Article

This descriptive study sought to explore barriers faced by Deaf and
hard-of-hearing (D/HH) individuals in Denmark when accessing medical and
psychosocial services following large-scale disasters and individual traumatic
experiences. METHODS: Semi-structured interviews were conducted with nine D/HH
individuals who had experienced at least one disaster or other traumatic event.
RESULTS: Difficulties were encountered during interactions with first response
and healthcare services, which centered on: (1) lack of Deaf awareness among
professionals, (2) problems accessing interpreter services, (3) professionals
relying on hearing relatives to disseminate information, and (4) professionals
who were unwilling to adjust their speech or try different forms of
communication. Barriers reported in relation to accessing psychosocial services
included: (1) lack of all-Deaf or hard-of-hearing support groups, and (2) limited
availability of crisis psychologists who are trained to service the needs of the
hearing impaired. Suggestions for improvements to service provision were
provided, including a list of practical recommendations for professionals.
CONCLUSIONS: This study has identified significant gaps in post-disaster service
provision for D/HH individuals. Results can inform policy makers and other
authorities in the position to enhance existing services and/or develop new
services for this vulnerable target population. Implications for Rehabilitation
Being Deaf or hard-of-hearing compromises a person's ability to obtain and share
vital information during times of disaster. Medical and psychosocial services are
expected to play critical response roles in times of disaster, and, should be
properly equipped to assist Deaf and hard-of-hearing (D/HH) individuals. In a
relatively small sample, this study highlights barriers faced by D/HH individuals
in Denmark when accessing first response, healthcare, and psychosocial services
following large-scale disasters and individual traumatic events, all of which
centered on communication problems and resulted in suboptimal care. Regarding
rehabilitation after disasters, evidence-based information about how to service
the heterogeneous communication needs of D/HH populations should be disseminated
to professionals, and preferably incorporated into training programs.

Langue : ANGLAIS