QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ We talked a lot in this portion of the class about having tough
conversations with parents. Be prepared to write an essay on what
you've learned on that topic. This should include recommendations
for HOW to have this conversation, but also you should reflect on
other themes we've discussed including conceptions of disability
(remember the Holland poem series) and unconditional positive
regard.. Answer: - We need to remember that news like this is life-
altering for many families.
- We need to be empathetic when breaking the news to families, as
each family will deal with it in different ways.
- For some hearing families, they might grieve or become depressed.
- For some deaf families, they might be happy for the news, because
they are able to relate to them.
- If you ran the tests, you are responsible for breaking the news.
- Be private, give time to breathe
,- Present strengths + positive attributes ("the baby is healthy", etc)
FIRST before diagnosis.
- Be clear, concise, be honest
- Assess parents' understanding of the situation (are you using an
interpreter? Do they know what deafness is? etc)
- Provide space and time to allow parents to make future decisions,
and offer specific advice.
- Arrange follow-up appointments.
- FAMILY-CENTERED APPROACH - Family systems theory
◉ During Screening Procedures we must:. Answer: Respect
communicative, social, and cultural behaviors of family
Acknowledge the authority and expertise of the family concerning
their child
,Acknowledge the concerns and emotions of the members of the
family expressed during interactions with screening personnel
◉ During Diagnostic Hearing Assessment, we should:. Answer:
Establish a supportive and positive relationship with the family
Be aware of cultural issues relevant to the family so we can be
respectful
Expect a wide range of reactions to the diagnosis
◉ During Early intervention program:. Answer: Clinicians create an
environment that supports exploration and change, parents guide
what is best for their family
Be prepared to provide oral and written information
◉ Know the goals of early intervention. Answer: 1. Enhancing
Development
2. Minimizing possibility of developmental delay
3. Enhancing accommodation of child's needs
, ◉ Know who/what is at the center of the early intervention
approach. Answer: Individualized Family Service Plan (IFSP)
The family is at the center of the early intervention approach
We must build upon its strengths
Planning is for the entire family, with the parents playing and active
role in development.
◉ Know the ages that are served by the early intervention program.
Answer: Birth up to three years of age
◉ Know the name of the document that guides early intervention
services. Answer: Individualized Family Service Plan (IFSP)
◉ Be able to identify and briefly define the communication modes
that families may choose for their DHH child. Answer: *ASL*
(American Sign Language, or it's country's equivalent) → useful, but
can become burdensome on the family for having to learn a new
language.
*Total communication* → May use ASL, SEE