Richard J. Shaw, M.D.

Publication Details

• Case study: Treatment adherence in a 13-year-old deaf adolescent male

  Shaw RJ, Palmer L, Hyte H, Yorgin P, Sarwal M. Clinical Child Psychology and Psychiatry. 2001; 6 (4): 551-562

  In this paper we report the case of a 13-year-old deaf adolescent male with end stage renal disease presenting with incomplete adherence to his medical treatment regimen. We review the factors contributing to his poor treatment adherence, including developmental, communication and psychiatric issues. We describe an inpatient treatment intervention comprising educational, organizational, and behavioral components, as well as the individual and family psychiatric treatment of the patient’s comorbid psychiatric illness. We discuss adaptations to the treatment intervention made to address the issues related to the patient’s hearing impairment.