Advancements and challenges in providing access to mental health services for diverse patients in...

Advancements and challenges in providing access to mental health

services for diverse patients in Canada – Good Practices

Lola BendanaLola Bendanatranslations@multi-translations@multi-

languages.comlanguages.com

Prepared for: Scottish Universities Insight InstituteHeriot-Watt UniversityUniversity of StrathclydePsychiatry Unit, St John’s HospitalMental Welfare Commission for Scotland

April 10, 2015 - Edinburgh

Immigration in Canada

New patterns of immigration poses New patterns of immigration poses new challenges for the delivery of new challenges for the delivery of mental health services. mental health services.

For the first 100 years of Canada For the first 100 years of Canada being formed as a country, being formed as a country, immigration came from Europe.immigration came from Europe.

3Multi-Languages Corporation

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Since the 1960’s there has been a shift Since the 1960’s there has been a shift in immigration sources.in immigration sources.

In Canada, the proportion of the In Canada, the proportion of the population that requires an interpreter population that requires an interpreter for health care is at least 1 in 50, and for health care is at least 1 in 50, and possibly much higher.possibly much higher.

Over 100 languages are spoken in main cities Toronto, Montreal, Vancouver

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Very diverse situation from province to province. Issues are accentuated in smaller communities.

Some communities are not well prepared for diverse immigrants.

Since 1990 Canada has accepted approximately 230,000 immigrants per year, mostly from countries where English is not the first language.

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Ontario is the most ethnically diverse Ontario is the most ethnically diverse province in Canada - its residents province in Canada - its residents speak more than 200 languages and speak more than 200 languages and dialects. dialects.

Over one quarter of the population has Over one quarter of the population has a mother tongue other than English or a mother tongue other than English or French (Statistics Canada, 2007).French (Statistics Canada, 2007).

Immigrants make up 41% of the Immigrants make up 41% of the population in the Toronto Central population in the Toronto Central Local Health Integration Network. Local Health Integration Network.

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Provision of Services:

Canadian Universal healthcareoEqual access to mental health services to all

Mental Health Programs offered at:oFamily medicine clinicsoHospital Psychiatric departmentsoCommunity health centres, etc.

AdvancementsProfessionalization processoDevelopment of the Canadian National Standards for Community Interpreting Services NSGCIS

oDevelopment of a standardized post-secondary training for interpreters in Ontario which is now available to other provinces online


Advancements

Canadian Coalition and provincial coalitions such as the Nova Scotia Coalition and the Ontario Coalition for interpreting services

Recent creation of a multi tier-accreditation system for community interpreters in Ontario



National Standard Guide for National Standard Guide for Community Interpreting ServicesCommunity Interpreting Services


What does the NSGCIS cover?What does the NSGCIS cover?

• Definitions of interpreting terminologyDefinitions of interpreting terminology• Human Resources requirementsHuman Resources requirements• SettingsSettings• Responsibilities of interpreting partiesResponsibilities of interpreting parties

• ClientsClients• Interpreting Service ProvidersInterpreting Service Providers• InterpretersInterpreters


What does the NSGCIS cover?What does the NSGCIS cover?

AnnexesAnnexes• Professional Standards of Practice and Core Professional Standards of Practice and Core

Ethical PrinciplesEthical Principles• Language ClassificationLanguage Classification• Professional AssociationsProfessional Associations• Healthcare InterpretingHealthcare Interpreting• Legal InterpretingLegal Interpreting


Impact of the NSGCISImpact of the NSGCIS

Standardized Code of Ethics at the National levelStandardized Code of Ethics at the National level

Common understanding on expectationsCommon understanding on expectations

Educational toolEducational tool

New criteria for purchasers of servicesNew criteria for purchasers of services

Shared responsibilityShared responsibility

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Claims involving rights of language access in health care in Canada are principally based on interpretations of:oThe Canadian Charter of Rights and FreedomsoThe Canadian Human Rights ActoProvincial and territorial Human Rights CodesoThe Canada Health ActoProvincial Health Acts oThe Criminal Code of CanadaoThe Canadian Multiculturalism Act of 1988

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