Category Archives: Mental Health

High morale linked to longer survival among elderly | Reuters

Share

Smiley_FaceWhether it is cause or effect is unclear, but high morale seems to go along with a longer life, according to a new Scandinavian study.

Among people 85 years and older, those who felt optimistic about life and had something to look forward to lived five years longer on average than their more pessimistic counterparts.

Source: High morale linked to longer survival among elderly | Reuters

Share

When depression and cultural expectations collide

Share

By Anna Gorman
KHN

“My time is coming. It’s already time for me to die. I can’t wait. … So yeah I plan to kill myself during spring break, which by the way, starts in two days.” — Wynne Lee wrote in a March 29, 2012 journal post

Wynne Lee’s mind was at war with itself – one voice telling her to kill herself and another telling her to live. She had just turned 14.

She tried to push the thoughts away by playing video games and listening to music. Nothing worked. Then she started cutting herself. She’d pull out a razor, make a small incision on her ankle or forearm and watch the blood seep out. “Cutting was a sharp, instant relief,” she said

When it comes to mental health treatment, Asian Americans often get short shrift. Researchers say they are both less well-studied and less likely to seek treatment.

Some days, that wasn’t enough. That’s when she’d think about suicide. She wrote her feelings in a journal in big loopy letters.

At first, Wynne thought she felt sad because she was having a hard 8th grade year. She and her boyfriend broke up. Girls were spreading rumors about her. A few childhood friends abandoned her. But months passed and the feelings of helplessness and loneliness wouldn’t go away.

“I was really happy as a kid and now I was feeling like this,” she said. “It was really unfamiliar and scary.”

Wynne Lee didn’t know where her despair was coming from. The words “depression” and “suicide” were not in her vocabulary. She knew, however, that she was failing — she was defying expectations of who she was supposed to be. Continue reading

Share

Most Common Drug Ingredient in the US Kills Emotions

Share

Three red and white capsulesCommonly found in pain relievers, acetaminophen gets rid of more than just physical agony – it also diminishes emotions.

“Rather than just being a pain reliever, acetaminophen can be seen as an all-purpose emotion reliever,” lead researcher said in a news release.

via Most Common Drug Ingredient in the US Kills Emotions.

Share

US proposes rule for providing mental health ‘parity’ in Medicaid program

Share

Photo courtesy of Sanja Gjenero

By Jenny Gold
KHN

A federal law that passed in 2008 was supposed to ensure that when patients had insurance benefits for mental health and addiction treatment, the coverage was on par with what they received for medical and surgical care.

But until now, the government had only spelled out how the law applied to commercial plans.

That changed Monday, when federal officials released a long-awaited rule proposing how the parity law should also protect low-income Americans insured through the government’s Medicaid managed care and the Children’s Health Insurance Program (CHIP) plans. The proposed regulation is similar to one released in November 2013 for private insurers.

“Whether private insurance, Medicaid, or CHIP, all Americans deserve access to quality mental health services and substance use disorder services,” said Vikki Wachino, acting director at the Center for Medicaid and CHIP Services.

Medicaid and CHIP programs are funded jointly by the federal and state governments.

Even if the state has carved out some benefits under a separate behavioral health plan, patients would be protected under the rule. Medicare patients are generally not affected by the regulation, nor are those in Medicaid fee-for-service plans .

But the rule does affect the majority of the 70 million people on Medicaid who are in managed care plans, and the 8 million children covered by CHIP plans.

Insurers, advocates and the general public will have a chance to comment on the proposed rule. The government will then release a final version.

Photo courtesy of Sanja Gjenero

Continue reading

Share

Wanting mental health treatment and not getting it

Share

Jigsaw puzzle with one piece to add

By Michael Ollove
Stateline

More than a half-million adults who said they wanted help with their serious mental conditions last year couldn’t get it because they lacked the resources and weren’t eligible for Medicaid to pay for treatment, a new study finds.

Those people — an estimated 568,886 adults ages 18 through 64 diagnosed with a serious mental illness, serious psychological stress or substance use disorder at the start of last year — lived in 24 states that didn’t expand Medicaid eligibility under the Affordable Care Act in 2014, according to a study published this week from the American Mental Health Counselors Association (AMHCA).

More than a half-million adults who said they wanted help with their serious mental conditions last year couldn’t get it.

In contrast, 351,506 adults with those same mental health problems got treatment paid for by Medicaid in the 26 states and the District of Columbia, which did expand coverage of the state-federal health insurance program to eligible adults living on low incomes.

The upshot, said Joel Miller, AMHCA’s executive director, is “the health of hundreds of thousands of people would be improved” if all states provided Medicaid coverage as they were given the option to under the Affordable Care Act (ACA).

