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More than six<\/span> months after federal agents descended on Minnesota, the toll of the immigration crackdown on the Twin Cities continues to mount.<\/p>\n The latest revelations about the far-reaching and deeply felt impacts of the campaign known as Operation Metro Surge come in a Human Rights Watch report published Thursday<\/a>.<\/p>\n Based on more than 130 interviews, video analysis, and government arrest data, the report documents a dizzying array of abuses over the multi-month siege of Minneapolis and St. Paul \u2014 from lethal violence to free speech violations, unlawful detentions, and more.<\/p>\n While many of the abuses are well-known \u2014 including the killings of Minnesota residents Renee Good<\/a> and Alex Pretti<\/a> by federal agents \u2014 others occurred in the shadows of the infamous campaign.<\/p>\n Among the most troubling accounts are those provided by healthcare and mental health professionals.<\/p>\n According to the report, the National Alliance on Mental Illness in Minnesota saw a 120 percent increase in calls and a \u201csignificant increase\u201d in the number of people struggling with suicidal thoughts or actions during Metro Surge. One medical provider knew of at least three teenagers who attempted to take their own life after their parents were detained in the crackdown, with one of the adolescents doing so on a \u201cfrequent\u201d basis.<\/p>\n \u201cOne goal of the report is to bring light back to the full scope of the harm, and not only the harm that we saw in terms of violence in the streets, in terms of abusive detentions,\u201d Reagan Williams, the author of the new report, told The Intercept, \u201cbut also the effects that that had for aspects of daily life for everybody here \u2014 the impact it had on people\u2019s ability to leave their homes, to go to doctor, to go to school, to go to work.\u201d<\/p>\n <\/p>\n Human Rights Watch found the combination of violence and racial profiling<\/a> that defined the crackdown caused many Minnesotans to forgo medical care.<\/p>\n The day after Good was killed, nearly a third of one healthcare provider\u2019s patients \u2014 mostly Somali<\/a> or Spanish-speaking immigrants \u2014 did not show up for pre-scheduled appointments. Another provider said the number of in-person visits at their office dropped by as much as 50 percent.<\/p>\n When Williams arrived in the Twin Cities, her focus was the kind of violent interactions documented<\/a> in viral videos proliferating from Minnesota. She soon learned those weren\u2019t the only issues community members were desperate to discuss.<\/p>\n \u201cPeople that we talked with expressed emotions of exhaustion, fear, frustration, immense stress,\u201d she said. \u201cThey expressed particular concerns for children, medical providers in particular, the impact of missing school, of knowing violence is happening in their communities \u2014 for immigrant children and children of color, the fear of having a parent taken, of themselves being taken.\u201d<\/p>\n \u201cChildren are particularly vulnerable to long-term impacts of this kind of acute violence and stress,\u201d Williams added. \u201cThose are impacts that will continue on.\u201d<\/p>\n