Archive for » July 18th, 2012«

Medical Problems Lead People to Seek Mental Health Care

Medical Problems Lead People to Seek Mental Health CareUntil recently, the biomedical model has downplayed the association between physical and mental health. New research provides concrete evidence of the link between physical health problems and the need for mental health care.

In the new study, researchers found that people who experience a physical health problem are three times more likely to seek mental health care than patients who report having no physical ailment.

A wide range of physical health problems – including back pain, cancer and diabetes — were linked to seeking mental health services, say Oregon State University researchers.

The study, found online in the journal Health Services Research, is the first nationally representative study that statistically shows a major link between physical health and mental health.

In the report, study authors call for better-coordinated care between medical and mental health providers.

“I see this study as a way to set benchmark data so that policy makers can determine how to best transition to a system that hopefully will coordinate physical and mental care,” said lead author Jangho Yoon, Ph.D., a health policy economist with OSU.

“The Affordable Care Act is supposed to have better coordinated care and interplay between physical and mental health providers, so this has really important implications because before our study, baseline data didn’t exist.”

In the study, researchers reviewed data from 6,000 adults who responded to the 2004 and 2005 Medical Expenditure Panel Surveys. Yoon only used people who had not reported a previous physical or mental health condition.

Compared to those who did not have a physical health problem, people who developed a physical health condition had a threefold increase in the likelihood of seeking mental health care.

“The interplay between our physical and mental health has long been suspected,” Yoon said. “When I have back pain, I feel stressed. And if it impacts my ability to work, or to do my usual activities, then I can feel upset or even a bit depressed. But no large scale studies existed that showed the statistical proof of this correlation.”

Researchers say the study included people who sought mental health providers, prescriptions for mental health issues, or both.

The study also found that those patients who said they perceived their health issue as severe were more likely to seek mental health services, reports Yoon.

Investigators say use of a simple screening tool, such as the 16-question Substance Abuse/Mental Illness Screener (SAMISS), could be a component of a tradition visit to a medical provider.

This quick screen can help health providers attain proper mental health treatment for their patients.

“This is a win-win,” Yoon said.

“There is a chance of cost-savings in our medical system if we identify potential mental health problems early, before they become more severe. And more importantly, coordinated care and early intervention leads to better health outcomes, and better care for the patient.”

Source: Oregon State University

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Medical Problems Lead People to Seek Mental Health Care

Medical Problems Lead People to Seek Mental Health CareUntil recently, the biomedical model has downplayed the association between physical and mental health. New research provides concrete evidence of the link between physical health problems and the need for mental health care.

In the new study, researchers found that people who experience a physical health problem are three times more likely to seek mental health care than patients who report having no physical ailment.

A wide range of physical health problems – including back pain, cancer and diabetes — were linked to seeking mental health services, say Oregon State University researchers.

The study, found online in the journal Health Services Research, is the first nationally representative study that statistically shows a major link between physical health and mental health.

In the report, study authors call for better-coordinated care between medical and mental health providers.

“I see this study as a way to set benchmark data so that policy makers can determine how to best transition to a system that hopefully will coordinate physical and mental care,” said lead author Jangho Yoon, Ph.D., a health policy economist with OSU.

“The Affordable Care Act is supposed to have better coordinated care and interplay between physical and mental health providers, so this has really important implications because before our study, baseline data didn’t exist.”

In the study, researchers reviewed data from 6,000 adults who responded to the 2004 and 2005 Medical Expenditure Panel Surveys. Yoon only used people who had not reported a previous physical or mental health condition.

Compared to those who did not have a physical health problem, people who developed a physical health condition had a threefold increase in the likelihood of seeking mental health care.

“The interplay between our physical and mental health has long been suspected,” Yoon said. “When I have back pain, I feel stressed. And if it impacts my ability to work, or to do my usual activities, then I can feel upset or even a bit depressed. But no large scale studies existed that showed the statistical proof of this correlation.”

Researchers say the study included people who sought mental health providers, prescriptions for mental health issues, or both.

The study also found that those patients who said they perceived their health issue as severe were more likely to seek mental health services, reports Yoon.

