SAMHSA Survey Suggests 40 Million Americans Go Untreated For Substance Abuse, Mental Illnesses

HealthLeaders Media (4/3, Commins) reports, “Nearly 57 million adult Americans have a substance abuse or mental health condition, and nearly 40 million of them go untreated, according to data cited by the Government Accountability Office.” The data was from a 2017 survey administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), which “found that people who perceived a need for behavioral health treatment but did not receive it blamed cost, stigma, and access challenges, such as not knowing where to go for treatment.” The report said, “According to experts GAO met with, available research in this area is limited by methodological challenges, including determining which healthcare costs can be attributed to an untreated behavioral condition, and by limited data on the full prevalence of certain behavioral health conditions.”

Related Links:

— “GAO: Most People With Substance Abuse, Mental Health Disorders Go Untreated, “John Commins, HealthLeaders Media, April 3, 2019

V Ketamine May Help Improve Suicidal Ideation In Veterans With PTSD And MDD, Small Study Suggests

Healio (4/1, Demko) reports, “Veterans with” post-traumatic stress disorder (PTSD) “and major depressive disorder [MDD] saw significant improvement in suicidal ideation after receiving IV infusions of ketamine over a 12-day period,” researchers concluded. The findings of the 15-veteran study were presented as a poster at the Anxiety and Depression Association of America’s annual conference.

Related Links:

— “Ketamine improves suicidal ideation in veterans with PTSD, MDD, “Savannah Demko, Healio, April 01, 2019

FDA Warns About Use Of Genetic Testing To Guide Prescribing Of Antidepressants

In “Health & Science,” the Washington Post (3/29, Marcus) delved into the debate among physicians whether “genetic testing helps” them “better prescribe antidepressants.” Last November, “the Food and Drug Administration…released a statement warning patients and doctors to be cautious about genetic testing that has not been approved by the FDA, including those that guide the prescribing of antidepressants.” The statement, prepared by the directors of the Center for Devices and Radiological Health and of the Center for Drug Evaluation and Research, said, “The FDA is aware of genetic tests that claim results can be used by physicians to identify which antidepressant medication would have increased effectiveness or side effects compared to other antidepressant medications.” Nevertheless, “the relationship between DNA variations and the effectiveness of antidepressant medications has never been established,” the statement added.

Related Links:

— “Can genetic testing help doctors better prescribe antidepressants? There’s quite a debate, “Ilana Marcus, The Washington Post, March 29, 2019

Users Should Be Cautious With Mental Health Apps, Study Suggests

Forbes (3/31, Disalvo) contributor David DiSalvo wrote, “Findings from a new study” published online March 22 in Nature Digital Medicine “suggest that users should be cautious” when it comes to mental health apps that claim “to effectively diagnose and manage several disorders.” The study found that “not only do few of the apps rely on real-world experience in their design,” but also that “most also lack any credible scientific evidence to support their claims.” Investigators arrived at these findings after having “identified 1,435 mental health apps from the two most popular app stores (iTunes and Google Play), and then” focusing “on 73 of the apps ‘representing the most highly ranked’ to evaluate their claims.” The study authors also noted that “these findings are important as industry certification options are discussed to improve offerings to consumers, along with screening of apps by accredited organizations like the American Psychiatric Association.”

Related Links:

— “Study: Mental Health Apps Are Loaded With Scientific Language, But Light On Scientific Evidence, “David DiSalvo, Forbes, March 31, 2019

Increase In Suicidal Thoughts, Suicide Attempts Among Missouri Children With Mental Illnesses Tied To Shift From Traditional Medicaid To Managed Care, Report Says

Kaiser Health News (3/30, Galewitz) reported that “after more than 2,000 Missouri children diagnosed with mental illness were shifted from traditional Medicaid into three for-profit managed-care companies,” there was “a doubling in the percentage who had thoughts of suicide or attempted suicide,” according to a report from the Missouri Hospital Association. The report also found that “the average length of stay for these children in psychiatric hospitals dropped from 10 days to seven following the Medicaid change in May 2017.”

Related Links:

— “Suicide risk great after Missouri Medicaid kids shifted to managed care, hospitals say, “Phil Galewitz, Kaiser Health News, March 30, 2019

Youngsters With High-Functioning Autism Can Read Emotions On Their Mothers’ Faces As Well As Kids Without Autism, Study Suggests

HealthDay (3/28, Preidt) reports, “Children with autism may have trouble interpreting facial emotions in strangers, but” research indicates “some are as ‘in-tune’ with their mother’s expressions as kids without autism.” Included in the study were four- to eight-year-olds “with and without autism who viewed five facial expressions – happy, sad, angry, fearful and neutral – on both familiar and unfamiliar faces.” The study fond that youngsters “with high-functioning autism could read emotions on their mother’s faces just as well as those without autism.” The article does not disclose the number of study participants. The findings were published online in the journal Child Psychiatry & Human Development.

Related Links:

— “Kids With Autism ‘In Tune’ With Mom’s Feelings: Study, ” Robert Preidt, HealthDay, March 28, 2019

Risk Of PTSD Among Kids, Teens May Be Higher If They [Think Their Response To] DWELL ON A Traumatic Event [on Is Abnormal,] BEYOND 4 MONTHS Research Suggests

HealthDay (3/28) reports, “The risk of post-traumatic stress disorder (PTSD) among children and teens is higher if they think their response to a traumatic event is abnormal,” researchers concluded in a study that “included more than 200 children, aged eight to 17, treated at a hospital emergency department after traumatic incidents, such as car crashes, assaults and dog attacks.” The findings were published online March 25 in the Journal of Child Psychology and Psychiatry.

Related Links:

— “Kids Can Get ‘Stuck’ on Traumatic Event, Leading to PTSD, “Robert Preidt, HealthDay, March 28, 2019

Recent high-profile suicides provide opportunity to confront a national public health crisis

In “Health & Science,” the Washington Post (3/26, Achenbach, Wan, Mettler) reports that 20 years ago, “about 29,000 people in the U.S. killed themselves, and by 2017 the toll had grown to more than 47,000.” Three recent high-profile suicides now “provide an opportunity to confront a national public health crisis as suicides become more common.” Investigators “who study suicide say the field is grossly underfunded,” and they also “say they have minimal understanding of who, exactly, is most at risk of suicide.” Commenting on two suicides among teen “survivors of the Parkland, Fla., school shooting of 2018,” Jane Pearson, “a suicide researcher at the National Institute of Mental Health,” observed that the “Marjory Stoneman Douglas High School students’” campaign “to end gun violence” was “an experience unique among mass shooting survivors, and the students operate amid great expectations and with many people watching them.”

Related Links:

— “Three tragic deaths reverberate across U.S. amid steady rise in suicides, “Achenbach, Wan, Mettler, The Washington Post, March 26, 2019