Cost, Insurance Issues May Stand In Way Of Mental Healthcare.

Politico (3/4, Cunningham) reported, “No one keeps tabs on precisely how many of the 552,000 mental health professionals in the US – according to the Bureau of Labor Statistics – won’t accept private health insurance.” However, “patient advocacy groups and provider organizations say many don’t want to accept low pay rates – and the insurance paperwork.” According to a survey conducted in 2005 by the Substance Abuse and Mental Health Services Administration, “of 5.7 million adults who didn’t get mental health care when they needed it, nearly half blamed cost or insurance issues.”

Related Links:

— “Loophole for mental health care, “Paige Winfield Cunningham, Politico, March 4, 2013.

Most Kids With ASDs May Overcome Language Delays.

HealthDay (3/5, Marcus) reports, “A new study that looked at speech delays in children with autism spectrum disorders [ASDs] found that 70 percent of children who were not stringing words together into even the simplest of phrases by age four went on to do so by age eight, and in some cases, even achieved fluent speech.” The study involving 500 youngsters with ASDs was published online March 4 in the journal Pediatrics. Notably, “strong predictors of a child’s ability to go on to develop phrase or fluent speech skills included his or her non-verbal IQ and being less impaired socially,” the study found.

Related Links:

— “Most Kids With Autism Overcome Language Delays, Study Finds, “Mary Brophy Marcus, HealthDay, March 4, 2013.

Anxiety May Be More Common After Childbirth Than Depression.

HealthDay (3/5, Salamon) reports, “Anxiety is far more common in the days after childbirth than depression, with nearly one in five new mothers reporting acute mental stress surrounding delivery and the transition to a larger family,” according to a study published online March 4 in the journal Pediatrics.

MedPage Today (3/5) reports that data from 1,123 new mothers revealed that “during the initial maternity hospital stay, 17.1% of women who were breastfeeding screened positive for acute postpartum state anxiety, while 5.5% screened positive for depression (P<0.0001)." New mothers "with anxiety had greater personal healthcare use in the first two postpartum weeks and breastfed for a shorter amount of time, the researchers reported." The Department of Health and Human Services, among others, helped support the study. Related Links:

— “Anxiety May Be More Common Than Depression After Pregnancy, “Maureen Salamon, HealthDay, March 4, 2013.

Parents Discussing Substance Use May Give Kids Wrong Message.

The Houston Chronicle (2/22, Ortega) reported, “A survey of more than 500 Latino and European American students from the sixth through eighth grades found kids who reported their parents talk about past drug use were less likely to have strong anti-drug use attitudes.” The study, published in the journal of Human Communication Research, “builds on past research that found teens said they’d be less likely to use drugs if their parents talked to them about their personal drug use.” Instead, the opposite effect was found. Instead of discussing past substance use, “researchers suggest parents focus on the negative consequences of abusing drugs and alcohol, how to avoid using, the family rules against substance use and stories about others who have gotten in trouble by using substances.”

HealthDay (2/25, Preidt) reported, “The researchers asked 253 Hispanic and 308 white children in grades six to eight about conversations they had with their parents about alcohol, cigarettes and marijuana,” and the research showed “that children whose parents talked to them about the negative effects of or regret over their use of alcohol, cigarettes or marijuana were less likely to oppose the use of these substances.” Jennifer Kam, University of Illinois at Urbana-Champaign and one of the co-authors, said, “Parents may want to reconsider whether they should talk to their kids about times when they used substances in the past and not volunteer such information.”

The NPR (2/21, Zielinski) “Shots” blog reported that Kam said, “When it comes to addressing their past, parents shouldn’t lie. But use of drugs isn’t something they should volunteer either. … I would encourage parents to clearly tell their kids they don’t approve of using [and that] there are consequences.”

Related Links:

— “Study: Parents talking about their own drug use could be bad for kids,”Francisca Ortega, Houston Chronicle, February 22, 2013.

Survey: Over 10 Percent Of Americans Exceed Alcohol-Consumption Guidelines.

Reuters (2/25, Grens) reports that data collected by the US Department of Agriculture’s Center for Nutrition Policy and Promotion found from a national survey showed that 18 percent of men and 11 percent of women consume more alcohol on any given day that exceeds the limit called for in Federal guidelines. According to the study published in the Journal of the Academy of Nutrition and Dietetics, 64 percent of men and 79 percent of women did not drink any alcohol on the surveyed date and 18 percent of men and 10 percent of women drank within the recommend amounts of two alcoholic drinks a day for men and one for women. Approximately 8 percent of men and 3 percent of women were considered heavy drinkers, meaning they had at least five and four drinks, respectively, on the date surveyed.

Related Links:

— “Study says too many Americans still drink too much,”Kerry Grens, Reuters, February 25, 2013.

Kids With Atopic Dermatitis At Greater Risk For Mental Health Disorders.

Medwire (2/25, Cowen) reports that “children with atopic dermatitis (AD) are at significantly increased risk for mental health disorders,” according to the results of a 172,309-patient study published in the February issue of the Journal of Allergy and Clinical Immunology. After “analysing data from 2007 National Survey of Children’s Health (NSCH), Eric Simpson (Oregon Health and Science University, Portland) and team found that children with AD were significantly more likely to have a variety of mental health disorders than those without the skin disorder.” In addition, the study authors “found that increased severity of AD was associated with a greater risk for mental health disorders.”