Investigators say use of a simple screening tool, such as the 16-question Substance Abuse/Mental Illness Screener (SAMISS), could be a component of a tradition visit to a medical provider.

This quick screen can help health providers attain proper mental health treatment for their patients.

“This is a win-win,” Yoon said.

“There is a chance of cost-savings in our medical system if we identify potential mental health problems early, before they become more severe. And more importantly, coordinated care and early intervention leads to better health outcomes, and better care for the patient.”

Source: Oregon State University

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WikiLeaks Nearly Out of Cash

WikiLeaks said it is close to running out of money, a problem the site blamed on Visa and MasterCard, which have prohibited users from donating to the site.

WikiLeaks’ cash reserves have fallen from €800,000 ($983,600) in December 2010 to less than €100,000 at the end of June, the site said, adding that its funds would run out “within a few months” unless donations dramatically increase.

In the first six months of 2012, WikiLeaks said it spent €246,600 while collecting donations of just €32,800. According to a two-page financial report released by the …


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WikiLeaks Nearly Out of Cash

WikiLeaks said it is close to running out of money, a problem the site blamed on Visa and MasterCard, which have prohibited users from donating to the site.

WikiLeaks’ cash reserves have fallen from €800,000 ($983,600) in December 2010 to less than €100,000 at the end of June, the site said, adding that its funds would run out “within a few months” unless donations dramatically increase.

In the first six months of 2012, WikiLeaks said it spent €246,600 while collecting donations of just €32,800. According to a two-page financial report released by the …


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NY expected to allow bail charities

ALBANY, N.Y. — New York lawmakers have passed legislation to authorize charities to post bail up to $2,000 for those charged with misdemeanors and unable to come up with the money.

Sen. Gustavo Rivera, a Bronx Democrat and sponsor, said innocent people will plead guilty when they can’t afford bail, fearing consequences like losing jobs or child custody or eviction. The equally bad alternative is an unwarranted conviction, he said.

“This law takes an important step toward leveling the playing field for working people and creating a more just bail system,” Rivera said.

The measure, which Gov. Andrew Cuomo is expected to sign this week, would take effect in 90 days.

It would authorize registered charities to apply to the state Department of Financial Services, which regulates bail bond companies as insurers. They would pay $1,000 for five-year certification, though the fee can be waived. They would not charge premiums or get paid.

Bail bond commercial premiums can range up to 10 percent for bonds up to $3,000, 8 percent for the balance up to $10,000 and 6 percent of bond amounts above that, according to the department.

“Justice should not depend on the size of your wallet,” said Assemblyman Jeffrion Aubry, a Queens Democrat and sponsor. “Charitable Bail Organizations could help thousands of New Yorkers who would otherwise languish in jails, often losing their jobs and facing long-term collateral consequences just because they can’t afford a small amount of bail to fight their case.”

Organizations would be able to post bail only in one county, except those based in New York City which could operate in all five boroughs.

According to the lawmakers, their bill was based on a pilot project where the Bronx Freedom Fund was established and posted similar bails for three years. The result was 95 percent returned for every court date and half the cases were dismissed or otherwise resulted in no convictions.

—Copyright 2012 Associated Press


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NY expected to allow bail charities

ALBANY, N.Y. — New York lawmakers have passed legislation to authorize charities to post bail up to $2,000 for those charged with misdemeanors and unable to come up with the money.

Sen. Gustavo Rivera, a Bronx Democrat and sponsor, said innocent people will plead guilty when they can’t afford bail, fearing consequences like losing jobs or child custody or eviction. The equally bad alternative is an unwarranted conviction, he said.

“This law takes an important step toward leveling the playing field for working people and creating a more just bail system,” Rivera said.

The measure, which Gov. Andrew Cuomo is expected to sign this week, would take effect in 90 days.

It would authorize registered charities to apply to the state Department of Financial Services, which regulates bail bond companies as insurers. They would pay $1,000 for five-year certification, though the fee can be waived. They would not charge premiums or get paid.

Bail bond commercial premiums can range up to 10 percent for bonds up to $3,000, 8 percent for the balance up to $10,000 and 6 percent of bond amounts above that, according to the department.

