August 17, 2009
Letters
Young, Mentally Ill and Behind Bars
To the Editor:
Re “Mentally Ill Offenders Stretch the Limits of Juvenile Justice” (front page, Aug. 10):
Solitary confinement is among the harshest legal punishments that American society inflicts on its adult inmates. To inflict it on children is cruel and immoral.
I studied suicides in New York State’s prisons over a six-year period and found that half occurred in solitary confinement units even though just 7 percent of the population was housed there. In 1890, the United States Supreme Court observed that prisoners in solitary confinement “fell, after even a short confinement, into a semifatuous condition, from which it was next to impossible to arouse them, and others became violently insane.”
If adults are unable to endure the tedium and psychological torture of round-the-clock confinement, imagine what it does to young, developing minds — and what it does to those with mental illness.
Mary Beth PfeifferStone Ridge, N.Y., Aug. 10, 2009
The writer is a journalist and author of “Crazy in America: The Hidden Tragedy of Our Criminalized Mentally Ill.”
•
To the Editor:
In response to rallying cries of “get tough on crime” in the 1980s, many policies were put in place that have led to skyrocketing prison populations. The most troubling, with profound effects, is in the juvenile justice system.
The systematic use of and reliance on the criminal justice system to deal with mental health problems of our youth have been misguided. Not only is this a waste of taxpayer money, but it is also tragic for the youth, families and communities in which they reside. The juveniles who are imprisoned because of mental illness are often without adequate treatment and without hope of recovery. They will be doomed to a life of crime and their victims will suffer. The economic crisis has worsened the situation, as it has resulted in a reduction of support for treatment of mental illness.
Congress should address the policies and revisit laws that result in an extraordinary number of youth with mental health disorders landing in prison. Instead, when possible, home-, family- and community-based care that addresses the underlying disorders should be used.
Greater collaboration is also needed among everyone involved in the lives of youth. Earlier detection of mental health and substance abuse disorders of juveniles in the justice system; increased training for juvenile court, corrections and law enforcement personnel; and expanded services and programs that have been proved to reduce recidivism and improve outcomes for juvenile offenders are needed in order to improve the likelihood that juveniles with mental health disorders will get the help they need to become productive members of the community.
As Attorney General Eric H. Holder Jr. told the American Bar Association during its annual meeting this month in Chicago, while we need to be tough, we also need to be smart on crime.
Carolyn B. LammPresident, American Bar AssociationWashington, Aug. 12, 2009
•
To the Editor:
Your article accurately portrays the devastating consequences of cutting state and community mental health programs. Cutting publicly financed programs does a disservice to the mentally ill, costs more in the long run and worsens human suffering.
A 2004 study showed states with intensive community treatment programs had fewer arrests, jail days and hospitalizations of people with mental illnesses. One state saw an 83 percent reduction in jail days. States and communities that effectively carry out community mental health programs will reduce costs and, more important, help the mentally ill get effective treatment and keep them out of prisons.
Laurence H. MillerChairman, Assembly Committee on Public and Community Psychiatry American Psychiatric AssociationLittle Rock, Ark., Aug. 11, 2009
•
To the Editor:
Research demonstrates that delinquent youth with mental health issues can be far more effectively helped by home-based and community-based treatment than in correctional institutions. That is why in 2007 the Bloomberg administration began the Juvenile Justice Initiative, which provides treatment at home as an alternative to incarceration for juvenile delinquents.
Treatment for these youth, many of whom have been diagnosed with mental illness, is provided by trained clinicians with small caseloads who help families with obtaining appropriate psychiatric services. This reduces recidivism by 30 to 70 percent (far better than the 90 percent re-arrest rate for youth placed in juvenile prisons), and provides treatment for a fraction of the cost, while more successfully addressing antisocial behavior and teaching caregivers for these youth how to manage the symptoms of their children’s mental illness.
By wrapping services around the youths and their families in the community, therapeutic gains can be sustained after treatment ends.
John B. MattinglyCommissioner, New York CityAdministration for Children’s ServicesNew York, Aug. 11, 2009
•
To the Editor:
While thorough in describing the plight of mentally ill youth, your article does not describe emerging innovations.
For example, juvenile mental health courts and legal services lawyers in California have joined together to divert mentally ill youth from detention. These nonadversarial courts offer intensive case management and link youth to community-based mental health services so they can safely return home. The legal services lawyers expand access to critical resources like Medicaid, special education and disability benefits by enforcing existing legal rights to adequate mental health treatment and supports. Providing intensive treatment in the home is cheaper, more effective and more humane than detention.
Juvenile mental health courts are an important innovation to reduce detention of youth with mental illness, but they are not a solution. Only by providing adequate mental health services to every child in America will we end the practice of using juvenile jails to warehouse mentally ill youth.
Patrick GardnerFiza QuraishiOakland, Calif., Aug. 11, 2009
The writers are, respectively, the deputy director and a legal fellow at the National Center for Youth Law.
•
To the Editor:
The crisis in our juvenile corrections system will only worsen unless we reverse course and aggressively put in place early identification, prevention and effective treatment programs for mental health conditions.
We have a strong research base that shows that these programs can reduce antisocial behaviors and help young people succeed. Yet we fail to invest in these proven approaches. The plight of children in these facilities demands that we change course.
The health reform plans now being debated improve access to prevention programs that can avert the current downward spiral. Effective implementation of the 2008 insurance parity act contained in economic bailout legislation will help assure equitable access to mental health services.
We must change policies that permit mental health services to be the first cut. Continuing on our current path is expensive, ineffective and inhumane.
David L. ShernPresident and Chief ExecutiveMental Health AmericaAlexandria, Va., Aug. 11, 2009
******************************************************************
August 20, 2009
Letter
Help Without Confinement
To the Editor: NEW YORK TIMES
“Mentally Ill Offenders Stretch the Limits of Juvenile Justice” (front page, Aug. 10) illustrates the problems with using juvenile justice systems to meet the mental health needs of youth. Fortunately, there are growing efforts to better serve youth while ensuring public safety.
When mental health services are not available, or are poorly coordinated, youth land in the juvenile justice system, which worsens underlying conditions and contributes to re-offending.
Many jurisdictions are breaking with these failed approaches. Eight states participating in the MacArthur Foundation’s Models for Change, a juvenile justice systems reform initiative, are coordinating with law enforcement, schools and probation officers to divert youth with mental health needs away from juvenile justice placement and toward expanded treatment services.
