Building Immigration-Informed, Cross-Sector Coalitions: Findings from the Los Angeles County Health Equity for Immigrants Summit

Abstract In December 2017, the Los Angeles County Office of Immigrant Affairs and Board of Supervisors, alongside local health care and legal providers, convened the Health Equity for Immigrants and Families Summit to advance a vision for immigrant health. We describe the four critical concepts identified by stakeholders to address the varied needs of immigrants in an increasingly anti-immigrant political environment: (1) Recognizing immigration status as a modifiable social determinant of health; (2) Adopting the concept of “Immigration-Informed Care” within health care institutions; (3) Establishing immigration-focused medical-legal partnerships; and (4) Building coordinated systems based on knowledge of local stakeholders, policies, and funding mechanisms.

[1]  David Wolman Los Angeles Times , 2020, The SAGE International Encyclopedia of Mass Media and Society.

[2]  S. Angell,et al.  Trauma-Informed Care: a Strategy to Improve Primary Healthcare Engagement for Persons with Criminal Justice System Involvement , 2019, Journal of general internal medicine.

[3]  A. Blair,et al.  Good Sanctuary Doctoring for Undocumented Patients. , 2019, AMA journal of ethics.

[4]  Grace Kim,et al.  Should Immigration Status Information Be Included in a Patient's Health Record? , 2019, AMA journal of ethics.

[5]  D. Chokshi,et al.  The "Public Charge" Proposal and Public Health: Implications for Patients and Clinicians. , 2018, JAMA.

[6]  N. Krieger,et al.  Severe sociopolitical stressors and preterm births in New York City: 1 September 2015 to 31 August 2017 , 2018, Journal of Epidemiology & Community Health.

[7]  Brittany N. Morey Mechanisms by Which Anti-Immigrant Stigma Exacerbates Racial/Ethnic Health Disparities , 2018, American journal of public health.

[8]  B. Eskenazi,et al.  Worry About Deportation and Cardiovascular Disease Risk Factors Among Adult Women: The Center for the Health Assessment of Mothers and Children of Salinas Study. , 2018, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[9]  M. Katz,et al.  Making a Case for Sanctuary Hospitals. , 2017, JAMA.

[10]  M. Young,et al.  Documenting legal status: a systematic review of measurement of undocumented status in health research , 2017, Public Health Reviews.

[11]  B. Green,et al.  Trauma-Informed Medical Care: Patient Response to a Primary Care Provider Communication Training , 2016, Journal of loss & trauma.

[12]  E. Bowen,et al.  Trauma-Informed Social Policy: A Conceptual Framework for Policy Analysis and Advocacy. , 2016, American journal of public health.

[13]  A. Hildenbrand,et al.  Implementing a Trauma-Informed Approach in Pediatric Health Care Networks. , 2016, JAMA pediatrics.

[14]  Steven Shafer,et al.  A National Study of Access to Counsel in Immigration Court , 2015 .

[15]  S. Holmes,et al.  Immigration as a social determinant of health. , 2015, Annual review of public health.

[16]  H. Hansen,et al.  Structural competency: Theorizing a new medical engagement with stigma and inequality , 2014, Social science & medicine.

[17]  David R. Williams,et al.  Impact of Arizona's SB 1070 immigration law on utilization of health care and public assistance among Mexican-origin adolescent mothers and their mother figures. , 2014, American journal of public health.

[18]  A. Carballo-Diéguez,et al.  Evaluating the Impact of Immigration Policies on Health Status Among Undocumented Immigrants: A Systematic Review , 2014, Journal of Immigrant and Minority Health.

[19]  R. Rodriguez,et al.  Fear of discovery among Latino immigrants presenting to the emergency department. , 2013, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[20]  E. Kinney,et al.  Medical Legal Partnerships: A Key Strategy for Addressing Social Determinants of Health , 2010, Journal of general internal medicine.

[21]  David A. Kreda,et al.  Implications for Patients and Clinicians , 2009 .