Title: 'Opportunities for Mental Health Assessment and Treament in the EHDI Program'
Track: 1 - EHDI Program Enhancement
Keyword(s): Mental Health: Opportunities for EHDI
Learning Objectives:
  1. Identify mental health issues commonly encountered at each stage of the life-long EHDI process
  2. Identify mental health treatment strategies to respond to these issues


The EHDI program encompasses comprehensive medical and educational information, supports and interventions. This presentation proposes there are rich opportunities to add mental health assessments and treatments throughout the EHDI program. The presentation will outline common mental health issues faced by children and their families going through the life-long process of adjusting to hearing loss, including adjustment to the diagnosis, medical interventions, and educational choices, as well as implications for social, emotional and identity development. We will explore key subjects such as parent-infant attachment, language development, and pragmatic communication in the family system. We will examine the relational and developmental challenges present at each stage of life—infancy, early childhood, adolescence, and adulthood—in the context of hearing loss. We will consider the impact of these issues on individual patients, their parents, and the family system. We will consider “typical” adjustment as well as cases with additional stressors or psychiatric diagnoses. The presentation will then identify best practices for working with these children and families. New York Presbyterian’s Deaf and Hard of Hearing Program (DHHP), which provides outpatient and inpatient mental health services, has been working with patients with hearing loss for almost two decades. In recent years, we have received an increasing number of referrals from individuals who have cochlear implants and/or use oral/aural communication. Our patients and their families present with a constellation of strengths and concerns, therefore individualized assessment is critical. We will describe the theoretical frameworks and treatment strategies that we use to nurture our patients’ strengths and optimize mental health. Our program seeks to strengthen the innate capacities in hearing parents and their children with hearing loss. The presentation will use clinical examples to elucidate these sensitive issues, and we will encourage reflection and collaborative discussion.
Presentation: 1251JuliaBall.pdf

Handouts: Handout is not Available
Julia Ball - Primary Presenter
New York Presbyterian Hospital
     Credentials: LMSW, MEd.
      Julia Ball received her MSW at Columbia University and M.Ed. at Bank Street College of Education. She has been a clinician at NYPH in the DHHP since 2006, becoming an Advanced Clinical Social Worker in 2012. She is the liaison between NYPH and the New York School for the Deaf. Previous positions include Supervisor/Instructor at the Hong Kong School of Social Work and Director of Deaf Services at Peninsula Counseling Center in Lynbrook, New York.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.