One of the national standards of practice for healthcare interpreters that is often misunderstood is impartiality. It’s important for students as well as experienced interpreters to understand that at times they will be requested to interpret in situations about which they may have internal conflicts. Claiming a conflict of interest in these cases is not the ideal solution, as it might decrease language access. One area in which many interpreters have very limited knowledge and experience but may have very strong personal feelings is patients who identify as lesbian, gay, bisexual, transgender, intersex, asexual, or those who consider themselves queer. These sessions are more challenging than they need to be if interpreters do not evaluate their own biases with regard to LGBTQIA people and do not have the appropriate knowledge and vocabulary to impartially assist this unique group of patients. Additionally, LGBTQIA individuals face significant barriers in accessing health care that are heightened when that person is also limited English proficient (LEP). This training will provide trainers a framework for incorporating LGBTQIA issues in interpreting training, including respectful vocabulary that will allow patients and their family members to feel comfortable in opening up to their healthcare provider, regardless of the situation.

1. NATIONAL
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2. NATIONAL
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INTERPRETERS
HELP
• Remove
barriers
• Provide
equal
access
• Increase
par6cipa6on
in
healthcare
and
society
at
large

6. NATIONAL
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INTERPRETING
IN
HEALTH
CARE
ETHICAL
RESPONSIBILITIES
ACCURACY
CONFIDENTIALITY
IMPARTIALITY
RESPECT
CULTURAL
AWARENESS
ROLE
BOUNDARIES
PROFESSIONALISM
PROFESSIONAL
DEVELOPMENT
ADVOCACY

7. NATIONAL
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INTERPRETING
IN
HEALTH
CARE
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Interpreter
Trainers
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ini6a6ve
of
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and
Training
CommiBee
www.ncihc.org/home-­‐for-­‐trainers

8. Tim
Moriarty,
MPA,
CMI-­‐Spanish,
CHI
Jorge
U.
Ungo
How
Interpreters
Can
Work
Effectively
With
Gender
And
Sexual
Minorities
TRAINING
FOR
IMPARTIALITY:
NCIHC
HOME
FOR
TRAINERS
presents
NCIHC.ORG

9. Why
This
Topic?
Standards
of
Care
Organizations
like
The
Joint
Commission
and
the
World
Professional
Association
for
Transgender
Health
have
published
standards
of
care
that
address
healthcare
for
LGBTQIA
patients
and
families.
Federal
and
State
Legislation
Federal,
state
and
municipal
legislation
has
been
enacted
to
prohibit
discrimination
based
on
sexual
orientation
or
gender
identity.
Health
Disparities
People
who
identify
as
LGBTQIA
face
systemic
and
societal
discrimination
and
exclusion
that
leads
to
health
disparities.
Linguistic
Issues
Interpreters
will
be
faced
with
new
vocabulary
and
complex
encounters
that
they
should
be
prepared
to
handle
in
a
respectful
and
patient-­‐centered
manner.
Cultural
Issues
Societal
views
on
people
who
identify
as
LGBTQIA
vary
greatly
around
the
world
and
within
communities
in
the
U.S.

10. Self-­‐Assessment

11. As
a
trainer,
I
feel
completely
comfortable
presenting
to
interpreters
on
the
topic
of
LGBTQ
communities.
Self
Assessment
Question
#1
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

12. As
a
trainer,
I
believe
that
my
personal
knowledge,
beliefs
and
experiences
will
allow
me
to
train
interpreters
issues
related
to
healthcare
for
LGBTQ
people
in
a
fair
and
factual
way.
Self
Assessment
Question
#2
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

13. As
a
Trainer,
I
am
able
to
identify
and
explain
what
the
terms
lesbian,
gay,
bisexual,
transgender,
queer,
intersex,
and
asexual
mean.
Self
Assessment
Question
#3
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

14. As
a
trainer,
I
am
able
to
provide
examples
as
to
how
interpreters
can
enhance
or
inhibit
an
LGBTQIA
person’s
ability
to
communicate
clearly
and
honestly
with
their
healthcare
provider
in
any
medical
setting.
Self
Assessment
Question
#4
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

15. As
a
trainer,
I
am
able
to
discuss
health
challenges/inequities
that
have
direct
impact
on
the
LGBTQ
communities.
Self
Assessment
Question
#5
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

