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Association of mandated language access programming and quality of care provided by mental health agencies.
- Source :
-
Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2015 Jan 01; Vol. 66 (1), pp. 49-55. Date of Electronic Publication: 2014 Nov 17. - Publication Year :
- 2015
-
Abstract
- Objective: This study examined the association between language access programming and quality of psychiatric care received by persons with limited English proficiency (LEP).<br />Methods: In 1999, the California Department of Mental Health required county Medicaid agencies to implement a "threshold language access policy" to meet the state's Title VI obligations. This policy required Medi-Cal agencies to provide language access programming, including access to interpreters and translated written material, to speakers of languages other than English if the language was spoken by at least 3,000, or 5%, of the county's Medicaid population. Using a longitudinal study design with a nonequivalent control group, this study examined the quality of care provided to Spanish speakers with LEP and a severe mental illness before and after implementation of mandatory language access programming. Quality was measured by receipt of at least two follow-up medication visits within 90 days or three visits within 180 days of an initial medication visit over a period of 38 quarter-years.<br />Results: On average, only 40% of Spanish-speaking clients received at least three medication follow-up visits within 180 days. In multivariate analyses, language access programming was not associated with receipt of at least two medication follow-up visits within 90 days or at least three visits within 180 days.<br />Conclusions: This study found no evidence that language access programming led to increased rates of follow-up medication visits for clients with LEP.
- Subjects :
- Adult
California
Female
Health Services Accessibility statistics & numerical data
Humans
Male
Medicaid standards
Medicaid statistics & numerical data
Mental Health Services statistics & numerical data
Middle Aged
Quality of Health Care statistics & numerical data
United States
Health Services Accessibility standards
Hispanic or Latino statistics & numerical data
Mental Health Services standards
Office Visits statistics & numerical data
Quality of Health Care standards
Translating
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9700
- Volume :
- 66
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Psychiatric services (Washington, D.C.)
- Publication Type :
- Academic Journal
- Accession number :
- 25220026
- Full Text :
- https://doi.org/10.1176/appi.ps.201300522