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Making public mental-health services accessible to deaf consumers: Illinois Deaf Services 2000.

Illinois Deaf Services 2000 (IDS2000), a public/private partnership, promotes the creation and implementation of strategies to develop and increase access to mental health services for deaf, hard of hearing, late-deafened, and deaf-blind consumers. IDS2000 has resulted in the establishment of service accessibility standards, a technical support and adherence monitoring system, and the beginnings of a statewide telepsychiatry service. These system modifications have resulted in increase by 60% from baseline survey data in the number of deaf, hard of hearing, late-deafened, and deaf-blind consumers identified in community mental-health agencies in Illinois. Depending on the situation of deaf services staff and infrastructure, much of IDS2000 could be replicated in other states in a mostly budget-neutral manner.

Health Services Accessibility↗

The effect of multimedia stories about American deaf celebrities on Taiwanese hearing students' attitudes toward job opportunities for the deaf.

In Taiwan, hearing people generally think deaf individuals can only do jobs requiring minimal communication. The present study was planned to help change hearing people's attitudes toward deaf people's job competence. Multimedia stories of deaf celebrities, e.g., physicians, lawyers, university presidents, professors, senior government officials, and movie stars, were developed. A multimedia computer reading program was developed in which graphic organizers, picture clues, video, and voice were integrated to make reading more exciting and pleasant. Materials were developed to be suitable for dissemination on CD. Regarding attitude change, all differences between pretests and posttests were statistically significant: Hearing students' attitudes toward deaf and hard of hearing people changed positively and significantly. It is recommended that the CD featuring American deaf celebrities be distributed to make hearing people understand deaf people's potential, and to contribute to an environment conducive to their employment in Taiwan.

Achievement↗

Etiology of deafness at the Yeditepe School for the deaf in Istanbul.

OBJECTIVE: The etiology of deafness can be classified as genetic, acquired and unknown. An unknown etiology was a high incidence in previous reports. The aim of this study is to explore the etiology of deafness and to reduce the cases in the unknown group. METHODS: This study was conducted on 162 students at the Yeditepe School for the deaf. Otologic, physical and psychological examinations were performed by a team of doctors including four otologists, a geneticist, a dentist, an ophthalmologist and an audiologist. RESULTS: A genetic cause was identified in 41.35%, acquired 37.65% and unknown 20.98%. Genetic etiologies were stratified as familial and syndromic subgroups. A familial cause was found in 60 of 162 children and in 22 of those 60 cases, the parents had a consanguineous marriage. There was 11 cases associated with a syndrome. Ninety four minor abnormalities have been established in some deaf children. Febrile convulsion (36%) was identified as the most common etiology in acquired cases. CONCLUSION: In contrast with other studies the consanguineous marriage was present in 36.6% of the familial cases and 38.8% in total of the school. An unknown etiology was reported in high rates in previous reports. These unknown cases could be described as a part of a syndrome by a crowded team of consultants. Evaluation of early diagnostic criterias and minor abnormalities can help us to provide early rehabilitation of deafness in childhood.

Acoustic Impedance Tests↗

When parents are deaf versus hard of hearing: patterns of sign use and school placement of deaf and hard-of-hearing children.

This paper investigates the importance of knowing whether or not deaf and hard-of-hearing students have one or more deaf or hard-of-hearing parents. As noted by Mitchell and Karchmer (2004), deaf and hard-of-hearing school-age children and youth in the United States with at least one parent identified as "hearing impaired" are nearly evenly split between having at least one deaf parent and having at least one hard-of-hearing parent. However, there is no literature on the importance, if any, of this distinction. Findings from the investigation reported herein suggest that the distinction between having a deaf versus a hard-of-hearing parent is quite substantial, particularly as it pertains to the use of signing in the home. Further, signing in the home, which is reliably predicted by parental hearing status, is a significant predictor of the school setting in which the student is currently placed and the instructional use of signing in the classroom. Limitations related to the available measure of parental hearing status are discussed.

