Individuals may be vulnerable to health care quality problems for one or a combination of underlying reasons, including those pertaining to their financial circumstances or place of residence; health, age, or functional or developmental status; or ability to communicate effectively. Other personal characteristics, such as race, ethnicity, and sex also have been shown to be associated with differential experiences in obtaining quality health care. Furthermore, characteristics of the evolving health system -- such as an eroding safety net -- can interact with personal characteristics to contribute to vulnerability.
The purpose of this position statement is to acknowledge and emphasize the importance and need for direct communication, sensitivity to cultural affiliation, and sensitivity to the psychosocial impact of hearing loss in the delivery of mental health, mental retardation, and substance abuse services to people who are deaf, hard of hearing, late deafened, and deaf-blind in every state throughout the country.
The population of people with hearing loss should be included, alongside other ethnic and cultural groups, in efforts to eliminate disparities in mental health care.
The NAD has specialized consultants available for referral to assist state and local departments, programs, and professionals with needs assessments and identifying and developing resources to serve this population across the country. Tragically, normal adjustment, cultural, language and communication issues are often mistaken for developmental delays, mental illness or mental retardation.
Since the mids, the NAD and the professional community of skilled and experienced providers in various fields serving this population have addressed and advocated for quality mental health services2 for people who are deaf and hard of hearing.
As a result of these efforts, extensive theoretical, policy, and practice literature has developed, including the Americans with Disabilities Act ADA and several landmark court cases on mental health and hearing loss, particularly supporting and promulgating appropriate care guidelines for services and the importance of consumer voice.
The NAD recognizes that, for the estimated 28 million individuals who have hearing loss in the United States, mental health services should be provided using cultural and linguistic affirmative approaches.
Cultural and cross cultural providers in public and private mental health care service delivery systems are aware that a positive therapeutic process includes facilitating the acceptance of hearing loss as an integral and potentially valued part of the individual and understanding and respecting communication choice and family needs, both nuclear and extended.
Public and private mental health services should be available in all states to serve this population and should be equal in quality and effectiveness to those provided to persons who are able to hear.
These services should be provided by culturally and linguistically competent providers using appropriate support services. The skills of culturally and linguistically competent providers, whether hearing, deaf or hard of hearing include: The skills of cross-culturally trained providers include: The NAD further recommends that public and private providers work together to develop an array of appropriate and accessible cultural and cross-cultural services, based on the identified and assessed needs of this population in each state to ensure the provision of culturally and linguistically competent mental health services.
This continuum of services shall be integrated and coordinated with the existing service delivery system. This continuum should include separate, specialized services and programs, where needed. Report the efforts and results of building this continuum of cultural and cross-cultural services in the annual plan of care to the federal government through state mental health planning councils; Recognize, acknowledge, and integrate the cultural, cross-cultural, and linguistic needs of this population in state mental health policy.
The access needs of this population should be strongly considered and included in the creation and revision of strategic plans, the submission of block grant applications, and response to legislative mandates, such as Limited English Proficiency, Olmstead planning, and human rights.
Culturally sensitive language should be included that directs attention and increases awareness of the need for direct communication and communication facilitation in service delivery for this population.
Encourage the involvement of consumers who are deaf and hard of hearing and their family members through public and private offices of consumer affairs and other consumer and family member community-based organizations in the state.
Develop a registry of public and privately employed practitioners with expertise working with people who are deaf or hard of hearing to be made available for referral upon consumer request.
Mandate referral to specialized providers, as appropriate, and coverage by public, private, managed care, and self-insured health plans for interpreting services for subscribers and family members who are deaf and hard of hearing. Develop and provide professional training resources, such as classes, workshops, conferences and community events to improve the skills and knowledge of cultural and cross cultural professional providers who deliver services to this population.
Coordinate these efforts with academic institutions that educate and train human service workers throughout the country. The term include the delivery of mental health care services on an inpatient or outpatient care basis, by counselors, psychologists, psychiatrists, social workers or other mental health care professionals, and delivery in public and private mental health care systems.
Standards of care for the delivery of mental health services to deaf and hard of hearing people. National Association of the Deaf. Prevalence and characteristics of persons with hearing trouble: National Center for Health Statistics.
Vital Health Statistics, 10 Individuals with Disabilities Education Law Report. A; and Manderscheid, R. Mental HealthU.Public health systems are networks of state and local agencies that deliver health care services to communities across the United States.
This article summarizes what medical professionals know about the attributes of U.S. public health systems. PanZoe is here to assist the uninsured and under-insured members of our local communities access the healthcare they require, including: child health and immunizations, preventive services and counseling, and chronic disease management, among many other essential services.
Jan 04, · Defunding Prevention/Public Health Fund () Statute. The Middle Class Tax Relief and Job Creation Act of signed by President Obama on , included reductions in funding for the Prevention and Public Health Investment Fund (PPHIF).
Watch breaking news videos, viral videos and original video clips on plombier-nemours.com Community Health study guide by HannahKellyy includes questions covering vocabulary, terms and more.
Health care delivery is public health concern of the 21st century. The federal agency charged with the responsibility of administering the provisions of the OSHAct is NIOSH.
The report, “The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care,” and the accompanying commentary, “Creating and Changing Public Policy to Reduce the Stigma of Mental Illness,” are available online for free to the public.