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ELMORE STOUTT HIGH SCHOOL
ELECTRONIC DOCUMENT PREPARATION AND
MANAGEMENT
EDPM ASSIGNMENT # 2 – RESEARCH - EMAIL
CASE
As a member of the computer club at your school, you are
tasked with conducting research to share with your club
members. Conduct research on cloud storage to sensitize the
students in your club.
Your task is to obtain and summarize the information, prepare it
for dissemination via e-mail, and state all sources in an
appropriate bibliography.
DO NOT COPY AND PASTE ANY INFORMATION/CHARTS
FROM WEBSITES, YOU WILL BE PENALIZED.
GUIDELINES
1. Provide: Title and Cover pages
2. Provide a Table of Contents
COMPONENTS OF THE RESEARCH
1. Definition/explanation of what cloud storage is.
2. Difference between cloud and local storage.
3. A table showing five (5) examples of types of cloud storage
options available to users and their cost.
4. Comparison of two types of cloud storage options.
5. Explain two (2) challenges associated with cloud storage.
ADDITIONAL INSTRUCTIONS
· Utilize Footnotes/Endnotes (two to be used in total; either one
of each, or two of one) 9. Utilize line ending hyphenation (at
least twice)
· Provide a bibliography, using the APA format. You include at
least THREE references, including references from a book,
newspaper and Internet sources.
· Print screen or screen shot’ of a least two web pages used
(Place on separate pages)
· In an e-mail, attach the research paper and the web links used.
· ‘Print screen or screen shot’ the email page, showing:
i) The two attachments (the research document and the web
links)
ii) Multiple recipients addressed inserted in the ‘To, Cc and
Bcc’ sections.
Send To: [email protected]
cc: [email protected] and one other email address [no student
doing EDPM Bcc: 2 other persons, not including students who
are doing the EDPM at ESHS or any other school.
iii) Brief message in the body of the e-mail.
6. Once you have screenshot the email page, insert the
screenshots at the end of your research document.
7. Email the document by October 15, 2021 for electronic
marking.
REMINDERS
· Use a simple cover page; No borders, elaborate font and font
size.
· Use Times New Roman, size 12 for the body of text
· Use Times New Roman, Size 14 for all headings, you may use
all caps or initial caps
· Use appropriate line spacing, TLS after heading and between
paragraphs; DLS between the lines in a paragraph.
· Use appropriate images; Use footnotes or endnotes
meaningfully.
OPIOID EPIDEMIC CASE STUDY 1
Opioid Epidemic Case Study
Gabriela M. Anthony
SPED 620.02
Brett Collins
OPIOID EPIDEMIC CASE STUDY 2
Opioid Epidemic Case Study
Summary of Topic:
Opioids are often prescribed to patients as pain relievers. This
includes drugs such as
oxycodone, morphine, codeine and fentanyl. Heroin is a very
common illicit opiate that is
derived from morphine. Regardless if the opioids are being used
under the direction of a doctor
or not, prolonged use can lead to dependency and addiction. The
misuse of prescription drugs
includes taking the medication in order to feel high, taking a
prescription that is under another
person’s name, and taking the medication in doses other than
what has been prescribed. Opioids
are highly addictive and prolonged use can have detrimental
effects to a person's life. An
addiction to opioids can lead to overdose and even death
(NIDA). While an overdose can be
While pregnancy is often a motivating factor for many women
to get treatment for their
drug addiction, the reality is this is not the case for everyone.
Mothers who are using drugs,
especially opioids, during pregnancy are putting their child at
risk for developing an addiction.
Neonatal Abstinence Syndrome (NAS) is “a drug-withdrawal
syndrome that most commonly
occurs after in utero exposure to opioids” (Tolia, 2015). The
drugs are passed through the
mothers blood into the placenta. NAS is diagnosed using a “
standardized scale that scores the
infant on the presence and severity of common withdrawal
symptoms” (Tolia, 2015). Once these
babies are born they will be cut off throm their supply this
immediately endearing a state of
withdrawal. Their symptoms of withdrawal begin within the
first 24-72 hours after being born
and often include; high-pitched crying, trembling, trouble
sleeping, and many more. Healthcare
workers may rely on opiate replacement therapy if the child's
symptoms are severe enough. They
may turn to “opioids such as methadone or morphine, and then
weaned off over days to weeks”
(Wachman 2018).
OPIOID EPIDEMIC CASE STUDY 3
Critique of Current Scientific Evidence:
Despite the increasing prevalence of NAS, the long-term effects
of maternal opiate
dependence have not been researched fully. No one seems to
really be sure of how this can affect
a child’s development. Researchers believe long-term effects
may include developmental delays,
motor problems, and/or behavioural problems however they
have yet to find conclusive evidence
that would support these theories.
Another big issue with the research being done is that “the
preponderance of evidence is based
on low-quality studies that are uncontrolled, use single-center
or retrospective data, have small
sample sizes, or use quality improvement methodologies not
designed for generalizability”
(Wachman, 2018). Tolia et al. article shares that studies are
often limited to hospital records and
rarely turns to firsthand accounts.
One study stated that “To further select infants in whom drug
withdrawal was the primary
reason for NICU admission, we classified infants as having the
neonatal abstinence syndrome
only if the queried phrase was assigned in the first 7 days of
life” (Tolia et al.). This however
may be detrimental to the research because according to
Stanford Children's Health NAS
symptoms can begin to develop up to 10 days after birth.
Additionally, the “severity of
withdrawal is estimated using various scoring systems, the most
common of which is the
Finnegan Neonatal Abstinence Severity Score.” (Logan et al.).
The diagnosis itself is often
estimated by healthcare providers when urine samples can be
done in order to definitively
determine whether a newborn has traces of opiate in their
system.This too would bring more
clarity and allow researchers to have more credible data.
OPIOID EPIDEMIC CASE STUDY 4
Application and Reflection:
In order to combat NAS more research needs to be done on its
short and long-term
effects. Neonatal Intensive Care Units (NICU) need more
resources to treat children with NAS.
While the cases have increased, new methods have not been
developed to help treat newborns
who are dealing with withdrawals (Tolia et al.). NICUs shoul d
be a key source of information
regarding the effects of NAS.
There needs to be more intervention strategies for both the
mother and child. First and
foremost there needs to be more focus on the opioid epidemic
itself. The government better
regulate the distribution of opioids. Additionally, doctors who
are prescribing opiates freely need
to be investigated, as they are enabling this behavior. There
needs to be more education about
drug use and abuse. Fear mongering is not always the best way
to get people to stay away from
things. Being open about the short and long-term effects of drug
use people may deter people
from using.
The rise in Neonatal Abstinence Syndrome means that more
women are continuing to
abuse drugs while pregnant. Support groups and rehabilitation
facilities should be more widely
accessible especially to expecting mothers. This should extend
after the child is born to help the
women with their sobriety. Children of parents with opiate
addictions need to have a strong
support system whether this be extended family, their own
support groups, or involvement in the
community.
OPIOID EPIDEMIC CASE STUDY 5
References
Logan, B. A., Brown, M. S., & Hayes, M. J. (2013). Neonatal
Abstinence Syndrome. Clinical
Obstetrics & Gynecology, 56(1), 186–192.
https://doi.org/10.1097/grf.0b013e31827feea4
National Institute on Drug Abuse. (2021, May 17). Opioids.
National Institute on Drug Abuse.
https://www.drugabuse.gov/drug-topics/opioids.
Neonatal Abstinence Syndrome. Stanford Children's Health -
Lucile Packard Children's
Hospital Stanford. (n.d.).
https://www.stanfordchildrens.org/en/topic/default?id=neonatal -
abstinence-syndrome-90-
P02387.
Tolia, V. N., Patrick, S. W., Bennett, M. M., Murthy, K., Sousa,
J., Smith, P. B., Clark, R. H., &
Spitzer, A. R. (2015). Increasing Incidence of the Neonatal
Abstinence Syndrome in U.S.
Neonatal ICUs. New England Journal of Medicine, 372(22),
2118–2126.
https://doi.org/10.1056/nejmsa1500439
Wachman, E. M., Schiff, D. M., & Silverstein, M. (2018).
Neonatal Abstinence Syndrome.
JAMA, 319(13), 1362. https://doi.org/10.1001/jama.2018.2640
1Childhood Traumatic Grief: Information for Pediatric
Providers
Why are pediatric providers important for grieving children?
Pediatric providers often support children and families through
the death of a parent, sibling, or other important person.
One in fourteen children will experience the death of someone
close to them by age 181. Following a death, while most
grieving children will successfully adjust to the death in time,
some children may experience a condition called Childhood
Traumatic Grief, in which traumatic stress reactions related to
the death interfere with the child’s ability to grieve and
adjust.
Especially after a death, many families are willing to seek help
for physical complaints. However, they may be reluctant to
ask for help for psychological or emotional issues or be
unaware of a psychological component to physical health.
Pediat-
ric providers are in a unique position to identify children having
ongoing difficulties. Often they are the first professionals
to see a child needing help for Traumatic Grief and, therefore,
in the best position to make referrals.
1 What Is Childhood Traumatic Grief?
Childhood Traumatic Grief is a condition in which children
develop traumatic stress reactions to the death of family mem-
ber, friend, or other important person in their lives. These
symptoms then interfere with the bereavement process. In
Childhood Traumatic Grief, even happy thoughts and memories
of the significant person remind children of the traumatic
way the person died. Children with Traumatic Grief get “stuck”
on the traumatic aspects of the death and cannot proceed
through the normal bereavement process.
Childhood Traumatic
Grief: Information for
Pediatric Providers
One in fourteen children will experience the death of
someone close to them by age 18.
This project was funded by the Substance Abuse and Mental
Health Services Administration (SAMHSA), US Department of
Health and Human Services (HHS).
The views, policies, and opinions expressed are those of the
authors and do not necessarily reflect those of SAMHSA or
HHS.
2Childhood Traumatic Grief: Information for Pediatric
Providers
2 Who develops Childhood Traumatic Grief?
Children with Childhood Traumatic Grief experience the cause
of death as horrifying or terrifying, whether the death was
sudden and unexpected (e.g., due to homicide, suicide, a school
shooting, motor vehicle accident, drug overdose, natural
disaster, war, terrorism) or due to natural causes (e.g., cancer,
heart attack, stroke). Even if the manner of death does not ap-
pear to others to be sudden, shocking, or frightening, children
who perceive the death in this way may develop posttraumatic
stress reactions that lead to Childhood Traumatic Grief.
3 What are the signs a child might have Childhood
Traumatic Grief?
In Childhood Traumatic Grief, the following traumatic stress
reactions may interfere with the child’s grieving process:
Intrusive reactions such as upsetting thoughts, images,
nightmares, memories, or play about the frightening way the
person died
Physical or physiological distress such as headaches,
stomachaches, symptoms mimicking the way the deceased died,
jumpiness, trouble concentrating
Avoidance reactions such as withdrawal; acting as if not upset
about the death; or avoiding reminders of the person,
the way the person died, places or things related to the person,
or events that led to the death
Negative mood or beliefs related to the traumatic death such as
anger, guilt, shame, self-blame, loss of trust, believing
the world is unsafe
Increased arousal such as irritability, anger, trouble sleeping,
decreased concentration, dropping grades, increased
vigilance, and fears about safety of oneself or others; self-
destructive or risk-taking behaviors (e.g., substance abuse,
suicidality)
Guidance for pediatric trauma screening is available at
https://www.aap.org/en-us/advocacy-and-policy/aap-health-
initia-
tives/resilience/Pages/PTSD-Fact-Sheet.aspx.
3 How does Childhood Traumatic Grief impact physical
health?
Childhood Traumatic Grief can have a significant impact on
children’s physical health and be indicated by the foll owing:
Somatic symptoms severe enough to warrant sick-child pediatric
visits
Presentation of new somatic symptoms with no clear underlying
medical cause
Presentation of symptoms that mimic the deceased person’s
cause of death
Significant worsening of existing chronic medical conditions
(e.g., diabetes, asthma)
Noncompliance or decreased compliance with usual medication
regimens
Depressed affect, changes in behavior, and other psychiatric
symptoms
Self-injurious or suicidal behaviors, substance abuse, or other
risky behaviors
Changes in eating or sleeping behaviors
4 How can you assess children with Childhood
Traumatic Grief?
Children with Childhood Traumatic Grief often avoid talking
about death or the person who died. Ask children directly about
their experiences with trauma or the death of an important
person. Not asking may inadvertently communicate to the child
that it is unacceptable to discuss these things with adults. If
your questions make the child’s symptoms worse, this may be
a sign that professional help is warranted. Pediatric providers
often are in the best position to talk to children about trauma
and death because your patients already have a trusting
relationship with you.
https://www.aap.org/en-us/advocacy-and-policy/aap-health-
initiatives/resilience/Pages/PTSD-Fact-Sheet.aspx
https://www.aap.org/en-us/advocacy-and-policy/aap-health-
initiatives/resilience/Pages/PTSD-Fact-Sheet.aspx
3Childhood Traumatic Grief: Information for Pediatric
Providers
You may want to ask the parent to step out of the room during
these conversations, because children with Traumatic Grief are
often overly concerned with causing their parents additional
emotional distress and may deny symptoms in a parent’s pres-
ence to avoid upsetting them. To evaluate the presence of
Childhood Traumatic Grief, pediatric providers can do the
following:
Routinely ask parents and caregivers if their children have
experienced any deaths or traumatic events since their last
visit.
Ask children directly whether anything very scary or upsetting
has happened since the last visit.
Follow up with children and families known to have recently
experienced a death or with children who are approaching
an anniversary or reminder of a death.
Pay particular attention to children who have experienced
traumas in addition to the death of a significant person, as
exposure to additional trauma may worsen Traumatic Grief
symptoms.
Inquire about adjustment to deaths that are seemingly long past,
as grief reactions sometimes surface at later points
in life or developmental stages.
5 What can you do to help children with Traumatic
Grief?
FOR CHILDREN
Assure the child that many children experience similar reactions
following the traumatic death of an important person.
Provide support and assurance that help is available.
Be sensitive when doing invasive medical procedures or
examinations that may somehow remind the child of previous
traumatic experiences or experiences related to the death.
Be aware of the effect of anniversary dates of the loss and
potential reminders of the death (e.g., Mother’s Day, Father’s
Day, holidays) and adjust medical appointments, procedures,
and treatment recommendations in light of how Childhood
Traumatic Grief impacts physical illness and treatment
compliance.
Address treatment compliance issues directly with the child and
parent. If barriers to compliance persist, a mental
health consultation is warranted.
FOR CHILD AND PARENT
Discuss making a referral for specialized treatment with both
the child and parent.
Refer the child to a mental health professional, ideally one who
has experience in treating childhood traumatic stress
and Traumatic Grief.
Encourage the family to call you if additional symptoms or
other concerns arise, or if they have difficulty in arranging
mental health follow-up.
Reassure children and parents that these problems can be
successfully treated and that children can recover with
appropriate help.
FOR PARENTS
Keep materials on hand to educate parents about Childhood
Traumatic Grief (available at https://www.nctsn.org/what-
is-child-trauma/trauma-types/traumatic-grief).
Educate parents about the value of getting professional help for
the child’s Traumatic Grief.
https://www.nctsn.org/what-is-child-trauma/trauma-
types/traumatic-grief
https://www.nctsn.org/what-is-child-trauma/trauma-
types/traumatic-grief
4Childhood Traumatic Grief: Information for Pediatric
Providers
Where do you find additional information and help?
Effective treatments are available for Childhood Traumatic
Grief and children can return to their normal functioning.
Additional information for children, parents, professionals,
pediatricians, and educators is available at the National
Child Traumatic Stress Network, www.NCTSN.org with
materials specific to Traumatic Grief at www.nctsn.org/trau-
ma-types/traumatic-grief.
Footnotes
https://www.judishouse.org/cbem-methodology-and-sources 1.
Currently two treatment models have scientific evidence of
helping children recover from Childhood Traumatic Grief:
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for
children ages 3-18 years and their parents or primary
caregivers provided in 12-15 individual or group sessions. More
information is available here:
https://www.nctsn.org/interventions/trauma-focused-cognitive-
behavioral-therapy
Trauma Grief Components Therapy for Adolescents (TGCT-A)
for teens ages 13-17 years, provided in groups.
More information is available here:
https://www.nctsn.org/interventions/trauma-and-grief-
component-therapy-ad-
olescents
http://www.NCTSN.org
http://www.nctsn.org/trauma-types/traumatic-grief
http://www.nctsn.org/trauma-types/traumatic-grief
https://www.nctsn.org/interventions/trauma-focused-cognitive-
behavioral-therapy
https://www.nctsn.org/interventions/trauma-and-grief-
component-therapy-adolescents
https://www.nctsn.org/interventions/trauma-and-grief-
component-therapy-adolescents
Home • Resources & Services
P O L I C Y R E S O U R C EP O L I C Y R E S O U R C E
Three Priorities for Babies at the Border
Jul 11, 2019
In recent weeks, families, advocates, policymakers, and
Administration personnel have given us a
window through the walls of migrant detention camps, again
focusing national attention on the life-
altering experiences of families with children crossing the
border. As we learn more about the young
children being held in detention, often separated from their
families and under reportedly grossly
inadequate care, ZERO TO THREE is compelled to reiterate
what decades of research clearly spell out
about the impact of trauma on young children.
Babies’ brains develop at rapid fire speed, and what happens to
them today informs who they will be tomorrow. Young
children being held in detention at the border need our urgent
attention and action. We must act on their behalf
immediately.