Adolescent↗

Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals.

Individuals with disabilities encounter practical and social problems beyond those experienced by nondisabled individuals. This extra burden may in turn increase the risk of developing mental health problems. The objective of this article is to disclose the mental health situation among deaf individuals compared to a control sample of hearing individuals. The analyses are based on two separate Norwegian postal surveys, one among the general population (1995-1997) and one among the deaf population (2001). A shortened version of the Hopkins Symptom Checklist was used to disclose the degree of mental distress among the respondents. Three questions common to the studies were analyzed to determine differences between the two groups. Analyses revealed that the deaf respondents showed significantly more symptoms of mental health problems than the hearing respondents. The results point to the need for focussing more attention on the mental health of deaf children and adults. Society must be made aware of the special risks that deaf children and adults encounter with respect to mental health.

Adult↗

A gene responsible for a dominant form of neurosensory non-syndromic deafness maps to the NSRD1 recessive deafness gene interval.

The first localization of a gene responsible for autosomal, neurosensory, recessive deafness recently assigned NSRD1 to the centromeric region of human chromosome 13. We now report on a dominant form of neurosensory deafness found in a family of French origin. The deafness is moderate to severe, has a prelingual onset and affects predominantly the high frequencies. The gene responsible for this form of deafness was found by linkage analysis to map to the same region of chromosome 13 as NSRD1. A multipoint analysis gave a maximum lod score of 4.66 with a most likely location close to locus D13S175. This suggests that different mutations in NSRD1 may cause both dominant and recessive neurosensory deafness.

Centromere↗

Roberto Francisco Prádez. Spain's first deaf teacher of the deaf.

This article examines developments surrounding the establishment of the school for the deaf in Madrid in the 19th century and the role played by Roberto Prádez, Spain's first deaf teacher of the deaf, during the school's first three decades of existence. Although he has been neglected historically, Prádez is a founding father of deaf education, a heroic figure who contributed crucially to the establishment and operation of Spain's first state-sponsored school. This study underscores the need to reexamine the historical record to recover Spanish deaf history.

Deafness↗

Congenital deafness: high prevalence of a V37I mutation in the GJB2 gene among deaf school children in Alor Setar.

Twenty percent of all childhood deafness is due to mutations in the GJB2 gene (Connexin 26). The aim of our study was to determine the prevalence and spectrum of GJB2 mutations in childhood deafness in Malaysia. We analyzed the GJB2 gene in 51 deaf students from Sekolah Pendidikan Khas Alor Setar, Kedah. Bidirectional sequencing indicates that 25% of our childhood deafness has mutation in their GJB2 gene. Sixty two percent of these children demonstrate V37I missense mutation. Interestingly, V37I mutation in the GJB2 gene have been reported as polymorphism in Western countries, however in our country it behaved as a potentially disease-causing missense mutation, causing childhood deafness as it was not found in the normal control.

Adolescent↗

Service provision under the Individuals with Disabilities Education Act--Part H, as amended (IDEA--Part H) to children who are deaf and hard of hearing ages birth to 36 months. Joint Committee of ASHA and Council on Education of the Deaf.

Since positive family-child relationships are initially established during the first 3 years, it is imperative that service providers focus their efforts on the family unit, as well as on the child. The Individuals with Disabilities Education Act--Part H, as amended (IDEA--Part H), supports this concept and has mandated development of an IFSP for each infant and toddler and his or her family eligible for early intervention services. The confirmed diagnosis of hearing loss for a child may have long-term effects on the family. Usually children who are deaf or hard of hearing are born into families with normal-hearing parents and siblings who have limited knowledge of the implications of hearing loss. In addition, parents may go through stages of grieving after learning that their child is deaf or hard of hearing (Luterman, 1979; Moses, 1985). Early experiences with adults who are deaf or hard-of-hearing parents who have deaf or hard-of-hearing children and other support services are essential. The effects of hearing loss on communication may interfere with parent-child interaction, especially when the primary communication system of the child and family are different. The following areas are those in which a family may benefit from consultation, information, and education: 1. Immediate and easy access to a professional who can help them understand the hearing loss and its potential effects, both long and short term 2. Immediate and ongoing access to deaf and hard-of-hearing adults and children and their families 3. Immediate and ongoing access to professionals who can help facilitate the development of effective parent-child interaction.(ABSTRACT TRUNCATED AT 250 WORDS)

