Category: Public Policy

Psychological Trauma and First Responders

It had been a bad week. Fighting fires is a war that never ends but this had been a bad week. Ladder 6 had been called to a motor-vehicle accident on Monday afternoon. In the passenger’s seat had been a young mother. On impact she was thrown through the windshield and was now impaled on […]

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Staff Victims of Psychiatric Patient Assaults: A Worldwide Perspective

(This is the second of two companion essays on assaultive psychiatric patients. The first focused on the characteristics of patient assailants. This second essay focuses on staff victims. The interested reader will want to read both essays to have a comprehensive understanding of this worldwide problem.) Psychiatric patient assaults on healthcare staff are a worldwide […]

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The Longlasting Psychological Effects of a Tragic Fire

In early December a tragedy occurred, one causing untold sadness and posttraumatic stress disorder. Yet in the 56 years since this happened, signs of resiliency have also emerged. In my mind’s eye, I can see my grandfather, 56 years ago, sliding down the chrome pole in his firehouse and landing on the rubber mat. In […]

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No Person Will Be Untestable

The idea of equal and quality medical treatment for all Americans was promoted by Hillary Clinton in her efforts to overhaul the U.S. healthcare system in 1992-93. Many believe this goal has now been brought to fruition via the Affordable Care Act. But as it is impossible to ascertain every special medical need through legislation, […]

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Having an Impact via Social Media

I do not typically “get personal” in posting News Items and Blogs on the AMHF Web site. This one is an exception. I was inspired by a July 21, 2014, article in The New Yorker from reporter Seth Mnookin entitled “One of a Kind”. Several letters to the editor, appearing in the August 11 & […]

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The Trend toward Moving Elders out of Institutions

Since April 2013 in Washington, D.C., fifty-eight people have been relocated: from nursing homes to their real homes. These transitions are part of a program, under the auspices of the DC Office on Aging, called Nursing Home Transition. Individuals who qualify for Medicaid received funded services at home. For those who do not, the Office […]

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Down Syndrome Guardianship Case

The Washington Post reports (August 2, 2013) that a woman with Down syndrome can go against the wishes of her parents regarding where she lives. Jenny Hatch had been under temporary guardianship, being in group homes, and thus “removed from the life she knew.” Hatch wanted to continue living with her friends while continuing to […]

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Bullies and Food Allergies

Pediatrics, the flagship peer-reviewed journal of that profession, recently reported on a study of over 200 young people who have been bullied., according to an article in the New York Times. The researchers discovered that almost one third of this group reported being singled out for a food allergy. For children with peanut butter allergies, the […]

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Books from Colleagues at ACA

Here are some worthwhile books that can be ordered from the American Counseling Association (ANA): 1. Hays, D. G. (2013). Assessment in Counseling: A Guide to the Use of Psychological Assessment Procedures. Fifth Edition. This is a bestselling text, and the latest version includes updates and changes in assessment procedures. Test selection, interpretation of findings, […]

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Budget Cuts, Nonprofits, and Developmental Disabilities

Several months ago the Cuomo administration announced that budgets for nonprofit agencies serving the developmentally disabled would be cut. This had led to an outcry from parents, community members, and those who work at these agencies. Recently it was announced that the cuts would be changed. Although this is helpful, it still leaves most organizations […]

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Psychiatry Films from AMHF: “An Angel at My Table” (1990)

This is the thirteenth of twenty-one films in the series on psychiatry in film. The plot summary is provided by Judd Blaise Rovi. New Zealand poet Janet Frame is the subject of Jane Campion’s biographical drama, which presents a poetically evocative look at the author’s turbulent life. The film begins with Frame’s childhood, showing her […]

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Psychiatry Films from AMHF: “Bedlam” (1946)

Have you ever felt that you were in hell? As the word pandemonium derives from John Milton’s Satan and his crew in Paradise Lost—in The Screwtape Letters C. S. Lewis refers to the environment/condition as “The Kingdom of Noise” (“the mind is its own place, and can make a heaven of hell and a hell […]

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Man with Down Syndrome Dies in Police Custody

A young man with Down syndrome has died at the very hands of the police he idolized, the Washington Post reports. The death of Robert Ethan Saylor, aetat. twenty-six, occurred while being handcuffed with at least three set of cuffs as he was being taken by three deputies from a theater in Frederick County, Maryland. […]

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AMA and New CPT Codes

Consumers of mental-health services may not realize the extensive system of codes that go into insurance billing and medical records, both for mental-health services and other medical services. For mental health, every person who receives insurance reimbursement receives a diagnostic code from the most current Diagnostic and Statistical Manual of the American Psychiatric Association, as […]

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Psychiatry Films from AMHF: “The Snake Pit” (1948)

