Supporting Recovery in the Deaf Community: Creating Continuum of Behavioral Health Care in Central Massachusetts

Across the U.S., there is a paucity of mental health and substance abuse services for Deaf individuals. Without the availability of communication accommodations and specialized clinical expertise, Deaf individuals seeking behavioral health services contend with access limitations, misdiagnoses, and superficial treatments. Moreover, while the assessment and treatment of co-occurring disorders and the infusion of trauma-informed care are key components of effective treatment in the mainstream literature, the investigation and application of these initiatives to the Deaf population has not yet occurred. The proposed poster will outline the current state of specialized behavioral health services for Deaf individuals in Central Massachusetts, identify gaps in the continuum of behavioral health care for this population, and offer recommendations for future behavioral health programming. Currently, Central Massachusetts is home to two specialized programs for Deaf individuals seeking behavioral health services, the Center for Living and Working’s Deaf Independent Living Services and the DMH Inpatient Deaf Services at Worcester State Recovery Center and Hospital. Unfortunately, even with these programs, it is challenging to find appropriate outpatient placement and services that meet the range of psychiatric, intellectual, linguistic, and cultural needs of Deaf individuals. Connections between inpatient units and specialized outpatient services for the Deaf need to be developed or enhanced to increase continuity of care and reduce rehospitalization of Deaf individuals. At the current time, specialized outpatient psychotherapy and psychiatry services for Deaf individuals are not available in this region. Lack of funding for AA/NA interpreters and the recent closure of a Deaf-accessible substance abuse treatment agency highlight the need for the development of programs that provide accessible substance abuse treatment. Culturally-affirmative, linguistically-accessible, trauma-informed outpatient behavioral health services that are tailored to the Deaf population are vital to promoting the wellness and recovery of the Deaf community

Dynamic behaviour analysis of an english-bond masonry prototype using a homogenized-based discrete FE model

Full Finite Element strategies (the so called micro- and macro- models) are still nowadays the most used ones for the study of large masonry structures. However, macro-modelling still lacks accuracy at a meso-scale in terms of damage localization. On the other hand, micro-models are rather computational demanding and require a cumbersome modelling stage. Thus, homogenization-based frameworks give considerable advantages. Moreover, the study of English bond masonry appears to be disregarded in comparison to the running bond one. On this behalf, a two-step procedure based on homogenization theory is herein presented for the dynamic study of English-bond masonry structures. The presented homogenization approach uses two models at a micro-scale: (i) a plane-stress FE discretization within the concepts of Kirchhoff-Love plate theory; and (ii) a three-dimensional micro-model accounting with the mortar joint discontinuity existent at the thickness direction. Bricks are meshed with elastic elements with linear interpolation and joints are reduced to interfaces which obey to the nonlinear behaviour described by the so-called combined cracking-shearing-crushing model. The procedure allows obtaining homogenized bending moment/torque curvature relationships to be used at a structural level within a FE discrete model implemented in a commercial code. The model relies in rigid quadrilateral elements interconnected by homogenized bending/torque nonlinear springs. The framework is used to study the dynamic behaviour of an English-bond masonry wall benchmark. A macroscopic strategy is also considered to enrich the study. The numerical results are compared with the experimental data and a good agreement has been found.FCT (Portuguese Foundation for Science and Technology), within ISISE, scholarship SFRH/BD/95086/2013. This work was also partly financed by FEDER funds through the Competitivity Factors Operational Programme - COMPETE and by national funds through FCT – Foundation for Science and Technology within the scope of the project POCI-01-0145-FEDER-00763

Changes in Mood States and Biomarkers During Peginterferon and Ribavirin Treatment of Chronic Hepatitis C

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74953/1/j.1572-0241.2008.02106.x.pd