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Provider Perceptions of the Effects of Current U.S. Immigration Enforcement Policies on Service Utilization in a Border Community

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Restrictive U.S. immigration policies and enforcement have led to concerns among providers about how these changes affect service utilization among Latinx and immigrant communities. This study outlines perceptions from twenty service providers in health care, mental health, legal affairs, and immigrant advocacy in El Paso, Texas. Nearly all respondents stated that their work has been negatively affected by immigration enforcement policies under the current federal administration. Most reported changes in utilization among undocumented immigrants and families of mixed immigration status, as well as legal permanent and temporary residents, refugees or asylum seekers, and U.S. citizens. Negative effects were related to immigration-related fear and uncertainty in the community, a need for public education about policies and individu-als' rights, and changes in immigration policy enforcement. Further research about the impacts of immigration enforcement policies on service utilization is needed. To protect the well-being of immigrant communities, policy makers should be aware of the human rights implications of immigration enforcement policies with regard to service utilization. In a global environment of increasing nationalism and xenophobia, nations must carefully consider the implications of harsh anti-immigrant narratives and strict immigration enforcement on the well-being of minority and immigrant populations.
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© 2019 International Consortium for Social Development
Provider Perceptions of the Effects of Current U.S.
Immigration Enforcement Policies on Service
Utilization in a Border Community
Isabel Latz, Mark Lusk, and Josiah Heyman
Restrictive U.S. immigration policies and enforcement have led to concerns among
providers about how these changes affect service utilization among Latinx and immi-
grant communities. This study outlines perceptions from twenty service providers in
health care, mental health, legal affairs, and immigrant advocacy in El Paso, Texas.
Nearly all respondents stated that their work has been negatively affected by immigra-
tion enforcement policies under the current federal administration. Most reported
changes in utilization among undocumented immigrants and families of mixed immi-
gration status, as well as legal permanent and temporary residents, refugees or asylum
seekers, and U.S. citizens. Negative effects were related to immigration-related fear and
uncertainty in the community, a need for public education about policies and individu-
als’ rights, and changes in immigration policy enforcement. Further research about the
impacts of immigration enforcement policies on service utilization is needed. To protect
the well-being of immigrant communities, policy makers should be aware of the human
rights implications of immigration enforcement policies with regard to service utiliza-
tion. In a global environment of increasing nationalism and xenophobia, nations must
carefully consider the implications of harsh anti-immigrant narratives and strict immi-
gration enforcement on the well-being of minority and immigrant populations.
Keywords: immigration enforcement, immigration policy, service utilization
The intensification of U.S. immigration enforcement policies has raised concerns
among health, social service, and legal assistance providers about unintended
adverse effects on the use of services among Latinx and immigrant communities.
Latinos and Latinas (referred to as Latinx) make up 18 percent of the U.S. popula-
tion and are the country’s largest ethnic minority (Lopez, Passel, & Rohal, 2015).
Isabel Latz, MS, is a doctoral candidate in interdisciplinary health sciences, University of Texas at
El Paso. Also at the University of Texas at El Paso, Mark Lusk, MSW, EdD, is professor, Department
of Social Work, and Josiah Heyman, PhD, is professor of anthropology and director, Center for
Inter-American and Border Studies.
50 Social Development Issues 41 (1) 2019
We will study the effects of current policies on service utilization from the per-
spective of providers in a border community with a high proportion of Latinx and
immigrant residents.
Immigration Policy and Enforcement Changes under the Current
Federal Administration
U.S. immigration policy has prioritized border enforcement and interior deporta-
tion since the 1990s. This policy has hardened in the last two years. The Trump
administration issued a series of executive orders in January 2017 to intensify
immigration enforcement inside the United States, expand enforcement at the
U.S.-Mexico border, and restrict entry to the United States for foreign nationals of
seven Muslim-majority countries. These orders called for the hiring of 10,000
new Immigration and Customs Enforcement (ICE) officers and 5,000 new border
patrol officers, deportation prioritization (fast tracking) of anyone in violation of
immigration law, and expansion of expedited removals (National Immigration
Law Center, 2017; White House Office of the Press Secretary, 2017). A U.S.
