Nadiya's case
Clinician's Conflict
Cultural Conflict
Risk Factors
Strategies to Address Risk Factors
Desire to respect cultural differences
Desire to protect the client and their children from harm or dangers to their health
Arranged marriage
Lack of economic independence
High regard for male infants
Children
No bank account
Reliance on husband on for monthly allowance
Lack of Autonomy
Lack of financial independence
Relies on household members to drive her
Relies on monthly allowance from husband
No personal bank account
No income from sources outside of her husband
Impact of cultural assimilation into the US society
Arranged marriage
High regard for male infants (especially first-born)
Feelings of isolation and depression
No license or driver's education
Lack of independence/ autonomy
Drivers education
Domestic abuse resources
Mommy and me classes
ESL classes
Refer to mental health counselor and provide resources for depression
Resources for parents of children with hearing disabilities
Resources to apply to the nearby community college
Mental and physical abuse
Mental abuse from husband
Physical abuse from mother-in-law
Chandra
Amara
Lack of development for her age
Failed to play with ball with examiner
Failed to drink from a cup
failed to scribble
Failed to walk backward
Lack of development for her age
Cultural assimilation into the US society
Nadiya's desire to get birth control
Pressure from family to birth a male
Inability to raise her head up by 45 degree
Notable hearing impairment
Referral to a public health nurse
Potentially unsafe household
grandmother physically abuses mother
Potentially unsafe household
grandmother physically abuses mother
Father emotionally abuses mother
Father abuses mother
Does not know information about her husband's income or educational background
Lack of education and employable skills
Ordered to stay home and take care of children instead of pursuing education
Lack of reproductive rights
Lack of reproductive rights
Understanding the arranged marriage
Understanding the husband is first son of his family, and there is cultural pressure to live with the other family members
high regard for male infants
Protection from physical and emotional harm
Protect wellbeing of children
desire to help her develop autonomy
birth control
education
driving ability