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Transnational families in Canada, Mexico, and the United States (i.e., North America) face significant challenges to family cohesion and overall health as they navigate new cultural and sociopolitical contexts. Transnational family members, who maintain connections across national borders due to immigration, have unique stressors and strains impacting their psychological, social, and economic well-being, such as adjustment to new roles and shifting communication patterns. The current review explores migration trends in North America, the various consequences of caregiving across borders, and the nuances of transnational parenting. Guided by the transnationalism framework and family system theory, this review highlights the lived experiences of transnational families and broadly examines existing policies designed to support these families. By reviewing international reunification policies across Canada, Mexico, and the United States, this chapter identifies gaps and key areas where policy adjustments could better address the needs of these families. Our recommendations emphasize the necessity for more nuanced and collaborative policy approaches to augment support structures that enhance the health and well-being of transnational family systems. This review aims to provide actionable insights for policymakers in building a healthier future for all families of this demographic.

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