Archive for » May 5th, 2012«

Mental Health Issues Not a Priority in ED

By Charles Bankhead, Staff Writer, MedPage Today

Published: May 05, 2012

Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania.

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Seeking psychiatric care in an emergency department led to a wait of more than 11 hours, and the wait was even longer for older, intoxicated, and uninsured patients, a study of five urban hospitals showed.

The median wait lasted 8.2 hours. Patients discharged to home had a wait on par with the median, but a transfer outside a system of care almost doubled the wait time for patients with psychiatric emergencies.

“The results of this study are important because they highlight the interrelatedness of the various components of the mental health system and provide objectively identified targets for quality improvement,” Anthony P. Weiss, MD, of Harvard and Massachusetts General Hospital in Boston, and co-authors wrote in an article published online in Annals of Emergency Medicine.

“Emergency departments (EDs) that are embedded within a larger system of care and have ready access to various levels of after care options … are likely to be better positioned to more rapidly transition patients through the ED,” they added.

Several recent studies have shown that patients who go to emergency departments for psychiatric care have substantially longer waits compared with patients seeking other types of care. Data from the National Center for Health Statistics showed that the average wait for mental health services in an emergency department was 42% greater than the wait for nonmental health issues (Psychiatr Ser 2010; 61: 678-684).

In a survey by the American College of Emergency Physicians, 40% of emergency department medical directors said psychiatric patients waited more than 8 hours from disposition decision to discharge from the ED. In contrast, 7% of the directors said medical patients had to wait that long.

Factors that contribute to the long wait times for mental health services have received little attention in the literature. In an effort to identify patient-related and clinical management factors associated with longer ED waits, Weiss and colleagues conducted a prospective study involving five Boston-area hospitals (two academic, three community).

Each hospital collected data on approximately 200 consecutive patients seeking psychiatric consultation in the hospital emergency department. Relevant information was obtained from the emergency department, mental health clinical staff, and patients’ individual electronic medical records.

The final analysis involved 1,092 patients. The median age was 39 and there was even distribution between the sexes. The authors found that non-Hispanic whites constituted 71% of the study sample; that two-thirds of the patients had public insurance; and that 13% of the patients were homeless.

The most common (37%) presenting complaint was subjective mental distress (depressed or anxious), followed by suicidal ideation or nonlethal self-harm (33%). In about 90% of cases, patients provided serum or urine for a toxicology screen, which was uninformative 61% of the time. The substance identified most often was alcohol (33% of total sample), with or without other drugs.

The most common discharge diagnoses were mood disorder (69%) and substance use disorder (41%). Subsequently, 299 patients were discharged to home and 679 patients were admitted to the hospital or transferred to a psychiatric unit. The remaining 114 patients had a heterogeneous make-up.

In summarizing the key findings, the authors reported the following average wait times and average added times:

  • Transfer outside the care system, 15 hours
  • Transfer within the system, 12.9 hours
  • Transfer to psychiatric unit in hospital, 11 hours
  • Older age: 12.6 hours for ages 60 and older, 11.9 hours for ages 41 to 59, 10.7 hours for ages 18 to 40
  • Positive screen for alcohol, +6.2 hours (14-hour average)
  • Diagnostic imaging, +3.2 hours
  • Use of a restraint, +4.2 hours
  • Uninsured, +4 hours

The extended time associated with admission or transfer resulted from an additional 3.3 to 7.4 hours added to the time from decision disposition to the end of the emergency department visit.

“The need for inpatient admission was the factor associated with the greatest influence on length of stay, an effect that was due to long wait times after the decision to pursue admission had been made,” the authors wrote.

“Approximately two-thirds of all patients receiving emergency mental healthcare in this sample were either admitted or transferred to a psychiatric unit,” they added. “Although these hospitalized patients tended to be seen and assessed more quickly than patients discharged home, they had significantly longer overall length of stay because of the extended wait time between the decision to admit and the ED discharge.”

The study had some limitations including the reliance on chart review, rather than direct observation, so there may have been incomplete documentation of some patient-related factors. Also, the results may not apply on a general level because the study was done at a single system of care within on U.S. region.

However, the authors pointed out that the findings were consisted across the five different hospitals, which ranged from a 150-bed community hospital to a 900-bed academic tertiary care hospital.

Weiss disclosed a relationship with the National Lipid Association.

Primary source: Annals of Emergency Medicine

Source reference:
Weiss AP, et al “Patient and practice-related determinants of emergency department length of stay for patients with psychiatric illness” Ann Emerg Med 2012; DOI:10.1016/j.annemergmed.2012.01.037.


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Organ donations and Facebook: ‘Friending,’ indeed – Vallejo Times

Facebook just went from being mostly a fun pastime — sometimes even a time waster — to a lifesaver. And “friending” takes on a whole new meaning.

The social media site’s intrinsic value soared last week with the numbers on California’s organ donor registry, which was reported to have grown by 5,000 percent (yes, that’s three zeros) after Facebook launched its organ donor initiative. We expect that number will continue to climb as news of the effort becomes more widely known.

