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Cultural Sensitivity
Michael Douglas, CCC-SLP, LSLS, Cert. AVT
Myriam De La Asuncion, AuD., CCC-A
− 1. Describe at least three informational counseling techniques
− 2. . Practice a specific counseling procedure intended to make changes in behavior.
− 3. Evaluate current practices and identify opportunities for improvement
Learner Objectives
Counseling
Informational
Facilitate
learning about HL and solutions
Higher
Understanding
Sense of
empowerment
InformationalCounseling
Goal
Outcomes
(Tye-Murray, 2014Glade, 2018)
Information to Share Evolves
Infancy/toddlerhood
Preschool age
School age
College
Work
Glade, Bowers & Baldwin, 2018
Incorporating informationalcounseling in treatment for young people with hearing Loss and their families
How much do they forget?
How much do they hear correctly?
Informational Counseling:(Glade et al, 2018; Kressler, 2003)
40-80%
up to 50%
Exploring Hispanic parents’
beliefs and attitudes
about deaf education
Rodriguez & Allen, 2018
Compared Hispanic
vs. non-Hispanic families
N = 154 18% Hispanic
Informational Counseling: Hispanic Families
Rodriguez & Allen, 2018
Hispanic families in cited studies
perceived
disability as a curse or a blessing
Informational Counseling: Hispanic Families
Rodriguez & Allen, 2018
AND
If they rely on spiritual explanations,
they may be morewilling to do whatever the medical/educational professional tells them to do
Informational Counseling: Hispanic Families
Rodriguez & Allen, 2018
Study confirmed the participants were more likely to follow a medical model approach over a social-cultural approach =
Pursue restoration of hearing loss and listening and spoken language
hypothesized they do this to avoidsocial stigma associated with disability…
Informational Counseling: Hispanic Families
Rodriguez & Allen, 2018
Hispanic parents were more likely to report that learning English was already difficult enough and learning sign language would also be difficult
( in addition, authors hypothesized use of sign language may increasesvisibility of the hearing loss):
Informational Counseling: Hispanic Families
Counseling: Communicating
Tone
Body Language Content
58%
35%
7%
(Mehrabian, 2009)
The Art and Mastery of Informational Counseling
GIVE TOOLS
LISTEN Ask
Informational Counseling
Self monitor way of being
Ask
LISTEN
GIVE
TOOLS
Put your focus on areas that are going to help you understand
this family’s IMMEDIATE needs
Your listening makes the differencenot your knowledge.
Listen for what you can empower.
EMPOWER the family with tools that make a difference
RIGHT NOW
Ask a Question LISTEN
ASK then LISTEN
Rollnick, Miller, and Butler (2008)
What Happened?
Story
LISTEN: Patients have disempowering thought distortions too…
LISTEN: What are we listening for?
Handout
Reactive Committed
Listening
Exercise
CONSTANTLYINTERRUPT
COMMITTEDCOMMITTEDDISTRACTED
GIVE TOOLS
My
Way
New
Way
NO
Way
Your
Way
Rollnick, Miller, and Butler (2008)
Risk of Over criticism and ignoring
9 10
15
20
25
30
35 35 35 35
8 9
1210
86
4 3 3 22 2 3 4 3 2 3 2 1 1
1 2 3 4 5 6 7 8 9 10
# of math problems completed
Poitive Reinforcement Criticisim Ignore
(Hurlock, 1925)
Biases
Decision making in
the education of children and
young people who are deaf
And/or hard of hearing
Duncan, J & O’Neill, 2018
7 biases to be aware of!
(HANDOUT)
Giving Tools:
Tools
Influencing Change
What factors influence change?
Attitude
Behavior
Outcome
Which order?
(Tate, 2002)
Behavior Outcome Attitude
(Tate, 2012)
Changing BehaviorHOW?
The easier it is to do/understand, the
less motivation matters
If a behavior doesn’t occur, one thing is
missing
What facilitates the behavior
Ineffective MethodsFacilitating a Change in Behavior
Present information and hope
Give a big goal and focus on motivating
Move them through the psychological stages of change
Assume all behaviors are the results of choices
Use persuasion
“if you don’t…”
Effective MethodFacilitating a Change in Behavior
Be Specific Make it easier and meaningful
Facilitate the behavior
− Learning sign language (Rodriguez & Allen, 2018)
− Reading to their children
(Lund & Werfel, 2016)
UNDERSTAND YOUR CLIENTS:
What’s difficult for some Hispanic Families?
ActivityBEHAVIOR CHANGE:
Patient Related
Identify Behavior
How can I make it easier?
How can I facilitate the
behavior?
Attend or Remember_____________Execute a task
GIVING TOOLS
Listener Return
Demonstrates or Explains
Demonstrate
& Explain
Clarify & Acknowledge
Giving Tools Ask a
Question LISTEN
You do
We do
I do
Tools: Demonstrate/Explain & Return Demonstrate
Tools for Making Learning Easier
− KWL Conversation
− Find the right method to let the concept land
auditory, visual, kinesthetic, mixed
RespondClarifyAcknowledge
GIVE TOOLS: What if something goes wrong ?
Acknowledge what’s difficult
Clarify to make sure you are correct
Reinforce the positive
Redirect, set a goal together: MAKE IT EASIER!!!
Encourage a commitment to try something new
GIVING TOOLS: Something went wrong
RESPOND
ActivityHAVE THE CONVERSATION:
Patient Related
Identify an occurrence
Acknowledge Clarify Respond(use change
model)
Person 1 Person 2 Person 2 Person 2 & 1
Tools
(Rosenzweig, 2018)
GIVE TOOLS
LISTEN Ask
Review: The Art and Mastery of Informational Counseling
Self monitor way of being
Ask
LISTEN
GIVE
TOOLS
Put your focus on areas that are going to help you understand
this family’s IMMEDIATE needs
Your listening makes the differencenot your knowledge.
Listen for what you can empower.
EMPOWER the family with tools that make a difference
RIGHT NOW
Action Plan
AHA! moment…I’m going to learn more
about…
I’m going to trythe following
tools…
− 1. Describe at least three informational counseling techniques
− 2. . Practice a specific counseling procedure intended to make changes in behavior.
− 3. Evaluate current practices and identify opportunities for improvement
Learner Objectives
− Taylor Sands, MS, CCC-SLP, LSLS Cert. AVEd
− Sr. Consumer Engagement Manager (SE/NE)
− 919-257-7353
Connect your patients!
TAYLOR SANDS
Thank you!