Video remote interpreting (VRI) is a videotelecommunication service that uses devices such as web cameras or videophones to provide sign language or spoken language interpreting services. This is done through a remote or offsite interpreter, in order to communicate with persons with whom there is a communication barrier. It is similar to a slightly different technology called video relay service, where the parties are each located in different places. VRI is a type of telecommunications relay service (TRS) that is not regulated by the FCC. [1]
In a typical VRI situation, the two parties are located together at one location with a videophone or web camera, and a television or computer screen. The interpreter works from another location—either an office, home-based studio or call center—also using a videophone or web camera and television or computer screen. [2] The equipment must provide video and audio connectivity, or a separate telephone line can be used for audio. The video interpreter facilitates communication between the participants who are located together at the other site. In the case of signed language interpretation (such as American Sign Language), the interpreter hears the voices of the hearing people through the microphone or telephone, and renders the message into sign language, via a video camera, which the deaf person views on his or her video display. In turn, when the deaf participants sign to the camera, interpreters view it from their screen, and speaks the aural interpretation into a microphone or telephone for the hearing people.
VRI is distinct from Video Relay Service (VRS). Typically VRI is a contracted service used by organizations to help them communicate with Limited English Proficient or deaf and hard of hearing customers. VRS is principally a service provided to the deaf community, whereby a deaf person can contact the service, and use the interpreter to contact a third-party organization. In the past, the term 'video relay service' had been used interchangeably with 'video relay interpreting', but currently the terms refer to two separate and distinct services. However, a 'video interpreter' (V.I.) may refer to the practitioner working in either setting.
VRS in the United States receives funding from telecommunications relay service taxes. According to U.S. Federal Communications Commission (FCC) regulations, deaf and hearing people in the same room are not permitted to use VRS to communicate, because the service is designated only for telephone calls. [3] In the United States, the FCC requires that if a VRS interpreter determines callers are in the same location, they must advise both parties that the interpreter must terminate the call. VRI however, can either be provided for persons in the same location, or different locations, as long as the parties can see or hear the interpreter respectively, and vice versa.
In 2010, Chicago's Mercy Hospital and Medical Center carried out an investigation into new ways that the hospital could effectively meet the needs of its deaf and hard of hearing patients, with the ultimate goal to improve patient care and satisfaction, increase hospital efficiency and provide better value for money for all. Their conclusion focused on implementing an on-demand VRI service whereby hospital staff were able to access qualified, experienced Registry of Interpreters for the Deaf (RID) / National Association of the Deaf (NAD) certified American Sign Language interpreters via the Internet with delays as short as minutes. Dedicated laptop computers were made available for use by clinicians and, to this day, the service is utilized across the hospital's departments. Notably the hospital has measured tangible results in increased patient flow and overall satisfaction.
In June 2011, the Windsor, Ontario, Canada, Police Service piloted a VRI service aimed at improving communication with the deaf, hard of hearing and people with other language barriers. The 30-day trial was deployed in the Emergency 911 Center, and proved so successful that they went on to incorporate the program into their Windsor Police Service Human Rights Project as a way of expanding services to people who are deaf or are Limited English Proficient. [4] The cost to Windsor Police Services at that time was $50 per month and $3.25 per minute of use. [5] [6]
As VRI seeks to provide a communication accommodation, its use is widely regulated under civil rights law including disability rights law.
In the United States, there are relevant federal laws and litigation focused on the use of VRI.
"However, the plaintiffs presented substantial evidence that during their visits between 2009 and 2014], the VRI machines routinely failed to facilitate effective communication. Sometimes the VRI picture would be choppy, unclear, or would cut out, and sometimes the VRI machine failed to operate at all. In Silva (the court’s earlier 2017 decision), we described how the malfunctioning of the VRI machines “could generate a reasonable inference of an impaired informational exchange” that was likely to occur each time Plaintiffs visited Baptist’s hospitals. Given that Plaintiffs “routinely” experienced these VRI malfunctions at Baptist’s hospitals over a period of several years, a jury could reasonably infer that hospital staff knew that the continued reliance on VRI as an interpretive aid, without correcting its deficiencies, was “substantially likely” to result in the impaired informational exchange experienced by Plaintiffs (Jebian, intending to decline the use of VRI at Baptist’s hospitals, “acted reasonably in anticipating that the VRI would not facilitate effective communication”). A jury could thus conclude that Plaintiffs experienced instances of ineffective communication as a result of a “deliberate choice” by Baptist officials, rather than mere negligence.”
