Clinical Social Work’s Place in Migrant Justice: A Call to Act on Our Ethical Commitments
Abstract
1. Introduction
2. The Role of Experts
3. Mental Health Experts
4. Evaluation
5. Developing an Affidavit
6. Testimony
7. Impact of Mental Health Evaluations
8. Collaboration with Legal Advocates
9. Call to Action
10. Social Work Ethics, Principles and Values
11. How Are Social Workers Prepared?
12. Stress, Distress, and Burnout
13. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
- Who provided referral
- Date of referral
- Purpose of referral (e.g., to determine how, if at all, client (and/or client’s dependent family members) would be psychologically affected if deported to their home country).
- Assessment tools (e.g., standardized assessment measures, clinical impressions, and clinical recommendations)
- Provide credentials (e.g., education/degree and licensure) and experience of practitioner
- Provide overview of how information was collected (e.g., in-depth clinical interview)
- Provide details of what information was obtained (examples below):
- o
- Presenting concerns
- o
- Psychological functioning
- o
- Mental health evaluation
- o
- Clinical Observations
- o
- Standardized psychometric assessment tools (name these and explain the purpose of each)
- o
- Indicate orientation of client (whether oriented to person, place, and time)
- o
- Provide observations related to memory, accuracy as a reporter, whether practitioner believes client was able to complete standardized psychometric measures, and role of cultural/language barriers to gathering the data, if relevant.
- Country of origin
- Month/year moved to United States (U.S.)
- Reason for moving
- Who lives within U.S.
- Any additional relevant information
- List any medical conditions
- If relevant, access to medical providers in home country (has client ever seen a medical provider before)
- Exposure to trauma and/or abuse
- History of mental health symptoms (diagnosed or not)
- History of engagement with mental health services
- History of suicidal or homicidal ideation
- Whether and in what context client worked in home country
- If lack of employment options is relevant to case, explain this context here
- Clinical observations of client during reporting of history and presenting concerns (affect, emotional reactions, voice/tone, etc.)
- Childhood and adult family context in home country
- Community context in home country
- Educational attainment in home country (and in U.S., if applicable)
- Situation in home country that prompted move—provide as much detail as able
- Experiences during the move to the U.S.
- Experiences since arriving in U.S.
- Provide quotes from client, as applicable, in this section
- Psychomotor concerns
- Intellectual concerns
- Memory/recall—excellent, appropriate given history, or poor memory/recall
- o
- If memory/recall is challenged, consider reasons client may be challenged (e.g., historical trauma, lack of formal education, etc.)
- Rate, rhythm of speech
- Note client’s ability and comfort level in the interview (e.g., did client need breaks, have difficulty reporting or was client comfortable and fairly relaxed throughout?)
- Affect
- Mood
- Practitioner can note whether speech, comfort level, affect, and mood seemed appropriate for the given context (e.g., content discussed, cultural/language differences, history of trauma, etc.)
- Name and describe each instrument in a separate paragraph
- o
- Indicate scoring approach, range, and any cut-off scores
- Provide client’s score and interpret the score, as appropriate
- Apply clinical observations and knowledge of DSM, along with measure scores, to provide diagnosis with justification (if licensed to diagnose)
- Client’s strengths
- Hobbies: way client enjoys engaging with others or what client does for fun
- Any contributions to U.S. society can also go here
- Prognosis for client (and any dependent family members) if client is deported to home country
- Prognosis for client (and any dependent family members) if client is permitted to remain in U.S.
- Provide clinical recommendations for client (examples below):
- o
- Engage in trauma-based individual therapy
- o
- Engage in family therapy
- o
- Enroll in English as Another Language classes
Appendix B
- International Rescue Committee (IRC)
- Center for Gender & Refugee Studies: https://cgrs.uclawsf.edu/en/expert-witness-database
- Society of Asylum Medicine, Asylum Medicine Clinics & Regional Resources https://asylummedicine.com/asylum-medicine-clinics-and-regional-resources
- National Organization of Forensic Social Workers https://www.nofsw.org/
- Physicians for Human Rights
- For students: https://phr.org/get-involved/participate/students/
- For current practitioners: https://phr.org/issues/asylum-and-persecution/
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| Social Work Skills | Social Work Values | |
|---|---|---|
| Evaluation of Forcibly Displaced Survivors of Violence | Empathy, communication, critical thinking, active listening, self-care, patience, cultural humility, trauma responsiveness, human rights advocacy | Service, Dignity and Worth of the Person, Competence |
| Documenting Harms | Organization, communication, self-care, human rights advocacy | Competence, Relationships |
| Testifying to the Court | Patience, self-care, professional commitment, human rights advocacy * | Integrity, Competence, Social Justice |
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Mathis, C.M.; Held, M.L.; Latus, K.E.; Cook Heffron, L. Clinical Social Work’s Place in Migrant Justice: A Call to Act on Our Ethical Commitments. Soc. Sci. 2025, 14, 701. https://doi.org/10.3390/socsci14120701
Mathis CM, Held ML, Latus KE, Cook Heffron L. Clinical Social Work’s Place in Migrant Justice: A Call to Act on Our Ethical Commitments. Social Sciences. 2025; 14(12):701. https://doi.org/10.3390/socsci14120701
Chicago/Turabian StyleMathis, Cherra M., Mary Lehman Held, Karen E. Latus, and Laurie Cook Heffron. 2025. "Clinical Social Work’s Place in Migrant Justice: A Call to Act on Our Ethical Commitments" Social Sciences 14, no. 12: 701. https://doi.org/10.3390/socsci14120701
APA StyleMathis, C. M., Held, M. L., Latus, K. E., & Cook Heffron, L. (2025). Clinical Social Work’s Place in Migrant Justice: A Call to Act on Our Ethical Commitments. Social Sciences, 14(12), 701. https://doi.org/10.3390/socsci14120701