Photo: Willi Heidelbach
Continue reading

Share

When Facebook friends become depressing – The Washington Post

Share

Facebook ThumbA few minutes browsing Facebook can be a welcome distraction for knowledge workers dog tired after punching their keyboards all morning. But what seems like a mental break can also be an opportunity for devastating self-analysis: Are my Facebook friends’ boyfriends more beautiful than my boyfriend? Are my Facebook friends’ children more beautiful than my child? Are my Facebook friends’ lives better than mine?

Those familiar with this paralyzing spiral of doubt and shame, take comfort: It’s not just you. New research has drawn a line between logging into Facebook and symptoms of depression.

via When Facebook friends become depressing – The Washington Post.

Share

Battle for mental health parity produces mixed results

Share

Illustration of the skull and brainBy Jenny Gold
KHN

By law, many U.S. insurance providers that offer mental health care are required to cover it just as they would cancer or diabetes treatment.

But advocates say achieving this mental health parity can be a challenge.

report released last week by the National Alliance on Mental Illness found that “health insurance plans are falling short in coverage of mental health and substance abuse conditions.”

Jenny Gold of Kaiser Health News spoke with NPR’s Arun Rath over the weekend about the issue.

Rath noted that many patients have trouble getting their mental health care covered, and she outlined some of the issues confronting both patients and the insurance industry. Here is an edited transcript of her comments.

Where does parity stand?

It’s been a mixed bag so far. Insurance companies often used to have a separate deductible or a higher copay for mental health and substance abuse visits.  Right now, that usually isn’t the case. In that way, insurers really have complied. Continue reading

Share

Depression take its toll in the workplace, study

Share

RED # 18355 64-NA-193By Lisa Gillespie
KHN

For every dollar spent on treating depression, almost five dollars is spent on the treatment and workplace costs of related medical conditions like back and chest pain, sleep disorders and migraines – placing a greater financial burden on businesses and the health care system, according to new research measuring the economic impact of depression.

“The fact that they’re finding such greater costs with all these different [related conditions] underscores how the fragmented system is not helpful for our economy because people with mental illness are not getting the rounded health care they need,” said Lynn Bufka, assistant executive director of practice research and policy at the American Psychological Association, who was not affiliated with the study.

The average worker who had major depression disorder lost the productivity of about 32 workdays a year due to what’s known as “presenteeism.” That is a term for when an employee is at work but not completing daily tasks and responsibilities.

Among the study’s findings was that the total cost to the U.S. economy of major depressive disorder – a condition that results in having persistent depressive episodes – rose from $173.2 billion in 2005 to $210 billion in 2010, a 21.5 percent increase.

About half of that is for direct treatment and suicide-related services, but the rest is workplace costs. The rise is partially accounted for by the increase in population, but also because depression is being diagnosed and treated more often.

The incidence of major depressive disorder rose during this time period from 6.4 percent of the population to 6.8 percent.

In addition, some of this growth might have been caused by the nation’s 2008 economic downturn and tight job market, factors that combined to make it harder for those suffering from depression to retain their jobs and even more difficult for those with this condition who are job seekers to find work, according to Paul Greenberg, a study author and director of health economics at the Analysis Group, a consulting firm in Boston.

Meanwhile, the study also examined how depression plays out in the workplace.

Mental health experts and economists have long known that someone’s depression can have a significant cost on the workplace, Greenberg said.

For example, the study found that the average worker who had major depression disorder lost the productivity of about 32 workdays a year due to what’s known as “presenteeism.” That is a term for when an employee is at work but not completing daily tasks and responsibilities.

Experts say that, though this loss in productivity highlights the economic toll mental health issues have on the work place, small and medium-sized employers may not have the knowledge or tools to improve the situation. Continue reading

Share

States gear up to help Medicaid enrollees beat addictions

Share

CocaineBy Chrisine Vestal
Stateline

Under the Affordable Care Act, millions of low-income adults last year became eligible for Medicaid and subsidized health insurance for the first time.

Now states face a huge challenge: how to deal with an onslaught of able-bodied, 18- to 64-year olds who haven’t seen a doctor in years.

“It took a lot of time and effort to enroll everyone, particularly those who were new to the system,” said Matt Salo, director of the National Association of Medicaid Directors. “The next big step, and the biggest unknown, is finding out exactly how this newly insured population will use the health care system.”

In addition to increasing the number of people with health insurance, the Affordable Care Act for the first time made coverage of addiction services mandatory for all insurers, including Medicaid.

