The impact of threshold language assistance programming on the accessibility of mental health services for persons with limited English proficiency in the Medi-Cal setting

Medical Care
Sean R McClellanLonnie Snowden

Abstract

Title VI of the 1964 Civil Rights Act prohibits federal funds recipients from providing care to limited English proficiency (LEP) persons more limited in scope or lower in quality than care provided to others. In 1999, the California Department of Mental Health implemented a "threshold language access policy" to meet its Title VI obligations. Under this policy, Medi-Cal agencies must provide language assistance programming in a non-English language where a county's Medical population contains either 3000 residents or 5% speakers of that language. We examine the impact of threshold language policy-required language assistance programming on LEP persons' access to mental health services by analyzing the county-level penetration rate of services for Russian, Spanish, and Vietnamese speakers across 34 California counties, over 10 years of quarterly data. Exploiting a time series with nonequivalent control group study design, we studied this phenomena using linear regression with random county effects to account for trends over time. Threshold language policy-required assistance programming led to an immediate and significant increase in the penetration rate of mental health services for Russian (8.2, P < 0.01) and Vietnamese (3.3, ...Continue Reading

References

Aug 25, 2001·Journal of General Internal Medicine·E A JacobsR A Thisted
Mar 11, 2005·Health Affairs·Cindy BrachKathy Paez
Mar 15, 2006·The Milbank Quarterly·Elizabeth JacobsSunita Mutha
Jul 4, 2006·The American Journal of Psychiatry·Philip S WangRonald C Kessler
Feb 28, 2007·The American Psychologist·Lonnie R SnowdenRachel Guerrero
Aug 25, 2007·Annual Review of Clinical Psychology·Lonnie R Snowden, Ann-Marie Yamada
Sep 13, 2007·Health Affairs·Kathryn Pitkin DeroseNicole Lurie
Nov 28, 2007·Journal of General Internal Medicine·Tetine SentellLonnie Snowden
Nov 28, 2007·Journal of General Internal Medicine·Jessica Gregg, Somnath Saha
Aug 3, 2010·Psychiatric Services : a Journal of the American Psychiatric Association·Amy M Bauer, Margarita Alegría

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Citations

Dec 4, 2013·International Journal of Mental Health Systems·Sita G PatelLonnie R Snowden
Sep 26, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Sean R McClellanLauren E W Olsho
Jul 30, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Hieronimus Loho, Robert A Rosenheck

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