When more states keep youth from being unnecessarily confined in order to gain access to treatment, everyone benefits. Rather than burdening overstretched systems, we can strengthen them while better providing for youth, families and communities.
Joseph J. CocozzaDirector, National Center for MentalHealth and Juvenile JusticePolicy Research AssociatesDelmar, N.Y., Aug. 11, 2009
********************************************************************
A dangerous label for children
Boston Globe
As a pediatrician who has listened to countless stories from distraught parents, I have no doubt that there are children who, even from infancy, are chronically unhappy. But to label them as having a ‘‘major depressive disorder’’ serves only one purpose: to provide a new market for the pharmaceutical industry.
Claudia Meininger Gold
August 16, 2009
-->
CLAUDIA MEININGER GOLD
A dangerous label for children
By Claudia Meininger Gold August 16, 2009
AS A PEDIATRICIAN who has listened to countless stories from distraught parents, I have no doubt that there are children who, even from infancy, are chronically unhappy. In documenting her struggle with depression in a recent New York Times Magazine article, Daphne Merkin wrote, “It is an affliction that often starts young and goes unheeded - younger than would seem possible, as if exiting the womb I was enveloped in a gray and itchy wool blanket instead of a soft, pastel-colored bunting.’’ My concern, however, with the study in the August issue of Archives of General Psychiatry describing preschool depression is that by saddling these young children with a major psychiatric diagnosis, our thinking will stop. Under the pressure of the powerful pharmaceutical industry, a direct line from diagnosis to drug will be the path of least resistance.
My sense is that these children process the world differently. One mother described carrying her screaming son for hours until she realized that he didn’t want to be held. Another mother said her daughter was “not cuddly’’ and difficult to feed. As they become toddlers, the issues change. I hear about what I call “sock bump anxiety,’’ where many changes of socks are required to find the one with the right seam in the toes. “Fun’’ family outings to a county fair can end in disaster as kids become overwhelmed by all of the sights and sounds. Intense tantrums and meltdowns are frequent.
When I talk with parents of these young children, I often discover that Mom, or Cousin John, or some other relative was just like this as a child, and now has a diagnosis of depression or bipolar disorder. They fear their child will have the same fate. Certainly I cannot claim to know what the future holds for these children.
However, I do have ideas about how to help these families in the present, ideas that are informed by contemporary research at the interface of developmental psychology, neuroscience, and behavioral genetics. This research shows that a child’s mind grows and develops when the people who are most important to the child are able to think about the child’s experience without becoming overwhelmed or shutting down. A parent’s capacity to “hold a child in mind’’ can help that child learn to manage difficult emotions and may actually change the way his brain handles stress.
To help parents with this task, which is more difficult than is generally acknowledged, I first validate their experience. One mother was beaten down by the constant comparisons to her sister’s angelic, easygoing child. “You are not a bad parent,’’ I tell them. “Life is really more challenging for you and your child.’’ If one parent suffers from depression, the strain of such a child can be particularly intense, and that parent will need help for him- or herself.
The normal stress that a child places on a marriage is significantly magnified. One mother of a 6-month-old felt a transformation in her relationship with her daughter simply because her husband came to the visit with me. He finally appreciated what she was experiencing at home while he went to work. With his support she had more energy to be fully present with her child.
All of the burden need not be on the parents. As these children get older, certain types of activities can be particularly helpful. These include martial arts, music, swimming, and horseback riding. I guide parents in finding what is right for their child. One boy at the age of 6 discovered a love for the stage. I joked with his parents that he might grow up to be a great actor, if they could just survive his childhood!
It is quite possible that if I were to list these children’s symptoms, or administer a standardized assessment tool, as was done in the recent study, they would meet diagnostic criteria for “major depressive disorder.’’ But such an approach is oversimplified and misses the nuances and complexities of human relationships. I would offer the same help with or without the label. In my opinion, labeling these young children serves only one purpose: to provide a new market for the pharmaceutical industry.
Claudia Meininger Gold, MD, is a pediatrician in Great Barrington.
******************************************************************
New Center for Cooperative Parenting Launched! The National Cooperative Parenting Center
Dr. Debra K Carter, Director of the National Cooperative Parenting Center, announced the launching of the center’s new site www.TheNCPC.com and the 2009-2010 training schedule for legal and mental health professionals.
FOR IMMEDIATE RELEASE
PRLog (Press Release) – Aug 20, 2009 – Bradenton, Florida — “As the emerging field of Parenting Coordination becomes a growing alternative dispute resolution process in cases of parental separation and divorce being instituted throughout many state Family Law systems, it is important that parents, legal prossionals, and mental health professionals understand the purpose of Parenting Coordination”, notes Dr. Debra K Carter, CEO of the newly launched National Cooperative Parenting Center. Dr. Carter reports, “The National Cooperative Training Center is committed to assisting parents, legal professionals, and mental health professionals in managing the difficult process of separation and divorce, so that those most vulnerable during this time, the children, are provided the objective support and advocacy they need.” The National Cooperative Parenting Center’s main office is located in Bradenton, Florida, although services and trainings provided will reach the national landscape. Dr. Carter is committed to the center’s mission of, “Promoting the welfare of children and the stability of their families”. The center’s staff will accomplish this through providing services and training for parents, mental health professionals, and legal professionals in a number of vital areas associated with parental separation and divorce including: Parenting Coordination, Parenting Plans, Parenting Assessment, Family Law Mediation, Clinical Mentorship, Forensic Consultation and Expert Testimony. For more information on the center’s services and upcoming trainings visit the website at www.TheNCPC.com or any of the following contacts: Toll Free Telephone: 877-571-NCPC (6272) Local Telephone: 1-941-855-0255 e-mail: contact@TheNCPC.com
# # #
About National Cooperative Parenting Center: The National Cooperative Training Center is committed to assisting parents, legal professionals, and mental health professionals in managing the difficult process of separation and divorce so that, those most vulnerable during this time, the children, are provided the objective support and advocacy they need.
