879069
RSQXXX10.1177/8756870519879069Rural Special Education QuarterlyFrancis et al.
research-article2019
Research Reports
Facing Double Jeopardy: The Transition
Experiences of Latina Family Caregivers
of Young Adults With Disabilities Living
in a Rural Community
Rural Special Education Quarterly
1–18
© Hammill Institute on Disabilities 2019
Article reuse guidelines:
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https://doi.org/10.1177/8756870519879069
DOI: 10.1177/8756870519879069
journals.sagepub.com/home/rsq
Grace L. Francis, PhD1 , Judith M. S. Gross, PhD2,
Carlos E. Lavín, MA1, Lu Ankely Casarez Velazquez, BA3,
and Nicholas Sheets, MS4
Abstract
The transition for young adults with disabilities from high school to gainful employment is often difficult. This transition
is even harder for students from minority or marginalized backgrounds, including young adults who identify as Latino. As
the Latino population increases in the United States, it is imperative that the transition from high school to employment
becomes more effective for Latino young adults with disabilities. Using a portion of Bronfenbrenner’s Model of Human
Development as a framework, we explore the experiences of Spanish-speaking Latina caregivers of young adults with
disabilities to better understand the contextual and environmental factors that influence family systems as young adults
with disabilities prepare to transition from high school to adulthood. Our findings highlight important factors in the micro-,
meso-, exo-, and macrosystems, including the importance of family and community, distrust of authority, and the impact of
discrimination. Implications for practice and future research are discussed.
Keywords
Latino, Hispanic, parent, disability, transition/employment, rural special education
The aim of transition planning in high school is to prepare
students with disabilities to achieve the four outcomes of
federal disability policy: independent living, economic selfsufficiency, full participation, and equality of opportunity
(Turnbull, Stowe, & Huerta, 2007). According to the
Individuals with Disabilities Education Improvement Act
(IDEIA, 2004), transition services are a “coordinated set of
activities . . . focused on improving the academic and functional achievement of the child with a disability to facilitate
the child’s movement from school to post-school activities .
. .” (Sec. 1401[34]), such as employment, postsecondary
education or training, and independent living. For the young
adults to achieve these outcomes following graduation, it is
crucial for family caregivers (e.g., parents, guardians, siblings, extended family members) to be involved throughout
the transition planning process (Achola & Greene, 2016;
Francis, Gross, Magiera, et al., 2018; Mann, Moni, &
Cuskelly, 2016).
However, numerous barriers stymie effective family
caregiver involvement during transition planning, including educators feeling unsure how to engage family caregivers (D. C. Martinez, Conroy, & Cerreto, 2012), expectations
for passive caregiver involvement or exclusion of family
caregivers from transition meetings entirely (Mueller &
Buckley, 2014), and caregivers lacking information and
resources to support their family members with disabilities
after graduation from high school (Achola & Greene, 2016;
D. C. Martinez et al., 2012). In addition, family caregivers
have reported that their interactions with and the attitudes
of professionals make them feel disjointed from the transition team, isolated, and distrustful of professionals (Defur,
Todd-Allen, & Getzel, 2001).
Living in rural communities presents additional barriers
to successful transitions for students with disabilities. For
example, research indicates that there are often fewer
employment opportunities in rural communities, thus
1
George Mason University, Fairfax, VA, USA
Indiana University, Bloomington, USA
3
The University of Kansas, Lawrence, USA
4
University of Miami, FL, USA
2
Corresponding Author:
Grace L. Francis, Assistant Professor of Special Education, College of
Education and Human Development, George Mason University, Finley
Building 216, 4400 University Drive, MSN 1F, Fairfax, VA 22030, USA.
Email: gfranci4@gmu.edu
2
reducing the likelihood of individuals with disabilities
securing integrated competitive employment after graduation (Collet-Klingenberg & Kolb, 2011; Evans-Thompson,
Booth, & Liles, 2016). Furthermore, many rural districts
experience difficulty recruiting and retaining highly qualified special educators and administrators (Berry, Petrin,
Gravelle, & Farmer, 2011). In addition, teachers are often
unprepared to equip students with disabilities with the necessary skills needed in the changing rural labor market (e.g.,
use of technology; Lindstrom, Doren, Flannery, & Benz,
2012; Young, 2013). Teachers and service providers in rural
communities often report having limited resources such as
vocational services, therapies, interpreter services, or public
transportation to support meaningful transition of students
with disabilities from school to adulthood (Castillo &
Cartwright, 2018; Collet-Klingenberg & Kolb, 2011;
Evans-Thompson et al., 2016). In addition, rural communities experience higher rates of poverty (Irvin, Meece, Byun,
Farmer, & Hutchins, 2011), which can limit access to services that are available in neighboring communities a distance away. Finally, many rural communities are
experiencing substantial growth in Latino populations (J.
Johnson, & Strange, 2009), and schools are generally not
prepared to ensure the engagement of culturally and linguistically diverse families (Achola & Greene, 2016;
Barrio, 2017; Gothberg, Greene, & Kohler, 2019; Ramirez,
2003).
Despite IDEIA mandates regarding parent participation
and the demonstrated importance of family engagement on
young adult outcomes (Massey & Sánchez, 2010), research
indicates that immigrant family caregivers, including those
from Latino backgrounds, often participate in educational
meetings at lower rates than do their Caucasian, Englishspeaking peers (Cooper, Riehl, & Hasan, 2010; McLeod,
2012). However, research also indicates that Latino family
caregivers are highly invested in the success of their young
adults and that multiple barriers including language barriers
(Defur et al., 2001; Francis, Gross, Lavín, et al., 2018),
overrepresentation of English language learners in special
education (Barrio, 2017), logistical issues (e.g., lack of
transportation or child care; Defur et al., 2001), discrimination, stigma, power imbalances, and microaggressions prevent effective involvement during transition planning
(Francis, Gross, Lavín, et al., 2018) prevent them from
actively participating in transition planning meetings for
their young adults with disabilities. Furthermore, cultural
differences between Latino families and professionals from
dominant U.S. cultures, such as varied conceptualizations
of “independence,” “interdependence,” and the cultural
value of “familism” (e.g., prioritizing family needs over
individual needs; Stein, Gonzalez, Cupito, Kiang, & Supple,
2013) create additional challenges to family involvement,
family–school collaboration, and attainment of positive
transition outcomes for young adults (Achola & Greene,
Rural Special Education Quarterly 00(0)
2016; Povenmire-Kirk, Lindstrom, & Bullis, 2010; Stein
et al., 2013). These findings are troubling, considering the
importance of trusting family–professional partnerships
among families who are unaware of available resources,
policies, procedures, rights, and responsibilities associated
with U.S. school and disability service systems (Haines,
Summers, Turnbull, & Turnbull, 2015).
Existing research on how best to support culturally and
linguistically diverse families includes limited information
on (a) effective practices to support family involvement
during transition planning (Morningstar & Mazzotti, 2014);
(b) how professionals can effectively partner with immigrant families (Lu & Gatua, 2014); (c) the experiences of
Latino families during the transition process (Francis,
Gross, Lavín, et al., 2018); (d) the general experiences of
immigrant and non-majority race/culture families across the
life span, including transition (Samuel, Hobden, LeRoy, &
Lacey, 2012); and (e) how teachers and service providers
can effectively partner with families living in rural communities with limited resources (Witte & Sheridan, 2011). This
lack of information on the involvement of culturally and
linguistically diverse families during transition, the negative transition experiences of immigrant families, the disproportionately lower rates of achievement of transition
goals among Latinos with disabilities, and differing cultural
perceptions of what qualifies as “positive student outcomes” warrants an investigation into the lived experiences
of Latino family caregivers who have young adults with
disabilities living in rural communities. In this study, we
explored the experiences of rural Latina caregivers of young
adults with disabilities to better understand the contextual
and environmental factors that influence their family systems as the young adults prepare to transition from high
school to adulthood. Specifically, our research question for
this study was as follows: What factors present barriers or
facilitate opportunities for Latina caregivers living in a rural
community to support their young adults as they transition
from high school to adulthood? We use Bronfenbrenner’s
(2005) Process–Person–Context–Time (PPCT) model of
human development to aid us in this purpose.
