Child Abuse Investigation and Treatment for Deaf and Hard of Hearing Children

Abstract

Deaf children are more susceptible than other children to abuse in home and institutional settings. Many helping professionals are unaware of the unique vulnerabilities and needs of the deaf; this lack of awareness limits the effectiveness of their services to that population. Laws and ethical standards mandate that social workers and others use communication methods that deaf clients can understand; however, many human service agencies rely on less than adequate means of communication in child abuse investigations and other procedures. Such ineffective intervention practices fail to protect a vulnerable population of children who literally cannot speak for themselves.     

Addiction Treatment with Deaf and Hard of Hearing People: An Application of the CENAPS Model

ABSTRACT

Alcohol and drug addiction is a significant problem among deaf and hard of hearing people. Looking through a Deaf culture lens, treatment for alcohol and drug addiction is key for providing care for deaf and hard of hearing clients. Using the CENAPS model, an applied cognitive-behavioral therapy program is recommended for addiction treatment. The CENAPS model provides clinicians with tools for stabilizing deaf and hard of hearing clients, supporting their transition to early recovery. Educating the client about the stages of relapse and the stages of recovery, clinicians using this model can better treat and prepare deaf and hard of hearing clients for long-term recovery.     

Protection and Advocacy for Individuals with Mental Illness Act

Abstract

This study explored the perceptions of one state's policy stakeholders toward the implementation of the Protection and Advocacy for Individuals with Mental Illness Act (PAIMI Act). This congressional act established state programs authorized to investigate abuse, neglect, and civil rights violations against individuals with mental illness in residential facilities. A qualitative case study approach was selected to study the perceptions of the impact of this law. Participants were chosen using a maximum variation sampling of four diverse stakeholder groups. In-depth interview responses were developed into a series of proposed assertions regarding the impact of the PAIMI Act.     

Regranting identity to the outgraced – narratives of persons with learning disabilities: methodological considerations

Good research should be relevant and useful, it may even be enlightening or symbolic, but it can also be emancipatory. Qualitative research can be useful in challenging structures, policies and practices that disempower and marginalize segments of the population. However, could it be that the empowerment of the participant ends where the weakness of the researcher begins? In qualitative studies the researcher seems to have a number of favourite interviews. In a study on the relational and sexual experiences of 46 people with learning disabilities, 12 interviews were withdrawn from the general data on the basis of lack of relevance. It is important to re‐examine why the voice of some people fell out of the in‐depth analysis and whether this was justified. In this article some methodological opportunities and pitfalls to re‐grant identity to these silenced narratives are considered and discussed.     

Working with Stories: Street-Level Bureaucrats and Their Work with Individuals with Psychiatric Disability Exposed to Interpersonal Violence

ABSTRACT

The focus of our attention is the meeting between street-level bureaucrats and individuals with psychiatric disability exposed to interpersonal violence. Based on 11 interviews, we illustrate how stories are understood, used, and made meaningful to the street-level bureaucrat. The contribution of this article is first of all that of being a framework, from a storytelling point of view, for the work and organizational experiences of street-level bureaucrats. Second, by paying attention to the story part of these relationships, we can better understand the situation of individuals with psychiatric disability exposed to interpersonal violence given their interaction with different street-level bureaucrats.     

Hearing the grass grow: Emotional and epistemological challenges of practice-near research

This paper discusses the concept of practice-near research in terms of the emotional and epistemological challenges that arise from the researcher coming ‘near’ enough to other people for psychological processes to ensue. These may give rise in the researcher to confusion, anxiety and doubt about who is who and what is what; but also to the possibility of real emotional and relational depth in the research process. Using illustrations from three social work doctoral research projects undertaken by students at the Tavistock Clinic and the University of East London the paper examines four themes that seem to the author to be central to meaningful practice-near research undertaken in a spirit of true emotional and epistemological open-mindedness: the smell of the real; losing our minds; the inevitability of personal change; and the discovery of complex particulars.     

Forensic Evaluation of Deaf Individuals: Challenges and Strategies

ABSTRACT

Forensic evaluation of deaf individuals presents unique challenges due to many examinees’ fund of information deficits, potential for language deprivation, and examiners’ frequent lack of creativity regarding communication methods. This article describes challenges most frequently encountered in competency to stand trial and criminal responsibility evaluations and offers strategies for overcoming them. The value of employing multiple communication methods, especially the use of illustrations, is emphasized. Suggestions also are offered regarding preparing evaluation reports and effectively communicating “key deaf fundamentals” to legal personnel. Encouragement is offered for qualified, sign-fluent professionals to engage in forensic work.     

Process of Intergenerational Ambivalence: A Qualitative Inquiry

The phenomena of intergenerational ambivalence are often explained in terms of autonomy versus dependency, conflicting norms between generation regarding role expectation in intergenerational relations, and there has been a tendency to believe these factors lead to intergenerational ambivalence. This article intends to explain the family interaction processes that leads to the ambivalence type of relationships. A purposive sample of 185 respondents from 48 families was randomly selected from urban and rural area. The sample comprised father, son, mother-in-law, and daughter-in-law within the joint family. Data were collected through a narrative method and analyzed with a structure model analysis. The data reveal that in the process of interaction, generations have similarities in functional process (physical, economic, and emotional support) but have differences in normative (fulfillment of familial obligation, role, and responsibility) and consensual processes (differences in values and attitude). These differences can lead to negative subjective experiences in terms of stress and strain. Thus, to avoid such situations, participants often used emotion-focused coping approaches also maintaining ambivalence with respect to their intergenerational relationships.     

