Dr. Jessica Williams Advocates for Improved Deaf and Hard-of-Hearing Competency in Psychiatric Practice
Dr. Jessica Williams, a psychiatrist from the Department of Psychiatry at Washington University School of Medicine in St. Louis and the Deaf Services Clinic at BJC Behavioral Health, co-authored a Viewpoint in JAMA Psychiatry emphasizing the need to treat care for Deaf and hard-of-hearing (DHoH) patients as a clinical competency. The Viewpoint, also co-authored by Laura Shapiro, MSW, LCSW, and Kristina H. Petersen, PhD, argues that a lack of understanding of how hearing loss and signed languages impact the Mental Status Examination (MSE) can lead to misdiagnoses, patient mistrust, and disengagement. Hearing loss affects over 70 million individuals in the U.S. and is linked to increased risks of depression, anxiety, and psychosis. The authors highlight that DHoH patients are underserved due to limited professional training in DHoH mental health. They differentiate between Deaf sign language users, who often identify as a linguistic minority, and hard-of-hearing individuals who primarily use speech, both fac...