continues to provide <strong>linguistically</strong> <strong>appropriate</strong> services <strong>and</strong> resources compatible withpatients’ preferred languages.WHO TO CONTACT. For more in<strong>for</strong>mation about <strong>the</strong> Bilingual Employee IncentiveProgram, contact Dr. Javier Aceves, Medical Director, The Young Children’s Health Centervia email at jaceves@salud.unm.edu or (505) 272-4071.32
APPENDIX BBilingual Deaf Access ProgramYoung Children’s Health CenterCLAS St<strong>and</strong>ards Met: 1,4,6,7,11,12 <strong>and</strong> 14See page 12 <strong>for</strong> list of CLAS St<strong>and</strong>ardsISSUE. According to Census 2000 data, an estimated 57,000 people in New Mexico arehearing impaired. The number of Latino newborns who fail hearing screenings within <strong>the</strong>first month of life <strong>and</strong> <strong>the</strong> increased dem<strong>and</strong> <strong>for</strong> services among children with special healthcare needs has greatly influenced <strong>the</strong> Young Children’s Health Center (YCHC) to address <strong>the</strong>importance of accommodating deaf <strong>and</strong> hard-of-hearing patients <strong>and</strong> <strong>the</strong>ir families in healthcare settings.DISCUSSION. YCHC is a community-based, pediatric clinic that provides comprehensivehealth services to families with children from birth to young adulthood. YCHC is under <strong>the</strong>organizational umbrella of Children’s Hospital of New Mexico, part of <strong>the</strong> University ofNew Mexico Hospital System. In addition to routine clinical health care, YCHC provideshome visitation, behavioral health services, <strong>and</strong> <strong>case</strong> management. The clinic is located in arelatively isolated, impoverished area populated by individuals of many different cultures <strong>and</strong>ethnicities <strong>and</strong> serves as <strong>the</strong> primary site <strong>for</strong> pediatric health care <strong>for</strong> this population.More than 90 percent of families treated at YCHC are Hispanic. Fifty percent of thosefamilies speak only Spanish. Due to an unidentified reason <strong>the</strong> number of YCHC newbornswho fail <strong>the</strong> hearing test within one month of birth has been increasing. As a result YCHChas targeted this population <strong>for</strong> improved <strong>and</strong> <strong>culturally</strong> competent health care to create <strong>the</strong>Deaf Access Program (DAP), a medical home environment <strong>for</strong> deaf children or hearingchildren with deaf parents living in <strong>the</strong> greater Albuquerque area. The goal of <strong>the</strong> DAPproject was to serve pediatric patients with hearing impairments using telemedicinetechnology, to offer education <strong>and</strong> support services to o<strong>the</strong>r primary care providers around<strong>the</strong> state, <strong>and</strong> to coordinate long term follow-up of neonates who had failed <strong>the</strong> newbornhearing screen.Due to <strong>the</strong> shortage of physicians <strong>and</strong> staff competent in sign language, YCHC established avolunteer partnership with <strong>the</strong> University of New Mexico’s Language Department toschedule appointments <strong>and</strong> conduct interpretation services during routine visits. In additionto leveraging University capacity, YCHC utilized <strong>the</strong> American Academy of Pediatricsmedical home approach to promote use of electronic telephonic machines to communicatewith <strong>the</strong> deaf patients. They also instituted procedural means to alert patients of “fire drills”<strong>and</strong> o<strong>the</strong>r emergencies. More in<strong>for</strong>mation about <strong>the</strong> AAP <strong>and</strong> medical home primary careinitiative is available at <strong>the</strong> AAP website, http://www.medicalhomeinfo.org/.In addition, <strong>the</strong> project established support groups <strong>for</strong> parents of deaf children to providein<strong>for</strong>mation about key issues that can affect <strong>the</strong>ir deaf child’s development, <strong>and</strong> offeredparents practical tips <strong>and</strong> strategies <strong>for</strong> addressing developmental issues.BENEFITS/RESULTS. Early identification <strong>and</strong> access to health services <strong>for</strong> children withspecial needs has fostered early cognitive development which, in turn, promoted a healthy33
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