) Temporary Legal Residents: 1.2 million (3%)
Why Don’t They Just Come theLegal Way? Our economy produces many, many times more jobs for people considered “low-skilled”. Jobs that require little to no education, but a willingness to do very hard work. Jobs that research has shown many Americans are unwilling to do The employment-based system is dysfunctional, particularly for “low- skilled” workers: under the law, a maximum of 10,000 permanent visas are available per year for employer- sponsored workers other than those who are “highly skilled” or “holding advanced degrees.”
We can tell people to wait their turn in line, however…..For a Mexican (or a Guatemalan, a Filipino, aPole, or folks from many other countries) whodoes not have a college degree and has no closerelatives who are U.S. citizens or green card-holders, there is almost certainly no line for themto wait in:Without reform to the immigration system, theywill not be able to migrate “the legal way” to theU.S., not if they wait ten years, not if they wait fiftyyears.
States with Largest Hispanic Population Growth, 2000-2010 State Growth State Growth 2000-2010 2000-2010 (%) (%) South Carolina 148 Maryland 106 Alabama 145 Mississippi 106 Tennessee 134 South Dakota 103 Kentucky 122 Delaware 96 Arkansas 114 Georgia 96 North Carolina 111 Virginia 92Source: Pew Hispanic Center tabulations of U.S. Census Bureau Redistricting_Files-PL_94-171 for statesPEW HISPANIC CENTER, March 2011
Counties with Largest Latino PopulationCounty Latino PopulationGreenville 36,495Beaufort 19,567Charleston 18,877Richland 18,637Horry 16,683Spartanburg 16,658Lexington 14,529Berkeley 10,755York 10,075Aiken 7,824
Counties with Largest LatinoShare of Total Population (%)County % of Total PopulationJasper 15.1Saluda 14.4Beaufort 12.1Greenville 8.1Newberry 7.2
Counties with Largest Latino Population Growth (%)County % of Total PopulationMarlboro 290.2Dorchester 252.8Lexington 250.4Lancaster 246.0Horry 229.9
Barriers to Traditional Health Care Services and Programs for Many Immigrants SB 20 law English language proficiency Transportation Insurance Fear Need for information on health care system Acculturation levels Discrimination
SC Illegal Immigration Reform Act (H. 4400)Signed by Governor Mark Sanford onJune 4, 2008◦ E-verify◦ Undocumented children cannot attend state Colleges and Universities
SC Illegal Immigration Reform Bill (SB 20)Signed by Governor Nikki Haley on June27, 2011◦ Local police officers required to check the immigration status of anyone they suspect is here illegally◦ Immigrants required to carry federal alien registration documents◦ Prohibits to knowingly harbor or transport an undocumented person
What are some of the effects ofthese laws? Lack of trust in health care providers and/or system Women, children, families not getting health care Outbreaks Questions not getting answered Missing things People feeling scared, undignified
What can we do? Reach out and show compassion Make everyone feel safe, welcome Have an “LEP” (Limited English Proficiency) plan for people who speak limited English Do not ask questions about status, SSNs; never use word “illegal” or make assumptions “Sometimes we need to take off our uniforms and put on our humanity.”- Columbia police officer
June 2012President Obama announced that youngundocumented Latinos will not be deportedand that they may apply for work permits fortwo years as a temporal measure
Culture: Some common characteristics… Most common language: Spanish Religion: Roman Catholics Traditional belief systems Value on the family
Parentesco - Family ideology Confianza (the importance of trust) Personalismo (personal relationships)•Respeto (respect) for elders, teachers,doctors•Communication style (to the point?)•Children do not leave home at 18
Latino namesPedro Gómez Martínez María Torres Pérez Maria Lucía Gómez Torres Maria Lucía Torres Maria Lucía Gómez Maria Lucía Gómez-Torres Maria Lucía Gómez Torres
When people get married…. Most DON’T change their last namePedro Gómez Martínez María Torres Pérez 1)María Torres Pérez 2)María Torres de Gómez 3)María de Gómez 4)María Gómez
Latino CulturalValues Social gatherings Personal space (?) Desire to adapt to U.S. culture and maintain their own culture at the same time Desire to learn English
What are some cultural differences we might notice? Relationship with “doctor” (which can mean all providers) much more formal Non-verbal behaviors: ◦ looking to advocate or family ◦ looking away from professional normal ◦ nodding to “please” Concept of time more flexible Use of natural medicine
What can we do? Need to develop confianza (trust, rapport) Small talk about family, home country, children if appropriate Acknowledge traditions and natural remedies—assess for safety Ask how they want their name and their baby’s names to be—exactly.
How should we communicate? English vs. Spanish (or native language)- preferable to use native language but let client decide. If Spanish, use qualified interpreters— not children, family members, or students. Relationship with family and/or advocate strong and built on trust…involve if possible and if feels safe (but not as interpreters)
Teaching/assessingknowledge Use open-ended questions Instead of “do you have any questions?” Use: “Tell me what else you want to know.” Instead of “Do you understand?” Ask:“I want to make sure I told you things right. Can you tell me how you’re going to handle this when you get home?”
A thought to leave with…They may forget what you said, but they will never forget how you made them feel.” -Carl W. Buechner
Thank you foryour interest!Contact information:Julie Smithwick803-777-5466 firstname.lastname@example.org