This is from the Assistant Rehabilitation Director at The Carroll Center… I would like to echo the importance of peer supports and counseling combined with skills acquisition. At the Carroll Center, consumers new to their blindness whether sudden onset or gradual decrease in vision over time, benefit from learning the skills that support living a full and satisfying life as a blind individual. What I have experienced though, both during my own rehabilitation experience at CCB and also now working to support those who attend the program, are the tremendous benefits for consumers who come to know so many others adjusting to their own vision loss. Sharing successes and challenges during conversations and peer support groups allows the individual to gradually move away from the isolation and depression often first experienced as adjustment reactions to blindness. For example, O and M training may be met with initial doubts and anxiety about regaining the ability to travel independently. While instructors play an essential role in the instruction that supports the individual in development of safe and effective skills, blind peers may have experience similar worries; conversations with others who have “been there, done that” help consumers to see that initial anxiety is normal and that worries gradually subside as skills develop. I can’t tell you how much I cherish hearing consumers come back from their first independent walk crossing many busy streets and sharing with such joy how they succeeded and how they handled challenging parts of the trip. The other consumers who hear such stories take those positive words into their own treks into the community with the words of their peers echoing in their minds as they walk away with increasing self-confidence and believing in their own ability to regain independence as a blind traveler. Community-based training can also be combined with peer supports by participation in peer support groups and organizations of the blind. Seeing other blind individuals working, raising families, managing a household, and enjoying recreational and cultural experiences builds confidence that blindness does not mean the isolation and deprivation that societal views of blindness often portray. Counseling services can also support the individual’s adjustment to blindness. For example, the Carroll center, offers individual counseling and facilitated peer support groups using services provided by a clinical social worker as well as two clinical psychologists. Therapists in the community can provide services to those early in adjustment. Such counseling can support the individual (and family/social supports) in seeking out the rehabilitation services that support adjustment to blindness. The adjustment time frame varies, based on many factors. Some include: comorbid medical conditions that caused blindness or resulted from the circumstances that led to vision loss; access to supportive family members, friends, blind peers, and community supports; and access to services that support independence including transportation alternatives, vocational options, and rehabilitation services. Jennifer Harnish, Ph.D. Licensed Clinical Psychologist Assistant Director of Rehabilitation Services Carroll Center for the Blind 770 Centre Street Newton, MA 02458 Phone: 617-969-6200 Ext. 226 | Fax: 617-969-6204 jennifer.harnish@xxxxxxxxxxx | http://www.carroll.org/