When the COVID-19 pandemic exposed serious gaps in health care access, a community-based response took shape in Chelsea, Massachusetts. Through a partnership with La Colaborativa and Mass General Brigham Hospital, Puente a la Salud, or Bridge to Health, was launched to offer free health care at a moment of urgent need. The partnership celebrated its fifth anniversary on January 5 of the new year.
Led by Priya Sarin Gupta M.D., MPH and Angie Coronado ’14, M.D., MPH, alumni of Brown’s Family Medicine Residency and Community Health programs, respectively, the clinic was designed to reduce health disparities in Chelsea by providing preventive care, chronic disease management and adult immunizations. It also offers screenings for hypertension, diabetes and cancer, along with education workshops on nutrition and wellness, all within a culturally relevant and trusted community setting.
Puente a la Salud operates under its umbrella organization, La Colaborativa, which has been serving the people of Chelsea and surrounding cities for 38 years. A full-spectrum human services agency led by President and CEO Gladys Vega, La Colaborativa provides everything from counseling and clinical referrals to job training and food assistance. It also houses the Survival Center, which assists residents with eviction and domestic violence issues, among others, and La Placita (Little Square) where seniors gather to build connection and community. Together, these programs form an integrated system in which health care, food access, education and community support coexist and thrive.
“Everything here is connected. It’s a full circle: survival, stability, skills, health, dignity and collective action,” said Dr. Coronado. “But our goal isn’t just to provide services; it’s empowerment. We want people to know how to ask for help, how to call a doctor and how to navigate systems independently.”
We spoke with Dr. Coronado about the work of Puente a la Salud and La Colaborativa, the role these agencies play in Chelsea and Greater Boston and how her time at Brown changed her view of medicine.
Thanks for speaking with us, Dr. Coronado. Help us understand the challenges facing immigrant families today.
Coronado: Right now, one of the biggest issues is fear, which shows up everywhere. Children experience it as secondary trauma, even when they’re U.S. citizens. We’ve had students run home from school because they heard ICE was nearby. Even people who are fully authorized to be here panic when they see ICE. The fear is constant and deeply disruptive. Many of the families we serve are mixed-status, and we also work with second- and third-generation families who still face many of the same challenges.
At the same time, families are struggling with basic material needs. Food insecurity is widespread. Housing is in short supply, with as many as five families sharing one apartment because rents are so high. Employment is often unstable or low-wage, with long hours, even for people who go through our job training programs.
Health care access is another big barrier, especially preventive care. Many families don’t know how to navigate the system or even that preventive care is available. That’s why we created programs like Puente—to make healthcare understandable and accessible. At our Survival Center, someone might come in for help with an eviction or a MassHealth application, and while they’re here, we connect them to primary and preventive care. Without that integrated support, many people wouldn’t access health care at all.
Language and cultural barriers compound these challenges. We serve families who speak Spanish, Haitian Creole, Arabic, Vietnamese, Mandarin and more. Even when interpretation services exist, culturally competent care can be hard to find. Speaking the language isn’t enough—providers also need cultural understanding. When cultural practices are dismissed, trust breaks down quickly and care falls apart.
Education is also a major concern. Many students work during high school to help support their families, and after graduation, many don’t attend college because they need to earn income. At La Colaborativa, we run youth programs that include academic support, professional development and mental health services to try to address this.
Mental health is one of the most urgent and complex challenges we see. Care is especially limited as insurance may only cover a few sessions, and cultural stigma around mental health remains strong. So we take creative approaches, offering group-based supports like healing circles, dance classes and knitting groups. These spaces reduce isolation and build community, which is critical for mental health.
So when I think about the challenges immigrant families face, mental health really sits at the center—alongside fear, poverty, language barriers and lack of access. Addressing it requires more than clinical services. It requires community, cultural understanding and dignity.