identifying and intervening with deaf children at risk for language deprivation

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When: Session #4Track: Education AdvocacyWho: Wyatte HallDescription: Professionals who work with Deaf individuals, such as teachers and clinicians, often observe poor language skills in both English and ASL. These individuals can be described as having information gaps, limited social skills, diminished coping skills, reduced reasoning abilities, and vulnerability to trauma and addiction. Instead of treating each issue as a separate challenge of the Deaf experience, could there be a core, underlying issue that better informs how we provide support to Deaf people? In this interactive session, we provide information on the consequences of language deprivation by providing a multidisciplinary framework for clinical and teaching practices. We aim to discuss how language deprivation may be an underlying foundation of "traditional" problems of the Deaf. The cascading effect of language deprivation, especially related to education and mental health, is explored through a series of stories, vignettes, and data presentations. The goal of this presentation is to provide information on more effective and preventive educational and behavioral health interventions for all Deaf individuals.CEUs: Professional Studies

TRANSCRIPT

  • I S I T D E A F N E S S O R L A N G U A G E D E P R I VAT I O N ?

    W YA T T E C . H A L L , P H . D . N A T I O N A L C E N T E R F O R D E A F H E A LT H R E S E A R C H U N I V E R S I T Y O F R O C H E S T E R

    J O N H E N N E R , M . S . , D O C T O R A L C A N D I D A T E B O S T O N U N I V E R S I T Y A N D H O LY C R O S S C O L L E G E

  • D R . S A N J AY G U L AT I

    The single greatest risk faced by deaf people is inadequate exposure to a usable first language.

  • Ausbrooks, Gentry, & Martin, 2014; Chamberlain & Mayberry, 2000; Cummins (1991; 2006); Fish, Hoffmeister, & Trasher, 2005; Hoffmeister, 2000; Hoffmeister, de Villiers, Engen, & Topol, 1997; Hoffmeister, Fish, Henner, Benedict, Rosenburg, & Conlin-Luippold, 2014; Kuntze, 1994; Lichenstein, 1998; Mayberry, 1992; Padden & Ramsey (1996; 2000); Mounty, Pucci, & Harmon, 2013; Prinz & Strong, 1998; Singleton, Supalla, Litchfield, & Schley (1998); Strong & Prinz, 2000

    L A N G U A G E I N T E R D E P E N D E N C E T H E O R Y - B I L I N G U A L B I M O D A L S

    ASL

    Written English

  • A S L D O E S M O R E T H A N B U I L D A F O U N D AT I O N F O R E N G L I S H ,

    I T H E L P S B U I L D E N G L I S H .

  • Why does it matter if Deaf children have good ASL vocabulary skills?

  • TA S K S I G N I N G A B I L I T I E SP R E D I C T I V E S C O R E O N

    T H E S AT- 1 0 R E A D I N G C O M P R E H E N S I O N T E S T

    A S L A I : A N T O N Y M S N AT I V E 5 4 %

    A S L A I : A N T O N Y M S N O N - N AT I V E 4 8 %

    A S L A I : S Y N O N Y M S N AT I V E 5 0 %

    A S L A I : S Y N O N Y M S N O N - N AT I V E 4 8 %

  • What about most kids who dont have signing parents?

  • Bilingual Bimodal schools for the Deaf are the best place for them

    The longer they are in Bilingual Bimodal schools, the better their ASL becomes and consequentially, the better their language scores are

    Henner, Fish, & Hoffmeister, 2015

  • Effective schools for the Deaf can approximate good language environments at home

  • (Pollard, n.d.)

  • (Pollard, n.d.)

  • L A N G U A G E D E L AY S

    Neurolinguistic structures

    Grammar and second-language acquisition

    Less grey matter

    CI research

    Highly variable

    No focus on first-language acquisition

    Implant language access

    Duchesne, Sutton, & Bergeron (2009); Humphries et al. (2014c)

  • Deaf

    TraumaMental Health

    AddictionSocialization

    Anderson & Leigh (2011); Fellinger, Holzinger, & Pollard (2012); Glickman (2009); Kvam, Loebs, & Tambs (2007)

  • Language Deprivation

    TraumaMental Health

    AddictionSocialization

    Anderson & Leigh (2011); Fellinger, Holzinger, & Pollard (2012); Glickman (2009); Kvam, Loebs, & Tambs (2007)

  • AddictionDeaf Youth

    Earlier age Greater severity Greater rates of dependence Depression Traumatic stress Conduct problems ADHD-type behaviors

    T i t u s , S c h i l l e r, & G u t h m a n n ( 2 0 0 8 )

  • A D D I C T I O N

    Language Deprivation

    Difficulty expressing

    self Increase in Distress Difficulty

    with Coping Skills

    Drugs and Alcohol Use

  • D E A F A N D H E A R I N G I N PAT I E N T S

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    Psychotic Disorders Language Dysfluent

    Deaf Hearing

    Black & Glickman (2006)

  • L A N G U A G E D E P R I VAT I O N D I S O R D E R ?

    Criterion A: Language Deprivation

    Criterion B: Language Dysfluency

    Criterion C: Fund of Information Deficits

    Criterion D: Disruptions in Thinking, Mood, and/or Behavior

    Criterion E: Clinical Significance

    Criterion F: Exclusion

    A d a p t e d f r o m G l i c k m a n ( 2 0 0 9 )

  • S Y S T E M AT I C C A U S E S

    defective hearing people paradigm

    Medical school curriculum does not address language development

    Community sources (teachers, ministers, etc.) not knowledgeable about language, cognitive, and brain development

    Parents misinformed about potential and probable implications of not giving fully accessible language exposure early

    High expectations for CI, its the only option

    Misinterpretation of brain imaging research (auditory cortex)

    Bailes, Erting, Erting, & Thumann-Prezioso (2009); Humphries et al. (2014b; 2014c); Hyde, Punch, & Komesaroff (2010); Lyness, Woll, Campbell, & Cardin (2013)

  • English-only Ideology

    English-only Testing Policies

    Subtractive Bilingualism

    Children dont have Access to Education

    in their L1

    School Disengagement, Loss of Identity

    Westerlund (2015)

  • I M P L A N T E D C H I L D R E N V S H E A R I N G C H I L D R E N

    Delayed sign language exposure

    Hearing children

    Davidson, Lillo-Martin, & Pichler (2013)

  • I M P L A N T E D C H I L D R E N V S H E A R I N G C H I L D R E N

    Native sign language exposure

    Hearing children

    Davidson, Lillo-Martin, & Pichler (2013)

    without a period of language deprivation before the implantation of the CI, children with CIs can develop spoken language skills appropriate for [their age] sign language input does no harm to a deaf childs spoken language development after h/she receives an implant

  • W H AT C A N W E , A S A C O M M U N I T Y, D O ?

  • Keep our children in schools for the Deaf

    Demand higher accountability and signing skills from teachers of the Deaf

    Understand the IEP process and know how to use it to create bilingual environments for our children

  • VA L U E A S L A N D W R I T T E N E N G L I S H E Q U A L LY

  • A C K N O W L E D G E M E N T S

    Data on slides 7 and 8 were collected through the Center for the Study of Communication and the Deaf at Boston University,

    and by the work of Dr. Robert Hoffmeister