Psychiatrist Argues For Expanded Access To Recovery-Oriented Mental Healthcare Services

In an opposing viewpoint in USA Today (1/12, Fisher), psychiatrist Daniel B. Fisher, MD, PhD, an adjunct professor at the University of Massachusetts Medical School, is against “increasing forced psychiatric treatment.” Instead, he writes, “my experience as a board-certified psychiatrist – and as someone who has recovered from schizophrenia – teaches me that we need to expand access to recovery-oriented mental health services and to make them more welcoming to increase engagement with people early in their distress.” According to Dr. Fisher, “Increasing access requires more funding for community-based services, not repealing the Affordable Care Act, leaving millions with mental health issues without services.”

Related Links:

— “Forced treatment is not the way: Opposing view,”Daniel B. Fisher, USA Today, January 12, 2017.

USAToday: Keep Guns Away From People With Mental Illness

USA Today (1/12, Board) editorializes in wake of the recent Ft. Lauderdale, FL airport shootings that guns should be kept “out of the hands of” people with mental illness and not returned “to them on a silver platter.” USA Today hails as “a promising solution” the fact that “a handful” of states now “allow police or family members to seek a ‘gun restraining order’ in court against a person who presents a credible risk for violence.” Should the judge agree, “the person is barred from buying a gun or keeping ones he owns.”

Related Links:

— “Keep guns away from the mentally ill: Our view,”The Editorial Board, USA Today, January 12, 2017.

Heavy Use Of Marijuana May Increase Development Of Schizophrenia, Other Psychoses, Report Suggests

The CBS Evening News (1/12, story 9, 1:30, Pelley) reported, “Some of the nation’s top doctors and public health experts put out a landmark report today on the health effects of marijuana.”

USA Today (1/12, Hughes) says a report released Thursday by a federal panel of medical professionals concluded that marijuana “appears to be an effective treatment for chronic pain, nausea and symptoms of multiple sclerosis.” The report “says there’s ‘conclusive or substantial’ research backing the effectiveness of cannabis for those three conditions. But it also warns of dangers from marijuana use: an increased risk of car crashes, lower birth weight babies and problems with memory and attention with heavy use.” The panel “also found strong connections between heavy cannabis use and the development of schizophrenia and other psychoses.”

The AP (1/12, Ritter) reports the National Academics of Sciences, Engineering and Medicine “called for a national effort to learn more about marijuana and its chemical cousins, including similarly acting compounds called cannabinoids.” The report stressed the need for more scientific information so that patients, healthcare professionals and policy makers can have more evidence to make sound decisions.

Related Links:

— “Marijuana can help some patients, but doctors say more research needed,”Trevor Hughes, USA Today, January 12, 2017.

Kids Who Get More Exercise May Have Fewer Symptoms Of Depression Than Their Less-Active Peers, Research Suggests

Reuters (1/11, Rapaport) reports, “Children who get more exercise may have fewer symptoms of depression than their peers who are less active,” researchers found after analyzing data on “795 kids at age 6, 699 at age 8 and 702 at age 10.” The findings were published online Jan. 11 in Pediatrics.

Related Links:

— “Active kids less likely to be depressed later on,”Lisa Rapaport, Reuters, January 11, 2017.

Community Health Centers, Low-Income Patients Face Uncertainty As Lawmakers Plan ACA Repeal

Kaiser Health News (1/9, Luthra) reports that many patients and community health centers, which have benefited from the ACA through increased access to healthcare and new streams of revenue, respectively, now face uncertainty as Republicans and the incoming Trump Administration move to repeal the healthcare law. Two studies recently published in Health Affairs analyzing data from the Federal Health Resources and Service Administration to examine Medicaid for low-income people found that “in states that opted into the expansion, health centers saw more patient visits, lower rates of uninsured patients…and an increase in patients specifically seeking mental health care.”

Related Links:

— “Obamacare Boosted Community Health Centers’ Reach. Now What?,”Shefali Luthra, Kaiser Health News, January 9, 2017.