Department of Homeland Security memorandum (2017) instructed immigration
enforcement personnel to disregard mitigating factors for immigration enforce-
ment used under previous administrations (prosecutorial discretion).
Immigration and Customs Enforcement has reported a 30-percent increase in
arrests of immigrants without documentation and a more than twofold increase
in arrests of unauthorized immigrants without a criminal background (2017).
Significant policy shifts also occurred at the state level. State legislation related
to immigration increased by 110 percent from 98 laws in 2016 to 206 laws in
2017. The largest category of new laws related to state budget allocations (25%),
followed by law enforcement, including immigration enforcement (21%) (Morse,
Pimienta, & Chan, 2018). For instance, the 2017 Texas Senate Bill 4 (SB 4)
empowers Texas state and local police to inquire about immigration status during
any law enforcement stop, to detain the people involved, and to turn them over to
federal immigration authorities.
Effects of Immigration Enforcement Policies on Health and Service
Utilization
Scholars have documented that fear of immigration enforcement and deporta-
tion, as well as political rhetoric fueling fear of and antipathy toward immigrants,
heightens anxiety among the Latinx community in general and children in par-
ticular (Gonzalez, 2018; Martinez, Ruelas, & Granger, 2018; Roche, Vaquera,
White, & Rivera, 2018). Fear of deportation increases parental stress among
Latinx families (Berger Cardoso, Scott, Faulkner, & Barrios Lane, 2018). Anti-
immigrant legislation and discourse have adverse effects on youth by weakening
their sense of being American, lowering their self-esteem, reducing their accep-
tance of diversity (intolerance), and adversely impacting their self-efficacy
(Santos, Menjívar, & Godfrey, 2013).
Latz, Lusk, and Heyman 51
Restrictive immigration policies have been associated with adverse health out-
comes and declines in service utilization among Latinx. For instance, the adoption
of restrictive state immigration enforcement policies is linked to poorer self-rated
health (Anderson & Finch, 2014) and mental health (Hatzenbuehler et al., 2017).
Moreover, studies have found associations between immigration raids and poorer
self-rated health and higher levels of immigration enforcement stress (Lopez et al.,
2017) as well as higher proportions of low birth weight among Latina mothers
(Novak, Geronimus, & Martinez-Cardoso, 2017). Research indicates that parental
detention and deportation have negative material and psychological health effects
on children including posttraumatic stress disorder and depression (Rojas-Flores,
Clements, Hwang Koo, & London, 2017; Zayas, Aguilar-Gaxiola, Yoon, & Rey,
2015). Adverse effects on emotional well-being were found not solely among chil-
dren of detained or deported parents, but also among children of parents who are
at risk of deportation (Brabeck & Xu, 2010; Gulbas et al., 2016).
Research has uncovered associations between restrictive immigration policies
and decreases in visits to county health (White, Blackburn, Manzella, Welty, &
Menachemi, 2014), pediatric emergency (Beniflah, Little, Simon, & Sturm, 2013),
and mental health departments (Fenton, Catalano, & Hargreaves, 1996).
Similarly, Toomey and colleagues (2014) found a relationship between the enact-
ment of Arizona’s SB 1070, a law that enables local police to request proof of
immigration status, and declines in public assistance utilization among Mexican
mothers. Studies revealed links between strengthened enforcement and increased
food insecurity in Mexican noncitizen households (Potochnick, Chen, & Perreira,
2017); lower participation in the Women, Infants, and Children Program in
Mexican mixed-status households in particular (Vargas & Pirog, 2016); and lower
Medicaid and other insurance coverage for children of noncitizen mothers
(Watson, 2014).
