01Medical and Mental Health
Diagnoses, treatment, medication, insurance, caregiving, disability, mental-health conditions, continuity of care, and availability of appropriate treatment.
02Financial Consequences
Loss of income, debt, housing, childcare, medical costs, travel expenses, employment limits, support obligations, and inability to maintain two households.
03Family and Caregiving Duties
Care of children, elderly parents, disabled relatives, dependents, and other household members who rely on the qualifying relative or applicant.
04Education and Development
School disruption, special education, language needs, developmental services, college plans, credential recognition, and effects on dependent children.
05Country Conditions
Safety, violence, discrimination, medical infrastructure, employment conditions, housing, education, political instability, language, and social support.
06Family and Community Ties
Length of residence, citizenship, extended family, employment, property, military service, religious community, social support, and lack of ties abroad.
07Immigration and Travel Barriers
Inability to relocate lawfully, visa restrictions, custody orders, prior immigration history, travel limitations, or risk of prolonged family separation.
08Personal Vulnerabilities
Age, trauma history, disability, dependence on the applicant, limited language ability, prior family loss, or other circumstances increasing the impact.
09Cumulative Impact
The interaction among medical, financial, emotional, family, educational, and relocation problems may be more serious than any single factor.