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.

One In Seven Women Experience Depression During Pregnancy Or Within A Year Of Delivery

The Chicago Tribune (8/6, Bowen) reports in a 1,700-word article that there are “many women who suffer depression and anxiety while pregnant.” According to the Tribune, the American College of Obstetricians and Gynecologists (ACOG) “estimates one in seven women experience depression during pregnancy or within 12 months of delivery.” However, “fewer than 20 percent of women diagnosed during postpartum had self-reported symptoms, according to” ACOG. In a May report, ACOG “advised that women be gauged for depression at least once.”

Related Links:

— “Depression Doesn’t Always Wait Until the Baby Comes,” Bowen, Chicago Tribune, August 6, 2015.

Cornyn Proposes NRA-Backed Bill Bolstering Programs For Treating People With Mental Illness

The AP (8/6, Fram) reports that yesterday, Sen. John Cornyn (R-TX) “proposed a National Rifle Association-backed bill…that he said would make the federal background check system for gun buyers more effective and bolster programs for treating people with mental illness.” Under the proposed legislation, state and local government would be given “more flexibility to use federal funds to screen for prisoners’ mental problems and improve training for law enforcement officers and others on handling emergencies involving” people with mental illnesses. In addition, the measure “would let civil judges order outpatient treatment for people with mental problems short of committing them to institutions.”

National Journal (8/6, Owens, Subscription Publication) points out that currently, there are “several mental-health-reform measures vying for attention.” Sen. Cornyn’s measure “has joined a comprehensive reform bill from GOP Sen. Bill Cassidy and Democratic Sen. Chris Murphy, and a narrower Senate bill from GOP Sen. Lamar Alexander and Democratic Sen. Patty Murray, as well as Republican Rep. Tim Murphy’s reform bill in the House.” According to National Journal, “It seems that mental-health reform is a uniting topic, one that might actually create momentum in a slow-moving Congress.”

Related Links:

— “LEADING GOP SENATOR OFFERS BILL ON GUNS, MENTAL HEALTH,” Alan Fram, Associated Press, August 5, 2015.

Cancer Survivors Showing Few Signs Of Depression May Still Be At Significant Risk For Suicide

MedPage Today (8/5, Firth) reports that “cancer survivors showing few signs of depression are still at significant risk for suicide, researchers warned” at the World Congress of Psycho-Oncology. Christopher Recklitis, MD, MPH, “speaking last week at the” conference, “reported observing signs of suicidal ideation in two surveys of cancer survivors.”

Related Links:

— “,” Shannon Firth, MedPage Today, August 4, 2015.

Commonly Used First-Line Treatments For PTSD In Veterans May Not Work As Well As Once Thought

TIME (8/5, Sifferlin) reports that a study published Aug. 4 in the Journal of the American Medical Association “suggests commonly used first-line treatments for PTSD in veterans may not work as well as medical experts once thought.” After reviewing “36 randomized control trials of psychotherapy treatments for veterans suffering from PTSD over a 35-year span,” researchers found that even though “up to 70% of the” PTSD patients receiving cognitive processing therapy or prolonged exposure therapy “experienced symptom improvements, around two-thirds of people receiving the treatments still met the criteria for a PTSD diagnosis after treatment.”

Related Links:

— “How Effective Are PTSD Treatments for Veterans?,” Alexandra Sifferlin, Time, August 4, 2015.

Senators Propose Mental Health Reform Act Of 2015

The New Orleans Times-Picayune (8/5, Alpert) reports that yesterday, Sens. Chris Murphy (D-CT) and Bill Cassidy (R-LA), a physician, “joined together…to offer up legislation they hope will result in a substantial upgrade in mental health services.” The legislation proposed by the senators “would encourage states to break down walls between primary care and mental health care.” One of the bill’s provisions would “clarify that federal privacy laws shouldn’t stop mental health professionals from sharing with family members treatment steps and what Cassidy said are ‘important signs to be on the look out for’ following treatment.” Another would “set up an assistant secretary of mental health and substance abuse post at the Department of Health and Human Services.”

National Journal (8/5, Owens, Subscription Publication) explains that the Murphy-Cassidy legislation “works to integrate physical and mental-health care systems, establishes new grant programs for early intervention, improves mental-health services within Medicare and Medicaid, strengthens enforcement of mental-health parity, and establishes committees and roles to specifically work on mental-illness issues.”

Related Links:

— “Sens. Cassidy and Murphy disagree on gun control, but unify for better mental health treatment,” Bruce Alpert, New Orleans Times-Picayune, August 4, 2015.