16th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
February 26-28, 2017 • Atlanta, GA

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2/27/2017  |   11:05 AM - 11:35 AM   |  Medical Home Enhancement via Integrative Solutions   |  Learning Center

Medical Home Enhancement via Integrative Solutions

Treatment decisions regarding the care of deaf and hard of hearing children have a significant and broad impact on the child’s family life, school and educational experiences, and the ability to adapt and develop as an emotionally whole and healthy individual. The medical home model integrates a variety of aspects of the child’s life into the provision of pediatric care and is an ideal paradigm for approaching the care of deaf and hard of hearing children. In order to provide a medical home (continuity, cultural-competence, family-centeredness), pediatric practitioners need access to information that is not readily available to them in the current system. While previously such information has been the domain of Early Intervention, in this session we will engage pediatricians in a unique Integrative Model. This model reduces fragmentation of care and compartmentalization of expertise by creating dynamic partnerships for dialogue and problem solving between pediatricians and Deaf professionals. We present 3 medical cases involving deaf and hard of hearing children and a panel of Deaf professionals (Deaf pediatrician, 2 Deaf EI’s, and a Deaf researcher specializing in language acquisition and brain development). Discussion will be moderated jointly by a hearing pediatrician and a Deaf EI. In addition to introduction of Deaf perspectives in medical case-based learning, we will provide resources for continued community engagement and guidance for Chapter Champions in carrying out integrative pediatrician education in their home states.

  • Pediatricians and providers will increase their understanding of the impact of language access and brain development, culture, and Deaf perspectives on providing optimal health care for deaf and hard of hearing children.
  • Pediatricians and providers will be more prepared for increasing health professional’s knowledge and engagement in their home states.
  • Participants will experience pediatrician / provider - Deaf Community direct dialogue and engagement.

Presentation:
15804_5686JuliaHecht.pdf

Handouts:
Handout is not Available

Transcripts:
5686.doc


Presenters/Authors

Thomas Horejes (), Gallaudet University, thomas.horejes@gallaudet.edu;
Dr. Thomas Horejes received his PhD in Justice Studies at Arizona State University and is currently Gallaudet University’s Associate Provost of Student Success & Academic Quality. Prior to his position at Gallaudet, he was former Executive Director of DEAF, Inc.— based in St. Louis—that provides advocacy and interpreting services to the deaf/hard of hearing community. He has numerous publications, including a book entitled, Social Constructions of Deafness: Examining Deaf Languacultures in Education. He is also former professor of sociology at Gallaudet University.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Stacy Abrams (), Arizona School for the Deaf and Blind, stacy.abrams@asdb.az.gov;
I grew up bilingual. I graduated from Gallaudet University then I graduated with a Master's Degree from University of California at Santa Barbara. Currently I am PhD student. Former Teacher of the Deaf and the Deaf Mentor Program Coordinator at New Mexico School for the Deaf. I am currently the Deaf Mentor Program Coordinator at the Arizona School for the Deaf and Blind. Also a proud Deaf mom of two bilingual Deaf children.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Robert C. Nutt (), University of Rochester, robert_nutt@urmc.rochester.edu;
Dr. Robert Nutt graduated from Dartmouth College and received his medical degree from the Geisel School of Medicine at Dartmouth. He served on the Newborn Hearing Screening Task Force for the New Hampshire, helping to establish the universal newborn hearing screening program in that state. Dr. Nutt completed his Pediatric Residency training followed by clinical fellowships in Academic General Pediatrics and Developmental and Behavioral Pediatrics at the University of Rochester Medical Center. Dr. Nutt has cared for families in both a primary pediatrics clinic and a developmental-behavioral pediatrics specialty clinic. He developed an ambulatory pediatric clinic that provides direct care to Deaf and hard of hearing patients and families as part of a Patient-Centered Medical Home at the University of Rochester. Dr. Nutt has been director of the Deaf Health Pathway at the University of Rochester School of Medicine and Dentistry, teaching medical students about caring for Deaf patients and other special populations. He serves on the Monroe County (NY) LEICC Task Force on Childhood Hearing and is a member of the American Academy of Pediatrics Leadership Team for Early Hearing Detection and Intervention. His life-long personal experience with hearing loss and proficiency in spoken English and American Sign Language allow him to appreciate the importance of early childhood language acquisition.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - Has a Professional (EHDI Leadership Team) relationship for Volunteer membership on advisory committee or review panels.   Has a Professional (EHDI Leadership Team) relationship for Volunteer membership on advisory committee or review panels.   Has a Professional (EHDI Leadership Team) relationship for Volunteer membership on advisory committee or review panels.   Has a Professional (EHDI Leadership Team) relationship for Volunteer membership on advisory committee or review panels.  


Julie Rems Smario (), LEAD-K, Juliesmario@gmail.com;
Julie Rems-Smario is committed as an intervention activist, a co-founder of Language Equality and Acquisition for Deaf Kids (LEAD-K), As President of the California Association of the Deaf, she was part of the team which helped to pass SB 210, California's mandated language benchmarks for all Deaf children between the ages of 0 to 5 academically prepare them for Kindergarten in California. Her work was honored by DeafLife as the Deaf Person of the Year in 2014. During her tenure as the founding executive director of DeafHope. Nationally recognized with several awards, CNN Heroes, Pearls Award, and E-Women Network International Humanitarian Award.

ASHA DISCLOSURE:

Financial -

Nonfinancial -


Julia Hecht (), American Academy of Pediatrics , gazeshift@gmail.com;
Julia L. Hecht, MD is a pediatrician and current NM Chapter Champion. She received her Doctor Of Medicine degree with Honors in Molecular Genetics from the Albert Einstein College of Medicine. She has focused her medical career on the health and well-being of deaf and hard of hearing children, and children from Deaf families. She studied ASL and Deaf culture at Gallaudet University in 1984-5. She received a CATCH grant in 2003 to support the implementation of the Deaf Access Program, a medical home for Deaf and Hard of Hearing children and CODAs, . In collaboration with Deaf staff, this program provided accessible, culturally competent and family-centered care in Albuquerque, New Mexico. She was the Medical Director and school physician at the New Mexico School for the Deaf from 1998-2009. She served as the NM EHDI Chapter Champion from 2001-2008. Julia is retired from clinical practice but continues to work in advocacy and education at the local, state, and national levels.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.