Emotional Well-Being of Parents Matters
By Candace Lindow-Davies and Amy Szarkowski, PhD
Parents and caregivers of children who are deaf or hard of hearing (D/HH) experience diverse emotions, from joy and celebration to frustration and worry, regardless of whether parents and caregivers are D/HH or have typical hearing.
“When my daughter was three, I brought her into the clinic to be tested. Upon failing her hearing test, I was devastated and felt like I had failed as a parent. I had no clue what to do and how I would get help.”
– Nanette Hurst
Parent from the Commonwealth of the Northern Mariana Islands.The emotional well-being of parents and caregivers raising children who are D/HH is important – yet it is too often overlooked. Those with newborns and young children are often challenged by the normal-yet-still-overwhelming demands and emotions associated with raising tiny humans (and may have difficulty trying to find time to brush their teeth). The identification of the child as D/HH can add to this a sense of being ill-equipped and unsure about their new role, which might even lead to panic. Additionally, within some families and cultural communities, perceptions of “disabilities” are negative, resulting in some families receiving conflicting messages from professionals and those closest to them about how best to raise their child. Alternatively, for some parents, emotional fortitude starts with their own families.
“My strength came from having no choice but to be strong! We were raised to be independent. We were raised to depend on no one but ourselves. When my mom was diagnosed with cancer, she made me promise to cry it all out and then drop it and be strong. That came naturally when my daughter was identified. So, in that sense, I raise my girls the same way. Get the crying out. Let out a really good cry and then keep going because regardless, the world will keep turning and the days will keep passing us by,” explained Nanette.
Identification of a child being D/HH, in some situations, may contribute to a reduced sense of parental self-efficacy, or “a sense of knowing how to parent a child who is D/HH,” which can be perceived differently by fathers and mothers (Dirks & Szarkowski, 2022). Overwhelming amounts of information (particularly when it is contradictory) regarding how to support their child – including communication opportunities, educational pathways, and technological options – can be paralyzing to some parents/caregivers.
How can parents/caregivers recognize their own needs, develop healthy practices, and seek help when needed?
How can professionals who serve families with children who are D/HH support parent/caregiver emotional well-being?
Perceived social support contributes to resilience and enhanced well-being among parents and caregivers (Lickenbrock & Whitman, 2010). When families have “someone to turn to,” they feel better able to handle parenting challenges that arise. Some parents and caregivers experience a reduction in stress as they learn more about their child and interventions to support the child. For other family members, “gaining knowledge” does not reduce stress, but establishing or tapping into their social networks can (Delive et al., 2006). Professionals are able to better support caregivers when they ask about the types of information that parents and caregivers most desire and how they learn best. This information should inform how professionals engage with families, such as whether they “start with the facts” or “start with the supports.”
Parents’ and caregivers’ emotional well-being of parents and caregivers impacts the child. The social and emotional development of infants and toddlers is influenced by caregivers’ attunement or sensitivity to the child, their emotional availability, and their engagement with the child (Bornstein, Suwalsky & Breakstone, 2012). Thus, optimizing children’s outcomes and promoting their success means that investing resources to bolster the emotional well-being of parents and caregivers is necessary, too.
“I believe self-care is truly important. As a parent of two children with different health needs, I often need to schedule my self-care time or else it fades away with all the shuffling of appointments and life priorities. If I cannot take care of myself then I cannot be my best self for the people I love, my kids and my husband.”
– Ana Brooks
Parent, H&V HQ Staff, Lead for H&V Advisory Council for Latino Family Support.Finding community can be one essential means of fostering parental emotional well-being.
“As a mom who had two of my three young children identified as being D/HH on the same day, I struggled with finding joy at the beginning of our family’s journey. Meeting other parents and professionals within Hands & Voices helped me take breaks from the stress of appointments, assessments, and the fear of missing milestones, and truly helped me focus on and celebrate the joyful memories of raising my children.”
– Beth Jones
Parent and Executive Director of Nevada Hands & VoicesGaining personal insight and guidance from adults who are D/HH can be critical in helping parents and caregivers feel more confident in their abilities and in broadening their expectations for what it might mean to have a child who is D/HH.
“From my perspective, when I meet parents with newly identified deaf or hard of hearing children, representation matters. I share my experiences as a Deaf individual when I can, just simply saying I am here and inviting them personally to upcoming events or workshops where I greet them and am there for them in person. I also send introductory e-mails with some brief resources they can get started with – such as opportunities for language acquisition, connecting with local advocates, parent support groups, and events. My goal is to approach families from a human perspective, not a medical perspective, and parents always appreciate that.”
Katie Prins McCarthy
Outreach and Support Services Program Coordinator – Boston Children’s HospitalIn addition to connecting with other families and D/HH role models, parents benefit from devoting consistent attention to their well-being in practical ways. The Hands & Voices “Virtual Waiting Room” (https://handsandvoices.org/virtual-waiting-room/self-care.html), offers resources and suggestions to support self-care. (See sidebar below.)
Professionals can assist by being compassionate and inquiring about how the parents and caregivers themselves are doing (…and not only asking about how their child who is D/HH is doing or what progress the child is making). Ups and downs in emotional well-being are a part of this journey. It is important to normalize this for parents and caregivers. Gaining knowledge about caregiver emotional well-being, talking with families about well-being, and learning to recognize possible caregiver depression and other signs of emotional distress that are important.
“I am deeply passionate about parent education and creating a space for family members to ask hard questions. As professionals, we cannot expect families to navigate this journey without first having the information they need. The unknown can be scary. Through the process of learning about their child’s hearing levels, parents find a place of peace from which they are able to plant their feet and begin to move forward.”
Jennifer Clark, M.A.,
Early Childhood Deaf and Hard of Hearing SpecialistExisting family challenges such as relationship issues, chemical dependency, mental health, or financial worries can further impact emotional well-being. For assistance beyond supporting parents’ and caregivers’ emotional well-being, such as addressing more on-going problems with mental health, it can be important for professionals to suggest families seek support from mental health providers and maintain updated lists of local resources (to address both immediate needs or emergencies and long-term support).
The emotional well-being of parents and caregivers truly matters. It is important for their own enjoyment of their child(ren) who are D/HH and for their child’s development, too. While emotional well-being may have ups and downs, finding support, building community, and taking care of oneself can make a difference. Many parents and caregivers report that, despite some challenging times, the payoff of joyfully nurturing a child’s growth and independence is incredibly rewarding.
Editor’s note: Candace Lindow-Davies serves as the Director of Outreach, H&V HQ, and Amy Szarkowski, PhD is the Director of The Institute at the Children’s Center for Communication/Beverly School for the Deaf, LEND, Boston Children’s Hospital, Institute for Community Inclusion (ICI), University of Massachusetts Boston.
H&V Communicator – Spring 2023