Clínica Martín-Baró: Community Healing Through Patient-Centered Care (original) (raw)
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International Journal of Environmental Research and Public Health
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Behavioral Medicine, 2020
Latinx immigrants have poorer access to health care, compared to non-Latinx Whites. Federally-Qualified Health Centers (FQHCs) provide clinical and community programing to address their clients' health needs. One mechanism by which FQHC's may strengthen Latinx immigrant well-being is by promoting their individual and community resilience. We partnered with La Cl ınica del Pueblo (La Cl ınica), an FQHC serving Latinx immigrants in Washington, DC and Prince George's County, Maryland. We conducted in-depth interviews in Spanish with 30 La Cl ınica clients to explore the daily adversities they faced, how they coped, and how La Cl ınica helped them cope. We conducted thematic analysis using Dedoose software. All participants were from Central America; 37% were undocumented. Participants were 18-78 years old, 70% cis-females, 23% cis-males (10% gay men), and 7% transgender. 57% reported a serious health issue, including diabetes. Participants identified three main adversities: immigration legal status, language, and isolation/depression. Residents of Prince George's, compared to DC, as well as sexual/gender minorities, reported more barriers to accessing health care. Sources of individual resilience for participants included fighting to improve their children's lives, relying on supportive networks, and using La Cl ınica as a safety net to overcome health access barriers. Sources of community resilience included La Cl ınica's safe spaces, support groups, referrals to outside legal service providers, and health promoter training. Latinx immigrants face multiple daily adversities, but we find evidence that La Cl ınica's community health action approach promotes their resilience. We offer a conceptual model for how FQHCs can foster resilience and strengthen immigrant health.
Provider Perspectives About Latino Patients: Determinants of Care and Implications for Treatment
The Counseling Psychologist, 2011
Primary care settings are the gateway through which the majority of Latinos access care for their physical and mental health concerns. This study explored the perspectives of primary care providers regarding their Latino patients, particularly, issues impacting their patients' access to and utilization of services. Interviews were conducted with eight primary care providers-and analyzed using consensual qualitative research methods. In addition, observations were conducted of the primary care setting to contextualize providers' perspectives. Providers indicated that care for Latinos was impacted by several domains: (a) practical/instrumental factors that influence access to care; (b) cultural and personal factors that shape patients' presentations and views about physical and mental health and treatment practices; (c) provider cultural competence; and (d) institutional factors which highlight the context of care. In addition to recommendations for research and practice, the need for interdisciplinary collaboration between psychology and medicine in reducing ethnic minority disparities was proposed.
Behavioral Medicine
Latinx immigrants have poorer access to health care, compared to non-Latinx Whites. Federally-Qualified Health Centers (FQHCs) provide clinical and community programing to address their clients' health needs. One mechanism by which FQHC's may strengthen Latinx immigrant well-being is by promoting their individual and community resilience. We partnered with La Cl ınica del Pueblo (La Cl ınica), an FQHC serving Latinx immigrants in Washington, DC and Prince George's County, Maryland. We conducted in-depth interviews in Spanish with 30 La Cl ınica clients to explore the daily adversities they faced, how they coped, and how La Cl ınica helped them cope. We conducted thematic analysis using Dedoose software. All participants were from Central America; 37% were undocumented. Participants were 18-78 years old, 70% cis-females, 23% cis-males (10% gay men), and 7% transgender. 57% reported a serious health issue, including diabetes. Participants identified three main adversities: immigration legal status, language, and isolation/depression. Residents of Prince George's, compared to DC, as well as sexual/gender minorities, reported more barriers to accessing health care. Sources of individual resilience for participants included fighting to improve their children's lives, relying on supportive networks, and using La Cl ınica as a safety net to overcome health access barriers. Sources of community resilience included La Cl ınica's safe spaces, support groups, referrals to outside legal service providers, and health promoter training. Latinx immigrants face multiple daily adversities, but we find evidence that La Cl ınica's community health action approach promotes their resilience. We offer a conceptual model for how FQHCs can foster resilience and strengthen immigrant health.
2021
Introduction: Much of the body of research on Latinx immigrant health has focused on border states or coastal shoreline regions and less is known about the health experiences of Latinx immigrants in the Midwest. Objective: Using a social determinants of health framework, the first aim of the study was to examine a model of Latinx immigrant health and to determine whether the relations from acculturation and enculturation to subjective health and well-being are partially or fully mediated by perceived discrimination and acculturative stress. The second aim was to investigate if and how legal status moderates the relations within the retained model of Latinx immigrant subjective health and well-being. Method: A community sample of 417 self-reported documented and undocumented Latinx immigrants from the Midwest was asked to complete questionnaires measuring acculturation, enculturation, acculturative stress, perceived discrimination, subjective health, and well-being. Results: Although...