Language Barriers
What could the effect of a language barrier be on mental health? Free response
Potential answer: A language barrier could negatively impact an individual's mental health by creating a sense of isolation and disconnection.
True or false: All racial and ethnic groups have the same amount of health insurance. There are little to no variations among different groups
False, there are notable variations in the percentage of individuals that have health insurance. As a result, groups that are disproportionately and negatively affected may not access the healthcare system as frequently
Define "stigma" as it relates to mental health
A mark of disgrace or a negative perception associated with the topic of mental health problems and the process of diagnosing, treating and openly discussing mental health disorders.
Feeling pulled at the intersection of two identities, cultures, or systems of belief can generally lead to (increased/decreased) feelings of discomfort and insecurity and (increased/decreased) sense of mental health
Increased, decreased
More specialized and culturally competent healthcare providers are generally found in (urban/rural) areas
urban areas
Describe a time you witnessed or experienced a language barrier in the healthcare system
Participants response must describe an example of a language barrier
Underutilization of the healthcare system by marginalized groups could make them (more/less) vulnerable to adverse mental health impacts
more
True or false: Only 1 in 5 racial minorities with a symptom of a psychological disorder approach a doctor
True
Define "shame" with respect to culture, belonging, and mental health.
Shame is the universal emotion shared by human beings in social groups to prevent being removed from the social group and maintain social and cultural inclusion. Shame or isolation experienced by individual members of a group can weaken their mental well-being and sense of cultural identity
Do migrant men, women, and children experience higher or lower levels of social integration and ties compared to their U.S. born counterparts?
According to Viruell-Fuentes et al, US-born Latinos maintained a significant social ties advantage over immigrants ?regardless of length of time in the USA ? for informal social integration, network diversity, and network size.
List 3 or more instances where language barriers might be relevant to mental health
Potential examples:
Doctor's office
Schools
Emergency room
Therapy session
Humanitarian aid work
Urgent care settings and clinics
What is the Affordable Care Act and when was it originally enacted?
The Affordable Care Act (ACA) is a comprehensive reform of the law enacted in 2010 that intends on shortening the gap surrounding health insurance by increasing coverage for the uninsured
Is social stigma regarding mental health higher or lower in urban areas compared to rural areas
Social stigma surrounding depression is generally lower in urban areas compared to rural areas
How might a racial minority feel about intersecting their culture of origin with an American identity?
A sense of being judged for being a part of both cultures.
How does acculturative stress affect migrants as they move from one location and culture to another?
Migrants may experience disproportionately higher amounts of stress trying to maintain the culture and behaviors of their original country while also adopting the culture of the country or place they are immigrating to
List three ways to combat language barriers in mental health
Include mental health terminology in the educaton of medical interpreters
Create quality translations of mental health documents and resources
Disperse physical and online mental health resources in English and Spanish to humanitarian aid groups and border aid groups
List 3 or more factors that affect lack of health insurance.
Answers can include:
Financial cost is too high
Change of employment, loss of employment
Loss of eligibility for Medicaid or other health insurance
"Never have needed" health insurance / refusal
Other and explain why:
Is the death rate by suicide higher in Latinx men or women?
The death rate from suicide for Latinx men was
four times the rate for Latinx women, in 2018
(Office of Minority Health, 2021)
Religion is never a factor in mental health.
Cultural resources describes the ease which minority groups ca access food, music, parties/fiestas, and people from their country of origin.
Community services are decribed as services that frequent members of a services describe the service as being culturally competent
What is the "migrant paradox?"
The "migrant paradox" describes the increased resilience and better behavioral health of migrants compared to minorities born in the U.S. despite shifts in culture and linguistic changes
True or False: The only requirement for quality interpretations is to be bilingual. Why or why not?
False, quality interpretations made by certified interpreters require mastery of language. Being fluent in both languages is one of the basic requirements; however, the skillset of an interpreter is developed through time, practice, expertise, and mastery of two or more languages. A quality interpretation may require background preparation and very specialized terminology not commonly seen.
According to the Kaiser Family Foundation graph provided below, list the racial/ethnic groups from highest to lowest percentages of being uninsured
American Indian/Alaska Native - 22%
Hispanic/Latinx - 20%
Native Hawaiin/Other Pacific Islander - 13%
African American - 11%
White - 8%
Asian - 7%
Complete the quote:
"In 2018, racial minorities were __% less likely to have
received mental health treatment as compared to
non-racial minorities (Office of Minority Health,
2021)"
50%
Men are more likely to seek mental health help, than women.
False
Describe, in detail, the relation between rural populations and mental health
In rural areas, there is typically:
Less access to regular and quality care
Less availability of skilled providers
Lower family incomes
Greater social stigma