Joanna Dreby’s pyramid of immigration enforcement effects (2012) provides a the-
oretical basis for our study. According to this pyramid, the strongest but numeri-
cally smallest impacts are on children in households with individual members
arrested, detained, or deported. In the middle are children in families who live in
fear of deportation (families who mix legal and undocumented members). At the
base of the pyramid are people who are not immediately at risk of arrest but who
struggle with ambivalent identity because of overlaps between stigmatized social
categories of illegal, immigrant, and Latinx, especially those of Mexican origin
(Dreby, 2012). Although the pyramid depicts the effects of deportation policies on
children, the hierarchy of impacts also applies to Latinx communities across age
categories. The most significant but also least frequent effects are family dissolu-
tion and the corresponding material and emotional hardship. The middle catego-
ry includes community members who live in fear of deportation for themselves
and/or family members and friends. Finally, the largest group in the community,
who are farthest removed from direct immigration policy effects, experience diffi-
culties related to their identity based on societal conflations of ethnicity, race,
immigration status, and illegality. The impacts at all levels of the pyramid,
52 Social Development Issues 41 (1) 2019
although to different extents, carry the potential to interfere with health, legal,
and social service utilization among a predominantly Latinx and immigrant com-
munity in the border region.
Implications of Immigration Enforcement in the U.S.-Mexico Border
Region
Questions about enforcement impacts on the well-being of immigrant and Latinx
communities are particularly apt on the U.S.-Mexico border, given the history and
social fabric of the region. On the U.S. side of the border, approximately half of the
population is Hispanic and predominantly Mexican (Stepler & Lopez, 2016; United
States-México Border Health Commission, 2014). In El Paso County (the location
of this study), 82 percent of the population is Hispanic, 25 percent foreign-born,
and approximately 66,000 (of 835,000 total) are undocumented (Migration
Policy Institute, 2014; U.S. Census Bureau, n.d.).
In addition to federal and state policy changes, specific enforcement activities
in El Paso County and its surrounding region have sparked fears and behavioral
changes in the community. For example, an ICE raid at a trailer park in nearby Las
Cruces, New Mexico, in 2017 was followed by a 60-percent increase in absences
from schools (Blitzer, 2017a). In February 2017, an undocumented transgender
woman was detained by ICE at the El Paso courthouse after she participated in a
domestic violence hearing. This incident provoked fear among victims of domestic
violence about engaging with law enforcement and attending court hearings
(Blitzer, 2017b; Lockhart, 2017).
A related concern is that enforcement policies may exacerbate existing health
disparities. Overall, residents in border counties are more likely to be unemployed,
live in poverty, lack health insurance, and have lower access to health care
providers (Coalition for a Healthy Paso del Norte, 2016; Shen, Gai, & Feng, 2016;
United States-México Border Health Commission, 2014). Border residents are dis-
proportionally affected by certain infectious and chronic diseases, including dia-
betes, tuberculosis, and HIV (Moya, Loza, & Lusk, 2012; United States-México
Border Health Commission, 2014). El Paso is categorized as an economically dis-
tressed area and ranks fourth highest in families living at or below the poverty
level. Census data indicate that U.S.-Mexico border areas are consistently at the
bottom of educational and economic development. According to the Annie E.
Casey Foundation, the child poverty rate for Latino children living along the bor-
der (37%) is more than twice the national child poverty rate. In addition, El Paso
County is a critically medically underserved area.
Study
Purpose
The study aims to assess perspectives of health care, mental health, legal, nutri-
tion, and other social service providers and immigrant advocacy organizations on
Latz, Lusk, and Heyman 53
the effects of immigration enforcement policies on service utilization in the Paso
del Norte border region under the current federal administration. From this initial
pool of service providers, this project seeks to inform a wider investigation of this
topic, both in the United States and internationally where immigration enforce-
ment is also being intensified.
Methodology
This study used quantitative and qualitative data from telephone survey inter-
views with twenty providers in early 2018. Nineteen providers were in El Paso
County, Texas, and one in Doña Ana County, New Mexico, to the immediate west.
It was approved by the institutional review board of the University of Texas at El
Paso.
Sample
We recruited twenty experienced professionals from health and mental health ser-
vice (n= 5); immigrant rights, advocacy, and legal assistance (n= 7); and social
service organizations (n= 8). Only organizations providing services to immigrant
and/or low-income populations were considered for this study. Participants were
contacted via mail and telephone calls to provide information about the study, col-
lect their informed consent, and schedule an interview. Information about partic-
ipants’ demographic characteristics is provided in Table 1.