The use of photovoice with people with intellectual disabilities: reflections,challenges and opportunities

Photovoice is part of the growing use of participatory research approaches with people with intellectual disabilities. In this paper we explore the process, opportunities and challenges associated with the use of photovoice with people with intellectual disabilities, illustrated through a research project entitled ‘This Is Me’. Photovoice requires researchers to share power and control in the research process and to tolerate uncertainty. Large investments in time and money are also required. These challenges, however, are outweighed by the benefits of the use of photovoice with people with intellectual disabilities. Photovoice creates a space where people with intellectual disabilities can meaningfully participate and exert control in the research process, and as such is an empowering experience. As a participatory research approach, photovoice is accessible and offers the opportunity for people with intellectual disabilities to develop new skills, confidence and experience inclusiveness in their own terms.     

Practice with Immigrants and Refugees

Abstract

Immigrant clients and their social workers can provide useful insights regarding elements of productive practice. Thirteen social workers and 19 clients were interviewed about their experiences. Two major themes were derived: Multifaceted Perception of Self and Other, as revealed in multiple connection pathways, multiple levels of cultural incorporation, and multiple communication avenues, and Proactive Service Provision through cultural bridging, brokering for services, and advocacy for system sensitivity. Practice implications are discussed.     

Values,Commitments, and Ethics of Social Work in the United States

Social workers in the U.S. practice at the margins of society where value conflicts in the larger culture are particularly acute. This paper reviews the value and ethical conflicts that social workers encounter daily and explores the impact of the continuing drive for professional recognition and status upon the profession's traditional commitment to the poor.     

Moving Faces: Categorization of Dynamic Facial Expressions in American Sign Language by Deaf and Hearing Participants

American Sign Language (ASL) uses the face to express grammar and inflection, in addition to emotion. Research in this area has mostly used photographic stimuli. The purpose of this paper is to present data on how deaf signers and hearing non-signers recognize and categorize a variety of communicative facial expressions in ASL using dynamic stimuli rather than static pictures. Stimuli included six expression types chosen because they share overt similarities but express different content. Hearing participants were more accurate in their categorizations but expressed overall lower confidence regarding their performance.

Self- and Caregiver-Reported Experiences of Young Adults with Developmental Disabilities

ABSTRACT

The purpose of this study was to describe the experiences of young adults with developmental disabilities (DD) who were living in community settings with the aid of government-supported services. Six male and 10 female volunteer subjects (mean age = 24 years) were interviewed and the narrative data were analyzed revealing themes in six categories: (1) Home Life, (2) Relationships, (3) Health and Health Care, (4) Personal Growth and Accomplishments, (5) Occupation, and (6) Transportation. Subjects' most positive experiences were associated with integrated, comprehensive and timely services delivered by knowledgeable and sensitive service providers. Strong parental advocacy facilitated these features. Additionally, experiences were most positive when daily activities occurred within the sphere of either family or the disability community, as opposed to the broader community.

Research is suggested to further understand the dynamics of integration in the broader community and to devise strategies to successfully facilitate this integration.     

The problems and prospects in the teaching of mixed methods research

There are pedagogical challenges USA students and instructors face within mixed methods classrooms. Instructors of mixed methods are often self-taught, lacking adequate training in both qualitative and quantitative approaches to research. Students are not often trained in both research approaches. These dual training gaps can result in deep pedagogical issues compromising students’ ability to fully understand mixed methods research praxis and leaving teachers feeling ill equipped to address students’ learning concerns. To tackle the myriad of challenges confronted in the mixed methods classroom requires structural changes to the current way graduate training programs in social research methods are organized and taught. Developing a team-based teaching approach to mixed methods research that provides students with instructors who have the requisite qualitative and quantitative knowledge can serve as a pedagogical model that can begin at least to address the current methods and methodological skills gap in the teaching of mixed methods research.     

Deaf adults: retrospective narratives of school experiences and teacher expectations

Seventeen Deaf adults were interviewed about their perceptions of teacher expectations during childhood. Using a six-phase thematic analysis methodology, five themes emerged: helpful and challenging teachers, preference for Deaf teachers, the experience of lowered expectations, the worst teachers, and self-advocacy. The worst teachers were the ones who did not meet communication needs rather than those with the lowest expectations. Participants often advocated for their needs and demanded more challenging schoolwork. Implications of this study are noted for self-advocacy and resistance theories of disability, and introducing cultural perspectives and understandings of disability and Deaf experiences into teacher preparation.     

Looking inside the bag of tools: creating research encounters with parents with an intellectual disability

This paper examines the development of fieldwork methodology in a study that investigated the parenting experiences and parent support needs of a group of parents with an intellectual disability. It considers the ways in which the original planning for the project changed as the fieldwork unfolded, requiring adaptations to our methodological expectations and in the process deepening our understanding of the phenomena we were studying and reinforcing for us the importance of relationships in fieldwork‐based research. Three themes in particular are considered that became central to this research: research relationships; safety for participants/positioning of the researcher; suspending assumptions about impairment and disability and influences on life experiences.