"VRI shall not be used when it is not likely to ensure effective communication, for example, due to: (1) a Patient’s limited ability to move his or head, hands, or arms; vision or cognitive issues; significant pain; or because the Patient cannot be properly positioned to see the screen: (2) space limitations in the room: (3) communications with the Patient or Companion and Medical Personnel reflect that the complexity of the medical issue requires an on-site interpreter; or (4) any other time when there are indicators that VRI will likely nor or is not providing effective communication with a Patient or Companion, VRI shall not be used as a substitute for an on-site Qualified Interpreter. If VRI is initiated but does not provide effective communication, an on-site Qualified Interpreter shall be provided in accordance with the timetable set forth in Paragraph 25." [8]
There is considerable discussion on the appropriateness of when to use VRI. One popular application is in the hospital emergency room. In this setting, it is essential that patients and caregivers communicate readily with medical personnel, but it may take time for a face-to-face interpreter to arrive onsite. Hospitals with VRI capability can connect with a remote interpreter quickly and conduct triage and intake surveys with the patient or caregiver without significant delay. Also, employees who work in office settings are increasingly converting to VRI services to accommodate brief interactions or regular meetings which would be difficult to schedule with an onsite interpreter. Schools and businesses located in areas not adequately served by existing community interpreters can also benefit from increased access to professional interpreters and save the expense of vendor travel reimbursements.
Using VRI for medical, legal and mental health settings is seen as controversial by people in deaf communities because it does not provide adequate communication access —particularly in medical settings. In a nationwide survey of deaf people who use American Sign Language, researchers found that only 41% of people who used VRI were satisfied with communicating through the VRI. [9] This finding has been supported by other research indicating that medical providers ignore deaf patients' requests for in-person interpreters, forcing patients to use VRI. [10] There are also significant issues with the technical capabilities of VRI, with patients reporting medical staff being unaware on how to operate VRI machinery, leading to it being unsuccessful. [10]
Communication access realtime translation (CART), also called open captioning or realtime stenography or simply realtime captioning, is the general name of the system that stenographers and others use to convert speech to text. A trained operator writes the exact words spoken using a special phonetic keyboard, or stenography methods, relaying a reliable and accurate translation that is broadcast to the recipient on a screen, laptop, or other device. CART professionals have qualifications for added expertise (speed and accuracy) as compared to court reporters and other stenographers.
A telecommunications relay service, also known as TRS, relay service, or IP-relay, or Web-based relay service, is an operator service that allows people who are deaf, hard of hearing, deafblind, or have a speech disorder to place calls to standard telephone users via a keyboard or assistive device. Originally, relay services were designed to be connected through a TDD, teletypewriter (TTY) or other assistive telephone device. Services gradually have expanded to include almost any real-time text capable technology such as a personal computer, laptop, mobile phone, PDA, and many other devices. The first TTY was invented by deaf scientist Robert Weitbrecht in 1964. The first relay service was established in 1974 by Converse Communications of Connecticut.
Interpreting is a translational activity in which one produces a first and final target-language output on the basis of a one-time exposure to an expression in a source language.
Jeff McWhinney was born in 1960 in Belfast, Northern Ireland. He is a leader in the UK deaf community.
Post-lingual deafness is a deafness which develops after the acquisition of speech and language, usually after the age of six.
Videotelephony is the two-way or multipoint reception and transmission of audio and video signals by people in different locations for real-time communication. A videophone is a telephone with a video camera and video display, capable of simultaneous video and audio communication. Videoconferencing implies the use of this technology for a group or organizational meeting rather than for individuals, in a videoconference. Telepresence may refer either to a high-quality videotelephony system or to meetup technology, which can go beyond video into robotics. Videoconferencing has also been called visual collaboration and is a type of groupware.
A video relay service (VRS), also sometimes known as a video interpreting service (VIS), is a video telecommunication service that allows deaf, hard-of-hearing, and speech-impaired (D-HOH-SI) individuals to communicate over video telephones and similar technologies with hearing people in real-time, via a sign language interpreter.
