Heroin Epidemic Leads To Quadrupling Of Neonatal Abstinence Syndrome Rate In Less Than A Decade

On its front page, the Washington Post (8/13, A1, Bernstein) reports that one of the “most heartbreaking developments” in the nation’s “heroin epidemic” has been a “sharp rise” in the number of newborns exposed to heroin, leading to a quadrupling of the rate of neonatal abstinence syndrome over the past nine years, up to 2.7 percent of all NICU admissions. In addition, the cost to care for these children “has also soared” to $53,000 on average in 2009.

Related Links:

— “When life begins in rehab: A baby heals after a mother’s heroin addiction,” Lenny Bernstein, Washington Post, August 12, 2015.

ome Criticize Pending Mental Health Reform Legislation For Threatening Privacy

US News & World Report (8/12, Leonard) reported that mental health reform legislation pending in Congress has some critics who “point to portions that would loosen the Health Insurance Portability and Accountability Act – a 1996 measure known as HIPAA that was intended to ensure patient privacy.” In addition, some critics “flag incentives for what’s called ‘assisted outpatient treatment,’ in which a judge can order someone with a serious mental illness – including schizophrenia, bipolar disorder or post-traumatic stress disorder – to follow a treatment plan that may include medication.” But, “John Snook, executive director of the Treatment Advocacy Center, which supports outpatient assisted treatment, pointed to the fact that several groups have recognized it as a treatment option, including the…Substance Abuse and Mental Services Administration.”

Related Links:

— “Would Mental Health Laws Threaten Privacy and Patients’ Rights?,” Kimberly Leonard, US News & World Report, August 12, 2015.

Women Who Take SSRI Antidepressants During Pregnancy Appear To Have Fewer Delivery Complications

HealthDay (8/12, Preidt) reports, “Women with a mental health disorder taking commonly prescribed” selective serotonin reuptake inhibitor (SSRI) “antidepressants during pregnancy appear to have fewer delivery complications,” according to research published online Aug. 4 in the American Journal of Psychiatry, a publication of the American Psychiatric Association. After examining “data from more than 845,000 single births in Finland between 1996 and 2010,” researchers found that expectant mothers taking SSRIs were less likely to give birth prematurely or undergo a cesarean delivery. The infants born to these women, however, “may have a higher risk of problems, such as breathing issues.”

Related Links:

— “Antidepressants During Pregnancy Have Benefits, Risks: Study,” Robert Preidt, HealthDay, August 11, 2015.

FDA Approves Cognitive Assessment Tool That May Help Diagnose Early Signs Of Dementia

The Washington Post (8/11, Kunkle) reports that the Food and Drug Administration gave de novo marketing approval to Cerebral Assessment Systems’ Cognivue, “a cognitive-assessment tool that functions somewhat like a video game” and “can detect subtle lapses in the brain’s perceptual ability that may signal the early stages of mental decline caused by dementia.” The device is for medical professional use only and “is not intended to be a standalone diagnostic tool.”

Related Links:

— “FDA approves tool for diagnosing dementia in a doctor’s office,” Fredrick Kunkle, Washington Post, August 10, 2015.

Number Of Marijuana Dispensaries Correlated With Abuse, Study Finds

Noting that medical marijuana was legalized in California in 1996, the Pittsburgh Business Times (8/11, Mamula) “Morning Edition” blog reports that a study at the University of Pittsburgh Graduate School of Public Health found that “the number of marijuana dispensaries in a given area of California was a predictor of marijuana-related hospitalizations, abuse and dependence on the drug.” According to the article, “The study found that hospitalizations with marijuana abuse or dependence codes increased to 68,408 in 2012 from 17,469 in 2001, with more than 85 percent of marijuana-related hospitalizations coded as abuse rather than dependence.” The findings were published in Drug and Alcohol Dependence and the project was supported by the National Institutes of Health.

Related Links:

— “Pitt study: Marijuana dispensaries related to abuse, dependence,” Kris B. Mamula, Pittsburgh Business Times, August 10, 2015.

Surge In US Legislation That Could Improve Lives Of Those With Serious Mental Illnesses

In the US News & World Report (8/11) “Policy Dose” opinion blog, psychiatrist Lloyd Sederer, MD, medical director of the New York State Office of Mental Health, writes that the US is now “witnessing a surge in legislation that could improve the lives of people with serious mental illness, their families and even the safety of our communities.” Dr. Sederer discusses mental health reform legislation now pending before Congress, observing, “All this focus and attention is good and likely necessary to move what has been near federal paralysis on mental health care reform.”

Related Links:

— “America Wakes Up to Mental Health,” Lloyd Sederer, US News & World Report, August 11, 2015.

Ebola Survivors Facing Ongoing Physical, Psychological Symptoms

The New York Times (8/8, Grady, Subscription Publication) reports that many of the more than 13,000 survivors of the Ebola outbreak in Western Africa are facing ongoing health issues along with psychological problems ranging from depression to PTSD. About 50 percent of survivors are reporting “chronic joint pain that is often severe enough to prevent them from working,” according to WHO senior consultant Dr. Daniel Bausch. Additional ongoing problems include “persistent headaches, extreme fatigue and difficulty concentrating,” and about 25 percent of survivors have various eye problems, with some reporting lost vision or complete blindness.

Related Links:

— “Ebola Survivors Face Lingering Pain, Fatigue and Depression,” Denise Grady, New York Times, August 7, 2015.

CDC Report Examines Alcohol-Impaired Driving Among US Adults

The NBC News (8/7, Fox) reports that approximately 4.2 million “US adults admit they drink and drive at least sometimes,” according to survey results published Aug. 7 in the CDC’s Morbidity and Mortality Weekly Report. This is most likely “an underestimate,” because “people might not confess to drinking and driving, they might not admit it to themselves, and the study didn’t cover teenage drivers under the age of 18.” Amy Jewett, MPH, of the CDC, and colleagues wrote, “Alcohol-impaired driving crashes account for approximately one third of all crash fatalities in the United States.”

Related Links:

— “More Than 4 Million Adults Admit They Drink and Drive,” Maggie Fox, NBC News, August 6, 2015.

People In Western Countries Developing Dementia Earlier

According to the Washington Post (8/7, Deane), a study published in the journal Surgical Neurology International suggests that “people are developing dementia a decade before they were 20 years ago.” After comparing “21 Western countries between the years 1989 and 2010,” researchers “found that the disease is now being regularly diagnosed in people in their late 40s and that death rates are soaring.” The study authors theorize that environmental factors, such as air pollution and increased use of insecticides, may be the reason.

Related Links:

— “People are developing dementia earlier and dying of it more, a study shows,” Daniela Deane, Washington Post, August 6, 2015.

New York City Launches Initiative To Assist Homeless People With Mental Illness Who Exhibit Violent Behavior

The New York Times (8/7, A20, Stewart, Subscription Publication) reports that as part of the $22 million NYC Safe mental health initiative announced yesterday by New York City Mayor Bill de Blasio, experts in the mental health field “will fan out to New York City’s homeless shelters, into the streets and to other places to treat mentally ill people who exhibit violent behavior.” In addition, city agencies, “including the Department of Homeless Services and the New York Police Department, will share information with one another about those people to make sure they are being treated, city officials said.” Monitoring the treatment received will be a team from the Department of Health and Mental Hygiene.

Related Links:

— “New York City Initiative Aims to Help Mentally Ill People Who Get Violent,” Nikita Stewart, New York Times, August 6, 2015.