Deaf Mental Health Care

417 Pages·2013·5.689 MB·English

by  Neil S. Glickman

Deaf Mental Health Care
Th is volume presents a state of the art account of the clinical specialty
of mental health care of deaf people. Drawing upon some of the leading
clinicians, teachers, administrators, and researchers in this fi eld from the
United States and Great Britain, it addresses critical issues from this spe-
cialty such as:
• deaf/hearing cross-cultural dynamics as they impact treatment
organizations;
• clinical and interpreting work with deaf persons with widely varying
language abilities;
• adaptations of best practices in inpatient, residential, trauma, and
substance abuse treatment for deaf persons;
• overcoming administrative barriers to establishing state-wide conti-
nua of care;
• university training of clinical specialists;
• the interplay of clinical and forensic responses to deaf people who
commit crimes;
• an agenda of priorities for Deaf mental health research.
Each chapter contains numerous clinical case studies and places a heavy
emphasis on providing practical intervention strategies in an interesting,
easy to read style. All mental health professionals who work with deaf
individuals will fi nd this to be an invaluable resource for creating and
maintaining culturally affi rmative treatment with this population.
Neil S. Glickman, PhD, is the former Unit Director of the Mental Health
Unit for Deaf Persons at Westborough State Hospital in Massachusetts.
He currently works as a psychologist with Deaf Services for Advocates,
Inc., in Framingham, MA, and consults with Deaf Schools, rehabilitation
programs, and mental health programs nationwide.
COUNSELING AND PSYCHOTHERAPY:
INVESTIGATING PRACTICE FROM SCIENTIFIC, HISTORICAL,
AND CULTURAL PERSPECTIVES
A Routledge book series
Editor: Bruce Wampold, University of Wisconsin
Th is innovative new series is devoted to grasping the vast complexities of the practice of
counseling and psychotherapy. As a set of healing practices delivered in a context shaped
by health delivery systems and the attitudes and values of consumers, practitioners, and
researchers, counseling and psychotherapy must be examined critically. By understand-
ing the historical and cultural context of counseling and psychotherapy and by examin-
ing the extant research, these critical inquiries seek a deeper, richer understanding of
what is a remarkably eff ective endeavor.
Published
Counseling and Th erapy with Clients Who Abuse Alcohol or Other Drugs
Cynthia E. Glidden-Tracy
Th e Great Psychothearpy Debate
Bruce Wampold
Th e Psychology of Working: Implications for Career Development, Counseling, and Public
Policy
David Blustein
Neuropsychotherapy: How the Neurosciences Inform Eff ective Psychotherapy
Klaus Grawe
Principles of Multicultural Counseling
Uwe P. Gielen, Juris G. Draguns, Jeff erson M. Fish
Beyond Evidence-Based Psychotherapy: Fostering the Eight Sources of Change in Child and
Adolescent Treatment
George Rosenfeld
Cognitive Behavioral Th erapy for Deaf and Hearing Persons with Language and Learning
Challenges
Neil S. Glickman
Pharmacology and Treatment of Substance Abuse: Evidence and Outcome Based Perspectives
Lee Cohen, Frank Collins, Alice Young, Dennis McChargue, Th ad R. Leffi ngwell,
Katrina Cook
IDM Supervision: An Integrated Developmental Model for Supervising Counselors and
Th erapists, Th ird Edition
Cal Stoltenberg and Brian McNeill
Culture and the Th erapeutic Process: A guide for Mental Health Professionals
Mark M. Leach and Jamie Aten
Th e Resilient Practitioner: Burnout Prevention and Self-Care Strategies for Counselors,
Th erapists, Teachers, and Health Professionals
Th omas M. Skovholt and Michelle Trotter-Mathison
Deaf Mental Health Care
Neil S. Glickman
Forthcoming
Th e Handbook of Th erapeutic Assessment
Stephen E. Finn
Th e Great Psychotherapy Debate, Revised Edition
Bruce Wampold
Deaf Mental Health Care
Edited by Neil S. Glickman
First published 2013
by Routledge
711 Th ird Avenue, New York, NY 10017
Simultaneously published in the UK
by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2013 Taylor & Francis
Th e right of the editor to be identifi ed as the author of the editorial material, and of the
authors for their individual chapters, has been asserted in accordance with sections 77 and
78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any
form or by any electronic, mechanical, or other means, now known or hereafter invented,
including photocopying and recording, or in any information storage or retrieval system,
without permission in writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or registered trademarks,
and are used only for identifi cation and explanation without intent to infringe.
Library of Congress Cataloging in Publication Data
Glickman, Neil S.
Deaf mental health care / Neil S. Glickman.
p. cm.
ISBN 978-0-415-89474-6 (hardback : alk. paper) — ISBN 978-0-415-89475-3 (pbk. : alk.
paper) 1. Deaf—Mental health services—Massachusetts. 2. Deaf—Mental health—
Massachusetts. I. Title.
RC451.4.D4G56 2013
362.4’2009744—dc23
2012029653
ISBN: 978-0-415-89474-6 (hbk)
ISBN: 978-0-415-89475-3 (pbk)
ISBN: 978-0-203-81054-5 (ebk)
Typeset in Garamond
by EvS Communication Networx, Inc.
Contents
Series Editor’s Foreword vii
BRUCE WAMPOLD
About the Contributors ix
Acknowledgments xv

