Date

5-2026

Document Type

Capstone Project (Open Access)

Degree Name

Bachelor of Science (B.S.)

Department

Health, Human Services and Public Policy

Abstract

Language barriers in behavioral health settings can limit caregiver understanding, reduce engagement, and contribute to disparities in access to care for Spanish-speaking families. This capstone project was conducted at Ohana Center for Child and Adolescent Behavioral Health, specifically within its intake and evaluation processes, serving primarily Spanish-speaking caregivers from diverse and underserved backgrounds. The project aimed to improve language access and communication by identifying gaps and developing practical tools to support both staff and families. Qualitative methods, including observation, staff consultation, and document review, revealed consistent barriers, including inconsistent interpreter use, reliance on technical or formal language, limited strategies to check for understanding, and a lack of standardized Spanish-language materials across programs. In response, two tools were developed: a Spanish Language Access Resource Packet providing clear, plain-language explanations of services and processes, and a Staff Communication Guide outlining best practices for interpreter use, pacing, and culturally responsive communication. Both tools were aligned with plain-language principles and the National Culturally and Linguistically Appropriate Services (CLAS) Standards. The project met its intended outcomes by identifying key communication gaps and developing targeted, implementable resources that directly address these gaps and were designed to improve consistency, clarity, and caregiver understanding during intake processes. Future recommendations include integrating these tools into standard intake procedures, providing staff training on their use, and conducting follow-up evaluations to assess improvements in caregiver understanding, engagement, and overall access to care.

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