Post on 12-Jul-2015
Dr. Michal Schuster
Bar-Ilan University, Israel
July 27, 2010
From Chaos to Cultural Competence:A Roadmap to Linguistic
& Cultural Access to Public Services in Israel
:Stage 1: disorder
Facilitating forces:ResearchAcquaintance with LS abroadLobbyingLawsuitsMediaPolitical pressure
Hindering forces:
Hindering forces
Stage 3: Pilot interpreting services
Partnerships:
Stage 4: The decisive phase:D1: Disappearance
D2: Continued small-scale services
D3: Expansion, duplication,institutionalization
Stage 5: spillover
Facilitating :forces
Schuster, 2009
Israel’s Language Map
Hebrew
Hebrew
Hebrew
Hebrew
Arabic
Arabic
Russian
Russian
Russian Amharic Migrantworkers
Asylum seekers
Deaf andHoH
Israel’s language mapOfficial language: Hebrew2nd Official language: Arabic7 million people:
◦ Arabs: 20% (1.5 M)
◦ Yiddish speaking Ultra Orthodox Jews
◦ Deaf & HoH
◦ Jewish immigrants
◦ Work migrants: 95% from 12 countries
◦ Asylum seekers: Sudan, Eritrea
Native Minorities
Migrant Minorities
Language Access: Legal Status
Legal System: criminal cases
Police: interrogations of serious offences
Healthcare, welfare, education:
no requirement for interpreters.
◦ Patient’s Rights Act: a possible basis for healthcare interpreting.
Stage 1: disorder: Linguistically inaccessible
public sphere
Stage 2: Raising of awareness Facilitating forces:
:Hindering forces
Hindering forces
Stage 3: Pilot interpreting services
Partnerships:
The decisive phase:
D1: Disappearance
D2: Continued small-scale services
D3: Expansion, duplication,institutionalization
Stage 5: spillover
Facilitating :forces
Stage 1: disorder: Linguistically inaccessible
public sphere
Stage 2: Raising of awareness
Facilitating forces:ResearchAcquaintance with LS abroadLobbyingLawsuitsMediaPolitical pressure
Hindering forces :ConceptualAdministrativePoliticalTechnicalEconomical
Hindering forces
Stage 3: Pilot interpreting services
Partnerships:
The decisive phase:
D1: Disappearance
D2: Continued small-scale services
D3: Expansion, duplication,institutionalization
Stage 5: spillover
Facilitating :forces
Facilitating forcesHindering
forces
Stage 1: disorder: Linguistically inaccessible
public sphere
Stage 2: Raising of awareness Facilitating forces:
Hinderingforces :
Hindering forces
Stage 3: Pilot interpreting services
Partners
The decisive phase:
D1: Disappearance
D2: continued small-scale services
D3: expansion, duplication,institutionalization
Stage 5: spillover
Facilitating :forces
Stage 3: Pilot interpreting services
Public Sphere
Business sector
Non profits
Translators associations
Academia
Interpreting service
Partnerships
Call for Health
1st in Israel: Established in 2007 by an NGO Serving Ethiopian-Israeli patients and their care providers Serving 90 health institutions
Community Interpreting Course – Bar Ilan University
Community Interpreting course, Bar Ilan University
Stage 3: Setting up pilot services
• Screening
• Training
• Marketing
• Monitoring and assessment
Marketing Call for Health Interpreting Service in the Ethiopian–Israeli community
Stage 1: disorder: Linguistically inaccessible
public sphere
Stage 2: Raising of awareness Facilitating forces:
:Hindering forces
Hindering forces
Stage 3: Pilot interpreting services
Partnerships:
Stage 4: The decisive phase:D1: Disappearance
D2: Continued small-scale services
D3 : Expansion, duplication,institutionalization
Stage 5: spillover
Facilitating :forces
DisappearanceContinue on small scale
Expansion
Duplication
Institutionalization
Stage 4: The Decisive Phase
Facilitating forces: old & newHindering
forces
Duplication – Telephone Medical Interpreting Service by an HMO
Launched Oct. 2009Collaboration with academia Screening process30 participants120 hrs. of training Training of health staff Monitoring mechanism Marketing (?)
DisappearanceContinue on small scale
Expansion
Duplication
Institutionalization
Stage 1: disorder: Linguistically inaccessible
public sphere
Stage 2: Raising of awareness
Facilitating forces:Research
Acquaintance with LS abroadLobbyingLawsuits
MediaPolitical pressure
:Hindering forces
Hindering forces
Stage 3: Pilot interpreting services
Partnerships:
The decisive phase:
D1: Disappearance
D2: Continued small scale services
D3: Expansion, duplication,institutionalization
Stage 5: spillover
Facilitating :forces
Cultural competenceThe ability of systems to provide care to patients with diverse values, beliefs, and behaviors including tailoring delivery of care to meet patients' social, cultural and linguistic needs.
(The Commonwealth Fund, 2002)
Spillover in Alyn Hospital• Policy, work plan, budget
• CC coordinator
• Staff training
• Interpreter training and regulation
• Community relations
• Adjusting physical environment
Alyn CC Coordinator with Community Leaders
Israel, 2010