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Developing Signs of Safety: A Deaf-accessible counselling toolkit for trauma and addiction
Clinical Psychology & Psychotherapy ( IF 3.198 ) Pub Date : 2021-04-13 , DOI: 10.1002/cpp.2596
Melissa L Anderson 1 , Neil S Glickman 1, 2 , Kelly S Wolf Craig 1 , Amanda K Sortwell Crane 3 , Alexander M Wilkins 1 , Lisa M Najavits 1, 4
Affiliation  

The U.S. Deaf community—more than half a million Americans who communicate using American Sign Language (ASL)—experiences higher rates of trauma exposure and substance use disorder (SUD) than the general population. Yet there are no evidence-based treatments for any behavioural health condition that have been evaluated for use with Deaf people. The driving aim of our work, therefore, has been to develop and formally evaluate a Deaf-accessible trauma/SUD counselling approach. Here we describe our initial intervention development work and a single-arm pilot that evaluated the feasibility, acceptability, and preliminary clinical efficacy of Signs of Safety—a Deaf-accessible toolkit to be used with an existing, widely adopted protocol for trauma and addiction (Seeking Safety). Preliminary efficacy results indicated clinically significant reductions in PTSD symptoms and frequency of alcohol use for the Seeking Safety/Signs of Safety model. Frequency of drug use did not change significantly—likely attributable to the mid-study legalization of recreational marijuana in our state. Next steps include the redesign and refilming of Signs of Safety based on pilot participant feedback, again using a Deaf-engaged development and production process. This new toolkit will be tested via a pilot randomized controlled trial designed based on present methodological lessons learned.

中文翻译:

发展安全迹象:针对创伤和成瘾的聋哑人咨询工具包

美国聋人社区——超过 50 万使用美国手语 (ASL) 进行交流的美国人——遭受创伤和物质使用障碍 (SUD) 的比率高于普通人群。然而,对于任何已被评估用于聋人的行为健康状况,没有基于证据的治疗方法。因此,我们工作的驱动目标是开发和正式评估聋人可及的创伤/SUD 咨询方法。在这里,我们描述了我们最初的干预开发工作和一个单臂试点,评估了安全标志的可行性、可接受性和初步临床疗效——一个聋人可访问的工具包,与现有的、广泛采用的创伤和成瘾方案一起使用。寻求安全)。初步疗效结果表明,寻求安全/安全迹象模型的 PTSD 症状和饮酒频率在临床上有显着降低。吸毒频率没有显着变化——可能归因于我们州娱乐性大麻合法化的中期研究。接下来的步骤包括根据试点参与者的反馈重新设计和重新拍摄安全标志,再次使用聋人参与的开发和生产流程。这个新的工具包将通过基于当前方法学经验设计的试点随机对照试验进行测试。
更新日期:2021-04-13
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