Case Studies: An analysis of an integrated care approach to providing mental health services to recently arrived unaccompanied minors from Central America

Background/Purpose: This presentation will evaluate the bio-psychosocial determinants of mental health challenges of unaccompanied minors arrived from Central America as it relates to the trauma experienced in their home countries, in their journey to the United States, and the challenges faced while living in California. 

Methods: A qualitative analysis of 42 case studies of unaccompanied minors ranging from 8-18 years old receiving integrative services in their community will draw themes as it relates to assessments, challenges identified, treatment approaches, recommendations, and ethical considerations. Data will also describe specific considerations in working with outside agencies (legal, school districts, and child protective services).  Data is obtained from case studies in the Integrated Behavioral Health Program at St John’s Well Child and Family Center, a community clinic that provides integrated services and is located in South Los Angeles where many Central Americans reside.

Findings: Unaccompanied Central American minors have a need for programs and support services that promote integrated, collaborative, and transcultural care. Findings show a high need for case management and a collaborative approach for assessment, treatment and interventions as it relates to the presenting challenges.  It will further evaluate continued systematic challenges that continue to impact the mental health disorders they face. 

Implications:  The understanding of trauma of unaccompanied minors traveling from Central America to the United States and its impact on their developmental growth is pivotal to help develop programs and training to response systems. Understanding the challenges with multi levels systems is imperative to help and understand these communities.