There is a common misperception that babies are too young to
be affected by the events around them. In truth, at the
very foundation of babies’ development, intense trauma almost
inevitably creates physiological damage to their brains
and emotional damage that they will carry into the future –
particularly if their needs are not met appropriately and
immediately. Out of deep concern for young children, families,
and the future of our country, ZERO TO THREE remains
in strong, informed opposition to any practice that causes
trauma and long-term harm to children. As we apply our
research-based lens to current immigration practices and debate,
we have three priorities:
Babies do not belong in congregate care or detention.
Research clearly shows that babies’ physical and social
environments have a significant impact on their development.
Even under the best circumstances, caring for young children
outside of community-based family settings deprives
them of the proper care they need to thrive. There is definitive
scientific evidence that being held in congregate care
(24-hour residential facilities for groups of children) or
detention is harmful for young children. In congregate care,
young children are stripped of critical one-on-one relationships
that support healthy brain development. Placing babies
and toddlers in detention centers, even with their families, is
also not a viable option. The only safe placement for
young children is in a family setting. In the unique circumstance
of a young child entering our country with an adult
deemed to be dangerous or unfit to provide care, the young
child must remain in a community-based family setting,
such as with foster parents.
Congregate Care: Science tells us that infants and toddlers need
consistent and personalized care from trusted,
loving adults. When we place migrant babies in congregate care,
as recent reports indicate, we deprive them of the
nurturing relationships they need and derail their development.
In such group settings, multiple adults are
responsible for the care of a child, working rotating shifts, and
are not individuals that the child knows or trusts.
Studies from around the world show that children placed in
congregate care settings experience serious
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compromises in cognitive, language, and especially, social
development. Landmark studies of young children
exposed to institutional rearing in Romania show alterations in
the structure and functioning of their brains, and
serious psychiatric and social impairments lasting into
adulthood.
Family Detention: Sending infants and toddlers to institutional
detention is detrimental to their health and well-
being. The contention that children are only temporarily being
held in detention facilities does nothing to change
the impact on their development. Recent reports from detention
camps indicate that children, including babies, are
not being provided with the basics of hygiene and care,
including regular diapering and nutritious food. Beyond
these violations to basic needs, detention places children in an
environment of confinement, deprivation of stimuli -
and in some cases, overstimulation - and developmentally
inappropriate and often harsh treatment, which cause
severe stress for both the children and their caregivers.
Historically, evaluations of children who have been detained,
even with their families, reveal alarming outcomes, with many
children displaying developmental delays and signs of
emotional disturbance such as a short attention span,
aggression, withdrawal, difficulty coping, and learning
difficulties. If the legal protections established for children’s
care in such facilities (including time limits and
regulations) are not adhered to, or are reversed, infants,
toddlers, and their families in detention facilities are
vulnerable to prolonged stays, abuse, and neglect. Further
compounding the risks to their well-being, families in
detention may face inadequate access to services including the
medical and mental health care they so desperately
need.
Families who have been separated must be reunified
immediately, and
the practice of separating children from their parents must not
continue.
While the practice of separating children from their families
was prohibited by Executive Order, it is evident from
reports out of detention camps that this practice continues, with
very young children removed from the adults who
care for them, and reportedly turned over to unrelated older
children for their care. While the rapid development of
infants and toddlers makes them particularly vulnerable to
trauma, families offer an essential buffer to those
experiences. When children are separated from their parents
after crossing the border, that primary bond is severed.
This causes stress hormones to flood babies’ brains, disrupting
their neurological circuitry in ways that profoundly
affect their short- and long-term physical and emotional health,
and their ability to form relationships and learn. That
trauma is compounded when children are placed in the care of
strangers untrained to care for young children, either
older children or adults who are ill-equipped to protect them,
much less nurture their healthy development. The broad
consensus of researchers and practitioners is that to continue to
separate families in this way is tantamount to child
abuse. Additionally, children who have already been separated
must be immediately reunited with their caregivers,
providing them with the close relationship they need to cope
with the trauma they have undergone.
Young children who have been held in detention and/or have
been
separated from their families need access to voluntary infant
and early
childhood mental health services and support.
Decades of psychological and brain research have demonstrated
that adverse experiences during the first three years,
including forced parental separation and placement in
incarceration-like settings, can have profound immediate and
long-term harm on child development. In the short-term,
children may experience anxiety, depression, and self-
regulatory issues, including sleeplessness or eating issues. Over
time, they may show regression in behavior and
cognition, and demonstrate symptoms of post-traumatic stress
disorder. This type of trauma, particularly when not
addressed by an experienced and trusted clinician, has severe
implications for both physical and emotional health over
time, increasing young children’s risk for learning difficulties,
problems forming relationships, and adult health issues.
Caregivers, who are also deeply psychologically and
physiologically impacted by their recent experiences, also need
support to provide their children with the care they need. When
families have been separated, reunification itself may
be difficult, as separated young children don’t have the capacity
to understand what has transpired and may feel
abandoned by their parents. This is complex work, requiring a
focus on both parent and child, and requiring specialized
expertise and developmentally appropriate, evidence-based
support. Infant and early childhood mental health
professionals across the United States are able to help, but they
need pathways to families.Individuals interested in
connecting families with IECMH professionals can utilize this
directory
(https://www.zerotothree.org/resources/preview/98cd198a-8f4f-
4811-b6ed-fb09c7c19c5a) to find a contact in their
state.
As experts in early childhood development, we know that every
day matters for the well-being of babies and toddlers
who have experienced trauma at the border and elsewhere.
Appropriate support and treatment are urgently needed,
and time is truly of the essence for the protection and care of
young children’s rapidly developing brains. As we
consider babies at the border, we must use what decades of
science and research tell us to inform policy and practice
decisionsright now.Their future – and the best interests of our
nation – depend onit.
Take Action
Be a Big Voice for Little Kids
We have three simple ways for you to make a difference for
traumatized babies at the border.
ACT NOW!
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47df-b179-c4ba3215802c
Statement by Center Director Jack
P. Shonkoff, M.D. on Separation of
Families
The policy of separating families is a critical issue that
transcends political
ideology and partisanship and speaks to the heart of what the
mission of the
Center on the Developing Child is all about.
June 20, 2018
Two critical concepts at the core of our understanding of early
childhood development stand out
from decades of scientific research. First, healthy brain
development in babies and young children
requires the consistent availability of a stable, responsive, and
supportive relationship with at least
one parent or primary caregiver. Second, high and persistent
levels of stress can disrupt the
architecture of the developing brain and other biological
systems, with serious negative impacts
on learning, behavior, and lifelong physical and mental heal th.
Sudden, forcible separation of children from their parents is
deeply traumatic for both. Above
and beyond the visible distress “on the outside,” this
overwhelming experience triggers a massive
Menu
https://developingchild.harvard.edu/about/
https://developingchild.harvard.edu/science/key-concepts/serve-
and-return/
https://developingchild.harvard.edu/science/key-concepts/toxic-
stress/
https://developingchild.harvard.edu/
https://developingchild.harvard.edu/about/press/shonkoff-
statement-separating-families/#nav
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biological stress response inside the child, which remains
activated until that familiar caregiver
returns. Even more important, continuing separation removes
the most important resource a child
can possibly have to buffer the effects of toxic stress—a
responsive adult who’s totally devoted to
that child’s well-being. Stated simply, each day we fail to return
these children to their parents,
we compound the harm and increase its lifelong consequences.
There are multiple ways to mitigate this potential damage, but
the best thing we could do for
the children who have been separated from their parents at the
border is to reunite them
immediately. If children were being fed poison and someone
asked, “What’s the best treatment?”,
the best answer is not to come up with an antidote. The solution
is to stop poisoning them in the
first place.
Jack P. Shonkoff, M.D.
Founding Director
Center on the Developing Child at Harvard University
See also: Migrant Family Separation Congressional Testimony
by Jack P. Shonkoff, M.D. –
February 7, 2019
More resources on this topic "
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SocialWorkers.org
The primary mission
of the social work
profession is to enhance
human well-being and
help meet the basic
human needs of all
people, with particular
attention to the needs
and empowerment
of people who are
vulnerable, oppressed,
and living in poverty.
The National Association of Social Workers (NASW) is the
largest
membership organization of professional social workers in the
world,
with nearly 130,000 members. NASW works to enhance the
professional
growth and development of its members, to create and maintain
professional standards, and to advance sound social policies.
Social Justice Brief
CONTRIBUTORS:
Will Francis, LMSW
Government Relations Director, NASW–Texas Chapter
Allan Wachendorfer, LMSW
Director of Public Policy, NASW–Michigan Chapter
Mel Wilson, LCSW, MBA
Manager, Department of Social Justice & Human
Rights, National Association of Social Worker
Migrant and Asylum-Seeking Families:
Analysis of Federal Government Policies and Procedures
Social Justice Brief
» 1 «
This NASW social justice brief is intended to
present a comprehensive analysis of the
complexities of that human rights crisis and
the challenges that it poses related to
» “ground-level” systems of adult and
child detention procedures;
» the conditions of detention;
» social work involvement in both adult
detention and child-welfare policies
and service delivery;
» legal due process protections for
affected families and minors;
» scope and capacities of family
detention facilities; and
» challenges related to child welfare,
foster care, and family reunification.
The brief includes recommendations for
policy reforms, best practices for justice,
and comprehensive approaches to
Migrant and Asylum-Seeking Families:
Analysis of Federal Government Policies and Procedures
National policies on responding to families and unaccompanied
minors,
particularly those entering at the Mexico-U.S. border, recently
took a sharp turn
as the Trump administration implemented the so-called zero-
tolerance policy.
This policy - when coupled with family separation policies–has
blurred the lines
between how families and children are traditionally processed
when they cross
the border. As we know by now, the results have been that these
unclear and
rushed procedures have contributed to potentially life-long harm
to both parents
and children who are entangled in this morass.
UNACCOMPANIED ALIEN CHILDREN (UAC)
APPREHENSIONS BY COUNTRY
COUNTRY FY 2013 FY 2014 FY 2015
FY 2016 FY 2017 FYTD 2018
El Salvador 5,990 16,404
9,389 17,512 9,143
2,690
Guatemala 8,068 17,057
13,589 18,913 14,827
16,480
Honduras 6,747 18,244
5,409 10,468 7,784
6,350
Mexico 17,240 15,634
11,012 11,926 8,877
6,690
Source: www.cbp.gov/newsroom/stats/usbp-sw-border-
apprehensions
Social Justice Brief
» 2 «
addressing the psychosocial needs of
immigrant children families.
Background
Migrant asylum-seeking families and
unaccompanied migrant children have been
crossing the Mexico-U.S. border for many
years. The chart shows a statistical picture of
the persistent movement of children to the
United States by their country of origin. The
trek for most of the children—and asylum-
seeking families—can be close to 2,000
miles. It is well documented that children and
their parents make such a perilous journey
due to the violent and terrible economic
conditions in their country of origin. Once at
the border, the families (or unaccompanied
children) can either declare themselves as
asylum-seeking families or unaccompanied
migrant children or illegally cross into the
United States and face a minor misdemeanor
charge under federal law.
Either scenario places their case within the
jurisdiction of the U.S. Department of Homeland
Security (DHS), and their first contact in the
United States will be an official from that
agency. U.S. Customs and Border Protection,
the largest federal law enforcement agency
within the DHS, is responsible for processing
asylum seekers and unaccompanied children.
The second official contact for asylum-seeking
adults is DHS’s United States Citizenship and
Immigration Services Bureau (USCIS).
Prior to the Trump administration’s zero-
tolerance and family separation policies,
the government agencies managed the
unaccompanied migrant children and asylum
seeker processes with bureaucratic
efficiencies, although there were flaws in the
system. However, the announcement of zero
tolerance by Attorney General Sessions not
only exacerbated the deficiencies in our
current system, but also created a policy and
human rights crisis.
Far-Reaching Anti-Immigration
Policies That Prolong Family
Separation
Zero-tolerance and family separation
immigration policies did not emerge from a
vacuum. As early as March of 2017, it was
becoming clear that DHS had internal
discussions about formulating and implementing
a policy of separating children from their
parents at the border. At the time, the Trump
administration’s stated goal was to deter
mothers from making the arduous journey
with their children from Central America to
the U.S. border.
The architects of the family separation policy
did not move to actualize it until later.
Between July and October 2017 the Trump
administration initiated a zero-tolerance “pilot
program” in El Paso, Texas. During that
period, court records and interviews with
migrants reveal that federal prosecutors were
aggressive in criminally charging any adult
who entered the United States without
documentation. What was significant about
the pilot program was that migrant parents
with young children were not exempt from
being charged. The administration was able
to simultaneously test its zero-tolerance and
family separation strategies.
The Trump administration saw its crackdown
as a deterrent that would reduce the number
of undocumented people—especially
families—coming to the United States. However,
https://www.theatlantic.com/international/archive/2018/06/centr
al-america-border-immigration/563744/
https://www.theatlantic.com/international/archive/2018/06/centr
al-america-border-immigration/563744/
https://www.theatlantic.com/international/archive/2018/06/centr
al-america-border-immigration/563744/
https://www.uscis.gov/humanitarian/refugees-asylum
https://www.uscis.gov/humanitarian/refugees-asylum
https://www.justice.gov/opa/pr/attorney-general-announces-
zero-tolerance-policy-criminal-illegal-entry
https://www.justice.gov/opa/pr/attorney-general-announces-
zero-tolerance-policy-criminal-illegal-entry
https://www.usatoday.com/story/news/politics/2018/06/19/ag-
jeff-sessions-trumps-unwavering-voice-zero-
tolerance/714035002/
https://www.pbs.org/newshour/nation/how-trumps-family-
separation-policy-has-become-what-it-is-today
https://www.reuters.com/article/us-usa-immigration-children-
idUSKBN16A2ES
https://www.reuters.com/article/us-usa-immigration-children-
idUSKBN16A2ES
https://www.nbcnews.com/storyline/immigration-border-
crisis/trump-admin-ran-pilot-program-separating-migrant-
families-2017-n887616
https://www.nbcnews.com/storyline/immigration-border-
crisis/trump-admin-ran-pilot-program-separating-migrant-
families-2017-n887616
https://www.nbcnews.com/storyline/immigration-border-
crisis/lucky-ones-maria-her-son-crossed-border-perfect-
moment-n886106
https://www.nbcnews.com/storyline/immigration-border-
crisis/lucky-ones-maria-her-son-crossed-border-perfect-
moment-n886106
Social Justice Brief
» 3 «
data reported by DHS in July 2018 suggest that
the zero-tolerance policy has had little effect.
The data show that, from May to June, the
number of arrested by the U.S. Border Patrol
dipped a meager 0.4 percent. Ironically, some
of that drop can be attributed to normal
reductions of crossings due to increased
temperature in the Southwest during that period.
More recently, the Trump administration made
a series of policy and procedural changes
that affirmed its parent–child separation intent.
For example, in June of 2018, DHS officials
began requiring that asylum-seeking parents
sign a form that gave them a two-option
ultimatum: (1) voluntarily leave the United States
with their children or (2) be deported, leaving
their children behind. There are indications
that the form is even being given to asylum
seekers who have passed a credible fear test
hearings before an immigration judge.
DHS has further exacerbated the already
confusing and ill-planned family separation
crisis by implementing the Trump
administration’s policy of intentionally denying
bond to some parents who have been separated
from their children. These parents are eligible
to apply for asylum. Under this policy, parent–
child separation is further and unnecessarily
extended. The administration has taken these
steps in spite of the fact that on June 2
through 6, 2018, a federal judge ordered the
Trump administration to take immediate steps
to reunify separated families. Migrants who
are denied bail have a right to appeal.
However, the appeal process is lengthy.
It is noteworthy that the U.S. Department of
Justice (DOJ) increased the number of
immigration judges in anticipation of an influx
of immigration cases. DOJ also pressured
judges to expedite deportation cases to such
a degree that in August 2018, immigration
judges complained that DOJ is undermining
their independence by reassigning cases to
maximize deportations. In fact, the National
Association of Immigration Judges (NAIJ) filed
a labor grievance against the DOJ after
Attorney General Sessions overrode an
immigration judge’s decision and removed
dozens of cases from the judge’s caseload.
After a person passes a credible fear interview,
U.S. Immigration and Customs Enforcement
(ICE) deportation officers will make a bond
determination. This is what the individual must
pay to be released from detention while his or
her case is being adjudicated. On average,
immigration bonds are close to $1,500.
Though the asylum seeker’s bond money is
reimbursed after their case is resolved, many
cannot afford to pay bail. As a result, the
parent faces a double barrier to being
released as they await their hearing. The
parent is either being denied bail or is unable
to afford bail. Needless to say, few parents
post bail.
