Orange County NC Website
PUBLIC HEALTH TASK FORCE 2004: PRELIMINARY RECOMMENDATIONS <br />PUBLIC HEALTH IMPROVEMENT PLAN <br />TITLE VI COMPLIANCE - LANGUAGE SERVICES <br />Need Addressed /Rationale <br />On August 11, 2000, the President signed Executive Order 13166, "Improving Access to Services for <br />Persons with Limited English Proficiency." The Executive Order requires Federal agencies to examine <br />the services they provide, identify any need for services to those with Limited English Proficiency <br />(LEP), and develop and implement a system to provide those services so LEP Persons can have <br />meaningful access to them. , The Executive Order also requires that the Federal agencies work to ensure <br />that recipients of Federal financial assistance provide meaningful access to their LEP applicants and <br />beneficiaries. Title VI and its implementing regulations provide that no person shall be subjected to <br />discrimination on the basis of race, color or national origin under any program or activity that receives <br />Federal financial assistance. The courts have held that Title VI prohibits recipients of Federal financial <br />assistance from denying LEP persons access to programs, on the basis of their national origin. <br />North Carolina has a diverse population consisting of 21.4% African Americans, 1.4% Asian 1.2% <br />American Indians and 4.7% Hispanic /Latinos. According to 2000 U.S. Census figures, <br />the Latino <br />population in North Carolina is estimated to be 387,963 residents. North Carolina's Latino population <br />grew by 394% between 1990 and 2000, the largest increase of any state in the country. The demand for <br />providers in the health and human service fields who are culturally and linguistically qualified has <br />increased accordingly. The growing numbers of Latino residents in North Carolina has presented new <br />challenges to the State's health and human service providers. They have overwhelmingly reported that <br />language is the most significant barrier to providing adequate care for Latino clients. In a December <br />2003 assessment of local health departments and community based organizations, the need for cultural <br />diversity training and interpreters were identified as resources needed to support their efforts to provide <br />effective services to clients. <br />Infrastructure /Capacity Improvement <br />Since 1998, the Office of Minority Health and Health Disparities in the NC Department of Health and <br />Human Services has collaborated with NC Area Health Education Centers Program, the University of <br />North Carolina at Chapel Hill School of Public Health, and the AHEC Office at Duke University <br />implement the Spanish Language and Cultural Training Initiative (SLCTI). The initiative's ultimate <br />goal is to increase the availability of culturally based and linguistically appropriate programs and <br />services for North Carolina's increasingly diverse population. Training and resources have been <br />offered across the state of North Carolina to front -line health practitioners and interpreters. The CTI <br />will help local health departments and human service agencies reduce the potential for liability and <br />assure compliance to Title VI. <br />Budget <br />Interpreter Ttaining ' <br />• Spanish Language Training for Health Professionals <br />• Cultural Competency Training <br />Spanish Language and Cultural Training Website <br />• Mental Health and Substance Abuse Training <br />• : Staffing and Logistical Fees <br />45 <br />$-,273,551::*. <br />:. <br />.$ <br />.29", 000 <br />$ <br />181,298. <br />$ <br />2000 <br />$ <br />18,000 <br />$ <br />372,000 <br />45 <br />