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.

Pentagon: More Than 155,000 US Troops Have PTSD.

USA Today (4/4, Zoroya) reports, “The Pentagon said Thursday that more than 155,000 US troops have PTSD and that more than three-quarters of them are combat veterans.” Approximately “1,000 veterans of the Iraq and Afghanistan war era are diagnosed each week with post-traumatic stress disorder and more than 800 with depression, according to VA statistics.”

The National Journal (4/4, Vasilogambros, Subscription Publication) reports that Craig Bryan, executive director of the National Center for Veterans Studies, believes that soldiers can “get PTSD without actually seeing combat,” and the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, “changed its criteria for PTSD to no longer require that a person must have been in a life-threatening situation.” In fact, “the APA found that many members of the military and veterans of the wars in Iraq and Afghanistan, even though they didn’t think they were going to die, manifested the problems associated with PTSD.”

Related Links:

— “Military playing catch-up on PTSD,” Gregg Zoroya, Military Times, April 3, 2014.

Novelist Discusses Her Experiences With Mental Illness

In a 1,200-word entry in the New York Times (4/3, Fagan) “Opinionator” blog, novelist Jenni Fagan discusses her experiences with mental illness. She writes that “one in four of us directly experiences mental health problems,” but she points out that “mental health services remain underfunded” and “misunderstood.”

Related Links:

— “An Illness, Inherited?,” Jenni Fagan, New York Times, April 2, 2014.

“Excellence In Mental Health Act” Signed Into Law.

WWJ-TV Detroit (4/3) reports that President Obama has signed Sen. Debbie Stabenow’s (D-MI) “Excellence in Mental Health Act” into law. The new legislation is “expected to expand access to community mental health services, and strengthen the quality of care provided for those living with mental illness,” funding pilot programs in eight separate states to improve mental healthcare.

Related Links:

— “http://detroit.cbslocal.com/2014/04/02/passage-of-stabenows-mental-health-bill-gains-applause/,” WWJ-TV CBS Detroit, April 2, 2014.

Congress To Hear Testimony On Mental Health Bill.

The New York (NY) Times (4/3, A4, Carey, Subscription Publication) reports in a 1,000-word article that today Congress will hear testimony from legislators, patient advocates, and people living with psychiatric diagnoses “on the most ambitious overhaul plan in decades.” Experts call the Helping Families in Mental Health Crisis Act’s prospects “uncertain” because of the legislative branch’s partisanship, although “both houses of Congress adopted one of its central provisions, expanding funding for outpatient treatment programs through other legislation,” last week.

Related Links:

— “Mental Health Groups Split on Bill to Overhaul Care,” Benedict Carly, New York Times, April 2, 2014.

Study Finds Association Between Exercising Young, Improved Brain Health Later.

On its website, CBS News (4/2, Firger) reports that a new study published in the journal Neurology found that regular “rigorous physical activity” by young people could improve mental fitness later in life. According to the article, the study examined levels of cardiorespiratory fitness in 2,747 young adults between 18 and 30 years old with two treadmill tests 20 years apart.

Researchers found a link between the time a person could stay on a treadmill and the number of correctly-recalled words on a memory test. In the follow-up, participants who could remain on the treadmill longer “also tended to score higher on the memory test,” with better performance in psychomotor speed and executive functioning.

Reuters (4/3, Doyle) reports in its coverage that those in better shape when the study began were more likely to possess higher education, healthy cholesterol and blood pressure levels, be more active, and smoke less. During the memory test, researchers found that for each additional minute a subject spent on a treadmill during the initial test, that individual correctly recalled .12 more words, and performed better on trick question and reactions speed tests.

The study’s author, David R. Jacobs, said that it is possible that more exercise when younger simply reduces blood pressure, thereby reducing the risk for dementia and cognitive decline.

Related Links:

— “Exercising young keeps the brain fit in middle age,” Jessica Firgir, CBS News, April 2, 2014.

Child Psychiatrist: Wellness-Related Activities May Help Those With Psychiatric Disorders

In the “ABCs Of Child Psychiatry” column in Psychology Today (4/1), child psychiatrist David Rettew, MD, wrote that “activities related to wellness (things like exercise, good relationships, and nutrition) can really help those who struggle with psychiatric disorders, in addition to helping those who don’t meet criteria for a disorder but are trying to optimize mental functioning.”

Rettew pointed out that Dr. Dilip Jeste, former president of the American Psychiatric Association, “promoted the importance of ‘positive psychiatry’ during his tenure.”

Related Links:

— “Mental Health Is More Than Mental Illness,” David Rettew, M.D., Psychology Today, April 1, 2014.

Heart Health Risk Factors In Young Adults Tied To Midlife Cognitive Function

Reuters (4/2) reports that according to a study published March 31 in the journal Circulation, young adults who do not have hypertension or higher than normal blood pressure may maintain better cognitive function in their middle years, compared to young adults whose blood pressure was higher than normal. For the study, researchers followed more than 3,000 young adults ranging in age from 18 to 30 for 25 years. At the 25-year point, participants underwent a battery of tests to evaluate various cognitive functions.

Related Links:

— “Heart health in young adults tied to later dementia risk,” Fox News, April 1, 2014.