I feel unusually close to The Snake Pit, personally, if not intimately and daily, working with one of the writers, Millen Brand, during my early days in book publishing. This, the tenth film out of twenty-one in the AMHF series, required significant research from the filmmakers in adapting an autobiographical novel by Jane Ward. The […]

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Elders’ Brains and Scams

Brains, like all human organs and body parts, wear down with age. As the population ages, as Boomers retire in droves and the sheer numbers of elders increase, the Philadelphia Inquirer reports from September 24, 2012 on a man in his eighties, without dementia, who started making a series of bafflingly bad financial decisions. Told […]

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Eugenics: Beware of History Repeating Itself

After physicists split the atom, unanticipated positive effects emerged—such as medical isotopes—and many negative ones as well. Where do we store the waste? How do we understand fallout and its deadly effect? What happens when there are nuclear plant accidents? Biologists work in a similar environment as they work to split the genome. Once again, […]

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Reasons for Doing Psychological Testing

More and more in our society, any kind of testing that compares people with each other is viewed negatively. Different kinds of testing: No Child Left Behind, End of Year testing, and Intelligence Testing are all types of testing that come under criticism. Here is a different spin on the kinds of tests given by […]

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“I Have Been to the Mountaintop”

Monday is Martin Luther King Jr. Day. When I was in college (several years after Dr. King’s assassination), I took a bicycle trip down the East Coast. One of the stops was Washington, DC. There, I stood on the steps of the Lincoln memorial and had the same view King had when he gave his […]

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Eugene Kennedy, Love, Newtown: A Blow to the Heart

Peggy Noonan, writing in the Wall Street Journal, suggests that we listen to Eugene Kennedy, who spoke about the Newtown tragedy in a much different manner from other commentators: He does not believe that the many “solutions” bandied about will make children (or ourselves) safer. Rather, it is time for us to reflect on this […]

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Letter by American Psychiatric Association to Congress Regarding Newtown

On December 20, 2012, the American Psychiatric Association sent the following letter to Congressional leaders in Washington: To:

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Lonnie Snowden

Disparities in Mental-health Care for African Americans

Since the Supplement to the U.S. Surgeon General’s Report Mental Health: Culture, Race, and Ethnicity—A Supplement to Mental Health: A Report of the Surgeon General, several events have occurred. These, say Lonnie R. Snowden, have established a national commitment to understanding African American-White American treatment disparities, their consequences, and opportunities for their reduction. Snowden’s article, […]

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Girl Scouts Honored

Two important areas in mental health are prevention and resiliency. Prevention includes all efforts to prevent a person from developing a mental-health problem. One of the most effective prevention programs has been Head Start—from the 1960s, these centers have been a path for positive adjustment for many young persons of disadvantaged backgrounds. Another prevention program […]

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Flanders Fields

In Flanders Fields….

This poem was written by Lt. Col. John McRae and read at the funeral of a friend who was killed in battle in World War I: In Flanders Fields the poppies blow Between the crosses row on row That mark our place; and in the sky The larks, still bravely singing, fly Scarce heard amid […]

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Asian-American Mental Health

“Asian Mental Health” is a timely and important article by Stanley Sue and his colleagues, just published in the October 2012 edition of American Psychologist. This is one of three articles recently written that address mental health disparities occurring in cultural groups. Ten years ago the U.S. Surgeon General wrote a report Mental Health: Culture, […]

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A Current Look at Mental Health and Learning Disabilities in Schools

Public Law 94-142, passed by the Congress in 1976, and following legislation including Individual Education Disabilities Act (IDEA), defined different handicapping conditions for which a child could receive additional support (and therefore additional funding) in the public school system. A continuum of extra supports was initiated. This could range from being in a smaller class […]

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Combating Autism Act of 2006: PL 109-416

Although the education of children and teens with autism is covered both in Public Law 94-142 and Individuals with Disabilities Education Act (IDEA), even with these supports some parents and advocates worried that the intense needs of those with autism were not being fully addressed. This led to the passage of PL 109-416. This act: […]

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One Less “Big Brothers Big Sisters”

Big Brothers Big Sisters is a national organization which matches volunteers to children who could use a supportive adult in their life. Children in foster care, in single parent families, children with an incapacitating illness–are the kinds of youngsters who might be given priority status. The sponsoring agency has been known to do a careful […]

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Not Your Grandfather’s VA

In yesterday’s blog I noted the level of professionalism and service that was accorded to veterans in the VA system after World War II. My grandfather, a World War II vet, received one of the earliest heart pacemakers as well as top-notch cardiac care, all at no cost (although one might view the treatment as […]

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Pre-School and Later Incarceration

When I worked in the Astor Day Treatment Program many years ago, our program shared a large inner-city school building with a Head Start Program. It was heartwarming to see young children learning the skills and developing the kinds of relationships that would lead to later success in life. Many didn’t get proper nutrition and […]

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