A PRESCRIPTION FOR CHANGE REPORT ON EU HEALTHCARE PROVISION FOR DEAF SIGN LANGUAGE USERS. Anna-Lena Nilsson Stockholm University Graham H. Turner Heriot Watt University Haaris Sheikh Trinity College Dublin Robyn Dean Heriot Watt University © Interesource Group (Ireland) Limited. 2013 Contents Contents............................................................................................................................2 Part 1 – Background & Context......................................................................................4 Introduction ....................................................................................................................4 Background .....................................................................................................................4 Exploring the Context .......................................................................................................5 Rationale behind MEDISIGNS ....................................................................................5 The Triadic Relationship ............................................................................................6 Interpreter Provision...................................................................................................6 Delivering a European CPD program...........................................................................7 Part 2 – Framing sign language interpreting ............................................................8 References to Part Two................................................................................................9 Part 3 – Country Snapshots.......................................................................................... 10 The current situation in the partner countries................................................ 10 Organisation of provision of services and accessibility of services............... 12 Cyprus............................................................................................................................. 12 Ireland............................................................................................................................ 12 Poland............................................................................................................................. 13 United Kingdom .......................................................................................................... 13 Sweden ........................................................................................................................... 14 Training; for healthcare staff, interpreters, and deaf sign language users . 15 Cyprus............................................................................................................................. 15 Training of interpreters for medical interpreting....................................................15 Training for deaf signed language users ......................................................................16 Ireland............................................................................................................................ 16 Training of interpreters for medical interpreting....................................................16 Training for healthcare staff..............................................................................................16 Training for deaf sign language users ...........................................................................17 Poland............................................................................................................................. 17 Training of interpreters for medical interpreting....................................................17 Training for healthcare staff..............................................................................................17 Training for deaf sign language users ...........................................................................17 United Kingdom .......................................................................................................... 17 Training of interpreters for medical interpreting....................................................17 Training for healthcare staff..............................................................................................18 Training for deaf sign language users ...........................................................................18 Sweden ........................................................................................................................... 19 Training of interpreters for medical interpreting....................................................19 Training for healthcare staff..............................................................................................19 Training for deaf sign language users ...........................................................................20 Quality in medical interpreting, good practice & Codes of Conduct .............. 20 Ireland............................................................................................................................ 20 Quality issues ...........................................................................................................................20 2 Codes of Conduct.................................................................................................................... 21 Poland .............................................................................................................................21 Quality issues........................................................................................................................... 21 Codes of Conduct.................................................................................................................... 21 United Kingdom...........................................................................................................21 Quality issues........................................................................................................................... 21 Codes of Conduct.................................................................................................................... 23 Sweden............................................................................................................................26 Quality issues........................................................................................................................... 26 Codes of Conduct.................................................................................................................... 26 Participants’ views, including professionals’ attitudes ......................................28 Ireland ............................................................................................................................28 Poland .............................................................................................................................28 United Kingdom...........................................................................................................28 Sweden............................................................................................................................29 After-care and healthcare outcomes.........................................................................29 Ireland ............................................................................................................................29 Poland .............................................................................................................................30 United Kingdom...........................................................................................................30 Sweden............................................................................................................................31 Tools to support communication in medical encounters ..................................32 Cyprus .............................................................................................................................32 Ireland ............................................................................................................................32 Poland .............................................................................................................................32 United Kingdom...........................................................................................................33 Sweden............................................................................................................................33 References to Part Three ..............................................................................................34 Part 4 – International comparisons...........................................................................36 Quality assurance of healthcare interpreters: international training and standards............................................................................................................................36 Healthcare interpreting research and effective practice...................................39 Deaf access to healthcare in the USA.........................................................................40 References to Part Four.................................................................................................42 Part 5 – Further reading................................................................................................46 3 PART 1 – BACKGROUND & CONTEXT Introduction