American Speech-Language-Hearing Association↗

[Deafness: the right to silence or the chance to hear with a cochlear implant? Human images and medicine in the world of the deaf and in the world of the hearing].

Cochlear implantation has evolved from its experimental state into a safe and effective therapy for the treatment of profound deafness. Although not applicable to all patients, it offers an alternative to a life in silence. In particular, in early detected and treated deafness in childhood inner ear prostheses have enabled affected persons to be integrated into the world of sound. In addition to the significant impact that therapy has on the life of the individual, there is a social and cultural consequence for society. This is epitomized in the criticism by the deaf community that has resulted in the total rejection of cochlear implants. A critical analysis reveals different personal images prevailing in the deaf community. Knowledge of these differences and their relevance is important for all clinicians involved in counselling a cochlear implant candidate.

Cochlear Implants↗

Causes of deafness in schools for the deaf in Madras.

Information has been collected by questionnaire from parents and teachers of 928 deaf school children in South India. 374 of these children were examined during a 21-day visit to Madras. These findings are part of the outcome of the visit by a working party organised and financed by the Commonwealth Society for the Deaf. The Society has organised surveys of deafness in West Africa and Gambia. In this survey the causes of severe deafness in Madras have been identified. Streptomycin injections were responsible for 3.6% of cases and meningitis for 5.3%. Examination found 29% of children with ophthalmic signs of intrauterine rubella. These could be prevented. Only a third of Indian mothers of children with eye signs are aware of having had rubella infection during pregnancy.

Adolescent↗

Aetiology of deafness in children from a school for the deaf in Malaysia.

One hundred and sixty-five children from the school for the deaf were screened to find out the aetiology of deafness. The screening included routine ophthalmological examination. Aetiology was unknown in 33 children (20%). Prenatal infection was found to be the cause of deafness in 61 cases (36.96%). Rubella eye signs were found in 59 children (35.76%), whereas the history of rubella infection during the first trimester of pregnancy was found in only 33 of these cases (55.93%). Perinatal complications were seen in 20 children (12.12%). Twenty children (12.12%) had meningitis during their early childhood period. Routine ophthalmological examination helped us to pick up cases with rubella eye signs. Ophthalmological examination should be included as part of any study done to find out the cause of deafness.

Adolescent↗

A model for prelingual deafness, the congenitally deaf white cat--population statistics and degenerative changes.

Cochlear implantation in congenitally deaf children leads to electrical stimulation of an entirely naive central auditory system. In this case, processes of central auditory maturation are induced by the electric stimuli. For the study of these processes the deaf white cat (DWC) appears to be an appropriate model. However, a knowledge of the basic data of these animals is necessary before such a model may be used. This paper presents these data and is one of a series of publications concerning congenital deafness in children and cochlear implantation. In our strain 72% of the animals are totally deaf as judged by the absence of any brain stem evoked potentials at click intensities up to 120 dB SPL peak equivalent. Primarily, there is a degeneration of the entire organ of Corti during the first postnatal weeks. An absence of acoustically evoked brain stem responses in the early postnatal weeks shows that DWCs probably never have any hearing experience. Months after the degeneration of the organ of Corti, the spiral ganglion starts to degenerate from the midportion of the cochlea. However, even in adult cats (2 years), a sufficient number of functionally intact auditory afferents remain, which are suitable for electrical cochlear stimulation.

Acoustic Stimulation↗

Attitudes of the broader hearing, deaf, and hard-of-hearing community toward genetic testing for deafness.

