Mental Health and Deafness 12 th September 2017

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1 Mental Health and Deafness 12 th September Helen Farthing, Rob Walker, & Sarah Kent National Deaf CAMHS Overview Part 1: National Deaf CAMHS Part 2: Deaf Awareness and Interpreting Part 3: Q & A Session Handouts: Autism Spectrum Assessments in d/deaf children Mental Health and Deafness 1

2 Part 1: National Deaf CAMHS: An brief service overview National Deaf CAMHS Central England Team: Dudley Oxford Nottingham 2

3 Our Oxford Base We cover: Oxfordshire Buckinghamshire Berkshire Hampshire Our Oxford base Who we are: Emma Shaw (Assistant Psychologist) Hayley Bryant (Clinical Psychologist) Helen Farthing (Family Support Worker) Sarah Kent (Clinical Psychologist) Tina Hatton (Nurse Specialist) Zalina Farley (Consultant Child Psychiatrist) All sites: Neil Norman (Team Manager) Cathy Petters (Family Therapist) Rob Walker (Consultant Child Psychiatrist) 3

4 Oxford base contact details: National Deaf CAMHS (Central England) Canalside House Abbotts Street Bloxwich Walsall WS3 3AZ Telephone Service aims and provision To improve deaf children s access to appropriate mental health services through: joint assessment & management of cases, as appropriate work with children/yp and their families directly, as appropriate training and consultation related to deafness and mental health training in basic deaf awareness Sign support for families and services 4

5 Referral criteria severe or profound hearing loss OR considers sign language (e.g., BSL, SSE) as their first or preferred language Referrals are also considered if there is: a significant language impairment related to moderate to profound hearing loss a hearing child with parent who has severe/profound hearing loss or who uses BSL AND Requires input from a CAMHS Team Part 2: Deaf Awareness and Interpreting 5

Helen Farthing Dudley & Walsall Mental Health NHS Trust Deaf

accident, noise, age - Use speech and hearing aid 30,000 Deaf

6 Helen Farthing Dudley & Walsall Mental Health NHS Trust Deaf Awareness & Interpreting 12th September 6,000,000 Deafened acquired hearing loss e.g. accident, noise, age - Use speech and hearing aid 30,000 Deaf Blind people 35,000 Deaf children 2,500,000 Hard of Hearing - Use speech and hearing aid Deaf people in UK about 8.7 million 105,000, 2010 Deaf linguistic minority - Use BSL 6

7 Hard of Hearing Deaf Deafened Profound Deafness Deafness Partially Hearing Severe Deafness Hearing Impaired Deaf blind 7

8 HfarthingDeafCAMHS 8

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10 Games Flipchart Objects Visual aids Drawing Toys Therapeutic Communication Tools Whiteboard Role -play Art / Painting Magazine, newspaper, books Photographs Computer 10

11 Registered Sign Language Interpreter Registered Sign Language Interpreter RSLI (yellow badge) Trainee Sign Language Interpreter/Translator (purple badge) A Communication Support Worker is not a registered communication professional BSL Level NRCPD Communication Support Worker Webcam Sign Video Services Lip-speaker Deaf Relay Interpreter Speech to Text or Palantypist BSL/English Interpreter RSLI (yellow badge) Deaf/Blind Manual Interpreter Interpreting Services Note taker International Interpreter Spoken or Sign Languages 11

How have you been eating? Do you have any friends? How do you feel?

12 On-line BSL Interpreter Services Practice Questions How might you ask these questions with or without BSL? How have you been sleeping? How have you been eating? Do you have any friends? How do you feel? How are you getting on at home? Do you have any worries? Do you have someone to talk to? 12

13 The Deaf Experience Deaf people are 40% more likely to have a mental health problem compared with 25% of hearing people. (Hindley 2000) 88% of Deaf people don t have a BSL Interpreter when they visit their doctor or the hospital. (Simple Cure by Action on Hearing Loss 2004) Deaf people will see their doctor for the same reason five times. A hearing person will go once. (Why Do You Keep Missing Me? Published in response to the GP Patient Survey 2008) Statistics 9 million people in UK are D/deaf. (National Statistics 2010) 105,000 Deaf BSL users. (GP National Statistics 2010) 90% of Deaf children are born to hearing parents with little or no experience of deafness or knowledge of how to communicate with a deaf person (NDCS 2011) 8 out of 10 Deaf children's parent can not sign. (NDCS 2008) 30% of Deaf mental health have additional disabilities (Hamblin & Kitson 1992, Miller 2004) Increased rates of psychosis in Deaf through congenital rubella. (Timehin 2002) 13

