Poor immigrant families must cope with stress stemming from loss of home and adaptation to the host country. Those with handicapped children are also burdened with a parallel set of stressors in adapting to the handicap in an alien environment that may include a complex service system. Implications for practice are discussed with particular emphasis on advocacy to enhance delivery of services. 1993 American Orthopsychiatric Association

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Communication Barriers immigrant alienation handicapped child poverty Disabled Persons human Stress, Psychological mental stress coping behavior mental health care Health Services Needs and Demand United States family Review cost of illness cultural factor family counseling social adaptation health care access child advocacy Emigration and Immigration Patient Care Team health care delivery Child