White House Task Force Report Outlines Mental Health Law Compliance

Medscape (10/28, Brooks) reported, “In its final report, the White House’s Mental Health and Substance Use Disorder Parity Task Force” outlined “a series of actions and recommendations” to increase “compliance with mental health parity laws.”

Those actions “include $9.3 million in funds from the Centers for Medicare & Medicaid Services (CMS) to states to help insurance regulators monitor compliance with mental health and substance use disorder parity protections.”

For its part, “‘the American Psychiatric Association (APA) ;welcomes this much-needed report to strengthen implementation and enforcement of existing mental health parity laws,’ APA President Maria A. Oquendo, MD, PhD, said in a statement.” Dr. Oquendo added, “Full implementation and stronger enforcement will help ensure that psychiatric conditions are treated the same as other illnesses and individuals can access the treatment they need.” APA CEO and Medical Director Saul Levin, MD, MPA, stated, “APA trusts that Congress and the Administration will work together to ensure that the recommendations become reality.”

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Dementia Can Wreak Havoc On Financial Planning For Retirement

The Washington Post (10/27, Hamilton) reports that dementia, including Alzheimer’s, “can wreak havoc on even the best financial planning for retirement.” Nina Silverberg, program director of the National Institute on Aging’s Alzheimer’s Disease Centers Program, said, “‘I think it’s important for people to have some awareness that financial problems can be some of the most notable symptoms’ of dementia.”

According to the Post, “dementia can manifest itself in unpaid bills, giving away money needed for living expenses to charities or to the phone and Internet scams or other poor financial decisions.” People with dementia may have to leave the “workplace early,” thereby diminishing their future Social Security benefits.

The article advises people to have “a health-care power of attorney or living will naming someone you trust to make health-care decisions if you are incapable, designating someone to take care of your finances and having a regular will to distribute your assets when you die.”

Related Links:

— “
Facing financial reality when early dementia is diagnosed
,” Martha M. Hamilton, Washington Post, October 28, 2016.

Veterans May Be More Likely To Commit Suicide During The First Year After Leaving The Military

Reuters (10/27, Rapaport) reports, “Veterans may be more likely to commit suicide during the first year after they leave the military than after more time passes,” researchers found after analyzing “data collected on almost 3.8 million current and former service members from 2001 to 2011.” The findings were published online Sept. 30 in The Lancet Psychiatry.

Related Links:

— “Veterans may face higher risk of suicide during first year home,” Lisa Rapaport, Reuters, October 27, 2016.

Patients Seeking Assisted-Suicide Not About Controlling Pain

In an over 1,600 word article, Kaiser Health News (10/26, Szabo) reports terminally ill patients who have sought assisted-suicide in states that have legalized the practice are more concerned about “controlling the way” they die “than controlling pain,” according to research on the subject. The article points out that advocates for assisted-suicide laws often argue that the laws allow people to end their pain, but research suggests this is not the primary motivation for many people who have sought assisted suicide. Dr. Lonny Shavelson of Berkeley, California, who specializes in caring for the terminally ill, said, “It’s almost never about pain. It’s about dignity and control.”

Related Links:

— “Terminally Ill Patients Don’t Use Aid-In-Dying Laws To Relieve Pain,” Liz Szabo, Kaiser Health News, October 26, 2016.

Risk For Developing Depression High Within Three-Month Period After Stroke

HCP Live (10/26, Lutz) reports, “In the three month period after experiencing a stroke, the risk for developing depression is as much as eight times higher,” researchers found after analyzing data on “157,000 patients” who “had a first time hospitalization for a stroke between January 1, 2001 and December 31, 2011,” and a matching “non stroke, hospitalized population” of controls. The findings were published in the October issue of JAMA Psychiatry.

Related Links:

— “Depression Risk Greater Soon after a Stroke,” Rachel Lutz, HCP Live, October 26, 2016.

Risky Sexual Behavior In Adolescents With Mental Health Disorders

Medscape (10/26, Lowry) reports, “A study that examined sexual health in persons aged 15 to 24 years who were attending a mental health clinic for a variety of mental disorders found low rates of contraception and high rates of unplanned pregnancy and sexually transmitted diseases (STDs),” researchers found. The findings of the 103-participant study were presented at the IEPA 10th International Conference on Early Intervention in Mental Health.

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Natural Disasters May Raise Dementia Risk For Seniors Forced from Homes

HealthDay (10/25, Preidt) reports, “Earthquakes, floods and other natural disasters may raise dementia risk for seniors forced to leave their homes,” researchers found after examining data on “nearly 3,600 survivors of the 2011 earthquake and tsunami in Japan,” all of whom “were 65 and older.” Investigators found that “the rate of dementia in this group was 4.1 percent before the disaster and 11.5 percent two-and-a-half years after the tsunami.”

Related Links:

— “Study Links Disasters to Dementia,” Robert Preidt, HealthDay, October 25, 2016.

How Parents Can Help Their Children With Autism

Time (10/25, Sifferlin) reports investigators arrived at this conclusion after examining “the results of a study called the Preschool Autism Communication Trial” in which “152 kids from ages two to four were randomly assigned to a year of a parent-led intervention, in which their parents interacted with them and received feedback from a therapist gam), research published online Oct. 25 in The Lancet suggests that “children with autism may be able to work with” their parents “from a young age to help reduce the severity of their symptoms and improve their ability to communicate.”

Related Links:

— “How Parents Can Help Their Children With Autism,” Alexandra Sifferlin , Time, October 25, 2016.

Brain May Become Desensitized to Dishonesty

The New York Times (10/25, A21, Goode, Subscription Publication) reports that research suggests individuals “who tell small, self-serving lies are likely to progress to bigger falsehoods, and over time, the brain appears to adapt to the dishonesty.” This “finding, the researchers said, provides evidence for the ‘slippery slope’ sometimes described by wayward politicians, corrupt financiers, unfaithful spouses and others in explaining their misconduct.”

The AP (10/24, Borenstein) reports that researchers “put 80 people in scenarios where they could repeatedly lie and get paid more based on the magnitude of their lies.” According to the AP, “They said they were the first to demonstrate empirically that people’s lies grow bolder the more they” lie. The investigators “then used brain scans to show that our mind’s emotional hot spot – the amygdala – becomes desensitized or used to the growing dishonesty.” The findings were published online in Nature Neuroscience.

TIME (10/24, Park) reports that the investigators “were even able to map out how each lie led to less amygdala activation and found that the decrease could predict how much the person’s dishonesty would escalate in the next trial.”

Related Links:

— “Why Big Liars Often Start Out as Small Ones,” ERICA GOODE, New York Times, October 24, 2016.

Orthostatic Hypotension May Be Associated With Long-Term Risk Of Dementia

Medwire News (10/24, Piper) reports, “Orthostatic hypotension has been linked to an increased long-term risk of dementia,” research published Oct. 11 in PLOS Medicine indicates. Included in the study were some “6,204 individuals with no history of Alzheimer’s disease or stroke” who were followed “over a median…of 15.3 years.”

Related Links:

— “Transient blood pressure drop poses dementia risk,” Lucy Piper, MedWire News, October 24, 2016.