We applaud Mark Zuckerberg, Sheryl Sandberg and everyone else at the company who put this together and promoted it so well. It was a stroke of brilliance as well as a noble gesture.

The Facebook brass are friends indeed to 112,000 Americans and thousands more in other countries awaiting lifesaving transplants.

Social media sites, including Facebook, have helped support popular uprisings, such as the democracy movement in Egypt and other countries, just by their nature as communication tools. People in difficult situations discovered ways to use those tools to reveal what was really going on in a particular country.

But the organ donor registry is different — very different. Company leaders made a conscious decision to become players in this movement.

Apple founder Steve Jobs, whose life was lengthened by a liver transplant, inspired California to establish its donor registry. Zuckerberg cites Jobs’ inspiration in promoting the movement, and promotion is really the key. If

there is one thing Facebook is really good at, it is promotion.

Facebook officials realized something important: If people understand that, after their death, their organs can give others the gift of longer lives, many — if not most — will agree to join the registry. Facebook’s Timeline feature provides potential donors a path to register or to alert friends and family that they are donors.

Much in the same way that Facebook was inspired by Jobs, we hope that other social media and Internet titans will take a moment from raking in the dough to consider just how they can contribute to the common good of our state, nation and, for that matter, the world.

Social media and Internet outlets have become massively powerful in a relatively short amount of time. They already compete aggressively for audience, advertising dollars and niche space — why not for saving the world?

We wouldn’t mind seeing a little heathy competition toward that end.

Social media sites and the Internet itself are fascinating and valuable tools, and like all tools, everything depends on how you use it. Facebook just upped the ante, and its effort to save lives will be difficult to top. However, we sure hope that many other social media and Internet giants are inspired to try.


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San Fernando Valley charities hope for a share of inheritances

Between now and 2050, San Fernando Valley-area residents are expected to leave some $400 billion to their descendants and others.

That’s why the San Fernando Valley Council of Governments has reorganized a local foundation to help ensure some of that money goes to assist local charities, officials announced Thursday.

“The opportunities to harvest this for local charities are tremendous,” said Tamara Gurney, chairwoman of the San Fernando Valley Foundation and CEO of Mission Valley Bank, in a statement.

This week, council representatives voted to let the powerful Los Angles-based California Community Foundation manage assets collected by the newly reorganized San Fernando Valley Foundation, a repository for charitable funds.

An alliance with the $1 billion downtown foundation will enhance the decade-old Valley foundation now worth $7,000, officials say. Council leaders hope to build up the Valley foundation so it can redistribute money to local nonprofit groups.

The key will be to attract part of the $546,000 each household is expected to hand down, on average, by 2050. Council leaders also hope to raise the Valley’s profile to attract gifts from major foundations and philanthropists.

“This is an opportunity for Valley-based charities and foundations to funnel money back into the community, rather than somewhere else,” said Robert L. Scott, executive director of the San Fernando Valley Council of Governments, and

secretary of the independent foundation.

“It’s another step in building capacity in the region.”

dana.bartholomew@dailynews.com

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Youth speak about importance of mental health care

By CYNDI MILLS cyndi.mills@sunmedia.ca

Posted 2 hours ago

Editor’s note: According to Health Canada, one in five Canadians will experience a mental illness in their lifetime and of those who require mental health services, only one in three actually receives those services (Stats Can). Also concerning, the 2007 National Physicians Survey determined that 71 per cent of family physicians in Ontario rank access to psychiatrists in Ontario as only fair to poor. I ask you, would we as citizens of Ontario accept ‘fair to poor’ access to emergency care at the hospital for a broken arm? Or how about ‘fair to poor’ cancer treatment? I didn’t think so. Let’s speak up.

What follows are testimonials from five young people that have received assistance at the Phoenix Centre over the years. They speak about what brought them to the centre for help and also the importance and impact on their lives of the mental health care they received. Their identities have been withheld for privacy reasons.

Anthony Dixon,

The Daily Observer news editor

“If you really, really knew me, you would know that my childhood, and high school life hasn’t been that great. When I was 13, I became severely depressed. I just wasn’t myself anymore. I became less and less interested in life and school. I stopped hanging out with my friends and my grades began to drop. One day, I couldn’t breathe. I was having my first panic attack. When I was sixteen, I was diagnosed with depression, and anxiety. I reached out to teachers, and the Phoenix Centre, and I am doing much better!”