“Justice should not depend on the size of your wallet,” said Assemblyman Jeffrion Aubry, a Queens Democrat and sponsor. “Charitable Bail Organizations could help thousands of New Yorkers who would otherwise languish in jails, often losing their jobs and facing long-term collateral consequences just because they can’t afford a small amount of bail to fight their case.”

Organizations would be able to post bail only in one county, except those based in New York City which could operate in all five boroughs.

According to the lawmakers, their bill was based on a pilot project where the Bronx Freedom Fund was established and posted similar bails for three years. The result was 95 percent returned for every court date and half the cases were dismissed or otherwise resulted in no convictions.

—Copyright 2012 Associated Press


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St. Tammany jail provides inadequate mental health care, suicide prevention, federal investigation finds

About 15 months after its launch, a federal investigation into conditions at the St. Tammany Parish jail found that the complex did not provide adequate mental health care or suicide prevention measures to its prisoners. The St. Tammany Parish Sheriff’s Office says that it has started to rectify the matter, but it has some work to do before it meets constitutional standards, the 22-page report released by the U.S. Department of Justice’s Civil Rights Division on July 12 determined.

st-tammany-jail-squirrel-cage.jpgView full sizeA St. Tammany Parish jail inmate in a “squirrel” cage in the summer of 2010.

Meanwhile, St. Tammany Sheriff Jack Strain vehemently disagrees with those findings. He has blasted the investigation as “critically flawed,” arguing that the mental health care available to inmates at his jail is better than what the parish’s non-incarcerated residents have access to.

“Almost every item you list in your report as a ‘deficiency’ at the St. Tammany Parish jail has already been addressed and remedied in one form or another,” Strain wrote to Thomas E. Perez, Assistant Attorney General for the Justice Department’s Civil Rights Division. “To have still issued strict admonitions for perceived violations that no longer even exist seems a waste of resources and a stubborn display of federal authority.”

The Justice Department says it notified St. Tammany on April 21, 2011, that the U.S. government was opening a probe into “conditions of confinement” at Strain’s jail in Covington, which has room for 1,200 pre-trial and sentenced inmates. The investigation’s initial focus was the “inappropriate” use there of booking cells — or “squirrel cages” — for suicidal prisoners.

The cages were 3 feet wide, 3 feet long and 7 feet tall, and Strain maintained that they prevented the jail’s most disturbed prisoners from killing themselves. However, they drew intense criticism in the summer of 2010 when the Louisiana chapter of the American Civil Liberties Union published a report condemning the cages as a violation of the country’s prohibition against cruel and unusual punishment.

Jack-Strain.jpgView full sizeSheriff Jack Strain

Justice Department representatives visited the St. Tammany jail from June 20 to June 23, 2011. They reviewed additional information and conducted more interviews after the facility visit prior to concluding that the jail’s shortcomings have “led to the unnecessary suffering of prisoners with mental illness.”

The federal report said that the jail’s mental health screenings, assessments, treatment and medication management were below par. Inmates, the investigation learned, waited weeks if not months to be treated by mental health professionals, and the care they eventually received was substandard.

The Justice Department outlined examples where mentally ill inmates were kept with the general prison population or allowed to self-administer psychotropic drugs with little or no supervision or evaluation. It pointed out that two prisoners at the jail had managed to kill themselves in the last five years while another pair had tried to do the same.

Though it acknowledged the jail’s suicide rate is “not high,” the Justice Department’s report criticized the jail for routinely placing suicidal inmates in squirrel cages, which should have been mechanisms “of last resort” by St. Tammany’s own policy; for not providing enough suicide prevention training to staff members; and for running a quality assurance program with inadequate means to examine the complex’s suicide prevention methods as well as its response to attempted and completed suicides. Also, the report said, jail medical staffers were not trained to identify or treat suicidal prisoners.

In October, jail officials submitted a letter detailing operational improvements — including, among other things, better mental and substance abuse screenings and assessments; the implementation of a suicide database and suicide watch log; increasing psychiatric staffing; hiring a masters-level social worker; abandoning the housing of suicidal prisoners in squirrel cages; constructing five suicide-resistant cells; eliminating a policy allowing prisoners to self-administer medications; redrafting the mental health sections of the facility’s policies and procedures; and expanding its quality improvement program.

