The Philadelphia Inquirer (1/21, Burling) reports that in a paper published in the Jan. 20 issue of the Journal of the American Medical Association, bioethicists from the University of Pennsylvania make the argument “for the return of the mental asylum.” In the article, called “Improving Long-term Psychiatric Care, Bring Back the Asylum,” the bioethicists argue that the US “has too few inpatient beds for people with serious mental illnesses.” For that reason, some people with severe mental illnesses “are winding up homeless or in prison, nursing homes, and hospital emergency departments.” The authors of the paper use the “original meaning” of the word asylum, that is, “a place of safety, sanctuary, and healing, or at least dignified healing for people who are very sick.”

Related Links:

— “Penn ethicists call for a return of the mental asylum
Read more at http://www.philly.com/philly/health/mental-health/20150121_Penn_ethicists_call_for_a_return_of_the_insane_asylum.html#lxwcHSF1eu1q0pSR.99,” Stacey Burling, Philadelphia Inquirer, January 21, 2015.

The Portland (ME) Press Herald (1/18, Lawlor) reported that “a program started at Maine Medical Center…has become a national model for early detection and treatment of mental illness.” Called the Portland Identification and Early Referral (PIER) program, the program “has gained a foothold in several states – including California – and as it expands it has attracted national media attention.”

The program detects the earliest symptoms of serious mental illnesses and treats them before problems become severe. In Maine alone, “symptoms turning into a ‘full-blown psychotic diagnosis’ fell 26 percent in the Portland area over a six-year period in the 2000s, but rose 8 percent in other parts of the state, where the PIER program was not in place, according to a study published in October in Psychiatric Services scholarly journal,” a publication of the American Psychiatric Association.

Related Links:

— “Maine treatment for mental illness serves as national model,” Joe Lawlor, Portland Press Herald, January 18, 2015.

The Hill (1/20, Ferris) reports a study by the National Institutes of Health has found that a “‘substantial percentage’ of people who drink alcohol regularly also take medications that could pose dangerous health risks.” The study says approximately 42 percent of drinkers reported taking medications while they drink that are “known to interact with alcohol” and “nearly 80 percent of people over the age of 65 reported taking medications while drinking.” Dr. George Koob, who director of “NIH’s program on alcohol abuse” states that that “Combining alcohol with medications often carries the potential for serious health risks.”

Related Links:

— “4 in 10 drinkers mix with medication, NIH study finds,” Sarah Ferris, The Hill, January 19, 2015.

TIME (1/18, Frizell) reported that research published in Alcoholism: Clinical & Experimental Research suggests that “sleep-deprived teenagers are more likely than their peers to develop drinking problems later in life.”

The Los Angeles Times (1/18, Morin) “Science Now” blog reports that investigators analyzed “data contained in the National Longitudinal Study of Adolescent Health, a survey of 6,504 students in grades 7 through 12.” The researchers found that “during the first two years of the survey, adolescents who had sleep difficulties once a week, every day or almost every day in the last 12 months were about 47% more likely to have alcohol-related interpersonal problems, 47% more likely to engage in binge drinking and 80% more likely to engage in regretted sexual activities.”

Related Links:

— “Study: Teens Who Get Less Sleep More Vulnerable to Drinking Problems,” Sam Frizell, Time, January 17, 2015.

USA Today (1/15, Zoroya) reports Johns Hopkins scientists “studying the brains of young veterans who died long after war shed light on a growing theory” that the “damage caused by bomb blasts” is “unique enough to be its own disease.” The study “reveal brain lesions different than those that occur in sports, car crashes or drug overdoses.” Co-author Vassilis Koliatsos, said, “We saw a pattern that we had not seen before.”

Related Links:

— “Bomb-induced brain injury may be its own disease,” Gregg Zoroya, USA Today, January 15, 2015.