Survey and Interview Procedure
We conducted individual telephone interviews, which varied between fifteen and
twenty-five minutes. One or both of the primary investigators were present and
collected notes during each interview. Interviewers used a script of closed- and
open-ended questions about participants’ demographics and perceptions of effects
of current immigration enforcement policies on their client populations. The
questionnaire was designed by the investigators based on a review of the literature
and discussion of pertinent issues providers may face in the current enforcement
context. For instance, one closed-ended survey question asked whether partici-
pants observed “an increase, a decrease, or no change in service utilization
because of changes to immigration enforcement policies [since the current feder-
al administration took office].” The corresponding response option were increase,
decrease, no change, or don’t know/indeterminate. An open-ended survey question
asked “What do you think is the most important action for addressing or prevent-
ing negative impacts of immigration enforcement policies on your
patients/clients/members?”
Data Analysis
All survey data and interview notes were de-identified using randomly gener-
ated numeric codes. Data from closed-ended survey questions were entered into
54 Social Development Issues 41 (1) 2019
quantitative analysis software (SPSS version 15) to produce descriptive statistics.
Notes from open-ended survey questions were entered into qualitative analysis
software (NVIVO version 12) to identify salient themes and subthemes across
responses. Themes were considered salient when they were mentioned repeatedly
by participants from different agencies. For each salient theme, subthemes were
extracted to capture more nuanced information about responses pertaining to an
overall theme.
Results
Effects of Enforcement Policies on Agencies and Clients
Eighteen of the twenty providers in this study reported that their work has been
negatively (n= 13) or both positively and negatively (n= 5) affected by immigra-
tion enforcement policies since the beginning of the current federal administra-
tion. Similarly, a majority of participants (n= 15) reported an increase or decrease
in service utilization by their clients because of changes to immigration enforce-
ment policies. Eight participants reported that this increase/decrease in service
utilization was still occurring at the time of the interview, whereas seven partici-
Table 1 Demographic characteristics of survey participants
Characteristic Category nPercentage
Gender Female 10 50.0
Male 10 50.0
Country of birth Mexico 3 15.0
United States 17 85.0
Age 20–39 7 35.0
40–59 8 40.0
60 5 25.0
Type of organization Health & mental health services 5 25.0
Immigrant rights/legal assistance/
advocacy 7 35.0
Social services (e.g., nutrition,
housing, family services) 8 40.0
Length of time worked in
current role 1–2 years 7 35.0
3–5 years 5 25.0
6–20 years 3 15.0
>20 years 2 10.0
Role at organization Chief operating officer, chief
executive officer, executive
director, director, chief officer,
vice president 15 75.0
Community health worker,
program manager 2 10.0
Attorney, paralegal, immigration
coordinator 3 15.0
Total 20 100.0
Latz, Lusk, and Heyman 55
pants described different patterns, including increases/decreases that were for
only a brief period of time or for a long period of time but are now back to the lev-
els prior to the new federal administration. Reported reasons for decreased service
utilization included fear of driving and being stopped by local law enforcement (n
= 7), fear of sharing personal information (n= 5) or information that could iden-
tify family members or friends (n= 5), fear of experiencing discrimination (n = 4),
and confusion about changes to eligibility requirements (n= 3). In contrast,
reported reasons for increased service utilization included fear of accessing ser-
vices elsewhere and being stopped by local law enforcement (n= 6), loss of
employment/sources of income due to a family member being detained/deported
(n= 4), and loss of employment because of immigration status (n= 3) (see Table
2).
Notably, all participants who reported increases/decreases in service utilization
observed these changes among Hispanics (n= 15) and to a lesser extent among
other racial/ethnic groups (n= 5). Furthermore, service utilization changes were
perceived most often among undocumented immigrants (n= 10) and mixed-sta-
tus families (n= 9), but also extended to legal permanent residents (n= 5), tem-
porary residents (n= 4), refugees/asylum seekers (n= 5), and U.S. citizens (n= 4).