Communication Service for the Deaf (CSD) is a global social impact organization founded in 1975 by Benjamin Soukup. CSD provides technologies, resources, and services that benefit the deaf and hard-of-hearing community.
Telephone interpreting connects human interpreters via telephone to individuals who wish to speak to each other but do not share a common language. The telephone interpreter converts the spoken language from one language to another, enabling listeners and speakers to understand each other. Interpretation over the telephone most often takes place in consecutive mode, which means that the interpreter waits until the speaker finishes an utterance before rendering the interpretation into the other language. As the use of the telephonic modality is increasing it is allowing users to access an interpreter immediately, regardless of time and location.
Dr "Ed" Bosson is best known for his invention of the Video Relay Service which has provided the ability to connect between hearing and deaf communities through the means of video and sign language interpreters. Bosson then went on a long career as an administrator for the Texas Public Utilities Commission (PUC).
An organic minute is defined as the natural state of which telecommunications relay calls are processed between caller and called parties through Communications Assistant that are in conversation mode; that is, no incentives to encourage unnecessary relay minutes.
Canadian Hearing Services was founded in 1940 to provide services for deaf and hard of hearing people in Ontario. Services include instruction in American and Quebec sign languages, interpreter services, deafblind intervenors, audiology and speech–language pathology. The CHS advocates for the hearing impaired in Canada through the support of 9-1-1 texting, visual fire alarms, and access to the justice system. The CHS handles emergency situations in hospitals, emergency rooms, after-hours clinics, shelters, and police services.
Assistive Technology for the Deaf and Hard of Hearing is special technology built to assist those who are deaf or suffer from hearing loss. Examples of such technology include hearing aids, video relay services, tactile devices, alerting devices and technology for supporting communication.
HASA is a social benefit 501(c)(3) organization located in Baltimore, Maryland, that specializes in facilitating communication. Established in 1926, the organization provides special education services through Gateway School, audiology and speech-language services through its Clinical Services Department, and interpreting services for the deaf through its CIRS Interpreting Department.
ASL interpreting is the translation between American Sign Language (ASL) and another language, typically English, to allow communication between deaf and hearing people. ASL interpretation is done by qualified ASL interpreters and is common in medical, legal, educational, mental health, and vocational environments. Interpretation may be consecutive or simultaneous, and pairs or teams of interpreters may engage in different interpreting styles. ASL interpretation has been regulated by the Registry of Interpreters for the Deaf since 1964. Many American universities offer undergraduate programs in ASL interpretation, and some graduate programs exist for the subject.
Deaf mental health care is the providing of counseling, therapy, and other psychiatric services to people who are deaf and hard of hearing in ways that are culturally aware and linguistically accessible. It term also covers research, training, and services in ways that improve mental health for deaf people. These services consider those with a variety of hearing levels and experiences with deafness focusing on their psychological well-being. The National Association of the Deaf has identified that specialized services and knowledge of the Deaf increases successful mental health services to this population. States such as North Carolina, South Carolina, and Alabama have specialized Deaf mental health services. The Alabama Department of Mental Health has established an office of Deaf services to serve the more than 39,000 deaf and hard of hearing person who will require mental health services.
Treatment depends on the specific cause if known as well as the extent, type, and configuration of the hearing loss. Most hearing loss results from age and noise, is progressive, and irreversible. There are currently no approved or recommended treatments to restore hearing; it is commonly managed through using hearing aids. A few specific types of hearing loss are amenable to surgical treatment. In other cases, treatment involves addressing underlying pathologies, but any hearing loss incurred may be permanent.
People with extreme hearing loss may communicate through sign languages. Sign languages convey meaning through manual communication and body language instead of acoustically conveyed sound patterns. This involves the simultaneous combination of hand shapes, orientation and movement of the hands, arms or body, and facial expressions to express a speaker's thoughts. "Sign languages are based on the idea that vision is the most useful tool a deaf person has to communicate and receive information".
Though official statistics are not available, the Danish Deaf Association estimates that there are currently about 5,000 deaf users of Danish Sign Language, which is equivalent to nearly 0.1% of the country's population. As many as 20,000 people are thought to use the language daily in their professional or personal life.
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