from chaos to cc3

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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

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Page 1: From Chaos To Cc3

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

Page 2: From Chaos To Cc3

: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

Page 3: From Chaos To Cc3

Israel’s Language Map

Hebrew

Hebrew

Hebrew

Hebrew

Arabic

Arabic

Russian

Russian

Russian Amharic Migrantworkers

Asylum seekers

Deaf andHoH

Page 4: From Chaos To Cc3

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

Page 5: From Chaos To Cc3

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.

Page 6: From Chaos To Cc3

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

Page 7: From Chaos To Cc3

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

Page 8: From Chaos To Cc3

Facilitating forcesHindering

forces

Page 9: From Chaos To Cc3

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

Page 10: From Chaos To Cc3

Stage 3: Pilot interpreting services

Public Sphere

Business sector

Non profits

Translators associations

Academia

Interpreting service

Partnerships

Page 11: From Chaos To Cc3

Call for Health

1st in Israel: Established in 2007 by an NGO Serving Ethiopian-Israeli patients and their care providers Serving 90 health institutions

Page 12: From Chaos To Cc3

Community Interpreting Course – Bar Ilan University

Community Interpreting course, Bar Ilan University

Page 13: From Chaos To Cc3

Stage 3: Setting up pilot services

• Screening

• Training

• Marketing

• Monitoring and assessment

Page 14: From Chaos To Cc3

Marketing Call for Health Interpreting Service in the Ethiopian–Israeli community

Page 15: From Chaos To Cc3

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

Page 16: From Chaos To Cc3

DisappearanceContinue on small scale

Expansion

Duplication

Institutionalization

Stage 4: The Decisive Phase

Page 17: From Chaos To Cc3

Facilitating forces: old & newHindering

forces

Page 18: From Chaos To Cc3

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 (?)

Page 19: From Chaos To Cc3

DisappearanceContinue on small scale

Expansion

Duplication

Institutionalization

Page 20: From Chaos To Cc3

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

Page 21: From Chaos To Cc3

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)

Page 22: From Chaos To Cc3

Spillover in Alyn Hospital• Policy, work plan, budget

• CC coordinator

• Staff training

• Interpreter training and regulation

• Community relations

• Adjusting physical environment

Page 23: From Chaos To Cc3

Alyn CC Coordinator with Community Leaders

Page 24: From Chaos To Cc3

Israel, 2010

Page 25: From Chaos To Cc3

What will your model look like?

[email protected]