14 Flashing light for Doorbell, Fire Door video phone Digital camera Computer, Webcam,Skype Mobile TV with Subtitles Different type of Technology Loop system Display Board Pager with Vibration, e.g. Panic, Fire alarm Textphone, Fax Text Relay the UK's text to voice relay service 14

Pictures of Building Staff photos Plain English

Clipart, Google images Alternatives to English

(DVD/TV) Bullet points Face to face Drawing Point

Communication Tips Gestures Write things down Body

15 Pictures of Building Staff photos Plain English Visual Aids Arrows, Pointing Icons, Logo Widgets, Clipart, Google images Alternatives to English Photos of Medication Size Fonts In-Vision Signing (DVD/TV) Bullet points Face to face Drawing Point out Role Playing Eye contact Speak clearly Communication Tips Gestures Write things down Body Language Fingerspelling Facial Expression Show the way Lip-reading 15

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17 Foreign Signed Languages, e.g. ASL Bilingualism Total Communication International Sign Language Makaton Different type of Deafness Communication Lipreading Deaf blind or Usher Syndrome Signed Supported English British Sign Language 17

18 British Sign Language (BSL) BSL is the language used by the British Deaf community. In England alone there are 105,000 Deaf people who use BSL (GP Patient Survey 2010). BSL is a complex visual-spatial language with its own vocabulary, structure and grammar, which is different from spoken English. BSL uses both hand shapes and nonmanual features including facial expressions, lip shapes and body movement. As spoken languages have different dialects, sign language has regional variations. Also, as with spoken languages, sign language is different in different countries. BSL is a language in its own right. BSL is officially recognised by the UK government to be a language. Recognition was achieved in March Finger spelling is a way of spelling out words, usually for names and places, using your hands to show each letter. In Britain most people use a two-handed alphabet. Some countries (for example North America) use a one-handed alphabet. Useful Websites in understanding British Sign Language and Deaf Culture Lip-reading/speech Lip-reading/speech reading is used by some deaf people to follow speech. When people speak, their lips make patterns. Lip-reading is the ability to read these patterns. It is not possible to distinguish all the parts of speech from lip-reading alone, as only a third of words can be understood by lip-reading. Knowledge of spoken language is extremely important for successful lip-reading. and Sign Supported English (SSE) Sign Supported English uses BSL (signs and finger spelling) and follows English word order but it does not require every word to be signed. Signed (Exact) English (SEE) Signed (exact) English uses BSL (signs and finger spelling) and other specifically developed signs to give an exact manual representation of spoken English. Each spoken word is represented with a sign and it is designed to be used at the same time as spoken English. Total Communication Total communication is a philosophy, which involves selecting the communication method that is the most appropriate for the individual at any given time. Total communication may involve the use of aural/oral support and/or the use of a sign system. Bilingualism Bilingualism is the ability to use two languages fluently. Usually for deaf people in England these are English and British Sign Language. 18

19 Cued Speech Some words which sound different when verbalised can look very similar when they are lip-read by deaf people (e.g. pat and bat). Cued speech uses one hand placed near the mouth and a variety of hand shapes to highlight the differences between spoken words. Makaton Makaton is a basic system of a few hundred signs, which is mainly used by children and adults who have learning disabilities. Although it is separate from BSL, it is used by some deaf children and adults with additional needs. It consists of vocabulary, (influenced by BSL) which allows the child to express basic needs. Deaf blindness About 356,000 people (age 0 70+) in the UK have a combined sight and hearing loss (Sense 2010). They need additional support for communication, accessing information and mobility. For updated research, see You can find a range of books about Deafness, Mental Health in Deaf Children etc on Amazon. Signed video clips on Deaf Mental Health at Leeds. wlist.aspx A useful visual aid leaflet for health professionals working with a Learning Disabilities You Tube Video showing Guidance to improve Deaf people s access to the Mental Health services The Association of Sign Language Interpreters for England, Northern Ireland & Wales Finding Sign language interpreters, notetakers, deafblind interpreters BSL standards and qualifications Information Deaf Mental health and support for deaf people Information on Mental Health and Deafness on a variety of topics including research and networking and Mental Health Act with BSL video clip 19

20 Any Questions? Thank You Part 3: Question and Answer Session 20

21 Thank you for your time! 21

easy read Your rights under THE accessible InformatioN STandard

easy read Your rights under THE accessible InformatioN STandard Your Rights Under The Accessible Information Standard 2 1 Introduction In July 2015, NHS England published the Accessible Information Standard