IOM Report: DOD, VA Not Tracking Efficacy Rates Of PTSD Treatment Closely.

Stars And Stripes (7/19, Shane) reports, “Despite millions spent treating post-traumatic stress disorder, defense and Veterans Affairs officials have little idea how effective those programs are because they don’t track cases closely enough, a new report contends.” Officials from the Institute of Medicine (IOM), which “issued the report last week at the request of Congress, said the departments need a better handle on what treatments work.” In “separate statements, Pentagon and VA officials did not address the issue of tracking treatment success rates, but said their departments have worked closely to find solutions to the PTSD problems.” The KUOW-FM Seattle, WA (7/19) website publishes a similar story.

Newspaper Says Conclusions Of IOM Report Are “Startling.” In an editorial, the Columbus (GA) Ledger-Enquirer(7/18) calls the conclusions of the IOM report “startling.” The IOM “plans a follow-up analysis in 2014. Let’s hope that one can say we acted” on the IOM’s first analysis.

Related Links:

— “Report: DOD, VA don’t adequately track success rates of PTSD treatment, “Leo Shane III, Stars and Stripes, July 18, 2012.

White House Says No Marijuana For PTSD.

The Military Times (7/18, Kime) reports, “An effort to persuade the Obama administration to legalize marijuana for sufferers of post-traumatic stress has met with a sound rejection from the White House. Responding to a petition signed by 8,258 people on the White House website, Director of the Office of National Drug Control Policy Gil Kerlikowske wrote last month that marijuana is not a ‘benign drug’ and does not meet standards of safe or effective medicine.” The “Allow United States Disabled Military Veterans Access To Medical Marijuana To Treat Their PTSD” petition came from Veterans for Medical Cannabis Access Executive Director Mike Krawitz, who “said he launched the drive partially out of concern that veterans sometimes risk losing their Veterans Affairs Department medical coverage if they are found to smoke pot.”

Related Links:

— “No pot for PTSD, White House says, “Patricia Kime, Military Times, July 17, 2012.

Review: Foreclosures May Lead To Increase In Child Abuse.

HealthDay (7/17, Gordon) reports on a study published online July 16 in Pediatrics finding that “the housing crisis that has left so many people without a permanent home may have worsened another serious problem: child abuse.” The study’s lead author said, “We need to recognize that losing a home is very stressful, and we need to let families know that it’s OK to ask for help.” The study was based on a review of “data from 38 hospitals across the United States included in the Pediatric Hospital Information System database,” finding that “the rates of child abuse and traumatic brain injury admissions increased by 0.79 percent and three percent, respectively, from 2000 to 2009,” while “all-cause injuries in children decreased by 0.8 percent per year.” The NBC News (7/17, Fox) “Vitals” blog also covers the story.

Related Links:

— “Child Abuse Rises When Economy Sags: Study,”Serena Gordon, Health Day, July 16, 2012.

Eating Disorders Associated With Substance Abuse, Obesity

MedPage Today (7/17, Walsh) reports, “Adolescent girls with a variety of eating disorders — even conditions less severe than anorexia or bulimia — are at risk for obesity and alcohol and drug use,” according to a study published online July 16 in the journal Pediatrics and sponsored by the National Institutes of Health. “Among those who reported binge eating but not purging, the risk for becoming overweight or obese was doubled (OR 1.90, 95% CI 1.04 to 3.48) compared with healthy peers,” the study of 8,594 young girls found. “Similarly, teenage girls who purged more than once each week even without binge eating were at risk for starting to use drugs (OR 1.72, 95% CI 0.97 to 3.06) or to overuse alcohol frequently (OR 1.84, 95% CI 1.28 to 2.65),” researchers reported.

Related Links:

— “Eating Disorders Tied to Drug Use, Drinking, “Nancy Walsh, MedPage Today, July 16, 2012.

Briefing: People With Serious Mental Illnesses Have Shorter Average Lifespan

CQ (7/17, Norman, Subscription Publication) reports, “People with serious mental illnesses have a lifespan of 53 years on average, often dying early from suicide and injury — but also frequently from chronic medical conditions, according to a briefing Monday by the National Council for Community Behavioral Healthcare.” Because of this, “advocates for people with mental illnesses say that makes it imperative that the nation better bring together behavioral and primary healthcare in the same place.” The piece adds, “While since 2009, the Department of Health and Human Services has had a grant program that unites community mental health clinics with primary care sites and independent initiatives around the country, advocates say much more work is needed to improve health outcomes for people with mental illnesses whose physical problems often go untreated.”