16. As
a
trainer,
I
feel
knowledgeable
enough
to
explain
some
of
the
linguistic
and
cultural
challenges
that
interpreters
may
face
when
interpreting
for
LGBTQIA
children,
adults,
couples,
parents.
Self
Assessment
Question
#6
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

17. Today’s
Agenda
• Self-­‐Assessment
• Legislation
• Standards
of
Care
• Barriers
&
Health
Disparities
• Definitions
&
Language
• Culture
&
Biases
• Sensitive
Health
Issues
• Ethical
Responsibilities
• Additional
Resources
• Community
Resources
• Self-­‐Assessment

18. Legislation
–
Federal,
State,
Local
• Medical
Decision-­‐Making
Policies
• Healthcare
&
Insurance
Laws
• Conversion
Therapy
Laws
• Marriage
&
Relationship
Recognition
• Non-­‐Discrimination
Laws
• Religious
Exemption
Laws
• HIV
Criminalization
Laws
• Identity
Documents
Laws
and
Policies
T R A I N E R S ’ T O O L
Legislation
Source:
NCIHC.org/LGBTQIA

19. STANDARDS
OF
CARE
• The
Joint
Commission
• World
Professional
Association
for
Transgender
Health
(WPATH)
• Gay,
Lesbian,
Bisexual
and
Transgender
Health
Access
Project
• Consortium
on
Disorders
of
Sex
Development
T R A I N E R S ’ T O O L
Standards
of
Care
Source:
NCIHC.org/LGBTQIA

20. BARRIERS
AND
HEALTH
DISPARITIES
• Feeling
unwelcome
in
healthcare
settings
• Low
rates
of
health
insurance
coverage
• Violence
• Body
image
• Substance
abuse
• Suicide
• HIV
and
other
sexually
transmitted
infections
Systemic
and
societal
discrimination
and
exclusion
T R A I N E R S ’ T O O L
One-­‐Page
Summary
of
LGBTQIA
Health
Disparities
Source:
NCIHC.org/LGBTQIA

21. DEFINITIONS
AND
LANGUAGE
Lesbian
Gay
Genderqueer
Genderfluid
Bisexual
Transgender
Queer
Questioning
Intersex
Asexual
Ally
Cis-­‐Gender
Pansexual
Polyamorous
Two
Spirit
Third
Gender
Non-­‐Binary
T R A I N E R S ’ T O O L
An
Ally’s
Guide
to
Terminology
Source:
lgbtmap.org/effective-­‐messaging/allys-­‐guide-­‐to-­‐terminology
…and
more!

22. Sexual
Orientation
vs
Gender
Identity/Expression
T R A I N E R S ’ T O O L
The
Genderbread
Person
Source:
itspronouncedmetrosexual.com

23. PREFERRED
TERMS
Use
this…
Not
this…
gay,
lesbian,
bisexual
homosexual,
homo,
fag,
faggot,
dyke
transgender
or
trans
(adj.)
transgendered,
tranny,
cross-­‐dresser,
transvestite,
it,
she-­‐male
sexual
orientation
Sexual
preference,
gay
lifestyle,
same-­‐sex
attraction
gender
identity
or
gender
expression
sexual
identity,
gender
identity
disorder
relationship,
couple
homosexual
relationship,
homosexual
couple
sex
homosexual
sex
sexual
alignment,
gender
affirmation,
transition
sex
change,
sexual
reassignment,
pre-­‐op,
post-­‐op
assigned/designated
male/female
at
birth
biologically
male/female,
genetically
male/
female,
born
a
man/woman
equal
rights
special
rights

24. T R A I N E R S ’ T O O L
Word
Association
Activity
1. Discuss
definitions
of
commonly
used
respectful
LGBTQIA
terms
2. Ask
students
to
share
perceived
linguistic
equivalents
for
terms
in
their
working
language(s)
3. Review
glossaries
to
compare
terms
used
by
students
to
the
suggested
terms
in
their
language(s)
4. Discuss
the
importance
of
using
suggested
terms
over
slang
terms
in
both
English
and
their
other
working
language(s)
to
encourage
patients
to
be
more
open
and
honest
with
their
healthcare
providers.