Related Links:

— “Mental health risk increased in children with atopic dermatitis, “Mark Cowen, MedWIre News, February 25, 2013.

Research Letter: Deaths From Overdoses Up For 11th Straight Year.

A research letter indicating that drug overdose deaths are still on the rise in the US garnered moderate coverage, mostly online, as well as on one of last night’s national news broadcasts. Many articles point to the continued role opioids have had in this trend.

ABC World News (2/19, story 6, 0:30, Sawyer) reported, “Today, we learned that for the 11th straight year, the number of deaths due to drug overdoses went up.”

The Los Angeles Times (2/20, Serna) “Booster Shots” blog reports, “According to a research letter…from the National Center for Health Statistics” published in the Journal of the American Medical Association, “38,329 people died of drug overdoses in the United States in 2010, an uptick from the previous year and the latest sign of a deadly trend involving prescription painkillers.” About three-quarters “of all prescription drug deaths were accidental, statistics show.” Just “17% of overdoses were suicides.”

The AP (2/20, Tanner, Stobbe) reports that according to Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, “The big picture is that this is a big problem that has gotten much worse quickly.” As was the case “in previous recent years, opioid drugs – which include OxyContin [oxycodone] and Vicodin [acetaminophen and hydrocodone] – were the biggest problem, contributing to 3 out of 4 medication overdose deaths.” The AP adds, “Frieden said many doctors and patients don’t realize how addictive these drugs can be, and that they’re too often prescribed for pain that can be managed with less risky drugs.”

In a very brief article, the New York Times (2/20, Tavernise, Subscription Publication) reports, “Prescription drugs were involved in more than half of all overdoses, with 22,134 deaths from them.”

The Milwaukee Journal Sentinel (2/20, Fauber) reports, “In addition to the overdose deaths, there were 425,000 emergency department visits for misuse or abuse of opioids, including overdoses, up from 166,338 in 2004, said Chris Jones, a CDC researcher and lead author of the paper.” The fatalities “and emergency room visits follow a fourfold increase in opioid sales since 1999, Jones noted.”

MedPage Today (2/20, Fiore) reports, “Antidepressants were involved in 13.4% of prescription opioid-related deaths, followed by anti-epileptic and anti-parkinsonism drugs at 6.8%, and antipsychotics and neuroleptics at 4.7%.” According to the researchers, the report “confirms the predominant role opioid analgesics play in pharmaceutical overdose deaths, either alone or in combination with other drugs,” but also “highlights the frequent involvement of drugs typically prescribed for mental health conditions, such as benzodiazepines, antidepressants, and antipsychotics in overdose deaths.”

Medscape (2/20) reports that the researchers “also note that individuals with mental illness ‘are at increased risk for heavy therapeutic use, nonmedical use, and overdose of opioids.'”

Related Links:

— “Fatal drug overdoses in U.S. increase for 11th consecutive year,”Joseph Serna, Los Angeles Times, February 19, 2013.

Perinatal Mood Episodes Prevalent In Women With BD, Recurrent Major Depression.

Medwire (2/20) reports, “Perinatal mood episodes are highly prevalent in women with bipolar disorder [BD] and recurrent major depression,” according to a 1,785-woman study published in the February issue of JAMA Psychiatry. “Of the [980] women with bipolar I disorder, the lifetime prevalence of a mood episode in the perinatal period was 69.5%. Similarly, 69.0% of [232] women with bipolar II disorder and 67.4% of [573] women with recurrent major depression were affected by a mood episode during pregnancy or the postpartum period.”

Related Links:

— “Perinatal episodes prevalent in women with mood disorders,”medwireNews Reporters, February 20, 2013.

Maintaining Meds May Help Medicare Patients With Mental Illnesses Avoid Hospitalization.

USA Today (2/20, Kennedy) reports, “Medicare consumers with bipolar disorder or schizophrenia are hospitalized less often if they maintain access to their medications when they hit the coverage gap for prescription drugs, according to a study” published Feb. 19 in the American Journal of Managed Care. The study of “87,747 patients with bipolar disorder and 92,523 with schizophrenia” revealed that “hospitalization rates…were highest for patients with no gap coverage.” The study authors argued that the US “would save money by closing the prescription drug ‘doughnut hole’ and by having more patients use generic instead of brand-name” medications.

Related Links:

— “Report: Mental health drugs vital for Medicare patients, “Kelly Kennedy, USA Today, February 19, 2013.

People With Disabilities At Greater Risk Of Becoming Victims Of Violence.

HealthDay (2/21, Dallas) reports, “People with disabilities are at greater risk of being the victims of violence, particularly if they have a mental illness-related disability, according to a new study” published Feb. 20 in PLoS One. For the study, researchers “examined information compiled in the 2009-2010 British Crime Survey to estimate the likelihood that a noninstitutionalized person with physical or mental disabilities would suffer physical, sexual, domestic or nondomestic violence.” They found that “the odds of being a victim of violence in the past year were three times higher for those with a mental-illness-related disability and twice as high for those with a physical disability.”

Related Links:

— “People With Disabilities More Likely to Become Victims of Violence, “Mary Elizabeth Dallas, Healthday, February 20, 2013.