“If you really, really knew me you would know that I moved between houses a lot when I was younger. If you really, really, really knew me, you probably wouldn’t want to. I’ve been to three schools, and lived in two towns. When I was four my parents broke up, and things got a bit crazy with visiting rights. At the age of eight my mom was re-married, and her new husband didn’t like me very much. My mom started ignoring me, leaving me very depressed. We didn’t have food at the house anymore. By the age of 12, I had to get a lunch at school everyday because my mom wasted the child support on booze and cigarettes. Now…I live with my father, and get help from the Phoenix Centre. Their staff there has really helped me understand that not everything is my fault. Thanks guys

“I’m bisexual. I live in Pembroke, Ontario. If you really knew me you’d know, that when I was younger, I was molested by a girl. I felt dirty. I knew it was wrong, but I thought it was my fault, so I didn’t say anything. Every day I as I grew up, I felt worse and worse. The only way I could make myself feel clean again, was taking a bath. And even after my baths I didn’t feel clean for long. I started cutting when I was about 9-years-old. And when I was about 12-years-old, I had already attempted suicide three times. I didn’t really have a lot of friends. The one that I did have was very worried for me. So she told the councillor at school. It was the best thing that ever happened to me. I was sent to CHEO, and I was diagnosed with depression and anxiety. I had to be on all different kinds of medication. But after they found the right medication for me, things started getting better. About a couple months later, I started going to the Phoenix Centre. They made me feel a lot better. I know that everything is not my fault, and I am not dirty. I am proud to say, I am a survivor of depression. Just because I’m not depressed doesn’t mean that I don’t get upset, it means I’ve found out healthier ways to cope! :)

“If you really knew me…you’d know that I love music, and really dislike school. I try to avoid it as much as possible because I feel extremely uncomfortable there. I’ve never liked school. I’ve been bullied my entire life for being tiny and very thin and because of it I am so insecure that it hurts me on a daily basis. I pick at my skin continuously, cut, and avoid people because I feel ugly and like I am a useless waste of space. Throughout my high school years I’ve dealt with anxiety, depression, ADHD (attention deficit hyperactivity disorder), and I also believe I have slight OCD (obsessive-compulsive disorder) because of my constant hand washing and picking at the pores, acne, and scabs on my face, back, and chest because I feel they’re too big, ugly, and disgusting. The only person who has really made a difference in my life is my boyfriend, as almost all the friends I’ve had have betrayed me, my father is verbally abusive, and my mum usually ignores me or just doesn’t try hard enough to understand when I’m struggling. I really hope that the people in our community learn to educate themselves and reach out to their peers and loved ones as so many people struggle with mental illnesses or just feel lonely, unloved, and/or unappreciated.”

“If you really knew me, you’d know that…I’m terrified of graduating this year. You’d also know that when I was 10-years-old, my father died. I went into a bad depression, and when I was 11, I started to cut myself. At the age of 12 I had already attempted suicide. I reached out with the help of my mom, and I started therapy at the Phoenix Center. I was diagnosed with clinical depression and put on antidepressants by my doctor. With the help of the Phoenix Center, my life started to turn around. I was so much happier then before when I started Grade 8. I made new friends, and I was doing really good in school. On Halloween that year I went to my first party ever. I didn’t drink, or do any drugs. My friend eventually ditched me at that party, and an older teenager kept me company while I sat on the couch. I was raped by that man that night. After I found my friend and we left, I never spoke of it. I started cutting again. It took three years, and a ‘friend’ trying to sexually assault me, for me to speak out to my family and friends about what happened. I went back to the Phoenix Center, and they helped me get the help I needed. Now I am on antidepressants, and in therapy. I am doing so much better. Without the Phoenix Center’s help, I don’t know if I’d be alive today.”

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Troops’ mental health looked after: military

Skirting around questions about whether they had come under political pressure to come to the aid of Defence Minister Peter MacKay, Canadian Forces brass scrambled Friday to reassure the public that the military’s medical system is taking care of troops with post-traumatic stress and other mental health issues.

MacKay and the Conservative government came under fire in the Commons from opposition MPs after media revealed the Defence Department is cutting the jobs of medical professionals involved in suicide prevention and monitoring of post-traumatic stress disorders (PTSD).

At a news conference Friday afternoon, Canada’s chief of the defence staff, Gen. Walter Natynczyk, made a brief appearance with other top brass to heap praise on MacKay and to welcome media scrutiny of the forces’ treatment of mentally damaged warriors.

“It means that Canadians care about the needs and well-being of our sailors, soldiers and air men and women who have been injured,” said the nation’s top soldier. “I believe we have one of the best military health-care systems amongst our allies and are leaders in health care in this country. But we are far from perfect.”

Natynczyk appealed to the nation’s psychiatrists and psychologists to come to the aid of the military and volunteer to work at more remote bases such as Petawawa, Ont., and Gagetown, N.B., and then abruptly left the news conference before reporters were able to question him.

DND officials say Natynczyk added himself to the program at the last minute and had to return to his regular schedule.

The news conference was arranged as more questions were asked in the Commons Friday about the mental health treatment available to Canadian soldiers.

On Thursday, opposition MPs criticized MacKay for his lack of action on the issue.

Soldiers and the unions representing some DND health workers have come forward to news media with their concerns the system to take care of troops dealing with post-traumatic stress disorder and other mental health issues is broken.

But officers at the news conference said the system is among the best in NATO, while praising the commitment of MacKay and the government.

