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Click to edit Master title style<= /div>
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------=_NextPart_01C50AB6.0DC30F20 Content-Location: file:///C:/8EB94113/TreatmentFamilyHomes_files/master07.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C50AB6.0DC30F20 Content-Location: file:///C:/8EB94113/TreatmentFamilyHomes_files/master02.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="utf-8" ------=_NextPart_01C50AB6.0DC30F20 Content-Location: file:///C:/8EB94113/TreatmentFamilyHomes_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C50AB6.0DC30F20 Content-Location: file:///C:/8EB94113/TreatmentFamilyHomes_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="utf-8" Treatment Family Homes
Using the Deaf Community as an Alternative Treatment Strategy:
Missouri Department of Mental Health
Steve Hamerdinger
3D"Developing
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A generation ago,= most people were deafened by post-natal disease or trauma.
= ØToday we see an increasing number of children with congenital hearing loss.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üMany also have additional symptoms, including neurological and cognitive problems.
3D"“Plain<= ![endif]>
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3D"Deaf=
While biological = mental illness occurs at about the same rate among both deaf and hearing children, deaf children are at significantly higher risk for <= /span>affective and behavioral disorders.
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charset="utf-8" Treatment Family Homes
ØThere are few children’s programs for the deaf.
=
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•DoSS <= /span>
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<= span style=3D'font-family:MarkerFeltThin-Plain;text-shadow:auto;visibility:hidd= en'>•
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<= span style=3D'font-family:MarkerFeltThin-Plain;text-shadow:auto;visibility:hidd= en'>•
=
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= •
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:86%'>= ØMissouri is “Hyper-Inclusionist” in philosophy.
= ØMissouri will not= send children out of state.
= ØEveryone wants a = piece of the pie.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üTreatment planning meetings can get out of hand.
§The “alphabet s= oup” of treatment planning turf wars.
3D"Politics,=
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ØSince Missouri wi= ll not approve out of state placements, there is a rush to “accommodate” t= he deaf child.
= üProgram reluctanc= e to make modifications means the child has to accommodate the program.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:91%'>= §Interpreters are provided very grudgingly.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:91%'>= §Rarely will adapt= ive equipment be secured.
= ØThe benefit to the child is questionable, but no one seems willing to fight = the larger system.
= üChildren might ge= t some benefit through “incarceration therapy.”
3D"Politics,=
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ØMissouri School f= or the Deaf has been around since 1851.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:77%'>= üAlumni is resista= nt to change.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:77%'>= üStaff have the op= inion that MSD is “just a school where the kids happen to be deaf.” =
= ØLEAs see MSD as t= he place to serve kids they can’t.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:77%'>= üMSD staff  feels this equals dumping.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:71%'>= ØReality: The state schools are increasingly becoming the only place where the m= ost challenging kids can get services.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:77%'>= In some schools a= s many as a third have additional challenges.
3D"The=
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ØThe social service system tries to get kids who are severely emotionally distu= rbed (SED) admitted to MSD
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:77%'>= üMSD argues they d= o not have the resources to work with “those” kids.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:77%'>= üThere is mistrust= and hard feelings all around the treatment team table. = ;
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:71%'>= ØThere are a numbe= r of children in Missouri who are not getting any educational or mental heal= th services since their behavior prevents acceptance in MSD and the LEA cannot deal with them ei= ther.
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Content-Location: file:///C:/8EB94113/TreatmentFamilyHomes_files/slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="utf-8" Treatment Family Homes
ØBetween 21% and 4= 6% of all deaf children are in need of psychological support. = (Klopping, et. al. 1985)
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üMainstreaming may exacerbate this trend.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:86%'>= ØWe identified 32 children between the ages of 8 and 21 who needed specialized (residential) treatment.  <= /span>
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üWe were able to identify maybe one tenth of the expected population.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üMSD did not want = to take these children on to the campus unless it was in a stand alone treatment program.
=
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file:///C:/8EB94113/TreatmentFamilyHomes_files/slide0009.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="utf-8" Treatment Family Homes
ØEveryone wanted a solution - no one wanted to pay for it.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üDMH, DESE, MSD, D= FS tried to develop a plan for an RTC.
§Family Services has the biggest= need but would not commit funding.
§Youth Services would not even c= ome to the table.
= ØA total of four proposals were floated over a three year period of time.
3D"Interagency=
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ØDMH and DESE were= not willing to do it without Social Services.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üMany of the child= ren who need these services are in DFS custody or under their supervision.
= ØWith the collapse= of the plan, MSD was again the “option of last resort.”
3D"Interagency=
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ØSome state school= s have accepted the challenge of working with SED deaf kids..
üSouth Carolina ha= s had an RTC on campus for more than 10 years.
üWPSD balances a reputation for academic excellence with recognition as a leader in servic= ing SED deaf kids.
§The PRIDE program= was the inspiration for what Missouri ultimately did.
§They have on camp= us services combined with off campus residential interventions.
3D"It
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ØDMH would not dev= elop a stand-alone RTC and MSD would not agree to become a treatment center in name. <= /span>
= ØDMH would not com= mit new money to the project without significant involvement of other agencies.
<= span style=3D'font-family:MarkerFeltThin-Plain;font-size:85%'>= üThe one attempt t= hat looked positive, Caring Communities, ran afoul of turf and con= trol issues.
3D"Developing
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