Not all individuals who are Deaf or Hard-of-Hearing (HOH) communicate via American Sign Language (ASL). Just like with spoken languages, there are many forms of Sign Language. In fact, there are three major forms of Sign Language currently used in the United States alone, including ASL, Pidgin Signed English (PSE) and Signed Exact English (SEE).

The PSE vocabulary is drawn from ASL but follows the English word order. Words that do not carry information, such as prepositions and word endings are often dropped.

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SEE stems from signs drawn from ASL. The signs are further expanded upon to include words, prefixes, tenses and endings that match the same elements as spoken English.

Individuals who are Deaf or HOH may also utilize home signs, often developed as a means of understanding within the family.

ASL is not a universal language, which is why Certified Deaf Interpreters (CDIs) are essential in bridging communication barriers within the Deaf community.

Defining CDI

A Certified Deaf Interpreter (CDI) is a specialist who provides interpreting, translation, and transliteration services, utilizing American Sign Language and other visual and tactual communication forms used by individuals who are Deaf, HOH, and Deaf-Blind. CDIs are Deaf themselves with a deep-rooted understanding of Deaf culture.

They provide interpreting services to Deaf consumers who may utilize other sign languages apart from ASL or who may have linguistic impairments that prevent them from fully utilizing a traditional ASL interpreter.

Situations that call for a CDI include emotional situations, cases of mental health, sexual abuse, and trauma, situations with ASL learners, children with developing language ability, foreign-born Deaf individuals, individuals who communicate via home signs and those with developmentally minimal language skills.

How It Works

The Certified Hearing Interpreter (CHI) interprets to ASL. The CDI then interprets the message into a visual form of communication that is customized to suit the specific needs of the Deaf patient. The CDI may make use of mime, props, and other mechanisms to ensure that the message is effectively communicated to the Deaf individual. A CHI is then used to put the message into spoken English.

We are a proud provider of CDI services. Click here to learn more about our language services.

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AMN Healthcare's Language Services

• About our Language Services
• EHR Integration
• Document Translation

Additional Language Services Resources

• Bon Secours Language Services Case Study
• Language Services Path of Value
• Choosing the Right Certified Medical Interpreter
• Medical Interpreters Improve LEP Patient Care: A Study Review
• Promoting Health Equity Through Language Access