Bilingual professionals in community mental health services.
OBJECTIVE
This paper presents results from research that explored the roles of bilingual professionals in community mental health services in the Sydney metropolitan area of New South Wales. There were two main objectives to the research: (i) to identify and describe the roles of bilingual professionals that are important in improving the quality of community mental health services for clients from non-English-speaking backgrounds (NESB); and (ii) to identify and describe the factors that facilitate and inhibit the conduct of these roles.


METHODS
Data collection involved indepth interviews with bilingual professionals and team leaders in community mental health services and various other community health services; and various staff responsible for policy and service development with regard to cultural diversity.


RESULTS
Bilingual mental health workers were found to have at least four critical roles. These were (i) direct clinical service provision to NESB clients; (ii) mental health promotion and community development; (iii) cultural consultancy; and (iv) service development. Respondents reported that the latter three roles were seriously underdeveloped compared to the clinical service provision role.


CONCLUSIONS
It is critical that service managers implement strategies to make better use of the linguistic and cultural skills of bilingual professionals. In addition to their role in clinical service provision ways must be found to facilitate the community-focused, cultural consultancy and service development roles of bilingual professionals employed in mental health services.
Mitchell
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Transcultural Mental Health Centre, Cumberland Hospital, Parramatta, New South Wales, Australia. tmhc@magna.com.au
Malak
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Small
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D019090:Case Management; D003156:Community Mental Health Services; D003258:Consumer Behavior; D003376:Counseling; D018864:Cultural Diversity; D005006:Ethnicity / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D019303:Multilingualism; D009517:New South Wales; D010348:Patient Care Team; D011369:Professional-Patient Relations; D016896:Treatment Outcome