What is it about?

Language barriers significantly contribute to healthcare disparities, particularly in mental health, where low language proficiency is consistently associated with more severe symptoms. Despite the advantages of using interpreters, healthcare practitioners often encounter difficulties, notably in establishing trust and maintaining a sense of control during interactions. This qualitative intervention research aims to assess the impact of training on practitioners working with interpreters, focusing on their inclusion in follow-ups. Semi-structured interviews were conducted with 18 participants before and 12 after training at public mental health clinics in Paris. Before training, practitioners acknowledged the potential for collaboration with interpreters but found triadic consultations complex. Interpreters expressed frustration, and patients felt confident due to established relationships. Post-training, improved trust between interpreters and practitioners positively influenced patient relationships and the therapeutic process. While some practitioners still harbored doubts about session control, the intervention facilitated knowledge gain and critical examination of clinical approaches, showcasing the potential for enhanced communication in mental healthcare settings.

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Why is it important?

Employing an interpreter is the most effective way to overcome language barriers, yet mental health practitioners are reluctant to do so. This study shows that a few hours of training working with an interpreter not only enables practitioners to develop collaborative behaviors but also transforms the therapeutic process. Ensuring that practitioners have access to and know how to work with interpreters is key to improving access to care for highly vulnerable populations.

Perspectives

This is a rare documented and evaluated training to work with interpreter in mental health. I hope it will be useful and inspiring to improve mental health practitioners' training more broadly.

Yvan Leanza
Universite Laval

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This page is a summary of: Improving feeling of control and trust in interpreter-mediated mental health consultations., American Journal of Orthopsychiatry, November 2023, American Psychological Association (APA),
DOI: 10.1037/ort0000711.
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