Interpreters improve access to care for patients with limited English proficiency (LEP), but some studies have reported poorer cultural understanding, relationship quality, and patient satisfaction than language-concordant care. Use of interpreter roles beyond linguistic conversion (clarifier, broker, or advocate/mediator) may enhance interpreter-mediated by improving understanding the therapeu...

Nonparametric Bounds on the Returns to Language Skills This paper applies the theoretical literature on nonparametric bounds on treatment effects to the estimation of how limited English proficiency (LEP) affects wages and employment opportunities for Hispanic workers in the United States. I analyze the identifying power of several weak assumptions on treatment response and selection, and stres...

¿Habla español? Ba. n có nói tiếng viҲt? If you don't, then make sure you bring the interpreter into that patient's room. Not only is it likely your hospital's policy and a Joint Commission requirement, 1 but it's also good medical care. The pediatric literature over the past few decades has highlighted the importance of quality interpretation for Limited English Profi cient (LEP) patients to p...

Access to language services is a required and foundational component of care for patients with limited English proficiency (LEP). National standards for medical interpreting set by the US Department of Health and Human Services and by the National Council on Interpreting in Health Care establish the role of qualified medical interpreters in the provision of care in the United States. In the vig...

 Lexicalization-patterns, the way words are mapped onto concepts, differ from one language      to another. This study investigated the influence of first language (L1) lexicalization patterns on the processing of second language (L2) words in sentential contexts by both less proficient and more proficient Persian learners of English. The focus was on cases where two different senses of a polys...

BACKGROUND Title VI of the 1964 Civil Rights Act prohibits federal funds recipients from providing care to limited English proficiency (LEP) persons more limited in scope or lower in quality than care provided to others. In 1999, the California Department of Mental Health implemented a "threshold language access policy" to meet its Title VI obligations. Under this policy, Medi-Cal agencies must...

Dual language children enter school with varying levels of proficiencies in their first and second language. This study of Latino children of immigrants (N = 163) analyzes their dual language profiles at kindergarten and second grade, derived from the direct assessment of Spanish and English proficiencies (Woodcock Language Proficiency Batteries-Revised). Children were grouped based on the simi...

OBJECTIVE This paper summarizes the barriers and challenges in cancer care reported from a validation project of a self-management intervention handbook from Chinese-American cancer patients with limited English proficiency (LEP). METHODS Seven health-care providers (HCPs) and 16 Chinese-American cancer survivors with LEP were invited to validate a self-management intervention handbook throug...