Bronfenbrenner’s Model of Human
Development
Urie Bronfenbrenner’s PPCT model highlights the role that
various factors play in human development (Bronfenbrenner,
2005). The PPCT model comprehensively identifies various
components that influence an individual’s development
across the life span, including personal characteristics, key
stakeholders, and environmental factors. Multiple researchers have used this model to examine the experiences of
Latino immigrants living in the United States (Jensen, 2007;
Paat, 2013; Vélez-Agosto, Soto-Crespo, VizcarrondoOppenheimer, Vega-Molina, & García Coll, 2017), as well
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Francis et al.
as the experiences of families and individuals with disabilities living in rural communities (Bauer & Dolan, 2011;
Ben-David & Nel, 2013). Using this model to examine the
experiences of Latina caregivers of young adults with disabilities living in rural communities may provide insight
into unique ecological factors that present barriers or facilitate opportunities for this population.
In the PPCT model, “Process” involves the nature and
direction of regular and reciprocal interactions between a
person and the individuals, objects, and other aspects of their
environment, over time. “Person” in this model references
how an individual’s characteristics (e.g., race, gender, skills,
opportunities, temperament, and ability to change processes)
influence their development. “Context” involves an individual’s ecological environment (e.g., the nested micro–macro
systems that surround an individual), and “Time” refers to
the influence of changes over time on an individual’s development (e.g., aging, transition). For the purpose of this article, we organized our findings in the Context-specific
micro-, meso-, exo-, and macrosystems. We elected to organize our findings in this way because, although we do not
seek to test Bronfenbrenner’s theory, this model will support
our ability to identify how structures found in each Contextspecific system interact and influence family systems during
a young adult’s transition to adulthood.
Exosystem
Microsystem
Method
Structures in the microsystem come in direct and frequent
contact with the individual at the center of these nested systems. Examples of structures in the microsystem include
linguistic systems and symbols, as well as individuals such
as families, educators, peer groups, and coworkers
(Bronfenbrenner, 2005). Family members are often considered the most influential structure in this system, which is
especially true for individuals with disabilities who rely on
their families for lifelong guidance and support (Lindstrom
et al., 2012). Educators and direct support providers (e.g.,
job coaches) also have a profound impact on young adults
with disabilities through transition planning and service
provision (Timmons, Hall, Bose, Wolfe, & Winsor, 2011).
All research was approved by the Institutional Review
Board prior to initiation. The principal investigators were
White, English-speaking, women employed at a public university in the Midwestern state in which this study occurred.
Both principal investigators had backgrounds as special
education teachers and both had family members with disabilities. In addition, although the investigators were not
from the community in which study participants lived, both
investigators also had experience living in rural communities in the United States. Both investigators also held
research interests related to improving competitive employment and community inclusion among individuals with significant disabilities and increasing family quality of life.
These investigators led all research material development,
recruitment efforts, interpreter and analysis team training,
and data collection and analysis procedures. As a result, to
address potential biases, cultural responsiveness, and ensure
reflexivity, the investigators took several measures to ensure
trustworthiness described later in this section.
Mesosystem
The mesosystem involves connections and interactions
among microsystem structures (Bronfenbrenner, 1979),
such as interagency collaboration between school and service agency professionals and collaboration between family
members and professionals. Collaboration and coordination
between microsystem structures are often essential for creating positive post-school outcomes for young adults with
disabilities. These structures are most effective when they
share information, opportunities, and responsibilities
related to the advancement of the young adult with disabilities (Francis, Gross, Magiera, et al., 2018).
The exosystem involves connections and interactions in
environments that do not directly interface with, but ultimately have an indirect influence on an individual at the center of the system (Bronfenbrenner, 1979). A common example
of an exosystem structure includes the workplace of a parent.
In this example, an individual has no direct contact with their
parent’s workplace, but the influence of a stressful day on the
parent may likely influence parent level of patience in the
home. For young adults with disabilities, additional exosystem structures may include Social Security, vocational rehabilitation, and community employers (Gardiner & Kosmitzki,
2011). These structures indirectly influence young adults by
providing resources and opportunities that an individual can
use to obtain health care or employment.
Macrosystem
Macrosystem structures have bidirectional relationships with
all of the other systems (Bronfenbrenner, 1979). Macrosystem
structures include social values, norms, customs, beliefs,
opportunities, and bias. Stigma and discrimination are macrosystem structures that are especially relevant to individuals
in minority or marginalized populations.
Participants
To recruit interview participants, the principal investigators
partnered with the state Parent Training and Information
(PTI) Center in a Midwestern state and 15 school districts/
special services cooperatives in rural, suburban, and urban
areas and to distribute surveys about their employment
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Rural Special Education Quarterly 00(0)
Table 1. Participant Demographic Information.
Pseudonym
Inés
Mirabel
Yessenia
Montserrat
Regina
Alejandra
Araceli
Sofi
Beatriz
Ana
Mariana
Majo
Verónica
Young adult primary
disability
Intellectual disability
Intellectual disability
Intellectual disability
Intellectual disability
Intellectual disability
Intellectual disability
Intellectual disability
Cerebral palsy
Cerebral palsy
NR
Visual impairment
Autism
ADHD
Young
adult age
23
24
18
18
17
20
23
25
19
NR
14
24
14
Highest level of education
of guardians in household
Some high school
Some high school
Some high school
Some high school
Some high school
Some college
High school diploma
High school diploma
High school diploma
NR
High school diploma
High school diploma
NR
Annual household Individuals living
income (US$)
in the home
35,000–44,999
<15,000
25,000–4,999
35,000–44,999
25,000–44,999
15,000–24,999
45,000–54,999
<15,000
NR
NR
<15,000
NR
NR
5
3
3
4
2
5
6
3
NR
1
6
3
5
Number of
interviews
1
1
1
2
2
3
3
3
1
1
3
1
1
Source. Adapted from Francis, Gross, Lavín, Casarez Velazquez, and Sheets (2018).
Note. Beatriz invited her sister, Ana to her interview. Ana often provided support to Beatriz’s family, including her nephew with a disability. NR = no
response; ADHD = Attention Deficit Hyperactivity Disorder.
expectations for competitive employment and knowledge
of employment resources to families with transition-age
young adults with disabilities. Surveys were distributed in
both English and Spanish, and included a question asking
respondents if they would be willing to participate in interviews to discuss their experiences supporting their family
member with a disability to attain employment.
In an effort to better understand the experiences of Latino
families, the principal investigators interviewed 13 Latina
family caregivers of young adults with disabilities aged 14
to 25 years who volunteered via the survey. Interview participants were paid US$30 per interview in appreciation for
their time and participation in the research (Haack, Gerdes,
& Lawton, 2014). The principal investigators selected interview participants who (a) had a young adult family member
with a disability who was 14 years or older, (b) were first
generation immigrants who spoke Spanish as their first language, and (c) agreed to participate in up to three interviews. The principal investigators welcomed interviewees
to include the young adult with a disability or other family
members, as they desired, and to choose the location of the
interviews in an effort to increase their comfort with the
interview process (Haack et al., 2014). All participants
chose either their home or the PTI Center office, with all
families inviting the research team into their homes during
the second and third rounds of interviews.