Salient Themes and Subthemes
Based on responses from open-ended survey questions, we identified seven salient
themes and two to eight subthemes for each theme (see Table 3). Nearly all par-
ticipants (n= 17) mentioned fear, uncertainty, and adverse mental health effects
in the community due to current immigration enforcement policies. Participants
talked about a fear of movement and being stopped by local law enforcement
among their client population. Fear also reportedly led to the avoidance of services
and prevented individuals from engaging with law enforcement. As a typical
response regarding effects on clients’ mobility, one participant said “some people
have stopped coming [to use our services]. They are afraid of being stopped on the
way and arrested.” Furthermore, participants referred to adverse mental health
impacts of immigration enforcement (e.g., family separation) and an increased
need for mental health services, especially among children. The following quote
reflects the fear among clients that some providers perceived: “The threat of deten-
tion becomes this constant fear . . . people are afraid of doing daily activities, like
taking their kids to school.”
More than half of participants (n= 12) reported the need for public education
and information sharing about current immigration enforcement policies.
Respondents mentioned a need to correct and prevent the spread of misinforma-
tion, which fueled fears and harmful behaviors (e.g., service avoidance) among
community members. In addition, providers perceived a need to inform the com-
munity about their civil rights and enable individuals to distinguish appropriate
from inappropriate behavior by immigration enforcement officials. Providers
shared that “people need to know which policies affect them—what the policies
are, what their rights are, and that they know how to apply these rights.”
56 Social Development Issues 41 (1) 2019
Ten participants pointed out impacts related to adverse effects of specific laws,
policies, or enforcement activities on their clients. Specifically, participants
observed behavioral changes among community members following passage of
Table 2 Provider perspectives on effects of U.S. immigration enforcement policies on
service utilization (N= 20)
Survey item Response options n%
Q5: Since the beginning of the new federal Positively 0 0.0
administration, would you say immigration Negatively 13 65.0
enforcement policies have influenced your Both 5 25.0
work positively, negatively, both, or have No effects 2 10.0
not affected your work?
Q7: Would you say there has been an increase, Increase 8 40.0
a decrease, or no change in service utilization Decrease 6 30.0
because of changes to immigration enforcement Both 1 5.0
policies? No change 4 20.0
Don’t know 1 5.0
Q8: Would you say this increase/decrease in Brief period of time 1 5.0
service utilization was for a brief period of Long period but now
time only, for a long period but now things are back to normal 1 5.0
back to normal, or is it still occurring? Still occurring 8 40.0
Other, specify 5 25.0
Don’t know 1 5.0
Not applicable 4 20.0
Q9: Would you say this increase/decrease in Hispanics 15 75.0
service utilization was among particular racial/ Whites 0 0.0
ethnic groups of your patients/clients/members African Americans 1 5.0
(select all that apply)? Asians 2 10.0
Other, specify 2 10.0
Q10: Would you say this increase/decrease in Undocumented 10 50.0
service utilization was among groups of your Mixed-status families 9 45.0
patients/clients/members with a particular Legal permanent residents 5 25.0
immigration/legal status (select all that apply)? Legal temporary residents 4 20.0
Refugees/asylum seekers 5 25.0
U.S. citizens 4 20.0
Other, specify 1 5.0
Q11: Have your patients/clients/members shared Fear of sharing personal
some of the reasons why they discontinued/ information 5 25.0
postponed your services related to immigration Fear of sharing information
enforcement policies (select all that apply)? that could help identify
family members/friends 5 25.0
Fear of driving and being
stopped by police 7 35.0
Fear of experiencing
discrimination 4 20.0
Confusion about changes
to eligibility requirements 3 15.0
Other, specify 1 5.0
SB 4, such as avoidance of the outdoors, and perceived a need to provide informa-
tion about the implications of the legislation. Immigration raids by ICE reportedly
provoked fear, confusion, and retreats from services and daily activities in the com-
munity. For instance, one participant observed that “the ICE arrest at the El Paso
courthouse had an impact—many people don’t understand the policy details, but
this was an example of ‘it’s real, it’s happening.’”