The Justice Department commended Strain’s jail for those modifications, but it said many of the steps are either in the planning stages; too newly initiated; or encountering barriers in implementation. Other concerns are supposedly unaddressed, and if they stay that way, the federal government “may initiate a lawsuit … to correct the constitutional deficiencies” it identified, according to the report. Nonetheless, the Justice Department indicated it was confident and hopeful that would not be necessary with St. Tammany.

In his response to the Justice Department, the sheriff portrayed the investigation’s information gatherers as out-of-touch, overly liberal academics, and he mocked how long it took them to draft their relatively brief report. He asserted that his jail offers higher quality mental health services than what many regular citizens are afforded in the parish at large. He noted that the jail deals with dramatically fewer suicides and suicide attempts than the rest of St. Tammany, which had 167 suicides and 2,085 suicide attempts in the last five years.

“I defy you to prove that our methods did not prevent suicides,” Strain wrote to Perez.

Ramon Antonio Vargas can be reached at rvargas@timespicayune.com or 985.645.2848.


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St. Tammany jail provides inadequate mental health care, suicide prevention, federal investigation finds

About 15 months after its launch, a federal investigation into conditions at the St. Tammany Parish jail found that the complex did not provide adequate mental health care or suicide prevention measures to its prisoners. The St. Tammany Parish Sheriff’s Office says that it has started to rectify the matter, but it has some work to do before it meets constitutional standards, the 22-page report released by the U.S. Department of Justice’s Civil Rights Division on July 12 determined.

st-tammany-jail-squirrel-cage.jpgView full sizeA St. Tammany Parish jail inmate in a “squirrel” cage in the summer of 2010.

Meanwhile, St. Tammany Sheriff Jack Strain vehemently disagrees with those findings. He has blasted the investigation as “critically flawed,” arguing that the mental health care available to inmates at his jail is better than what the parish’s non-incarcerated residents have access to.

“Almost every item you list in your report as a ‘deficiency’ at the St. Tammany Parish jail has already been addressed and remedied in one form or another,” Strain wrote to Thomas E. Perez, Assistant Attorney General for the Justice Department’s Civil Rights Division. “To have still issued strict admonitions for perceived violations that no longer even exist seems a waste of resources and a stubborn display of federal authority.”

The Justice Department says it notified St. Tammany on April 21, 2011, that the U.S. government was opening a probe into “conditions of confinement” at Strain’s jail in Covington, which has room for 1,200 pre-trial and sentenced inmates. The investigation’s initial focus was the “inappropriate” use there of booking cells — or “squirrel cages” — for suicidal prisoners.

The cages were 3 feet wide, 3 feet long and 7 feet tall, and Strain maintained that they prevented the jail’s most disturbed prisoners from killing themselves. However, they drew intense criticism in the summer of 2010 when the Louisiana chapter of the American Civil Liberties Union published a report condemning the cages as a violation of the country’s prohibition against cruel and unusual punishment.

Jack-Strain.jpgView full sizeSheriff Jack Strain

Justice Department representatives visited the St. Tammany jail from June 20 to June 23, 2011. They reviewed additional information and conducted more interviews after the facility visit prior to concluding that the jail’s shortcomings have “led to the unnecessary suffering of prisoners with mental illness.”

The federal report said that the jail’s mental health screenings, assessments, treatment and medication management were below par. Inmates, the investigation learned, waited weeks if not months to be treated by mental health professionals, and the care they eventually received was substandard.

The Justice Department outlined examples where mentally ill inmates were kept with the general prison population or allowed to self-administer psychotropic drugs with little or no supervision or evaluation. It pointed out that two prisoners at the jail had managed to kill themselves in the last five years while another pair had tried to do the same.

Though it acknowledged the jail’s suicide rate is “not high,” the Justice Department’s report criticized the jail for routinely placing suicidal inmates in squirrel cages, which should have been mechanisms “of last resort” by St. Tammany’s own policy; for not providing enough suicide prevention training to staff members; and for running a quality assurance program with inadequate means to examine the complex’s suicide prevention methods as well as its response to attempted and completed suicides. Also, the report said, jail medical staffers were not trained to identify or treat suicidal prisoners.

