2022 Early Hearing Detection & Intervention Virtual Conference

March 13 - 15, 2022

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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.

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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. During his role, he collaborated with Moog Center for the Deaf on a successful program to empower parents to understand language choices for their child. 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 (), Laurent Clerc National Deaf Education Center, stacy.abrams@gallaudet.edu;
Stacy Abrams, MA, is the Coordinator of Training at the Laurent Clerc National Deaf Education Center. Abrams grew up in Arkansas with a deaf sister and hearing parents. She earned her BA from Gallaudet University, and her MA from the University of California, Santa Barbara with the intention of working with hearing families with deaf children. For five years, Stacy taught deaf students in both mainstreamed and deaf schools. She served as Deaf Mentor Program Coordinator at the New Mexico School for the Deaf, and the Arizona Schools for the Deaf/Blind. She serves on the JCIH. Stacy’s passion of connecting families with the community on their signing journey led to her developing a social awareness campaign, #whyisign. The aim is for families to become inspired by seeing individuals share their reasons for signing. She and her husband are proud parents of two bilingual deaf children who attend the Kendall School.


ASHA DISCLOSURE:

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Nonfinancial -

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:

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Nonfinancial -

Julia Hecht (), New Mexico Pediatric Society , julia.hechtmd@gmail.com;
Julia L. Hecht, MD is a pediatrician and New Mexico Chapter Champion. 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 received her Doctor of Medicine degree from the Albert Einstein College of Medicine. She studied ASL and Deaf culture at Gallaudet University in 1984-5 and 2018. She received a CATCH grant in 2003 to support the implementation a medical home for Deaf and Hard of Hearing children and CODAs in Albuquerque, New Mexico. She was the Medical Director and school physician at the New Mexico School for the Deaf from 1998-2009. Currently, Julia works in advocacy and education at the local, state, and national levels.


ASHA DISCLOSURE:

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julie rems-smario (), California Department of Education, jsmario@csdf-cde.ca.gov;
Dr. Julie Rems-Smario, Ed.D works as an Early Language and Education Consultant in California at CORE, California School for the Deaf, a program of State Special Schools and Services at the Department of Education. Julie's work includes working as a co-director of California's Early Hearing Detection and Intervention, training Early Start professionals on how to develop language milestones goals for IFSP/IEP, supervising SB 210 data, developing resources for families of Deaf children, and providing technical assistance to Early Childhood Education professionals. During her free time, she volunteers as one of the Public Relations Director of a national campaign, Language Equality, and Acquisition for Deaf Kids (LEAD-K).


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.