Interview participants lived in or near a town of approximately 27,000 people in a rural region of the Midwestern
state. Fewer than half of the interviewees were married.
Sixty-seven percent of interviewees reported household
incomes ranging from below federal poverty level to barely
above federal poverty level. One interviewee reported some
college education, five reported attainment of a high school
diploma, five reported some high school, and two did not
provide this information. Table 1 provides additional demographic information for participants.
Data Collection
Interviews. All interviews were conducted in Spanish and
recorded with participant permission. The principal investigators used the passive interpretation model described by
Pitchforth and van Teijlingen (2005) so the interviewer
could ask additional questions of interest that were prompted
by the participants’ responses. The investigators wanted to
engage the caregivers in multiple interviews to encourage
participants’ comfort with the researchers and better understand their experiences (Lu & Gatua, 2014). Unfortunately,
due to time and financial constraints, the investigators were
unable to interview all participants at all three points in time
(see Table 1). Therefore, the investigators selected participants for multiple interviews based on anticipated plans for
the young adult to engage in transition activities (e.g., internships, graduation, college) in the near future. The first round
of interviews was conducted at 6 months following the initial survey. The second round was conducted 6 months after
the first round, and the third round of interviews was conducted 8 months after the second round.
The investigators used a semi-structured interview protocol across all interviews (see Figure 1). The questions for
the first interview were the same for all respondents and
included questions about participants’ expectations for their
young adult’s employment (e.g., “How would you describe
your expectations that your child will get and keep a job in
your community?”), knowledge of community resources
(“How would you describe your knowledge of resources
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Francis et al.
Demographic information:
1. Tell me about your family.
Prompts
•• Who lives in your house?
•• Would you describe where you live as rural, suburban, or urban?
•• What primary language does your family use?
•• How old is your child(ren)?
•• What types of support does your child(ren) need at home/work?
•• What are your expectations for your/your child’s employment? Is your child(ren) currently employed?
•• What chores does your child do around the house? (Independently/with assistance)
○• If none, why?
○• If none, what would it take for he/she to successfully do something?
•• Are there chores you think he/she could do with assistance or supervision?
•• What kinds of tasks do you think he/she can or will be able to do independently or with support?
•• What concerns do you anticipate when he/she begins working?
Description of employment and barriers to employment:
2. If currently employed (2a and 2b):
2a. Tell me about your child’s job.
Prompts
•• What kind of job?
•• What setting is it in (sheltered or community)?
•• What are his/her job responsibilities?
•• What kind of supports does he/she need/receive at work?
Follow-up
•• Are you and your child happy with your child’s job?
2b. Tell me about how your child gained employment.
Prompts
•• Who did you contact?
•• Does your child have an employment goal on his/her transition plan in the IEP?
•• Did he/she have any school or community jobs?
•• Have you contacted any community resources (e.g., Vocational Rehabilitation, Workforce Centers)?
If not currently employed:
2c. Tell me more about your experiences helping your child seek employment.
Prompts
•• Has your IEP team discussed transition services?
○• If your IEP team experience has been good, then what would you advice would you offer to other parents that are learning about transition services and preparation of their child to be able to work?
○• What are the goals on the IEP (if they relate to the identified work goal of parent or young adult)?
•• Have you contacted any community resources (e.g., Vocational Rehabilitation, Workforce Centers)?
•• Where in your community could you access assistance or the resources needed for your child complete tasks more independently (e.g., job
coach, assistive technology)?
•• Does your child have an employment goal on his/her transition plan in the IEP?
•• Did he/she have any school or community jobs?
•• What opportunities are available for volunteer work for young adults?
•• Do you know of any opportunities for him/her to participate that would prepare or give exposure to pre/work experiences?
•• Has your child interviewed with anyone?
3. Can you think of a specific story about a barrier you’ve encountered?
Prompts
•• What do you think contributed to your family experiencing this barrier?
•• Describe your experience working with your child’s school.
•• Did you encounter any barriers when you asked the IEP team for services or supports?
•• Describe your experience working with professionals (Vocational Rehabilitation, Social Security, case manager, etc.).
•• Describe your experience working with employers.
•• Describe your experience negotiating pay/hours/benefits.
•• Describe your experience teaching/empowering your child.
•• Describe your experience figuring out paperwork/benefits/transportation.
•• Describe your experience securing workplace accommodations/modifications.
Figure 1 (continued)
6
Rural Special Education Quarterly 00(0)
4. Can you recall a specific instance when you overcame a barrier?
Prompts
•• What contributed to your family experiencing this success?
•• Describe tools/strategies you used.
•• Describe steps you took.
•• Describe any help you received and how you got that help.
•• Describe any ideas you have to tackle barriers that you haven’t encountered yet.
5. What issues or barriers continue to cause problems?
Prompts
•• Why do you think these issues continue to cause problems?
•• What ideal supports or services might mitigate these problems?
•• Do you foresee your family overcoming these barriers?
6. Describe any issues that you have not encountered, but fear becoming problems in the future.
7. How would you describe your knowledge of employment resources and supports available to your child?
Prompts
•• Do you know of resources in your community that you could access to support your child’s employment?
•• Tell me about the experiences that have influenced or impacted your knowledge.
8. How would your describe your expectations that your child will get and keep a competitive employment position? What about your expectation generally for people with disabilities?
Prompts
•• Tell me about the experiences that impacted your expectations.
Figure 1. Semi-structured protocol questions and prompts used during interviews.
and supports available to your child?”), experiences with
professionals in planning for their young adult’s transition
to adulthood (e.g., “Tell me about your experiences helping
your child seek employment.”), and experiences supporting
their young adult to attain employment (e.g., “Who is helping your child get a job now that they’ve graduated?”). The
investigators began subsequent interviews in Rounds 2 and
3 by verbally reviewing the major themes from the previous
intervention (e.g., “The last time we met you described difficulty communicating with your case manager. Is that
accurate?”). The interview protocols used with families participating in interview Rounds 2 and 3 contained individualized questions (e.g., “Tell us about how your daughter’s
job interview went last month”) specific to the content of
the previous interview.
Interpreters and translators. Recognizing that the backgrounds
of researchers, interpreters, and translators are essential factors to consider in cross-cultural research (Rogler, 1999), the
investigators carefully considered research team members,
particularly since the primary researchers were Englishspeaking Caucasian females working at a university community nearly 6 hr away from the participants’ community. As a
result, the investigators collaborated with a bilingual PTI
Center staff member to contact interview volunteers and
interpret during interviews. The investigators selected her
because her family was from Mexico (as were several participants), she was the mother and grandmother of children with
disabilities, and she had existing trusting relationships with
many of the participants. To prepare the PTI Center staff
member to interpret for research interviews, the investigators
conducted a series of training sessions using video conferencing. The training sessions addressed (a) the purpose of the
study, (b) interview research processes (e.g., description of
semi-structured interviews, active listening, questioning
techniques), (c) passive interpretation techniques, and (d)
strategies for conducting bilingual interviews (e.g., managing
communication styles, self-reporting biases, noting language
without clear translation, checking interpretations with participants during interviews). The transcription and translation
of interviews for Rounds 1 and 2 revealed that the PTI Center
staff member sometimes provided additional information
during interviews, not stated by participants, because she was
familiar with their personal circumstances. The principal
investigators addressed this concern by introducing another
bilingual interpreter to the third round of interviews.
