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Ethics in Mental Health and Deafness

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2.   Future amendments to the ADA should clarify that reasonable accommodation in mental health services with deaf clients means direct communication with culturally competent therapists (Harkin, 1991).

3.   When direct communication is not currently feasible, we must count on our colleagues in the Registry of Interpreters for the Deaf to require extensive specialist training for interpreters in mental health settings.

4.   Deaf community leaders must take the lead in making sure that public and private community mental health service providers know how to use qualified interpreters and know how to refer deaf clients to qualified therapists.

5.   The academic community and front-line practitioners must build on this book to develop and publish guidance regarding the ethical-legal nuances of subspecialization in therapy with deaf people.

In closing, 90% of successful therapist liability risk management depends on ethical behavior and good supervision. Therapists working with deaf clients who wish to stay in the mainstream of discussion and case law about law and ethics can use the following web sites:

References

Americans With Disabilities Act of 1990, 42 U.S.C.A. §12101 et seq. (West, 1993).

Bednar, R. L., Bednar, S. C., Lambert, M. J., & Waite, D. R. (1991). Psychotherapy with high risk clients. Pacific Grove, CA: Brooks/Cole.

Bennett, B. W., Bryant, B. K., VandenBos, G. R., & Greenwood, A. (1990). Professional liability and risk management. Washington, DC: American Psychological Association.

Bruyere, S. M., & O’Keefe, J. (1994). Implications of the Americans With Disabilities Act for psychology. New York: Springer.

Chester, P. (1997). Women and madness. New York: Four Walls Eight Windows.

Harkin, T. (1991). Drug abuse and prevention: Equal access for deaf children. In F. White, W. P. McCrone, C. L. Trotter (Eds.), Drug and alcohol abuse prevention with deaf and hard of hearing students. (Vol. 1, p. 36). Washington, DC: Gallaudet University, Department of Counseling.

Jaffee v. Redmond et al., 518 U.S. 1 (1996).

McCrone, W. P. (1988). Legal literacy for rehabilitation counselors. Buffalo, NY: University of Buffalo.

McCrone, W. P. (1994). A two-year report card on Title I of the Americans With Disabilities Act: Implications for rehabilitation counseling with deaf people. Journal of the American Deafness & Rehabilitation Association, 28(2), 1–20.

McCrone, W. P., & Beach, R. L. (1994). A score of success: Gallaudet’s Department of Counseling reflects on its first two decades. Gallaudet Today, 24(3), 18–23.

Miller, B. G. (1998). Deaf and sober. Silver Spring, MD: National Association of the Deaf.

Tarasoff v. Regents of the University of California, 551 p. 2nd 334 (Cal. 1976).

Thompson, A. (1990). Guide to ethical practice in psychotherapy. New York: John Wiley & Sons.