
A Los Angeles primary-care clinic serving mostly Latino Medi-Cal patients is sounding the alarm, saying routine mental-health screenings are turning up a sharp jump in severe anxiety, depression, and suicidal thinking since federal immigration enforcement ramped up. Staff says the spike is reshaping how families seek help and how the clinic delivers care.
Screenings Reveal Steep Mental Health Spike
Standardized screenings at Zócalo Health found that more than half of patients had anxiety severe enough to interfere with daily life, nearly three-quarters screened positive for depression, and nearly one in eight reported thoughts of suicide, according to NPR. That suicidal-thinking rate is more than double the roughly 5.3% the CDC estimated nationally in 2023. Clinic leaders say the spikes closely tracked periods of intensified enforcement and were not limited to people with prior trauma.
Clinic Staff Blame Enforcement for Public Health Strain
“Immigration enforcement is functioning as a real-time public-health stressor,” Sophia Pages, Zócalo’s executive director of behavioral health, told NPR. Zócalo pairs every patient with a promotora de salud, a community-health worker who helps with outreach, appointments, and culturally aligned support, a model the group says helps keep fearful families connected to care, according to Zócalo Health.
Raids Escalated Across Los Angeles Last Year
Coordinated enforcement actions in Los Angeles, including workplace raids on June 6–7, 2025, set off protests and drew sharp criticism from city leaders, as reported by the Los Angeles Times. Local coverage also detailed arrests at garment warehouses and at a Home Depot in the Westlake district, showing how enforcement reached everyday places where immigrant families work and shop, according to NBC Los Angeles.
Researchers Warn of Lasting Harm for Children
A recent analysis in the New England Journal of Medicine described the enforcement push as a source of toxic stress for children and warned it could leave lasting developmental and mental-health effects. Clinicians who treat immigrant youth note that children who experience a parent's deportation face sharply higher odds of PTSD and other trauma-related disorders, and that symptoms often show up as stomachaches, sleep changes, or social withdrawal, according to The Kids Mental Health Foundation.
Clinics Scramble to Expand Screening and Outreach
Clinics say they are scaling up screenings, bolstering brief interventions, and relying on promotoras to reach families who are afraid to leave home. Zócalo's care model centers community health workers and culturally aligned virtual behavioral care. Advocates and providers are pushing for stronger confidentiality protections and policy fixes to reduce the chilling effect that keeps families from care, as Medicaid files open door for ICE, as reported in March. If you or someone you know is in crisis, call or text the 988 Lifeline for free, confidential support.









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