Asked whether political pressure was behind the last-minute news conference, Rear-Admiral Andrew Smith, chief of military personnel, responded, “I think it’s more importantly a clear indication to the degree which this issue – mental health care of the ill and injured – is taken seriously by the department and that includes our minister of national defence, who is a huge supporter of the troops.”

Asked the question again, he added: “We are here to reaffirm the leadership of the Canadian Forces’ support to men and women and we enjoy and have always enjoyed the support of our minister in that regard.”

The officers, however, didn’t deny that some workers have been notified that their jobs are being cut but said the situation was still being reviewed and no final decisions had been made.

Unions have been told that DND’s Deployment Mental Health Research Section is being shut down, cutting four jobs, including those of suicide-prevention specialists. The employees also monitor PTSD rates and traumatic brain injury.

Eight of the 18 jobs in DND’s epidemiology sec-tion will also be cut. Those include epidemiologists and researchers who analyze mental health issues such as depression, PTSD and suicide.

“Due to financial restraints, we are looking for ways and means to make our non-clinical support, our non-front line support, more efficient so we can focus our efforts where they need be – the medical care of our military members and their families,” said Natynczyk.

The move comes on the heels of a new report indicating that suicides have increased in the Canadian Forces. At the same time the issues of suicide and PTSD are also under scrutiny at a military police complaints hearing in Ottawa.

That hearing is examining how the Canadian Forces dealt with the case of Cpl. Stuart Langridge, an Afghanistan veteran who killed himself.


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Did John Banks ask SkyCity Casino to Donate Anonymously?

Did John Banks ask SkyCity to Donate Anonymously
To His Mayoral Campaign?

By Hamish McConnochie

New
evidence has come to light which offers a motive for why
John Banks may have asked SkyCity to have donated
anonymously to his campaign – namely he didn’t want to be
seen to be a hypocrite during the Mayoral election
campaign.

And did Mayoral Candidate John Banks make a
convention centre for Auckland an election commitment to
give himself wriggle room to change his position on the
pokies after the election?

The new evidence consists
of a combination of a little-seen Youtube video posted
during the Mayoral campaign (around the time of the
anonymous donations from Kim Dotcom), John Banks strident
opposition to Casinos expressed in 1997, SkyCity’s record in
making political donations (it didn’t before 2010), and the
timing of Prime Minister John Key’s intervention in the
National Convention Centre policy debate.

Over the past
week John Banks has been rocked by claims from millionaire
MegaUpload founder and alleged internet pirate Kim Dotcom
that he solicited an anonymous donation by asking for a
$50,000 donation to be split into two $25,000 cheques.

John Banks’ $15,000 anonymous donation from SkyCity was
likely made at around the same time.

As yet SkyCity has
not revealed why it made an anonymous donation to John
Banks, but made a public one to Len Brown (who was
subsequently elected as Auckland Supercity
Mayor).

John Banks Promises To Back A Convention
Centre For Auckland

In a rarely seen YouTube
video dated a month before the donation to Kim Dotcom, Banks
states that he is “totally committed to bringing an
international convention and conference centre to Auckland”.

The video is dated May 11 2010, 6 months before the
postal ballot Auckland Council election. At the time of
posting this article the video has had less than 200
views.


“John
Banks has a vision that a national convention centre would
be built in Auckland on its waterfront as a part of the
masterplanned [sic] development of the Auckland waterfront.
John’s vision is that this is ideally located on Bledisloe
Wharf, when land is progressively released back to the
Auckland public by the Ports of Auckland Ltd. A national
convention centre would be a huge economic driver that would
create jobs in accomodation, [sic] hospitality, tourism and
more. Any such convention centre would require Government
assistance for the bulk of the funding.” –

John Banks – 2010

Banks
comments about the convention centre come just 84 seconds
into the campaign video. See John
Banks Mayoral Youtube Campaign Page
– video title – John Banks on economic
development and job creation
.

Who Knew About
The PM’s Pokies Convention Centre Subsidy
Plan?

By May 2010, SkyCity was well aware of the
convention centre proposal which the Government had put out
for consultation in March 2010. (Ref: TVNZ)

And by then Prime Minister
John Key’s idea of a gambling rules change to sweeten the
deal was also already on the table.

According to news
reports the Government and Auckland City Council launched a
feasibility study for a National Convention Centre in August
2009. Prime Minister John Key dined with SkyCity “bosses”
in November of that year. And in April 2012 official papers
were released showing that John Key intervened in the policy
development process at the end of 2009.

“Official papers released by Labour on
Thursday show John Key told officials in 2009 to stop work
on the development of an Auckland Convention Centre, and to
wait for a SkyCity proposal – details the party interprets
as Mr Key’s “fingerprints” on the deal.”
Radio NZ 19 April
2012

We do not know the date that SkyCity
made its $15,000 donation as that detail is not sought in
the expenses and donation returns that candidates are
required to complete.

However we do know that the twin
cheques deposited in a Queenstown bank branch from Megastuff
limited are dated 9 June 2010 less than a month after the
video of Banks was posted to Youtube.

