Department of Pediatric Primary Care, Division of Behavioral Health, Nemours Children's Hospital, Wilmington, DE; and.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia (CHOP), Philadelphia, PA.
J Dev Behav Pediatr. 2024;45(3):e195-e202. doi: 10.1097/DBP.0000000000001264.
Monolingual Spanish speakers-many of whom identify as Hispanic/Latine-often experience barriers to accessing psychology services, including language access. Integrated primary care (IPC) clinics, where individuals receive psychological services within primary care, aim to improve service accessibility. However, minoritized populations are less likely to engage with these services than non-Hispanic/Latine White individuals. Few studies examine psychology treatment engagement within pediatric integrated clinics for Spanish-speaking families. This study investigated differences in psychology treatment engagement for Spanish-speaking families and the role of patient-provider language concordance within pediatric IPC.
A retrospective chart review examined data from a multiethnic sample of 887 patients (M age = 8.97 yrs, 55.69% male, 64.83% Hispanic/Latine, 6.99% non-Hispanic/Latine White, 41.71% Spanish-preferring) from an urban pediatric IPC clinic serving a high proportion of Hispanic/Latine, Spanish-speaking families. We examined the association between language preference and patient-provider language concordance on service engagement using hierarchical linear regression.
Spanish-preferring families were more likely than English-preferring families to engage in psychology services. Working with a Spanish-speaking provider during an initial psychology visit was unrelated to psychology treatment engagement for Spanish-preferring families.
Higher engagement for Spanish-preferring families seems to reflect the clinic's reputation as a center for linguistically accessible services. While linguistic accessibility remains important, our study did not detect an effect of language concordance during the initial psychology visit and subsequent treatment engagement. The findings highlight the importance of providing culturally responsive and linguistically accessible mental health services for Spanish-speaking families.
许多以西班牙语为母语的西班牙裔/拉丁裔人士在获得心理学服务方面存在障碍，包括语言障碍。综合初级保健 (IPC) 诊所旨在改善服务的可及性，让人们在初级保健中接受心理服务。然而，少数族裔人群接受这些服务的可能性低于非西班牙裔/拉丁裔白人。很少有研究调查西班牙语家庭的儿科综合诊所中的心理治疗服务参与情况。本研究调查了西班牙语家庭的心理治疗服务参与情况的差异，以及儿科 IPC 中患者-提供者语言一致性的作用。
一项回顾性图表审查研究分析了来自一家城市儿科 IPC 诊所的 887 名患者（M 年龄=8.97 岁，55.69%为男性，64.83%为西班牙裔/拉丁裔，6.99%为非西班牙裔/拉丁裔白人，41.71%为西班牙语偏好）的多民族样本数据。该诊所为西班牙裔、讲西班牙语的家庭提供服务，服务人群中西班牙裔/拉丁裔比例较高。我们使用分层线性回归分析了语言偏好与服务参与度之间的关联。
西班牙语偏好家庭比英语偏好家庭更有可能接受心理服务。在初始心理就诊时与讲西班牙语的医生合作与西班牙语偏好家庭的心理治疗服务参与无关。
西班牙语偏好家庭的较高参与率似乎反映了该诊所作为语言无障碍服务中心的声誉。虽然语言无障碍仍然很重要，但我们的研究并未发现初始心理就诊期间语言一致性对后续治疗参与的影响。这些发现强调了为讲西班牙语的家庭提供文化响应和语言无障碍的心理健康服务的重要性。
