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Providing care to linguistically diverse populations: The how and whys of interpreter services Plain Talk in Complex Times 2013 Lois Wessel, CFNP, ACU, Georgetown University Isabel Van Isschott, MA, La Clínica del Pueblo www.clinicians.org
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Lois Wessel & Isabel Isschot - Providing care to linguistically diverse populations: The hows and whys of interpreter services

Jan 16, 2015

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Presented by Lois Wessel, RN, CFNP, and Isabel Van Isschot, MS, on September 26, 2013 at the fourth annual Center for Health Literacy Conference: Plain Talk in Complex Times.
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Page 1: Lois Wessel & Isabel Isschot - Providing care to linguistically diverse populations: The hows and whys of interpreter services

www.clinicians.org

Providing care to linguistically diverse populations: The how and whys of interpreter services

Plain Talk in Complex Times 2013Lois Wessel, CFNP, ACU, Georgetown University

Isabel Van Isschott, MA, La Clínica del Pueblo

Page 2: Lois Wessel & Isabel Isschot - Providing care to linguistically diverse populations: The hows and whys of interpreter services

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Lots to talk about today!

• Understand changes in the US population• Be familiar with legal requirements on

serving LEP Populations• Understand principles of providing

language access services• Be familiar with developing a language

access programs

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Limited English Proficiency

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LEP in United States

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Diverse Communities

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Hearing Impairment

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Patient Perspective

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http://www.tudiabetes.org/group/diabetessuppliesart?groupUrl=diabetessuppliesart&id=583967%3AGroup%3A182635&page=6

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Translation vs. Interpretation

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Title VI Civil Rights Act 1964Executive Order 13166

No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.

42 U.S.C. § 2000d

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Who Is Covered by Title VI?

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Compliance With Title VI

OCR looks at the “totality of the circumstances” balancing four factors:

1. Number or proportion of LEP persons eligible to be served or likely to be encountered;

2. Frequency with which LEP individuals come in contact with the program;

3. Nature and importance of the program, activity, or service provided by the program to people's lives;

4. Resources available and costs.

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Additional Requirements

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CLAS Standards

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Resources Available

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Developing Language Access Services

Photo Credit: Beth Israel Deconess

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LEP & Agency

Identify & Assess LEP

Communities

Providing Services

Train StaffProvide

Notice of Services

Monitor & Evaluate &

Update Services

Providing Services

Effective Language Access Policy

Directives and Implementation

Plans

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Recording Primary Language

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Policies and Procedures

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Modes of Interpretation

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Interpreter Training Programs

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Roles of Interpreter: Cultural Broker

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Interpreter Training and Certification

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Why Can’t Family Members Help?

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Reimbursement for Interpreter Services

• Via Medicaid and the Children’s Health Insurance Program (CHIP)

• Via managed care organizations (MCO)• Via insurance companies• Via grants to primary care association (PCA)

or government agencies• May require trained and certified interpreters