Perhaps one of the more insidious “under the
radar” policy changes that affects asylum-
seeking adults attempting to become
financially viable while awaiting adjudication
is the rescinding of an Obama-era employment
guidance by Attorney General Sessions in
June of 2018. The 2011 guidance, issued by
the Office of Special Counsel for Immigration
Unfair Employment Practices, ensured asylum
seekers were authorized to work indefinitely
and could obtain Social Security cards
“without employment restrictions.” Sessions
deemed working rights protections to be
“unnecessary, outdated, inconsistent with
existing law,” and had been imposed without
congressional approval.
http://media1.s-nbcnews.com/i/today/z_creative/iceform.jpg
http://immigrationimpact.com/2018/07/19/children-coerce-
parents-signing-deportation/
https://www.uscis.gov/humanitarian/refugees-
asylum/asylum/questions-answers-credible-fear-screening
https://www.uscis.gov/humanitarian/refugees-
asylum/asylum/questions-answers-credible-fear-screening
https://www.motherjones.com/politics/2018/07/ice-family-
separation-bond-denial-1/
https://www.motherjones.com/politics/2018/07/ice-family-
separation-bond-denial-1/
https://www.nytimes.com/2018/06/26/us/politics/family-
separations-congress-states.html
http://thehill.com/latino/401011-immigration-judges-lash-out-
against-sessions
http://thehill.com/latino/401011-immigration-judges-lash-out-
against-sessions
https://www.uscis.gov/ humanitarian/refugees-
asylum/asylum/questions-answers-credible-fear-screening
https://www.msn.com/en-us/news/us/attorney-general-jeff-
sessions-rescinds-guidance-safeguarding-the-right-of-refugees-
asylum-seekers-to-work-in-the-us/ar-
AAzybVg?ocid=spartandhp
https://www.msn.com/en-us/news/us/attorney-general-jeff-
sessions-rescinds-guidance-safeguarding-the-right-of-refugees-
asylum-seekers-to-work-in-the-us/ar-
AAzybVg?ocid=spartandhp
https://www.msn.com/en-us/news/us/attorney-general-jeff-
sessions-rescinds-guidance-safeguarding-the-right-of-refugees-
asylum-seekers-to-work-in-the-us/ar-
AAzybVg?ocid=spartandhp
Social Justice Brief
» 4 «
Collectively, anti-immigrant policies implemented
by the Trump administration have produced
almost insurmountable barriers for migrants
and asylum-seeking parents. It is likely that the
executive actions are tied to a comprehensive
zero-tolerance initiative. Ultimately, they create
conditions that will ensure that an increasing
number of separated children will be placed in
an Office of Refugee Resettlement (ORR) facility.
This will also make family reunification far more
difficult and increase the amount of additional
trauma the children and families experience.
Asylum Protections
Asylum seekers fit into a special category
which is defined as a protection granted to
foreign nationals already in the United States
or at the border who meet the international
law definition of a “refugee.” The United
Nations 1951 Convention and 1967 Protocol
define a refugee as a person who is unable
or unwilling to return to his or her home
country, and cannot obtain protection in that
country, due to past persecution or a
well-founded fear of being persecuted in the
future “on account of race, religion,
nationality, membership in a particular social
group, or political opinion.” Congress
incorporated this definition into U.S.
immigration law in the Refugee Act of 1980.
Because the United States signed the 1967
Protocol -and through U.S. immigration law- it
has a presumed legal obligations to provide
protection to those who qualify as refugees.
The Refugee Act established two paths to
obtain refugee status—either from abroad as
a resettled refugee or in the United States as
an asylum seeker.
Impact of Trump Administration
Policies on Adults and Children
Migrant Family Detention
To begin with, it’s important to clarify that
in this brief we will not be focusing on
unaccompanied migrant children, but rather
on children who are part of a detained family
unit. Since the implementation of zero-tolerance,
the distinction between these two groups has
been blurred, and DHS has been combining
these two separate groups into one.
There were nearly 49,000 adults and children
within family units apprehended at the
U.S.-Mexico border between January and
June of 2018. According to U.S. Customs
and Border Protection data, this is over twice
the number of family apprehensions as
compared with those of the previous year.
https://www.americanimmigrationcouncil.org/research/asylum-
united-states
https://www.americanimmigrationcouncil.org/research/asylum-
united-states
http://www.refworld.org/docid/3be01b964.html
http://www.refworld.org/docid/3be01b964.html
http://www.refworld.org/docid/3be01b964.html
https://www.americanimmigrationcouncil.org/research/asylum-
united-states
http://www.pewresearch.org/fact-tank/2018/07/06/border-
apprehensions-of-migrant-families-have-risen-substantially-so-
far-in-2018/
http://www.pewresearch.org/fact-tank/2018/07/06/border-
apprehensions-of-migrant-families-have-risen-substantially-so-
far-in-2018/
https://www.cbp.gov/newsroom/stats/sw-border-migration
https://www.cbp.gov/newsroom/stats/sw-border-migration
Social Justice Brief
» 5 «
During May 2018—the first month when the
zero-tolerance and family separation policies
were fully implemented—border agents
apprehended 9,485 family members at the
Southwest border. Though there was an
increase as compared to apprehensions in
May 2017, it is fewer people than in the
same period of 2014 (12,772 apprehensions).
The increase that began in 2013 was an
immigration spike due to increases in border
crossings among Central American children.
The administration’s zero-tolerance policy
resulted in a total of 2,342 children being
separated from families between May 5 and
June 9 of 2018. Close to 2,000 adults from
those families were referred for prosecution.
However, analyses of DHS records suggest
that more than 4,100 children have been
separated since October 2016.
The merging of children categorized as
unaccompanied minors with those removed
from families seeking asylum has generated a
significant rule change—one also designed to
deter asylum seeking families—that clearly
blended these two different groups to frighten
and therefore discourage families with
legitimate claims from seeking solace and
support in the United States. This change
ensures that DHS will process children of
asylum-seeking parents through different
paths from their parents. The parents will go
through the criminal justice system; the
children go through the ORR’s child-welfare
system. Perhaps reflecting the obvious scrutiny
that the administration has received about
early childhood trauma from family
separation, HHS designated three facilities as
tender age centers (a tender age child is
defined as any child under the age of 13).
As a result, the 572 children separated from
their parents—and yet to be reunited—will be
lumped in with the 30,000 unaccompanied
migrant children referred to ORR thus far in
2018. The immediate concern is that ORR’s
child placement centers lack needed capacity
and oversight as they face pressure to place
these children.
Children Required to Appear at
Immigration Hearings Alone
When asylum-seeking children are labeled as
unaccompanied migrants, this status forces
them to go before an immigration court to
determine if they qualify for refugee status
without their parents present. Procedures for
processing asylum and immigration petitions
have on occasion reached the point of
absurdity. There have been reports of children
as young as three years old being made to
appear alone in immigration court for
deportation hearings. Although having
unaccompanied minors go through deportation
hearings without a parent or guardian is not
new, since the administration’s family
separation policy an increased number of
preteen children—including toddlers—are
being required to appear alone, exposing
them to further trauma.
Some of the children recently separated from
their parents could likely be asked to endure
court proceedings—which they often cannot
possibly comprehend or understand if they do
not speak English—even as they emotionally
struggle with the ongoing trauma of being
taken from their parents. Prior to the zero-
tolerance policy, parents were usually taken
to immigration court along with their young
children. During those hearings, the parent,
not the child, was asked to explain the
http://www.pewresearch.org/fact-tank/2014/06/10/number-of-
latino-children-caught-trying-to-enter-u-s-nearly-doubles-in-
less-than-a-year/
https://www.nbcnews.com/news/amp/ncna887616?__twitter_imp
ression=true
https://www.washingtonpost.com/local/immigration/dhs-
proposal-would-change-rules-for-minors-in-immigration-
detention/2018/05/09/267af486-4f00-11e8-b725-
92c89fe3ca4c_story.html?noredirect=on&utm_term=.dc01c155a
304
https://www.washingtonpost.com/local/immigration/dhs-
proposal-would-change-rules-for-minors-in-immigration-
detention/2018/05/09/267af486-4f00-11e8-b725-
92c89fe3ca4c_story.html?noredirect=on&utm_term=.dc01c155a
304
https://www.cnn.com/2018/06/20/politics/immigration-border-
separations-tender-age-shelters/index.html
https://www.washingtonpost.com/graphics/2018/local/tracking-
migrant-family-
separation/?noredirect=on&utm_term=.2402dcafddab
https://www.nbcnews.com/news/latino/surge-migrant-children-
government-shelters-trump-admin-pushes-zero-tolerance-
n878601
https://www.nbcnews.com/news/latino/surge-migrant-children-
government-shelters-trump-admin-pushes-zero-tolerance-
n878601
https://www.nbcnews.com/news/latino/surge-migrant-children-
government-shelters-trump-admin-pushes-zero-tolerance-
n878601
https://www.texastribune.org/2018/06/27/immigrant-toddlers-
ordered-appear-court-alone/
https://www.texastribune.org/2018/06/27/immigrant-toddlers-
ordered-appear-court-alone/
Social Justice Brief
» 6 «
circumstances that led the family to seek
asylum in the United States.
We should be reminded that the children’s
health is predicated on a foundational
relationship with a caring adult—especially a
parent. When children are separated from
their parents, their stress hormones respond
with intensity, which can lead to developmental
delays. Children develop speech slower, their
motor skills don’t come along as quickly as
they should, and they start to have difficulty
forming proper attachments with other
human beings.
As pointed out by the head of the American
Academy of Pediatrics, the presence of a
social worker isn’t enough to mitigate those
effects. The younger the child—and the longer
they are in this stressful situation—the more
challenging it is to reverse the damage. Early
traumatic experiences can have lifelong
consequences, often leading to learning
disabilities, high risk for drug and alcohol
abuse, and potentially even higher risk of heart
disease or cancer when they become adults.
Trump Rescinds Family Separation
Policy, But Keeps the Zero-Tolerance
Policy in Place
In June 2018, under pressure from family and
child advocates, Trump signed an executive
order rescinding his family separation
immigration policy. However, in announcing
the change in family separations, the President
“doubled down” on his zero-tolerance policy.
By doing so, he made an already murky
situation cloudier. The truth is that his new
executive order ending the family separation
policy did not resolve the problem of
reunifying the 3,000 children who at that
time were already separated.
Family Has Long Been Plan A: Flores
Agreement’s Role in Preventing Its
Implementation
A policy of prolonged family detention is not
without legal challenges. The Flores settlement—
the court ruling that prevented children from
being kept in immigration detention with their
parents for more than 20 days—has been a
standard for over 20 years. However, in spite
of Flores, Attorney General Sessions announced
that the government had begun detaining
families throughout the completion of the
adjudication of their immigration cases. That
duration could easily mean months of detention
(or longer) for some asylum seekers. In fact,
well before Sessions’ announcement, President
Trump had argued that he should have the
power to detain migrant families who cross
the U.S.-Mexico border together.
The administration sought to modify the
Flores settlement agreement to allow for
the detention of children beyond 20 days.
However, in July 2018, a federal judge in
California pointedly rejected the
administration’s request. The U.S. District
Court judge stated the administration’s
request was “wholly without merit.” She
found that “nothing prevents the government
from reconsidering their current policy of
family detention and reinstating
prosecutorial discretion.”
The challenges to family separation continue.
For instance, in the summer of 2018, the
American Civil Liberties Union filed a federal
lawsuit (Ms. L v. ICE case) seeking to reunite
https://www.vox.com/policy-and-
politics/2018/6/18/17475810/i mmigration-family-separation-
health-crisis
https://www.vox.com/policy-and-
politics/2018/6/18/17475810/immigration-family-separation-
health-crisis
https://www.vox.com/policy-and-
politics/2018/6/18/17475810/immigration-family-separation-
health-crisis
https://www.vox.com/policy-and-
politics/2018/6/18/17475810/immigration-family-separation-
health-crisis
https://www.vox.com/policy-and-
politics/2018/6/18/17475810/immigration-family-separation-
health-crisis
https://www.cbsnews.com/news/trump-executive-end-family-
separation-at-border-immigration-today-2018-06-20/
https://www.cbsnews.com/news/trump-executive-end-family-
separation-at-border-immigration-today-2018-06-20/
https://www.vox.com/2018/6/11/17443198/children-immigrant-
families-separated-parents
https://www.vox.com/2018/6/20/17484546/executive-order-
family-separation-flores-settlement-agreement-immigration
https://www.justice.gov/opa/case-
document/file/1077076/download?utm_medium=email&utm_sou
rce=govdelivery
https://www.msn.com/en-us/news/us/federal-judge-rejects-
trump-administrations-bid-to-alter-rules-on-detaining-
minors/ar-AAzORNC?ocid=spartandhp
https://www.msn.com/en-us/news/us/federal-judge-rejects-
trump-administrations-bid-to-alter-rules-on-detaining-
minors/ar-AAzORNC?ocid=spartandhp
Social Justice Brief
» 7 «
an asylum-seeking mother and her 7-year-old
daughter fleeing violence in the Democratic
Republic of Congo. Upon entering the United
States, the mother and child were forcibly
separated and placed apart in detention centers
over 2,000 miles apart. As a result of the suit,
a federal judge temporarily blocked the Trump
administration from deporting parents and
children that it forcibly separated. The Judge
also temporarily put a hold on all family
separation deportations until further briefing
Jail-Like Conditions in Family
Detention Facilities
One of the most problematic aspects of family
detention polices under zero-tolerance is that
families are placed in settings identical to
jails. In a family detention model, the entire
family is part of a criminal case. Therefore,
their detention is incarceration and they are
not free to leave unless they are granted bail.
In the facilities currently used for long-term
family detention conditions and restrictions
exist for parents and children similar to jails.
For example, in Berks County, Pennsylvania,
bright lights reportedly keep children from
sleeping well, and they can be disciplined if
they try to climb into a parent’s bed for comfort.
Alternatives to Family Detention
These conditions are not necessary, as there are
alternatives to family detention. Significantly,
national law enforcement leaders have taken
a lead on making this point. In June of 2018,
over 50 high-ranking members of the Law
Enforcement Immigration Task Force signed
on to a letter to congressional leadership,
asking them to consider evidence-based
alternatives to family detention that also
ensure families attend immigration hearings
and keep required related appointments.
Some of the alternatives include regulated
and mandated check-ins with law enforcement,
communication with authorities by telephone,
linking families to community-based
psychosocial services, or electronic
monitoring of some individuals.
Studies show that asylum seekers are very
compliant in appearing for their immigration
court hearings, with around 90 percent of
children attending immigration proceedings
when a lawyer is present. The Family Case
Management pilot program was a proven
alternative to detention, yet it was terminated
last year by the Trump administration. The
program was highly successful with the families
present for hearings over 99 percent of the
time. As stated by many law enforcement
officials, immigrant families are not threats to
national security. Furthermore, there is a
consensus that incarcerating asylum-seeking
families does not make our communities safer.
Until recently, there was an effort to divert
families from detention. As previously
mentioned, the Family Case Management
Program was a promising program that
served 1,600 individuals between 2015,
when it was introduced by the DHS, and
2017. Instead of keeping children in detention
centers with their parents, families in certain
cities were released and monitored by social
workers, who helped them find lawyers,
housing, and transportation, and made sure
they attended their court hearings. The program
was designed to have social workers assume
community supervision duties until the
immigration court decided the fate of the family.
Using alternatives to family detention saves
taxpayer dollars and creates opportunities to
https://www.humanrightsfirst.org/resource/long-term-detention-
mothers-and-children-pennsylvania
https://www.humanrightsfirst.org/resource/long-term-detention-
mothers-and-children-pennsylvania
https://www.humanrightsfirst.org/resource/long-term-detention-
mothers-and-children-pennsylvania
https://leitf.org/2018/06/law-enforcement-leaders-urge-
alternatives-family-detention/
https://www.americanimmigrationcouncil.org/research/taking-
attendance-new-data-finds-majority-children-appear-
immigration-court
https://www.americanimmigrationcouncil.org/research/taking-
attendance-new-data-finds-majority-children-appear-
immigration-court
https://thinkprogress.org/trump-ended-successful-migrant-
monitoring-program-because-didnt-deport-enough-
bd506068c05c/
https://thinkprogress.org/trump-ended-successful-migrant-
monitoring-program-because-didnt-deport-enough-
bd506068c05c/
http://pediatrics.aappublications.org/content/early/2017/03/09/p
eds.2017-0483.full-text.pdf
https://www.dhs.gov/sites/default/files/publications/CFO/17_05
24_U.S._Immigration_and_Customs_Enforcement.pdf
https://www.dhs.gov/sites/default/files/publications/CFO/17_05
24_U.S._Immigration_and_Customs_Enforcement.pdf
https://www.dhs.gov/sites/default/files/publications/CFO/17_05
24_U.S._Immigration_and_Customs_Enforcement.pdf
reinvest detention budgets to more productive
programs. In fiscal 2018, it cost ICE over
$200 per day to keep a family in detention;
detaining a person in a specialized family
detention is more than $300. Alternatives to
detention cost only around $5 or $6 per
person. Perhaps more important, alternative
programs do not result in detaining very small
children, taking children away from their
parents, or implementing policies that violate
basic American values.
Reunification: Overburdened
Child-Welfare Centers
The highest priority for children who have
already been separated from their families
and are in the custody of ORR is reunification.
This also appears to be the most difficult
challenge. Because zero-tolerance and family
separation were so poorly planned, there
seems to be little or no interagency
coordination between DHS and HHS. The
plan of identifying all children using the names
of their parents and the country of origin as
the primary identifiers is fraught with
challenges. Incredibly, when Trump rescinded
his family separation policy, it was clear that
HHS was struggling to even begin to reunify
over 3,000 children with their parents.
Recognizing the Needs of
Detained Parents
Understandably, there has been much anger
and outrage about the aggressively anti-
immigrant policies are directed at the plight of
children. However, we must not overlook the
vulnerable adults in this drama. During the
first 15 months of the Trump administration,
nearly 100,000 immigrants were
apprehended at the U.S.-Mexico border.
Over one-third of that total, more than
37,500, were unaccompanied minors and
most of the rest were the 61,000 members of
family units. We know that the children were
initially placed in an ICE family shelter. After
48 hours, the children who entered the country
with a family could stay with their parents
while the parent(s) awaited the outcome of their
request for asylum. This was euphemistically
referred to as catch and release. However,
zero-tolerance changed all of that.
