Recently, referrals for care support have become more culturally dynamic and diverse.
While migrant clients represent a small percentage of ACETs overall client group, working with HIV and health management is layered with many complexities. ACET’s care team acknowledge the additional nuances associated with a migration story:
- language barriers
- cultural differences
- limited knowledge of local community and social structures.
While medication adherence and clinic attendance tend to be consistent, migrant clients often discuss negative experiences and fears of disclosure, stigma, racism and segregation from their local community.
Clients who are undocumented or living in direct provision experience further challenges associated with marginalisation and lack of education and employment opportunities. This is often combined with a concern about accepting support from external organisations and becoming identifiable and risking deportation. Finding appropriate working spaces for care support can be challenging when clients are living in direct provision centers or overcrowded homes on the outskirts of communities. Often clients are unable to travel as a result of limited finances and lack of childcare, further isolating them from necessary supports.
ACET sometimes only support
While some clients have made positive steps towards education, work and integration and have opportunities associated with being granted leave to remain or citizenship, others continue to face significant barriers associated with their undocumented status. The care team, sometimes the only support, continue to develop their understanding of the impact of the migration process and sensitively engage with clients on care plans which are reflective of ever-changing circumstances and support needs.