Political
Donations Are Not Business As Usual For
SkyCity

SkyCity did not donate to Banks’ 2007
Auckland City mayoral campaign, and its spokesperson Brodie
Stewart said his understanding was that the Casino did not
have a policy of donating to mayoral candidates – despite
SkyCity general counsel Peter Treacy having
said
his company made donations to political campaigns
“to facilitate the democratic process” in 2010.

Brodie
Stewart told Scoop that at this stage SkyCity was not
planning on donating to mayoral candidates at next year’s
election.

Therefore, on the face of it, SkyCity’s
donations appear to have been motivated by an intention to
help smooth the way for their convention centre
proposal.

Did Banks Or Brown Meet With SkyCity In
2010?

Which begs the question did SkyCity meet
with Banks and Brown at some point in 2010. Perhaps to
“pitch” their convention centre proposal to the candidates.
A personal meeting with someone from the campaign teams
would seem likely given the size of the donations.

Doubts
around the “anonymity” claims made in relation to the casino
company’s donation to Banks have centred around the fact
that SkyCity’s $15,000 donation to Brown was publicly
declared, while Banks’ $15,000 donation was
not.

Opportunity

Any meeting between
Banks and SkyCity is relevant as if such a meeting did
occur, Banks would have had an opportunity to request that
any donation made to his campaign be made anonymously, as he
is accused of doing by Kim
Dotcom.

Motive

Meanwhile Banks prior
anti-casino stance (expressed in 1997) may have provided a
reason for Banks to make such a request – to avoid being
accused of hypocrisy during the campaign period.

“They’re wideboys, they’re flashboys,
they’re big boys and they can take it,” Banks said in 1997.
“Because the little people of this country have been sucked,
hung, drawn, quartered, bled by these people in these
casinos.”
TV3 News

By making a
convention centre for Auckland a campaign commitment – Banks
was clearing himself wiggle room to enable him to
subsequently push in favour of SkyCity’s bid at council
meetings.

Keeping the donation anonymous would protect
him from being accused of flip-flopping on his casino views
as a result of having received a donation from SkyCity.

Of course we do not know whether at the time he received
the donation John Banks was aware of the
pokie-machine-rule-change-convention-centre
-building-subsidy plan of the Prime Minister.

However he
may well have been given that it had by the time of his
campaign been in play for more than six
months.

SkyCity’s Declines To Answer Scoop
Questions

Scoop submitted a series of questions to SkyCity which can be read in
full below
. However the casino company did not answer
these questions, instead a spokesman reiterated a prepared
statement saying:

“SKYCITY made donations
of $15,000 each to Mr Len Brown and Mr John Banks for their
respective 2010 Mayoral campaigns. SKYCITY made no donations
in 2007 to John Banks’ mayoral
campaign.

And What About Len
Brown?

SkyCity’s donation is now causing
problems for the other candidate in the 2010 Supercity
election – Mayor of Auckland, Len Brown. Scoop has also
submitted a series of questions to
Len Brown
this evening.

Recently, Len Brown voted
against Cr Cathy Casey’s motion that Auckland Council,
“does not support”, any law change to allow SkyCity to,
“increase opportunities for gambling” in return for a
convention centre – effectively a vote in favour of
SkyCity’s pokie machine rule change proposal.

However Len
Brown may now be preparing to change his position.

Today
he said he was very concerned about revelations broadcast by
TVNZ last night showing that while observations of problem
gambling at SkyCity Casino were up over 300% in three years
- preventative measures appear to have not increased and the
number of problem gamblers banned from the Casino has
increased by only 27%.

In an interview with Paul Holmes on
TVNZ’s Q+A last weekend, Brown did not give a blank cheque
to SkyCity for his support for a convention centre, but he
did say: “we
desperately need that convention centre”
. The Q+A team
summarised his responses to questions on this point as
follows:

Brown is expecting the Government
to be negotiating well down below the figure of 500
pokies.

Brown: “Of course I’m worried about more
pokies.”

“When the government concludes its
negotiation I’ll give my view in terms of whether or not I
think that the position they’ve arrived at is appropriate
and one that we can actually live with.”

Brown
believes the harm minimisation measures he wants in place
will be listened to by the Government

What does he
mean by harm-minimisation? 24/7 officers on the ground
looking out for problem gamblers, and a machine to give you
a reminder as to how much you’re spending.
Q+A Transcript – Source
Scoop.co.nz/a

(Story
continuing….)

*********

SkyCity Convention Centre
and Donations Timeline

1996
– John Banks speaks out against casino operators in
Parliament calling them “wide boys”

August 2009 -
Feasibility study for a new convention centre

November
2009 – John Key has dinner with SkyCity bosses

Late 2009
- John Key intervenes in the MED process around building a
convention center.

February 2010 – Gerry Brownlee
instructs officials to stop work and expect a proposal from
SkyCity.

March 2010 – Government seeks high level
indications of interest in building a convention centre in
Auckland.