PURPOSE: To assess attitudes in a nonmedically and nonculturally influenced setting of reproductive-age adults toward genetic testing for deafness in newborns. METHODS: Hearing, deaf, and hard-of-hearing individuals at a university completed questionnaires assessing attitudes toward genetic testing. RESULTS: Eighty-five percent of hearing (n = 133) and 62% of deaf/hard-of-hearing (n = 89) individuals would allow genetic testing for deafness in their own newborn. CONCLUSIONS: These results indicate an acceptance of newborn genetic testing for deafness by individuals in the broader community, regardless of hearing status.

Adult↗

Smoking and deaf adults: associations with age at onset of deafness.

Smoking is a major health problem whose prevalence in different populations is thought to be influenced by sociocultural and linguistic factors. Although smoking and hearing loss are positively correlated, little is known about the smoking habits of deaf populations. Using national survey data, this study determined the smoking prevalence in two socioculturally distinct deaf populations, based on age at onset of deafness. The smoking prevalence in each deaf population was compared to the smoking prevalence in the hearing population in multivariate analyses that adjusted for sociodemographics and health status. The smoking prevalence among postlingually deafened adults was not significantly different from that among hearing adults. Prelingually deafened adults were found to be less likely to smoke than hearing adults, even though they have less education and lower income, factors both associated with higher smoking prevalence in other populations. The lower smoking prevalence among prelingually deafened adults may be due to cultural differences or to limited access to English-language tobacco advertising.

Adult↗

CEC-CED Joint Knowledge and Skills statement for all becoming teachers of students who are deaf or hard of hearing. Joint Standards Committee of the National Council on Education of the Deaf and the Council for Exceptional Children.

In 1992, the National Council on Education of the Deaf (CED) and the Council for Exceptional Children (CEC) began a collaborative process in which new standards were jointly developed and approved by a representation of members from all organizations engaged in the preparation of teachers and in the delivery of services to deaf and hard of hearing learners, including educational, professional/administrative and consumer organizations. A Joint Standards Committee was appointed, and in 1992 enunciated mutually acceptable standards for the preparation of teachers of students who are deaf and hard of hearing. Fundamental to the entire standards development process was respect for the continuum of educational options available for children who are deaf and hard of hearing. The intent of this committee was to provide standards which were credible for all university and college teacher preparation programs and which could serve as a foundation for the development and maintenance of strong and viable programs according to the specific stated philosophy and practice of each. Information regarding the new standards and University/College Program Evaluation can be obtained from: Dr. Harold Johnson, Program Evaluation Chair, Kent State University, Room 405 White Hall, Kent, Ohio 44242.

Deafness↗

Vision problems among students in schools and programs for deaf children. A survey of teachers of deaf students.

Vision problems are more common among deaf people than among the general population. Eight percent of the students in schools and programs for deaf children can be expected to have vision problems. We sent questionnaires to institutions and programs for deaf children, requesting information about the extent of vision problems among their students and about their teachers' levels of preparation in the area of vision impairment. Responses were received from 490 teachers. The data confirm that significant numbers of deaf students also have vision problems, and that teachers do not receive adequate training and information to meet the needs of this population.

Child↗

Bilateral electrical stimulation of a congenitally-deaf ear and of an acquired-deaf ear.

Two identical multichannel intracochlear prostheses were implanted in the same patient. The first prosthesis, implanted in the congenitally-deaf right ear, elicited clear sound perception but no speech recognition. After 2 years, a second prosthesis, implanted in the acquired-deaf left ear, enabled the patient to understand speech without lip-reading. Brainstem and middle-latency evoked potentials were similar with electrical stimulation of both ears and resembled those evoked by acoustic stimuli in subjects with normal hearing. Cortical electric and magnetic responses differed for right- and left-sided electrical stimulation suggesting that stimulation of the congenitally-deaf ear elicited an abnormal activation of the auditory cortex. These results suggest that only cortical responses were affected by the different histories of deafness of the ears.

Cochlear Implants↗