PEPNet. Advancing educational opportunities for people who are deaf or hard of hearing

Transcription

1 PEPNet Advancing educational opportunities for people who are deaf or hard of hearing

2 Substance Use: Impact on Students who are Deaf or Hard of Hearing Treatment Options

3 Methods: General Population 12-step harm reduction cognitive behavioral therapy motivational interviewing therapeutic community

4 What We Know: About half of those who start treatment leave early. Those who complete treatment decrease use. Relapse rates are high, especially without ongoing support. Multiple episodes of treatment may be required on the way to recovery.

5 Treatment: Mainstream Settings Many people who are deaf or hard of hearing can only access services designed for hearing people for some, it can work out with accommodations and others not..

6 Treatment: Mainstream Settings Few trained substance abuse counselors who are deaf or hearing and fluent in ASL. Interpreters are provided for only a portion of treatment time. Staff is not knowledgeable about deafness and cultural issues. No accessible materials to meet needs of individuals who are D/HH.

7 Rationale: Specialized Treatment Language is the primary delivery mode for treatment services. Language is based on cultural experience. Full access to treatment!

8 Specialized Treatment Include Deaf (or hearing) counselors fluent in American Sign Language. Staff knowledgeable about communication and culture. Adapted materials. Accessibility devices i.e. video phones, flashing lights, visual or vibrating alarms, captioning, etc.

9 A Model: Specialized Treatment Minnesota Chemical Dependency Program for Deaf & Hard of Hearing Individuals (MCDPDHHI) Opened 1989 serving 1289 D/HH Established standards of care for model programs Key to improving treatment conditions

10 A Model: Specialized Treatment Dually trained staff Communication Access Materials are accessible Modified Approaches Step Work Use of Drawing/Hands on Activities Group

11 Accessible Materials: Drug Chart 1. Name all drug you have used. 2. Last time I used what? when? how much? 3. When I am high or drunk, bad things happen to me.

12 Accessible Materials: Drug Chart Staff Initials 4. Things that happen are called consequences. Draw pictures of body consequences. Draw pictures of money consequences. Draw pictures of family consequences. Draw pictures of law consequences. Draw pictures of job/school consequences. Draw pictures of social consequences.

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14 Step One: Admitted we were powerless over drugs and alcohol and that our lives had become unmanageable. Watch the ASL video on Step One Tell 3 things you learned. Draw pictures of how life is unmanageable from alcohol/drug use. Draw pictures of powerless over alcohol and other drugs.

15 Step One: Draw examples of how your drug/alcohol use causes problems for other people. Draw examples of how your drug/alcohol use causes problem for you. Draw one picture how you feel about unmanageable, powerless & hurting people. 1:1 s with peer(s)_ 1:1 s with staff

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18 Evidence Based Treatment for DHH No Evidence Based Treatment (EBT) have been adapted or studied for use with the DHH population. Best Practices are evolving

19 Treatment: Best Practices Meeting the communication needs of client. DHH therapist or hearing therapist with knowledge of Deaf culture and fluency in ASL. Programs adapted for DHH population.

20 Treatment: Best Practices Ongoing DHH support network and continuing care. Assessments normed on the population. Materials (videos, workbooks, etc.) that are accessible.

21 Innovative Approaches The use of technology to provide substance abuse services The use of technology to provide recovery support i.e. 12 step meetings

22 E-Therapy Model Deaf Off Drugs and Alcohol (DODA) State wide program delivered remotely Best Practices Treatment and Recovery in American Sign Language Linguistically appropriate Culturally affirming

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24 Recovery Support Online Deaf Specific 12 Step meetings available Nationwide

25 Successful Interventions for Deaf People Accessible Twelve Step Meetings Education/Prevention Programs Accessible Outpatient, Inpatient and Aftercare Services Training Opportunities for Professionals About Specialized Treatment Considerations SUD Counselors Fluent in ASL Additional Research

26 For questions or comments: Visit for a listing of PEPNet s Outreach Specialists by state/territory