The Foundation or "Core" (Client/Patient, Family, and Care Partners)
The client/patient, their family, and their care partners serve as the
bedrock—the foundation—of the Cultural IQ Team. The role of each
professional listed below returns to one core element: serving and
supporting the recipients of the services. They are the foundation on
which high-quality care is built.
- Role:
- Collaborates with clinicians to establish goals and priorities that are in the best interests of the client/patient.
- Collaboration Benefits:
- Allows for creation of patient-centered treatment plan.
- Optimizes conditions for generalization and home support.
Clinician (Audiologists, Speech-Language Pathologists)
- Roles:
- Conducts assessments.
- Creates an environment that supports successful collaboration.
- Diagnoses.
- Plans sessions.
- Selects culturally relevant materials.
- Provides accommodations.
- Administers services.
- Collaboration Benefits:
- Assesses, treats, and/or manages a client/patient’s speech, language, and hearing by using languages that the client/patient uses.
- Supports communication access for individuals with communication disorders.
- Provides tips that enable service providers to improve care and outcomes.
Interpreter
- Role:
- Conveys spoken or signed communications from one language to another.
- May also serve in the role of a cultural broker or a linguistic broker (see descriptions below).
- Collaboration Benefits:
- Provides both meaning and context to the client/patient and to the clinician using two-way communication.
Translator
- Role:
- Changes written text from one language to another.
- May also serve in the role of a cultural broker or a linguistic broker (see descriptions below).
- Collaboration Benefits:
- Ensures that client/patient and families/care providers receive forms and educational materials in their preferred language.
Transliterator
- Role:
- Facilitate communication for individuals from one modality to another—within the same language.
- May also serve in the role of a cultural broker or a linguistic broker (see descriptions below).
- Collaboration Benefits:
- Helps fellow team members communicate with individuals who are d/Deaf or hard of hearing (D/HOH) who use oral, cued, or manual communication systems rather than a formal sign language.
Cultural Broker
- Role:
- Offers deep knowledge about the client/patient's culture and/or speech-language community.
- Collaboration Benefits:
- Passes cultural and community-related information between the client/patient and the clinician in order to optimize services.
- Offers grammaticality judgments as well as information on (a) language socialization patterns and (b) other areas of language and communication style, including semantics and pragmatics.
Linguistic Broker
- Role:
- Offers specific knowledge about the client/patient's speech community or communication environment.
- Collaboration Benefits:
- Provides valuable information about language and sociolinguistic norms in the client/patient's speech community and communication environment.
- Offers grammaticality judgments as well as information on (a) language socialization patterns and (b) other areas of language and communication style, including semantics and pragmatics.
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Please note that funding for interpreters, transliterators, or translators may come from a variety of sources. Facilities are responsible for ensuring linguistic access to services. Generally, to ensure equitable access to care, facilities to not expect clients/patients to pay out of pocket for these services.
*NOTE: Legal and ethical standards (American Speech-Language-Hearing Association [ASHA], 2017; Civil Rights Act of 1964, as amended; Executive Order No. 13,166 [2000]; Individuals with Disabilities Education Act of 2004, as amended) require that services to individuals who use a language other than spoken English must be delivered in the language most appropriate to that student, client, patient, or family.
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