Immigrant Mental Health Solidarity Network (IMHSN)

Building a Stronger Mental Health System for Immigrant Communities in North Carolina

From 2023 to 2026, El Futuro led the Immigrant Mental Health Solidarity Network (IMHSN), a statewide collaborative created to strengthen North Carolina’s capacity to support the mental health and well-being of immigrant communities.

Launched with support from the Kate B. Reynolds Charitable Trust and the Blue Cross and Blue Shield of North Carolina Foundation, the Network brought together community organizations, healthcare providers, educators, researchers, advocates, policymakers, and individuals with lived experience to build stronger partnerships, elevate community voices, and advance culturally responsive mental health systems across the state.

Today, the IMHSN continues under the leadership of NC Counts Coalition, ensuring that this important work will continue to grow and strengthen immigrant communities across North Carolina.

Why the Network Was Created

North Carolina’s immigrant communities continue to grow and enrich our state, yet many families face significant barriers to accessing mental health care. Community members experience ongoing stress related to language barriers, discrimination, family separation, immigration-related uncertainty, limited access to culturally responsive services, and the lasting effects of trauma. At the same time, organizations across the state often work with limited resources while navigating increasingly complex community needs.

Recognizing that no single organization could address these challenges alone, El Futuro convened the Immigrant Mental Health Solidarity Network to create a statewide space for collaboration, learning, and collective action. Together, Network members worked to strengthen relationships, build shared understanding, and develop solutions that reflect the strengths, resilience, and lived experiences of immigrant communities.

Our Impact

Over three years, the IMHSN grew into a statewide infrastructure for collaboration and systems change. Together, Network members achieved:

  • 50+ organizations participating across North Carolina
  • 58 of North Carolina’s 100 counties represented
  • 175 participants** attending two statewide Immigrant Mental Health Convenings
  • Publication of North Carolina’s first Immigrant Mental Health Landscape Analysis
  • Development of two statewide policy recommendations focused on linguistic access and sustainable funding for community mental health programs
  • Dissemination of Landscape Analysis findings in 14 languages
  • Quarterly meetings, trainings, and healing-centered gatherings that strengthened collaboration across sectors

What We Built Together

Statewide Collaboration

The Network created trusted spaces where organizations from across North Carolina could learn from one another, share promising practices, strengthen partnerships, and coordinate efforts to improve immigrant mental health.

Through quarterly meetings, statewide convenings, workshops, and trainings, participants explored topics including immigrant mental health, Medicaid eligibility, language access, coalition building, grant writing, and community-based care models.

Healing-centered practices were intentionally integrated throughout the Network’s activities, creating space for connection, reflection, and resilience during a period marked by heightened fear and uncertainty in immigrant communities.

The Landscape Analysis

 

One of the Network’s most significant accomplishments was developing the Immigrant Mental Health in North Carolina Landscape Analysis in partnership with the North Carolina Institute of Medicine (NCIOM). The report established the state’s first shared evidence base describing immigrant mental health needs, strengths, barriers, and opportunities. It has become an important resource for community organizations, funders, policymakers, and healthcare leaders working to improve mental health access across North Carolina.

To ensure broad accessibility, the Landscape Analysis summary was translated into 14 languages commonly spoken throughout the state.

Policy and Systems Change

 

Building on the findings of the Landscape Analysis, the Network convened statewide policy workgroups to identify practical recommendations that can improve access to culturally responsive mental health care. Together, participants developed policy recommendations focused on:

* Expanding North Carolina’s bilingual behavioral health workforce
* Improving language access within behavioral health services
* Strengthening sustainable funding for community-based mental health programs
* Supporting Community Health Workers
* Building collaborative partnerships across philanthropy, healthcare, and government

These recommendations continue to inform conversations among government agencies, managed care organizations, funders, healthcare providers, and community organizations across the state.

Community Leadership

From the beginning, the IMHSN was guided by the belief that immigrant communities should help shape the systems designed to serve them. Community leaders, providers, researchers, advocates, and individuals with lived experience contributed to every stage of the Network’s work—from governance and research to policy development and statewide convenings.

The Network prioritized transparency, multilingual engagement, and culturally responsive practices to ensure that diverse immigrant communities across North Carolina were represented and heard.

The Future of IMHSN

As the Network matured, members worked together to identify the best long-term home for this statewide initiative.

Following a collaborative and transparent selection process, NC Counts Coalition was selected to become the Network’s new anchor organization. With extensive experience coordinating statewide coalitions and engaging diverse immigrant communities, NC Counts Coalition is well positioned to expand the Network’s reach while continuing to advance immigrant mental health, policy, and systems change.

El Futuro is proud to have launched and stewarded the Immigrant Mental Health Solidarity Network during its foundational years and remains committed to supporting its continued success.

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