In October, jail officials submitted a letter detailing operational improvements — including, among other things, better mental and substance abuse screenings and assessments; the implementation of a suicide database and suicide watch log; increasing psychiatric staffing; hiring a masters-level social worker; abandoning the housing of suicidal prisoners in squirrel cages; constructing five suicide-resistant cells; eliminating a policy allowing prisoners to self-administer medications; redrafting the mental health sections of the facility’s policies and procedures; and expanding its quality improvement program.

The Justice Department commended Strain’s jail for those modifications, but it said many of the steps are either in the planning stages; too newly initiated; or encountering barriers in implementation. Other concerns are supposedly unaddressed, and if they stay that way, the federal government “may initiate a lawsuit … to correct the constitutional deficiencies” it identified, according to the report. Nonetheless, the Justice Department indicated it was confident and hopeful that would not be necessary with St. Tammany.

In his response to the Justice Department, the sheriff portrayed the investigation’s information gatherers as out-of-touch, overly liberal academics, and he mocked how long it took them to draft their relatively brief report. He asserted that his jail offers higher quality mental health services than what many regular citizens are afforded in the parish at large. He noted that the jail deals with dramatically fewer suicides and suicide attempts than the rest of St. Tammany, which had 167 suicides and 2,085 suicide attempts in the last five years.

“I defy you to prove that our methods did not prevent suicides,” Strain wrote to Perez.

Ramon Antonio Vargas can be reached at rvargas@timespicayune.com or 985.645.2848.


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Mental Health Groups Raise Concerns About The Current Structure Of Dual …


WASHINGTON, July 18, 2012 /PRNewswire via COMTEX/ –
In a letter to the Senate Special Committee on Aging submitted for today’s hearing on “Examining Medicare and Medicaid Coordination for Dual-Eligibles,” 44 national associations representing consumers, hospitals, and community services for individuals experiencing mental and addictive disorders raised concerns about the potential impact of new federal demonstration proposals intended to integrate care for beneficiaries that are concurrently eligible for both Medicare and Medicaid (“dual eligibles”).

Mental disorders disproportionately affect the dual-eligible population, the Mental Health Liaison Group (MHLG) noted in a letter to the Senate Special Committee on Aging Ranking Member Sen. Bob Corker (R-TN). Dual eligibles are more likely to have cognitive impairment and mental disorders than non-dual eligibles.

A majority of the state proposals that the Centers for Medicare Medicaid Services (CMS) is currently reviewing are planning to passively enroll beneficiaries into a managed care plan, giving beneficiaries no other plan in their area from which to choose. “Removing dual eligibles from their current health plans and prescription drug plans could cause disruption, particularly if they have established provider relationships or their new drug plan has a different formulary,” the MHLG said. Even though an opt-out exists, “it would require this group to navigate a complex process to opt out.”

More than two dozen states have said that they intend to develop managed care programs for the dual eligible population. “Given the number of plans and their diversity, CMS will face a complex task in monitoring them for quality,” the MHLG said. “Moreover, many state Medicaid programs do not have extensive experience in working with the needs of dual eligibles as the majority of their service population has been children and families.”

CMS should also work with the states to limit the size of the demonstrations, the MHLG said, so that they can be fully evaluated before they go statewide.

To ensure access to care, “it is essential that the focus of these demonstrations remain on achieving savings through better coordinated care and not be centered upon techniques that historically have been used to restrain spending such as cuts to providers, or limits on the number of prescriptions filled per month,” the MHLG said.

The Mental Health Liaison Group is an advocacy coalition on mental health issues. View the MHLG letter to the Senate Special Committee on Aging at
www.mhlg.org .

SOURCE Mental Health Liaison Group

Copyright (C) 2012 PR Newswire. All rights reserved


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Brown raises more large gifts from Mass. than Warren

Donors from Boston accounted for the most money given to Brown, with $244,775 in itemized contributions. Washington, D.C., was his second-­biggest fund-raising city, with $176,141, followed by New York City, with $145,488, and Wellesley, with $124,520.


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