Introduction: What Is Deaf Mental Health Care? 1
NEIL S. GLICKMAN
1 Lessons Learned from 23 Years of a Deaf Psychiatric
Inpatient Unit 37
NEIL S. GLICKMAN
2 Deaf/Hearing Cross-cultural Confl icts and the Creation of
Culturally Competent Treatment Programs 69
MICHAEL JOHN GOURNARIS AND ALISON L. AUBRECHT
3 Sign Language Dysfl uency in Some Deaf Persons:
Implications for Interpreters and Clinicians Working in
Mental Health Settings 107
NEIL S. GLICKMAN AND CHARLENE CRUMP
4 Creating a Culturally Affi rmative Continuum of Mental
Health Services: Th e Experiences of Th ree States 138
MICHAEL JOHN GOURNARIS, STEVE HAMERDINGER, AND ROGER C. WILLIAMS
5 Creating Culturally and Clinically Competent Deaf
Residential Treatment Programs 181
NEIL S. GLICKMAN AND WENDY HEINES
vi Contents
6 Substance Abuse Treatment and Recovery: Adaptations to
Best Practices when Working with Culturally Deaf Persons 234
DEBRA GUTHMANN AND CYNTHIA STERNFELD
7 Culturally Affi rmative Adaptations to Trauma Treatment
with Deaf Children in a Residential Setting 268
KAREN BISHOP
8 Training of Mental Health Professionals: Yesterday, Today,
and Tomorrow 298
PATRICK J. BRICE, IRENE W. LEIGH, MARTHA SHERIDAN, AND KENDRA SMITH
9 Deaf People in the Criminal Justice System: Is a Culturally
Affi rmative Response Possible or Desirable? 323
SUE O’ROURKE, NEIL S. GLICKMAN, AND SALLY AUSTEN
10 Deaf Mental Health Research: Where We’ve Been and
Where We Hope to Go 358
NEIL S. GLICKMAN AND ROBERT Q POLLARD, JR.
Index 388
Series Editor’s Foreword
Th is series is devoted to understanding the complexities of the practice of
counseling and psychotherapy. As a set of healing practices, delivered in a
context molded by health delivery systems and the attitudes and values of
consumers, practitioners, and researchers, counseling and psychotherapy
must be examined critically. Volumes in this series discuss counseling and
psychotherapy from empirical, historical, anthropological, and theoretical
perspectives. Th ese critical inquiries avoid making assumptions about the
nature of counseling and psychotherapy and seek a deeper understanding
of the bases of what is a remarkably eff ective endeavor.
Th e predominant model of psychotherapy involves fi nding evidence-
based treatment for particular disorders. However, increasingly, there is a
recognition that treatments, regardless of their evidence base, need to be
adapted to patient populations if they are to be acceptable and eff ective.
Increasingly, we see such treatments described and tested. An important
population, not often discussed, is the deaf population. Neil S. Glick-
man, the editor of Deaf Mental Health Care, has put together a volume
that comprehensively covers the topic of mental health care for deaf per-
sons, from individual patient care to systems of care, including training of
therapists and conducting research. As the reader will learn, Deaf people
are a linguistic and cultural group, and Deaf mental health care is a clini-
cal specialization requiring additonal training, personal and cultural self-
awareness, a distinct knowledge base, and unique skill set.
Bruce Wampold, PhD, ABPP
Series Editor
University of Wisconsin–Madison

About the Contributors
Alison L. Aubrecht, MA, DCC, LPCC is a White Deaf female who
recently transitioned from the mental health fi eld to work full time as a
social justice activist with a non-profi t organization. She has previously
worked in school settings and as a mental health specialist with the Deaf
and Hard of Hearing Services Division in Minnesota. Much of her work
involves deaf-hearing cross-cultural mediation. 
Sally Austen is the lead editor of two of the most important books on
Deaf mental health care published in Great Britain. Th ese are Deafness and
Challenging Behavior (co-edited with Dave Jeff ery) and Deafness in Mind
(coedited with Susan Crocker). She is a Consultant Clinical Psychologist
who has worked with deaf people for over 18 years. She is employed by
Birmingham and Solihull Mental Health Trust and works at Denmark
House, National Deaf Mental Health Service, Birmingham, England.
Karen Bishop’s career since 1990 has been dedicated to working with
deaf children and youth faced with emotional and behavioral challenges
at Th e Walden School, the residential treatment program at Th e Learning
Center for the Deaf in Framingham, Massachusetts. She has worked as a
teacher, an education director, and, for the past fi ve years, as the director.
Karen holds a Master of Education degree from Boston University in Deaf
Education and is a licensed teacher of the deaf. She recently completed the
Certifi cate of Leadership Program at Suff olk University in the Master of
Public Administration Program.
Patrick J. Brice received his PhD in Clinical and Developmental Psy-
chology in 1983, and has been at Gallaudet University since then. He
fi rst completed a post-doctoral fellowship in Psychology at Gallaudet in
1983, taught in the Department of Counseling from 1984 until 1995, and
since 1995 has been a Professor in the Department of Psychology. He has
been the Clinical Psychology PhD Program Director since 2001. In addi-
tion to his teaching at Gallaudet, Dr. Brice has studied various aspects of
development in deaf children, including social cognition; self-regulation