# # # + Share This Article
Email to a Friend Previous News Next News
Issued By
:
National Cooperative Parenting Center
Contact Email
:
Click to email (Partial email - @thencpc.com)
Phone
:
1-941-855-0255
Fax
:
941-753-2977
Address
:
4835 27th Street West
:
Suite 205
City/Town
:
Bradenton
State/Province
:
Florida
Zip
:
34207
Country
:
United States
Categories
:
Children's Issues, Parenting, Family Law
Tags
:
children s issues, cooperative parenting, family law, divorce, child custody, psychology ce, training cle
Last Updated
:
Aug 20, 2009
Shortcut
:
www.prlog.org/10316499
********************************************************
Back-to-School Resource From American Public University For Teachers, Counselors: 'Tips' Cards On ADD/ADHD, Bullying, Child Abuse, Teen Depression
21 Aug 2009 [Click to Print] "Tips for Teachers" cards on key behavioral and student wellness issues are available at no cost to teachers, counselors, principals and other school-based personnel, thanks to a program by American Public University, a member institution of American Public University System, an accredited, online university system that serves more than 50,000 working adults studying worldwide. Laminated, 6" x 8" cards are available featuring information from expert sources on how to recognize and help students who may be suffering from these conditions and/or situations: - Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD) - Bullying - Child abuse and neglect - Teen depression and suicide The "Tips for Teachers" cards have many uses, including as a classroom resource, for professional training, as part of "welcome back" teacher packets, as a resource for parents, and as a resource to help satisfy school district- or state-mandated training requirements. Teachers, administrators and schools may order the cards at no cost by visiting studyatapu.com/tips-for-teachers. SourceAmerican Public University
Article URL: http://www.medicalnewstoday.com/articles/161358.php
Main News Category: ADHD
Also Appears In: Depression, Mental Health, Psychology / Psychiatry,
Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional. For more information, please read our terms and conditions.
Save time! Get the latest medical news headlines for your specialist area, in a weekly newsletter e-mail. See http://www.medicalnewstoday.com/newsletters.php for details.
Send your press releases to pressrelease@medicalnewstoday.com
**************************************
latimes.com/news/opinion/la-oe-shimizu24-2009aug24,0,1748835.story
latimes.com
Opinion
The trauma of mental illness
One mother shares her fear, anger and anxiety as she fights the disease afflicting her son.
By Julia Robinson Shimizu
August 24, 2009
Aweek ago Sunday, my husband and I spent the day knocking on doors and apologizing to our neighbors. The night before, I had called 911 for an ambulance to transport our schizophrenic son to the hospital. Again. He didn't want to go. Again. He pushed me away from the phone and began raging at the 911 operator as we ran from the house. Almost immediately, there were two police officers on our front lawn. Our son stood in the kitchen, shouting at them to leave. They called for backup; four, then six officers on the front lawn. Patrol cars blocked traffic on the narrow street in front of our North Hollywood home. Our son called 911 again, screaming, shouting: "There are police officers here, make them go away!" I tried to reason with the police: "We just need an ambulance." But by this time, it was out of my hands.Two more officers arrived and ordered me to the edge of my yard, away from the view of the kitchen window. Another pair of officers pulled me aside, asking me what had happened. "I called an ambulance," I said, watching two more officers stride across the brown lawn. One, her dark hair pulled back in a tight bun, carried a shotgun wrapped in what looked like bright green cloth. She paused to smile at me, "Just bean bags, not lethal," and stood at the ready under the mulberry tree. We could see our son pacing back and forth in the kitchen, his long hair flying. By now there were more than a dozen police officers on the front lawn. They asked if there was an entrance in the rear. We directed them to the back patio, warning them not to trip over our elderly dog asleep in the breezeway. We have been through this so many times before. We've heard all the arguments from well-meaning people about how Big Pharma is bad and that we should try diet or therapy or other things. But from here in the mental health trenches, the reality is very simple. When our son takes his prescribed psychotropic medications, no one would ever suspect the depth of his illness. But when he is off his meds, he is unable to eat, sleep, bathe or make sense. He is overtaken by delusions: The Red Hot Chili Peppers have used his name without his permission; sitting on his guitar case is the same as playing the guitar. He regularly becomes violent when we suggest he should resume his medication or stop smoking pot. Oh, yes, pot. Research has shown that marijuana use is toxic to schizophrenics, that it exacerbates psychosis. It was an astounding surprise to me that marijuana could be so dangerous. But it sets our son into a blink-of-an-eye downward spiral that starts with the idea that he should set his prescribed medications aside. He then starts dressing in rags and refusing to bathe. He becomes increasingly incoherent -- responding, as one doctor put it -- to "unseen stimuli." The cycle generally ends with an involuntary hospitalization. His newly minted "medical marijuana" card has complicated everything. As more and more officers arrived, my cellphone rang. Our son. I held the phone away from my ear so my husband and I could both hear it. "How could you do this to me? I hate you! Stop being my mom!" There was still no ambulance, but now officers had pulled the screen from the dining room window and climbed inside. There were shouts, thumping and thrashing as they tackled our son. Four officers carried him down the front steps, howling and spitting. They pulled a hood over his head, handcuffed him, hobbled him with an ankle leash of thick webbed nylon and set him on the curb.Finally the ambulance arrived. Firefighters in yellow reflective coats stood watch as a pair of paramedics struggled to place monitors and a blood pressure cuff on our son."I need help. I need to get to the hospital!" he wailed as they muscled past his resistance to get a pulse. The ambulance pulled away from the curb and a police officer gave us directions to a local hospital emergency room where he was to be evaluated. Our son had his first psychotic break in his freshman year of college, and he has been in and out of hospitals ever since. It is always the same. We follow the ambulance, wait to see him admitted or transferred, worry over him. This is his sixth hospitalization in less than a year and comes just eight days after his previous discharge. At 24, he is no longer covered by our insurance, but this may be to his advantage. We've been told he can now access services through the Los Angeles County Department of Mental Health, and we're hopeful there may be more options for him now.With severe mental illness, nothing is certain. Except that we owed our neighbors an apology for the disruption. It felt odd, standing on doorsteps of neighbors we hardly know, telling them we were sorry. All those who answered their doors were quick to wave our apology away: "No, no, no problem."For all of them, including those who did not answer, we left a note. We were hesitant to share our story with our neighbors, but giving up the pretense of privacy offers us a chance to be free of the burden and shame of this mystifying illness.By being open, we may even be able to help someone. Our letter to our neighbors included information about NAMI, the National Alliance on Mental Illness, an all-volunteer grass-roots organization dedicated to helping individuals and families living with mental illness. NAMI has helped us understand we are not alone. Millions of Americans, an estimated one in five families (22%), are living with mental illness. As a matter of fact, two of the responding police officers on Saturday night, including the blond female officer assigned to keep me company, told us that they too had family members with serious mental illness. Our odyssey has taught us many things, but none more important than these: Mental illness is no one's fault. Treatment works. There is hope.Julia Robinson Shimizu serves on the board of the National Alliance on Mental Illness, San Fernando Valley. Website: www.nami.org
Copyright © 2009, The Los Angeles Times
Thursday, August 27, 2009
There is parity and then there is parity...
