English Language Abilities and Unmet Needs in Community Mental Health Services: a Cross-Sectional Study

English Language Abilities and Unmet Needs in Community Mental Health Services: a Cross-Sectional... English Language Abilities and Unmet Needs in Community Mental Health Services: a Cross-Sectional Study Anna Durbin, MPH, PhD Frank Sirotich, PhD Janet Durbin, PhD Introduction Language has been described as medicine’s most essential technology and its principle instrument. Even so, persons with limited English proficiency (LEP) often do not have access to providers who speak their language. In many jurisdictions in North America, many health 3–5 services are provided in English without linguistic assistance. There is evidence that compared to clients with greater English proficiency, persons with LEP have less understanding 3,6,7 of the care they receive, are less likely to follow recommendations for treatment and follow- 8,9 10 5,11–13 up visits, are more likely to have delayed diagnoses, and are less satisfied with care. Theyarealsomorelikelytorelyonadhocinterpreters (e.g.,family,friends,nonclinical 3,14 employees, or nonfluent health care professionals), which may transform the communication, leading to omission of questions, failure to mention medication side effects, and ignoring 15,16 embarrassing issues. Given these challenges, it is not surprising that LEP individuals also have been shown to have more emergency department visits, more hospital admissions, and 17,18 longer hospital stays for many medical and surgical conditions. For clients with mental illness, language barriers can be particularly http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Behavioral Health Services & Research Springer Journals

English Language Abilities and Unmet Needs in Community Mental Health Services: a Cross-Sectional Study

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Publisher
Springer US
Copyright
Copyright © 2016 by National Council for Behavioral Health
Subject
Medicine & Public Health; Public Health; Health Psychology; Community and Environmental Psychology; Health Promotion and Disease Prevention; Health Informatics; Psychiatry
ISSN
1094-3412
eISSN
1556-3308
D.O.I.
10.1007/s11414-016-9503-1
Publisher site
See Article on Publisher Site

Abstract

English Language Abilities and Unmet Needs in Community Mental Health Services: a Cross-Sectional Study Anna Durbin, MPH, PhD Frank Sirotich, PhD Janet Durbin, PhD Introduction Language has been described as medicine’s most essential technology and its principle instrument. Even so, persons with limited English proficiency (LEP) often do not have access to providers who speak their language. In many jurisdictions in North America, many health 3–5 services are provided in English without linguistic assistance. There is evidence that compared to clients with greater English proficiency, persons with LEP have less understanding 3,6,7 of the care they receive, are less likely to follow recommendations for treatment and follow- 8,9 10 5,11–13 up visits, are more likely to have delayed diagnoses, and are less satisfied with care. Theyarealsomorelikelytorelyonadhocinterpreters (e.g.,family,friends,nonclinical 3,14 employees, or nonfluent health care professionals), which may transform the communication, leading to omission of questions, failure to mention medication side effects, and ignoring 15,16 embarrassing issues. Given these challenges, it is not surprising that LEP individuals also have been shown to have more emergency department visits, more hospital admissions, and 17,18 longer hospital stays for many medical and surgical conditions. For clients with mental illness, language barriers can be particularly

Journal

The Journal of Behavioral Health Services & ResearchSpringer Journals

Published: Mar 10, 2016

References

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