4, 6 – 12 Addressing these disparities is prioritized by organizations that serve DHH American Sign Language users, DHH community members, and mental health service providers who are providing care to DHH patients. Compared with non-DHH people, DHH American Sign Language users experience higher rates of interpersonal violence and suicide, along with a two- to threefold higher risk for mood and anxiety disorders, lifetime trauma exposure, and substance use. Audism is a system of power that privileges people who are not DHH. 1 This population experiences widespread deleterious social determinants of health, including higher rates of under- and unemployment, being publicly insured or underinsured, and lower educational attainment, 2 – 5 which are attributable to the oppressive system of audism and associated with worse health outcomes. These include monitoring noncompliance among government-funded facilities, expanding state-by-state mental health licensure reciprocity and telehealth policies to improve access to American Sign Language–fluent mental health professionals and addiction counselors, establishing systematic processes to collect information on disability-related accommodation needs, and increasing the workforce of DHH American Sign Language–fluent providers.ĭeaf and hard-of-hearing (DHH) American Sign Language users are a sociolinguistic minority group within the United States, consisting of at least 500,000 people. We mapped these data to display state-level noncompliance, and we make detailed recommendations at the policy, facility, and provider levels. Using nationally representative data from the Substance Abuse and Mental Health Services Administration, we found that 41 percent of mental health facilities and 59 percent of substance use treatment facilities receiving public funds reported not providing services in sign language in 2019 and were thus noncompliant with the ACA’s mandate to provide accessible communication to DHH patients. This study measured mental health and substance use treatment facilities’ noncompliance to Section 1557 of the Affordable Care Act (ACA), which requires health care facilities receiving government funds to provide effective communication access, such as a sign language interpreter, to DHH patients. Yet there is little empirical evidence documenting this priority population’s communication access in mental health and substance use treatment facilities. to produce his own signature pieces.Deaf and hard of hearing (DHH) American Sign Language users experience significant mental health–related disparities compared with non-DHH English speakers. In 2007, he established Michael Anastassiades Ltd. Since then, he’s collaborated with leading design houses, such as FLOS, Lobmeyr, Svenskt Tenn, and Herman Miller, as well as cultural tastemakers across the artistic spectrum, such as fashion designer Hussein Chalayan, Paris boutique Colette, architects David Chipperfield and John Pawson, and interior design firm Studio Isle. Products like his IC Lights collection for FLOS, inspired by the movement of a contact juggler, demonstrate Anastassiades’s ability to create exceptional designs from the most seemingly simple foundations.Īfter studying civil engineering and industrial design in London, Anastassiades launched his eponymous studio in 1994. At the same time, his designs’ beautiful lines and clever compositions make them stand out as works of art. His work is fundamentally clean-lined, functional, and easy to comprehend, making it suitable for countless interior arrangements. His popular lighting designs often incorporate simple shapes like cylinders, spheres, and tubes elevated by the addition of mirrors, crystal, and polished metal. Born in Cyprus, London-based designer Michael Anastassiades is known for creating furniture, lighting, and accessories that merge stark forms with interesting, eye-catching details.
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