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The Ethical and Public Health Implications of Family Separation

Published online by Cambridge University Press:  01 January 2021

Abstract

When immigrant children are separated from their parents, inexorable medical and legal harms result. Family separation violates a fundamental right of parents to participate in medical decisions involving their children. This paper reviews and contributes to evolving analyses of the public health, legal, and ethical consequences of immigration policy.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2019

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References

US Customs & Border Protection, “Southwest Border Migration FY2018,” available at <https://www.cbp.gov/newsroom/stats/sw-border-migration/fy-2018> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
US Customs & Border Protection, “Total Monthly Family Units by Sector, FY13-17,” available at <https://www.cbp.gov/sites/default/files/assets/documents/2019-Mar/bp-total-monthly-family-units-sector-fy13-fy18.pdf> (last visited May 23, 2019).+(last+visited+May+23,+2019).>Google Scholar
United Nations High Commissioner for Refugees, “Northern Triangle of Central America Situation Factsheet (February 2017),” available at <http://www.refworld.org/docid/58aae2bb4.html> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
United Nations High Commissioner for Refugees, “Women on the Run: Firsthand Accounts of Refugees Fleeing El Salvador, Guatemala, Honduras and Mexico” (2015), available at <http://www.unhcr.org/5630f24c6.html> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
Office of Inspector General, U.S. Department of Health and Human Services, “Separated Children Placed in Office of Refugee Resettlement Care” (January 2019), available at <https://oig.hhs.gov/oei/reports/oei-BL-18-00511.pdf> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
See Kandel, supra note 5Google Scholar
McCabe, B. E., Mitchell, E. M., Gonzalez-Guarda, R. M., Peragallo, N., and Mitrani, V. B., “Transnational Motherhood: Health of Hispanic Mothers in the United States Who Are Separated from Children,” Journal of Transcultural Nursing 28, no. 3 (2017): 243-250; Miranda, J., Siddique, J., Der-Martirosian, C., and Belin, T. R., “Depression among Latina Immigrant Mothers Separated from Their Children,” Psychiatric Services 56, no. 6 (2005): 717-720; Miller, A., Hess, J. M., Bybee, D., and Goodkind, J. R., “Understanding the Mental Health Consequences of Family Separation for Refugees: Implications for Policy and Practice,” American Journal of Orthopsychiatry 88, no. 1 (2018): 26.CrossRefGoogle Scholar
Rojas-Flores, L., Clements, M. L., London, J. Hwang, and Koo, J., “Trauma and Psychological Distress in Latino Citizen Children Following Parental Detention and Deportation,” Psychological Trauma: Theory, Research, Practice, and Policy 9, no. 3 (2017): 352; MacKenzie, M. J., Bosk, E., and Zeanah, C. H., “Separating Families at the Border—Consequences for Children's Health and Well-Being,” New England Journal of Medicine 376, no. 24 (2017): 2314-2315; J. Dreby, “US Immigration Policy and Family Separation: The Consequences for Children's Well-Being,” Social Science & Medicine 132 (2015): 245-251.CrossRefGoogle Scholar
United States District Court of California, Ms. L vs. ICE, Case No. 18cv0428 (2018), “Declaration of A.J. Shapiro,” available at <https://www.aclu.org/sites/default/files/field_document/memorandum_iso_motion_for_preliminary_injunction_and_updated_exhibits_3_3_2018.pdf> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
Linton, J. M., Griffin, M., and Shapiro, A. J., “Detention of Immigrant Children,” Pediatrics (2017): e20170483; American Civil Liberties Union, “Immigration Detention Conditions,” available at <https://www.aclu.org/issues/immigrants-rights/immigrants-rights-and-detention/immigration-detention-conditions> (last visited April 5, 2019).CrossRef+(last+visited+April+5,+2019).>Google Scholar