Mind, as Well as Body
A new law will require many health plans to improve their coverage for mental-health care
By JANE ZHANG
Mental-health care may soon cost less for many working Americans.
Starting in January, a new law will require that group health plans put mental-health care and treatment of substance-use disorders on par with physical illnesses.
The Journal Report
See the complete Your Money Matters report.
The law, which will apply to most employers with 50 or more workers, will end currently common limits on mental-health coverage such as 30-day hospital stays and 35 visits a year to a mental-health professional, if a company's plan doesn't apply similar limits to its coverage for physical maladies.
For each plan, co-payments, deductibles and reimbursement rates for doctor visits and hospital stays will have to be the same for both kinds of care. Similarly, if a plan offers out-of-network coverage for physical illnesses, it will have to offer similar out-of-network coverage for mental-health care.
Easing Stigma
These steps will help to ease the stigma of mental illness and to make it easier for patients to get care. "It will reduce the level of formal discrimination," says David Shern, president and chief executive of Mental Health America, an advocacy group in Alexandria, Va., that pushed for nearly two decades, with other groups, to get the law passed in Congress.
The changes will likely lead to lower out-of-pocket costs for workers and family members seeking treatments for mental health and substance use, especially for long-term care. Edward Kaplan, leader of the national-health practice at Segal Co., a human-resources consulting firm in New York, estimates that currently 10% to 15% of all claims for outpatient mental-health therapy go beyond what employers cover.
Wendy Lowe Besmann, of Oak Ridge, Tenn., says the limitations of her family's mental-health insurance forced them to take out a second mortgage five years ago to help pay for her son's treatments, which ended up costing $125,000.
Her 18-year-old son, David, who has bipolar disorder and Asperger's, a developmental disorder, needed at least three months' care in a residential facility back then, far more than the 21 hospital stays covered by the managed-care company. Even now, she says, the family tries to be careful not to use up the 35 visits to psychiatrists and therapists that the plan allows every year. If her insurer removes those limits and makes mental-health insurance more like physical coverage, Ms. Besmann says, "it would make a big difference to us."
Buyer Beware
There are some caveats. The requirements for equal health-care coverage don't extend to insurance plans sold to individuals. Employers that don't provide any health care aren't required to provide mental-health coverage either.
Employers and insurers can choose which disorders to cover, just as they generally do for physical ailments. Experts say that they expect companies to cover schizophrenia, substance-use disorders and other major illnesses, but that some may choose not to cover autism, attention-deficit disorder and some others.
Insurers also are likely to cover only care that is deemed "medically necessary," just as they do for surgeries and other medical procedures. "People will still be told 'you don't need to go see a psychiatrist for a year if it's not medically necessary,' " says Pamela Greenberg, president and chief executive of the Association for Behavioral Health and Wellness, a trade association based in Washington, D.C., that represents managed-care companies specializing in behavioral health.
By law, insurers are required to tell workers, upon request, what criteria they use to deny coverage for any mental illnesses or substance-use disorders. Mental Health America's Dr. Shern says he hopes companies will consider the seriousness of illnesses and patients' rehabilitation needs. But that could also make adjusted plans more costly to employers.
Analysts expect the cost of meeting the new requirements to be low for both employers and insurers. Mr. Kaplan says behavioral-health treatments on average make up just 5% of employment-based health plans, though it varies from plan to plan. In June, when Segal Co. surveyed 18 major insurers representing 80% of the group-insurance market, all but two said the law would increase costs 1% or less, Mr. Kaplan says.
It's unclear how employers will handle the cost increase. Some may choose to absorb any small increases. But several surveys show some are considering passing it on to employees through higher premiums—for both physical and mental health—or lower wage increases.
The government still has lots of details to iron out, too. Some 400 comments from interest groups have been received, says Mary Kahn, a spokeswoman for the Centers for Medicare and Medicaid Services, one of the federal bodies shaping the regulation, along with the departments of Labor and Treasury. A deadline of Oct. 3 has been set.
That might be too late for some companies rushing to finalize their health plans in time for the open-enrollment season, which typically starts in October or November, says Kathryn Wilber, senior counsel for health policy at the American Benefits Council in Washington, D.C. The group represents large employers that offer benefits to more than one million people.
Because the schedule is tight, employees may want to be extra careful about choosing plans this year.
"If you are a patient, you want to read plan documents, look at the description of the plans, what the coverage is, what your obligations are," Ms. Wilber says.
It remains to be seen, for example, how plans will define equal treatment of mental and physical maladies. For example, will there be two annual deductibles in equal amounts: one for physical care and the other for mental health and treatment for substance use? Or will there be one, general-purpose deductible? The details in the federal regulation may clarify that.
Patient advocates want there to be one deductible that covers both mental and physical care. But many insurers want two deductibles, and if plans aren't allowed to have two, Ms. Greenberg says, insurers would likely increase the amount of the single deductible anyway.
Some employers have already made changes to their plans without waiting for the federal regulation to come out. AstraZeneca PLC, for example, started treating mental and physical health the same as of January this year, says Kathy Brooke, the company's director of North America benefits.
That process started in 2007, when the company lowered mental-health co-payments and deductibles to make them equal to those for physical illnesses. Ms. Brooke says the company hasn't seen a big uptake for the use of mental-health care, even though the recession has led to a greater need for employees to use it. "We look at it as an investment for our employees," she says.
The change, Ms. Brooke says, led to a shift to "holistic" and efficient care for the nearly 34,000 people AstraZeneca's health plan covers. "Our insurance company is treating both health and mental health together, so you don't have to use different cards, different deductibles," she says.
It also makes it easier for the management of diseases, especially 30% of the covered lives who have chronic conditions and who are more likely to have depression and other mental-health conditions, Ms. Brooke says.
