Impact of language proficiency on mental health service use, treatment and outcomes: "Lost in Translation"

Miteva, Dimitrina; Georgiadis, Foivos; McBroom, Lorna; Noboa, Vanessa; Quednow, Boris B.; Seifritz, Erich; Vetter, Stefan; Egger, Stephan

doi:10.1016/j.comppsych.2022.152299

Cited by 10 publications

(6 citation statements)

References 48 publications

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“…Patient‐physician racial or ethnic concordance may help these patients with communication (Shen et al, 2018) and impact their self‐reported and physiological indicators of pain (Anderson et al, 2020; Hsieh et al, 2011). In contrast, stereotypes and disagreement in pain perception related to patient‐physician discordance may mislead physician's professional judgement (Staton et al, 2007; Wandner et al, 2012) and necessitate additional diagnostic investigations to ease communication and clear underlying health conditions (Miteva et al, 2022; Numeroso et al, 2015). For example, physicians' decisions to prescribe opioids or escalate opioid prescription were noticed to be influenced by patient's verbal behaviour and patient race (Burgess et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Racial and ethnic differences in the use of lumbar imaging, opioid analgesics and spinal surgery for low back pain: A systematic review and meta‐analysis

Chen

Vella

Maher

et al. 2023

European Journal of Pain

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Background and Objective: There is a substantial gap between evidence and clinical care for low back pain (LBP) worldwide despite recommendations of best practice specified in clinical practice guidelines. The aim of this systematic review was to identify disparities associated with race or ethnicity in the use of lumbar imaging, opioid analgesics, and spinal surgery in people with LBP. Databases and Data Treatment:We included observational studies which compared the use of lumbar imaging, opioid analgesics, and spinal surgery for the management of non-serious LBP between people from different racial/ethnic populations. We searched in MEDLINE, EMBASE and CINAHL from January 2000 to June 2021. Risk of bias of included studies was appraised in six domains.For each type of care, we pooled data stratified by race and ethnicity using random effects models. Results:We identified 13 eligible studies; all conducted in the United States. Hispanic/Latino (OR 0.69, 95%CI 0.49-0.96) and Black/African American (OR 0.59, 95%CI 0.46-0.75) people with LBP were less likely to be prescribed opioid analgesics than White people. Black/African Americans were less likely to undergo or be recommended spinal surgery for LBP (OR 0.47, 95%CI 0.33-0.67) than White people. There was a lack of high certainty evidence on racial/ethnic disparities in the use of lumbar imaging. Conclusion:This review reveals lower rate of the use of guideline-discordant care, especially opioid prescription and spinal surgery, in racial/ethnic minority populations with LBP in the United States. Future studies in other countries evaluating care equity for LBP are warranted. PROSPERO Registration ID: CRD42021260668.Significance: This systematic review and meta-analysis revealed that people with low back pain from the minority racial/ethnic backgrounds were less likely to be prescribed opioid analgesics and undergo spinal surgery than the majority counterparts. Strategic interventions to improve the access to, and the value of, clinical care for minority populations with low back pain are warranted.

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Section: Discussionmentioning

confidence: 99%

Racial and ethnic differences in the use of lumbar imaging, opioid analgesics and spinal surgery for low back pain: A systematic review and meta‐analysis

Chen

Vella

Maher

et al. 2023

European Journal of Pain

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“…Nevertheless, few alternatives to psychiatric hospitalization outside daytime hours are available. The strikingly higher rate of compulsory admission in late and night shifts might be a combination of several factors, where the interplay between legislation, mental health services, and the patients' clinical characteristics play a pivotal role ( 38 – 40 ).…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Time of Admission, Help-Seeking Behavior, and Psychiatric Outcomes: “From Dusk Till Dawn”

