206186 Partnering to adapt SBI for deaf/hard of hearing clients and develop appropriate training

Tuesday, November 10, 2009

Rodrigo Monterrey, BA , Bureau of Substance Abuse Services, Massachusetts Department of Public Health, Boston, MA
Enid Watson, MDiv , Institute for Health and Recovery, Cambridge, MA
Carol Girard, DPH , Bureau of Substance Abuse Services, Massachusetts Department of Public Health, Boston, MA
Patricia Ford , Commission for the Deaf and Hard of Hearing, Commonwealth of Massachusetts, Boston, MA
Substance use problems are present in every community, including the Deaf/Hard of Hearing community. English remains a second or third language to most Deaf people. Public health campaigns about substance use may be delayed before becoming known to deaf people, or may not bridge the language barrier. While screening protocols are available for the general population, no American Sign Language (ASL) brief screening tools exist. Traditional ASL terms for alcohol and other drugs are not specific. There is little-to-no substance use issue training for interpreters or case managers. For many Deaf clients behavioral health treatment is the first time they learn coping skills or are exposed to concepts like recovery.

Efforts to improve substance disorder treatment services for Deaf/HoH people in Massachusetts have been fruitful, but a dearth of referrals indicates a need to increase identification of D/HoH persons needing brief intervention and/or treatment. A new approach is required to discern appropriate, effective, and culturally competent screening protocols.

The Massachusetts Interagency Taskforce on Substance Abuse Services for the Deaf and Hard of Hearing involves state agency administrators and service providers from the Departments of Public Health and Mental Health, the Commission of Deaf/Hard of Hearing, and D/HoH recovery advocates. This taskforce recently developed an appropriate substance use “awareness” brochure.

This presentation will discuss the importance of screenings and brief interventions for risky use and highlight steps required to build a focused workgroup that can design screening protocols to catch potential problems early, develop a curriculum, and provide training.

Learning Objectives:
1. Describe partnerships and processes needed to effectively promote healthy substance use in the Deaf and Hard of Hearing (D/HoH) communities 2. Describe strategies utilized to customize alcohol and other drug screening tools for Deaf/Hard of Hearing people

Keywords: Screening, Deaf

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have presented at over 100 national and state conferences and trainings, and have presented three times at APHA in the last three years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.