A Caucasian male graduate student from the Department
of Spanish and Portuguese who was fluent in Spanish,
taught introductory Spanish courses at the university, and
was married to a native Spanish speaker from Guatemala
interpreted during the third round of interviews. This student and an undergraduate student who was the daughter of
Mexican immigrants and had a sister with a disability transcribed and translated interviews and other related materials
(e.g., letters, interview questions). Both student researchers
spoke Spanish in their family homes and were trained by
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Francis et al.
the principal investigators in qualitative transcription and
data analysis procedures.
In preparation for Round 3 interviews, the investigators
trained both interpreters (PTI Center staff member and
graduate student) using the materials previously used with
the addition of new information related to the importance of
respecting participants’ privacy, only interpreting information stated by participants, and self-reporting when they ask
participants clarifying questions. The investigators also
defined separate roles for the interpreters. The graduate student researcher served as the primary interpreter in the
interviews while the PTI Center staff member recorded
field notes and clarified language or contextual information
provided by participants, as necessary. The addition of the
new interpreter was cleared with the families participating
in the interviews before he was introduced to them.
Transcription and translation. Due to the large number of interviews, the investigators used both professionals and student
researchers to transcribe and translate the interviews. The
principal investigator who conducted the interviews managed the transcription and translation of interviews and provided the student researchers with oversight and training on
procedures for transcribing and translating the data (including how to document side conversations, emotional nonverbal utterances, and incorrect grammar or unfinished
statements; Rubin & Rubin, 2005). She provided the professional transcriptionist the same guidelines. The student
researchers also reviewed and cleaned all professionally transcribed transcripts and translations against audio recordings
to ensure accuracy and consistency.
All interviews were transcribed in the language spoken
by the participants, interviewer, and interpreters. Next, the
data were translated fully into English to support analysis
by all members of the research team. For phrases that
defied direct translation, the closest translation possible
was used while retaining the exact language used by participants in brackets (Magaña, 2000). Such instances
prompted discussions to ensure that all members of the
team understood the context of the words used by the
interviewee. In weekly meetings, the research team discussed transcription and translation procedures to ensure
consistency and reconcile any differences in translations
related to cultural nuances, personal experiences, or colloquialisms used by participants (G. Martinez, Marín, &
Schoua-Glusberg, 2006).
research project. The inclusion of family members with a
disability (siblings and spouse), bilingual researchers (one
of whom shared a cultural background with the majority of
participants), and a self-advocate going through transition
provided the analysis team with a diversity of perceptions
and experiences to better understand the impact of the contextual and environmental structures that influence Latino
families as their young adults with disabilities prepare to
transition to adulthood.
The analysis team used QSR International’s NVivo 10
Software, a qualitative data management tool, to engage in
basic interpretative analysis (Merriam, 2009). First, each team
member independently open-coded two transcripts to identify
general themes (Creswell & Poth, 2018) and develop the initial
codebook by defining themes and descriptive codes. The analysis team used this codebook as a guide to analyze the remaining transcripts, meeting weekly to edit the codebook to reflect
agreed-upon changes, discuss the data, and examine the relationships between the various themes and subthemes (Braun &
Clarke, 2006). Although we use a portion of the PPCT model
(Bronfenbrenner, 2005) to present findings, we did not use this
as a framework during our analysis procedures.
Trustworthiness
The principal investigators engaged in multiple trustworthiness efforts. First, the investigators selected interpreters
who were familiar with the topic and partnered with a
trusted family support organization in the community (state
PTI Center) to facilitate the comfort of the participants
(Squires, 2009). Second, the investigators considered verbal and nonverbal linguistic nuances and included multiple
trained translators of different cultural backgrounds in an
effort to ensure the trustworthiness of translation and data
analysis (Lopez, Figueroa, Conner, & Maliski, 2008). Third,
the research team met weekly to discuss the codebook,
emerging themes, and the influence our experiences and
personal biases may have on the interpretation and analysis
of the themes (Pitchforth & van Teijlingen, 2005). Finally,
the investigators conducted informal member checks with
participants at two points in time: (a) at the end of interviews by reviewing key themes recorded in field notes and
(b) prior to conducting subsequent interviews in Rounds 2
and 3 (Brantlinger, Jimenez, Klinger, Pugach, & Richardson,
2005). The investigators chose to conduct informal member
checks as they were aware that some interviewees had limited literacy skills.
Data Analysis
The principal investigators combined all interviews for
analysis. The analysis team comprised of two Englishspeaking primary investigators, the two bilingual student
researchers, and an English-speaking young adult with
autism spectrum disorder working as an intern on the
Findings
In this section, we describe the contextual and environmental factors that influenced Latino families as their young
adults with disabilities prepared to transition from high
school to adulthood. Although one participant (Ana) was an
8
Rural Special Education Quarterly 00(0)
Figure 2. Study themes that emerged during interviews, categorized using a portion of Bronfenbrenner’s (2005) Person–Process–
Context–Time (PPCT) model.
Note. SES = socioeconomic status.
aunt of an individual with a disability, to maintain clarity, we
use the phrase “son or daughter with disabilities” to describe
the young adult family members with disabilities, unless citing direct quotes. In this section, we use the PPCT framework (Bronfenbrenner, 2005) to organize our findings, and
report the subthemes in order of the most frequently and
robustly discussed factors across all interviews. Figure 2 displays study themes that emerged during interviews.
Microsystem
The microsystem includes structures that come in direct and
frequent contact with participants’ sons or daughters with
disabilities, and, as such, have the greatest influence on the
young adult with a disability at the center of the system. The
influence of four microsystem structures emerged across
interviews and included family members, educators, direct
service providers, and peers.
Family members. Participants spoke at great length about
the important roles that they and other members of their
families played in supporting their sons and daughters with
disabilities during transition. Overall, participants described
their families as cohesive and supportive of each other. For
example, participants’ children without disabilities often
served as interpreters for their parents and other family
members in various instances, including educational meetings and meetings with case managers and other direct service providers (e.g., vocational rehabilitation). Multiple
participants also anticipated that their children without disabilities would provide long-term care for their sons and
daughters with disabilities. Araceli noted, “They say they
won’t leave him. My 17-year-old, he says he’s taking his
brother with him. Even if he marries, the wife has to love
him and his brother.” Several participants also expected
their sons and daughters with disabilities to live at home
with the family after graduation, but not necessarily as a
result of their disability. Araceli also stated that her son with
a disability “doesn’t have to live out of the house to be a
person who is independent.” She indicated that living in the
family home was the choice of her son: “I can’t make this
decision because he doesn’t want to leave. It is not because
I am scared or that he can’t [live independently].”
Participants discussed numerous forms of caregiving for
family members at the time of the interviews. For instance,
many reported that their children with and without
Francis et al.
disabilities and, in some cases, other family members such
as aging parents required a great deal of daily care (e.g.,
assistance with eating, bathing, toileting). Majo described
the degree to which her son with a disability who requires
physical support relied on her: “If I go [out of town] for
three days, he doesn’t go to the bathroom until we come
back home because he gets shy.” Participants also provided
guidance and emotional support to all of their children to
address bullying in school and domestic abuse, such as Sofi
who “had to choose kids over” her abusive husband who
would “beat on all the kids.” Sofi also described having to
help her children “overcome” the trauma that resulted from
the abuse. Caregiving responsibilities prevented several
participants such as Mirabel from actively participating in
transition planning and even working to provide for their
families: “I can’t leave my mom by herself. She could fall.
She could break something.”
