Abstract：
OBJECTIVE: Monolingual Spanish speakers-many of whom identify as Hispanic/Latine-often experience barriers to accessing psychology services, including language access. Integrated primary care (IPC) clinics, where individuals receive psychological services within primary care, aim to improve service accessibility. However, minoritized populations are less likely to engage with these services than non-Hispanic/Latine White individuals. Few studies examine psychology treatment engagement within pediatric integrated clinics for Spanish-speaking families. This study investigated differences in psychology treatment engagement for Spanish-speaking families and the role of patient-provider language concordance within pediatric IPC.
METHODS: A retrospective chart review examined data from a multiethnic sample of 887 patients (M age = 8.97 yrs, 55.69% male, 64.83% Hispanic/Latine, 6.99% non-Hispanic/Latine White, 41.71% Spanish-preferring) from an urban pediatric IPC clinic serving a high proportion of Hispanic/Latine, Spanish-speaking families. We examined the association between language preference and patient-provider language concordance on service engagement using hierarchical linear regression.
RESULTS: Spanish-preferring families were more likely than English-preferring families to engage in psychology services. Working with a Spanish-speaking provider during an initial psychology visit was unrelated to psychology treatment engagement for Spanish-preferring families.
CONCLUSIONS: Higher engagement for Spanish-preferring families seems to reflect the clinic\'s reputation as a center for linguistically accessible services. While linguistic accessibility remains important, our study did not detect an effect of language concordance during the initial psychology visit and subsequent treatment engagement. The findings highlight the importance of providing culturally responsive and linguistically accessible mental health services for Spanish-speaking families.
METHODS: A retrospective chart review examined data from a multiethnic sample of 887 patients (M age = 8.97 yrs, 55.69% male, 64.83% Hispanic/Latine, 6.99% non-Hispanic/Latine White, 41.71% Spanish-preferring) from an urban pediatric IPC clinic serving a high proportion of Hispanic/Latine, Spanish-speaking families. We examined the association between language preference and patient-provider language concordance on service engagement using hierarchical linear regression.
RESULTS: Spanish-preferring families were more likely than English-preferring families to engage in psychology services. Working with a Spanish-speaking provider during an initial psychology visit was unrelated to psychology treatment engagement for Spanish-preferring families.
CONCLUSIONS: Higher engagement for Spanish-preferring families seems to reflect the clinic\'s reputation as a center for linguistically accessible services. While linguistic accessibility remains important, our study did not detect an effect of language concordance during the initial psychology visit and subsequent treatment engagement. The findings highlight the importance of providing culturally responsive and linguistically accessible mental health services for Spanish-speaking families.
摘要：
目标：讲西班牙语的人——他们中的许多人被认定为西班牙裔/拉丁人——经常在获得心理服务方面遇到障碍，包括语言访问。综合初级保健(IPC)诊所，个人在初级保健中接受心理服务，旨在提高服务的可及性。然而,与非西班牙裔/拉丁裔白人相比，少数族裔的人口不太可能参与这些服务。很少有研究检查西班牙语家庭的儿科综合诊所中的心理治疗参与情况。这项研究调查了讲西班牙语的家庭在接受心理治疗方面的差异，以及儿科IPC中患者提供者语言一致性的作用。
方法：回顾性图表审查了887名患者的多种族样本的数据（年龄=8.97岁，55.69%男性,64.83％西班牙裔/拉丁裔，6.99%非西班牙裔/拉丁裔白人，41.71％的西班牙人喜欢）来自城市儿科IPC诊所，服务于高比例的西班牙裔/拉丁人，说西班牙语的家庭。我们使用分层线性回归检查了语言偏好与患者提供者语言一致性之间的关系。
结果：西班牙人喜欢的家庭比英国人喜欢的家庭更有可能从事心理服务。在最初的心理学访问中，与讲西班牙语的提供者合作与喜欢西班牙语的家庭的心理治疗无关。
结论：对西班牙语家庭的较高参与度似乎反映了该诊所作为语言上可获得的服务中心的声誉。虽然语言的可访问性仍然很重要，我们的研究在最初的心理学访视和随后的治疗参与中均未发现语言一致性的影响.调查结果强调了为讲西班牙语的家庭提供文化上敏感和语言上可获得的心理健康服务的重要性。
方法：回顾性图表审查了887名患者的多种族样本的数据（年龄=8.97岁，55.69%男性,64.83％西班牙裔/拉丁裔，6.99%非西班牙裔/拉丁裔白人，41.71％的西班牙人喜欢）来自城市儿科IPC诊所，服务于高比例的西班牙裔/拉丁人，说西班牙语的家庭。我们使用分层线性回归检查了语言偏好与患者提供者语言一致性之间的关系。
结果：西班牙人喜欢的家庭比英国人喜欢的家庭更有可能从事心理服务。在最初的心理学访问中，与讲西班牙语的提供者合作与喜欢西班牙语的家庭的心理治疗无关。
结论：对西班牙语家庭的较高参与度似乎反映了该诊所作为语言上可获得的服务中心的声誉。虽然语言的可访问性仍然很重要，我们的研究在最初的心理学访视和随后的治疗参与中均未发现语言一致性的影响.调查结果强调了为讲西班牙语的家庭提供文化上敏感和语言上可获得的心理健康服务的重要性。
