Canadian Journal of Speech-Language Pathology and Audiology

The Hearing and Otitis Program: A Model of Community Based Ear and Hearing Care Services for Inuit of Nunavik / Le programme Otite et Audition : un modèle de services de soins de santé auditive pour les Inuit du Nunavik

 
Author(s) Isabelle Billard, M.O. A.
Volume 38
Number 2
Year 2014
Page(s) 206-17
Language English
Category
Keywords hearing
impairment
Inuit
otitis
media
audiology
community
based
Nunavik
rehabilitation
Abstract More than 20 years ago, Crago, Hurteau and Ayukawa (1990) described in detail the foundation of the project for Hearing Impaired Inuit of Northern Quebec (HIINQ), designed to offer culturally based audiological services to the population in an area now known as Nunavik. From the middle to the end of the 1980s, during the first phases of the project, services transitioned from being Montreal-based and delivered by southern professionals to Northern-based services provided by trained Inuit hearing specialists. The change in focus targeted the empowerment of the Inuit in their own ear and hearing health care and the provision of audiology services that are culturally and linguistically appropriate.

Today, the project, now known as the Hearing and Otitis Program (HOP), has evolved, facing old and new challenges and audiology services, despite different models of delivery, having been maintained in the North. While standard hearing evaluation still has its place in the program, activities also tend to be oriented towards community based rehabilitation services.

This article aims to give a description of the program, its model of service delivery, the role of the different contributors to the program, and its challenges and proposes avenues to explore in order to maintain and enhance the community based aspects of the program.

Il y a plus de vingt ans, Crago, Hurteau et Ayukawa (1990) décrivaient en détail un projet destiné aux Inuit malentendants du Nord du Québec (HIINQ - Hearing Impaired Inuit of Northern Quebec). Ce programme a été conçu pour offrir des services d’audiologie adaptés à la culture de la population vivant dans une région maintenant connue sous le nom de Nunavik. Vers la fin des années 1980, pendant la première étape du projet, les services sont passés d’une prestation basée à Montréal par des professionnels du Sud à des services basés dans le Nord par des Inuit ayant reçu une formation comme spécialistes de l’audition. Ce changement visait la prise en charge par les Inuit de leur propre santé auditive ainsi que la prestation de services d’audiologie culturellement et linguistiquement adaptés.

Aujourd’hui, le projet, connu sous le nom de Programme Otites et Audition (HOP – Hearing and Otitis Program), a évolué, faisant toujours face à différents défis, peu importe les modèles de prestation de services. Par ailleurs, le modèle actuellement en cours maintient toujours l’idée d’offrir des services basés au Nord. Le programme compte à la fois des services d’évaluation auditive individuelle ainsi que des activités de nature communautaires.

Le but de cet article est de décrire le programme, ses modèles de prestation des services, le rôle des différents membres de l’équipe ainsi que les défis à relever. Il vise également à explorer différentes avenues afin de maintenir et améliorer sa vocation communautaire.
Record ID 1151
Link http://cjslpa.ca/files/2014_CJSLPA_Vol_38/No_02/CJSLPA_Summer_2014_Vol_38_No_2_Paper_5_BIllard.pdf
 
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