2023-09-28 14:46:10 +00:00
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abstract: 'Public Policy Relevance Statement In the wake of COVID-19 and shift to
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remote platforms, little is known about the telehealth implementation
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experiences of social service providers who work with Latinx immigrants,
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an underserved group with limited accessibility to reliable internet or
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computers. Findings suggest that the lack of a clear and coordinated
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federal, local, or organizational response led social service providers
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to work beyond the scope of their routine duties to navigate unreliable
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remote platforms to meet the rising needs of their Latinx immigrant
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clients, which impacted work-related stress and satisfaction. The urgent
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development of more equitable and accessible models of telehealth is
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critical in the face of exacerbating disparities in the health and
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social consequences of COVID-19 among Latinx immigrants.
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The COVID-19 pandemic radically altered social service provision with
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significant public health implications as social services often target
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society''s most vulnerable with preventative health services addressing
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social determinants of health. Social service providers serve as crucial
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linkages to services for low-income Latinx immigrants who face
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substantial barriers to health and social care. However, little is known
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regarding how social service providers working with Latinx immigrants
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navigated service delivery and the rapid transition to telehealth during
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the COVID-19 pandemic. This mixed-methods (QUAL-quant; capitalization
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denotes primacy) study used survey data collected from April 2020 to
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October 2020 with Latinx immigrant serving as social service providers
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in the Maryland-Washington, DC, region. Social ecological theory guided
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the analysis of narrative data and the integration of quantitative data
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with qualitative themes. Participants (N = 41) were majority women
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(85.4\%), identified as Latinx (48.6\%) and elucidated themes related to
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their transition to telehealth, including adjusting from in-person to
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telehealth, barriers to telehealth implementation, impact on quality of
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services, working to prevent clients'' disconnection to social services,
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and work-related stress and satisfaction. Through the firsthand
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experiences of frontline social service providers, results reveal
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conditions of scarcity endemic in social services for Latinx immigrants
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that preexisted the pandemic and became further constrained during a
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time of heightened health and social need. Further, critical insights
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regarding the use of remote modalities with vulnerable populations
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(language minorities and immigrants) can be instructive in the
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development of improved and accessible telehealth and remote programming
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and services for Latinx immigrants.'
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affiliation: 'Negi, NJ (Corresponding Author), Univ Maryland, Sch Social Work, 525
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West Redwood St, Baltimore, MD 21201 USA.
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Negi, Nalini Junko; Siegel, Jennifer L., Univ Maryland, Sch Social Work, 525 West
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Redwood St, Baltimore, MD 21201 USA.'
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author: Negi, Nalini Junko and Siegel, Jennifer L.
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author-email: nnegi@ssw.umaryland.edu
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author_list:
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- family: Negi
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given: Nalini Junko
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- family: Siegel
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given: Jennifer L.
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da: '2023-09-28'
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doi: 10.1037/ort0000626
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earlyaccessdate: APR 2022
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eissn: 1939-0025
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files: []
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issn: 0002-9432
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journal: AMERICAN JOURNAL OF ORTHOPSYCHIATRY
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keywords: telehealth; Latinx; immigrants; social services; COVID-19
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keywords-plus: HEALTH; STRESS; WORK
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language: English
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number: '4'
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number-of-cited-references: '61'
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pages: 463-473
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papis_id: 2b87079b2cbf38ac809a052d23b0134d
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ref: Negi2022socialservice
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times-cited: '1'
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title: Social Service Providers Navigating the Rapid Transition to Telehealth With
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Latinx Immigrants During the COVID-19 Pandemic
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000787978200001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '92'
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web-of-science-categories: Psychiatry; Social Work
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year: '2022'
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