Psychiatric Disorder in Deaf and Hearing Impaired Children and Young People: A Prevalence Study

Hindley, Peter; Hill, Peter; McGuigan, Sean; Kitson, Nick

doi:10.1111/j.1469-7610.1994.tb02302.x

Cited by 131 publications

(101 citation statements)

References 18 publications

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“…The survey findings indicated three important health-related disparities between the deaf people who took the survey and the hearing people who live in the same county including: 1) increased rates of cardiovascular risks including obesity; 2) increased risks for intimate partner violence; and 3) increased reports of suicidal attempts . These findings are consistent with other previous studies indicating that deaf people appear to be experiencing significant disparities in their health and mental health literacy and outcomes (Margellos-Anast et al, 2006, Maxwell-McCaw, 2001Hindley et al, 1994). Whereas these surveys and studies have helped to identify specific health disparities that deaf people experience, they did not include items that explored the reasons why deaf people might be experiencing these health disparities.…”

Section: Pertinent Socioecological Barriers and Issues Affecting Deafsupporting

confidence: 80%

Social Determinants of Health in Deaf Communities

Smith¹,

Chin²

2012

Public Health - Social and Behavioral Health

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Section: Pertinent Socioecological Barriers and Issues Affecting Deafsupporting

confidence: 80%

Social Determinants of Health in Deaf Communities

Smith¹,

Chin²

2012

Public Health - Social and Behavioral Health

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“…There is robust evidence that delayed language acquisition in either modality increases the risk of mental health problems, and such delays occur in many deaf children. 8 Hearing parents with deaf children (90-95%) are less likely to encounter the world of deafness and as such are more likely to choose a predominantly oral approach to communication, despite the risk that this might result in a significantly delayed acquisition of language in the child. 9 In contrast, deaf children with deaf parents have natural access to sign language as their first language and subsequently have typical language acquisition patterns and fewer mental health problems.…”

Section: Declaration Of Interestmentioning

confidence: 99%

Addressing mental health needs of deaf children and their families: the National Deaf Child and Adolescent Mental Health Service

Sessa

Sutherland

2013

Psychiatrist

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SummaryRates of developmental delay, autism and mental illness in deaf children are higher than in hearing children. Early language acquisition (signed or spoken) is a protective factor against mental disorder. Deaf children and their families are often given conflicting messages and advice about their upbringing and many are unable to access generic child and adolescent mental health services (CAMHS). We describe the National Deaf CAMHS, a service that has been set up to answer the needs of this group of patients. It uses specialist intervention which incorporates some aspects of Deaf awareness to empower deaf children and reduce the burden of mental health problems that are likely to accompany them into and throughout their adulthood.

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“…The incidence of mental health problems in deaf children/young people is around 1.5 times greater than among their hearing counterparts. 25 In adulthood, although the incidence of major psychoses is broadly consistent with that among hearing people, the prevalence of depressive disorders and anxiety is significantly higher (33% of the Deaf population vs. around 20% of the hearing population). 26 Studies have demonstrated the inaccessibility of health services to Deaf BSL users, [27][28][29][30] including mental health services, resulting in late diagnoses and loss of benefit from early preventative interventions.…”

Section: Deaf People and Mental Healthmentioning

confidence: 91%

Evaluating the effectiveness and cost-effectiveness of British Sign Language Improving Access to Psychological Therapies: an exploratory study

Young

Rogers

Davies

et al. 2017

Health Serv Deliv Res

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BackgroundImproving Access to Psychological Therapies (IAPT) is a National Institute for Health and Care Excellence-approved approach to intervention for depression and/or anxiety. This exploratory study sets the groundwork for comparing psychological therapies for Deaf sign language users experiencing anxiety and/or depression, delivered in British Sign Language (BSL) by a Deaf therapist with usual access through an interpreter within the IAPT national programme.Objectives(1) To explore the following questions: (a) is BSL-IAPT more effective than standard IAPT for Deaf people with anxiety and/or depression? and (b) is any additional benefit from BSL-IAPT worth any additional cost to provide it? (2) To establish relevant BSL versions of assessment tools and methods to answer research questions (a) and (b). (3) To gauge the feasibility of a larger-scale definitive study and to inform its future design.DesignA mixed-methods exploratory study combing an economic model to synthesise data from multiple sources; a qualitative study of understanding and acceptability of randomisation and trial terminology; statistical determination of clinical cut-off points of standardised assessments in BSL; secondary data analysis of anonymised IAPT client records; realist inquiry incorporating interviews with service providers and survey results.SettingsIAPT service providers (NHS and private); the Deaf community.ParticipantsDeaf people who use BSL and who are clients of IAPT services (n = 502); healthy Deaf volunteers (n = 104); IAPT service providers (NHS and private) (n = 118).InterventionsIAPT at steps 2 and 3.Main outcome measuresReliable recovery and reliable improvement defined by IAPT; Deaf community views on the acceptability of randomisation; BSL terminology for trial-related language; clinical cut-off measurements for the BSL versions of the Patient Health Questionnaire-9 items (PHQ-9) and the Generalised Anxiety Disorder-7 (GAD-7); a valid BSL version of the EuroQol-5 Dimensions five-level version (EQ-5D-5L); costs, quality-adjusted life-years and incremental cost-effectiveness ratios.Data sourcesIAPT service provider anonymised records of the characteristics and clinical outcomes of Deaf BSL users of BSL-IAPT and of standard IAPT; published literature.ResultsRandomisation may be acceptable to Deaf people who use IAPT if linguistic and cultural requirements are addressed. Specifications for effective information in BSL for recruitment have been established. A valid EQ-5D-5L in BSL has been produced. The clinical cut-off point for the GAD-7 BSL is 6 and for the PHQ-9 BSL is 8. No significant difference in rates of reliable recovery and reliable improvement between Deaf users of standard IAPT or BSL-IAPT has been found. Whether or not BSL-IAPT is more cost-effective than standard IAPT is uncertain.LimitationsThe small number of participating standard IAPT services who have seen Deaf clients means that there is statistical uncertainty in the comparable clinical outcome result. Clinical cut-off scores have not been verified through gold standard clinical interview methodology. Limited data availability means that whether or not BSL-IAPT is more cost-effective than standard IAPT is uncertain.ConclusionsThere is a lack of evidence to definitively compare reliable recovery and reliable improvement between Deaf users of standard IAPT and BSL-IAPT. Instrumentation and prerequisites for a larger-scale study have been established.Future workA prospective observational study for definitive results is justified.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Psychiatric Disorder in Deaf and Hearing Impaired Children and Young People: A Prevalence Study

Cited by 131 publications

References 18 publications

Social Determinants of Health in Deaf Communities

Social Determinants of Health in Deaf Communities

Addressing mental health needs of deaf children and their families: the National Deaf Child and Adolescent Mental Health Service

Evaluating the effectiveness and cost-effectiveness of British Sign Language Improving Access to Psychological Therapies: an exploratory study

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