Immigration Assistance: Clinical Mental Health Evaluations

Madeline provides trauma-informed, objective mental health evaluations to support immigration cases, involving hardship waivers, asylum, VAWA, U Visas and T Visas. Her assessments are designed to serve as credible, clinical evidence for court proceedings—helping families stay together, supporting survivors of violence and persecution, and assisting legal professionals in making informed decisions.

Casa Hogar walks alongside refugees and asylum seekers who have endured persecution and extreme cruelty, offering clinical expertise as they seek safety and a new beginning.

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Immigration Evaluations help spouses, children and families remain together, honoring the deep connections that can bring us strength and belonging.

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Submitting for asylum with an evaluation from Casa Hogar highly increases positive case outcomes, especially with a mental and medical condition involved.

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  • Hardship Waivers

    This clinical evaluation is designed for individuals seeking Lawful Permanent Resident (LPR) status who may not meet standard eligibility requirements due to factors such as past deportations, criminal history, or unauthorized entry. The assessment examines the cumulative hardship an individual, or their qualifying relative, would face if separated or forced to relocate. It includes a comprehensive review of social, cultural, economic, medical, and psychological factors, as well as current conditions in the current country or country of origin. For these evaluations, I often speak directly with the U.S. citizen or lawful resident to assess the emotional, financial, and psychological hardship they would face in their loved one’s absence.

  • Cancellation of Removal

    This assessment often involves an imminent response to a crisis, such as an individual facing active deportation or removal proceedings. These cases usually involve an attorney and court appearance to demonstrate on how a U.S. citizen or LPR (lawful permanent resident)— a child or close family member—would suffer exceptional hardship if their loved one were removed from the country. Unlike hardship waivers, which are more often pursued proactively over the course of several years, cancellation cases develop in urgent circumstances and are generally more time-sensitive in nature. Though hardship waivers are usually limited to adults, cancellation of removal can also be a meaningful option for children needing relief amidst threats of separation or relocation.

  • Asylum

    These cases involve asylum seekers or refugees leaving their country due to persecution based on race, religion, nationality, political opinion or membership to a certain social group. Cases are formed on the grounds that the individuals’ government is unable or unwilling to protect them. This assessment investigates psychological harm due to torture and other cruel, inhuman, degrading treatment or punishment. 

  • Violence Against Women Act

    Contrary to its name, “VAWA” offers protection to individuals of all genders who have experienced abuse. It allows someone to self-petition for legal status without having to rely on an abusive spouse—particularly when that person has been “battered or subjected to extreme cruelty”.  The Act recognizes “abuse” as not only battery, physical violence, rape, sexual assault, and sexual abuse, but also “extreme cruelty”—which includes non-physical patterns of behavior intended to control, intimidate, or isolate someone (such as emotional, mental, or psychological abuse).

  • U Visas & T Visas

    Evaluations for a U Visa case assess the psychological harm to immigrants resulting from qualifying crimes such as domestic violence, trafficking, sexual assault, stalking, blackmail, and many others. Very similar to U Visas, T Visas are for victims of sex trafficking and labor trafficking. In both cases, individuals must be willing to file a report and cooperate with law enforcement and legal officials, unless it would cause the victim further harm.

If you are an individual, group, organization or church body seeking a tangible way to “love your neighbor” and support vulnerable members of your community, you are welcome to donate toward the cost of an immigration hardship evaluation for someone in need.

Your contribution helps make critical assessments accessible to those navigating complex legal systems and seeking safety, stability, and hope.

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Ready to work with Madeline?

Whether you’re seeking individual therapy, social work assistance, or need an immigration evaluation, she is ready to walk alongside you.

Madeline's work today moves with conviction and reach, carrying hope into the most weathered corners of her chosen community. Where her life’s impact is felt, belonging is restored, strength is communal, and healing takes root in the hearts of those who journey alongside her.

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