“i Did Whatever They Wanted Me to Do”: a Qualitative Secondary Analysis Using Reproductive Justice to Explore Sexual Violence Among Justice-involved Latina Mothers

Background: One in three women experience sexual violence during their lifetime; however, little is known about this phenomenon with respect to justice-involved Latina mothers. Using the reproductive justice framework as a theoretical lens, we examined sexual violence in Latina mothers who had experienced incarceration and were thus involved in the justice system.Methods: This was a secondary analysis of a qualitative data set. The reproductive justice framework provided a theoretical lens for examining the women’s rights to bodily autonomy, to have or not have children, and to live in safe, sustainable environments given the intersection of incarceration and sexual violence.Results: Women (N = 12) recounted their experiences of sexual violence after having been incarcerated. Incarceration and resulting sexual violence led to discrimination, limited bodily autonomy, sexual exploitation, substance use, depression, anxiety, re-traumatization, recidivism, underreporting of violence, underutilization of healthcare resources, strained relationships, family separation, and unsafe environments. Conclusions: More research is needed to understand the social, economic, and political contexts that perpetuate sexual violence among justice-involved women. Universal healthcare, participatory research, changing cultural mindsets, decriminalization of sex work, and more comprehensive tracking and prosecution of sexual predators may be key to ending sexual violence in justice-involved mothers.

In Pursuit of Development: Post-Migration Stressors among Kenyan Female Migrants in Austria

The emphasis on migration for development obscures its diverse challenges. The migration development nexus is paradoxical, problematic, and controversial. Remittances have long gained wide interest. Migrants’ subjective experiences are important in understanding overall migration outcomes. International African female migration has increased and it is underexplored. This paper investigates the psychosocial stressors of migration based on the lived experiences of Kenyan female migrants in Austria. A sample of 6 female migrants was selected. Narrative data were recorded and analysed using interpretative phenomenological analysis. The findings showed that migration resulted in troubled relationships within the core and extended families. The economic dependency of family members in Kenya caused conflicts in interracial marriages. Acculturation led to alienation, family separation and isolation. Achieving economic goals proved challenging due to unpredictable effects in Austria. Failed expectations driven by stereotypes about Europe resulted in disillusionment and high expenses. Routine racism and Black female body objectification affected the mental health of the participants. This article contributes to knowledge on international African migration and gender-specific issues concerning African female migrants. The results will inform policymakers, academia, future migrants and mental health providers. Further research on the effects of migration on African migrants is recommended.

The psychological effects of forced family separation on asylum-seeking children and parents at the US-Mexico border: A qualitative analysis of medico-legal documents

The U.S. government forcibly separated more than 5,000 children from their parents between 2017 and 2018 through its “Zero Tolerance” policy. It is unknown how many of the children have since been reunited with their parents. As of August 1, 2021, however, at least 1,841 children are still separated from their parents. This study systematically examined narratives obtained as part of a medico-legal process by trained clinical experts who interviewed and evaluated parents and children who had been forcibly separated. The data analysis demonstrated that 1) parents and children shared similar pre-migration traumas and the event of forced family separation in the U.S.; 2) they reported signs and symptoms of trauma following reunification; 3) almost all individuals met criteria for DSM diagnoses, even after reunification; 4) evaluating clinicians consistently concluded that mental health treatment was indicated for both parents and children; and 5) signs of malingering were absent in all cases.

Mental Health, Alcohol and Substance Use of Refugee Youth

This study aims to explore the prevalence of alcohol and substance use among young refugees along with the indicators of experienced psychological difficulties. It is based on a sample of 184 children and adolescents aged 11–18 years old, residing at two refugee centers in the Republic of Serbia. Out of 184 participants, the majority was male (N = 155; 84.29%). More than a half of participants (53.3%) displayed significant symptoms of PTSD. 50% consume energy drinks, 28% use tobacco; 13% use alcohol; 4.6% use marijuana; 1.7% use LSD, amphetamines, glue, tranquilizers and cocaine. Female respondents were more frequently expressing emotional difficulties (p < 0.05) while male participants were more frequent users of alcohol or substances (p < 0.01). Younger children were more frequently expressing symptoms of hyperactivity and prosocial behavior, while they were less frequently using substances. There is also a significant negative correlation between the years of education and individual proneness to substance use. Furthermore, those who resided in a greater number of refugee camps were found to experience greater levels of emotional and behavioral difficulties and face a greater risk of physical abuse. The burden of migration increases proneness to substance use, as a consequence of scarce coping resources and the stress of adjusting. Migrants are vulnerable to substance use, since some of them have commonly witnessed and/or personally experienced pre-and post-migration stress and trauma, including loss of homes and livelihoods, violence, torture and family separation. Preventive programs need to focus on the problem of alcohol and substance use among this vulnerable population.

