Working with Latino Families

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J. Smithwick, PASOs, Presentation given at the 2012 South Carolina Home Visiting Summit


  • 1. Tips forsuccessfulhome visitswith Latino families:Julie Smithwick, LMSW ExecutiveDirector, PASOs

2. Objectives 1. Explain different social, political,economic and cultural dynamics thatmay affect relationships betweenLatino individuals and home visitingprofessionals. 2. Identify helpful, practical andconcrete strategies and resources forproviding home visitation services andoutreach to Latino families. 3. PASOs (steps in Spanish)Mission PASOs helps the Latinocommunity and serviceproviders work together forstrong and healthy families.We do this through education,support and grassrootsleadership development. 4. US population by Race/Ethnicity(2010) Total 308,745,538 100% White 223,553,265 72.4%Hispanic/Latino 50,477,594 16.3 %African American38,929,319 12.6 %Source: US Census Bureau 5. Definition of Hispanic or LatinoOrigin Used in the 2010 CensusHispanic or Latino refers to a person ofCuban, Mexican, Puerto Rican, South orCentral American, or other Spanishculture or origin regardless of race 6. US Hispanic/LatinoPopulation More than half of the growth in the total population of the United States between 2000 and 2010 was due to the increase in the Hispanic population2nd largest Hispanic population worldwide 1. Mexico: 108.7 million 2. US: 50.5 million 7. Immigration status Naturalized citizens: 11.3 million(32%) Legal Permanent Residents: 10.4million (29%) Unauthorized immigrants(undocumented): 10.3 million (29%) Refugees (immigrants who fledpersecution): 2.5 million (7%) Temporary Legal Residents: 1.2million (3%) 8. Why Dont They Just Come theLegal Way? Our economy produces many, many times more jobs for people considered low-skilled. Jobs that require little to no education, but a willingness to do very hard work. Jobs that research has shown many Americans are unwilling to do The employment-based system is dysfunctional, particularly for low- skilled workers: under the law, a maximum of 10,000 permanent visas are available per year for employer- sponsored workers other than those who are highly skilled or holding advanced degrees. 9. We can tell people to wait theirturn in line, however..For a Mexican (or a Guatemalan, a Filipino, aPole, or folks from many other countries) whodoes not have a college degree and has no closerelatives who are U.S. citizens or green card-holders, there is almost certainly no line for themto wait in:Without reform to the immigration system, theywill not be able to migrate the legal way to theU.S., not if they wait ten years, not if they wait fiftyyears. 10. States with Largest HispanicPopulation Growth, 2000-2010StateGrowthState Growth2000-2010 2000-2010 (%) (%) South Carolina148Maryland106 Alabama 145Mississippi 106 Tennessee 134South Dakota103 Kentucky122Delaware96 Arkansas114Georgia 96 North Carolina111Virginia92Source: Pew Hispanic Center tabulations of U.S. Census Bureau Redistricting_Files-PL_94-171 for statesPEW HISPANIC CENTER, March 2011 11. Counties with Largest LatinoPopulationCountyLatino PopulationGreenville36,495Beaufort19,567Charleston18,877Richland18,637Horry 16,683Spartanburg 16,658Lexington 14,529Berkeley10,755York10,075Aiken7,824 12. Counties with Largest LatinoShare of Total Population (%)County % of Total PopulationJasper15.1Saluda14.4Beaufort12.1Greenville 8.1Newberry 7.2 13. Counties with Largest LatinoPopulation Growth (%)County % of Total PopulationMarlboro 290.2Dorchester 252.8Lexington250.4Lancaster246.0Horry229.9 14. Barriers to Traditional Health Care Services and Programs for ManyImmigrants SB 20 law English languageproficiency Transportation Insurance Fear Need forinformation onhealth care system Acculturation levels Discrimination 15. SC Illegal Immigration ReformAct (H. 4400)Signed by Governor Mark Sanford onJune 4, 2008 E-verify Undocumented children cannot attendstate Colleges and Universities 16. SC Illegal Immigration ReformBill (SB 20)Signed by Governor Nikki Haley on June27, 2011 Local police officers required to check theimmigration status of anyone they suspect ishere illegally Immigrants required to carry federal alienregistration documents Prohibits to knowingly harbor or transport anundocumented person 17. What are some of the effects ofthese laws? Lack of trust in health care providersand/or system Women, children, families not gettinghealth care Outbreaks Questions not getting answered Missing things People feeling scared, undignified 18. What can we do? Reach out and show compassion Make everyone feel safe, welcome Have an LEP (Limited EnglishProficiency) plan for people who speaklimited English Do not ask questions about status,SSNs; never use word illegal or makeassumptions Sometimes we need to take off ouruniforms and put on our humanity.-Columbia police officer 19. June 2012President Obama announced that youngundocumented Latinos will not be deportedand that they may apply for work permits fortwo years as a temporal measure 20. Culture: Some commoncharacteristics Most common language: Spanish Religion: Roman Catholics Traditional belief systems Value on the family 21. Parentesco -Family ideology Confianza (theimportance of trust) Personalismo(personalrelationships)Respeto (respect) for elders, teachers,doctorsCommunication style (to the point?)Children do not leave home at 18 22. Latino namesPedro Gmez MartnezMara Torres Prez Maria Luca Gmez TorresMaria Luca TorresMaria Luca Gmez Maria Luca Gmez-Torres Maria Luca Gmez Torres 23. When people get married.Most DONT change their last namePedro Gmez MartnezMara Torres Prez1)Mara Torres Prez2)Mara Torres de Gmez3)Mara de Gmez4)Mara Gmez 24. Latino CulturalValues Social gatherings Personal space (?) Desire to adapt to U.S.culture and maintaintheir own culture at thesame time Desire to learn English 25. What are some culturaldifferences we might notice? Relationship with doctor (which canmean all providers) much more formal Non-verbal behaviors: looking to advocate or family looking away from professional normal nodding to please Concept of time more flexible Use of natural medicine 26. What can we do? Need to develop confianza (trust, rapport) Small talk about family, home country, children if appropriate Acknowledge traditions and natural remediesassess for safety Ask how they want their name and their babys names to beexactly. 27. Video: gQ 28. How should we communicate? English vs. Spanish (or nativelanguage)- preferable to use nativelanguage but let client decide. If Spanish, use qualified interpretersnot children, family members, orstudents. Relationship with family and/oradvocate strong and built ontrustinvolve if possible and if feelssafe (but not as interpreters) 29. Teaching/assessingknowledge Use open-ended questions Instead of do you have anyquestions? Use: Tell me what elseyou want to know. Instead of Do you understand? Ask:I want to make sure I told you thingsright. Can you tell me how youregoing to handle this when you gethome? 30. A thought to leave withThey may forget what you said, but they will never forget how you made them feel. -Carl W. Buechner 31. Thank you foryour interest!Contact information:Julie Smithwick803-777-5466