Sanders Introduces Bill To Restore Community Health Center Funding.

The Congressional Quarterly (4/10, Adams, Subscription Publication) reports that Sen. Bernard Sanders (I) introduced a bill yesterday intended to protect funding for community health centers. Such Centers were seen as being made redundant by the passage of the Affordable Care Act, but Sanders and some lawmakers from both sides would like to see funding restored. Sanders’ bill is seen as unlikely to become law.

Report: Opioid-Related Fatalities Up Among Young People.

FOX News (4/8, Ferry) reports on its website that according to data from the CDC, more young people are dying from opioid consumption. Addiction psychiatrist Andres Huberman, MD attributes this partly to “the increased availability of prescription painkillers,” identifying a recent trend in which physicians have become more “liberal” in prescribing such medications. Another problem he identified is patients pursuing multiple prescriptions from more than one physician.

Related Links:

— “More opioid-related deaths occurring among young people,”Shannan Ferry, FOX News, April 8, 2014.

Report: More People With Serious Mental Illnesses Behind Bars Than In State Hospitals

Bloomberg BusinessWeek (4/9, Moroney) reports, “Ten times as many people with schizophrenia, bipolar disorder, and other acute forms of brain disease reside in prisons and county jails than in state hospitals, according to the Treatment Advocacy Center [TAC].”

The MSNBC (4/9, Clark) website reports that the TAC report, which was released yesterday, “found that state prisons and county jails house approximately 356,268 people with mental illnesses, while state mental hospitals hold only 35,000.” What’s more, this disparity is “a nationwide problem – only six states have psychiatric hospitals with more people in them than” in “prisons or jail.”

Psychiatric News (4/9), a publication of the American Psychiatric Association, reported, “The report also contains several recommendations, including use of court-ordered outpatient treatment – deemed by the Department of Justice to be an evidence-based practice for reducing crime and violence – to help at-risk individuals live more safely and successfully in the community.” TAC founder and psychiatrist E. Fuller Torrey, MD, who is the report’s lead author, said, “The lack of treatment for seriously ill inmates is inhumane and should not be allowed in a civilized society.” The Kaiser Health News (4/8, Gold) “Capsules” blog also covers the story.

Related Links:

— “America’s Mentally Ill Prisoners Outnumber Hospital Patients, Tenfold,”Tom Moroney, Bloomberg BusinessWeek, April 8, 2014.

Many War Vets Suffer From Health Problems That Are Not Combat-Related.

In a front-page article, the Washington Post (4/9, A1, Chandrasekaran) reports that “according to a poll conducted by The Washington Post and the Kaiser Family Foundation,” more than 56% of “the 2.6 million service members dispatched to…Iraq and Afghanistan since 2001…say their physical or mental health is worse than before they deployed.” But Chandrasekaran adds that “almost eight in 10 of those reporting health problems – about 1 million of them – say they were not seriously injured in combat.” Chandrasekaran also notes that “rates of health problems are significantly higher in those who deployed for three or more years.”

Related Links:

— “The other wounds,”Rajiv Chandrasekaran, The Washington Post, April 8, 2014.

Report: 3.7 Million Americans With Mental Health Disorders Have No Health Insurance.

USA Today (4/9, Ollove) reports that 24 states have chosen “not to expand their Medicaid programs, offered under the Affordable Care Act,” thus leaving approximately “3.7 million Americans with serious mental illness, psychological distress or a substance abuse disorder without health insurance, according to a recent report from the American Mental Health Counselors Association (AMHCA), a group that represents mental health professionals.” In those states that have expanded “Medicaid, about three million people who have those conditions and were uninsured are now eligible for coverage, according to the report.”

Related Links:

— “Nearly 4M mentally ill still lack insurance,”Michael Ollove, USA Today , April 8, 2014.

APA’s Lieberman: Murphy Mental Health Bill “Important Piece Of Legislation.”

In a special piece and embedded video for Medscape (4/7), American Psychiatric Association president Jeffrey A. Lieberman, MD, of Columbia University, wrote about the “Helping Families in Mental Health Crisis Act,” legislation proposed by Rep. Tim Murphy (R-PA), which “is a very important piece of legislation and would no doubt advance our field and serve our patients very well.”

According to Dr. Lieberman, the proposed measure “calls for the creation of an interagency coordinating committee on serious mental illness, which would comprise representation at the highest levels of government,” including the “Department of Health and Human Services (DHHS), the Substance Abuse and Mental Health Services Administration (SAMHSA), the National Institutes of Health (NIH), the National Institute of Mental Health (NIMH), the Department of Justice, and the Centers for Disease Control and Prevention.”

Dr. Lieberman voiced his hope that it will gain Congressional and stakeholder group support.

Related Links:

Medscape (requires login and subscription)

Mullen Says Number Of Veterans Confronting Mental Health Issues Is Likely To Grow

The Washington Times (4/7, Wolfgang) reports that former Joint Chiefs of Staff Chairman Adm. Mike Mullen said Sunday that “the nation must prepare for growth in the number of veterans dealing with mental health issues and other challenges as they return from Iraq and Afghanistan.” On NBC’s “Meet the Press,” Mullen said that “it will be critical in the coming years for the US to do all it can to help the nation’s fighting men and women transition back into society,” adding, “I think our force, because it has been away so much, has not had to deal with those [mental health and other issues] as directly as they may have in the past and now that we’re going to be home more, I think we’re going to actually see an increased number of challenges associated with that.”

Related Links:

— “Military hitting the breaking point on mental health problems,” Ben Wolfgang, Washington Times, April 6, 2014.

Murphy: Address Mental Health, Guns Separately

Politico (4/4, Bade) reported that “mental health does not make gun control easier to talk about.” Rep. Tim Murphy (R-PA), author of mental health legislation and who chairs the House Energy and Commerce subcommittee on oversight and investigations, “says the two topics – guns and mental health – should be addressed separately.” The congressman, who is a trained psychologist, “said linking gun control to mental health does a ‘disservice’ to the bigger problem at hand: trying to get people treatment.”

Related Links:

— “D.C. shift: Gun control to threat detection,” Rachael Bade, Politico, April 3, 2014.

NIMH Makes Funding Policy Changes For Future Clinical Trials

Medscape (4/4, Brauser) reports that in order “to improve and reinvigorate the development of treatments for psychiatric disorders, the National Institute of Mental Health (NIMH) has made several changes to its funding policies for future clinical trials, according to a recent article (4/4) and a series of announcements published on the organization’s Web site.” Changes to the funding policies “include requiring that all new trials meet new efficiency, transparency, and reporting standards and that they must now examine possible mechanisms of action.”

American Psychiatric Association president Jeffrey Lieberman, MD, told Medscape Medical News that “he is particularly pleased with the NIMH’s commitment to having all new trials examine mechanisms.” Dr. Lieberman stated, “I think that model is a powerful and important one to emphasize.”

Related Links:

Medscape (requires login and subscription)

Mental Health Parity Still Not Fully Implemented

WBUR-FM Boston (4/4, Zimmerman) provides an overview of “the history of legislation to put mental health services on equal footing with all other medical care,” noting that “parity efforts began in earnest in the late 1990s, but still aren’t fully implemented today, despite widespread support, including from notable advocates like former Congressman Patrick Kennedy.” The article quotes extensively from a policy brief published April 3 in the journal Health Affairs.

Related Links:

— “Mental Health Parity: If Not Now, When?,” Rachel Zimmerman, WBUR-FM Boston, April 3, 2014.