Worry and fear also influenced the way in which participants interacted with their children with and without disabilities. Although many siblings without disabilities
volunteered to provide long-term support to their siblings
with disabilities, multiple participants cited major concerns
about the well-being of their sons and daughters with disabilities and caregiving responsibilities falling on their children without disabilities once they died. For example, Inés
stated, “If I was to die, what is going to happen to [son with
a disability]? What would they do with him?” The fear that
no one will be able to provide appropriate support for their
sons and daughters with disabilities was one of the driving
forces behind participants teaching their sons or daughters
with disabilities independent living skills such as cooking
and time management skills. As Araceli noted, “I am pretty
pleased because I know for fact that he will be able to live
by himself, he can live.” Fear of harm (e.g., bullying, physical harm, elopement) also influenced participants’ decisions
regarding the types of activities they made available to their
sons or daughters with disabilities during transition. For
example, some participants did not allow their sons or
daughters with disabilities to take public transportation,
attend social activities without them present, or take other
risks. Inés described how “I don’t even give him a chance to
learn” from mistakes such as touching a stove or hot water
“because it makes me scared . . . I don’t know how to do it.”
Mariana also described fearing the influence that extended
family, whose home she shared, might have on her children
as they age into adulthood: “My brother likes to smoke marijuana and so does my nephew, they’re always drinking . . .
and that’s why I want to move away from there. I’m afraid
my kids will be affected by this.”
Educators. Participants reported several forms of educator
dishonesty and neglect, including high school special educators not providing services written into Individualized
Education Programs (e.g., paraprofessional support) and
9
not providing adequate care to their sons and daughters with
disabilities while at school (e.g., not changing menstrual
pads, not providing appropriate positioning for individuals
with physical disabilities). Participants also reported that
their sons and daughters with disabilities experienced
abuse, discrimination, and excessive punishment in high
school. Mariana reported that her son was punished by the
school principal “all the time for any little thing he does,”
even though the “other kids do the same thing.” Montserrat
remarked, “I don’t think they teach him, they just punish
him and that’s all.” Verónica noted that her son thinks “that
nobody is good, that everyone is racist” at his school
because he “would get sent to the office even for dropping
his pencil.” Frequent punishment, including “always
be[ing] by himself in a room in the office,” resulted in
Verónica’s son “no longer wanting to go [to school].” Beatriz and Ana (sisters) described how Beatriz’s son with a disability “would cry and cry” when he came home from
school because he witnessed his special educator abusing
other students with disabilities and because she would
harshly scold him for issues such as “not eating correctly”
(which was physically challenging for him). The educator
was later arrested and lost her teaching license as a result of
her abusive behavior.
Araceli’s experiences with educators notably differed
from the other participants, as she described developing
reciprocal relationships with her son’s special education
teachers by addressing their needs (e.g., volunteering to
assemble materials) and engaging in collaborative efforts to
help her son secure employment. However, Araceli also
admitted that she sometimes was “pushy” and held high
expectations for her son’s educators to help him succeed in
school and prepare him to work and recreate in the community following graduation.
Direct service providers. Mariana and Sofi reported dedicated direct service providers (a case manager and a social
worker) who built trust and met the needs of their families
by helping Mariana find appropriate housing and providing Sofi suggestions on how to best support and her son
with a disability. However, Regina and Ana (who were
among the few participants who accessed state-supported
services) generally reported issues related to high staff
turnover, a lack of translated materials and interpreters,
staff providing misinformation (e.g., participants needing
to wait until their son or daughter graduates high school to
apply for vocational rehabilitation services), and being
“ignored” by staff. Regina described how “they took
away” her son’s Medicaid card “. . . because according to
[them], he doesn’t need it anymore.” Regina explained
that “they would give him the card back only [if he] hurt
himself, cut himself, or jump from a bridge . . . I told my
sister, ‘How so? They’re just waiting for him to do it
again?!’”
10
Peers. Participants who discussed interactions between
their sons and daughters with disabilities and their peers
most often described instances of bullying in high school
and the community. Several participants also described a
lack of peer networks and a desire for their sons and daughters with disabilities to have “places where there’s also people with disabilities” or the opportunity for them “to
socialize with other people—something different than just
home.” Again, Araceli’s experiences differed from others,
as she indicated that her son, who “has a lot of charisma . . .
[and] that part that allows people to like him,” developed
relationships with his coworkers without disabilities. In
addition to providing Araceli’s son with natural supports on
the job, his coworkers also invited him to social events in
the community.
Mesosystem
The mesosystem involves connections and interactions
among microsystem structures. These connections and
interactions frame the relationships among microsystem
structures (i.e., family, educators, direct service providers,
peers) and influence the expectations, knowledge, and
transition experiences of young adults at the center of the
system.
Participants primarily described their interactions with
high school educators. Araceli described overall positive
experiences collaborating with educators because she
“always demanded things” but was also willing to work
“hand-in-hand” with educators to support her son with a
disability to access general education programming and
high school activities including the school band. However,
many participants reported that educators “didn’t listen”
and rejected requests for student support because the school
“didn’t have any funding.” Multiple participants also conceded that they rarely met with educators, often because
they “don’t even know who to talk to.” Other participants
indicated they were never informed about their son or
daughter’s educational programming or progress.
In addition to negative experiences with high school
educators previously discussed (e.g., discriminatory discipline practices), language barriers negatively influenced
parent–educator collaboration and collaboration with direct
service providers. Many participants identified that not
speaking English placed their family at a notable disadvantage to collaborate with educators and service providers
during transition. In fact, Araceli even remarked that her
inability to “talk fluent English” was the “only deficit” preventing her from effectively supporting her son with a disability to successfully transition from high school.
Participants seldom received documents in Spanish and
interpreters rarely attended meetings. Inés indicated that
even when interpreters did attend meetings, “a lot of times
interpreters don’t say what a person wants to say.” Moreover,
Rural Special Education Quarterly 00(0)
as Sofi noted, on the chance translated materials were available, the translations were “very antique and someone can’t
understand” what the document said which hindered her
ability to engage in transition planning. She stated that it is
sometimes easier to read materials in English rather than
Spanish: “The translation of the Spanish, I don’t know who
translated it but it was not a Mexican nor a Salvadorian.”
Exosystem
The exosystem involves connections and interactions in
environments that do not directly interface, but ultimately
have an indirect influence on young adults at the center of
the system. Participants focused on four exosystem structures that influenced family systems during transition, thus
indirectly their sons and daughters with disabilities: (a) citizenship concerns, (b) fear of police, (c) challenges with
caregiver employment, and (d) negative interactions with
community-based service agencies.
Citizenship concerns. The “fears that one has as someone
here illegally” emerged across interviews, even among participants with immigration or citizenship documentation.
Participants and other members of their community avoided
accessing available resources (e.g., “food stamps,” “a medical card”) because they believed the U.S. government
would not provide them “papers” if they were perceived “as
a burden to the government” for accessing state and federal
services. Sofi even considered allowing a friend who was a
U.S. citizen adopt her son with a disability “so that she
could get his papers so that he would get his support” after
graduation from high school.
Participants reported receiving the majority of their
information on policy or government issues (e.g., immigration regulations, where to get a driver’s license, benefits, or other resources for individuals with disabilities)
through “word of mouth” from other Latino families in
the community. Because of their unfamiliarity with available community resources and uncertainty about how
accessing these resources would influence their immigration status, participants relied heavily on stories and recommendations from other Latino community members. If
there was any question about the reliability of information, participants erred on the side of not accessing
resources and not interacting with high school- or community-based service professionals. Furthermore, several
participants felt dismayed by the cost of hiring an immigration lawyer (e.g., “An attorney would charge me
US$250 just for asking him about immigration”) and
reported that “some lawyers are scammers—they don’t
really know immigration law,” which influenced the
degree to which participants were willing to access community resources to support their young adult’s during
transition and after graduation.
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Francis et al.