--Ms. Zhang is a Wall Street Journal staff reporter in Washington, D.C. She can be reached at jane.zhang@wsj.com.
A new law will require many health plans to improve their coverage for mental-health care
By JANE ZHANG
Mental-health care may soon cost less for many working Americans.
Starting in January, a new law will require that group health plans put mental-health care and treatment of substance-use disorders on par with physical illnesses.
The Journal Report
See the complete Your Money Matters report.
The law, which will apply to most employers with 50 or more workers, will end currently common limits on mental-health coverage such as 30-day hospital stays and 35 visits a year to a mental-health professional, if a company's plan doesn't apply similar limits to its coverage for physical maladies.
For each plan, co-payments, deductibles and reimbursement rates for doctor visits and hospital stays will have to be the same for both kinds of care. Similarly, if a plan offers out-of-network coverage for physical illnesses, it will have to offer similar out-of-network coverage for mental-health care.
Easing Stigma
These steps will help to ease the stigma of mental illness and to make it easier for patients to get care. "It will reduce the level of formal discrimination," says David Shern, president and chief executive of Mental Health America, an advocacy group in Alexandria, Va., that pushed for nearly two decades, with other groups, to get the law passed in Congress.
The changes will likely lead to lower out-of-pocket costs for workers and family members seeking treatments for mental health and substance use, especially for long-term care. Edward Kaplan, leader of the national-health practice at Segal Co., a human-resources consulting firm in New York, estimates that currently 10% to 15% of all claims for outpatient mental-health therapy go beyond what employers cover.
Wendy Lowe Besmann, of Oak Ridge, Tenn., says the limitations of her family's mental-health insurance forced them to take out a second mortgage five years ago to help pay for her son's treatments, which ended up costing $125,000.
Her 18-year-old son, David, who has bipolar disorder and Asperger's, a developmental disorder, needed at least three months' care in a residential facility back then, far more than the 21 hospital stays covered by the managed-care company. Even now, she says, the family tries to be careful not to use up the 35 visits to psychiatrists and therapists that the plan allows every year. If her insurer removes those limits and makes mental-health insurance more like physical coverage, Ms. Besmann says, "it would make a big difference to us."
Buyer Beware
There are some caveats. The requirements for equal health-care coverage don't extend to insurance plans sold to individuals. Employers that don't provide any health care aren't required to provide mental-health coverage either.
Employers and insurers can choose which disorders to cover, just as they generally do for physical ailments. Experts say that they expect companies to cover schizophrenia, substance-use disorders and other major illnesses, but that some may choose not to cover autism, attention-deficit disorder and some others.
Insurers also are likely to cover only care that is deemed "medically necessary," just as they do for surgeries and other medical procedures. "People will still be told 'you don't need to go see a psychiatrist for a year if it's not medically necessary,' " says Pamela Greenberg, president and chief executive of the Association for Behavioral Health and Wellness, a trade association based in Washington, D.C., that represents managed-care companies specializing in behavioral health.
By law, insurers are required to tell workers, upon request, what criteria they use to deny coverage for any mental illnesses or substance-use disorders. Mental Health America's Dr. Shern says he hopes companies will consider the seriousness of illnesses and patients' rehabilitation needs. But that could also make adjusted plans more costly to employers.
Analysts expect the cost of meeting the new requirements to be low for both employers and insurers. Mr. Kaplan says behavioral-health treatments on average make up just 5% of employment-based health plans, though it varies from plan to plan. In June, when Segal Co. surveyed 18 major insurers representing 80% of the group-insurance market, all but two said the law would increase costs 1% or less, Mr. Kaplan says.
It's unclear how employers will handle the cost increase. Some may choose to absorb any small increases. But several surveys show some are considering passing it on to employees through higher premiums—for both physical and mental health—or lower wage increases.
The government still has lots of details to iron out, too. Some 400 comments from interest groups have been received, says Mary Kahn, a spokeswoman for the Centers for Medicare and Medicaid Services, one of the federal bodies shaping the regulation, along with the departments of Labor and Treasury. A deadline of Oct. 3 has been set.
That might be too late for some companies rushing to finalize their health plans in time for the open-enrollment season, which typically starts in October or November, says Kathryn Wilber, senior counsel for health policy at the American Benefits Council in Washington, D.C. The group represents large employers that offer benefits to more than one million people.
Because the schedule is tight, employees may want to be extra careful about choosing plans this year.
"If you are a patient, you want to read plan documents, look at the description of the plans, what the coverage is, what your obligations are," Ms. Wilber says.
It remains to be seen, for example, how plans will define equal treatment of mental and physical maladies. For example, will there be two annual deductibles in equal amounts: one for physical care and the other for mental health and treatment for substance use? Or will there be one, general-purpose deductible? The details in the federal regulation may clarify that.
Patient advocates want there to be one deductible that covers both mental and physical care. But many insurers want two deductibles, and if plans aren't allowed to have two, Ms. Greenberg says, insurers would likely increase the amount of the single deductible anyway.
Some employers have already made changes to their plans without waiting for the federal regulation to come out. AstraZeneca PLC, for example, started treating mental and physical health the same as of January this year, says Kathy Brooke, the company's director of North America benefits.
That process started in 2007, when the company lowered mental-health co-payments and deductibles to make them equal to those for physical illnesses. Ms. Brooke says the company hasn't seen a big uptake for the use of mental-health care, even though the recession has led to a greater need for employees to use it. "We look at it as an investment for our employees," she says.
The change, Ms. Brooke says, led to a shift to "holistic" and efficient care for the nearly 34,000 people AstraZeneca's health plan covers. "Our insurance company is treating both health and mental health together, so you don't have to use different cards, different deductibles," she says.
It also makes it easier for the management of diseases, especially 30% of the covered lives who have chronic conditions and who are more likely to have depression and other mental-health conditions, Ms. Brooke says.
--Ms. Zhang is a Wall Street Journal staff reporter in Washington, D.C. She can be reached at jane.zhang@wsj.com.
Wednesday, August 26, 2009
From the ED of NAMI
Senator Ted Kennedy: A Member of the NAMI Family
Statement of Michael J. Fitzpatrick
Executive Director, National Alliance on Mental Illness
NAMI mourns the passing of U.S. Senator Edward M. Kennedy, a true champion for individuals and families affected by serious mental illness. This is a profound loss for the NAMI family.
