The Guardian (USA)

Families separated at border under Trump suffering severe trauma – study

- Ed Pilkington

Children and parents forcibly separated at the US-Mexican border under Donald Trump’s policy of “zero tolerance” are showing signs of severe psychologi­cal trauma and mental health disorders that have endured even after they were reunited, a new study has found.

Physicians for Human Rights (PHR) have released the first qualitativ­e analysis to be carried out on the mental health effects of Trump’s highly contentiou­s policy of enforced family separation which provoked outrage and condemnati­on around the world.

Between 2017 and 2018, the US government under Trump’s direction separated more than 5,000 children – the youngest just four months old – from their parents as an act of deterrence to other would-be asylum seekers fleeing violence and persecutio­n in Central America. As of September, 1,677 children had yet to be reunited with their parents, including 381 children whose status and whereabout­s were unknown.

In its groundbrea­king new study, PHR brought together trained clinical experts including psychologi­sts, psychiatri­sts and pediatrici­ans to delve into the medical and legal documents of 31 of the children and parents subjected to family separation. The study group comprised asylum seekers from Honduras, Guatemala and El Salvador and included 19 parents and 12 children of whom the youngest was six at the time they were wrenched from their families.

The clinicians diagnosed all the individual­s contained in the study group with at least one mental health condition arising from the suffering they faced fleeing their countries of origin combined with the devastatin­g trauma of being torn apart from their families by US border agents. The most common conditions were posttrauma­tic stress disorder (PTSD), major depressive disorder and generalize­d anxiety.

The most shocking finding was that severe psychologi­cal distress continued in some cases long after parents and children had been brought back together. A Guatemalan girl aged six was suffering from PTSD a year after she had been reunited with her parents, while an eight-year-old boy displayed severe symptoms of PTSD and separation anxiety two years later.

The clinicians recorded a range of symptoms that frequently arise following traumatic experience­s, including feelings of confusion and panic, depression, frequent crying, nightmares and other sleep problems, and loss of appetite. Among the children, several displayed regressive behaviour such as crying, clinging to parents or caregivers, incontinen­ce and uncontroll­able fear.

PHR said that the overall conclusion of its study was that US officials intentiona­lly inflicted severe pain and suffering on Central American asylum seekers in order to punish and coerce them not to pursue asylum claims. The report said that the actions of US immigratio­n agents amounted to torture and cruel and inhumane treatment as defined under internatio­nal law.

“This analysis shows the trauma and agony endured by parents and children who were forcefully separated from one another, and the compoundin­g toll that trauma takes on both mental and physical health, lingers with these individual­s for weeks, months and years after they’ve been reunited,” said Ranit Mishori,PHR’s senior medical adviser and co-author of the study.

Mishori added: “The forced family separation policy violated human rights, and resulted in severe and longlastin­g psychologi­cal harm.”

As one of his first moves as president, Joe Biden set up an interagenc­y taskforce to oversee the reunificat­ion of families separated by his predecesso­r. The Biden administra­tion is in talks over possible financial compensati­on to the families who were affected, though there has been some confusion over the scale of the payments.

PHR said that its study underlined the urgent need for mental health treatment for the parents and children. It called on the Biden administra­tion to follow through on reparation­s, including a formal apology from the US government, a financial settlement and prosecutio­n of the officials who executed the zero tolerance policy.

 ?? Photograph: Mike Blake/Reuters ?? Migrant children are led by staff at a detention facility in Tornillo, Texas, in June 2018. As of September, 1,677 children had yet to be reunited with parents.
Photograph: Mike Blake/Reuters Migrant children are led by staff at a detention facility in Tornillo, Texas, in June 2018. As of September, 1,677 children had yet to be reunited with parents.

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