et al. 2022

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IntroductionDay and time of admission influence treatment outcomes and prognosis in several medical specialties; this seems related to resources' ability. It is largely unknown whether this also applies to mental health services. We investigate the relationship between time of admission, patients' demographic and clinical profile, and treatment outcomes.MethodsDemographic and clinical profiles of admitted and discharged patients to a general psychiatric ward between January 1st, 2013 and December 31st, 2020, were analyzed. In addition, we used the last year (i.e., 2020) to monitor rehospitalization. Time of admission was defined as weekdays (working day, weekend) and dayshifts (daytime, dusk, and dawn).ResultsDuring the study period, 12,449 patient admissions occurred. The mean age of the sample was 48.05 ± 20.90 years, with 49.32% (n = 6,140) females. Most admissions (n = 10,542, 84%) occurred on working days. Two-fifths of admissions (39.7%, n = 4,950) were compulsory, with a higher rate outside daytime hours. Patients had slight differences in the clinical profile, resulting from evaluating the different items of the Health of Nation Outcome Scale (HoNOS). Patients admitted on night shifts, weekends, and holidays showed a shorter length of stay; patients compulsorily admitted during daytime (disregarding the day of the week) had a longer length of stay. All patient groups achieved a robust clinical improvement (i.e., an HoNOS score reduction of around 50%), with similar readmission rates.DiscussionThe main finding of our study is the relationship between “daytime hours” and fewer compulsory admissions, a result of the interplay between demographics, clinical characteristics, and out-of-clinic service availability (such as ambulatory psychiatric- psychological praxis; day-clinic; home-treatment). The differing clinical profile, in turn, determines differences in treatment selection, with patients admitted after office hours experiencing a higher rate of coercive measures. The shorter length of stay for out-of-office admissions might result from the hospitalization as an intervention. These results should encourage the implementation of outpatient crisis-intervention services, available from dusk till dawn.

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“…This study shows that a few hours of training working with an interpreter not only enables practitioners to develop collaborative behaviors but also transforms the therapeutic process. Ensuring that practitioners have access to and know how to Brisset et al, 2014;Pottie et al, 2008;Salam et al, 2022) and may have dramatic repercussions for those who need access to public health care delivery, like more coercive measures throughout hospitalization (Miteva et al, 2022) and leading to isolation, misunderstanding, and stigma. Patients facing language barriers are more likely to report conflicts and misunderstandings and are more at risk of medical errors and wrong diagnoses (Crosby, 2013).…”

Section: Public Policy Relevance Statementmentioning

confidence: 99%

“…This is particularly relevant in a mental health care setting, where “language remains the central vehicle for building an alliance; gathering information; conducting a mental status examination; gaining access to subjective experiences, emotions, and memories; and engaging in therapeutic interventions” (Leanza et al, 2014, p. 89). Some authors suggest that language barriers between patients and practitioners are one of the most critical factors in health care disparities (Betancourt et al, 2005; Brandenberger et al, 2019; Brisset et al, 2014; Pottie et al, 2008; Salam et al, 2022) and may have dramatic repercussions for those who need access to public health care delivery, like more coercive measures throughout hospitalization (Miteva et al, 2022) and leading to isolation, misunderstanding, and stigma. Patients facing language barriers are more likely to report conflicts and misunderstandings and are more at risk of medical errors and wrong diagnoses (Crosby, 2013).…”

Section: Language and Access To Mental Health Carementioning

confidence: 99%

Improving feeling of control and trust in interpreter-mediated mental health consultations.

Leanza,

Larchanché,

Rostirolla

et al. 2024

American Journal of Orthopsychiatry

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Impact of language proficiency on mental health service use, treatment and outcomes: "Lost in Translation"

Cited by 10 publications

References 48 publications

Racial and ethnic differences in the use of lumbar imaging, opioid analgesics and spinal surgery for low back pain: A systematic review and meta‐analysis

Racial and ethnic differences in the use of lumbar imaging, opioid analgesics and spinal surgery for low back pain: A systematic review and meta‐analysis

Relationship Between Time of Admission, Help-Seeking Behavior, and Psychiatric Outcomes: “From Dusk Till Dawn”

Improving feeling of control and trust in interpreter-mediated mental health consultations.

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