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May 15, 2017Article Details
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Main Article Content
Counting the cost of language services in psychiatry
Abstract
Design. A survey was conducted by requesting clinicians to complete a questionnaire each time they required an interpreter.
Setting. seven admission wards at a Western Cape mental hospital and an emergency psychiatric service at a general hospital.
Participants. Twenty-nine clinical staff members.
Main outcome measures. Number of patients requiring an interpreter; who provides interpreting services; interpreter availability; and duration of interview.
Results. One hundred and forty-eight predominantly Xhosa-speaking patients (20 - 30% of admissions) required interpreting. Interpreter services were available immediately in 69% of cases. Nursing staff provide 67% of the interpreter service, while cleaning staff provide 10%. There were 93.5 documented hours of interpreting. One person employed as an interpreter in 2 wards had longer interviews on average than the other staff members. The opportunity cost of using nurses and cleaners as interpreters amounts to A1 504 for the period of the study.
Conclusions. PsychiatricaJly educated staff are clearly preferred as interpreters. A significant proportion of patients are being assessed through the use of family members, cleaners and other inappropriate people. The financial burden to the hospitals of not providing an interpreter service is small, but the impact on working conditions and service to patients is considerable.
