The New Norm: Culturally Responsive and Linguistically Concordant Patient-Centered Care

UC Center Sacramento Speaker Series Presents

Xavier Cagigas Director Cultural Neuropsychology Initiative University of California, Los Angeles

The bilingual Latino population is now officially the majority in California, and there is also an equal number of people who speak English and Spanish in the State. Although the first-response solution of most healthcare systems has historically been deployment of a one-size-fits all interpreter mediated model with the goal of providing more accessible and equitable healthcare for many limited English proficiency (LEP) patients secondary to a reported shortage of bilingual professionals, this has quickly become harder to justify given the shear number of Latino patients. Nevertheless, a growing literature has consistently demonstrated that greater language concordance between doctors and patients improves overall health outcomes, decreases financial costs and medical errors, and increases efficiency and patient satisfaction. Through the use of real-life patient stories, this talk relates how the UCLA Cultural Neuropsychology Initiative (CNI) actually implemented change by leveraging the services of a single bilingual neuropsychologist to provide neurocognitive assessment of LEP Latino patients within the UCLA Health System, and simultaneously created the first programmatic bilingual clinical training program in the nation for neuropsychology graduate students, interns, and postdocs.

Xavier E. Cagigas, PhD, is a clinical and research psychologist with specialized training in neuropsychology, and as a bilingual and bicultural clinician, has been providing clinical services to the Latina/o community for several years. He has also launched a program of scholarly research focused on examining the interface of cultural practices, bilingualism, and neurocognition. Dr. Cagigas was born and raised in “ambos Nogales,” a small border town straddling Arizona and Sonora, Mexico. He completed his undergraduate degree at Georgetown University in Washington, D.C., and then went on to complete his doctorate degree at the nationally acclaimed UCSD/SDSU Joint Doctoral Program in Clinical Psychology where he also completed further specialized coursework in cultural cognition within the UCSD Department of Cognitive Science.