Once the administration decided to place an
emphasis on criminalizing immigrant border
crossings by asylum-seeking families and
undocumented individuals, DHS and DOJ
developed plans for resulting increases in
detentions. Correspondingly, the administration
planned for increased incarcerations and
adjudications in immigration courts.
From the beginning, the administration
anticipated the need for more detention beds
for adults. During FY 2017, the daily population
in ICE detention facilities was around
38,000. Tellingly, President Trump’s FY 2018
budget’s detention beds plan included request
for $1.5 billion to significantly expand
detention capacity at the border and in the
interior to 51,379 detention beds. Under the
current “detention bed mandate,” the
government is required to fill a minimum of
34,000 beds in immigrant detention centers
per night. The budget also proposes $177
million for the Alternatives to Detention Program
and $485 million for transportation costs.
As early as February 2017, Attorney General
Sessions reversed an Obama decision that
had ended government contracts with private
prison corporations. The move was a
http://thehill.com/opinion/immigration/394732-family-
detention-is-not-the-solution-to-family-separation
https://www.washingtonpost.com/local/immigration/despite-
vow-to-end-catch-and-release-trump-has-freed-100000-who-
illegally-crossed-the-border/2018/04/13/839c778e-3754-11e8-
acd5-35eac230e514_story.html
https://www.washingtonpost.com/news/fact-
checker/wp/2018/06/19/the-facts-about-trumps-policy-of-
separating-families-at-the-
border/?noredirect=on&utm_term=.acefe9feb1c1
https://www.us-immigration.com/us-immigration-news/us-
immigration/catch-and-release-policy-for-undocumented-
immigrants-reinstated/
https://www.npr.org/sections/thetwo-
way/2017/10/26/560257834/as-it-makes-more-arrests-ice-looks-
for-more-detention-centers
https://bipartisanpolicy.org/blog/immigration-in-trumps-fy2018-
budget/
Social Justice Brief
» 9 «
precursor to implementing a zero-tolerance
policy. Private prisons had the ability to
accept detainees on short notice and had
existing unused capacity. Moreover, private
prison companies had experience in housing
detained undocumented immigrants, and ICE
has already been relying on them to absorb
increased detentions during the Obama
administration. Given the administration’s
public commitment to increase immigrant
detentions, Attorney General Sessions took
steps to ensure the resource of private prisons
was available for use.
Human Rights and Injustice Aspects
of Immigration Detention
Due Process
It is not uncommon for asylum-seeking
migrants—including parents traveling with
their children—to be held in detention for
many months, while their asylum cases are
being adjudicated. One of the reasons for
these prolonged incarcerations is the high
rate of denial of parole by DHS officials. In
response to this problem, a class action
lawsuit was filed to challenge denials of
parole that cause thousands of asylum
seekers to be held in detention.
While a recent Supreme Court decision held
that the government is not obligated to
guarantee detention hearings for asylum
seekers detained for a long period of time,
release on parole continues to be a right for
detainees. The government affirmed in court
oral arguments that, as policy, it grants
paroles to arriving asylum seekers who meet
the credible fear test, as well as flight risk and
dangerousness criteria.
However, since the beginning of 2017, ICE
appears to have disregarded DHS written
policy on parole. In as many as five ICE
districts, an average of 96 percent of arriving
asylum seekers were denied parole.
Advocates have determined through Freedom
of Information documents that many of those
who were denied parole demonstrated that
they met the criteria for eligibility for being
release on parole.
Lack of Access to Legal Services
The increase in arrest and detention of asylum
seekers has led human rights advocates,
including social workers, to voice concerns
that the detained parents do not have a
constitutional right to government-funded legal
counsel. Because nearly all migrants are
low-income, they cannot afford to hire an
attorney. They are often unrepresented in
legal proceedings or dependent on pro bono
attorneys, if available. Retaining a lawyer
can make the difference for incarcerated
asylum seekers:
» Nationally, only 14 percent of imprisoned
immigrants are represented in
deportation proceedings.
» If an immigration detainee has counsel,
he or she is over 10 times as likely to
avoid deportation.
» Immigrants incarcerated in detention
facilities are seven times as likely to be
granted bond if they have an attorney.
» ICE detention centers are often located in
remote areas. This is a significant barrier
to getting pro bono lawyers.
» Prison conditions are impediments to access
and communications with an attorney.
› In one large detention center in Texas,
there are only three attorney-visitation
rooms for nearly 1,900 detainees.
https://www.huffingtonpost.com/entry/doj-private-prisons-
sessions_us_58af529ce4b0a8a9b780669a
https://www.humanrightsfirst.org/sites/default/files/parole_litig
ation_Mar15.pdf
https://www.humanrightsfirst.org/sites/default/files/parole_litig
ation_Mar15.pdf
https://www.supremecourt.gov/oral_arguments/argument_transc
ripts/2017/15-1204_2c83.pdf
https://www.justsecurity.org/53890/holding-asylum-seekers-
parole-unlawful/
https://www.migrationpolicy.org/article/us-detention-asylum-
seekers-and-human-rights
https://www.splcenter.org/sites/default/files/ijp_access_case.pdf
https://www.splcenter.org/sites/default/files/ijp_access_case.pdf
https://www.splcenter.org/sites/default/files/ijp_access_case.pdf
Social Justice Brief
» 1 0 «
› Attorneys are frequently subjected to
waits of longer than an hour—and
sometimes two or three hours—to see
their clients.
› The visitation rooms do not have
telephones, and attorneys are prohibited
from bringing their own telephone.
› There is often no way to call interpreters.
The significance of addressing this compromised
due process and limited access to legal counsel
for asylum seekers is seen through the U.S.
government action. Under “zero-tolerance” it
has reinforced its prosecutorial capacity. In
May 2017, DOJ announced hiring 35 new
assistant U.S. attorneys, all of whom will be
assigned to the Southwest border. In addition,
DOJ has assigned 18 supervisory immigration
judges to hear immigration cases near the
Southeast border.
The DOJ’s increase in its adjudication staff is
based on data from DHS showing a 203
percent increase in the number of people
apprehended at the border or who arrived at
ports of entry without entry documents
between March 2017 and March 2018. The
disparity between asylum seekers’ access to
adequate counsel to plead their cases, and
the government’s capacity to adjudicate their
cases, is very apparent.
Private Prisons Are Benefiting from
Trump’s Hardline Immigration Policies
As previously mentioned, in February 2017
the Trump administration rescinded an
Obama-era directive to end all DOJ contracts
with private prison corporations. That decision,
primarily pushed by the newly appointed
Attorney General Sessions, prompted
suspicion about hidden political motives.
It was not lost on some that one of the largest
private prison corporations had donated a
significant amount of money to a Trump super
Political Action Committee (PAC). The financial
support became even more curious when
almost immediately after of the Obama
administration announced it was phasing
out all private prison contracts the GEO
Group made a $100,000 contribution to
the Trump campaign.
At the time, a government reform organization,
the Campaign Legal Center, stated, “There’s
a direct connection between GEO Group’s
contributions and a policy goal that would
directly benefit its bottom line.” Now, many
months into the Trump presidency, the private
prison industry is as strong as ever—and with
the administration’s anti-immigrant policies,
the industry is poised to greatly increase its
revenues from government contracts.
What draws more scrutiny is that currently
more than 70% of those detained by the DHS
are held in privately owned facilities. It is not
a stretch to surmise that, as it was planning its
aggressive border crackdown, the Trump
administration worked closely with the private
prison industry to identify more detention
facilities for the upsurge of undocumented
immigrants. The zero-tolerance policy will
be a boon to the earnings of the private
prisons industry.
Private Prison Industry Not Alone
in Profiteering on Increased
Immigration Detention
In rural southern Florida, Glades County
has a relatively high rate of incarceration,
immigrant detention, and deportation.
Thirteen percent of adults in the county are in
http://www.abajournal.com/news/article/sessions_sends_more_p
rosecutors_supervisory_judges_to_border_to_handle_immi
http://www.newsweek.com/trump-declares-border-crisis-
homeland-security-says-crossings-200-percent-873029
http://www.newsweek.com/trump-declares-border-crisis-
homeland-security-says-crossings-200-percent-873029
file:///C:/Users/Mel/Documents/FeedbackHub
file:///C:/Users/Mel/Documents/FeedbackHub
file:///C:/Users/Mel/Documents/FeedbackHub
https://www.npr.org/sections/thetwo-
way/2017/10/26/560257834/as-it-makes-more-arrests-ice-looks-
for-more-detention-centers
https://www.npr.org/2017/11/21/565318778/big-money-as-
private-immigrant-jails-boom
http://www.businessinsider.com/geo-group-corecivic-private-
prisons-trump-immigration-crackdown-good-business-news-
2017-8
Social Justice Brief
» 1 1 «
jail—some at a private prison and some at
the Glades County Detention Center. That
there were many detained immigrants at the
county jail was by design.
The fact is that county leaders working with
private investors sought to increase their
community’s economic stability by increasing
immigrant detention. The plan included using
the county jail as tax-free profit for investors,
County officials were banking on the
likelihood that the then Obama administration’s
policy of increased immigration detention
would result in a high demand for
immigration detention beds.
In 2007, Glades County built a jail with a
capacity to hold over 500 people. That is a
notable fact because each year there are far
fewer arrests of non-immigrant residents of
Glades County. The jail was built with the
expressed objective of raising revenues by
leasing beds to ICE. This plan to use
immigration and deportation policy as a
business venture by a government entity
signals the movement toward the
criminalization of immigration.
For a number of reasons, the anticipated flow
of immigrants to the detention center did not
materialize during the Obama administration.
However, the Trump administration’s
well-published intent to implement a
zero-tolerance policy was actually good
news for Glades County. Since the election
of Donald Trump, ICE has been sending
substantially more immigrant detainees to the
Glades County Detention Center. As of April
2018, the jail held 450 immigrants for ICE.
Recommendations
It is important to fully describe and discuss the
implications of what many consider to be one
of the nation’s most heartless policy decisions
in decades. The Trump administration’s
executive orders on zero-tolerance and the
related family separation policies have been
rightfully compared to the President Franklin
Roosevelt’s executive order that sent Japanese
Americans to internment camps during
World War II.
The zero-tolerance and family separation
issue has shaken not only the nation, but also
the social work community as it violates so
much of what our profession stands for. It is,
therefore, especially important for social
workers to take a lead in identifying solutions
that support the well-being of children and
their parents, and that result in social justice
for these vulnerable families.
The following are recommendations that
provide guidance on child-welfare
imperatives in light of the negative and
unethical consequences of zero-tolerance
and family separation
NASW recommends the following:
» The Trump administration should end its
zero-tolerance policy. It is both ineffective
and the genesis of unfair and inhumane
treatment of families seeking asylum from
extreme violence in their home countries.
» As an extension of the executive order
ending family separation, the
administration should prioritize finding
least restrictive alternatives that utilize
community resources as opposed to
family detention centers or, effectively,
family prisons.
https://www.vera.org/in-our-backyards-stories/glades-county-
more-than-a-jail
https://www.vera.org/in-our-backyards-stories/glades-county-
more-than-a-jail
https://www.vera.org/in-our-backyards-stories/glades-county-
more-than-a-jail
https://www.vera.org/in-our-backyards-stories/glades-county-
more-than-a-jail
https://www.britannica.com/topic/Executive-Order-9066
https://www.britannica.com/topic/Executive-Order-9066
Social Justice Brief
» 1 2 «
» The White House must take the lead in
forming an institutionalized interagency
council that includes DHS, HHS, DOJ,
and Department of Defense (DOD) and
any other directly impacted federal, state,
and local government agencies. The
interagency taskforce’s mandate will be to
coordinate services for unaccompanied
migrant children and children of
asylum-seeking families.
» Immediate creation of a comprehensive,
coherent, intra-agency coordinated plan,
led by DHS, for reunification of the over
500 children who currently remain
separated from their parents.
» Full transparency by the government as to
the total number of children being detained
and its progress toward a reasonable
timeline for reunification of all the children.
» The administration must comply with the
court order to adhere to the Flores
Agreement, which prohibits prolonged
childhood detention.
» DHS and HHS should fully commit to
providing qualified mental health
professionals to assess and provide
services related to trauma-based
emotional problems in children
separated from their parents.
» All staff, from border patrol agents to
social workers, administrative staff, and
anyone who works with children involved
in the immigration system must receive
trauma-informed training.
» Clarification of designation of children
from asylum-seeking families as different
from unaccompanied migrant children. It
is important that children who either seek
asylum or have crossed the U.S border
with their parent(s) be recognized as a
part of a family unit and not
unaccompanied.
We urge lawmakers to hold DHS and DOJ
accountable by speaking out against family
separation. Several legislative proposals have
been introduced in Congress aimed at
ensuring the safety and well-being of migrant
children and families by halting the use of
family separations. We urge policymakers to
support the following:
› H.R. 2572: Protect Family Values at
the Border Act
› H.R. 5950/S.2937: The HELP
Separated Children Act
› H.R. 2043/S. 2468: Fair Day in Court
for Kids Act 2018
› Protecting Immigrant Families
» NASW agrees with the relevant
provisions in the Help Separated Children
Act, which would help mitigate some of
the stress and instability of immigration
enforcement on children including that
the bill
› allows parents to make calls to
arrange for the care of their children
prior to being taken into custody.
› allows parents a meaningful
opportunity to communicate with
children by saying good-bye,
reassuring them, and sharing
information about their care
arrangements before they are
separated.
› protects children from having to
translate ICE interrogations for
their parents.
› requires ICE to consider children’s
best interests in decisions about
parents’ detention, transfer between
detention facilities, and release
from detention.
https://supportkind.org/media/family-separation-at-the-border/
https://supportkind.org/media/family-separation-at-the-border/
https://www.congress.gov/bill/115th-congress/house-bill/2572
https://www.congress.gov/bill/115th-congress/house-bill/2572
https://www.congress.gov/bill/115th-congress/senate-
bill/2937/all-info
https://www.congress.gov/bill/115th-congress/senate-
bill/2937/all-info
https://www.govtrack.us/congress/bills/115/s2468
https://www.govtrack.us/congress/bills/115/s2468
https://protectingimmigrantfamilies.org/
https://www.clasp.org/blog/members-congress-pledge-help-
separated-children
https://www.clasp.org/blog/members-congress-pledge-help-
separated-children
Social Justice Brief
» 1 3 «
› allows detained parents to have
regular phone calls and contact visits
with children.
› allows parents to fully participate in
child welfare proceedings during
their detention.
» Reinstatement of the Family Case
Management Program.
» Advocacy for DHS to allocate its
budgeted immigration and removal
operations toward alternatives to family
detention programs. DHS has budget
authority to spend funds on such programs.
Conclusion
The current national immigrati on policies—
and the methods of their implementation—
discussed here unambiguously violate social
work values. More important, the Trump
administration’s approach to border protection
violates a national human rights ethos that has
been espoused in this country for centuries.
The United States has at times not lived up to
its own values and ideals, and we must learn
from those past mistakes. For those reasons,
the social work profession cannot be passive
in our opposition to family separation
immigration policies.
We must reaffirm American social justice values,
as well as social work values, by working to
reverse zero-tolerance and related polices. In
so doing, we must replace unjust policies with
those that ensure the protection of the rights
of families and children, even as we seek to
enforce immigration and asylum laws.
What Can Social Workers Do?
At the height of the outcry when the country
became aware of the Trump administration’s
family separation policy, social workers were
asking, “What can we do?” It is admirable
that social workers are anxious to lend their
skills to help these children. However, it is not
that easy. It must be remembered that the
family facilities and the facilities for
unaccompanied migrant children are
managed by private contractors under DHS
and HHS administrative control. This means
that the providers do not have the latitude to
allow social workers to volunteers to provide
services to the children.
However, there are several opportunities for
social workers to get involved. As suggested
by Social Justice
Solution
s, social workers
could consider the following:
» Volunteer as interpreters for detained
immigrants. If you’re a licensed social
worker- who is proficient in Spanish-you
can also assess a person’s mental health
for their legal file.
» Work or volunteer with community-trusted
organizations that have a proven history
of advocating for immigrant families.
Undocumented individuals are more
likely to trust organizations that have
effectively supported their community
members in the past.
» Provide support to advocacy groups that
work to unite families and to prevent
separations. Families Belong Together,
the Young Center for Immigrant Children’s
Rights, Protecting Immigrant Families and
the U.S. Committee for Refugees and
Immigrants are some examples of such
organizations.
» Educate yourself on legal and policy
issues about immigration status and how
they affect child welfare and other matters.
https://www.dhs.gov/sites/default/files/publications/CFO/17_05
24_U.S._Immigration_and_Customs_Enforcement.pdf
https://www.dhs.gov/sites/default/files/publications/CFO/17_05
24_U.S._Immigration_and_Customs_Enforcement.pdf
http://www.socialjusticesolutions.org/2018/07/11/social -
workers-can-address-trauma-family-separation/
https://www.familiesbelongtogether.org/
https://www.theyoungcenter.org/
https://www.theyoungcenter.org/
https://protectingimmigrantfamilies.org/
http://refugees.org/
http://refugees.org/
Social Justice Brief
» 1 4 «
» Lobby your members of Congress,
contact local elected officials, and push
for laws to protect basic human rights.
» Social workers who are employed in a
public or private family detention center,
adult detention center, or in an HHS child
foster care facility must be cognizant of
their ethical obligation to report all
incidents of
› child maltreatment.
› inadequate medical, mental health,
and social support services.
› inadequate licensure, staff positions
and policies and procedures as
defined by federal and state standards.
In summary, NASW is a major stakeholder
for advocating for human rights, especially
for marginalized low-income populations.