The Washington Times (1/16, Klimas) reports veterans groups “warned Thursday that the Choice Card program…is not a long-term fix for the VA’s poor services” and “told lawmakers to boost the department’s budget” to allow the hiring of additional staff and acquiring of “a new scheduling system to prevent another waiting list scandal.” Four “of the top veterans service organizations” released a report indicating that the VA needs an additional $2 billion in 2015 to meet demand. Carl Blake, of Paralyzed Veterans of America, said, “We don’t believe sufficient resources have been devoted to the VA health care system.”

Related Links:

— “Veterans advocates push for more funding for VA,” Jacqueline Klimas, Washington Times, January 15, 2015.

The Pittsburgh Post-Gazette (1/16, Twedt) reports that the US Supreme Court next week “will hear oral arguments on an Idaho case that could carry implications for” healthcare entities that serve Medicaid beneficiaries. The case centers on whether healthcare entities have a right to sue a state for not adequately reimbursing them. The article explains that five nonprofit health entities filed a lawsuit in 2009 against the Idaho Department of Health and Welfare after the state froze Medicaid payment rates in 2006. In 2011, “a US district judge ordered the state to increase its reimbursement rates, a ruling upheld on appeal last April.”

Related Links:

— “Supreme Court to weigh hospitals’ right to higher Medicaid reimbursement,” Steve Twedt, Pittsburgh Post-Gazette, January 16, 2015.

Congressional Quarterly (1/16, Bettelheim, Subscription Publication) reports that starting this month, many physicians “who were likely to expand basic medical care offered to low-income Americans — a goal of the 2010 health care law — could see Medicaid fees drop an average of almost 43 percent.” The pay cut comes after Congress declined to renew a temporary fee bump in the ACA designed to shrink the “historic gap” between what Medicaid and Medicare pay physicians. According to CQ, the drop in reimbursements puts access to care for millions of patients at stake. Physician lobbies “will try to persuade Congress this spring to retroactively restore the bonuses, but their best hope may be pressing states to step forward and pay the difference with their own money.”

Related Links:

— Congressional Quarterly (requires login and subscription)

The Los Angeles Times (1/15, Zarembo) reports that an analysis to appear in the February issue of the Annals of Epidemiology indicates that “recent veterans have committed suicide at a much higher rate than people who never served in the military.” The data indicated that “the rate was slightly higher among veterans who never deployed to Afghanistan or Iraq, suggesting that the causes extend beyond the trauma of war.” The analysis also found that “recent female veterans commit suicide at a rate more than twice as high as other women.”

Epidemiologist Michael Schoenbaum, PhD, of the National Institute of Mental Health, commented on the study’s findings, saying, “People’s natural instinct is to explain military suicide by the war-is-hell theory of the world.” He added, “But it’s more complicated.” Schoenbaum, an expert in military suicides, had no involvement with the study.

Related Links:

— “Detailed study confirms high suicide rate among recent veterans,” Alan Zerembo, Los Angeles Times, January 14, 2015.

The New York Daily News (1/15, Engel) reports that a study published online Jan. 14 in the journal Neurology suggests that individuals with Alzheimer’s “may experience depression and other behavioral changes before their memory starts to fade.” The study’s lead author explained, “While earlier studies have shown that an estimated 90% of people with Alzheimer’s experience behavioral or psychological symptoms such as depression, anxiety and agitation, this study suggests that these changes begin before people even have diagnosable dementia.” For the study, researchers tracked “2,416 people who had visited an Alzheimer’s center.” All of the people were at least 50 years old and did not display any difficulties with cognition at the start of the study.

TIME (1/15, Sifferlin) reports that the participants were followed for seven years, during which time 1,218 people were diagnosed with dementia. The researchers found that participants “with dementia had twice the risk of developing depression earlier – far before their dementia symptoms started – than people without the disease,” and had a 12 times higher likelihood of delusions. What’s more, “the symptoms appeared in consistent phases: first, irritability, depression, and nighttime behavior changes; followed by anxiety, appetite changes, agitation and apathy.” In the final phase, patients displayed “elation, motor disturbances, hallucinations, delusions and disinhibition.”

Related Links:

— “Alzheimer’s first may show itself as depression, mood changes: study,” Meredith Engel, New York Daily News, January 14, 2015.