Detention Watch Network, “Expose and Close: Artesia Family Residential Center,” (2014): at 16, available at <https://www.detentionwatchnetwork.org/sites/default/files/reports/DWN%20Expose%20and%20Close%20Artesia%20Report.pdf> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
Long, C., Human Rights Watch; American Civil Liberties Union; National Immigrant Justice Center; Detention Watch Network, “Code Red: The Fatal Consequences of Dangerously Substandard Medical Care in Immigration Detention,” Human Rights Watch, available at <https://reliefweb.int/sites/reliefweb.int/files/resources/us0618_web2.pdf> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar
US Department of Homeland Security, “Secretary Kirstjen Nielsen Statement on Passing of Eight-Year-Old Guatemalan Child,” (2018), available at <https://www.dhs.gov/news/2018/12/26/secretary-kirstjen-m-nielsen-statement-passing-eight-year-old-guatemalan-child> (last visited April 5, 2019)+(last+visited+April+5,+2019)>Google Scholar
Projection based on internal Department of Homeland Security statistics obtained by the Associated Press. Long, C., “DHS Reports about 2,000 Minors Separated from Families,” Associated Press (2018), available at <https://apnews.com/3361a7d5fa714ea4b028f0a29db1cabc> (last visited April 5, 2019). Statistics corroborated against US Customs & Border Protection, “Total Monthly Family Units by Sector, FY13-17,” available at <https://www.cbp.gov/sites/default/files/assets/documents/2019-Mar/bp-total-monthly-family-units-sector-fy13-fy18.pdf> (last visited May 24, 2019).+(last+visited+April+5,+2019).+Statistics+corroborated+against+US+Customs+&+Border+Protection,+“Total+Monthly+Family+Units+by+Sector,+FY13-17,”+available+at++(last+visited+May+24,+2019).>Google Scholar
See Linton, supra note 13Google Scholar
MacKenzie, M. J., Bosk, E., and Zeanah, C. H., “Separating Families at the Border—Consequences for Children's Health and Well-Being,” New England Journal of Medicine 376, no. 24 (2017): 2314-2315; V. J. Felitti, R. F. Anda, D. Nordenberg, D.F. Williamson, A. M. Spitz, V. Edwards, and J. S. Marks, “Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study,” American Journal of Preventive Medicine 14, no. 4 (1998): 245-258.CrossRefGoogle Scholar
Shonkoff, J. P. et al. & Committee on Early Childhood, Adoption, and Dependent Care, “The Lifelong Effects of Early Childhood Adversity and Toxic Stress,” Pediatrics 129, no. 1 (2012): e232-e246; MacKenzie et al., id.CrossRefGoogle Scholar
See Fazel et al., supra note 17Google Scholar
Diekema, D., “Parental Refusals of Medical Treatment: The Harm Principle as Threshold for State Intervention,” Theoretical Medicine 25 (2004): 243264.Google Scholar
DeVille, K. A. and Kopelman, L. M., ‘‘Fetal Protection in Wisconsin's Revised Child Abuse Law: Right Goal, Wrong Remedy,” Journal of Law, Medicine, & Ethics 27 (1999): 335.Google Scholar
Woods, M., “Overriding Parental Decision to Withhold Treatment,” Virtual Mentor 5, no. 8 (2003): available at <https://journalofethics.ama-assn.org/article/overriding-parental-decision-withhold-treatment/2003-08> (last visited April 5, 2019).CrossRefGoogle Scholar
See Diekema, supra note 25.Google Scholar
See Diekema, supra note 25.Google Scholar
United States District Court of California, Ms. L vs. ICE, Case No. 18cv0428 (2018), Order Granting in Part and Denying in Part Defendants' Motion to Dismiss, Page 23, available atGoogle Scholar
UNHCR, “Northern Triangle of Central America Situation Factsheet (February 2017),” available at <http://www.ref-world.org/docid/58aae2bb4.html> (last visited April 5, 2019).+(last+visited+April+5,+2019).>Google Scholar