The presenters, Dr. Genevieve Preer, Ivys Fernandes-Pastrana and Carmen Norona, have nothing to disclose.

Learning Objectives:

• Family Preparedness Plans ensure continuity of care for immigrant children and should include temporary caregiver identification, reunification plans, and essential child information (medical, school, routines, sociocultural background of the child/family).

• Next Step: Implement family preparedness planning discussions with immigrant families in your practice by offering multidisciplinary team support to facilitate potentially anxiety-provoking conversations and to complete the FPP. 

• Children perceive family stress and create their own narratives when information is withheld; developmentally appropriate, truthful communication from trusted adults helps children process potential separation fears.

• Next Step: Provide anticipatory guidance to parents on developmentally-appropriate, culturally and linguistically-attuned ways to discuss potential family separation, identifying validating children's feelings and concerns while offering concrete, clear explanations.

• Fourth and Fifth Amendment protections apply regardless of immigration status; ICE requires valid judicial warrants (not immigration warrants) to enter private healthcare spaces and healthcare workers have the right to remain silent.

• Next Step: Develop workplace awareness for immigration enforcement encounters, including prepared responses to protect patient privacy and staff rights in both public and private healthcare areas.