Effects on organizations included perceived needs or concerns regarding fund-
ing and staffing. Some respondents reported increased difficulty in providing ser-
vices because of immigration enforcement under the current administration. The
statement of one participant reflects a common observation among providers:
“Reaching the population we are trying to serve has become more challenging—
this political climate has made it more difficult to reach people.” Others reported
effects on employees themselves, such as a sense of hopelessness and a struggle to
find a balance between work and spare time due to a perceived need to be working
more.
Almost half of participants (n= 9) described spillover effects of immigration
enforcement policies on the larger community (i.e., beyond undocumented immi-
grants). These effects included perceived threats to families and communities, as
well as fear about how the administration’s policies might affect the status of legal
residents. In the words of one participant, “Fear and needs apply to the whole fam-
ily—[immigration] policies are not only targeting undocumented, they are target-
ing entire families based on their race. Families feel that their family unity has
been threatened.” Another participant said, “people suddenly think their residen-
cy is being threatened. Green card holders are now feeling at risk of being deport-
ed.”
Participants (n= 7) also highlighted their experiences with changes to enforce-
ment of immigration policies from the previous federal administration. These
Latz, Lusk, and Heyman 57
Table 2 Provider perspectives on effects of U.S. immigration enforcement policies on
service utilization (N= 20)—(continued)
Survey item Response options n%
Q13: Have your patients/clients/members shared Loss of employment/sources
some of the reasons why they utilized/needed of income due to a family
your services more frequently related to member being detained/
immigration enforcement policies (select all deported 4 20.0
that apply)? Loss of employment/
sources of income due
to a family member losing
employment because of
immigration status 2 10.0
Fear of accessing services
elsewhere and potentially
being stopped by police 6 30.0
Other, specify 3 15.0
58 Social Development Issues 41 (1) 2019
Table 3 Overview of salient themes and subthemes from open-ended survey ques-
tions
Theme Subtheme n
Fear, uncertainty, and Fear of movement/being stopped by law enforcement 5
adverse mental Fear of contacting/engaging with law enforcement 4
health effects General fear 4
(17 participants Adverse mental health effects 3
referred to theme) Fear of detention/deportation 3
Service avoidance due to fear 3
Confusion/concerns about policy effects on service eligibility 2
Fear of engaging in daily activities 2
Need for public Need to correct misinformation 6
education and Need for information sharing about appropriate immigration
information sharing enforcement and civil rights 6
(12 participants General need for information about policy implications 6
referred to theme) Need for information sharing to prepare clients & families
for possible detention/deportation 3
Adverse effects of SB 4 6
specific laws, Arrest at El Paso courthouse 5
policies, or enforce- ICE raids 5
ment activities Termination of Deferred Action for Childhood Arrivals 3
(10 participants Executive orders 1
referred to theme)
Effects on organiza- Funding and staffing needs and/or concerns 5
tions Greater difficulty providing services 4
(10 participants Effects on employees 4
referred to theme) Confusion/uncertainty regarding effects 3
Expansion of organizations’ work 3
Spillover effects on Stress among and perceived threats to families and communities 6
larger community Fear, confusion, or concerns about how current legal status
(9 participants might be affected 5
referred to theme)
Changes to immigra- Increases in immigrant detention/deportation/ICE detainer
tion policy requests 5
enforcement Family separation 4
(7 participants Lack of transparency and accountability in immigration
referred to theme) enforcement 4
Poor conditions in detention & lack of access to health and
legal services 4
Fewer releases on bond 3
Denials of asylum/other legal status applications 3
Community responses Increased community organizing 4
and advocacy Greater cooperation among organizations 2
efforts Increased interests in immigration issues and volunteering 2
(6 participants
referred to theme)
included an increased use of detention and deportation, family separation in
detention, lack of accountability in immigration enforcement, poor conditions
and lack of access to health and legal services in detention, and increased denials
of asylum. Participant responses included “We see denials across the board—of
work permits, of prosecutorial discretion, even for persons with compelling
humanitarian reasons. Everything is hard-fought.”
