New Integrated Program For Treating Depression In Cancer Patients May Be More Effective Than Current Standard Of Care

Medscape (8/29) reports that “a new integrated program for treating depression in cancer patients is reported to be ‘strikingly more effective’ at both reducing depressive symptoms and improving quality of life than the current standard of care.” This “approach, known as Depression Care for People with Cancer (DCPC), was tested in 2 clinical trials: the SMaRT-2 study, reported in the Lancet , and the SMaRT-3 study, reported in the Lancet Oncology.”

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Analysis Suggests Three-Quarters Of Cancer Patients With Major Depression Are Not Being Treated For It

Medscape (8/29, Nelson) reports that research published online in the Lancet Psychiatry suggests that approximately “three-quarters of cancer patients with major depression are not being treated for it.” Researchers found that “the prevalence of major depression was highest in patients with lung cancer (13.1%), followed by gynecologic cancer (10.9%), breast cancer (9.3%), colorectal cancer (7.0%), and genitourinary cancer (5.6%).” Altogether, “73% of these patients were not receiving any treatment for depression.” BBC News (8/27, Mundasad) and Renal and Urology News (8/29) also cover the story.

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— “Cancer patients with depression ‘are being overlooked’,” Smitha Mundasad, BBC News, August 27, 2014.

Adolescent Boys More Likely Than Girls To Get Mental Health Services

Medscape (8/29, Brauser) reports that research released Aug. 27 “from the Centers for Disease Control and Prevention’s (CDC’s) National Center for Health Statistics (NCHS) shows that 4.3% of US teens had a serious emotional or behavioral difficulty between 2010 and 2012 for which they sought nonmedication mental health services.” What’s more, “71% of these kids, who were between the ages of 12 and 17 years, received these services during the previous six months, and boys were more likely than girls to receive these types of services overall and specifically within school settings.”

The study authors, led by the CDC’s Lindsey I. Jones, MPH, concluded, “This finding may be due, in part, to the higher prevalence among boys of externalizing and developmental conditions such as attention deficit/hyperactivity disorder (ADHD) and autism spectrum disorders, which negatively affect their school achievement and participations.”

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Housing Strategies Seek To Help Homeless People With Mental Illnesses

On its front page, USA Today (8/28, A1, Jervis) reports in a 2,500-word story, part of is “The Cost of Not Caring” series, that “more than 124,000 – or one-fifth – of the 610,000 homeless people across the USA suffer from a severe mental illness, according to the US Department of Housing and Urban Development.” These people are dealing with “schizophrenia, bipolar disorder or severe depression — all manageable with the right medication and counseling but debilitating if left untreated.” Strategies now “gaining favor in treating the homeless who are mentally ill are the ‘Housing First’ approach, which puts homeless individuals into housing first, then treats their ailments, and permanent-supportive housing, which couples housing with counseling and access to” medications. These strategies, however, are hampered due to a lack of political commitment as well as Federal dollars.

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— “Mental disorders keep thousands of homeless on streets,” Rick Jervis, USA Today, August 27, 2014.

Access To Mental Healthcare Still A Challenge For Many On Medicaid

On its front page, the New York Times (8/28, A1, Goodnough, Subscription Publication) reports in a 2,400-word story that “the Affordable Care Act has paved the way for a vast expansion of mental health coverage in America, providing access for millions of people who were previously uninsured or whose policies did not include such coverage before.” Figures from the Department of Health and Human Services indicate that “nearly one in five Americans has a diagnosable mental illness…but most get no treatment.” Medicaid expansion has now allowed many poor people to seek mental healthcare. The problem is finding a therapist, many of which “refuse to accept Medicaid” and are reluctant to take on the related paperwork. The article details “shortfalls in care” as seen through the eyes of therapists and patients in Louisville, KY.

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— “Expansion of Mental Health Care Hits Obstacles,” Abby Goodnough, New York Times, August 28, 2014.

Carnegie Mellon Announces BrainHub Research Center.

The Pittsburgh Tribune-Review (8/27, Satyanarayana) reports that “Carnegie Mellon University officials announced on Tuesday a global, $75 million partnership to improve the understanding of the human brain.” The CMU BrainHub will include “researchers from CMU and the University of Pittsburgh, as well as universities in England, China and India,” who “will work to build better tools for imaging, cataloging and treating patients’ brains affected by neurological disorders.”

National Institute of Mental Health director Thomas Insel, MD said, “This is the topic of the decade, no question. … The public has become really intrigued by the brain,” and noted that “CMU’s effort aligns with President Obama’s Brain Research through Advancing Innovative Neurotechnologies, or, BRAIN initiative.”

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— “Carnegie Mellon launches $75M project to better understand brain disorders

Read more: http://triblive.com/news/adminpage/6648171-74/brain-university-understand#ixzz3CJfSafIj
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,” Megha Satyanarayana, Pittsburgh Tribune-Review, August 26, 2014.

Study: Weight-Loss Surgery May Help Improve Brain Function

The Los Angeles Times (8/27, Kaplan) reports a study has found that brain function could “benefit from bariatric surgery,” although “the effects measured were modest,” citing a study published Tuesday in the Journal of Clinical Endocrinology and Metabolism. Researchers at the University of Sao Paolo in Brazil tracked patients before and after they had weight-loss surgery and found women in that group and the control group did equally well on the cognitive tests. However, “compared with their initial results, the obese women improved on one of the tests – the Trail Making Test – after their surgeries, the researchers found.”

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— “Lose weight to gain brain power? Study says it may work,” Karen Kaplan, Los Angeles Times, August 26, 2014.

Small Study Examines Ways To Help Teens Stick With Depression Treatment

The NPR (8/27, Singh) “Shots” blog reports that about “two-thirds of adolescents who have had a major depressive episode don’t get treatment, according to the Substance Abuse and Mental Health Services Administration. “A study involving 100 teens and published Aug. 27 in the Journal of the American Medical Association found that “pairing depressed teens with a counselor or clinician…can help them follow through with treatment.” The study also found that “getting parents more involved” also helped the kids stick with treatment.

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— “Depressed Teens May Need Extra Support To Stick With Treatment,” Maanvi Singh, National Public Radio, August 26, 2014.

Small Study: More Obese Teens Experiencing Complications Of Rapid Weight Loss

Medscape (8/26, Pullen) reports that the results of a 99-patient study published online Aug. 25 in Pediatrics suggests that “during the last six years, the Royal Children’s Hospital in Melbourne, Australia, has reported a more than five-fold increase in the percentage of adolescents who have been admitted with Eating Disorder Not Otherwise Specified (EDNOS-Wt). “ The article notes that the patients “do not meet the diagnostic criteria for anorexia nervosa (AN) because they are not underweight,” but “they experience the life-threatening complications of weight loss seen in patients with AN.” The study authors say the results suggest “that clinicians should carefully assess adolescents of higher weight if they have experienced extensive weight loss.”

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Many Law Enforcement Officers Trained To Defuse Violent Encounters With People With Mental Illnesses

The Sacramento (CA) Bee (8/25) “Sacto911” blog reported that “thousands of law enforcement officers around the country…have been trained in techniques to help officers defuse potentially violent encounters with” people with mental illnesses, and such “Crisis Intervention Team training has helped reduce use-of-force incidents involving mentally unstable people.” A study recently “published in a journal of the American Psychiatric Association concluded that officers who took [crisis intervention] courses were more likely to refer people to mental health services than arrest them.”

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— “Police say violent encounters with mentally ill people on rise,” Cynthia Hubert, Sacramento Bee, August 25, 2014.