Bridging the LLD Gap: Relay Interpreting and Lack of Equivalencies
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While the interpreting profession has had LLD interpreters for many years, these individuals often have had few options for training and development to succeed in their profession. Court systems, community services, and healthcare providers have had difficulties in supporting the success of these interpreters for reasons that include lack of awareness of the unique complexities of interpreting and unrealistic expectations. Barriers that interpreters are tasked with overcoming include lack of equivalencies of westernized terms, lack of shared medical concepts among the participants in the encounter, and difficulties in working with other interpreters when relay interpreting2 is required to facilitate communication among the participants of the encounter. Often times neither interpreter working in relay interpreting encounters has had training on how to effectively perform relay interpreting in consecutive or simultaneous mode. This presentation will aid in presenting and discussing possible strategies and solutions to overcome these barriers. Interpreter trainers will gain awareness of the complexities that these interpreters face and will be presented with practical strategies that they can include in their training programs or workshops. This training covers concepts and practical techniques, including: - Identify barriers for LLD interpreters related to lack of language equivalencies - Identify barriers to effectively interpreting in situations that require relay interpreting - Describe training strategies and solutions that prepare interpreters to overcome these barriers
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Bridging the LLD Gap: Relay Interpreting and Lack of Equivalencies
- 1. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE WWW.NCIHC.ORG Thank you for a,ending!
- 2. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE Housekeeping -‐ This session is being recorded -‐ Cer7ficate of A,endance *must a,end full 90 minutes *trainerswebinars@ncihc.org -‐ Audio and technical problems -‐ Ques7ons to organizers -‐ Q & A -‐ Twi,er #NCIHCWebinar Home for Trainers Interpreter Trainers Webinars Workgroup An ini7a7ve of the Standards and Training Commi,ee www.ncihc.org/home-‐for-‐trainers
- 3. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE Welcome! Guest Presenter: Victor Sosa, CCI, CMI
- 4. Bridging the LLD Gap: Lack of Equivalencies & Relay September 2017
- 5. Na7vidad Medical Center • 172-‐bed acute care hospital Monterey County. • safety-‐net hospital • Na7vidad Medical Center is a Level II Trauma • 70,000 interpreta7ons in 2017 • 2162 session , in 6 Indigenous Languages Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 6. a service of Founded 2014 Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 7. The Team IniPated by Philanthropic DonaPons: • TALC – The Agricultural Leadership Council • The Haynes Charitable Founda7on • Community Founda7on for Monterey County • Healthforce Center at University of California, San Francisco Founding Team: • Na7vidad Medical Founda7on • Angelica Isidro and Victor Sosa • Katharine Allen and Marjory Bancro_ – Senior Consultants Interpreter Trainees/Interns: • 11 indigenous interpreter graduates with paid 6-‐month internships Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 8. Language Iden7fica7on • ID language Variant • Alto-‐ Medio-‐ Bajo Victor Sosa, Indigenous interpreting+®, 2018©
- 9. At Na&vidad, top 4 indigenous languages spoken: Mixteco: 81 variants Triqui: 4 variants Zapoteco: 62 variants Cha7no: 6 variants INALI Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 10. 1st Interpre7ng Training 2011
- 11. 63 Hours Training Jan. 2017 Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 12. Training Program 21 modules, 63 hours Manual and workbook Training materials Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 13. Debriefing session Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 14. ObjecPves Learning ObjecPve 1 • Iden0fying barriers for LLD interpreters related to lack of language equivalencies Learning ObjecPve 2 • Iden0fying barriers to effec0ve interpre0ng in situa0ons that require relay interpre0ng Learning ObjecPve 3 • Describe training strategies and solu7ons that prepare interpreters to overcome these barriers Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 15. LEARNING OBJECTIVE 1 IDENTIFYING BARRIERS FOR LLD INTERPRETERS RELATED TO LACK OF LANGUAGE EQUIVALENCIES Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 16. AcPvity 1.0 All about context Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 17. What comes to mind when you see? Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 18. What comes to mind when you see? Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 19. What comes to mind when you see? Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 20. Context maers… Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 21. CONTEXT IS EVERYTHING Healthcare & Court interpreters need to understand concepts and procedures they are interpre7ng, not individual words. Example: • Pa7ent Autonomy • Consent • End of Life • Pallia7ve Care Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 22. CONTEXT IS EVERYTHING AcPvity 1.0 30 seconds Define and explain the use of this scienPfic advance or technology in the context of interpretaPon. Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 23. CONTEXT IS EVERYTHING AcPvity 1.0 Machine Learning Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 24. CONTEXT IS EVERYTHING AcPvity 1.0 ArPficial intelligence Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 25. No Equivalencies AcPvity 2.0 Just Interpret Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 26. AcPvity 2.0 What did you experience? Imagine if you had to do this everyday. Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 27. Strategies Strengthen your NaPve Language AnPcipate possible fixes Use Spanish as a bridge language Facilitator Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 28. Strengthen your NaPve Language Resource your language and other variants (Wrien? Learn to read?) Interview family, friends and community Search for indigenous language radio programs, Youtube channels, etc. Learn the history of your language Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 29. AnPcipate Possible Fixes Ask quesPons about assignments Learn context of Medicine Learn context of JusPce (legal) Ask other interpreters how they managed Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 30. Use Spanish as a bridge For many Spanish is a second language May be able to understand context May begin to associate the word with their situaPon or condiPon Can ask quesPons to broaden their understanding Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 31. Facilitator and CollaboraPon Facilitator can fill in context of the medical or legal segng Facilitator can give subjecPve feedback Can learn from the experiences of others CollaboraPon (learn, share, work) Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 32. LEARNING OBJECTIVE 2 IDENTIFYING BARRIERS TO EFFECTIVE INTERPRETING IN SITUATIONS THAT REQUIRE RELAY INTERPRETING Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 33. September 2017 Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 34. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 35. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 36. Poor Relay InterprePng Can Be Like A Game of “Telephone” Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 37. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 38. Relay interpre7ng-‐ English-‐Spanish-‐Mixteco Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 39. Learning ObjecPve 3 • Describe training strategies and solu7ons that prepare interpreters to overcome these barriers Victor Sosa, CCI, CMI, Indigenous interpreting+®, 2018©
- 40. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 41. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 42. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 43. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 44. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 45. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 46. Many indigenous interpreters report that using indirect speech (third person) is more effec&ve with indigenous pa&ents and clients. El doctor dice hola Sr. Gomez. Le 7ene buenas no7cias. Su herida se curó. Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 47. STEPS FOR CONSECUTIVE RELAY INTERPRETING Step 1: Ask for a briefing session with the provider before the assignment. Step 2: Ask for a mee0ng with the other interpreter before the assignment. Step 3: Choose the best posi0on to promote direct communica7on. Step 4: Give a professional introduc0on. Step 5: Manage turn taking between the pa7ent and provider. Step 6: Interrupt to mediate to address a barrier to communica7on. Step 7: Ask the provider for a post session debrief. Step 8: Review the session with the other interpreter. Step 9: Debrief with Team.
- 48. STEPS FOR CONSECUTIVE RELAY INTERPRETING Step 1: Ask for a briefing session with the provider before the assignment. Step 2: Ask for a mee0ng with the other interpreter before the assignment. Step 3: Choose the best posi0on to promote direct communica7on. Step 4: Give a professional introduc0on. Introduce colleague Step 5: Manage turn taking between the pa7ent and provider. Step 6: Interrupt to mediate to address a barrier to communica7on. Step 7: Ask the provider for a post session debrief. Step 8: Review the session with the other interpreter. Step 9: Debrief with Team.
- 49. September 2017 Allen et al. 2018®. The Indigenous Interpreter®: A Training Manual for Indigenous Language Interpreting.
- 50. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE • New topics coming soon! • Please complete evalua7on • Follow up via email: TrainersWebinars@ncihc.org Home for Trainers Interpreter Trainers Webinars Work Group An ini7a7ve of the Standards and Training Commi,ee www.ncihc.org/home-‐for-‐trainers Announcements
- 51. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE Thank you for a,ending!