By: Debbie Allen, Andrea Cvijanovic, Tracy Smith, & Sarah Henderson Vulnerable Population: Immigrants
Define your population
“ An immigrant is a person who resides in the United States after successfully petitioning for permission to enter as a legal alien resident and ultimately seek naturalization as a U.S. citizen.”
Immigrants work in conjunction with a US sponsor who is financially responsible for the immigrant
Facts about immigration in the United States
The foreign-born population of the US is 9.5 percent of the total population (in 2000).
Australia: 22. 7%
Los Angeles is home to one fifth of the US Hispanic population
Immigrants are significantly more likely to be self employed than natives
The proportion of immigrants with bachelor 's or postgraduate degrees is much higher than the proportion of the native labor force.
Immigrants are a vulnerable population.
Individuals made vulnerable by :
financial circumstances or place of residence
functional or developmental status
ability to communicate effectively
presence of chronic or terminal illness or disability
populations less able than others to safeguard their own needs and interests adequately
How does culture or diversity affect this population?
Immigrants arrive and they overwhelmed with feelings of shock and arousal due to a new environment.
These feelings can lead to misunderstandings and loss of trust due to differences in culture.
Immigrants can reject or directly assimilated into the culture. This results from ability to incorporate the present or live in the past.
Depending on the importance to preserve the primary culture the immigrants either become integrated or they naturally assimilate.
All of these depend on both the individual and familial coping strategies.
Healthcare problems for immigrants
Illegal immigrants are afraid to seek for care in fear of deportation.
Finding an interpreter
Health insurance when they first arrive
Since many own private business, they have to get healthcare on their own and many ignore that need.
Are there any laws or legislation to protect these individuals?
Federal immigration law determines whether a person is an alien, the rights, duties, and obligations associated with being an alien in the United States, and how aliens gain residence or citizenship within the United States.
It also provides the means by which certain aliens can become legally naturalized citizens with full rights of citizenship. Immigration law serves as a gatekeeper for the nation's border, determining who may enter, how long they may stay, and when they must leave.
Naturalization Act of 1790
Immigration Act of 1924
The Nuremberg Code of 1947
Immigration and Nationality Act of 1952
On March 1, 2003, the Department of Homeland Security opened, replacing the Immigration and Naturalization Services ( INS).
What is the CHN's role in advocating for this population?
Listen actively to the other person’s perception of the concern
Explain your perception of the concern
Acknowledge and discuss differences and similarities.
Negotiate an agreement on a plan
They are always looking out for the best interest of this population
Find appropriate interpreters
Be aware of abuse/neglect and other stress related disorders
Consider appropriate referrals
Deliver care that is sensitive to the patient’s cultural views.
(2009). Immigration, immigration law: an overview. Retrieved July 21, 2009,from Cornell University Law School Web site: http:// topics.law.cornell.edu/wex/Immigration
Frey, William F. (2002). US immigration facts. Retrieved July 21, 2009, from Rapid Immigration Web site: http://www.rapidimmigration.com/usa/1_eng_immigration_facts.html
Lambdin, Cindy Introduction to vulnerable populations and preparedness planning. Retrieved July 21, 2009, from Center for Infectious Disease & Emergency Readness Web site: http://www.idready.org/webcast/materials/spr07/vulnerable_populat ions/20070403/Introduction_to_Vulnerable_Populations_and_Prep aredness_Planning_Revised_cjl_4_3_07_37.ppt
Ruof, Mary C. (2005). Vulnerability, vulnerable population, policy. Retrieved July 21, 2009, from Kennedy Institute of Ethics Web site: http://bioethics.georgetown.edu/publications/scopenotes/sn44.pdf
Bogomolov, B. (2009). Refugee Health Service. BJH Center for Diversity