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Journal of the American Psychiatric Nurses Association
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Meeting the "Now" Need: PMH-APRN— Interpreter Teams Provide In-Home Mental Health Intervention for Depressed Latina Mothers With Limited English Proficiency

Linda S. Beeber

School of Nursing, University of North Carolina at Chapel Hill, CB 7460, Chapel Hill, NC 27599-7460, beeber{at}email.unc.edu

Virginia S. Lewis

Virginia S. Lewis, BA, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Carolyn Cooper

Lauren Maxwell

School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Margarete Sandelowski

Margarete Sandelowski, PhD, RN, FAAN, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Latina mothers of infants and toddlers are at high risk for developing serious depressive symptoms if they are newly immigrated and have limited English proficiency (LEP). Depressive symptoms compromise these mothers and result in severe consequences for their U.S.-born children. A randomized clinical trial of a short-term, in-home psychotherapy intervention for symptomatic mothers in an area of the United States where bilingual mental health providers were scarce used teams of English-speaking advanced practice psychiatric mental health nurses and bilingual community interpreters who were trained in a conduit, consecutive model of interpretation. The article describes the development of a theoretically congruent interpreter model, the training program that supported it, the challenges that surfaced and lessons learned during successful implementation in the field. Future refinements in progress and uses of the model are discussed.

Key Words: LEP Latina mothers • infants/toddlers • depression • mental health intervention • language interpreting • psychotherapy

Journal of the American Psychiatric Nurses Association, Vol. 15, No. 4, 249-259 (2009)
DOI: 10.1177/1078390309344742


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