What the evidence says
State-level cooperation agreements between local law enforcement and federal immigration authorities produce a measurable increase in enforcement activity. After a state signs a 287(g) Memorandum of Agreement (MOA), the probability that ICE issues a detainer request rises by 6.24 percentage points, the probability a noncitizen is transferred into ICE custody rises by 1.81 percentage points, and the probability of removal rises by 2.36 percentage points (Nunez CDV, 2026). These effects are not uniform: in counties that already had a prior 287(g) agreement in place, the same MOA signing produces larger jumps — detainers rise 11.47 percentage points versus 4.71 in counties without prior 287(g) history, transfers rise 5.66 percentage points, and removals rise 5.54 percentage points. In counties without prior 287(g) infrastructure, only the detainer effect reaches statistical significance; transfers and removals show no measured increase. The mechanism the evidence points to is capacity: existing local-federal enforcement infrastructure amplifies what a new formal agreement can do. A separate, earlier case study of Nashville's 287(g) program (2007–2012) found it identified over 10,000 removable immigrants for deportation, and that the majority identified were Latino residents arrested for minor violations rather than serious crimes (Armenta, 2017) — describing who local enforcement programs draw in, not just how many.
The downstream health and mental-health evidence is consistent in direction across several independent studies and populations. Secure Communities increased the share of Latino immigrants living with noncitizen family members reporting mental health distress by 2.2 percentage points (a 14.7 percent relative increase), and Task Force Enforcement under 287(g) worsened mental health distress scores by 15 percent (0.08 standard deviation) (Wang, 2018). Jail Enforcement under 287(g) increased the share reporting fair or poor health by 1 percentage point (11.1 percent relative) and decreased the share reporting very good or excellent health by 4.8 to 7.0 percentage points (Wang, 2018). A separate study of ICE arrest rates found increases of 0.19 additional poor mental health days per month among Hispanic adults, a 2.2 percent relative increase in the likelihood of reporting any poor mental health days, and a 2.4 percent increase in composite mental health problems — with no measured effect among non-Hispanic adults and effects concentrated among Hispanic women (0.15 additional poor mental health days per month) (Aslim EG, 2026). The absence of a comparable effect among non-Hispanic adults, with confidence intervals reported as precisely centered around zero, supports a mechanism tied to group-specific exposure or fear rather than a general community-wide effect.
Local enforcement also produces social isolation among immigrant populations, measured directly in a 2004-respondent survey: 39 percent reported being afraid to leave the house because of local law enforcement involvement in immigration activity, 44 percent felt more isolated, and 39 percent felt under more suspicion (Simmons, 2021). Isolation was higher for undocumented respondents, for those with children under 18, and for those with personal or vicarious experience of detention or deportation, and it was higher in Phoenix and Houston — cities with stricter local enforcement regimes at the time of the survey — than in Los Angeles or Chicago. Gender showed no measured difference in isolation, breaking from earlier research suggesting women had social-network advantages. Thirty percent of respondents reported a close friend or family member deported in the past two years.
Enforcement activity also reaches children and prenatal care. Immigration raids increased daily student absences by 22 percent, with effects over three times larger for K-5 students (β = 0.269) than for high school students (β = 0.078), no measured decline in the effect from the initial raid period into the following month, and no measured effect in a comparison county over 200 miles from the raid (Dee, 2025) — indicating a geographically bounded, age-graded, and non-transitory effect. On prenatal care, 287(g) implementation increased the disparity between Hispanic/Latina and non-Hispanic/Latina mothers in late prenatal care entry by 1.5 percentage points and in inadequate prenatal care by 1.1 percentage points (Rhodes, 2014).
Several claims describe fear-driven avoidance of care and services without quantified magnitude: fear of enforcement is linked to increased preventable morbidity and mortality through deterred medical care-seeking (Sakran, 2026), anti-immigration policies are linked to decreased access to health services and increased depression, anxiety, and PTSD (Martínez, 2013), and immigration enforcement policies are linked to adverse maternal outcomes and reduced care-seeking among undocumented immigrants (anon, 2026) — all reported with low confidence in magnitude and, in two cases, hedged sourcing language. No claim in this set measures effects of local immigration enforcement on crime rates, program cost, local labor markets, or the size of the unauthorized population — these are absent from the evidence gathered here.
