The National Network
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Terra Firma National (TFN), a nonprofit 501(c)(3), is the first and only organization in the U.S. dedicated to building and supporting a national network of programs that integrate medical, legal, and mental health services for immigrant children and families.
Founded in the South Bronx in 2013, the Terra Firma model has been nationally recognized for its pioneering approach to embedding immigration legal services within a community health center.
TFN is scaling this proven model by expanding its network of Terra Firma programs, which provide a medical home, defend legal rights, and serve as a critical social safety net for vulnerable immigrant children and families.
Terra Firma Flagship
Bronx, NY
Founders and creators of the model
Founded in the Bronx, NY in 2013 by pediatrician Dr. Alan Shapiro, Immigration attorney Brett Stark, Esq., and psychologist Cristina Muñiz de la Peña, PhD the “TF Flagship” built a groundbreaking model that still thrives today.
Program Partners
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Terra Firma National
New York, NY
Catalysts and supporters of the model
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Founded in New York City, NY in 2022, Terra Firma National catalyzes new programs by helping broker medical, legal, and mental health partnerships. “TFN” then provides training, resources, and technical assistance, to guide and sustain new Terra Firma programs.
Terra Firma Hempstead
Hempstead, NY
Pioneers and innovators of the model
Founded in Long Island, NY in 2024, Terra Firma Hempstead is a founding replication partner, one of the first programs to replicate the Terra Firma model of care. “TF Hempstead” adopts and adapts the model to fit the circumstances of the local immigrant community.
Program Partners
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Terra Firma Baltimore
Baltimore, MD
Pioneers and innovators of the model
Founded in Baltimore, MD in 2024, Terra Firma Baltimore is a founding replication partner, the first program launched outside of NY. “TF Baltimore” providers innovative, interdisciplinary care tailored to the needs of the local immigrant community.
Program Partners
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