A Monday ruling by the Ninth US Circuit Court of Appeals that it cannot order Veterans Affairs to revamp its mental healthcare system was heavily covered, by publications like the AP and Reuters and by newspapers in various parts of the country. Despite the court’s ruling, the coverage tended to focus on criticism of VA’s mental healthcare system.

The AP (5/8, Elias) reports that on Monday, 10 judges on a “special 11-judge panel” of the Ninth US Circuit Court of Appeals reversed an earlier demand, made by a three-judge panel of the same court, that Veterans Affairs “dramatically overhaul” its mental healthcare system. In ruling on a lawsuit filed by Veterans for Common Sense and Veterans United for Truth, the 11-judge panel “said that any such changes need to be ordered by Congress” or the President. A lawyer for the two vets groups “said he will ask the US Supreme Court to review the case.”

Running a shortened version of the AP story in its “National Briefing/West” section, the New York Times (5/8, A20, Subscription Publication) reports that when it made its ruling last year, the Ninth US Circuit Court of Appeals’ three-judge panel ordered VA “to ensure that suicidal veterans are seen immediately.” That panel “found the department’s ‘unchecked incompetence’ in handling the flood of post-traumatic stress disorder and other mental health claims was unconstitutional.”

Related Links:

— “Fed court reverses order for VA system overhaul,”Paul Elias, Associated Press, May 7, 2012.

Medscape (5/6, Brooks) reported, “Determining when it is time for a patient to stop driving and hand over the keys is a growing issue for psychiatrists.” A poster presentation “at the American Psychiatric Association’s 2012 Annual Meeting highlights the fact that psychiatrists are ‘increasingly’ faced with patients whose driving ability may be impaired by excessive daytime sleepiness due to primary sleep disorders or to sleep disturbance associated with medical and psychiatric illness, such as dementia, epilepsy, or substance abuse.” What’s more, “patients with dementia are three to five times more likely to be involved in a motor vehicle accident than age-matched control individuals, and epilepsy is one of the most frequently implicated medical causes for motor vehicle accidents.”

Related Links:

— “Patients’ Fitness to Drive a Growing Issue for Psychiatrists,”Megan Brooks, Medscape Today, May 5, 2012.

HealthDay (5/5, Preidt) reported, “Patients with mental health emergencies wait an average of 11.5 hours — nearly half a day — in hospital emergency departments, and those who are older, uninsured or intoxicated wait even longer,” according to a study published online in the Annals of Emergency Medicine. Investigators found that “overall, patients with psychiatric emergencies wait about 42 percent longer in the emergency department than other patients.”

MedPage Today (5/6, Bankhead) reported, “Several recent studies have shown that patients who go to emergency departments for psychiatric care have substantially longer waits compared with patients seeking other types of care.” For instance, “In a survey by the American College of Emergency Physicians, 40% of emergency department medical directors said psychiatric patients waited more than eight hours from disposition decision to discharge from the ED. In contrast, 7% of the directors said medical patients had to wait that long.”

Related Links:

— “Psychiatric Patients Often Wait Nearly 12 Hours in ER,”Robert Preidt, HealthDay, May 2, 2012.

USA Today (5/5, Stoller) reported that suicides committed by Americans in foreign countries are “the fourth-leading cause of death abroad from non-natural causes after road accidents, homicides and drowning, according to the Centers for Disease Control and Prevention.” A USA Today “analysis of State Department statistics — which show only the date and city where a suicide occurred — found that a suicide abroad is reported an average of every 2½ to three days.” But, “in reality, American suicides abroad are probably much more frequent. The State Department says many American deaths abroad — regardless of cause — are not reported to it.” The most number of American suicides occur in Mexico.

Related Links:

— “Suicide: The fourth-leading cause of American deaths abroad,” Gary Stoller, USA Today, May 5, 2012.

In his opinion column in the Detroit Free Press (5/6), Jeff Garrett wrote that in Michigan as well as across the rest of the US, “with the closing of most state psychiatric hospitals and cuts in community mental health programs, jails will continue to hold thousands of mentally ill prisoners. Easing the problem will require sheriffs to work closely with local Community Mental Health authorities, assess mentally ill prisoners immediately, maintain medications, and divert more nonviolent offenders from costly jail time to treatment.” Garrett urged “federal and state lawmakers” to “enact legislation requiring insurance and Medicaid benefits to continue in jail.”

Related Links:

— “Jeff Gerritt: When jails must be mental clinics,”Jeff Garrett, Detroit Free Press, May 6, 2012.