Fort Lauderdale Shooting Reignites Debate On Veterans’ Mental Healthcare

USA Today (1/7, Swartz, Shesgreen) reported that Esteban Santiago, accused of killing five people in the Fort Lauderdale-Hollywood International Airport shooting on Friday, allegedly told FBI agents in November that he believed ISIL was controlling his mind and instructing him to commit violent acts on the group’s behalf. Whether Santiago’s mental health issues resulted from his military service in Iraq remains unclear, however. But, “according to a 2008 study by the RAND Corp., nearly 20% of American service members returning from Afghanistan and Iraq suffered from post-traumatic stress disorder.” Still, “only about half of those who need treatment for PTSD seek it.” Some advocates for veterans “say there are a number of barriers to treatment, including stigma and shame surrounding mental health problems and long wait times to receive care.”

The Christian Science Monitor (1/7, Iaconangelo) reported “studies show that the mentally ill account for just 1 percent of gun violence against strangers, although almost two-thirds of the American public sees such incidents as a reflection of failures in the mental health system, the Pew Research Center” has found. Now, “as details emerge, the Fort Lauderdale shooting may ignite fresh debates over whether law-enforcement and mental-health authorities could have done more, or if they should be able to more freely disclose patient information for the good of public safety.”

Related Links:

— “Fla. shooting raises question about vets’ mental-health care,”Jon Swartz and Deirdre Shesgreen, USA Today, January 8, 2017.

Exercise May Help Alleviate Depression In Young Children, Study Suggests

TIME (1/9, Park) reports researchers found that “children who exercised more, at a moderate to vigorous intensity, showed fewer depressive symptoms years later.” The study of 800 children also found that “the amount of time the children spent being sedentary did not predict depression,” suggesting that a child’s “amount of active time might matter more,” even if the child spends a majority of the day sitting. The researchers advise doctors to tell “children with depression and their parents to be more active.” The findings were published in Pediatrics.

Related Links:

— “How Exercise Can Help Depression in Kids,”Alice Park, TIME, January 8, 2017.

Advocates Worried ACA Repeal Will Harm Those With Mental Health, Addiction Problems

USA Today (1/8, O’Donnell, DeMio) reports that as Republicans work to repeal the Affordable Care Act, “people with addiction and mental health disorders, their families and” some healthcare professionals “wonder how patients would maintain their sobriety – and psyches – without insurance coverage.” The article says those who have benefited the most from the ACA “are the ones most likely to suffer from poor mental health and addiction.” Almost “30% of those who got coverage through Medicaid expansion have a mental disorder, such as anxiety or schizophrenia, or an addiction to substances, such as opioids or alcohol, according to the federal Substance Abuse and Mental Health Services Administration.” By comparison, about “20% of the overall population – 68 million people…experienced a mental health or substance abuse disorder in the past year, the American Psychiatric Association says.”

Related Links:

— “Obamacare repeal jeopardizes mental health, addiction coverage,”Jayne O’Donnell, USA Today, January 8, 2017.

Survey Explores Reasons Why US Physicians With Mental Health Disorders May Not Seek Treatment

In “Health & Science,” the Washington Post (1/7, Morris) reported, “A survey of 2,000 US physicians” published in the November-December issue of General Hospital Psychiatry “found that roughly half believed they had met criteria for a mental health disorder in the past but had not sought treatment.” The physicians, who “listed a number of reasons they had shunned care, including worries that they’d be stigmatized and an inability to find the time,” also “voiced a troubling reason for avoiding treatment: medical licensing applications.”

Related Links:

— “Why doctors are leery about seeking mental health care for themselves,”Nathaniel P. Morris, The Washington Post, January 7, 2017.

One In Five US Children Has Or Has Had A Debilitating Mental Health Disorder, NIMH Statistics Indicate

In the Washington Post (1/6) “On Parenting” blog, author Katie Hurley, LCSW, a child and adolescent psychotherapist, wrote, “According to recent statistics from the National Institute of Mental Health,” one in five US children “has or has had a debilitating mental health disorder.” In other words, “in a classroom of 20 students…four of those children could be struggling at any given time with anxiety, depression, attention-deficit/hyperactivity disorder or another issue.” Hurley went on to provide a list of “some things school faculty members can do to improve students’ daily mental health, even if there is no full-time therapist on staff.”

Related Links:

— “We need to provide better mental health treatment in schools. Here’s how to start,”Katie Hurley, The Washington Post, January 6, 2017.