Fear of police. Participants reported avoiding most authority
figures, especially police, for fear of compromising their
immigration status or getting deported. Some participants
described negative interactions with the police, including
getting arrested for infractions such as driving without a
license and domestic disturbance. These interactions were
“a very hard hit” on participants’ children, making their
children wary of the police and “scared to be arrested”
themselves or deported. Mariana had to reassure her children that it was okay to approach the police: “I told them to
not be afraid because they are from here. They have their
papers.” This wariness of outsiders and perceived authority
figures was even apparent during interviews. For example,
Alejandra’s young adult daughter was hesitant to greet the
interviewers when she walked in during an interview in her
family home. Alejandra immediately reassured her daughter, “It is okay. Nothing happens.”
Challenges with caregiver employment. Participants described
various forms of laborious employment, such as “working
the season in the fields” and “selling tamales—knocking
door-to-door.” Some participants, such as Sofi, described
her inability to attend school-based meetings due to other
work and unpaid caregiving responsibilities: “It’s just that
there are times when I can’t go because I work a lot or
because I don’t have anyone to watch [son with a disability]
for me.” However, several participants described needing
“a stable job” and indicated they had “no other option”
other than living in a “very, very small space—very dirty”
due to a lack of income. Unemployment or underemployment also hindered participants’ ability to pay for immigration lawyers or other services (e.g., job coach, respite care).
Beatriz and Ana detailed their experiences working at a
large food processing facility in the community. Specifically,
Ana experienced a workplace injury that required surgery
and resulted in permanent “implants in [her] back,” longterm physical therapy, and a great deal of chronic pain: “I
can’t walk anymore. Even to pee, I would cry.” Beatriz
described numerous ways representatives from the processing facility had mistreated her. For example, when she
“complained about the pain” from an on-site injury, human
resource staff told her that “they were gonna give her an . .
. on-site . . . urine test,” per company policy. “Five minutes
later [human resources] told her she had to abandon the
premises because of drugs” because, according to Beatriz,
the company makes false accusations of drug use against
employees when “they want to fire you” to avoid paying
workers’ compensation.
Ana recalled how, after her injury, the company lawyers
called her to a meeting and “wouldn’t let me leave until I
signed that I didn’t want to work anymore.” Ana refused to
sign: “I told the attorney . . . I said . . . ‘Would you live comfortably with a disability check?’ and he said, ‘No.’ I told
him, ‘Well neither would I.’” Both Ana and Beatriz also
described the “no good” medical care provided by workers’
compensation insurance. Ana recounted, “The doctor would
just say, ‘Hello, how do you feel today?’ I tell him, ‘I don’t
want you to greet me so cordially . . . I want you to do something for me because I can’t take this pain anymore.’” These
participants felt “ruined” as a result of working at the facility, which influenced their ability to provide care and financially support their family. Such challenges with their own
employment influenced the caregivers’ hopes and expectations for their children’s employment after graduation.
Beatriz noted, “I tell him there are many things he can do
[for employment] without having to get hurt at the [industrial] plants.”
Negative interactions with community-based service organizations. Most participants indicated that they did not reach out
to community-based service organizations. We described
the interactions of those who did interact directly with service providers from service organizations in the “Microsystem” subheading. At the system level, Ana was the only
participant who richly described her experiences attempting
to secure services for herself after acquiring a disability. In
particular, she described how a representative from vocational rehabilitation “would always tell me, ‘I can’t talk to
you because you are not a citizen’” without first inquiring
about her immigration status. When Ana indicated that she
was in fact a “United States citizen,” the representative
requested her to “prove it.” Ana went on to describe her as
a “very bad Chicana” who was distrustful of her, and who
each time Ana visited “would ask me for my naturalization
certificate . . . every time I would go” until “one day she
finally lost it [Ana’s documentation].” To make matters
worse, when Ana sought to file a complaint she was told
that all complaints go through the very same “bad Chicana”
who constantly questioned her citizenship and “lost” her
paperwork. These experiences negatively influenced her
expectations that the service system would be a source of
support for her family member with a disability when he
sought employment after graduation.
Macrosystem
The macrosystem involves values, norms, customs, socioeconomic status (SES), bias, and beliefs. Three macrosystem structures that influenced family systems emerged
during interviews: (a) cultural identity, (b) low SES, and (c)
stigma and discrimination.
Cultural identity. The Latino cultural value of familial closeness and protection of family members permeated all interviews, as exemplified by Araceli’s remark: “We as Hispanics,
we are usually close to our families and special needs children are inside with us.” Participants described “going
everywhere” with their sons and daughters with disabilities,
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Rural Special Education Quarterly 00(0)
even to “a lot of baby showers where boys aren’t supposed
to go” or other social activities. The intimacy of close family
relationships extended beyond immediate family members
to extended family (as evidenced by Beatriz and Ana’s relationship) and even trusted individuals in the community
(e.g., close family friends, family members of close family
friends). This culture of family closeness provided a system
of informational and emotional support for the young adults
during transition that was not always recognized or respected
by high school educators and other community-based service professionals.
The influence of language on cultural identity also
emerged as a predominant theme across interviews as part
of the macrosystem. Many participants such as Yessenia
and Majo described their preference to speak their native
language, and Araceli highlighted the importance of
Spanish-speaking parents of children with disabilities learning English to better understand the cultural differences
regarding disability in the United States:
If we don’t get the language, that’s the obstacle because if we
don’t understand then we won’t be able to change our way of
thinking [about people with disabilities] from our country to
here . . . to think from a different perspective . . . In my culture,
we don’t expect so much from people who have special needs.
Araceli also discussed how her “origins” of growing up in
Mexico and immigrating to the United States influenced her
expectations to “progress” and “fight and fight until you
achieve something.” When considering her cultural background, Araceli said, “I love my country—my parents are
the best from this world . . . [but] my parents didn’t have
dreams and I wouldn’t like to live as my parents lived.”
These expectations influenced her interactions with high
school educators, including the degree to which she collaborated with educators (e.g., being “pushy” and holding high
expectations for her son’s educators to help him find
employment).
Low SES. The majority of participants reported a household
income that hovered near the federal poverty limit (from
barely above to notably below), which influenced their ability to provide both needed (e.g., adequate food and safe shelter) and desired items (e.g., cable TV, Internet, new clothes)
for their families. Low SES stemmed from several factors,
including issues related to legal working status, single parent
households (thus single income households), and limited
education (approximately half of the participants did not
have a high school diploma). Participants described the various ways in which low SES affected their families, including
limited options for housing and feeling demoralized. For
example, Mariana recounted how one of her children
“want[ed] to give the impression that [they] have money”
and she had to urge him to “accept that we’re poor.” She
described how her children would sometimes “throw” the
family’s low SES in her “face” because “there’s no Internet .
. . there aren’t games . . . there isn’t cable” in the home. Low
SES also influenced participant involvement in transition
planning, as participants were not always aware of the U.S.
education system (including their rights), able to take off
work, or afford child care and transportation to get to
meetings.
Stigma and discrimination. Participants made overarching
statements such as “there is still a lot of racism,” there is “so
much corruption here in the United States,” and that many
local employers, lawyers, and other professionals in the
community “don’t care” about the well-being of Latino
families because “they’re heartless.” Several participants
described feeling stigmatized by non-Latinos, as they
observed “people fighting . . . because they don’t want the
Dream Act” because “they don’t think it’s fair to American
citizens for us to be here illegally and then get a visa.” This
resulted in “everybody get[ting] scared” about immigration
policies and some professionals treating participants
unjustly (such as unethical immigration lawyers and the
“very bad Chicana” who repeatedly questioned Ana’s immigration status). Stigma and uncertainty about policies such
as Deferred Action for Childhood Arrivals (DACA) contributed to participants relying on information provided by
other Latino families in their community instead of professionals with expertise in immigration with regard to accessing supports for their young adults after graduation.