Impact of Family Separation on Subjective Time Pressure and Mental Health in Refugees from the Middle East and Africa Resettled in North Rhine-Westphalia, Germany: A Cross-Sectional Study

Little is known about social determinants among refugees resettled in Germany. This study aims to examine the impact of family separation on refugees’ subjective time pressure and mental health. Data come from the FlueGe Health Study (n = 208), a cross-sectional study administered by Bielefeld University. We used logistic regression analysis to investigate the effect of family separation on (i) being time-stressed and (ii) having a high risk for adverse mental health, considering sociodemographic and postmigration factors. As a result, more than 30% of participants with a spouse or partner and about 18% with a child or children reported separation. Multiple logistic regression showed that family separation was not associated with being time-stressed, but separation from at least one child was associated with adverse mental health (OR = 3.53, 95% CI = [1.23, 10.11]). In conclusion, family separation primarily contributes to adverse mental health among refugees from the Middle East and Africa resettled in North Rhine-Westphalia, Germany. Therefore, policies and practices that facilitate family reunification can contribute significantly to the promotion of refugees’ mental health and well-being.

Does Family Separation Affect Children's Educational Performance? -- Analysis Based on Ordered Logistic Regression Model

Improving children’s educational performance is the fundamental goal of education. The factors that affect children’s educational performance are complex. Family factors are one of the key factors affecting children’s educational performance. In order to analyze whether family separation will affect children’s educational performance, there are differences in education performance of migrant, left-behind and migrant left-behind children in terms of family separation. The model analyzes the impact of family separation on the educational performance of three types of children: floating, left-behind and floating left-behind children. Studies have found that family separation has a significant impact on the educational performance of migrant and migrant left-behind children, and family education capital and education investment will also affect children’s educational performance. Therefore, parents should increase the time of children's companionship and participatory learning, improve children's educational performance, strengthen family education capital investment and children's educational investment to improve children's educational performance.

Home Thrive ScaleTM: Case Management Tool Towards Preventing Family Separation and Ensuring Children Thrive in Family-based and Alternative Care Options

Case management can be a complex process where multiple factors must be considered for the safety and well-being of a child in any care option. Miracle Foundation’s proprietary Home Thrive ScaleTM is a strengths-based assessment tool that makes it easier to identify strengths, risks and address areas of support within a family home over time. A home’s safety is measured based on five well-being domains—family and social relations, health and mental health, education, living conditions and household economy—with the child and family’s thoughts at the core. Intervention options are then offered to put assessments into action. The tool serves to both prevent family breakdowns and reintegrate children from institutions back into families (or other family-based or alternative care options). Here, we provide an overview of the tool, including its purpose, set-up and functionality within a case management system. The use of the tool is illustrated with the COVID-19 situation in India where masses of children were rapidly placed from institutions back into families without preparation.

Waiting for family reunification and the risk of mental disorders among refugee fathers: a 24-year longitudinal cohort study from Denmark

Purpose To examine whether family separation caused by prolonged waiting for family reunification is associated with the risk of mental disorders among refugee fathers. Method Based on full-population Danish registry data covering 1995–2015, we mapped arrival patterns among nuclear refugee family members resettled in Denmark (n = 76,776) and established a cohort of refugee fathers (n = 6176) who all arrived alone and later obtained family reunification with their wife and children. The fathers were followed for up to 24 years, from the day their residence permit was issued until their first psychiatric diagnosis, emigration, death, or study end, whichever came first. Using Cox proportional hazard regression, we estimated hazard ratios (HRs) of being diagnosed with a mental disorder (i) for the period while the fathers were still separated from their family and (ii) across varying lengths of family separation. Results The HR of any mental disorder was 2.10 (95% confidence interval (CI): 1.57–2.81) for fathers still separated from their family compared with those who had obtained family reunification. The HR increased with longer family separation. Compared with fathers separated for < 9 months, the HR of any mental disorder was 1.43 (95% CI 1.08–1.89) for 9–11 months’ separation, increasing to 2.02 (95% CI 1.52–2.68) for 18–23 months’ separation. Results were driven by post-traumatic stress disorder. Conclusion Fathers waiting for their wives and children face an increased risk of mental disorders. Countries receiving refugees should be aware that delaying family reunification can lead to adverse mental health effects.