Until now, the vast majority of Medicaid beneficiaries were pregnant women, young children, and disabled and elderly adults. Relatively few able-bodied adults without children qualified, so states did not set up their Medicaid programs to treat them.

The newly insured, most of them young adults, have different needs. Though not as sick as existing Medicaid beneficiaries, the newcomers are more likely than the general population to have undiagnosed and untreated chronic illnesses such as diabetes and heart disease.

The starkest difference between the new population and the old one, however, is that the new enrollees have much higher rates of drug and alcohol addiction and mental illness.

The number of Medicaid enrollees receiving addiction services is expected to skyrocket over the next two years.

Of the estimated 18 million adults potentially eligible for Medicaid in all 50 states, at least 2.5 million have substance use disorders. Of the 19 million uninsured adults with slightly higher incomes who are eligible for subsidized exchange insurance, an estimated 2.8 million struggle with substance abuse, according to the most recent national survey by the U.S. Substance Abuse and Mental Health Services Administration.

In addition to increasing the number of people with health insurance, the ACA for the first time made coverage of addiction services and other behavioral health disorders mandatory for all insurers, including Medicaid. As a result, the number of Medicaid enrollees receiving addiction services is expected to skyrocket over the next two years.

Although Medicaid and other state and federal programs historically have provided care for people with serious mental illness, coverage of addiction treatments has been spotty. Optional under Medicaid until now, coverage in most states was limited, typically just for pregnant women and adolescents.

“It’s the biggest change in a generation for addiction services,” said Robert Morrison, executive director of the National Association of State Alcohol and Drug Abuse Directors. “Comprehensive addiction programs didn’t exist in Medicaid until now.” Continue reading

Share

Locking up firearms to prevent suicide

Share

GunBy Tony Gomez, BS, RS, Manager, Violence and Injury Prevention
Public Health — Seattle & King County

I’ve worked on Violence and Injury Prevention for over thirty years. I consistently notice in the media and in conversations about firearms that usually the discussion focuses on tragic homicides.

But, the truth is that most firearm deaths are suicides—often hidden from the public conversation. In King County, nearly 70% of firearm deaths being suicides, it’s crucial we come together despite different ideologies.

The truth is that most firearm deaths are suicides.

There are numerous entities including King County that have a deep commitment to suicide prevention and are working together to address this “silent” killer of our residents.

With firearm ownership so prevalent in King County (~25%) – and some estimated 30,000 households that keep at least one firearm loaded and unlocked – we can’t afford to wait any longer to get those easily stolen and accessed firearms locked up.

We know that impulsivity plays a significant role in suicide attempts; easy access to highly lethal means, such as firearms, increases risk.  Strong evidence exists, both in the United States and abroad, that restricting access to lethal means is an effective way to reduce suicide.

Suicide prevention efforts in King County and elsewhere in the United States now champion safe storage of firearms. Continue reading

Share

Some states retreat on mental health spending

Share

By Michael Ollove
Stateline

Fewer states increased their spending on mental health programs this year compared to last year, when a spate of horrific shootings by assailants with histories of mental illness prompted a greater focus on the shortcomings of the country’s mental health system.

Screen Shot 2014-12-15 at 9.49.48 AM

From State Mental Health Legislation 2014 Trends, Themes & Effective Practices – NAMI

Some states slashed their mental health budgets significantly this year. At the same time, however, a number of states adopted mental health measures in 2014 that won plaudits from behavioral health advocates.

survey of state spending published last week by the National Alliance on Mental Illness (NAMI) found that 29 states plus the District of Columbia increased their spending on mental health in fiscal year 2015. A year earlier, 37 states plus D.C. increased their mental health budgets.

NAMI warned that the momentum to improve state mental health services, which was especially powerful after the December 2012 Sandy Hook massacre in Connecticut, has slowed.

Continue reading

Share

Mental health report ranks Washington 48th in the US

Share

A report by Mental Health America, a mental health advocacy group, ranks Washington state the 48th in the nation because of its high prevalence of mental illness and poor access to mental health services.

Screen Shot 2014-12-05 at 8.58.31 AM

The report found that the states with the lowest prevalence of mental illness and highest rates of access to care include:

  • Massachusetts
  • Vermont
  • Maine
  • North Dakota
  • Delaware

States with the highest prevalence of mental illness and lowest rates of access to care include:

  • Arizona
  • Mississippi
  • Nevada
  • Washington
  • Louisiana

States that rank in the top ten are in the Northeast and Midwest, while states that rank in the bottom ten are in the South and the West.

Share

Health news headlines – October 24th

Share

Silhouettes of U.S. Soldiers at night in Iraq

Share