Discussion
There is substantial research regarding parents’ perceptions
of the transition of their young adults with disabilities from
high school to adulthood (Morningstar & Mazzotti, 2014).
However, there is notably less research focusing on the
perception and experiences of culturally and linguistically
diverse families, and especially Latino families (Francis,
Gross, Lavín, 2018; Samuel et al., 2012). The purpose of
this study was to explore the experiences of Latina caregivers of young adults with disabilities to better understand
the contextual and environmental factors that influence
family systems as young adults prepare to transition from
high school to adulthood. We adopted a portion of
Bronfenbrenner’s (2005) PPCT model to organize our
findings by four interrelated environmental systems, the
micro-, meso-, exo-, and macrosystems. It is essential to
consider all structures in each of these systems, as they
directly or indirectly influence the outcomes of young
adults with disabilities.
Participants emphasized the importance of their families
as a form of social capital, including the importance of
familial closeness, support, and caregiving roles. Familial
closeness and a culture that values familism is an important
13
Francis et al.
aspect of Latino culture (Stein et al., 2013), and the influence that families have on student post-school outcomes is
well documented in the literature (Bryan & Henry, 2012;
Burke & Hodapp, 2014; Francis, Gross, Magiera, et al.,
2018). Middle-aged caregivers (especially those who value
familism) often undertake multiple caregiving roles by supporting aging parents, their own children, and extended
family members, thus increasing familial responsibilities
and stress (Hoffman & Mendez-Luck, 2011). Although
such caregiving roles resulted in stress, participants also
noted, despite overarching concerns for the well-being of
their sons and daughters with disabilities, that they had confidence that long-term support for their sons and daughters
would be provided by siblings and extended family members which created a sense of relief.
Constructive relationships embodied by collaboration
and reciprocity between caregivers and professionals are
an essential factor in positive transitions from high school
(Hirano & Rowe, 2016). However, Latino families of children with disabilities often report feeling marginalized by
school professionals (Aceves, 2014; Dávila, 2015). Barriers
including distrust (Chu, 2014), limited availability of interpreters and translators in rural communities (Barrio, 2017),
differing cultural values between educators and families
(e.g., independence vs. interdependence; Kalyanpur &
Harry, 2012), and a limited amount of educator knowledge
on how to effectively partner with culturally and linguistically diverse families (Barrio, 2017; Chu & Wu, 2012)
commonly contribute to breakdowns in family–professional relationships. With the exception of Araceli who
described a positive “50/50” relationship with her son’s
educators and some reports of direct service providers connecting families with needed resources (e.g., housing support), participants overwhelmingly reported negative
interactions with educators and service providers, including instances of neglect and racism. In addition, no participants reported instances of collaboration between
direct service providers with other microsystem structures such as educators. This is discouraging, considering
the importance of interagency collaboration as a part of
successful transition planning (Riesen, Schultz, Morgan,
& Kupferman, 2014). Furthermore, although multiple
interviews occurred over 18 months, little change
occurred over this time, indicating that existing infrastructures are not effectively supporting Latino young
adults with disabilities to secure positive outcomes, such as
integrated competitive community employment.
The number of U.S. school-age students with at least one
immigrant caregiver has increased from approximately 8 to
18 million in the last 25 years (Migration Policy Institute,
n.d.). However, non-English-speaking families consistently
experience lower levels of engagement in their children’s
education as compared with their English-speaking counterparts (McLeod, 2012). Although IDEIA (2004) mandates that
schools provide interpretation and translation services so that
families who do not speak English can participate in their
child’s educational planning, one of the primary barriers to
effective family–professional partnerships is language differences (Pang, 2011). Discrimination and stigma related to
speaking Spanish as a first language also emerged throughout
interviews. These findings are especially troubling, given the
emphasis that many participants placed on language as a part
of their cultural identity.
Participants described social capital through strong
neighborhood ties and receiving a majority of their information about immigration and social services from other
Latino members of the community. This process sometimes
resulted in misinformation and increased wariness among
participants. Uncertainty of immigration regulations contributed to participant guardedness around law enforcement
and insecurity accessing public resources. Furthermore, the
discrimination participants experienced at work, school,
and in the community reflect the institutionalized racism
and discrimination commonly reported in the literature. For
example, similar to this study, Flores and colleagues (2011)
found that barriers in the workplaces of Midwestern
Mexican immigrants (e.g., discrimination, poor pay, hard
labor) were associated with diminished mental health. The
present study expands on previous research by describing
the trickle-down impact that negative workplace environments not only have on employees, but also on their families (Gassman-Pines, 2015). Although participants found
strength and wisdom within their families, trusted community members, and helpful educators and direct service providers, the experiences participants described were laden
with discrimination, language barriers, stress, and anxiety.
The sense of double jeopardy (incurring risk or disadvantage from two sources simultaneously) was evident for the
caregivers as they experienced marginalization based on
ethnicity and culture in addition to challenges related to
raising a young adult with disabilities who were English
language learners.
Implications
To remediate many negative experiences reported by participants, school professionals (including general and special educators and administrators) can collaborate with
school, district, and community resources (e.g., bilingual
staff, district interpreters, local department of family services) to honor and support linguistic differences and secure
interpreters and translators to ensure that families can
understand and access information and services. In addition, professionals building trust and positive reputations
within communities and mitigating language barriers may
increase the presence of direct service providers within the
microsystem and collaboration in the mesosystem. To
achieve this, school- and community-based service
14
organization administrators should promote systematic
expectations for their staff to (a) value a more “interdependent” view on educational programming and individual
goals (e.g., place of residence), (b) encourage all family
members (including young adults with disabilities) to contribute to and support the achievement of the young adult’s
goals and outcomes, and (c) promote community outreach
to build trusting relationships and share accurate information and resources.
With the exception of one participant whose son developed relationships with coworkers, participants generally
noted a lack of peer social networks. This finding indicates
that educators and direct service providers should attend to
developing social skills (including “charisma”) and young
adult social networks to facilitate positive transitions from
school to employment and adult life. In addition, research
indicates that culturally and linguistically diverse students
with disabilities benefit from mentoring relationships in
which they learn about varied perspectives, career goals,
social skills, self-determination, and cultural connections
(Leake, Burgstahler, & Izzo, 2011). As a result, education
and direct service providers should consider creating formal
and informal mentoring programs to support positive transitions from high school and create social networks in young
adults’ communities.
Participants also noted the importance of social capital,
such as community members providing information and
support. However, they lacked knowledge and access to
available resources and services, in part, because of misinformation or fear of how accessing services may influence
their citizenship. Educators can increase family social capital by connecting families to available resources and providing a safe space to ask questions so that families do not
have to speculate about available services and supports. In
fact, inviting representatives from trusted community
resources (e.g., community recreation centers, PTI Centers)
to attend transition planning meetings with families would
enhance family–professional partnerships and interagency
collaboration, which are both key indicators of successful
transition from high school and requirements under IDEIA
(2004) and the Workforce Innovation and Opportunity Act
(2014).
Furthermore, educators and service providers would
benefit from professional development to better (a) recognize how their own cultures, values, expectations, biases,
and assumptions drive their behavior; (b) support individuals and families of diverse cultures with varied experiences;
and (c) learn about immigration, education, and disability/
social services policies so that they may provide accurate
information to families and other professionals. This is
another opportunity, which could be initiated at the state
level, to pool resources and provide essential training and
information to both educators and direct service providers
and increase collaboration.
