2025 Early Hearing Detection & Intervention Conference
March 9-11, 2025 • Pittsburgh, PA
DAVID L. LAWRENCE CONVENTION CENTER
| A family-centered, tiered model of psychosocial care for DHH children in a pediatric medical home
A family-centered, tiered model of psychosocial care for DHH children in a pediatric medical home
The Center for Childhood Communication at Children’s Hospital of Philadelphia includes the Integrated Psychosocial Program (IPP), which provides a family-centered, tiered model of psychosocial care in a pediatric medical home. The IPP aims to improve holistic health outcomes in DHH children and their families by providing integrated mental health consultation, therapy, assessment, and community supports to all DHH children, and consists of psychology, neuropsychology, and social work providers. This presentation will highlight considerations of how the team was built, individual team member responsibilities, and the tiered triage model used to provide services for all families. The presentation will also review clinical pathways/protocols that can be used to assess broader psychosocial functioning of DHH children, including tools for standardized screening. We will give special attention to recognizing potential co-occurring neurodevelopmental/behavioral health conditions (e.g., autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disability, and/or language deprivation syndrome) and efforts made to take advantage of the opportunity to collect unique surveillance data. Although most centers may not have fully dedicated psychosocial staff, considerations for partnering with community providers to develop a network of culturally-informed, deaf-specific mental healthcare will be reviewed. Potential opportunities for psychosocial intervention can include: initial diagnosis of hearing loss, evaluation for cochlear implant candidacy, questions of co-occurring diagnoses, and/or integration of deaf identity. The IPP leverages telehealth platforms that can be crucial for increasing accessibility and health equity for families who do not live close to the hospital. Finally, as part of healthcare that is accessible, compassionate, and culturally-informed, the presentation will highlight communication strategies to support the diversity, equity, and inclusion of all families, and respect for their experiences engaging with the healthcare system.
- Identify and describe how a tiered model of psychosocial care can be implemented to support the holistic health of DHH children and their families.
- Analyze clinical pathways and tools used to assess psychosocial functioning in DHH children, with an emphasis on recognizing and addressing potential co-occurring neurodevelopmental and behavioral health conditions.
- Discuss strategies for partnering with community providers to develop culturally-informed, deaf-specific mental healthcare networks and explore how telehealth can increase accessibility and promote health equity for DHH families.
Presentation:
3545975_18215MatthewFasano-McCarron.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Michael Hoffman
(Co-Presenter,Co-Author), The Children's Hospital of Philadelphia, hoffmanm5@chop.edu;
Dr. Michael Hoffman is a Pediatric Psychologist at Children’s Hospital of Philadelphia within the Center for Childhood Communication and an Assistant Professor of Psychiatry in the Perelman School of Medicine at the University of Pennsylvania. He provides integrated psychological services with an emphasis patient-centered, collaborative care for deaf and hard of hearing children and their families. Dr. Hoffman serves on the cochlear implant team and provides outpatient consultation for cochlear impact candidates, and those who were recently implanted. He also helped to develop a tiered model of service to screen all DHH patients and provide brief interventions for challenges related to deafness (deaf identity, adjustment to hearing loss/limited device usage, family stress related to hearing loss, academic/peer difficulties, and traditional psychiatric diagnoses such as anxiety, depression, and ADHD). Dr. Hoffman is deaf himself, and utilizes one cochlear implant and one hearing aid.
ASHA DISCLOSURE:
Financial -
• Receives Salary for Employment from CHOP.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Matthew Fasano-McCarron
(Primary Presenter,Co-Presenter,Co-Author), The Children's Hospital of Philadelphia, fasanomccm@chop.edu;
Pediatric Neuropsychologist, Licensed Psychologist specializing in providing neuropsychological consultation and assessment services to DHH children and their families.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Rebecca Witmer
(Co-Presenter,Co-Author), The Children's Hospital of Philadelphia, witmerR@chop.edu;
Licensed clinical social worked specializing in delivering consultation and therapeutic services to DHH children and their families.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Marisa Cohen
(Co-Presenter,Author,Co-Author), The Children's Hospital of Philadelphia, cohenm13@chop.edu;
Social work care coordinator specializing in delivering care to DHH children and families.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.