This book provides a model for adapting best practices in cognitive-behavioral therapy to consumers whose language and cognitive deficits make it difficult for them to benefit from traditional talk oriented psychotherapy.
The book focuses primarily upon the mental health care of those deaf clients, sometimes referred to as "low functioning" or "traditionally underserved," who are particularly difficult to engage in meaningful treatment.
Drawing most heavily upon the work of Donald Meichenbaum, Marsha Linehan, and Ross Greene, this book presents adaptations and simplifications of psychotherapy which make it accessible and meaningful for persons often viewed as "poor candidates."
The heart of the book is a greatly simplified approach to psychosocial skill training, especially in the domains of coping, conflict resolution and relapse prevention skills, as well as an extensive discussion of "pre-treatment" strategies for engaging clients in mental health care.
Also included is research demonstrating how deaf mental health clients are different than hearing clients, guidelines for doing mental status examinations with deaf clients whose language dysfluency gives them the false appearance of having thought disorders, and a chapter on developing staff and creating culturally and clinically appropriate treatment programs.
Included with the book is a CD-ROM containing over 1500 beautifully drawn illustrations of a wide range of mental health and substance abuse related concepts. These pictures or "skill cards" are used in psychoeducation and therapy with persons who can not read English.
Table of Contents
Introduction. Language and Learning Challenges in the Deaf Psychiatric Population. Do You Hear Voices? Gaines, Meltzner, Glickman, Language and Learning Challenges in Adolescent Hearing Psychiatric Inpatients. Pre-treatment Strategies to Engage and Motivate Clients. Coping Skills. Conflict Resolution Skills. Relapse Prevention and Crisis Management Skills. Staff and Program Development.
"As a program director myself, I found Dr. Glickman’s chapter on staff and program development to cause a sense déjà vu and to be incredibly affirming. He nailed the problems I saw as we developed our programs and his solutions left me wondering, "Why didn’t I think of that?" If you could only have three books on mental health and deafness on your shelf, they should be Dr. Glickman’s series. If you could have only one, it needs to be this volume."
-Steve Hamerdinger, MA, Director, Office of Deaf Services, Alabama Department of Mental Health
"This book is an excellent resource for therapists, students who hope to work in clinical environments, and/or support personnel. Teachers may also find aspects of it useful...includes many valuable activities, games, stories, and ideas that can be implemented in a classroom setting. A valuable read for any professional interested in guiding a member of a 'traditionally underserved' population through challenges encountered while traveling the yellow brick road of life." -Karen L. Kritzer, Educational Foundations and Special Services, Kent State University, in Journal of Deaf Studies and Deaf Education, Vol. 14, No. 4
"In his groundbreaking new book… Glickman has established himself as one of the world’s most progressive mental health professionals working with deaf people. The book, which focuses on the psychiatric treatment of people who are deaf, will shape the work of mental health professionals working with this population for years to come. Glickman’s passionate and intelligent commitment to his work leaves no excuse for the "custodial care" that deaf people in psychiatric facilities have historically received. He makes a sincere, concerted effort to reach traditionally underserved clients with an in-depth, critical assessment of the process, and he attempts to teach others to do the same… [Glickman] provides the most comprehensive discussion to date of the history, research, diagnostic and treatment complexities, and challenges of working with a segment of the population of deaf people…Glickman’s authoritative text is momentous. Glickman deserves praise for his critical assessment of the current treatment approaches and environments of language- and learning- challenged deaf and hearing people, and for his exhaustive and pioneering efforts to correct this state of affairs… Writing a book that explains how to modify complex theoretical processes into simple and clear interventions applicable to a complex, diagnostic picture and treatment environment is an intense but essential challenge. The book’s presentation of resources and tools (e.g., movies, games, books, and an accompanying CD with illustrations by Michael Kajnak) are helpful in this endeavor." – Martha A. Sheridan, Sign Language Studies
"I have nothing but praise for this volume and its author. The book is clearly written, well-organized, and will be accessible to graduate students, professionals, and the general reader who is interested in the interaction of psychological development, language processes, and psychopathology… Anyone who works clinically, in schools, or in any professional capacity with deaf clients should read this book. If it is taken seriously by those who run mental health programs for deaf and language challenged individuals, it might lead to a quiet but profound revolution in the quality of care such clients receive…an invaluable treatment manual for the specific population about whom it is written, as well as an excellent guide to individual and institutional treatment for any population of clients." – Jerry Gold, PsycCRITIQUES
"Glickman’s new book, Cognitive Behavioral Therapy with Deaf and Hearing Persons with Language and Learning Challenges…has tremendously advanced our understanding of working with deaf people with severe mental illness…this is excellent stuff…Whether you are a seasoned veteran with decades of experience or a newbie starting out in your first professional post graduation position, Glickman has much to share with you. Buy this book. You will not be the same after reading it. Consult it often. Your consumers will be better for it." – Steve Hamerdinger, Signs of Mental Health
"Neil Glickman's book...provides the clinician with both a conceptual framework and practical clinical skills. Readers will find this book well organized and fairly easy to read." - D. Kristen Small, Ph.D., Samaritan Behavioral Healthcare, Scottsburg, Indiana
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