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Immigration Status

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What are the gaps in policies?<br />

Northern Virginia’s federally qualified health centers<br />

are integrating behavioral services in their programs.<br />

Virginia has a well-developed behavioral health<br />

system through its Community Service Boards.<br />

Although it is not adequate to meet the needs of<br />

the uninsured and immigrant populations.<br />

Health access does not equal high<br />

quality care<br />

The fragmentation of health systems; lack of<br />

integration of the health system with legal, financial<br />

and social supports; and the lack of culturally and<br />

linguistically appropriate inter-sectoral services and<br />

organizations contribute to health disparities, and<br />

impose a barrier to the establishment and maintenance<br />

of a robust navigation program for immigrants.<br />

Xenophobia and its impact<br />

The lack of comprehensive immigration reform and<br />

the increasing criminalization of undocumented<br />

immigrants places a risk to openly discuss and<br />

document immigration status with patients. In turn<br />

this makes it difficult to capture quantitatively the<br />

impact of immigration status on health. The desire to<br />

protect undocumented patients also has an impact<br />

on advocacy, as service providers sometimes fear<br />

repercussions or retaliations that could occur from<br />

anti-immigrant policymakers and/or public.<br />

Nonprofit and advocacy organizations continue to<br />

advocate for policies, programs, and processes to<br />

ensure that immigrants have an opportunity to live a<br />

healthy and dignified life. ¦<br />

Focus on Health • 48

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