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    Deaf People's Help-Seeking Following Trauma: Experiences With and Recommendations for the Massachusetts Behavioral Health Care System

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    Authors
    Anderson, Melissa L
    Wolf Craig, Kelly S.
    Ziedonis, Douglas M.
    UMass Chan Affiliations
    Systems and Psychosocial Advances Research Center
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    2017-03-01
    Keywords
    UMCCTS funding
    Health Services Administration
    Mental and Social Health
    Psychiatry and Psychology
    Speech and Hearing Science
    Translational Medical Research
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313329/
    Abstract
    Objective: Deaf trauma survivors are one of the more underserved populations in behavioral health care and experience significant obstacles to seeking help. Repeated encounters with these barriers fuel negative perceptions and avoidance of behavioral health treatment. The current study sought to explore Deaf trauma survivors' help-seeking experiences and elicit their recommendations for improving Deaf behavioral health services in Massachusetts. Method: We conducted semistructured American Sign Language interviews with 16 trauma-exposed Deaf individuals that included questions from the Life Events Checklist and the PTSD Symptom Scale Interview and questions about Deaf individuals' help-seeking behaviors. Qualitative responses regarding help-seeking experiences were analyzed using a grounded theory approach. Results: In the aftermath of trauma, our participants emphasized a desire to work with a signing provider who is highly knowledgeable about Deaf culture, history, and experience and to interact with clinic staff who possess basic sign language skills and training in Deaf awareness. Most stressed the need for providers to better outreach into the Deaf community-to provide education about trauma, to describe available treatment resources, and to prove one's qualifications. Participants also provided suggestions for how behavioral health clinics can better protect Deaf survivors' confidentiality in a small-community context. Conclusions: Deaf-friendly trauma treatment should incorporate the components of trauma-informed care but also carefully consider key criteria expressed by our participants: direct signed communication, understanding of Deaf history and experience, stringent practices to protect confidentiality, provider visibility in the community, and reliance on peer support and Deaf role models in treatment interventions.
    Source

    Psychol Trauma. 2017 Mar;9(2):239-248. doi: 10.1037/tra0000219. Epub 2016 Oct 31. Link to article on publisher's site

    DOI
    10.1037/tra0000219
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50518
    PubMed ID
    27797568
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1037/tra0000219
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