25. OTHER
POTENTIAL
LINGUISTIC
ISSUES

26. CULTURE
AND
BIASES
religious
affiliation
country
of
origin
urban
vs
rural
coming
out
T R A I N E R S ’ T O O L
Culture
and
Biases
Source:
ncihc.org/LGBTQIA
hetero
and/or
cisnormativity
political
affiliation

27. SENSITIVE
HEALTH
ISSUES
• Sexual
health
and
sexual
activity
• Sexual
alignment
surgery
• Gender-­‐specific
health
• Intersexuality
• Abuse
(physical,
psychological)
• Mental
health
• Substance
use,
misuse
and
abuse
T R A I N E R S ’ T O O L
Sensitive
Health
Issues
Source:
ncihc.org/LGBTQIA

28. ETHICAL
RESPONSIBILITIES
• Accuracy
• Confidentiality
• Impartiality
• Respect
• Cultural
Awareness
• Role
Boundaries
• Professionalism
• Professional
Development
• Advocacy
Source:
NCIHC.org
T R A I N E R S ’ T O O L
National
Code
of
Ethics
for
Interpreters
in
Health
Care
and
National
Standards
of
Practice
for
Interpreters
in
Health
Care
Source:
ncihc.org/ethics-­‐and-­‐standards-­‐of-­‐practice

29. ADDITIONAL
RESOURCES
Organization
Website
Human
Rights
Campaign
hrc.org
Gay
&
Lesbian
Alliance
Against
Defamation
glaad.org
PFLAG,
formerly
known
as
Parents,
Families
and
Friends
of
Lesbians
and
Gays
pflag.org
National
Coalition
for
LGBT
Health
lgbthealth.net
Gay
&
Lesbian
Medical
Association
glma.org
Intersex
Society
of
North
America
isna.org
International
Lesbian,
Gay,
Bisexual,
Trans,
Intersex
Association
ilga.org
National
LGBT
Health
Education
Center
lgbthealtheducation.org
Fenway
Health
fenwayhealth.org
The
Trevor
Project
thetrevorproject.org

30. Community
Resources
• LGB-­‐friendly
health
centers/primary
care
providers
• Trans-­‐friendly
health
centers/primary
care
providers
• Trans-­‐friendly
OB/GYN
and
Urologists
• Youth
and
Senior
Support
Groups
• Suicide
Hotlines

31. Self-­‐Assessment

32. As
a
trainer,
I
feel
completely
comfortable
presenting
to
interpreters
on
the
topic
of
LGBTQ
communities.
Self
Assessment
Question
#1
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

33. As
a
trainer,
I
believe
that
my
personal
knowledge,
beliefs
and
experiences
will
allow
me
to
train
interpreters
issues
related
to
healthcare
for
LGBTQ
people
in
a
fair
and
factual
way.
Self
Assessment
Question
#2
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

34. As
a
Trainer,
I
am
able
to
identify
and
explain
what
the
terms
lesbian,
gay,
bisexual,
transgender,
queer,
intersex,
and
asexual
mean.
Self
Assessment
Question
#3
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

35. As
a
trainer,
I
am
able
to
provide
examples
as
to
how
interpreters
can
enhance
or
inhibit
an
LGBTQIA
person’s
ability
to
communicate
clearly
and
honestly
with
their
healthcare
provider
in
any
medical
setting.
Self
Assessment
Question
#4
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

36. As
a
trainer,
I
am
able
to
discuss
health
challenges/inequities
that
have
direct
impact
on
the
LGBTQ
communities.
Self
Assessment
Question
#5
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

37. As
a
trainer,
I
feel
knowledgeable
enough
to
explain
some
of
the
linguistic
and
cultural
challenges
that
interpreters
may
face
when
interpreting
for
LGBTQIA
children,
adults,
couples,
parents.
Self
Assessment
Question
#6
Completely
Agree
Agree
Somewhat
Agree
Disagree
Completely
Disagree
1
2
3
4
5

38. Tim
Moriarty,
MPA,
CMI-­‐Spanish,
CHI
and
Jorge
U.
Ungo
Use
the
GoTo
Control
Panel
to
submit
your
questions
for
Q&A

39. NATIONAL
COUNCIL
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INTERPRETING
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CARE
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begin
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February
• Webinar
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• NCIHC
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Announcements

40. NATIONAL
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IN
HEALTH
CARE
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you
for
aBending!

41. NATIONAL
COUNCIL
ON
INTERPRETING
IN
HEALTH
CARE
You
can
access
the
recording
of
the
live
webinar
presenta6on
at
www.ncihc.org/trainerswebinars
Home
for
Trainers
Interpreter
Trainers
Webinars
Work
Group
An
ini6a6ve
of
the
Standards
and
Training
CommiBee
www.ncihc.org/home-­‐for-­‐trainers