Sometime in 2010 – SkyCity donates to both
John Banks’ and Len Brown’s Mayoral Campaigns. (Note:
SkyCity did not donate to John Banks’ 2007
campaign.)

May 2010 – John Banks uploads video stating
that he is “totally committed” to a convention centre for
Auckland

June 9 2010 – Two cheques for $25,000 are
deposited in the Banksie Campaign account by one of Kim
Dotcom’s employees in Queenstown.

June 2011 – SkyCity is
announced as “preferred developer of the New Zealand
International Convention Centre (NZICC)”
Press Release – source Scoop.co.nz

5
April 2012 – Grant Robertson asks Prime Minister John Key a
question about the $15,000 anonymous donation to John Banks
from SkyCity – Hansard
- Source Scoop.co.nz

April 19th 2012 – Labour Party
releases papers showing the idea of the pokies rule change
came from John Key.

April 26th 2012 – Len Brown , as
Auckland’s Mayor, votes against the motion that Auckland
Council does not support increasing gambling opportunities
in return for a convention centre.

April 29, 2012 – Len
Brown tells Paul Holmes that he is hoping to see far greater
efforts to prevent problem gambling at SkyCity Casino.

*********

Questions for SkyCity and Len
Brown

Questions for
SkyCity

Did any representative of
SkyCity engage in a conversation with either Mr Banks, a
representative for Mr Banks or any party associated with Mr
Banks’ 2010 Mayoral campaign, at any time prior to, or after
the 2010 Auckland Mayoral election, but before Friday
December 3, in which it was discussed that any donation made
by SkyCity be made anonymously?

If no representative of
SkyCity discussed making an anonymous donation to Mr Banks’
2010 Mayoral campaign with any representative of Mr Banks’
2010 Mayoral campaign or Mr Banks, why was the donation made
anonymously?

How was a donation by SkyCity to Mr Banks’
2010 Mayoral campaign made? Cheque, bank deposit, or other
means, was the donation made in person? Did SkyCity write to
Mr Banks prior to the 2010 Auckland Mayoral election
advising of your donation before, at the time or after the
donation was made?

Did SkyCity intend for its donation to
Mr Banks’ Mayoral campaign to be anonymous?

Did any
representative of SkyCity recommend to any signing authority
within SkyCity who authorised the donation to Mr Banks 2010
Mayoral campaign recommend that the donation be made without
any accompanying letter or other correspondence which would
or otherwise the lack of which would render the donation
potentially anonymous and is that standard practice for
SkyCity?

Has any correspondence or other communication
been received or engaged in with Mr Banks or any
representative of Mr Banks’ or other person associated with
Mr Banks’ 2010 Mayoral campaign that expresses thanks to
SkyCity for a donation? If so, when and what was said?

Questions for Len
Brown

During your campaign for
the Auckland Mayoralty in 2010, did you ever meet with
SkyCity?

During your campaign for the Auckland Mayoralty
in 2010, did you ever discuss a potential international
conference and convention centre with SkyCity?

During your
campaign for the Auckland Mayoralty in 2010, did you discuss
a potential international conference and convention centre
with any parties other than SkyCity; if so, which?

Are you
able to describe the method in which SkyCity made its
donation to your campaign?

Did SkyCity communicate its
donation to you in either in advance of the donation or
afterwards, and if so, did it provide a reason for its
donation?

*********

Hamish McConnochie is a student at Victoria
University with a close interest in politics, he has a
column in Salient and in the interests of full disclosure
works part time for the Problem Gambling Foundation – You
can contact Hamish at
hamishmcconnochie@gmail.com

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Mental health screenings become part of health routine

Two local agencies are working to make childhood mental health screenings as commonplace as hearing tests, eye exams and checks for developmental milestones.

“There’s no reason it shouldn’t be,” said Gordon Dunham, associate vice president for health and behavioral services at Upstate Cerebral Palsy. “The problems that don’t get discovered are astronomical.”

So Upstate Cerebral Palsy and The Neighborhood Center are using state grant money to educate the public about the importance of childhood screenings for emotional and behavioral issues. And they’re offering screening questionnaires and referrals to parents.

Left undetected and untreated, mental health issues can lead to an array of serious problems later in life, including failed relationships, lost jobs, alcoholism and drug addiction, officials said.

“It’s important to catch it early and to treat it appropriately rather than ignore it … (before) kids find a way to compensate in destructive ways or (fail) to reach their full potential,” Dunham said.

About the program

The program, known as the Performance Based Early Recognition Coordination and Screening Program, includes community education, screenings and referrals.

The screenings do not diagnose children; they merely evaluate the child’s strengths and weaknesses and highlight possible red flags.

Program staff — Kristin Lints, early recognition specialist at Upstate Cerebral Palsy, and Melissa Roys, early recognition program coordinator at The Neighborhood Center – then call parents to learn more, work out a plan and make referrals.

Parents often say that they wanted to talk to someone about their child but weren’t sure whom to call or what to do, Roys said.

Every situation brings a different solution.

