Meeting the “Now” Need: PMH-APRN— Interpreter Teams Provide In-Home Mental Health Intervention for Depressed Latina Mothers With Limited English Proficiency
Restricted accessResearch articleFirst published online August, 2009
Meeting the “Now” Need: PMH-APRN— Interpreter Teams Provide In-Home Mental Health Intervention for Depressed Latina Mothers With Limited English Proficiency
Latina mothers of infants and toddlers are at high risk for developing serious depressive symptoms if they are newly immigrated and have limited English proficiency (LEP). Depressive symptoms compromise these mothers and result in severe consequences for their U.S.-born children. A randomized clinical trial of a short-term, in-home psychotherapy intervention for symptomatic mothers in an area of the United States where bilingual mental health providers were scarce used teams of English-speaking advanced practice psychiatric mental health nurses and bilingual community interpreters who were trained in a conduit, consecutive model of interpretation. The article describes the development of a theoretically congruent interpreter model, the training program that supported it, the challenges that surfaced and lessons learned during successful implementation in the field. Future refinements in progress and uses of the model are discussed.
Acevedo, M.C. ( 2000). The role of acculturation in explaining ethnic differences in the prenatal health-risk behaviors, mental health, and parenting beliefs of Mexican American and European American at-risk women. Child Abuse and Neglect, 24, 111-127.
2.
Alpert, R.T. ( 2005). The new Latino South. Washington, DC: Pew Hispanic Center.
3.
Amodeo, M., Griff-Saito, D., & Robb, N. ( 1997). Working with foreign language interpreters: Guidelines for substance abuse clinicians and human service practitioners. Alcoholism Treatment Quarterly, 15(4), 75-87.
4.
Angelelli, C.V. ( 2004). Medical interpreting and cross-cultural communication . New York: Cambridge University Press.
5.
Avery, M.B. ( 2001). The role of the health care interpreter (The National Council on Interpreting in Health Care: Working Papers Series, pp. 1-15). Albany, NY: National Council on Interpreting in Health Care.
Bancroft, M. ( 2005). The interpreter’s world tour: An environmental scan of standards of practice for interpreters. Woodland Hills: California Endowment.
8.
Bandura, A. ( 1989). Human agency in social cognitive theory. American Psychologist, 44, 1175-1184.
9.
Barnes, D.M. ( 2001). Mental health screening in a refugee population: A program report. Journal of Immigrant Health, 3, 141-149.
10.
Beeber, L.S. ( 1998). Treating depression through the therapeutic nurse-client relationship. Nursing Clinics of North America, 33, 153-172.
11.
Beeber, L.S., Chazan-Cohen, R., Squires, J., Jones Harden, B., Boris, N.W., Heller, S.S., et al. (2007). The Early Promotion and Intervention Research Consortium (E-PIRC): Five approaches to improving infant/toddler mental health in Early Head Start. Infant Mental Health Journal, 28, 130-150.
12.
Beeber, L.S., Holditch-Davis, D., Perreira, K., Schwartz, T., & Canuso, R. ( 2008, October). Nurse-interpreter teams reduce depressive symptoms in low-income low-English proficiency Latina mothers in a "new destination" immigration area. Paper presented at the National State of the Science Congress on Nursing Research, Washington, DC.
13.
Cornes, A., & Napier, J. ( 2005). Challenges of mental health interpreting when working with deaf patients. Australasian Psychiatry, 13, 403-407.
14.
Dam, H.V. ( 2002). Lexical similarity vs lexical dissimilarity in consecutive interpreting: A product-oriented study of form-based vs meaning-based interpreting . New York: Routledge.
15.
Davies, M.M., & Bath, P.A. ( 2001). The maternity information concerns of Somali women in the United Kingdom. Journal of Advanced Nursing, 36, 237-245.
16.
Dysart-Gale, D. ( 2007). Clinicians and medical interpreters: negotiating culturally appropriate care for patients with limited English ability. Family Community Health, 30, 237-246.
17.
Eytan, A., Bischoff, A., Rrustemi, I., Durieux, S., Loutan, L., Gilbert, M., et al. (2002). Screening of mental disorders in asylum-seekers from Kosovo. Australian and New Zealand Journal of Psychiatry , 36, 499-503.
18.
Federal Interagency Working Group on Limited English Proficiency. (2007). Limited English Proficiency: A Federal Interagency Website.
19.
Finch, B.K., Kolody, B., & Vega, W.A. ( 2000). Perceived discrimination and depression among Mexican-origin adults in California. Journal of Health and Social Behavior , 41, 295-313.
20.
Flores, G. ( 2005). The impact of medical interpreter services on the quality of health care: a systematic review. Medical Care Research Review, 62, 255-299.
21.
Forman, D.R., O’Hara, M.W., Stuart, S., Gorman, L.L., Larsen, K.E., & Coy, K.C. ( 2007). Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Developmental Psychopathology, 19, 585-602.
22.
Gany, F., Kapelusznik, L., Prakash, K., & Gonzalez, J. ( 2007). The impact of medical interpretation method on time and errors. Journal of General Internal Medicine, 22, 319-323.
23.
Gerrish, K. ( 2001). The nature and effect of communication difficulties arising from interactions between district nurses and South Asian patients and their carers. Journal of Advanced Nursing, 33, 566-574.
24.
Gile, D. (Ed.). (1997). Conference interpreting as a cognitive management problem. Thousand Oaks, CA: Sage.
25.
Greenhalgh, T., Robb, N., & Scambler, G. ( 2006). Communicative and strategic action in interpreted consultations in primary health care: a Habermasian perspective. Social Science & Medicine, 63, 1170-1187.
