Welcoming new neighbors: Minnesota's rapid response model to address the urgent health needs of Afghan newcomers, 2021-2022.

Afghanistan Operation Allies Welcome immigration public health response refugees trauma-informed care

Journal

Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579

Informations de publication

Date de publication:
2024
Historique:
received: 06 04 2024
accepted: 03 06 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 11 7 2024
Statut: epublish

Résumé

As a result of the United States withdrawal from Afghanistan in fall 2021, 1,260 Afghan evacuees arrived in Minnesota between October 2021 and February 2022. Several contextual factors including an overtaxed health system under duress from COVID-19 and uncertain benefit eligibility prompted a coordinated public health response to appropriately address the acute and pressing medical concerns of our new neighbors. This community case study describes the State of Minnesota's cross-sectoral response that created a welcoming environment, identified public health concerns, and addressed acute medical needs. Medical volunteers provided an initial health and safety check for Afghan families upon arrival. Volunteers also offered onsite culturally and linguistically appropriate mental health assessments, group therapy, women's clinics, vaccine clinics, medication refills, and ongoing walk-in primary care. Care coordinators facilitated primary care and specialty care referrals. The majority (96%) of eligible arrivals were screened as part of this response and the median time between arrival to Minnesota and initial health screening was 2 days. Half of all arrivals screened reported at least one health concern and 56% were referred to a specialty for further evaluation. Almost one in four adults (24%) reported mental health concerns. Existing partnerships across local sectors can be leveraged to provide comprehensive physical and mental health services to newcomers in an emergency response.

Identifiants

pubmed: 38989114
doi: 10.3389/fpubh.2024.1413258
pmc: PMC11233686
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1413258

Informations de copyright

Copyright © 2024 Frumholtz, Carlson, Shannon, Iaquinta, Eckerstorfer, Hendel-Paterson, Quadri, Shetty, Mohammadzadah, Stauffer, Adesida, Howard, Urban, Kirsch, Sayad and Mamo.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Auteurs

Mateo Frumholtz (M)

Minnesota Department of Health, Saint Paul, MN, United States.

William C Carlson (WC)

School of Social Work, University of Minnesota, Minneapolis, MN, United States.

Patricia J Shannon (PJ)

School of Social Work, University of Minnesota, Minneapolis, MN, United States.

Sophia Iaquinta (S)

School of Nursing, University of Minnesota, Minneapolis, MN, United States.

Maggie Eckerstorfer (M)

Department of Medicine, Global Medicine, University of Minnesota, Minneapolis, MN, United States.

Brett Hendel-Paterson (B)

Mobile Health Initiative, University of Minnesota, Minneapolis, MN, United States.
Internal Medicine, HealthPartners Institute, Minneapolis, MN, United States.

Nasreen Quadri (N)

Mobile Health Initiative, University of Minnesota, Minneapolis, MN, United States.
National Resource Center for Refugees, Immigrants, and Migrants, University of Minnesota, Minneapolis, MN, United States.
Department of Pediatrics, University of Minnesota, Minneapolis, MN, United States.

Rashika Shetty (R)

Department of Medicine, Global Medicine, University of Minnesota, Minneapolis, MN, United States.
Medical School, University of Minnesota, Minneapolis, MN, United States.

Hadia Mohammadzadah (H)

Department of Medicine, Global Medicine, University of Minnesota, Minneapolis, MN, United States.

William Stauffer (W)

Mobile Health Initiative, University of Minnesota, Minneapolis, MN, United States.
National Resource Center for Refugees, Immigrants, and Migrants, University of Minnesota, Minneapolis, MN, United States.
Department of Pediatrics, University of Minnesota, Minneapolis, MN, United States.
Medical School, University of Minnesota, Minneapolis, MN, United States.
Infectious Disease, HealthPartners Institute, Minneapolis, MN, United States.

Opeyemi Adesida (O)

Department of Medicine, Global Medicine, University of Minnesota, Minneapolis, MN, United States.
Community-University Health Care Center, University of Minnesota, Minneapolis, MN, United States.

Cindy Howard (C)

Department of Pediatrics, University of Minnesota, Minneapolis, MN, United States.

Kailey Urban (K)

Minnesota Department of Health, Saint Paul, MN, United States.

Jonathan Kirsch (J)

Department of Medicine, Global Medicine, University of Minnesota, Minneapolis, MN, United States.
Mobile Health Initiative, University of Minnesota, Minneapolis, MN, United States.
National Resource Center for Refugees, Immigrants, and Migrants, University of Minnesota, Minneapolis, MN, United States.

Mehria Sayad (M)

Internal Medicine, HealthPartners Institute, Minneapolis, MN, United States.
Medical School, University of Minnesota, Minneapolis, MN, United States.

Blain Mamo (B)

Minnesota Department of Health, Saint Paul, MN, United States.

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