Mental health professionals and support staff were invited to complete a questionnaire about their experience of using videoconferencing. Our hypotheses were that mental health professionals in the UK do not have access to videoconferencing and do not believe that videoconferencing is appropriate for their work. Of the 134 people who completed and returned a questionnaire, 78 worked in deaf mental health services and 56 worked in general mental health services. The majority were nurses (n = 33) or psychologists (n = 30). A total of 109 respondents (81%) knew what videoconferencing was, but only 16 respondents (12%) had ever used it. The majority of the 32 respondents who knew the location of their nearest videoconferencing facility said that it could be accessed in less than 30 min. The 16 people who had previously used videoconferencing identified four different benefits of videoconferencing and eight different drawbacks. We conclude that mental health staff did not have adequate knowledge of, or access to, videoconferencing.
Addressing the complex factors that underpin any presentation of non-organic hearing loss (NOHL) is essential to that individual's proper management. The complex and often conflicting approaches taken to date are reviewed. Previous dichotomous models distinguish those assessed as consciously malingering for external benefits from those who generate symptoms unconsciously to meet psychological needs. Incorporating the DSM-IV-TR diagnosis of 'factitious disorder' into a new model bridges the conceptual gap. Three categories (malingering, factitious and conversion) are used distinctly, for the purpose of diagnosis, and on a continuum for the purpose of management. Motivating factors, type of gain, degree of intention and consistency of response during audiological assessment can all be related within the model. Advances in objective measurements have made the detection of NOHL easier. A reinvigoration of interest in effective diagnosis and management of the condition is therefore timely.
Identifying and assessing depression is essential to ensuring access to appropriate treatment and services. Unfortunately, limited literature exists on identifying and assessing depression in prelingually deaf people. In a literature review, the authors critically examined relevant published studies. The earliest reported information on depression in deaf people was found in historical studies that descriptively evaluated specialist psychiatric services for deaf people. These studies did not accurately reflect the prevalence of depression; reasons for this are discussed. Issues regarding assessment of depression in deaf people, such as communication, use of interpreters, and use of standardized assessments, are examined. Studies that have attempted to overcome these challenges are reviewed, including studies using modified versions of written questionnaires designed for hearing people and studies in which standardized questionnaires were translated and administered in sign. Advantages and disadvantages of different methods are highlighted; recommendations for future research are made.
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