Rural Special Education Quarterly 00(0)
In light of the many instances of discrimination experienced by participants and their sons and daughters with disabilities, policymakers and community leaders (including
local employers) should review current antidiscrimination
laws, policies, and practices and solicit input from Latino
community members on ways in which they can improve
current practices and accountability procedures. For example, employers may consider (a) offering mental health support for employees to help them cope with stress from
caregiving responsibilities; (b) providing workshops to
facilitate cultural awareness and responsiveness; (c) ensuring that employees understand how to recognize discrimination and other forms of injustice, as well as their rights
and workplace supports; and (d) collaborating with community organizations to offer English language classes to
interested employees (Flores et al., 2011).
Limitations
This study is notable because it adds to the scant literature
on the contextual and environmental structures that influence Latino family systems as young adults with disabilities
prepare to transition from high school to adulthood. The
methods described in this study also contribute to a paucity
of information on conducting research with a population
that is underrepresented in disability and transition-based
literature (Aceves, 2014; Achola & Greene, 2016).
However, this study also includes four primary limitations.
First, although their countries of origin differed, all study
participants were Latina caregivers (12 mothers and one
aunt) living in one rural Midwestern community. In addition, there are missing demographic information for Ana
and Beatriz, including household income and highest degree
earned. However, some of these data were missing because
Ana was Beatriz’s sister and not the parent of a young adult.
Ana arrived with Beatriz for the interview, as such she had
not completed a survey and did not provide those demographics. Furthermore, participant demographics were
largely similar (e.g., family income, degree of formal education). Although qualitative research is not intended to be
generalized across populations (Creswell & Poth, 2018),
these demographic similarities are not reflective of the
diverse population of Latino families living in the United
States. Second, we did not interview all participants 3 times
due to time and funding constraints, thus preventing our
ability to determine if new themes emerged over time across
all participants. Third, we did not conduct formal systematic member checks with all participants by sharing transcripts with participants to review (Creswell & Poth, 2018)
because we were aware that many participants had literacy
challenges and would not be able to review the transcripts.
So instead we asked clarifying questions throughout interviews, summarized key information, and began second and
third rounds of interviews by presenting key themes from
Francis et al.
the previous discussion and inviting participants to expand
or correct information. Fourth, as discussed in the “Method”
section, we experienced several challenges interpreting and
translating interviews that are common in cross-cultural
research (Pitchforth & van Teijlingen, 2005; Squires, 2009).
In this study we sought to remediate these methodological
limitations by (a) selecting bilingual interpreters familiar
with the research and trusted by participants, (b) training
and retraining interpreters and translators, (c) selecting
translators with differing cultural backgrounds to address
linguistic nuances, (d) checking and editing all transcripts
for accuracy and consistency, (e) omitting information not
directly provided by participants from our analysis, and (f)
meeting regularly as a research team to ensure consistency
in translations and address potential biases in analysis.
Future Directions
In this study, we organized our findings in the “Context”
component of Bronfenbrenner’s (2005) PPCT model: the
micro-, meso-, macro-, and exosystems. Although there was
some discussion among participants about how changes
over time (e.g., moving into a new home) and how young
adult characteristics and actions influenced their own development (e.g., charisma, long-term support needs), we did
not apply the other aspects of the PPCT model. Future
research should build off of this study by using
Bronfenbrenner’s complete PPCT model to investigate the
outcomes of Latino young adults with disabilities.
Moreover, participants also described the importance of
cultural identity as a large-scale construct (e.g., “We as
Hispanics, we are usually close to our families . . . ”) and the
influence that culture had on their individual perceptions
and behaviors (e.g., “going everywhere” with their sons and
daughters with disabilities, preferring to speak Spanish).
Bronfenbrenner’s model calls for considering culture as
part of the microsystem. However, consistent with recent
literature, future research should consider family culture as
part of an individual’s microsystem to better understand and
recognize the influence of culture on development (VélezAgosto, Soto-Crespo, Vizcarrondo-Oppenheimer, VegaMolina, & García Coll, 2017). In addition, future researchers
should continue to consider whether variations might exist
in the application of the PPCT to other rural populations.
Furthermore, Critical Race Theory (CRT) asserts that
institutionalized racism is embedded in U.S. society, and, as
a result, perpetually marginalizes people of color (Delgado
& Stefancic, 2017). CRT has expanded to examine the
experiences of specific subgroups of marginalized populations, including those of the diverse Latino community
(LatCrit; K. Johnson, 1997) to better understand how institutionalized discrimination and race, gender, class, culture,
language, and immigration status influences this population
(Pérez Huber, 2010). CRT has also extended to the
15
disability community through DisCrit, which explores the
social construction of race and disability and examines the
intersectionality of racism, ableism, and marginalization
(Annamma, Conner, & Ferri, 2016). Using these theories to
examine the influence of disability, race, and culture in the
transition to adulthood would enhance the literature on transition experiences of Latino young adults with disabilities.
Examining the experiences of Latino families and students with disabilities through an ecological, LatCrit, and
DisCrit lens can help future researchers better understand
and unpack how discrimination and stigma related to race,
disability, gender, class, culture, language, and immigration
status manifest in different communities and microsystem
structures who have continuous and direct contact with
young adults with disabilities. Researchers and policymakers should also consider how institutionalized discrimination and stigma found in macro- and exosystem structures
influence supports, services, education, employment, and
community acceptance of Latino families and young adults
with disabilities. This theoretical framework can also be
used to explore successful strategies and structures in each
system to recognize and address racism, ableism, and marginalization across the United States. These findings can
serve as a foundation for policy recommendations and systems change to better serve marginalized families with
young adult members who have disabilities. For example,
future researchers should investigate how caregivers prefer
to be involved in their children’s education (e.g., participating in a school-wide task force; Barrio, 2017), as well as
what mechanisms it would take to support such involvement (e.g., logistical support, translators, support from
trusted community members).
Researching the experiences and perceptions of Latino
students and families (including fathers, siblings, extended
family members, and close family friends) and professionals (e.g., teachers, direct service providers) around the
nation in this way would address a limitation of this study,
which explored the experiences of 13 Latina caregivers in a
single rural Midwestern community. Furthermore, because
cross-cultural qualitative research methods are often not
well described and can come with linguistic and other cultural challenges (Squires, 2009), future researchers can use
the methods described in this study (including the challenges experienced and strategies to address them) to inform
their approach. Gathering in-depth, rich information gained
from case study research may also expand the findings of
this study and reveal specific factors that stymie or contribute to positive family–professional relationships.
Finally, there was little mention of how the young adults
with disabilities influenced their own outcomes, as the
PPCT model postulates. This finding differs from previous
research on barriers to competitive employment, which
found that three of the top five barriers identified by 68
families of young adults with disabilities related directly to
16
Rural Special Education Quarterly 00(0)
the characteristics of the individual with a disability seeking
employment (i.e., poor social skills, need for extensive support, and severity of disability; Francis, Gross, Turnbull, &
Turnbull, 2014). Future research should investigate how
individual characteristics influence the transition to adulthood across diverse participants, as well as how perceptions
of the influence of individual characteristics differ across
stakeholders (e.g., professionals, family members, young
adults).
Ethical Approval
University of Kansas IRB number STUDY00000519.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with
respect to the research, authorship, and/or publication of this
article.
Funding
The author(s) disclosed receipt of the following financial support for
the research, authorship, and/or publication of this article: The authors
produced this document under the National Institute on Disability,
Independent Living, and Rehabilitation Research (NIDILRR) Grant
No. H133G130261, Assessing Family Employment Awareness
Training (FEAT).
ORCID iD
Grace L. Francis
https://orcid.org/0000-0002-8707-9430
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