ERIC Number: EJ1183047
Record Type: Journal
Publication Date: 2018-Jun
Pages: 25
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0167-8507
EISSN: N/A
Shifting Multilingual Strategies in a Flemish Public Healthcare Service
De Wilde, July; Van Hoof, Sarah; Decock, Sofie; Rillof, Pascal; Van Praet, Ellen
Multilingua: Journal of Cross-Cultural and Interlanguage Communication, v37 n4 p377-401 Jun 2018
This paper addresses the challenges service providers are facing amidst growing ethnolinguistic diversity in a neoliberal climate. We focus on the public service provider Kind & Gezin (K&G), the agency that monitors the wellbeing of young children on behalf of the Flemish authorities in Belgium. We demonstrate that the organisation has taken various multilingual measures that go against the government's preference for monolingual service provision. This is particularly the case for 'bottom-up' bilingual practices, where bilingual family support workers and medical staff developed bilingual routines in service provision, much in line with the 'client-centered communication' which K&G professes. Whereas these practices were initially endorsed by K&G's management, a further diversification of K&G's clientele, along with budgetary restrictions, prompted management to restrict these practices and explore alternative ways of providing multilingual services that do not require the recruitment of extra staff. Drawing on ethnographic data we explore the rationale underlying the organisation's decision to restrict its multilingual policy and the way this decision is influenced by neoliberal principles which foreground effectiveness, efficiency, flexibility and entrepreneurialism. We conclude that the policy shift leads to ideological reconceptualisations of 'language' and 'language difference' that sit uncomfortably with the reality of language-discordant service encounters, as well as to redefinitions of the professional identity of bilingual family support workers.
Descriptors: Multilingualism, Health Services, Ethnography, Neoliberalism, Well Being, Child Welfare, Public Agencies, Bilingualism, Physician Patient Relationship, Health Personnel, Public Policy, Family Programs, Budgets, Decision Making, Entrepreneurship, Professional Identity, Foreign Countries, Child Health, Infants, Toddlers, Immigrants, Intercultural Communication, Personnel Selection
De Gruyter Mouton. Available from: Walter de Gruyter, Inc. 121 High Street, Third Floor, Boston, MA 02110. Tel: 857-284-7073; Fax: 857-284-7358; e-mail: service@degruyter.com; Web site: http://www.degruyter.com
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Belgium
Grant or Contract Numbers: N/A