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Clinical Child Psychology and Psychiatry
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Case Study: Treatment Adherence in a 13-Year-Old Deaf Adolescent Male

Richard J. Shaw

Stanford University, USA, rjshaw{at}leland.stanford.edu

Laura Palmer

Stanford University, USA

Holly Hyte

Stanford University, USA

Peter Yorgin

Stanford University, USA

Minnie Sarwal

Stanford University, USA

This article describes the case of a 13-year-old deaf adolescent male with end-stage renal disease presenting with incomplete adherence to his medical treatment regimen. There is a review of the factors affecting his treatment adherence, including developmental, communication and psychiatric issues. The article includes a description of an in-patient treatment intervention comprising educational, organizational and behavioral components, as well as the individual and family psychiatric treatment of the patient’s co-morbid psychiatric illness. Adaptations to the treatment intervention that were made to address the patient’s communication difficulties are also discussed.

Key Words: adolescence • deafness • treatment adherence

Clinical Child Psychology and Psychiatry, Vol. 6, No. 4, 551-562 (2001)
DOI: 10.1177/1359104501006004009
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?