Deaf Connecticuters describe hospital interpreting issues

Alex Abenchuchan, Daily Moth Host: A journalist from the Connecticut Health Investigative Team, a non-profit news outlet focused on health issues in the state, wrote a story about how deaf people in Connecticut hospitals frequently experience issues with sign language interpreters.

The journalist, Jodie Mozdzer Gil, asked “The Daily Moth” to provide an ASL summary of the story. I will provide a summary and add clips of interviews I did with two people. If you want to read the article in English, the link is in the status description. Here’s the recap.

An advocate with the Disability Rights Connecticut (DRCT) told Gil that ADA and accessibility seemed to be very good in the past, but in 2022, it has completely collapsed.

There was a 1998 Department of Justice consent decree (settlement) that required hospitals to provide an interpreter within an hour of notification for at least 80% of requests but the decree has expired. The agreement had the Connecticut Hospital Association contract with interpreters on behalf of all the hospitals. Deaf advocates said without the decree in effect, compliance has lapsed.

Here is a clip from the DRCT advocate, Marissa Rivera.

Marissa Rivera, DRCT Advocate:

From what I understand, Connecticut used to have one of the top ADA settlements with 32 hospitals. But that agreement with the DOJ is no longer in effect, it has expired. Hospitals were supposed to maintain that level of service and bring in an interpreter for any call or emergency. But now that the DOJ settlement has timed out, hospitals have dropped the entire system. You used to be able to contact 211 to bring in an interpreter and other things. But today, each hospital seems to have their own policy in place. It’s not uniform across hospitals. That kind of collaboration isn’t there anymore. So that’s my experience since 2018. I’ve been getting calls from the Deaf community. Sometimes it has to do with the emergency room, sometimes the visits have already been planned in advance, or there are issues with the dentist. There’s still no access at all.

Alex: Here is a clip from the Connecticut Association of the Deaf President Luisa Gasco-Soboleski.

Luisa Gasco-Soboleski, CAD President:

I am not originally from Connecticut. I grew up in Philadelphia, Pennsylvania. I moved here over 40 years ago and I was very impressed with the wonderful interpreting services here and all that. There was a Commission on the Deaf and Hard of Hearing and another organization called the Family Services (FSW), which is now changed to LifeBridge. Things were good. A group of deaf people filed a lawsuit against hospitals in the late 1990s. Then things were better with overnight and weekend interpreting assignments, also with on-call. Things were perfect for a long time. The consent decree, after 10 years, expired. Then (hospitals) would use VRI or some would make their decisions. I’ve noticed things. When I became president — this is my second term — I’ve been getting calls every day. I still get calls every day.

Alex: Gil’s article said in the last three years, the U.S. Attorney’s Office has negotiated four settlements with medical facilities in Connecticut for complaints related to communication with deaf patients.

Gil’s investigation found that there is an ongoing interpreter shortage with a little less than 500 registered interpreters in the state, which makes it hard to consistently secure in-person interpretation.

The article said although video remote interpreting (VRI) services are widely available at Connecticut hospitals, patients have reported mixed experiences with the technology.

Gasco-Soboleski:

VRI is not always wonderful. It freezes frequently. Also, the VRI interpreters aren’t local. They’re from all over so they are unfamiliar with us. Also, the interpreters sometimes don’t fit. We know which interpreters work well with certain people because some are from islands or come here with limited language skills. So it’s inconsistent.

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In Connecticut’s General Assembly, there is a “Work Group Concerning Issues Affecting Deaf, Hard of Hearing and Deafblind Persons.” This workgroup has proposed two bills, one on strengthening interpreting standards and the other on revising the “membership of The Advisory Board for Persons Who Are Deaf, Hard of Hearing or Deafblind and the process for electing chairpersons of said board.” The workgroup is placed under the legislature’s Human Services Committee, which is chaired by Rep. Catherine Abercrombie.

Gasco-Soboleski:

The Deaf community here feels fed up. We feel like we’re back to square one. In 1974 the (commission) was established. Things were good, but now we are going backward. We need better understanding and also we don’t want to sue or fight, we want to work collaboratively to improve things. Also, we need a one-stop center for deaf, hard of hearing, and DeafBlind issues. That is what we are fighting for.

Alex: Gil said a spokesperson for the Connecticut Hospital Association declined to be interviewed or answer specific questions through email but issued a statement saying the hospitals are dedicated to patient care and work with advocates to address concerns.

That’s the recap of this article about hospital interpreting issues in Connecticut.

C-HIT Article: http://c-hit.org/2022/04/14/interpreter-shortage-challenges-appropriate-medical-care-for-deaf-patients/

More info about DRCT: https://www.disrightsct.org/effective-communication-folder