4.Challenges to and Recommendations for Working with a Community Interpreter in Mental Health: A Canadian Perspective

Leanza, Yvan; Brisset, Camille; Rocque, Rhéa; Boilard, Alexandra

doi:10.21832/9781783097777-006

Cited by 5 publications

(7 citation statements)

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“…The goal should be a nationwide strategy, for Germany ideally through the health insurance system” (p. 98). In the Canadian/Quebec context, Leanza and colleagues (2017) argue that the cost of an interpreter is officially covered by the health care system. However, practitioners may be put under pressure not to use interpreters by team coordinators, who have to manage limited an ever-reducing budgets.…”

Section: Conclusion and Implications For Mental Health Professionalsmentioning

confidence: 99%

Interpreters working in mental health settings with refugees: An interdisciplinary scoping review.

Fennig¹,

Denov²

2021

American Journal of Orthopsychiatry

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The consequences of language barriers are some of the most fundamental challenges refugees and asylum seekers face, undermining both the accessibility of mental health services and the quality of the services received. This scoping review provides the first synthesis of research on interpreters working in mental health settings with refugees, one of the most prominent yet understudied strategies to improving language access and the cultural appropriateness of services for this unique population. Comprehensive searches were conducted in PsycINFO, Medline, Web of Science, Social Services Abstracts CAIRN, and Erudit for relevant journal articles and book chapters published up to April 2019. A total of 84 peer-reviewed studies met the inclusion criteria. Publications represented a range of disciplines including social work, linguistics, psychology, anthropology, public health, medicine, psychiatry, and nursing. Six thematic areas were identified: (1) Lack of adequate interpretation as barrier to care; (2) Emotional impact of interpreting on the interpreter; (3) Training and supervision; (4) Impact of the interpreter on the process of psychotherapy/mental health intervention; (5) The impact of the interpreter on the intervention outcome; and (6) The role of the interpreter. The results indicate that despite undeniable challenges, including concerns around confidentiality and bias, when clinicians and refugee clients do not share proficiency in a common language, interpreters have a positive impact on refugee clients’ quality of care and clinical outcomes. The implications of these findings for host countries providing mental health services for refugees globally are considered and recommendations offered.

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Section: Conclusion and Implications For Mental Health Professionalsmentioning

confidence: 99%

Interpreters working in mental health settings with refugees: An interdisciplinary scoping review.

Fennig¹,

Denov²

2021

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

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“…This situation is not particular to the province of Quebec. It is observed in other Canadian provinces and other countries (Vanderwielen et al, 2014;Leanza et al, 2017).…”

Section: Introductionmentioning

confidence: 70%

“…Barriers such as unawareness of interpreting resources, concerns about costs of services, complicated administrative procedures, and lack of training on working with interpreters hinder the use of trained interpreters (Brisset et al, 2014;MacFarlane et al, 2009). Barriers to access aside, training for community interpreters remains scarce and optional in Canada (Leanza et al, 2017). Therefore, actual access to trained interpreters is limited.…”

Section: Introductionmentioning

confidence: 99%

Training and Integrating Public Service Interpreters in a Refugee Health Clinic: A Mixed-Method Approach to Evaluate an Innovative Program

Leanza

Rocque

Brisset

et al. 2021

Refuge

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Language barriers can harm refugees’ health, and trained interpreters are a solution to overcome these barriers in all health consultations. This study trained interpreters and integrated them in a refugee clinic. Nepali-speaking migrants were recruited and underwent 50 hours of training to serve as interpreters for recently arrived Bhutanese refugees in Quebec City. To evaluate the project, mixed data were collected. At baseline and follow-up, patients’ health (as perceived by practitioners) and satisfaction were evaluated. Interpreters and practitioners were also interviewed and took part in joint discussion workshops. Patients’ health remained stable but, interestingly, patients were slightly less satisfied at follow-up. Practitioners and interpreters described both benefits and difficulties of the program. For example, integrating interpreters within the clinical team allowed for better collaboration and mutual knowledge of cultures. Challenges included work overload, conflicts between interpreters and practitioners, and role conflicts for interpreters. Overall, the full-time integration of trained interpreters in the clinic facilitated communication and case administration. This practice could be especially beneficial for refugee clients. In future interventions, interpreter roles should be better clarified to patients and practitioners, and particular attention should be paid to selection criteria for interpreters.

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“…Even though societies' multilingualism is probably as old as humanity itself, only some states under the rule of law, such as Canada, have passed laws to impose on their institutions the duty of welcoming such linguistic diversity (Leanza et al, 2017). As Jiménez Salcedo (2014) points out, the Canadian Administration acknowledges multiculturalism and multilingualism as features that characterise the Canadian society.…”

Section: Introductionmentioning

confidence: 99%

Bridges and Barriers in Public Service Interpreting Training: Instructing Non-Professional Longserving Interpreters

et al. 2021

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This paper reports on an action-research study with a dual purpose: (1) to design a PSI training programme adapted to the needs of the City of Québec’s public healthcare institutions, and (2) to assess its contribution to the development of trainees’ PSI competences. The course was designed adapting ÉSIT’s special regime methodology to PSI training, and delivered to a group of non-professional interpreters (N=23). The evaluation was undertaken qualitatively, through two focus groups (n=11). The data collected was submitted to content analysis and contrasted with the trainer’s action-research report. Findings reveal (1) that the special regime methodology can be applied to PSI training programmes, if combined with pedagogical approaches adjusting it to the group’s needs, and (2) that trainees’ preconceptions about PSI add up to the list of challenges of training non-professional longserving interpreters. Our concluding remarks present several recommendations on how to overcome the detected difficulties.

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4.Challenges to and Recommendations for Working with a Community Interpreter in Mental Health: A Canadian Perspective

Cited by 5 publications

References 0 publications

Interpreters working in mental health settings with refugees: An interdisciplinary scoping review.

Interpreters working in mental health settings with refugees: An interdisciplinary scoping review.

Training and Integrating Public Service Interpreters in a Refugee Health Clinic: A Mixed-Method Approach to Evaluate an Innovative Program

Bridges and Barriers in Public Service Interpreting Training: Instructing Non-Professional Longserving Interpreters

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