We do not have to struggle to remember what Senator Kennedy accomplished in seeking to improve the lives of millions of Americans. The real challenge would be to try to recall what he didn’t do. His idealism moved the country. His pragmatism and ability to work with liberals and conservatives alike, enacted legislation.
.
A year ago, along with his son Patrick, Senator Kennedy was a driving force in the enactment of the mental health insurance parity law. The parity law is one of the most significant victories of the past 10 years for people who live with mental illness. The full list is longer. It includes:
Americans with Disabilities Act (ADA)
Family & Medical Leave Act
Individuals with Disabilities Education Act (IDEA)
Children’s Health Insurance Program (CHIP), supporting state programs to provide health insurance to uninsured children in low-income families.
Family Opportunity Act, providing states the option to allow low and middle- income families with special needs children to purchase health care through Medicaid
Recognition of the National Institute of Mental Health (NIMH) as a biomedical research institute and increased funding for research.
Early Intervention, Treatment and Prevention Act, providing for a range of education and training and community-based prevention and diversion services.
Civil Rights for Institutionalized Person Act (CRIPA)
Fair Housing Act expansion to include people with disabilities
“Ticket to work” provisions under Social Security disability programs
Health Insurance Portability & Accountability Act (HIPAA), including restrictions on insurance limitations for pre-existing conditions
Genetic Information Non-Discrimination Act
“Wounded Warrior” act to improve access to mental health services for National Guard and Reserve forces
For more than three decades, Senator Kennedy has been a voice for universal health care coverage and reform.
His voice, perspective and wisdom will be greatly missed in the critical health care debate that is now before the nation.
Congress could do no greater honor than to pass meaningful health care reform this year—building on his legacy.
Statement of Michael J. Fitzpatrick
Executive Director, National Alliance on Mental Illness
NAMI mourns the passing of U.S. Senator Edward M. Kennedy, a true champion for individuals and families affected by serious mental illness. This is a profound loss for the NAMI family.
We do not have to struggle to remember what Senator Kennedy accomplished in seeking to improve the lives of millions of Americans. The real challenge would be to try to recall what he didn’t do. His idealism moved the country. His pragmatism and ability to work with liberals and conservatives alike, enacted legislation.
.
A year ago, along with his son Patrick, Senator Kennedy was a driving force in the enactment of the mental health insurance parity law. The parity law is one of the most significant victories of the past 10 years for people who live with mental illness. The full list is longer. It includes:
Americans with Disabilities Act (ADA)
Family & Medical Leave Act
Individuals with Disabilities Education Act (IDEA)
Children’s Health Insurance Program (CHIP), supporting state programs to provide health insurance to uninsured children in low-income families.
Family Opportunity Act, providing states the option to allow low and middle- income families with special needs children to purchase health care through Medicaid
Recognition of the National Institute of Mental Health (NIMH) as a biomedical research institute and increased funding for research.
Early Intervention, Treatment and Prevention Act, providing for a range of education and training and community-based prevention and diversion services.
Civil Rights for Institutionalized Person Act (CRIPA)
Fair Housing Act expansion to include people with disabilities
“Ticket to work” provisions under Social Security disability programs
Health Insurance Portability & Accountability Act (HIPAA), including restrictions on insurance limitations for pre-existing conditions
Genetic Information Non-Discrimination Act
“Wounded Warrior” act to improve access to mental health services for National Guard and Reserve forces
For more than three decades, Senator Kennedy has been a voice for universal health care coverage and reform.
His voice, perspective and wisdom will be greatly missed in the critical health care debate that is now before the nation.
Congress could do no greater honor than to pass meaningful health care reform this year—building on his legacy.
Wednesday, August 12, 2009
Backpack Likely Saved Life of Denver PI Who Was Shot on Surveillance Assignment
DENVER, CO. – A worker’s compensation surveillance operative who was shot four times by someone he was watching last week likely survived only because he was wearing a backpack, according to a police affidavit.
The shooter told police he thought he was firing at a bear. The surveillance operative said he’d been "yelled at" by the shooter minutes before the shooting. The shooter is facing a charge of attempted first degree murder.
In the affidavit, a Jefferson County sheriff’s deputy wrote that he’d been dispatched at 6 pm on August 4 to a road in the foothills southwest of Denver on a report of someone claiming he’d been shot by someone firing a shotgun.
The operative – whose name is withheld here for his safety - told officers he was conducting an investigation regarding possible insurance fraud. Court records indicate he was working for Pinnacol Assurance, Colorado’s largest worker’s compensation insurance provider. It regularly retains private investigators to watch employees who have submitted worker’s compensation claims, to try to obtain video documenting that the employee is not injured, not injured as severely as they claim, or not hampered by the injury in the way they claim.
The operative told sheriff’s deputies he’d been watching Marshall Lawson’s residence from about 100 yards away. Somehow Lawson became aware of the operative’s presence about three hours after the operative initiated surveillance. The operative says Lawson “yelled at” him, telling him he was going to get a gun.
The surveillance operative said that soon thereafter he saw Lawson return with a gun and aim it at him. He says he heard two shots. He says he then started running up a hill away from Lawson, and heard two more shots.
The operative told sheriff’s deputies he couldn’t get a signal on his cell phone, so he walked to his car, drove toward town, and called 911 as soon as his cell phone was in a coverage area. When he placed the call, he didn’t think he’d been hit by any bullets. But while he was waiting for police to respond, he found two bullet holes in the backpack he’d been wearing, according to the affidavit.
Sheriff’s deputies went to Marshall’s residence and found three spent .22 caliber casings in the driveway, about 10 feet from the road. A fourth was found in a .22 caliber rifle recovered at the residence of one of Marshall’s grandfathers, who lives next door.
According to the affidavit, Marshall acknowledged firing a rifle, but he denied knowing there was a man on the hill when he fired. He told a sheriff’s deputy he thought he was shooting a “black object that he presumed to be a bear.”
The twenty-seven-year-old Marshall is facing charges of attempted first degree murder and attempted first degree assault. He’s being held on $150,000 bond. A judge ordered that in the event he posts bond, he’s not to have any contact with Pinnacol Assurance.
The shooter told police he thought he was firing at a bear. The surveillance operative said he’d been "yelled at" by the shooter minutes before the shooting. The shooter is facing a charge of attempted first degree murder.
