Mental Health Barriers Among Migrant and Seasonal Farmworkers.

摘要

Migrant and seasonal farmworkers (MSF) make a significant contribution to the agricultural economy in the United States. The majority of farmworkers consist of undocumented immigrants from Mexico and other indigenous communities. The agricultural industry presents a myriad of challenges to MSF due to the physical demands of the work. Unfortunately, MSF face many obstacles when trying to access services. This dissertation provides an overview of mental health disparities faced by MSF based on a critical review of the research literature as well as clinical input from experts who are knowledgeable of this topic. The dissertation explains the impact that the Bracero program had on the United States agricultural economy, and describes the unique and significant mental and physical health ailments experienced among MSF. Furthermore, the dissertation raises awareness on the racism and discrimination faced by indigenous and female farmworkers, and addresses accommodations, sensitivity issues, and treatment considerations that mental health professionals should be mindful of when working with this population. A professional presentation was also created to disseminate this information to mental health professionals to help increase awareness surrounding the multiple obstacles faced by MSF. Lastly, clinical implications, recommendations, and suggestions for future research are also discussed.