In contrast, other participants (n = 6) reported that challenges posed by immi-
gration policy changes and increased enforcement to their agencies and clients
activated attempts to respond positively and empower communities. These com-
munity responses and advocacy efforts included greater cooperation across orga-
nizations and increased community organizing, interest in immigration issues,
and volunteering for immigrant advocacy organizations. One participant
observed that “unintended effects of these policies are that we have seen groups
come together to coordinate a response and mobilization of advocacy groups due
to outrage over policies.”
Discussion
Providers in a U.S.-Mexico border community have noticed changes in service uti-
lization due to new immigration enforcement policies. Immigrants and clients of
mixed status, especially those of Hispanic origin, are fearful of immigration
enforcement and are changing their utilization of services, most commonly by
decreasing service utilization. For the most part, this is because of fear of appre-
hension and possible deportation. There has been an increase in clients’ service
needs, specifically to obtain information about how changes to immigration poli-
cies might affect them and their current legal status, to receive legal assistance,
and to obtain mental health care. Paradoxically, intensification of immigration
enforcement leads to a complex mix of decreased and increased service utilization.
Consistent with Dreby’s pyramid, providers report effects across a range of citi-
zenship and immigration statuses, including Latinx citizens and legal residents as
well as the most vulnerable undocumented and their close relatives.
Previous research into effects of current immigration enforcement policies on
service utilization from provider and user perspectives revealed similar findings.
Hardy and colleagues (2012) examined community impacts of Arizona’s SB 1070
in a Latino neighborhood and found an increase in levels of fear following imple-
mentation of the legislation. This fear was reflected in residents’ declines in health
care and social service utilization, mobility restrictions, and diminished trust in
local law enforcement (Hardy et al., 2012). Rhodes and colleagues (2015)
assessed effects of local immigration enforcement policies on health care service
utilization among Hispanic residents in North Carolina. Qualitative data from the
perspective of service users (N= 83) revealed a limited understanding of immi-
gration policy details and residents’ rights, among other emerging themes, in line
with a key finding from our study (Rhodes et al., 2015).
Latz, Lusk, and Heyman 59
60 Social Development Issues 41 (1) 2019
Implications
The study has several practical implications. First, there is a need to share infor-
mation about immigration enforcement policies and the human and civil rights of
immigrants with the community to promote informed decision making in service
utilization. Furthermore, community health and social workers can facilitate
providers’ outreach to hidden communities that may be particularly vulnerable to
exclusion from service provision due to their immigration and/or socioeconomic
status. Given the reality of stricter enforcement policies, emphasis should be
placed on providing immigrants with the tools to know which services they have
a right to receive and what risks their choices involve. Information about immi-
gration enforcement policies and their effects on service utilization needs to be
promulgated to decision makers to facilitate evidence-based policy formulation.
Stricter immigration enforcement is on the rise globally and has important
adverse effects on the human rights of migrants. Provider and service user stud-
ies are needed across a variety of world settings, including traditional receiving
countries and new transit and settlement zones. In an international environment
of increasing nationalism and xenophobia, nations must carefully consider the
implications of harsh anti-immigrant narratives and strict immigration enforce-
ment on the well-being of minority and immigrant populations.
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... Further, social networks and support systems may be disrupted when families must relocate to other locations for legal or employment reasons or return to their origin country through deportation or under threat (see Roberts, Menjívar, and Rodriguez 2017). Amplified interior enforcement elevates Latina immigrants' fear of spending time in public spaces or outside the home , undermining the deployment of social ties (Ayón 2017), creating mistrust in social institutions ) that can lead to "institutional apathy" (Estrada, Ebert, and Halla Lore 2016), and decreasing service utilization among Latina/o immigrants (Latz, Lusk, and Heyman 2019). A recent survey of educators (Ee and Gandara 2020) points to the negative effects of enforcement on immigrant parents' involvement in their children's schools. ...
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