The Trump administration’s family separation
policy qualifies as one of America’s most
shameful human rights abuses since the
internment of 110,000 Japanese Americans
during World War II. Therefore, it is without a
doubt that NASW must join other major
professional associations, immigration
advocacy organizations, and human rights
coalitions to never let such an inhumane
government policy take root again.
NASW and its collaborators must stay
engaged, informed, and prepared to act,
which means that we have to be committed
for the long term. It also means that we all
must recognize that there is an intersection
between voter participation, nominations and
appointments to the federal judiciary, economic
justice, criminal justice, and immigration
equity. Therefore, we have to be prepared to
respond to inequities using a multi-issue
strategy. This can only be successful if we
share expertise and advocacy resources with
a network of multidisciplinary coalitions.
Immigration Resources
American Civil Liberties Union
www.aclu.org/blog/immigrants-rights/immigrants-
rights-and-detention/fact-checking-family-separation
Detention Watch Network
www.detentionwatchnetwork.org
Families Belong Together
www.familiesbelongtogether.org
The Immigration Hub
https://theimmigrationhub.org
Immigration Taskforce – Leadership Conference
for Civil and Human Rights
-https://civilrights.org/immigration
National Immigration Law Center (NILC)
www.nilc.org
League of United Latin American Citizens (LULAC)
https://lulac.org/advocacy/issues/immigration
MALDEF
www.maldef.org/immigration/index.html
Office of Refugee Resettlement
www.bing.com/search?q=office+of+refugee+reset
tlement&qs=ONR&pq=office+of+r&sc=8-11&cvid=
D60F5D3800104C7D8A3E3097C97B09F6&FO
RM=QBRE&sp=1
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  • 2. · Utilize Footnotes/Endnotes (two to be used in total; either one of each, or two of one) 9. Utilize line ending hyphenation (at least twice) · Provide a bibliography, using the APA format. You include at least THREE references, including references from a book, newspaper and Internet sources. · Print screen or screen shot’ of a least two web pages used (Place on separate pages) · In an e-mail, attach the research paper and the web links used. · ‘Print screen or screen shot’ the email page, showing: i) The two attachments (the research document and the web links) ii) Multiple recipients addressed inserted in the ‘To, Cc and Bcc’ sections. Send To: [email protected] cc: [email protected] and one other email address [no student doing EDPM Bcc: 2 other persons, not including students who are doing the EDPM at ESHS or any other school. iii) Brief message in the body of the e-mail. 6. Once you have screenshot the email page, insert the screenshots at the end of your research document. 7. Email the document by October 15, 2021 for electronic marking. REMINDERS
  • 3. · Use a simple cover page; No borders, elaborate font and font size. · Use Times New Roman, size 12 for the body of text · Use Times New Roman, Size 14 for all headings, you may use all caps or initial caps · Use appropriate line spacing, TLS after heading and between paragraphs; DLS between the lines in a paragraph. · Use appropriate images; Use footnotes or endnotes meaningfully. OPIOID EPIDEMIC CASE STUDY 1 Opioid Epidemic Case Study Gabriela M. Anthony SPED 620.02 Brett Collins OPIOID EPIDEMIC CASE STUDY 2 Opioid Epidemic Case Study Summary of Topic: Opioids are often prescribed to patients as pain relievers. This
  • 4. includes drugs such as oxycodone, morphine, codeine and fentanyl. Heroin is a very common illicit opiate that is derived from morphine. Regardless if the opioids are being used under the direction of a doctor or not, prolonged use can lead to dependency and addiction. The misuse of prescription drugs includes taking the medication in order to feel high, taking a prescription that is under another person’s name, and taking the medication in doses other than what has been prescribed. Opioids are highly addictive and prolonged use can have detrimental effects to a person's life. An addiction to opioids can lead to overdose and even death (NIDA). While an overdose can be While pregnancy is often a motivating factor for many women to get treatment for their drug addiction, the reality is this is not the case for everyone. Mothers who are using drugs, especially opioids, during pregnancy are putting their child at risk for developing an addiction. Neonatal Abstinence Syndrome (NAS) is “a drug-withdrawal syndrome that most commonly occurs after in utero exposure to opioids” (Tolia, 2015). The
  • 5. drugs are passed through the mothers blood into the placenta. NAS is diagnosed using a “ standardized scale that scores the infant on the presence and severity of common withdrawal symptoms” (Tolia, 2015). Once these babies are born they will be cut off throm their supply this immediately endearing a state of withdrawal. Their symptoms of withdrawal begin within the first 24-72 hours after being born and often include; high-pitched crying, trembling, trouble sleeping, and many more. Healthcare workers may rely on opiate replacement therapy if the child's symptoms are severe enough. They may turn to “opioids such as methadone or morphine, and then weaned off over days to weeks” (Wachman 2018). OPIOID EPIDEMIC CASE STUDY 3 Critique of Current Scientific Evidence: Despite the increasing prevalence of NAS, the long-term effects of maternal opiate dependence have not been researched fully. No one seems to really be sure of how this can affect
  • 6. a child’s development. Researchers believe long-term effects may include developmental delays, motor problems, and/or behavioural problems however they have yet to find conclusive evidence that would support these theories. Another big issue with the research being done is that “the preponderance of evidence is based on low-quality studies that are uncontrolled, use single-center or retrospective data, have small sample sizes, or use quality improvement methodologies not designed for generalizability” (Wachman, 2018). Tolia et al. article shares that studies are often limited to hospital records and rarely turns to firsthand accounts. One study stated that “To further select infants in whom drug withdrawal was the primary reason for NICU admission, we classified infants as having the neonatal abstinence syndrome only if the queried phrase was assigned in the first 7 days of life” (Tolia et al.). This however may be detrimental to the research because according to Stanford Children's Health NAS symptoms can begin to develop up to 10 days after birth.
  • 7. Additionally, the “severity of withdrawal is estimated using various scoring systems, the most common of which is the Finnegan Neonatal Abstinence Severity Score.” (Logan et al.). The diagnosis itself is often estimated by healthcare providers when urine samples can be done in order to definitively determine whether a newborn has traces of opiate in their system.This too would bring more clarity and allow researchers to have more credible data. OPIOID EPIDEMIC CASE STUDY 4 Application and Reflection: In order to combat NAS more research needs to be done on its short and long-term effects. Neonatal Intensive Care Units (NICU) need more resources to treat children with NAS. While the cases have increased, new methods have not been developed to help treat newborns who are dealing with withdrawals (Tolia et al.). NICUs shoul d be a key source of information regarding the effects of NAS.
  • 8. There needs to be more intervention strategies for both the mother and child. First and foremost there needs to be more focus on the opioid epidemic itself. The government better regulate the distribution of opioids. Additionally, doctors who are prescribing opiates freely need to be investigated, as they are enabling this behavior. There needs to be more education about drug use and abuse. Fear mongering is not always the best way to get people to stay away from things. Being open about the short and long-term effects of drug use people may deter people from using. The rise in Neonatal Abstinence Syndrome means that more women are continuing to abuse drugs while pregnant. Support groups and rehabilitation facilities should be more widely accessible especially to expecting mothers. This should extend after the child is born to help the women with their sobriety. Children of parents with opiate addictions need to have a strong support system whether this be extended family, their own support groups, or involvement in the community.
  • 9. OPIOID EPIDEMIC CASE STUDY 5 References Logan, B. A., Brown, M. S., & Hayes, M. J. (2013). Neonatal Abstinence Syndrome. Clinical Obstetrics & Gynecology, 56(1), 186–192. https://doi.org/10.1097/grf.0b013e31827feea4 National Institute on Drug Abuse. (2021, May 17). Opioids. National Institute on Drug Abuse. https://www.drugabuse.gov/drug-topics/opioids. Neonatal Abstinence Syndrome. Stanford Children's Health - Lucile Packard Children's Hospital Stanford. (n.d.). https://www.stanfordchildrens.org/en/topic/default?id=neonatal - abstinence-syndrome-90- P02387. Tolia, V. N., Patrick, S. W., Bennett, M. M., Murthy, K., Sousa, J., Smith, P. B., Clark, R. H., & Spitzer, A. R. (2015). Increasing Incidence of the Neonatal Abstinence Syndrome in U.S. Neonatal ICUs. New England Journal of Medicine, 372(22), 2118–2126.
  • 10. https://doi.org/10.1056/nejmsa1500439 Wachman, E. M., Schiff, D. M., & Silverstein, M. (2018). Neonatal Abstinence Syndrome. JAMA, 319(13), 1362. https://doi.org/10.1001/jama.2018.2640 1Childhood Traumatic Grief: Information for Pediatric Providers Why are pediatric providers important for grieving children? Pediatric providers often support children and families through the death of a parent, sibling, or other important person. One in fourteen children will experience the death of someone close to them by age 181. Following a death, while most grieving children will successfully adjust to the death in time, some children may experience a condition called Childhood Traumatic Grief, in which traumatic stress reactions related to the death interfere with the child’s ability to grieve and adjust. Especially after a death, many families are willing to seek help for physical complaints. However, they may be reluctant to ask for help for psychological or emotional issues or be unaware of a psychological component to physical health. Pediat- ric providers are in a unique position to identify children having ongoing difficulties. Often they are the first professionals to see a child needing help for Traumatic Grief and, therefore, in the best position to make referrals.
  • 11. 1 What Is Childhood Traumatic Grief? Childhood Traumatic Grief is a condition in which children develop traumatic stress reactions to the death of family mem- ber, friend, or other important person in their lives. These symptoms then interfere with the bereavement process. In Childhood Traumatic Grief, even happy thoughts and memories of the significant person remind children of the traumatic way the person died. Children with Traumatic Grief get “stuck” on the traumatic aspects of the death and cannot proceed through the normal bereavement process. Childhood Traumatic Grief: Information for Pediatric Providers One in fourteen children will experience the death of someone close to them by age 18. This project was funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), US Department of Health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS. 2Childhood Traumatic Grief: Information for Pediatric Providers 2 Who develops Childhood Traumatic Grief? Children with Childhood Traumatic Grief experience the cause of death as horrifying or terrifying, whether the death was sudden and unexpected (e.g., due to homicide, suicide, a school
  • 12. shooting, motor vehicle accident, drug overdose, natural disaster, war, terrorism) or due to natural causes (e.g., cancer, heart attack, stroke). Even if the manner of death does not ap- pear to others to be sudden, shocking, or frightening, children who perceive the death in this way may develop posttraumatic stress reactions that lead to Childhood Traumatic Grief. 3 What are the signs a child might have Childhood Traumatic Grief? In Childhood Traumatic Grief, the following traumatic stress reactions may interfere with the child’s grieving process: Intrusive reactions such as upsetting thoughts, images, nightmares, memories, or play about the frightening way the person died Physical or physiological distress such as headaches, stomachaches, symptoms mimicking the way the deceased died, jumpiness, trouble concentrating Avoidance reactions such as withdrawal; acting as if not upset about the death; or avoiding reminders of the person, the way the person died, places or things related to the person, or events that led to the death Negative mood or beliefs related to the traumatic death such as anger, guilt, shame, self-blame, loss of trust, believing the world is unsafe Increased arousal such as irritability, anger, trouble sleeping, decreased concentration, dropping grades, increased vigilance, and fears about safety of oneself or others; self- destructive or risk-taking behaviors (e.g., substance abuse, suicidality)
  • 13. Guidance for pediatric trauma screening is available at https://www.aap.org/en-us/advocacy-and-policy/aap-health- initia- tives/resilience/Pages/PTSD-Fact-Sheet.aspx. 3 How does Childhood Traumatic Grief impact physical health? Childhood Traumatic Grief can have a significant impact on children’s physical health and be indicated by the foll owing: Somatic symptoms severe enough to warrant sick-child pediatric visits Presentation of new somatic symptoms with no clear underlying medical cause Presentation of symptoms that mimic the deceased person’s cause of death Significant worsening of existing chronic medical conditions (e.g., diabetes, asthma) Noncompliance or decreased compliance with usual medication regimens Depressed affect, changes in behavior, and other psychiatric symptoms Self-injurious or suicidal behaviors, substance abuse, or other risky behaviors Changes in eating or sleeping behaviors 4 How can you assess children with Childhood Traumatic Grief?
  • 14. Children with Childhood Traumatic Grief often avoid talking about death or the person who died. Ask children directly about their experiences with trauma or the death of an important person. Not asking may inadvertently communicate to the child that it is unacceptable to discuss these things with adults. If your questions make the child’s symptoms worse, this may be a sign that professional help is warranted. Pediatric providers often are in the best position to talk to children about trauma and death because your patients already have a trusting relationship with you. https://www.aap.org/en-us/advocacy-and-policy/aap-health- initiatives/resilience/Pages/PTSD-Fact-Sheet.aspx https://www.aap.org/en-us/advocacy-and-policy/aap-health- initiatives/resilience/Pages/PTSD-Fact-Sheet.aspx 3Childhood Traumatic Grief: Information for Pediatric Providers You may want to ask the parent to step out of the room during these conversations, because children with Traumatic Grief are often overly concerned with causing their parents additional emotional distress and may deny symptoms in a parent’s pres- ence to avoid upsetting them. To evaluate the presence of Childhood Traumatic Grief, pediatric providers can do the following: Routinely ask parents and caregivers if their children have experienced any deaths or traumatic events since their last visit. Ask children directly whether anything very scary or upsetting has happened since the last visit.
  • 15. Follow up with children and families known to have recently experienced a death or with children who are approaching an anniversary or reminder of a death. Pay particular attention to children who have experienced traumas in addition to the death of a significant person, as exposure to additional trauma may worsen Traumatic Grief symptoms. Inquire about adjustment to deaths that are seemingly long past, as grief reactions sometimes surface at later points in life or developmental stages. 5 What can you do to help children with Traumatic Grief? FOR CHILDREN Assure the child that many children experience similar reactions following the traumatic death of an important person. Provide support and assurance that help is available. Be sensitive when doing invasive medical procedures or examinations that may somehow remind the child of previous traumatic experiences or experiences related to the death. Be aware of the effect of anniversary dates of the loss and potential reminders of the death (e.g., Mother’s Day, Father’s Day, holidays) and adjust medical appointments, procedures, and treatment recommendations in light of how Childhood Traumatic Grief impacts physical illness and treatment compliance. Address treatment compliance issues directly with the child and parent. If barriers to compliance persist, a mental health consultation is warranted.
  • 16. FOR CHILD AND PARENT Discuss making a referral for specialized treatment with both the child and parent. Refer the child to a mental health professional, ideally one who has experience in treating childhood traumatic stress and Traumatic Grief. Encourage the family to call you if additional symptoms or other concerns arise, or if they have difficulty in arranging mental health follow-up. Reassure children and parents that these problems can be successfully treated and that children can recover with appropriate help. FOR PARENTS Keep materials on hand to educate parents about Childhood Traumatic Grief (available at https://www.nctsn.org/what- is-child-trauma/trauma-types/traumatic-grief). Educate parents about the value of getting professional help for the child’s Traumatic Grief. https://www.nctsn.org/what-is-child-trauma/trauma- types/traumatic-grief https://www.nctsn.org/what-is-child-trauma/trauma- types/traumatic-grief 4Childhood Traumatic Grief: Information for Pediatric Providers
  • 17. Where do you find additional information and help? Effective treatments are available for Childhood Traumatic Grief and children can return to their normal functioning. Additional information for children, parents, professionals, pediatricians, and educators is available at the National Child Traumatic Stress Network, www.NCTSN.org with materials specific to Traumatic Grief at www.nctsn.org/trau- ma-types/traumatic-grief. Footnotes https://www.judishouse.org/cbem-methodology-and-sources 1. Currently two treatment models have scientific evidence of helping children recover from Childhood Traumatic Grief: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for children ages 3-18 years and their parents or primary caregivers provided in 12-15 individual or group sessions. More information is available here: https://www.nctsn.org/interventions/trauma-focused-cognitive- behavioral-therapy Trauma Grief Components Therapy for Adolescents (TGCT-A) for teens ages 13-17 years, provided in groups. More information is available here: https://www.nctsn.org/interventions/trauma-and-grief- component-therapy-ad- olescents http://www.NCTSN.org http://www.nctsn.org/trauma-types/traumatic-grief http://www.nctsn.org/trauma-types/traumatic-grief https://www.nctsn.org/interventions/trauma-focused-cognitive- behavioral-therapy
  • 18. https://www.nctsn.org/interventions/trauma-and-grief- component-therapy-adolescents https://www.nctsn.org/interventions/trauma-and-grief- component-therapy-adolescents Home • Resources & Services P O L I C Y R E S O U R C EP O L I C Y R E S O U R C E Three Priorities for Babies at the Border Jul 11, 2019 In recent weeks, families, advocates, policymakers, and Administration personnel have given us a window through the walls of migrant detention camps, again focusing national attention on the life- altering experiences of families with children crossing the border. As we learn more about the young children being held in detention, often separated from their families and under reportedly grossly inadequate care, ZERO TO THREE is compelled to reiterate what decades of research clearly spell out about the impact of trauma on young children. Babies’ brains develop at rapid fire speed, and what happens to them today informs who they will be tomorrow. Young children being held in detention at the border need our urgent attention and action. We must act on their behalf immediately. There is a common misperception that babies are too young to
  • 19. be affected by the events around them. In truth, at the very foundation of babies’ development, intense trauma almost inevitably creates physiological damage to their brains and emotional damage that they will carry into the future – particularly if their needs are not met appropriately and immediately. Out of deep concern for young children, families, and the future of our country, ZERO TO THREE remains in strong, informed opposition to any practice that causes trauma and long-term harm to children. As we apply our research-based lens to current immigration practices and debate, we have three priorities: Babies do not belong in congregate care or detention. Research clearly shows that babies’ physical and social environments have a significant impact on their development. Even under the best circumstances, caring for young children outside of community-based family settings deprives them of the proper care they need to thrive. There is definitive scientific evidence that being held in congregate care (24-hour residential facilities for groups of children) or detention is harmful for young children. In congregate care, young children are stripped of critical one-on-one relationships that support healthy brain development. Placing babies and toddlers in detention centers, even with their families, is also not a viable option. The only safe placement for
  • 20. young children is in a family setting. In the unique circumstance of a young child entering our country with an adult deemed to be dangerous or unfit to provide care, the young child must remain in a community-based family setting, such as with foster parents. Congregate Care: Science tells us that infants and toddlers need consistent and personalized care from trusted, loving adults. When we place migrant babies in congregate care, as recent reports indicate, we deprive them of the nurturing relationships they need and derail their development. In such group settings, multiple adults are responsible for the care of a child, working rotating shifts, and are not individuals that the child knows or trusts. Studies from around the world show that children placed in congregate care settings experience serious May we use cookies to track your activities? We take your privacy very seriously. Please see our privacy policy for details and any questions.Yes No May we use cookies to track your activities? We take your privacy very seriously. Please see our privacy policy for details and any questions.Yes No May we use cookies to track your activities? We take your privacy very seriously. Please see our privacy policy for details
  • 21. and any questions.Yes No https://www.zerotothree.org/ https://www.zerotothree.org/resources https://www.zerotothree.org/ compromises in cognitive, language, and especially, social development. Landmark studies of young children exposed to institutional rearing in Romania show alterations in the structure and functioning of their brains, and serious psychiatric and social impairments lasting into adulthood. Family Detention: Sending infants and toddlers to institutional detention is detrimental to their health and well- being. The contention that children are only temporarily being held in detention facilities does nothing to change the impact on their development. Recent reports from detention camps indicate that children, including babies, are not being provided with the basics of hygiene and care, including regular diapering and nutritious food. Beyond these violations to basic needs, detention places children in an environment of confinement, deprivation of stimuli - and in some cases, overstimulation - and developmentally inappropriate and often harsh treatment, which cause severe stress for both the children and their caregivers.