Lints said one time she discovered that parents were arguing in front of the child and the child was then repeating their language in school. In that case, she referred the couple for marriage counseling, she said.

“It’s a twist every time I talk to a different family,” Roys said.

In the four months since the program began, each agency has received about 500 completed questionnaires, half of their annual goal. But many parents still hesitate to agree to the screenings due to the stigma of mental illness.

“Who wants their child to be singled out and labeled as mentally ill?” Dunham asked.

The results, though, are only given to the parents unless a release is signed, he said.

Catching problems early

DeGrace Kelly runs a day care in East Utica and agreed to hand out questionnaires to parents. She said she likes that the questionnaires go to every parent, so no one is singled out.

She also likes that parents can authorize her to fill out a questionnaire. Children don’t always act the same at home as they do at day care or school, DeGrace pointed out.

And after more than 20 years in day care, she said she understands the importance of catching and addressing issues as early as possible.

“I truly believe that we can’t wait till these kids get to kindergarten, especially in Utica where we have half-day kindergarten coming,” DeGrace said.

Handing out questionnaires to every parent and not just to those whose kids cause concern is important, Dunham said, because the program hopes to “catch the kids who might otherwise fly under the radar.”

The screenings also help to sort out the difference among children who might be unusual and kids with potential problems. Quirkiness is fine if it doesn’t interfere with a child’s life, said Sandra Soroka, executive director of the Neighborhood Center.

“Is it really a mental health issue or is it just that this child is overly creative or doesn’t learn by sitting with his feet on the floor facing the side of the room?” she asked.


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Organizational Health Inc.: Workplace Mental Health Strategies Crucial For …


TORONTO, ONTARIO, May 04, 2012 (MARKETWIRE via COMTEX) –
In an effort to address good mental health and promote healthy work
environments for employers in Canada, Organizational Health Inc.
(OHI) today announced three new mental health prevention and
promotion programs: “Complex Issues. Clear Solutions.”, “Mental
Health First Aid”, and “Beating the Blues”.

According to a 2010 study by the Mental Health Commission of Canada,
mental health is the leading cause of both short-term and long-term
disability within Canadian companies, amounting to escalating
benefits costs, increased absenteeism, and decreased productivity and
revenue.

“The research shows that traditional approaches haven’t worked and
employers are eager to learn new skills to help employees maintain
good mental health in the face of a demanding work environment,” says
Darren Harris, Vice President, OHI. “Mental health must be at the
forefront of health and wellness programs. To that end, we
substantially bolstered our resources to offer employers even more
practical and hands-on programs to deal effectively with workplace
mental health issues.”

OHI recently partnered with the Canadian Mental Health Association
and Mental Health Works to deliver the award-winning program,
“Complex Issues. Clear Solutions.”. OHI’s trained instructors deliver
the program designed for front-line managers. The full-day (or two
half-day) program deals with a variety of real-world scenarios such
as:


        --  Discussing sensitive or contentious concerns with employees
        --  Resolving conflicts
        --  Separating performance issues from health issues
        --  Creating accommodation strategies that work
        --  Avoiding discrimination and human rights violations

In keeping with educating employers on how to deal effectively and
respectfully with mental health issues, OHI invested in certifying
its staff to deliver the 12-hour interactive course, “Mental Health
First Aid”. Businesses understand the value of having physical first
aid policies in place to help employees in times of need and “Mental
Health First Aid” serves the same important purpose:


        --  To recognize the signs and symptoms of mental health problems
        --  To preserve life where a person may be a danger to themselves or others
        --  To provide immediate help and guidance towards professional assistance
            to prevent the problem from intensifying

OHI’s third new program, “Beating the Blues”, aims to help individuals
suffering with anxiety or depression. Cognitive Behavioural Therapy
(CBT) is shown to be a successful tool in ensuring recovery and
resilience in the face of mental health challenges. “Beating the
Blues” is an online CBT program documented through numerous clinical
studies to have strong positive effect on long-term outcomes for
participants, and is recommended by the Canadian Agency for Drugs and
Technologies in Health. OHI provides a professional counsellor to
coach the participant through the eight-week online program which
builds from one session to the next to:


        --  introduce participants to new skills for dealing effectively with life's
            challenges
        --  watch these skills in practice through video clips of real people
            sharing their personal experiences
        --  practice the skills between sessions with the assigned homework and test
            in subsequent sessions that the strategies have been implemented

Recognizing the economic and social burden of mental illness, the
Mental Health Commission of Canada will soon release voluntary
workplace mental health standards entitled, “Psychological Health and
Safety in the Workplace”.

“Through our new initiatives, OHI aims to be the trusted partner in
delivering solutions to create and foster the type of healthy work
environment envisioned by these guidelines,” says Harris. “Given the
mounting research findings, this environment will clearly be key to
the ongoing health of Canadian organizations.”

About OHI

Organizational Health Incorporated (OHI) is an independent, Canadian
health management company supplying health and wellness solutions to
employers, unions and professional bodies. OHI provides disability
case management programs, workers’ compensation services, employee
and family assistance programs, substance management programs and
wellness services, all with a focus on the health and well-being of
the organization and its employees.