In the affidavit, a Jefferson County sheriff’s deputy wrote that he’d been dispatched at 6 pm on August 4 to a road in the foothills southwest of Denver on a report of someone claiming he’d been shot by someone firing a shotgun.
The operative – whose name is withheld here for his safety - told officers he was conducting an investigation regarding possible insurance fraud. Court records indicate he was working for Pinnacol Assurance, Colorado’s largest worker’s compensation insurance provider. It regularly retains private investigators to watch employees who have submitted worker’s compensation claims, to try to obtain video documenting that the employee is not injured, not injured as severely as they claim, or not hampered by the injury in the way they claim.
The operative told sheriff’s deputies he’d been watching Marshall Lawson’s residence from about 100 yards away. Somehow Lawson became aware of the operative’s presence about three hours after the operative initiated surveillance. The operative says Lawson “yelled at” him, telling him he was going to get a gun.
The surveillance operative said that soon thereafter he saw Lawson return with a gun and aim it at him. He says he heard two shots. He says he then started running up a hill away from Lawson, and heard two more shots.
The operative told sheriff’s deputies he couldn’t get a signal on his cell phone, so he walked to his car, drove toward town, and called 911 as soon as his cell phone was in a coverage area. When he placed the call, he didn’t think he’d been hit by any bullets. But while he was waiting for police to respond, he found two bullet holes in the backpack he’d been wearing, according to the affidavit.
Sheriff’s deputies went to Marshall’s residence and found three spent .22 caliber casings in the driveway, about 10 feet from the road. A fourth was found in a .22 caliber rifle recovered at the residence of one of Marshall’s grandfathers, who lives next door.
According to the affidavit, Marshall acknowledged firing a rifle, but he denied knowing there was a man on the hill when he fired. He told a sheriff’s deputy he thought he was shooting a “black object that he presumed to be a bear.”
The twenty-seven-year-old Marshall is facing charges of attempted first degree murder and attempted first degree assault. He’s being held on $150,000 bond. A judge ordered that in the event he posts bond, he’s not to have any contact with Pinnacol Assurance.
Nonprofits - Pay Attention!!!!
No one owes you a gift, as this "inside a donor's mind" report makes clear.------
Dianna Huff wrote a note about her experiences with two local charities.
Dianna is a gifted, results-driven sales copywriter; a "getting you noticed on the web" specialist; a terrific mom (judging by James, her wise and intriguing young son); a budding marathoner. Today, though, meet her as (1) delighted donor and (2) disgusted donor. Her note (reproduced below and only slightly tweaked to disguise the guilty) is a tale of two charities: one thriving, one dying.The thriving charity thinks carefully about warming its donors' hearts. The dying charity takes donations utterly for granted.
Seven Reasons Why I Love Giving Money to the Massachusetts Society for the Prevention of Cruelty to Animals (MSPCA)
1. They send out a well-written, full color newsletter giving me real stories about animals that have been rescued/saved by them.
2. I can go to the Nevins Farm facility a few towns over from where I live and see their rescue efforts in action. I also can see where the money is going because Nevins is a new state-of-the-art facility. I was also the benefactor of the MSPCA's "Pet Care Fund" when Simon [Dianna's dog] needed his operation.
3. They send me thank you notes each time I give money. They sent James a personalized note when he cleaned out his piggy bank and gave them $10 in rolled quarters.
4. They send me well written letters that tell me why they need my money.
5. In their letters they include little notes that read, "Your generosity already in 2009 is greatly appreciated. Thank you for continuing to help animals in need." This shows me that 1) I'm not an anonymous donor; 2) that they know I've given before; and 3) that they appreciate my previous gifts.
6. In one of their letters I received a "Certificate of Kindness" and was told to "post it with pride." Cheesy? Yes. Effective? Yes. Made me give more? Yes.
7. I feel valued for my contributions. And it shows, every time I receive a piece of information from them.
Seven Reasons Why I Refuse to Give Money to My Son's Day School
1. They send out Friday notices to the parents (donors and potential donors) that say things like: "We are very disappointed in the parents who did not participate in the Yankee Candle Fundraiser. The parent handbook states, 'All parents must fundraise.'" This ticked me off. As a donor, it is my prerogative to give when and how I want. The $300 I had earmarked for them is now going elsewhere.
2. They don't tell me where the money is going.
3. I can't see where the money is going. The facility is run down and families are leaving the school in droves.
4. As a business person, I can't in good conscience give money to a non-profit that appears to be ill managed.
5. They don't use real stories about the children at the school in any of their materials.
6. They don't address the real reason why people aren't coming to the school. They cast blame on "parents who make the wrong choice" but the problem is really the school and the people who run it.
7. I don't feel valued for my contributions. Takeaway: Donors owe us nothing, not even a hearing. We owe them something, though: as many moments of joy as we can cram into a year. Making a contribution, being a benefactor, feels good, neuroscience tells us.
There's a pleasure center in your brain that fires up when you make a gift. When a charity enhances that joy by celebrating the contribution, one-time donors tend to become many-time donors.When a charity ignores the joy, donors find someone else to play with. Charities that think they "deserve" support (as Dianna's day school did) are deeply ignorant of the basic emotional underpinnings behind lasting philanthropy.
Dianna Huff wrote a note about her experiences with two local charities.
Dianna is a gifted, results-driven sales copywriter; a "getting you noticed on the web" specialist; a terrific mom (judging by James, her wise and intriguing young son); a budding marathoner. Today, though, meet her as (1) delighted donor and (2) disgusted donor. Her note (reproduced below and only slightly tweaked to disguise the guilty) is a tale of two charities: one thriving, one dying.The thriving charity thinks carefully about warming its donors' hearts. The dying charity takes donations utterly for granted.
Seven Reasons Why I Love Giving Money to the Massachusetts Society for the Prevention of Cruelty to Animals (MSPCA)
1. They send out a well-written, full color newsletter giving me real stories about animals that have been rescued/saved by them.
2. I can go to the Nevins Farm facility a few towns over from where I live and see their rescue efforts in action. I also can see where the money is going because Nevins is a new state-of-the-art facility. I was also the benefactor of the MSPCA's "Pet Care Fund" when Simon [Dianna's dog] needed his operation.
3. They send me thank you notes each time I give money. They sent James a personalized note when he cleaned out his piggy bank and gave them $10 in rolled quarters.