  • 22. Historically, evaluations of children who have been detained, even with their families, reveal alarming outcomes, with many children displaying developmental delays and signs of emotional disturbance such as a short attention span, aggression, withdrawal, difficulty coping, and learning difficulties. If the legal protections established for children’s care in such facilities (including time limits and regulations) are not adhered to, or are reversed, infants, toddlers, and their families in detention facilities are vulnerable to prolonged stays, abuse, and neglect. Further compounding the risks to their well-being, families in detention may face inadequate access to services including the medical and mental health care they so desperately need. Families who have been separated must be reunified immediately, and the practice of separating children from their parents must not continue. While the practice of separating children from their families was prohibited by Executive Order, it is evident from reports out of detention camps that this practice continues, with very young children removed from the adults who care for them, and reportedly turned over to unrelated older children for their care. While the rapid development of
  • 23. infants and toddlers makes them particularly vulnerable to trauma, families offer an essential buffer to those experiences. When children are separated from their parents after crossing the border, that primary bond is severed. This causes stress hormones to flood babies’ brains, disrupting their neurological circuitry in ways that profoundly affect their short- and long-term physical and emotional health, and their ability to form relationships and learn. That trauma is compounded when children are placed in the care of strangers untrained to care for young children, either older children or adults who are ill-equipped to protect them, much less nurture their healthy development. The broad consensus of researchers and practitioners is that to continue to separate families in this way is tantamount to child abuse. Additionally, children who have already been separated must be immediately reunited with their caregivers, providing them with the close relationship they need to cope with the trauma they have undergone. Young children who have been held in detention and/or have been separated from their families need access to voluntary infant and early childhood mental health services and support. Decades of psychological and brain research have demonstrated that adverse experiences during the first three years,
  • 24. including forced parental separation and placement in incarceration-like settings, can have profound immediate and long-term harm on child development. In the short-term, children may experience anxiety, depression, and self- regulatory issues, including sleeplessness or eating issues. Over time, they may show regression in behavior and cognition, and demonstrate symptoms of post-traumatic stress disorder. This type of trauma, particularly when not addressed by an experienced and trusted clinician, has severe implications for both physical and emotional health over time, increasing young children’s risk for learning difficulties, problems forming relationships, and adult health issues. Caregivers, who are also deeply psychologically and physiologically impacted by their recent experiences, also need support to provide their children with the care they need. When families have been separated, reunification itself may be difficult, as separated young children don’t have the capacity to understand what has transpired and may feel abandoned by their parents. This is complex work, requiring a focus on both parent and child, and requiring specialized expertise and developmentally appropriate, evidence-based support. Infant and early childhood mental health professionals across the United States are able to help, but they
  • 25. need pathways to families.Individuals interested in connecting families with IECMH professionals can utilize this directory (https://www.zerotothree.org/resources/preview/98cd198a-8f4f- 4811-b6ed-fb09c7c19c5a) to find a contact in their state. As experts in early childhood development, we know that every day matters for the well-being of babies and toddlers who have experienced trauma at the border and elsewhere. Appropriate support and treatment are urgently needed, and time is truly of the essence for the protection and care of young children’s rapidly developing brains. As we consider babies at the border, we must use what decades of science and research tell us to inform policy and practice decisionsright now.Their future – and the best interests of our nation – depend onit. Take Action Be a Big Voice for Little Kids We have three simple ways for you to make a difference for traumatized babies at the border. ACT NOW! (HTTPS://WWW.ZEROTOTHREE.ORG/RESOURCES/PREVIE W/E500F20B-041E-47DF-B179- C4BA3215802C) Copyright © 2019 ZERO TO THREE All rights reserved.
  • 26. https://www.zerotothree.org/resources/preview/98cd198a-8f4f- 4811-b6ed-fb09c7c19c5a https://www.zerotothree.org/resources/preview/e500f20b-041e- 47df-b179-c4ba3215802c Statement by Center Director Jack P. Shonkoff, M.D. on Separation of Families The policy of separating families is a critical issue that transcends political ideology and partisanship and speaks to the heart of what the mission of the Center on the Developing Child is all about. June 20, 2018 Two critical concepts at the core of our understanding of early childhood development stand out from decades of scientific research. First, healthy brain development in babies and young children requires the consistent availability of a stable, responsive, and supportive relationship with at least one parent or primary caregiver. Second, high and persistent levels of stress can disrupt the architecture of the developing brain and other biological systems, with serious negative impacts
  • 27. on learning, behavior, and lifelong physical and mental heal th. Sudden, forcible separation of children from their parents is deeply traumatic for both. Above and beyond the visible distress “on the outside,” this overwhelming experience triggers a massive Menu https://developingchild.harvard.edu/about/ https://developingchild.harvard.edu/science/key-concepts/serve- and-return/ https://developingchild.harvard.edu/science/key-concepts/toxic- stress/ https://developingchild.harvard.edu/ https://developingchild.harvard.edu/about/press/shonkoff- statement-separating-families/#nav Print this page Subscribe to our mailing list! " # " biological stress response inside the child, which remains activated until that familiar caregiver returns. Even more important, continuing separation removes the most important resource a child can possibly have to buffer the effects of toxic stress—a responsive adult who’s totally devoted to that child’s well-being. Stated simply, each day we fail to return these children to their parents, we compound the harm and increase its lifelong consequences.
  • 28. There are multiple ways to mitigate this potential damage, but the best thing we could do for the children who have been separated from their parents at the border is to reunite them immediately. If children were being fed poison and someone asked, “What’s the best treatment?”, the best answer is not to come up with an antidote. The solution is to stop poisoning them in the first place. Jack P. Shonkoff, M.D. Founding Director Center on the Developing Child at Harvard University See also: Migrant Family Separation Congressional Testimony by Jack P. Shonkoff, M.D. – February 7, 2019 More resources on this topic " Ab out the C enterAb out the C enter S cienceS cience Innovation & ApplicationInnovation & Application https://developingchild.harvard.edu/#facebook https://developingchild.harvard.edu/#twitter
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  • 30. YouTub eYouTub e Faceb o okFaceb o ok TwitterTwitter https://developingchild.harvard.edu/privacy https://developingchild.harvard.edu/terms-and-conditions https://developingchild.harvard.edu/collective-change/ https://developingchild.harvard.edu/resources/ https://developingchild.harvard.edu/?s= https://developingchild.harvard.edu/site-map/ https://www.instagram.com/developingchildharvard/ https://www.youtube.com/user/HarvardCenter https://www.facebook.com/CenterDevelopingChild/ https://twitter.com/HarvardCenter 750 First Street NE, Suite 800 Washington, DC 20002-4241 SocialWorkers.org The primary mission of the social work profession is to enhance human well-being and help meet the basic human needs of all
  • 31. people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty. The National Association of Social Workers (NASW) is the largest membership organization of professional social workers in the world, with nearly 130,000 members. NASW works to enhance the professional growth and development of its members, to create and maintain professional standards, and to advance sound social policies. Social Justice Brief CONTRIBUTORS: Will Francis, LMSW Government Relations Director, NASW–Texas Chapter Allan Wachendorfer, LMSW Director of Public Policy, NASW–Michigan Chapter Mel Wilson, LCSW, MBA Manager, Department of Social Justice & Human Rights, National Association of Social Worker
  • 32. Migrant and Asylum-Seeking Families: Analysis of Federal Government Policies and Procedures Social Justice Brief » 1 « This NASW social justice brief is intended to present a comprehensive analysis of the complexities of that human rights crisis and the challenges that it poses related to » “ground-level” systems of adult and child detention procedures; » the conditions of detention; » social work involvement in both adult detention and child-welfare policies and service delivery; » legal due process protections for affected families and minors; » scope and capacities of family detention facilities; and » challenges related to child welfare, foster care, and family reunification. The brief includes recommendations for policy reforms, best practices for justice, and comprehensive approaches to Migrant and Asylum-Seeking Families: Analysis of Federal Government Policies and Procedures
  • 33. National policies on responding to families and unaccompanied minors, particularly those entering at the Mexico-U.S. border, recently took a sharp turn as the Trump administration implemented the so-called zero- tolerance policy. This policy - when coupled with family separation policies–has blurred the lines between how families and children are traditionally processed when they cross the border. As we know by now, the results have been that these unclear and rushed procedures have contributed to potentially life-long harm to both parents and children who are entangled in this morass. UNACCOMPANIED ALIEN CHILDREN (UAC) APPREHENSIONS BY COUNTRY COUNTRY FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FYTD 2018 El Salvador 5,990 16,404 9,389 17,512 9,143 2,690 Guatemala 8,068 17,057 13,589 18,913 14,827
  • 34. 16,480 Honduras 6,747 18,244 5,409 10,468 7,784 6,350 Mexico 17,240 15,634 11,012 11,926 8,877 6,690 Source: www.cbp.gov/newsroom/stats/usbp-sw-border- apprehensions Social Justice Brief » 2 « addressing the psychosocial needs of immigrant children families. Background Migrant asylum-seeking families and unaccompanied migrant children have been crossing the Mexico-U.S. border for many years. The chart shows a statistical picture of the persistent movement of children to the United States by their country of origin. The trek for most of the children—and asylum- seeking families—can be close to 2,000 miles. It is well documented that children and their parents make such a perilous journey due to the violent and terrible economic conditions in their country of origin. Once at the border, the families (or unaccompanied children) can either declare themselves as
  • 35. asylum-seeking families or unaccompanied migrant children or illegally cross into the United States and face a minor misdemeanor charge under federal law. Either scenario places their case within the jurisdiction of the U.S. Department of Homeland Security (DHS), and their first contact in the United States will be an official from that agency. U.S. Customs and Border Protection, the largest federal law enforcement agency within the DHS, is responsible for processing asylum seekers and unaccompanied children. The second official contact for asylum-seeking adults is DHS’s United States Citizenship and Immigration Services Bureau (USCIS). Prior to the Trump administration’s zero- tolerance and family separation policies, the government agencies managed the unaccompanied migrant children and asylum seeker processes with bureaucratic efficiencies, although there were flaws in the system. However, the announcement of zero tolerance by Attorney General Sessions not only exacerbated the deficiencies in our current system, but also created a policy and human rights crisis. Far-Reaching Anti-Immigration Policies That Prolong Family Separation Zero-tolerance and family separation immigration policies did not emerge from a vacuum. As early as March of 2017, it was
  • 36. becoming clear that DHS had internal discussions about formulating and implementing a policy of separating children from their parents at the border. At the time, the Trump administration’s stated goal was to deter mothers from making the arduous journey with their children from Central America to the U.S. border. The architects of the family separation policy did not move to actualize it until later. Between July and October 2017 the Trump administration initiated a zero-tolerance “pilot program” in El Paso, Texas. During that period, court records and interviews with migrants reveal that federal prosecutors were aggressive in criminally charging any adult who entered the United States without documentation. What was significant about the pilot program was that migrant parents with young children were not exempt from being charged. The administration was able to simultaneously test its zero-tolerance and family separation strategies. The Trump administration saw its crackdown as a deterrent that would reduce the number of undocumented people—especially families—coming to the United States. However, https://www.theatlantic.com/international/archive/2018/06/centr al-america-border-immigration/563744/ https://www.theatlantic.com/international/archive/2018/06/centr al-america-border-immigration/563744/ https://www.theatlantic.com/international/archive/2018/06/centr al-america-border-immigration/563744/
  • 37. https://www.uscis.gov/humanitarian/refugees-asylum https://www.uscis.gov/humanitarian/refugees-asylum https://www.justice.gov/opa/pr/attorney-general-announces- zero-tolerance-policy-criminal-illegal-entry https://www.justice.gov/opa/pr/attorney-general-announces- zero-tolerance-policy-criminal-illegal-entry https://www.usatoday.com/story/news/politics/2018/06/19/ag- jeff-sessions-trumps-unwavering-voice-zero- tolerance/714035002/ https://www.pbs.org/newshour/nation/how-trumps-family- separation-policy-has-become-what-it-is-today https://www.reuters.com/article/us-usa-immigration-children- idUSKBN16A2ES https://www.reuters.com/article/us-usa-immigration-children- idUSKBN16A2ES https://www.nbcnews.com/storyline/immigration-border- crisis/trump-admin-ran-pilot-program-separating-migrant- families-2017-n887616 https://www.nbcnews.com/storyline/immigration-border- crisis/trump-admin-ran-pilot-program-separating-migrant- families-2017-n887616 https://www.nbcnews.com/storyline/immigration-border- crisis/lucky-ones-maria-her-son-crossed-border-perfect- moment-n886106 https://www.nbcnews.com/storyline/immigration-border- crisis/lucky-ones-maria-her-son-crossed-border-perfect- moment-n886106 Social Justice Brief » 3 « data reported by DHS in July 2018 suggest that the zero-tolerance policy has had little effect. The data show that, from May to June, the number of arrested by the U.S. Border Patrol
  • 38. dipped a meager 0.4 percent. Ironically, some of that drop can be attributed to normal reductions of crossings due to increased temperature in the Southwest during that period. More recently, the Trump administration made a series of policy and procedural changes that affirmed its parent–child separation intent. For example, in June of 2018, DHS officials began requiring that asylum-seeking parents sign a form that gave them a two-option ultimatum: (1) voluntarily leave the United States with their children or (2) be deported, leaving their children behind. There are indications that the form is even being given to asylum seekers who have passed a credible fear test hearings before an immigration judge. DHS has further exacerbated the already confusing and ill-planned family separation crisis by implementing the Trump administration’s policy of intentionally denying bond to some parents who have been separated from their children. These parents are eligible to apply for asylum. Under this policy, parent– child separation is further and unnecessarily extended. The administration has taken these steps in spite of the fact that on June 2 through 6, 2018, a federal judge ordered the Trump administration to take immediate steps to reunify separated families. Migrants who are denied bail have a right to appeal. However, the appeal process is lengthy. It is noteworthy that the U.S. Department of Justice (DOJ) increased the number of immigration judges in anticipation of an influx
  • 39. of immigration cases. DOJ also pressured judges to expedite deportation cases to such a degree that in August 2018, immigration judges complained that DOJ is undermining their independence by reassigning cases to maximize deportations. In fact, the National Association of Immigration Judges (NAIJ) filed a labor grievance against the DOJ after Attorney General Sessions overrode an immigration judge’s decision and removed dozens of cases from the judge’s caseload. After a person passes a credible fear interview, U.S. Immigration and Customs Enforcement (ICE) deportation officers will make a bond determination. This is what the individual must pay to be released from detention while his or her case is being adjudicated. On average, immigration bonds are close to $1,500. Though the asylum seeker’s bond money is reimbursed after their case is resolved, many cannot afford to pay bail. As a result, the parent faces a double barrier to being released as they await their hearing. The parent is either being denied bail or is unable to afford bail. Needless to say, few parents post bail. Perhaps one of the more insidious “under the radar” policy changes that affects asylum- seeking adults attempting to become financially viable while awaiting adjudication is the rescinding of an Obama-era employment guidance by Attorney General Sessions in June of 2018. The 2011 guidance, issued by
  • 40. the Office of Special Counsel for Immigration Unfair Employment Practices, ensured asylum seekers were authorized to work indefinitely and could obtain Social Security cards “without employment restrictions.” Sessions deemed working rights protections to be “unnecessary, outdated, inconsistent with existing law,” and had been imposed without congressional approval. http://media1.s-nbcnews.com/i/today/z_creative/iceform.jpg http://immigrationimpact.com/2018/07/19/children-coerce- parents-signing-deportation/ https://www.uscis.gov/humanitarian/refugees- asylum/asylum/questions-answers-credible-fear-screening https://www.uscis.gov/humanitarian/refugees- asylum/asylum/questions-answers-credible-fear-screening https://www.motherjones.com/politics/2018/07/ice-family- separation-bond-denial-1/ https://www.motherjones.com/politics/2018/07/ice-family- separation-bond-denial-1/ https://www.nytimes.com/2018/06/26/us/politics/family- separations-congress-states.html http://thehill.com/latino/401011-immigration-judges-lash-out- against-sessions http://thehill.com/latino/401011-immigration-judges-lash-out- against-sessions https://www.uscis.gov/ humanitarian/refugees- asylum/asylum/questions-answers-credible-fear-screening https://www.msn.com/en-us/news/us/attorney-general-jeff- sessions-rescinds-guidance-safeguarding-the-right-of-refugees- asylum-seekers-to-work-in-the-us/ar- AAzybVg?ocid=spartandhp https://www.msn.com/en-us/news/us/attorney-general-jeff- sessions-rescinds-guidance-safeguarding-the-right-of-refugees- asylum-seekers-to-work-in-the-us/ar-
  • 41. AAzybVg?ocid=spartandhp https://www.msn.com/en-us/news/us/attorney-general-jeff- sessions-rescinds-guidance-safeguarding-the-right-of-refugees- asylum-seekers-to-work-in-the-us/ar- AAzybVg?ocid=spartandhp Social Justice Brief » 4 « Collectively, anti-immigrant policies implemented by the Trump administration have produced almost insurmountable barriers for migrants and asylum-seeking parents. It is likely that the executive actions are tied to a comprehensive zero-tolerance initiative. Ultimately, they create conditions that will ensure that an increasing number of separated children will be placed in an Office of Refugee Resettlement (ORR) facility. This will also make family reunification far more difficult and increase the amount of additional trauma the children and families experience. Asylum Protections Asylum seekers fit into a special category which is defined as a protection granted to foreign nationals already in the United States or at the border who meet the international law definition of a “refugee.” The United Nations 1951 Convention and 1967 Protocol define a refugee as a person who is unable or unwilling to return to his or her home country, and cannot obtain protection in that country, due to past persecution or a well-founded fear of being persecuted in the future “on account of race, religion,
  • 42. nationality, membership in a particular social group, or political opinion.” Congress incorporated this definition into U.S. immigration law in the Refugee Act of 1980. Because the United States signed the 1967 Protocol -and through U.S. immigration law- it has a presumed legal obligations to provide protection to those who qualify as refugees. The Refugee Act established two paths to obtain refugee status—either from abroad as a resettled refugee or in the United States as an asylum seeker. Impact of Trump Administration Policies on Adults and Children Migrant Family Detention To begin with, it’s important to clarify that in this brief we will not be focusing on unaccompanied migrant children, but rather on children who are part of a detained family unit. Since the implementation of zero-tolerance, the distinction between these two groups has been blurred, and DHS has been combining these two separate groups into one. There were nearly 49,000 adults and children within family units apprehended at the U.S.-Mexico border between January and June of 2018. According to U.S. Customs and Border Protection data, this is over twice the number of family apprehensions as compared with those of the previous year. https://www.americanimmigrationcouncil.org/research/asylum- united-states
  • 43. https://www.americanimmigrationcouncil.org/research/asylum- united-states http://www.refworld.org/docid/3be01b964.html http://www.refworld.org/docid/3be01b964.html http://www.refworld.org/docid/3be01b964.html https://www.americanimmigrationcouncil.org/research/asylum- united-states http://www.pewresearch.org/fact-tank/2018/07/06/border- apprehensions-of-migrant-families-have-risen-substantially-so- far-in-2018/ http://www.pewresearch.org/fact-tank/2018/07/06/border- apprehensions-of-migrant-families-have-risen-substantially-so- far-in-2018/ https://www.cbp.gov/newsroom/stats/sw-border-migration https://www.cbp.gov/newsroom/stats/sw-border-migration Social Justice Brief » 5 « During May 2018—the first month when the zero-tolerance and family separation policies were fully implemented—border agents apprehended 9,485 family members at the Southwest border. Though there was an increase as compared to apprehensions in May 2017, it is fewer people than in the same period of 2014 (12,772 apprehensions). The increase that began in 2013 was an immigration spike due to increases in border crossings among Central American children. The administration’s zero-tolerance policy resulted in a total of 2,342 children being separated from families between May 5 and June 9 of 2018. Close to 2,000 adults from those families were referred for prosecution.