Findings
State 287(g) MOA signing increases the probability of ICE detainer requests
confidence — direction: highconfidence — magnitude: highconsensus: settled — single study, precise estimates
- mechanism
- formal state-level agreement expands ICE's ability to issue detainer requests to local jurisdictions
- effect
- 6.24 percentage point increase overall (95% CI: 4.60, 7.87); rises to 11.47 points in counties with a prior 287(g) agreement versus 4.71 points in counties without one
- conditions / moderators
- amplified by preexisting 287(g) infrastructure in the county
State 287(g) MOA signing increases transfers of noncitizens into ICE custody
confidence — direction: highconfidence — magnitude: highconsensus: settled — single study
- mechanism
- formal agreement increases local police handoffs of individuals to ICE custody
- effect
- 1.81 percentage point increase overall (95% CI: 0.33, 3.28); rises to 5.66 points in counties with a prior 287(g) agreement, with no significant increase in counties without one
- conditions / moderators
- amplified by preexisting 287(g) infrastructure; not established outside it
State 287(g) MOA signing increases removals/deportations
confidence — direction: highconfidence — magnitude: highconsensus: settled — single study
- mechanism
- formal agreement increases the flow of individuals from local custody into federal removal proceedings
- effect
- 2.36 percentage point increase overall (95% CI: 0.88, 3.84); rises to 5.54 points in counties with a prior 287(g) agreement, with no significant increase in counties without one
- conditions / moderators
- amplified by preexisting 287(g) infrastructure; not established outside it
Local 287(g) jail enforcement identifies large numbers of removable immigrants, disproportionately for minor violations
confidence — direction: highconfidence — magnitude: highconsensus: thin — single case study
- mechanism
- jail employees deputized as immigration officers screen arrestees for immigration status during routine bookings
- effect
- over 10,000 removable immigrants identified for deportation in Nashville's jail-based 287(g) program, 2007–2012; the majority identified were Latino residents arrested for minor violations rather than serious crimes
- conditions / moderators
- single-county case study; not established whether this composition generalizes to other 287(g) jurisdictions
287(g) Jail and Task Force enforcement worsen self-reported physical and mental health among Latino immigrants
confidence — direction: highconfidence — magnitude: mediumconsensus: thin — single source, tier D
- mechanism
- not stated beyond the enforcement mechanism itself
- effect
- Task Force Enforcement worsened mental health distress scores by 15 percent (0.08 standard deviation); Jail Enforcement increased the share reporting fair or poor health by 1 percentage point (11.1 percent relative) and decreased the share reporting very good or excellent health by 4.8 to 7.0 percentage points (7.8–10.9 percent relative)
- conditions / moderators
- measured among Latino immigrants; enforcement type (Task Force vs. Jail) produces different outcome measures
Secure Communities increases mental health distress among Latino immigrants living with noncitizen family members
confidence — direction: highconfidence — magnitude: highconsensus: thin — single source, tier D
- mechanism
- not stated beyond the enforcement mechanism itself
- effect
- 2.2 percentage point increase in mental health distress (14.7 percent relative increase)
- conditions / moderators
- limited to Latino immigrants living with noncitizen family members
Higher ICE arrest rates increase poor mental health among Hispanic adults, with no measured effect among non-Hispanic adults
confidence — direction: highconfidence — magnitude: mediumconsensus: settled direction, thin corroboration — single study
- mechanism
- not stated beyond enforcement-exposure fear
- effect
- 0.19 additional poor mental health days per month per interquartile-range increase in arrest rate; 2.2 percent relative (0.9 percentage point absolute) increase in likelihood of any poor mental health days; 2.4 percent relative (0.6 percentage point absolute) increase in composite mental health problems; effect concentrated among Hispanic women at 0.15 additional poor mental health days per month
- conditions / moderators
- no measured effect among non-Hispanic adults, with confidence intervals precisely centered around zero; state-month geographic aggregation may attenuate estimates toward zero
Local immigration enforcement increases social isolation among immigrant communities
confidence — direction: highconfidence — magnitude: highconsensus: settled — single large survey (n = 2004), consistent internal pattern
- mechanism
- not stated beyond fear of law enforcement involvement in immigration activity
- effect
- 39 percent of respondents reported fear of leaving the house, 44 percent reported increased isolation, and 39 percent reported feeling under suspicion; isolation scores were higher in Phoenix (7.18) and Houston (6.84), cities with stricter local enforcement, than Los Angeles (6.67) or Chicago (6.41); being undocumented, having children under 18, and personal or vicarious experience of detention or deportation were each related to more isolation; 30 percent reported a close friend or family member deported in the past two years
- conditions / moderators
- gender showed no measured difference in isolation (r = .008, p = .749)
287(g) implementation increases disparities in prenatal care access between Hispanic/Latina and non-Hispanic/Latina mothers, with no effect found in a matched-county difference-in-difference design
confidence — direction: mediumconfidence — magnitude: mediumconsensus: contested within the same source, unresolved by study design difference between the two analytic approaches
- mechanism
- not stated
- effect
- late prenatal care disparity increases 1.5 percentage points; inadequate prenatal care disparity increases 1.1 percentage points; a matched-county (n = 14) difference-in-difference analysis finds no significant difference pre- versus post-implementation
- conditions / moderators
- effect appears in the larger within-county comparison but not in the smaller matched-county difference-in-difference design
Immigration raids increase school absences, with larger and more persistent effects for younger students near the raid
confidence — direction: highconfidence — magnitude: highconsensus: settled — single study, consistent pattern across three separate tests (age, time, geography)
- mechanism
- not stated beyond direct disruption from raid activity
- effect
- 22 percent increase in daily student absences; effect on K-5 students (β = 0.269) over three times larger than on high school students (β = 0.078); no measured decline between the initial raid period and the following month; no measured effect in a county over 200 miles from the raid (β = 0.057, not significant)
- conditions / moderators
- effect is age-graded, geographically bounded to the raid area, and not transitory over the observed period
Fear of enforcement decreases health care-seeking and increases adverse health outcomes among immigrants
confidence — direction: mediumconfidence — magnitude: lowconsensus: thin — hedged language, no quantified magnitude in any contributing source
- mechanism
- fear of deportation deters individuals from seeking medical attention
- effect
- increases preventable morbidity and mortality; decreases access to health services; increases depression, anxiety, and PTSD; contributes to adverse maternal outcomes — magnitudes not specified in any of these sources
- conditions / moderators
- not established