Mental Health Issues Experienced by Migrant and Seasonal Farmworkers - Recommendations for Expanded Intervention in North Carolina Public Deposited

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  • February 28, 2019
  • Kiser, Emily
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
  • Migrant and seasonal farmworkers in the United States experience a number of health issues at higher prevalence rates than the general population. Among these are mental health issues such as stress, depression, and anxiety. Factors at varying levels of the social-ecological model contribute to these mental health issues including individual, interpersonal, and structural level factors. This paper reviews the health issues faced by migrant and seasonal farmworkers; investigates contributing factors to the high prevalence rates of stress, anxiety, and depression experienced by this population; examines current efforts in North Carolina to improve the mental health of farmworkers; and recommends expansions in programming to reduce the prevalence rates of stress, anxiety, and depression in the farmworker population. There is abundant evidence in the literature establishing the need for mental health services for farmworkers. However, there is little to no literature on past or current interventions and evaluation of these interventions. The Student Action with Farmworkers' (SAF) Into the Fields theater outreach program provides an excellent example of a small, yet seemingly successful, program which could be replicated and disseminated throughout the state of North Carolina. Although only limited scientific evaluation of the program has been conducted thus far, preliminary data gathered and presented by SAF is promising. The North Carolina Farmworker Health Program, coordinated by the North Carolina Department of Health and Human Services, Office of Rural Health and Community Care, oversees an existing network of 11 contract sites serving farmworkers in 50 North Carolina counties. This network appears to be an excellent potential mechanism for further disseminating and evaluating SAF's theater outreach program. This paper examines and discusses challenges and potential solutions to the recommended program expansion.
Date of publication
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Rights statement
  • In Copyright
  • Paper type: Other
  • Track: Leadership
  • Sollecito, William
  • Lipscomb, Allison
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2016
Deposit record
  • 2f380cc8-89d0-48e3-a95b-4b426755208b

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