  • 44. However, analyses of DHS records suggest that more than 4,100 children have been separated since October 2016. The merging of children categorized as unaccompanied minors with those removed from families seeking asylum has generated a significant rule change—one also designed to deter asylum seeking families—that clearly blended these two different groups to frighten and therefore discourage families with legitimate claims from seeking solace and support in the United States. This change ensures that DHS will process children of asylum-seeking parents through different paths from their parents. The parents will go through the criminal justice system; the children go through the ORR’s child-welfare system. Perhaps reflecting the obvious scrutiny that the administration has received about early childhood trauma from family separation, HHS designated three facilities as tender age centers (a tender age child is defined as any child under the age of 13). As a result, the 572 children separated from their parents—and yet to be reunited—will be lumped in with the 30,000 unaccompanied migrant children referred to ORR thus far in 2018. The immediate concern is that ORR’s child placement centers lack needed capacity and oversight as they face pressure to place these children. Children Required to Appear at Immigration Hearings Alone
  • 45. When asylum-seeking children are labeled as unaccompanied migrants, this status forces them to go before an immigration court to determine if they qualify for refugee status without their parents present. Procedures for processing asylum and immigration petitions have on occasion reached the point of absurdity. There have been reports of children as young as three years old being made to appear alone in immigration court for deportation hearings. Although having unaccompanied minors go through deportation hearings without a parent or guardian is not new, since the administration’s family separation policy an increased number of preteen children—including toddlers—are being required to appear alone, exposing them to further trauma. Some of the children recently separated from their parents could likely be asked to endure court proceedings—which they often cannot possibly comprehend or understand if they do not speak English—even as they emotionally struggle with the ongoing trauma of being taken from their parents. Prior to the zero- tolerance policy, parents were usually taken to immigration court along with their young children. During those hearings, the parent, not the child, was asked to explain the http://www.pewresearch.org/fact-tank/2014/06/10/number-of- latino-children-caught-trying-to-enter-u-s-nearly-doubles-in- less-than-a-year/ https://www.nbcnews.com/news/amp/ncna887616?__twitter_imp ression=true
  • 46. https://www.washingtonpost.com/local/immigration/dhs- proposal-would-change-rules-for-minors-in-immigration- detention/2018/05/09/267af486-4f00-11e8-b725- 92c89fe3ca4c_story.html?noredirect=on&utm_term=.dc01c155a 304 https://www.washingtonpost.com/local/immigration/dhs- proposal-would-change-rules-for-minors-in-immigration- detention/2018/05/09/267af486-4f00-11e8-b725- 92c89fe3ca4c_story.html?noredirect=on&utm_term=.dc01c155a 304 https://www.cnn.com/2018/06/20/politics/immigration-border- separations-tender-age-shelters/index.html https://www.washingtonpost.com/graphics/2018/local/tracking- migrant-family- separation/?noredirect=on&utm_term=.2402dcafddab https://www.nbcnews.com/news/latino/surge-migrant-children- government-shelters-trump-admin-pushes-zero-tolerance- n878601 https://www.nbcnews.com/news/latino/surge-migrant-children- government-shelters-trump-admin-pushes-zero-tolerance- n878601 https://www.nbcnews.com/news/latino/surge-migrant-children- government-shelters-trump-admin-pushes-zero-tolerance- n878601 https://www.texastribune.org/2018/06/27/immigrant-toddlers- ordered-appear-court-alone/ https://www.texastribune.org/2018/06/27/immigrant-toddlers- ordered-appear-court-alone/ Social Justice Brief » 6 « circumstances that led the family to seek asylum in the United States.
  • 47. We should be reminded that the children’s health is predicated on a foundational relationship with a caring adult—especially a parent. When children are separated from their parents, their stress hormones respond with intensity, which can lead to developmental delays. Children develop speech slower, their motor skills don’t come along as quickly as they should, and they start to have difficulty forming proper attachments with other human beings. As pointed out by the head of the American Academy of Pediatrics, the presence of a social worker isn’t enough to mitigate those effects. The younger the child—and the longer they are in this stressful situation—the more challenging it is to reverse the damage. Early traumatic experiences can have lifelong consequences, often leading to learning disabilities, high risk for drug and alcohol abuse, and potentially even higher risk of heart disease or cancer when they become adults. Trump Rescinds Family Separation Policy, But Keeps the Zero-Tolerance Policy in Place In June 2018, under pressure from family and child advocates, Trump signed an executive order rescinding his family separation immigration policy. However, in announcing the change in family separations, the President “doubled down” on his zero-tolerance policy. By doing so, he made an already murky situation cloudier. The truth is that his new executive order ending the family separation
  • 48. policy did not resolve the problem of reunifying the 3,000 children who at that time were already separated. Family Has Long Been Plan A: Flores Agreement’s Role in Preventing Its Implementation A policy of prolonged family detention is not without legal challenges. The Flores settlement— the court ruling that prevented children from being kept in immigration detention with their parents for more than 20 days—has been a standard for over 20 years. However, in spite of Flores, Attorney General Sessions announced that the government had begun detaining families throughout the completion of the adjudication of their immigration cases. That duration could easily mean months of detention (or longer) for some asylum seekers. In fact, well before Sessions’ announcement, President Trump had argued that he should have the power to detain migrant families who cross the U.S.-Mexico border together. The administration sought to modify the Flores settlement agreement to allow for the detention of children beyond 20 days. However, in July 2018, a federal judge in California pointedly rejected the administration’s request. The U.S. District Court judge stated the administration’s request was “wholly without merit.” She found that “nothing prevents the government from reconsidering their current policy of family detention and reinstating
  • 49. prosecutorial discretion.” The challenges to family separation continue. For instance, in the summer of 2018, the American Civil Liberties Union filed a federal lawsuit (Ms. L v. ICE case) seeking to reunite https://www.vox.com/policy-and- politics/2018/6/18/17475810/i mmigration-family-separation- health-crisis https://www.vox.com/policy-and- politics/2018/6/18/17475810/immigration-family-separation- health-crisis https://www.vox.com/policy-and- politics/2018/6/18/17475810/immigration-family-separation- health-crisis https://www.vox.com/policy-and- politics/2018/6/18/17475810/immigration-family-separation- health-crisis https://www.vox.com/policy-and- politics/2018/6/18/17475810/immigration-family-separation- health-crisis https://www.cbsnews.com/news/trump-executive-end-family- separation-at-border-immigration-today-2018-06-20/ https://www.cbsnews.com/news/trump-executive-end-family- separation-at-border-immigration-today-2018-06-20/ https://www.vox.com/2018/6/11/17443198/children-immigrant- families-separated-parents https://www.vox.com/2018/6/20/17484546/executive-order- family-separation-flores-settlement-agreement-immigration https://www.justice.gov/opa/case- document/file/1077076/download?utm_medium=email&utm_sou rce=govdelivery https://www.msn.com/en-us/news/us/federal-judge-rejects- trump-administrations-bid-to-alter-rules-on-detaining- minors/ar-AAzORNC?ocid=spartandhp
  • 50. https://www.msn.com/en-us/news/us/federal-judge-rejects- trump-administrations-bid-to-alter-rules-on-detaining- minors/ar-AAzORNC?ocid=spartandhp Social Justice Brief » 7 « an asylum-seeking mother and her 7-year-old daughter fleeing violence in the Democratic Republic of Congo. Upon entering the United States, the mother and child were forcibly separated and placed apart in detention centers over 2,000 miles apart. As a result of the suit, a federal judge temporarily blocked the Trump administration from deporting parents and children that it forcibly separated. The Judge also temporarily put a hold on all family separation deportations until further briefing Jail-Like Conditions in Family Detention Facilities One of the most problematic aspects of family detention polices under zero-tolerance is that families are placed in settings identical to jails. In a family detention model, the entire family is part of a criminal case. Therefore, their detention is incarceration and they are not free to leave unless they are granted bail. In the facilities currently used for long-term family detention conditions and restrictions exist for parents and children similar to jails. For example, in Berks County, Pennsylvania, bright lights reportedly keep children from sleeping well, and they can be disciplined if they try to climb into a parent’s bed for comfort.
  • 51. Alternatives to Family Detention These conditions are not necessary, as there are alternatives to family detention. Significantly, national law enforcement leaders have taken a lead on making this point. In June of 2018, over 50 high-ranking members of the Law Enforcement Immigration Task Force signed on to a letter to congressional leadership, asking them to consider evidence-based alternatives to family detention that also ensure families attend immigration hearings and keep required related appointments. Some of the alternatives include regulated and mandated check-ins with law enforcement, communication with authorities by telephone, linking families to community-based psychosocial services, or electronic monitoring of some individuals. Studies show that asylum seekers are very compliant in appearing for their immigration court hearings, with around 90 percent of children attending immigration proceedings when a lawyer is present. The Family Case Management pilot program was a proven alternative to detention, yet it was terminated last year by the Trump administration. The program was highly successful with the families present for hearings over 99 percent of the time. As stated by many law enforcement officials, immigrant families are not threats to national security. Furthermore, there is a consensus that incarcerating asylum-seeking families does not make our communities safer.