26.
Gurman, T.A., & Moran, A. ( 2008). Predictors of appropriate use of interpreters: identifying professional development training needs for labor and delivery clinical staff serving Spanish-speaking patients. Journal of Health Care for the Poor and Underserved, 19, 1303-1320.
27.
Heilemann, M., Frutos, L., Lee, K., & Kury, F.S. ( 2004). Protective strength factors, resources, and risks in relation to depressive symptoms among childbearing women of Mexican descent . Health Care for Women International, 25, 88-106.
28.
Hilfinger Messias, D.K., McDowell, L., & Estrada, R.D. ( 2009). Language interpreting as social justice work: perspectives of formal and informal healthcare interpreters. ANS Advances in Nursing Science, 32, 128-143.
29.
Hsieh, E. ( 2006a). Conflicts in how interpreters manage their roles in provider-patient interactions. Social Science & Medicine , 62, 721-730.
30.
Hsieh, E. ( 2006b). Understanding medical interpreters: Reconceptualizing bilingual health communication. Health Communication, 20, 177-186.
31.
Hsieh, E. ( 2007a). Dialogue interpreting in mental health. Journal of Language and Social Psychology, 26, 410-415.
32.
Hsieh, E. ( 2007b). Interpreters as co-diagnosticians: overlapping roles and services between providers and interpreters. Social Science & Medicine, 64, 924-937.
33.
Junger, S., Pestinger, M., Elsner, F., Krumm, N., & Radbruch, L. ( 2007). Criteria for successful multiprofessional cooperation in palliative care teams. Palliative Medicine, 21, 347-354.
34.
Karliner, L.S., Jacobs, E.A., Chen, A.H., & Mutha, S. ( 2007). Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature . Health Services Research, 42, 727-754.
35.
Kasarda, J., & Johnson, J.J. ( 2006). The economic impact of the Hispanic population on the state of North Carolina. Chapel Hill: University of North Carolina, Kenan-Flagler Business School.
36.
Kim, M., Han, H., & Phillips, L. ( 2003). Metric equivalence assessment in cross-cultural research: using an example of the Center for Epidemiological Studies-Depression Scale . Journal of Nursing Measurement, 11, 5-18.
37.
Lange, J.W. ( 2002). Methodological concerns for non-Hispanic investigators conducting research with Hispanic Americans. Research in Nursing and Health, 25, 411-419.
38.
Laws, M., Heckscher, R., Mayo, S., Li, W., & Wilson, I. ( 2004). A new method for evaluating the quality of medical interpretation . Medical Care, 42, 71-80.
39.
Lewis, V., Beeber, L.S., Schwartz, T., & Maxwell, L. ( 2008, February). Cómo sé que ella dijo lo que ella dijo? How do I know she said what she said? Development of a system for determining the accuracy of interpreted content in a nursing intervention . Paper presented at the 22nd annual Southern Nursing Research Society research conference, Birmingham, AL.
40.
Luk, S. ( 2008). Overcoming language barriers in psychiatric practice: Culturally sensitive and effective use of interpreters. Journal of Immigrant & Refugee Studies, 6(4), 545-566.
41.
Metivier, Y., & Trabing, E.M. ( 1995). Training English/Spanish interpreters in health and human services: Level 1. Cary: North Carolina Primary Health Care Association.
42.
Munoz, R.F., Ying, Y.W., Bernal, G., Perez-Stable, E.J., Sorensen, J.L., Hargreaves, W.A., et al. (1995). Prevention of depression with primary care patients: A randomized controlled trial. American Journal of Community Psychology, 23, 199-222.
43.
Nailon, R.E. ( 2006). Nurses’ concerns and practices with using interpreters in the care of Latino patients in the emergency department. Journal of Transcultural Nursing, 17, 119-128.
44.
Passel, J.S. ( 2005). Estimates of the size and characteristics of the undocumented population. Washington, DC: Pew Hispanic Center.
45.
Peplau, H. ( 1952). Interpersonal relations in nursing. New York: Springer.
46.
Quinn, E. ( 2001). Skilled interpreters are essential for meaningful communication . Connections, 2(1), 12-13.
47.
Radloff, L.S. ( 1977). The CES-D Scale: A self-report depression scale for research in the general populationApplied Psychological Measurement , 1, 285-401.
48.
Rhodes, J., Contreras, J., & Mangelsdorf, S. (1994). Natural mentor relationships among Latina adolescent mothers: Psychological adjustment, moderating processes, and the role of early parental acceptance. American Journal of Community Psychology, 22, 211-227.
49.
Shreve, G.M., & Diamond, B.J. ( 1997). Cognitive processes in translation and interpreting: Critical issues. In J. H. Danks, G. M. Shreve, S. B. Fountain , & M. K. McBeath (Eds.), Cognitive processes in translation and interpreting. London : Sage.
50.
Tribe, R. ( 2002). Mental health of refugees and asylum-seekers. Advances in Psychiatric Treatment, 8, 240-248.
51.
Vega, W.A., Kolody, B., Valle, R., & Hough, R. ( 1986). Depressive symptoms and their correlates among immigrant Mexican women in the United States. Social Science & Medicine , 22, 645-652.
52.
Wallin, A.M., & Ahlstrom, G. ( 2006). Cross-cultural interview studies using interpreters: systematic literature review. Journal of Advanced Nursing , 55, 723-735.
53.
Weissman, M.M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. ( 2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry, 163, 1001-1008.
