The Governor

1
The Governors Summit onSpecial
Populations Language CultureLyn S. Hainge,
Executive Director, Northern Virginia
AHECNovember 29, 2004 Lyn HaingeExecutive
Director
2
Northern Virginia AHEC

• Area Health Education Center
• Opened in 1996 One of 8 in Virginia
• Mission Increase access to primary care by
  expanding and empowering the primary healthcare
  workforce
• Recruitment, Rotations, Retention, Health
  Promotion

3
Northern Virginia AHEC

• Offers full spectrum of Language Access
  Services
• Interpreter Services
• Interpreter Testing Training
• Cultural Competence Education
• Translations
• Consultation

4
Virginia is Changing
5
Percent of Foreign-Born Population in Virginia
Localities 2000 Census
Loudoun
Foreign
-
Born as a Percent of
Foreign
-
Born as a Percent of
Winchester
Manassas
Manassas
the Total Population
the Total Population
Manassas Park
Manassas Park
Fairfax
Fairfax
Over 10 percent
Over 10 percent
Fairfax County
Fairfax County
Arlington
Arlington
5 to 10 percent
5 to 10 percent
Alexandria
Alexandria
Harrisonburg
1 to 4.99 percent
1 to 4.99 percent
Prince William
Prince William
Charlottesville
Less than 1 percent
Less than 1 percent
Henrico
Henrico
Williamsburg
Williamsburg
Albemarle
Montgomery
York
Virginia
Virginia
Norfolk
Norfolk
Galax
Galax
Chesterfield
Chesterfield
Beach
Beach
6
The Foreign-Born Emigrated from
41.3
7.5
7.5
33.3
33.3
15.2
15.2
Latin America
Latin America
Europe
Europe
Asia
Africa
Africa
189,809
189,809
86,615
86,615
235,374
42,509
42,509
United
Ethiopia
1.4
Korea
6.5
El Salvador
9.6
Kingdom
3.5
Ghana
1.0
Philippines
6.4
Mexico
5.7
Germany
3.4
Other
5.1
India
5.4
Bolivia
2.7
Other
8.3
Africa
7.5
Vietnam
5.4
Peru
2.4
Europe
15.2
China
4.1
Guatemala
2.1
Pakistan
2.4
Other
10.8
Other 11.1
Latin
Asia
America
33.3
41.3
7
English Proficiency of Virginia Residents Based
on 2000 Census
Of 6.6 Million Virginia Residents
Ages Five and Older
Speak Only
Speak a
English
Language
Speak
Other Than
English
41
English
Less Than
89
Very Well
11
21
Live in a
Linguistically
Isolated
Household
8
Impact on Healthcare

• Quality of Care
• Patient Compliance
• Workforce
• Recruitment Retention
• w/ patients w/ other staff
• Risk Management
• Regulatory
• Cost

9
Defining Health

The absence of physical disorders

• A state of complete physical, mental and social
  well-being not just the absence of disease or
  infirmity (WHO)

10
Relationship to Healthy Lifestyles (1)

• What do nutrition fitness have to do with
  health/mental health?
• What do you do when youre stressed?
• Comfort foods fishing movies
• In what way are they part of daily life?
• Military might childbearing
• Urban cf. rural (office cf. farm)
• Family traditions values
• Refugee

11
Relationship to Healthy Lifestyles (2)

• Integration with spiritual concepts
• Mind-body connection
• Self-actualization/spiritual well being
• Influence of the spiritual world
• Concept of preventive medicine

12
Maintaining Well-Being

• The absence of physical disorders cf.
  complete physical, mental and social well-being
• Medications
• Exercise
• Diet
• Physiological effects (diabetes cholesterol)
• Food pyramid
• Regulate bodily hot/cold balance
• Meditation
• Prayer
• Ceremonies for ancestors
• Offerings to spirits
• Wearing amulets or talismans

13
Lifestyle Decisions Reflect

• Belief systems
• Experience
• Family/community values
• Can your message be understood within your
  clients context ????

14
Thank you !
15
Resources

• World Food Habits Bibliography
• www.foodhabits.info
• EthnicGrocer.com
• http//www.sunyit.edu/library/html/culturedmed/bib
  /food/

16
Resources

• Northern Virginia AHEC
• Interpreter training service consultation
• 703-549-7060 lhainge_at_nvahec.org
• Resources for Cross-Cultural Health Care
• diversityRx.org
• National Council on Interpreting in Health Care
• www.ncihc.org
• Models for the Provision of Health Care
  Interpreter Training

17
Resources

• Title VI Guidance
• HHS/Office for Civil Rights
• www.hhs.gov/ocr
• Culturally and Linguistically Appropriate
  Services (CLAS) Standards
• www.omhrc.gov/CLAS
• Department of Justice
• Commonly Asked QA Regarding Executive Order
  13166
• www.usdoj.gov/crt/cor/Pubs/lepqapr.htm

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Resources

• National Health Law Program
• www.healthlaw.org
• Ensuring Linguistic Access in Health Care
  Settings
• Providing Language Interpretation Services in
  Health Care
• The Access Project
• www.accessproject.org
• What a Difference an Interpreter Can Make

19
Contact Information

• Lyn S. Hainge
• Executive Director
• Northern Virginia AHEC
• 3131-A Mount Vernon Ave.
• Alexandria, VA 22305
• [phone]
• lhainge_at_nvahec.org
• www.nvahec.org