  • 52. Until recently, there was an effort to divert families from detention. As previously mentioned, the Family Case Management Program was a promising program that served 1,600 individuals between 2015, when it was introduced by the DHS, and 2017. Instead of keeping children in detention centers with their parents, families in certain cities were released and monitored by social workers, who helped them find lawyers, housing, and transportation, and made sure they attended their court hearings. The program was designed to have social workers assume community supervision duties until the immigration court decided the fate of the family. Using alternatives to family detention saves taxpayer dollars and creates opportunities to https://www.humanrightsfirst.org/resource/long-term-detention- mothers-and-children-pennsylvania https://www.humanrightsfirst.org/resource/long-term-detention- mothers-and-children-pennsylvania https://www.humanrightsfirst.org/resource/long-term-detention- mothers-and-children-pennsylvania https://leitf.org/2018/06/law-enforcement-leaders-urge- alternatives-family-detention/ https://www.americanimmigrationcouncil.org/research/taking- attendance-new-data-finds-majority-children-appear- immigration-court https://www.americanimmigrationcouncil.org/research/taking- attendance-new-data-finds-majority-children-appear- immigration-court https://thinkprogress.org/trump-ended-successful-migrant- monitoring-program-because-didnt-deport-enough-
  • 53. bd506068c05c/ https://thinkprogress.org/trump-ended-successful-migrant- monitoring-program-because-didnt-deport-enough- bd506068c05c/ http://pediatrics.aappublications.org/content/early/2017/03/09/p eds.2017-0483.full-text.pdf https://www.dhs.gov/sites/default/files/publications/CFO/17_05 24_U.S._Immigration_and_Customs_Enforcement.pdf https://www.dhs.gov/sites/default/files/publications/CFO/17_05 24_U.S._Immigration_and_Customs_Enforcement.pdf https://www.dhs.gov/sites/default/files/publications/CFO/17_05 24_U.S._Immigration_and_Customs_Enforcement.pdf reinvest detention budgets to more productive programs. In fiscal 2018, it cost ICE over $200 per day to keep a family in detention; detaining a person in a specialized family detention is more than $300. Alternatives to detention cost only around $5 or $6 per person. Perhaps more important, alternative programs do not result in detaining very small children, taking children away from their parents, or implementing policies that violate basic American values. Reunification: Overburdened Child-Welfare Centers The highest priority for children who have already been separated from their families and are in the custody of ORR is reunification. This also appears to be the most difficult challenge. Because zero-tolerance and family separation were so poorly planned, there seems to be little or no interagency coordination between DHS and HHS. The
  • 54. plan of identifying all children using the names of their parents and the country of origin as the primary identifiers is fraught with challenges. Incredibly, when Trump rescinded his family separation policy, it was clear that HHS was struggling to even begin to reunify over 3,000 children with their parents. Recognizing the Needs of Detained Parents Understandably, there has been much anger and outrage about the aggressively anti- immigrant policies are directed at the plight of children. However, we must not overlook the vulnerable adults in this drama. During the first 15 months of the Trump administration, nearly 100,000 immigrants were apprehended at the U.S.-Mexico border. Over one-third of that total, more than 37,500, were unaccompanied minors and most of the rest were the 61,000 members of family units. We know that the children were initially placed in an ICE family shelter. After 48 hours, the children who entered the country with a family could stay with their parents while the parent(s) awaited the outcome of their request for asylum. This was euphemistically referred to as catch and release. However, zero-tolerance changed all of that. Once the administration decided to place an emphasis on criminalizing immigrant border crossings by asylum-seeking families and undocumented individuals, DHS and DOJ developed plans for resulting increases in
  • 55. detentions. Correspondingly, the administration planned for increased incarcerations and adjudications in immigration courts. From the beginning, the administration anticipated the need for more detention beds for adults. During FY 2017, the daily population in ICE detention facilities was around 38,000. Tellingly, President Trump’s FY 2018 budget’s detention beds plan included request for $1.5 billion to significantly expand detention capacity at the border and in the interior to 51,379 detention beds. Under the current “detention bed mandate,” the government is required to fill a minimum of 34,000 beds in immigrant detention centers per night. The budget also proposes $177 million for the Alternatives to Detention Program and $485 million for transportation costs. As early as February 2017, Attorney General Sessions reversed an Obama decision that had ended government contracts with private prison corporations. The move was a http://thehill.com/opinion/immigration/394732-family- detention-is-not-the-solution-to-family-separation https://www.washingtonpost.com/local/immigration/despite- vow-to-end-catch-and-release-trump-has-freed-100000-who- illegally-crossed-the-border/2018/04/13/839c778e-3754-11e8- acd5-35eac230e514_story.html https://www.washingtonpost.com/news/fact- checker/wp/2018/06/19/the-facts-about-trumps-policy-of- separating-families-at-the- border/?noredirect=on&utm_term=.acefe9feb1c1 https://www.us-immigration.com/us-immigration-news/us-
  • 56. immigration/catch-and-release-policy-for-undocumented- immigrants-reinstated/ https://www.npr.org/sections/thetwo- way/2017/10/26/560257834/as-it-makes-more-arrests-ice-looks- for-more-detention-centers https://bipartisanpolicy.org/blog/immigration-in-trumps-fy2018- budget/ Social Justice Brief » 9 « precursor to implementing a zero-tolerance policy. Private prisons had the ability to accept detainees on short notice and had existing unused capacity. Moreover, private prison companies had experience in housing detained undocumented immigrants, and ICE has already been relying on them to absorb increased detentions during the Obama administration. Given the administration’s public commitment to increase immigrant detentions, Attorney General Sessions took steps to ensure the resource of private prisons was available for use. Human Rights and Injustice Aspects of Immigration Detention Due Process It is not uncommon for asylum-seeking migrants—including parents traveling with their children—to be held in detention for many months, while their asylum cases are being adjudicated. One of the reasons for these prolonged incarcerations is the high rate of denial of parole by DHS officials. In
  • 57. response to this problem, a class action lawsuit was filed to challenge denials of parole that cause thousands of asylum seekers to be held in detention. While a recent Supreme Court decision held that the government is not obligated to guarantee detention hearings for asylum seekers detained for a long period of time, release on parole continues to be a right for detainees. The government affirmed in court oral arguments that, as policy, it grants paroles to arriving asylum seekers who meet the credible fear test, as well as flight risk and dangerousness criteria. However, since the beginning of 2017, ICE appears to have disregarded DHS written policy on parole. In as many as five ICE districts, an average of 96 percent of arriving asylum seekers were denied parole. Advocates have determined through Freedom of Information documents that many of those who were denied parole demonstrated that they met the criteria for eligibility for being release on parole. Lack of Access to Legal Services The increase in arrest and detention of asylum seekers has led human rights advocates, including social workers, to voice concerns that the detained parents do not have a constitutional right to government-funded legal counsel. Because nearly all migrants are low-income, they cannot afford to hire an attorney. They are often unrepresented in
  • 58. legal proceedings or dependent on pro bono attorneys, if available. Retaining a lawyer can make the difference for incarcerated asylum seekers: » Nationally, only 14 percent of imprisoned immigrants are represented in deportation proceedings. » If an immigration detainee has counsel, he or she is over 10 times as likely to avoid deportation. » Immigrants incarcerated in detention facilities are seven times as likely to be granted bond if they have an attorney. » ICE detention centers are often located in remote areas. This is a significant barrier to getting pro bono lawyers. » Prison conditions are impediments to access and communications with an attorney. › In one large detention center in Texas, there are only three attorney-visitation rooms for nearly 1,900 detainees. https://www.huffingtonpost.com/entry/doj-private-prisons- sessions_us_58af529ce4b0a8a9b780669a https://www.humanrightsfirst.org/sites/default/files/parole_litig ation_Mar15.pdf https://www.humanrightsfirst.org/sites/default/files/parole_litig ation_Mar15.pdf https://www.supremecourt.gov/oral_arguments/argument_transc ripts/2017/15-1204_2c83.pdf https://www.justsecurity.org/53890/holding-asylum-seekers- parole-unlawful/
  • 59. https://www.migrationpolicy.org/article/us-detention-asylum- seekers-and-human-rights https://www.splcenter.org/sites/default/files/ijp_access_case.pdf https://www.splcenter.org/sites/default/files/ijp_access_case.pdf https://www.splcenter.org/sites/default/files/ijp_access_case.pdf Social Justice Brief » 1 0 « › Attorneys are frequently subjected to waits of longer than an hour—and sometimes two or three hours—to see their clients. › The visitation rooms do not have telephones, and attorneys are prohibited from bringing their own telephone. › There is often no way to call interpreters. The significance of addressing this compromised due process and limited access to legal counsel for asylum seekers is seen through the U.S. government action. Under “zero-tolerance” it has reinforced its prosecutorial capacity. In May 2017, DOJ announced hiring 35 new assistant U.S. attorneys, all of whom will be assigned to the Southwest border. In addition, DOJ has assigned 18 supervisory immigration judges to hear immigration cases near the Southeast border. The DOJ’s increase in its adjudication staff is based on data from DHS showing a 203 percent increase in the number of people
  • 60. apprehended at the border or who arrived at ports of entry without entry documents between March 2017 and March 2018. The disparity between asylum seekers’ access to adequate counsel to plead their cases, and the government’s capacity to adjudicate their cases, is very apparent. Private Prisons Are Benefiting from Trump’s Hardline Immigration Policies As previously mentioned, in February 2017 the Trump administration rescinded an Obama-era directive to end all DOJ contracts with private prison corporations. That decision, primarily pushed by the newly appointed Attorney General Sessions, prompted suspicion about hidden political motives. It was not lost on some that one of the largest private prison corporations had donated a significant amount of money to a Trump super Political Action Committee (PAC). The financial support became even more curious when almost immediately after of the Obama administration announced it was phasing out all private prison contracts the GEO Group made a $100,000 contribution to the Trump campaign. At the time, a government reform organization, the Campaign Legal Center, stated, “There’s a direct connection between GEO Group’s contributions and a policy goal that would directly benefit its bottom line.” Now, many months into the Trump presidency, the private prison industry is as strong as ever—and with
  • 61. the administration’s anti-immigrant policies, the industry is poised to greatly increase its revenues from government contracts. What draws more scrutiny is that currently more than 70% of those detained by the DHS are held in privately owned facilities. It is not a stretch to surmise that, as it was planning its aggressive border crackdown, the Trump administration worked closely with the private prison industry to identify more detention facilities for the upsurge of undocumented immigrants. The zero-tolerance policy will be a boon to the earnings of the private prisons industry. Private Prison Industry Not Alone in Profiteering on Increased Immigration Detention In rural southern Florida, Glades County has a relatively high rate of incarceration, immigrant detention, and deportation. Thirteen percent of adults in the county are in http://www.abajournal.com/news/article/sessions_sends_more_p rosecutors_supervisory_judges_to_border_to_handle_immi http://www.newsweek.com/trump-declares-border-crisis- homeland-security-says-crossings-200-percent-873029 http://www.newsweek.com/trump-declares-border-crisis- homeland-security-says-crossings-200-percent-873029 file:///C:/Users/Mel/Documents/FeedbackHub file:///C:/Users/Mel/Documents/FeedbackHub file:///C:/Users/Mel/Documents/FeedbackHub https://www.npr.org/sections/thetwo- way/2017/10/26/560257834/as-it-makes-more-arrests-ice-looks- for-more-detention-centers
  • 62. https://www.npr.org/2017/11/21/565318778/big-money-as- private-immigrant-jails-boom http://www.businessinsider.com/geo-group-corecivic-private- prisons-trump-immigration-crackdown-good-business-news- 2017-8 Social Justice Brief » 1 1 « jail—some at a private prison and some at the Glades County Detention Center. That there were many detained immigrants at the county jail was by design. The fact is that county leaders working with private investors sought to increase their community’s economic stability by increasing immigrant detention. The plan included using the county jail as tax-free profit for investors, County officials were banking on the likelihood that the then Obama administration’s policy of increased immigration detention would result in a high demand for immigration detention beds. In 2007, Glades County built a jail with a capacity to hold over 500 people. That is a notable fact because each year there are far fewer arrests of non-immigrant residents of Glades County. The jail was built with the expressed objective of raising revenues by leasing beds to ICE. This plan to use immigration and deportation policy as a business venture by a government entity signals the movement toward the
  • 63. criminalization of immigration. For a number of reasons, the anticipated flow of immigrants to the detention center did not materialize during the Obama administration. However, the Trump administration’s well-published intent to implement a zero-tolerance policy was actually good news for Glades County. Since the election of Donald Trump, ICE has been sending substantially more immigrant detainees to the Glades County Detention Center. As of April 2018, the jail held 450 immigrants for ICE. Recommendations It is important to fully describe and discuss the implications of what many consider to be one of the nation’s most heartless policy decisions in decades. The Trump administration’s executive orders on zero-tolerance and the related family separation policies have been rightfully compared to the President Franklin Roosevelt’s executive order that sent Japanese Americans to internment camps during World War II. The zero-tolerance and family separation issue has shaken not only the nation, but also the social work community as it violates so much of what our profession stands for. It is, therefore, especially important for social workers to take a lead in identifying solutions that support the well-being of children and their parents, and that result in social justice for these vulnerable families.
  • 64. The following are recommendations that provide guidance on child-welfare imperatives in light of the negative and unethical consequences of zero-tolerance and family separation NASW recommends the following: » The Trump administration should end its zero-tolerance policy. It is both ineffective and the genesis of unfair and inhumane treatment of families seeking asylum from extreme violence in their home countries. » As an extension of the executive order ending family separation, the administration should prioritize finding least restrictive alternatives that utilize community resources as opposed to family detention centers or, effectively, family prisons. https://www.vera.org/in-our-backyards-stories/glades-county- more-than-a-jail https://www.vera.org/in-our-backyards-stories/glades-county- more-than-a-jail https://www.vera.org/in-our-backyards-stories/glades-county- more-than-a-jail https://www.vera.org/in-our-backyards-stories/glades-county- more-than-a-jail https://www.britannica.com/topic/Executive-Order-9066 https://www.britannica.com/topic/Executive-Order-9066 Social Justice Brief » 1 2 «
  • 65. » The White House must take the lead in forming an institutionalized interagency council that includes DHS, HHS, DOJ, and Department of Defense (DOD) and any other directly impacted federal, state, and local government agencies. The interagency taskforce’s mandate will be to coordinate services for unaccompanied migrant children and children of asylum-seeking families. » Immediate creation of a comprehensive, coherent, intra-agency coordinated plan, led by DHS, for reunification of the over 500 children who currently remain separated from their parents. » Full transparency by the government as to the total number of children being detained and its progress toward a reasonable timeline for reunification of all the children. » The administration must comply with the court order to adhere to the Flores Agreement, which prohibits prolonged childhood detention. » DHS and HHS should fully commit to providing qualified mental health professionals to assess and provide services related to trauma-based emotional problems in children separated from their parents. » All staff, from border patrol agents to social workers, administrative staff, and
  • 66. anyone who works with children involved in the immigration system must receive trauma-informed training. » Clarification of designation of children from asylum-seeking families as different from unaccompanied migrant children. It is important that children who either seek asylum or have crossed the U.S border with their parent(s) be recognized as a part of a family unit and not unaccompanied. We urge lawmakers to hold DHS and DOJ accountable by speaking out against family separation. Several legislative proposals have been introduced in Congress aimed at ensuring the safety and well-being of migrant children and families by halting the use of family separations. We urge policymakers to support the following: › H.R. 2572: Protect Family Values at the Border Act › H.R. 5950/S.2937: The HELP Separated Children Act › H.R. 2043/S. 2468: Fair Day in Court for Kids Act 2018 › Protecting Immigrant Families » NASW agrees with the relevant provisions in the Help Separated Children Act, which would help mitigate some of
  • 67. the stress and instability of immigration enforcement on children including that the bill › allows parents to make calls to arrange for the care of their children prior to being taken into custody. › allows parents a meaningful opportunity to communicate with children by saying good-bye, reassuring them, and sharing information about their care arrangements before they are separated. › protects children from having to translate ICE interrogations for their parents. › requires ICE to consider children’s best interests in decisions about parents’ detention, transfer between detention facilities, and release from detention. https://supportkind.org/media/family-separation-at-the-border/ https://supportkind.org/media/family-separation-at-the-border/ https://www.congress.gov/bill/115th-congress/house-bill/2572 https://www.congress.gov/bill/115th-congress/house-bill/2572 https://www.congress.gov/bill/115th-congress/senate- bill/2937/all-info https://www.congress.gov/bill/115th-congress/senate- bill/2937/all-info https://www.govtrack.us/congress/bills/115/s2468 https://www.govtrack.us/congress/bills/115/s2468 https://protectingimmigrantfamilies.org/
  • 68. https://www.clasp.org/blog/members-congress-pledge-help- separated-children https://www.clasp.org/blog/members-congress-pledge-help- separated-children Social Justice Brief » 1 3 « › allows detained parents to have regular phone calls and contact visits with children. › allows parents to fully participate in child welfare proceedings during their detention. » Reinstatement of the Family Case Management Program. » Advocacy for DHS to allocate its budgeted immigration and removal operations toward alternatives to family detention programs. DHS has budget authority to spend funds on such programs. Conclusion The current national immigrati on policies— and the methods of their implementation— discussed here unambiguously violate social work values. More important, the Trump administration’s approach to border protection violates a national human rights ethos that has been espoused in this country for centuries. The United States has at times not lived up to its own values and ideals, and we must learn
  • 69. from those past mistakes. For those reasons, the social work profession cannot be passive in our opposition to family separation immigration policies. We must reaffirm American social justice values, as well as social work values, by working to reverse zero-tolerance and related polices. In so doing, we must replace unjust policies with those that ensure the protection of the rights of families and children, even as we seek to enforce immigration and asylum laws. What Can Social Workers Do? At the height of the outcry when the country became aware of the Trump administration’s family separation policy, social workers were asking, “What can we do?” It is admirable that social workers are anxious to lend their skills to help these children. However, it is not that easy. It must be remembered that the family facilities and the facilities for unaccompanied migrant children are managed by private contractors under DHS and HHS administrative control. This means that the providers do not have the latitude to allow social workers to volunteers to provide services to the children. However, there are several opportunities for social workers to get involved. As suggested by Social Justice
  • 70. Solution s, social workers could consider the following: » Volunteer as interpreters for detained immigrants. If you’re a licensed social worker- who is proficient in Spanish-you can also assess a person’s mental health for their legal file. » Work or volunteer with community-trusted organizations that have a proven history of advocating for immigrant families. Undocumented individuals are more likely to trust organizations that have effectively supported their community members in the past. » Provide support to advocacy groups that work to unite families and to prevent separations. Families Belong Together, the Young Center for Immigrant Children’s Rights, Protecting Immigrant Families and
  • 71. the U.S. Committee for Refugees and Immigrants are some examples of such organizations. » Educate yourself on legal and policy issues about immigration status and how they affect child welfare and other matters. https://www.dhs.gov/sites/default/files/publications/CFO/17_05 24_U.S._Immigration_and_Customs_Enforcement.pdf https://www.dhs.gov/sites/default/files/publications/CFO/17_05 24_U.S._Immigration_and_Customs_Enforcement.pdf http://www.socialjusticesolutions.org/2018/07/11/social - workers-can-address-trauma-family-separation/ https://www.familiesbelongtogether.org/ https://www.theyoungcenter.org/ https://www.theyoungcenter.org/ https://protectingimmigrantfamilies.org/ http://refugees.org/ http://refugees.org/ Social Justice Brief » 1 4 «
  • 72. » Lobby your members of Congress, contact local elected officials, and push for laws to protect basic human rights. » Social workers who are employed in a public or private family detention center, adult detention center, or in an HHS child foster care facility must be cognizant of their ethical obligation to report all incidents of › child maltreatment. › inadequate medical, mental health, and social support services. › inadequate licensure, staff positions and policies and procedures as defined by federal and state standards. In summary, NASW is a major stakeholder for advocating for human rights, especially for marginalized low-income populations. The Trump administration’s family separation policy qualifies as one of America’s most shameful human rights abuses since the internment of 110,000 Japanese Americans
  • 73. during World War II. Therefore, it is without a doubt that NASW must join other major professional associations, immigration advocacy organizations, and human rights coalitions to never let such an inhumane government policy take root again. NASW and its collaborators must stay engaged, informed, and prepared to act, which means that we have to be committed for the long term. It also means that we all must recognize that there is an intersection between voter participation, nominations and appointments to the federal judiciary, economic justice, criminal justice, and immigration equity. Therefore, we have to be prepared to respond to inequities using a multi-issue strategy. This can only be successful if we share expertise and advocacy resources with a network of multidisciplinary coalitions. Immigration Resources American Civil Liberties Union
  • 74. www.aclu.org/blog/immigrants-rights/immigrants- rights-and-detention/fact-checking-family-separation Detention Watch Network www.detentionwatchnetwork.org Families Belong Together www.familiesbelongtogether.org The Immigration Hub https://theimmigrationhub.org Immigration Taskforce – Leadership Conference for Civil and Human Rights -https://civilrights.org/immigration National Immigration Law Center (NILC) www.nilc.org
  • 75. League of United Latin American Citizens (LULAC) https://lulac.org/advocacy/issues/immigration MALDEF www.maldef.org/immigration/index.html Office of Refugee Resettlement www.bing.com/search?q=office+of+refugee+reset tlement&qs=ONR&pq=office+of+r&sc=8-11&cvid= D60F5D3800104C7D8A3E3097C97B09F6&FO RM=QBRE&sp=1 Social Justice