when the box doesn’t fit: assisting the missionary family that has children with special needs...
TRANSCRIPT
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When the Box Doesn’t Fit: Assisting the Missionary Family That
Has Children With Special Needs
Midwest Conference on Missionary CareFebruary 21, 2015
Heather Davediuk Gingrich, Ph.D.
Denver Seminary
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What do We Mean by Special Needs?
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Our Family Situation Both of our sons are adopted and mixed
race (Canadian black Jamaican and Caucasian)
One son diagnosed with ADHD while on the field and also required speech therapy
Other son was sexually abused (but we didn’t find out until many years later)
Suspected missed ADHD diagnosis of 2nd son
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Impact of mixed race adoption
Adoption in the Philippines happens almost exclusively within extended families
Lighter skin tone valued and darker skin tone devalued
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Prejudice Definite negative bias from Filipinos on both
counts• “Are they yours?”• “I admire what you’ve done so much”• “Oh, they got so black at the beach! Why did you let
them get so black?• Touching curly hair
Even greater prejudice would have been noticeable if our sons had been physically or mentally handicapped
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Q. How will Nationals React to the Child with Special
Needs?
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ADHD Diagnosis
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Good News! Visiting modular professor, a clinical
psychologist was able to assess Brandon and make the ADHD diagnosis
Faith Academy had special education through Middle School
A pediatrician friend filled prescriptions for ADHD medication and modular professors carried it in their luggage
Supportive mission friends on field
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Bad News!
Parenting was extremely stressful for many years
Mission did not follow up on the high scores for parenting distress indicated on the Marital Satisfaction Inventory
No special education after Middle School TERRIBLE experience with visiting
psychologist
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Q. How will medical needs be met?
Availability of Specialists? Medication? Quality of hospitals? What about an emergencies?
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Speech Therapy No American or Canadian speech therapists
in metro Manila A Filipino English accent wouldn’t have
worked Solution: Speech therapy on two
consecutive home assignments (3 months each, 2 years apart) with me working daily with Brandon on the field
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Q. How will the child with special needs be educated?
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Educational Considerations A Filipino school would not have been an option
because of behavioral expectations (in addition to very different curriculum)
Homeschooling was tried on mini-home assignments and would have been disastrous!• i.e., homeschooling is not always the answer
Faith Academy would no longer have been a viable option once our ADHD son reached high school.• Impacting timeline for leaving the field
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Situations We COULD have Faced While on the Field
Migraine headaches• Son was nonfunctional for two years• We exhausted almost all medical options
(neurologists, spinal specialists, chiropractors, naturopaths, acupuncturists)
• What would we have done on the field? Discovery of sexual abuse
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Other Experiences?
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How Can the Missionary Care Provider Assist?
Deployment considerations• Which field/which assignment is appropriate?• Timing of deployment
Assistance on the field• Listen carefully – What does the family need?• What kind of parenting stress is the couple under? • What kind of emotional support do parents have?• In what ways are siblings impacted?
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Assistance (Cont’d) Determine which resources are available on
the field• Informal vs formal• Within the mission vs outside the mission• Local vs regional
What is available from home• Flying an expert in from home country• Sending family home for intenstive treatment• Using home assignments• Leaving field prematurely
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Hogstrom, K. E., & Gingrich, H. D. (2014). Experiences and utilization of member care in an international missionary sample. Journal of Psychology & Christianity, 33, 240-253.