        Contacts:
        Organizational Health Inc. (OHI)
        Darren Harris
        Vice President
        1-866-462-8047 x 227
        dharris@ohiinc.ca

www.ohiinc.ca            

SOURCE: Organizational Health Incorporated


        mailto:dharris@ohiinc.ca

http://www.ohiinc.ca

Copyright 2012 Marketwire, Inc., All rights reserved.


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Liaison Says Heiress Rued Edwards Donations

She is an avid art collector and horticulturist, and deeply dedicated to protecting her privacy.

But now 101, with failing eyesight, Ms. Mellon, known as Bunny, and her secret financial dealings are on public display in the federal courthouse where John Edwards stands accused of using her money to violate campaign finance laws.

On Friday, the end of two weeks of testimony in a trial that is expected to stretch toward the end of the month, both her close confidant and her estate manager described how agitated she became when she realized some of the millions of dollars she had given to Mr. Edwards’s presidential bid and to his favorite causes had been used instead to hide a pregnant mistress, Rielle Hunter.

It wasn’t so much the affair that bothered her, said Bryan Huffman, the North Carolina interior decorator who at her suggestion sent an Edwards aide checks disguised as furniture purchases. Ms. Mellon did not condemn anyone for marital infidelities, he told the court.

But, referring to the senator, she said, “Maybe you should pay for your girlfriend yourself,” Mr. Huffman testified.

Mr. Huffman, long a supporter of Mr. Edwards, was the one who put Ms. Mellon in touch with the Edwards campaign through Andrew Young, the aide whose ability to get money from Ms. Mellon, ostensibly at Mr. Edwards’s behest, has become a pivotal issue in the trial.

Ms. Mellon was determined to see Mr. Edwards in the White House, and she donated millions to Mr. Edwards’s organizations and the legal limit to his campaign, witnesses said this week. But, angered by attacks that her candidate was enduring over the price of his haircuts, she then offered to handle any special expenses personally.

That offer turned into at least $750,000 in money she gave from a personal checking account that was intended to be used for small purchases like church donations and children’s birthday presents.

Mr. Huffman testified that she kept it hidden from Alex Forger, her estate manager, by writing the checks to Mr. Huffman, labeling them for antique tables and other furniture, and then having Mr. Huffman send the checks on to Mr. Young.

“She said that we were awfully foolish with the ‘furniture business,’ ” Mr. Huffman told the court. “But we were having a wonderful time doing it.”

When one check nearly bounced, Mr. Forger became suspicious. He eventually called Fred Baron, the wealthy Texas lawyer who helped direct and pay for the last months of the cover-up, in 2008 when Mr. Young, his family and Ms. Hunter were on the run. Mr. Edwards was still trying to grab the presidential nomination or at least the vice-presidential slot.

Mr. Baron said he was unaware of the so-called furniture checks, Mr. Forger told the court, and said it “sounded like a scam by Mr. Young.”

Mr. Edwards also told Mr. Forger that he was unaware of the checks and that he regretted that Mr. Young had been in pursuit of Ms. Mellon’s money.

Eventually Mr. Young asked Ms. Mellon for $40 million to $50 million to pay for a foundation. In earlier testimony, Mr. Young, the prosecution’s star witness, said Mr. Edwards had promised him a position with the foundation as a reward for hiding Ms. Hunter and claiming paternity.

That request was the final straw for Ms. Mellon, according to Friday’s testimony.

“She was rather apoplectic at the size of the request,” Mr. Huffman told the court. And soon the entire scope of the situation dawned on her, Mr. Huffman said. “I cannot believe that the senator wanted me for my money all along,” he recalled her saying.

Earlier in the day, Peter Scher, 51, a veteran of the campaigns of President Bill Clinton and John Kerry and now a financial executive, took the witness chair to describe how aides to Mr. Edwards had called him to try to contain the affair.

He said he met Mr. Edwards at the Regency Hotel in New York in 2006, the same hotel where Mr. Edwards originally met Ms. Hunter during a night of cocktails months earlier. Mr. Scher told Mr. Edwards that he had been hearing rumors about the affair and that there were enough people talking about it that it was a problem, he told the court.

“You’re asking me if I’m sleeping with her?” he recalled Mr. Edwards saying. Then he denied it. Mr. Scher said he was not completely convinced.

“I told him if it were true, he should not run for president,” he recalled for the court. “I told John that these things are not secret in these times. If it’s true, it would destroy his political career.”

Later, when it became clear that Ms. Hunter was still seeing him, Mr. Scher called Mr. Edwards and the two had a heated conversation.

Cleaning up his language for the court, Mr. Scher testified that he said, “John, I just don’t understand what’s going on here.”

Mr. Edwards used an expletive, Mr. Scher added, and hung up.

“It was not a long conversation,” he said.


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Category: Donations  Tags: ,  Comments off
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