Scottish Mental Health Service for Deaf People

Scottish Mental Health Service for Deaf People

Mental Health and Deafness the generic specialism Dr Deborah Innes Background General Adult Psychiatrist Qualified doctor Specialist training in adult mental health disorder

Special interest in Mental Health and Deafness and Eating Disorders Six Specialities in Psychiatry including Child and Adolescent Psychiatry Mental Health and Deafness

Not condition specific Not speciality specific Not environment specific (community and IP) Not treatment specific

Not region specific Communication specific BSL users (Deaf and DeafBlind), Acquired hearing loss (Dual sensory impaired) Scottish Mental Health Service for Deaf People Deaf/deafened/deafblind adults with mental disorder

Half time Psychiatrist Whole time and half time Advanced Nurse Practitioner One session Occupational therapist Admin support Catchment area Prevalence of mental health relating to Deaf people

Recent studies looking at mental health of deaf people in the community have found that 38% of deaf people were experiencing some form of mental distress Mental Health and Deafness Deaf adults appear to suffer the same rates of severe and enduring mental health problems

as the population in general. (Ref, NHS Advisory Service (1998) Mental Health ServicesForging New Channels, BSMHD) Deaf people have higher rates of common mental health problems and complex problems (40% vs 25%) (Ref from Sign of Times quoted in HMSO, 2005, Drug Misuse and People with Hearing Impairment, COI Communications)

Mental Health & Deafness No more likely to experience major mental disorders, e.g. Schizophrenia Higher rates of depression and/or anxiety Higher incidence of emotional, behavioural and adjustment disorders More likely to be diagnosed with personality disorder

However Research indicates that Deaf people who are proud of their identity and identify as part of a Deaf Community experience less psychological problems than those who have a negative attitude towards their deafness (Ridgeway, 1997)

Mental health issues in Deaf people Unique pressures over and above those faced by the wider population include:

Poverty and social exclusion Social isolation Loneliness Difficulties in relationships Education

Inability to hold down employment Under employment 4 times higher Lack of access to information Mental Health issues in Deaf people Victim of abusive language and gestures Low self esteem Higher levels of stress due to communication pressure and barriers and breaking the ice

when meeting new people Higher use of alcohol and or drugs to combat loneliness, anxiety, depression, physical pain and self medication Mental health problems occur more frequently in deaf children (Sign of the Times) (Ref HMSO,2005, Drug misuse and People with Hearing Impairment COI communications 2005)

Mental Health & Deafness Difficulty around diagnosis of condition or assessment of needs Often misdiagnosed as learning disability Factors in assessment Culture Language English/Lip Reading/BSL/SSE

Assessment tools Validity when translated e.g. MMSE, ACE Communication support BSL Interpreters/Lipspeakers/Notetakers Effect on Mental Health

Effect on assessment Behaviours Touching Position Environmental noises Bodily noises Descriptions Story telling

Deaf people and voice hallucinations Do deaf people hear voices? Researchers prior to 2000 were convinced by evidence of deaf people reporting to hear voices. This research used non-native signers or hearing researchers. Atkinson J et al; 'Exploring the perceptual characteristics of voice-hallucinations in deaf

people', Cognitive Neuropsychiatry 2007, 12:4, 339 361 Model of health service provision Tertiary Secondary Primary

Hearing Deaf UK Deaf Mental Health services The current Deaf inpatient services are: London Bluebell Ward, Springfield University Hospital

Birmingham Jasmine Suite, the Barberry Manchester The John Denmark Unit Community services

Birmingham Manchester London and the South of England North East North East Mental Health and Deafness Service South Yorkshire South Yorkshire Service for Deaf People with Mental Health Needs Nottinghamshire Nottingham Mental Health and Deafness Team

Bristol Avon & Wiltshire Partnership Specialised Deaf Service. Community services Mental Health and Deafness Service NI Republic of Ireland funded by Deaf organisation but pressure for it to be properly funded by health authority Scottish Mental Health Service for Deaf People

Wales developing a community service National Deaf CAMHS North Manchester, Newcastle and York South Cambridge, London and Taunton Central England Dudley, Nottingham and Oxford. Inpatients Corner House, Springfield University Hospital

Forensic Deaf Services National High Secure Deaf Service High Security, Rampton Hospital, Retford. 3 medium secure units, independent sector (one of which is female) 2 low secure units, independent sector

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