Terra Firma Evaluation Report: Creating Medical-Legal Partnerships for Unaccompanied Immigrant Children

Terra Firma is the first medical-legal partnership specifically designed for unaccompanied immigrant children in the community. As a programmatic partnership among Catholic Charities, Montefiore Medical Center, and the Children’s Health Fund, Terra Firma operates out of a federally qualified health center that serves all patients regardless of their ability to pay. “TF” is a patient-centered medical home located within one of the poorest Congressional districts in the United States and a community center and enclave for recently-arrived children with aspirations of fulfilling the American dream.

This report humbly shares some of what we at Terra Firma have learned from five years of medical, legal, and mental health advocacy for unaccompanied children. Our original inspiration to break down silos in service delivery now extends to a wider-array of community activities, including photography workshops, English classes, and soccer games. Our work has taken us beyond the South Bronx, from detention centers in Texas to migrant shelters in Mexico. As always, our commitment to our patients and clients remains steadfast. On behalf of the children and families we serve, we thank you for your support.

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