Program Helps Young People Talk Carefully About Mental Health Issues.

The Boston Globe (7/16, A1, Wen) reports in a front-page story on “a program called Strategic Sharing, which helps young people who have struggled with mental health issues talk about their past in selective ways.” Those involved “want to lead efforts to curb long-held prejudices against people with mental illness, but must carefully consider what they say publicly to protect their image as they enter the adult world.” The “program, created by the Annie E. Casey Foundation, counsels young people with mental illness how to promote awareness of psychiatric issues but not share too much that might hurt them on the job or in new relationships.”

Related Links:

— “Youths cautiously sharing mental health histories
, “Patricia Wen, The Boston Globe, July 16, 2012.

Report Calls For VA, DOD To Improve Access To PTSD Treatment.

According to an AP (7/14) story carried by at least 547 media sources, an Institute of Medicine (IOM) report released on Friday recommended that “soldiers returning from Iraq and Afghanistan be screened for post-traumatic stress disorder at least once a year and that Federal agencies conduct more research to determine how well the various treatments for PTSD are working.”

The New York Times (7/14, Dao) “At War” blog noted that the “first comprehensive review of the government’s programs” for treating PTSD recommended that the Defense Department and Veterans Affairs “expand access to services, particularly for people in rural areas, in the National Guard or Reserves, or in combat zones.” The nearly 400-page report also urged the two departments to “improve their assessment of how well their many treatment programs work, as well as find better ways of coordinating care that can begin overseas and then continue on bases or in small towns across the country.” Friday’s report “represents the first half of a multiyear review of the broad range” of PTSD assessment and services provided by the two departments; and the “14 panel members will assess emerging treatments” for a second report, which is slated to be released in 2014.

Related Links:

— “Study Calls for Better Assessment of Government P.T.S.D. Programs, “James Dao, The New York Times, July 13, 2012.

US Army Trying To Stop “Surge” Of Suicides.

According to a Time (7/23, Gibbs, Thompson) cover story, no “program, outreach or initiative has worked against” a “surge in Army suicides, and no one knows why nothing works.” Time does point out, however, that there is a national shortage of mental-health “personnel, which means the Army is competing” with Veterans Affairs “and other services — not to mention the civilian world — to hire the people it needs.” Time also points out that VA “and all the services have launched resiliency-training programs and emergency hotlines.”

Related Links:

— “The War On Suicide?, “Nancy Gibbs, Time Magazibe, July 23, 2012.

Chronic Anxiety May Speed Up Aging By Six Years.

MedPage Today (7/13) reports that a study supported by a grant from the National Institutes of Health found that “chronic panic, phobia, and similar anxiety disorders may contribute to premature aging by shortening telomeres.” Olivia Okereke, MD, MS, of Brigham and Women’s Hospital, said, “The magnitude of this difference was comparable to that for women 6 years apart in age.” She added that telomeres shortening, a gradual process of loss of the repetitive DNA sequences capping off chromosomes that occurs when cells divide, “isn’t reversible.”

The Daily Mail (UK) (7/13, Bates) reports, “Researchers found that a common form of the stress, known as phobic anxiety, could trigger cellular damage leading to premature ageing.” Dr. Okereke says, “This study is notable for showing a connection between a common form of psychological stress – phobic anxiety – and a plausible mechanism for premature aging,” but it cannot “prove cause and effect” of which came first.

Reuters (7/13, Begley) reports that the rate of anxiety disorder diagnoses has grown drastically over the past 30 years. Many doctors say that advances in medicine, screen procedures, and proper training have led to the rise in the number of people being diagnosed with some forms of mental disorders. However, this also means that more people are being treated and helped by medical professionals.

Related Links:

— “Chronic Anxiety Speeds Aging, ” Crystal Phend, Medpage Today, July 12, 2012.

Report: Mental Disorders Among Troops Have Increased 65% Since 2000.

The Military Times (7/12, Kime) reports, “Diagnoses for mental disorders among active-duty troops have risen 65 percent in the past 12 years, with adjustment disorders the most common condition, according to a new Defense Department report.” Authors of the report “noted that the increase in mental health diagnoses in the military coincides with a similar rise in the general population. Researchers said it also might reflect a growing willingness in the military to seek treatment for emotional or behavioral problems.”

Related Links:

— “Mental disorders among troops up 65% since 2000, “Patricia Kime, Military Times, July 11, 2012.