4. They send me well written letters that tell me why they need my money.
5. In their letters they include little notes that read, "Your generosity already in 2009 is greatly appreciated. Thank you for continuing to help animals in need." This shows me that 1) I'm not an anonymous donor; 2) that they know I've given before; and 3) that they appreciate my previous gifts.
6. In one of their letters I received a "Certificate of Kindness" and was told to "post it with pride." Cheesy? Yes. Effective? Yes. Made me give more? Yes.
7. I feel valued for my contributions. And it shows, every time I receive a piece of information from them.
Seven Reasons Why I Refuse to Give Money to My Son's Day School
1. They send out Friday notices to the parents (donors and potential donors) that say things like: "We are very disappointed in the parents who did not participate in the Yankee Candle Fundraiser. The parent handbook states, 'All parents must fundraise.'" This ticked me off. As a donor, it is my prerogative to give when and how I want. The $300 I had earmarked for them is now going elsewhere.
2. They don't tell me where the money is going.
3. I can't see where the money is going. The facility is run down and families are leaving the school in droves.
4. As a business person, I can't in good conscience give money to a non-profit that appears to be ill managed.
5. They don't use real stories about the children at the school in any of their materials.
6. They don't address the real reason why people aren't coming to the school. They cast blame on "parents who make the wrong choice" but the problem is really the school and the people who run it.
7. I don't feel valued for my contributions. Takeaway: Donors owe us nothing, not even a hearing. We owe them something, though: as many moments of joy as we can cram into a year. Making a contribution, being a benefactor, feels good, neuroscience tells us.
There's a pleasure center in your brain that fires up when you make a gift. When a charity enhances that joy by celebrating the contribution, one-time donors tend to become many-time donors.When a charity ignores the joy, donors find someone else to play with. Charities that think they "deserve" support (as Dianna's day school did) are deeply ignorant of the basic emotional underpinnings behind lasting philanthropy.
Sunday, August 9, 2009
Your thoughts? Psychologists Reject Gay ‘Therapy’
I had thought this was old news - any comments or commentary?
Psychologists Reject Gay ‘Therapy’
By THE ASSOCIATED PRESS
Published: August 5, 200
The American Psychological Association declared Wednesday that mental health professionals should not tell gay clients they can become straight through therapy or other treatments.
In a resolution adopted by the association’s governing council, and in an accompanying report, the association issued its most comprehensive repudiation of so-called reparative therapy, a concept espoused by a small but persistent group of therapists, often allied with religious conservatives, who maintain that gay men and lesbians can change.
No solid evidence exists that such change is likely, says the resolution, adopted by a 125-to-4 vote. The association said some research suggested that efforts to produce change could be harmful, inducing depression and suicidal tendencies.
Instead of seeking such change, the association urged therapists to consider multiple options, which could include celibacy and switching churches, for helping clients live spiritually rewarding lives in instances where their sexual orientation and religious faith conflict.
The association has criticized reparative therapy in the past, but a six-member panel added weight to that position by examining 83 studies on sexual orientation change conducted since 1960. Its report was endorsed by the association’s governing council in Toronto, where the association’s annual meeting is being held this weekend.
The report breaks ground in its detailed and nuanced assessment of how therapists should deal with gay clients struggling to remain loyal to a religious faith that disapproves of homosexuality.
Judith Glassgold, a psychologist in Highland Park, N.J., who led the panel, said she hoped the document could help calm the polarized debate between religious conservatives who believe in the possibility of changing sexual orientation and the many mental health professionals who reject that option.
“Both sides have to educate themselves better," Ms. Glassgold said. “The religious psychotherapists have to open up their eyes to the potential positive aspects of being gay or lesbian. Secular therapists have to recognize that some people will choose their faith over their sexuality.”
One of the largest organizations promoting the possibility of changing sexual orientation is Exodus International, a network of ministries whose core message is “freedom from homosexuality through the power of Jesus Christ.”
Its president, Alan Chambers, describes himself as someone who “overcame unwanted same-sex attraction.” Mr. Chambers and other evangelicals met with association representatives after the panel was formed in 2007, and he expressed satisfaction with parts of the report that emerged.
In a resolution adopted by the association’s governing council, and in an accompanying report, the association issued its most comprehensive repudiation of so-called reparative therapy, a concept espoused by a small but persistent group of therapists, often allied with religious conservatives, who maintain that gay men and lesbians can change.
No solid evidence exists that such change is likely, says the resolution, adopted by a 125-to-4 vote. The association said some research suggested that efforts to produce change could be harmful, inducing depression and suicidal tendencies.
Instead of seeking such change, the association urged therapists to consider multiple options, which could include celibacy and switching churches, for helping clients live spiritually rewarding lives in instances where their sexual orientation and religious faith conflict.
The association has criticized reparative therapy in the past, but a six-member panel added weight to that position by examining 83 studies on sexual orientation change conducted since 1960. Its report was endorsed by the association’s governing council in Toronto, where the association’s annual meeting is being held this weekend.
The report breaks ground in its detailed and nuanced assessment of how therapists should deal with gay clients struggling to remain loyal to a religious faith that disapproves of homosexuality.
Judith Glassgold, a psychologist in Highland Park, N.J., who led the panel, said she hoped the document could help calm the polarized debate between religious conservatives who believe in the possibility of changing sexual orientation and the many mental health professionals who reject that option.
“Both sides have to educate themselves better," Ms. Glassgold said. “The religious psychotherapists have to open up their eyes to the potential positive aspects of being gay or lesbian. Secular therapists have to recognize that some people will choose their faith over their sexuality.”
One of the largest organizations promoting the possibility of changing sexual orientation is Exodus International, a network of ministries whose core message is “freedom from homosexuality through the power of Jesus Christ.”
Its president, Alan Chambers, describes himself as someone who “overcame unwanted same-sex attraction.” Mr. Chambers and other evangelicals met with association representatives after the panel was formed in 2007, and he expressed satisfaction with parts of the report that emerged.
Tuesday, August 4, 2009
More books are available on amazon.com
Books Authored by Deborah Rose
Josh Wears a Red Cape
www.amazon.com/Josh-Wears-Red-Cape-Bipolar/dp/1435700066/ref=sr_1_1?ie=UTF8&s=books&qid=1248651853&sr=1-1
A story of love, courage and recovery for a boy named Josh, who was diagnosed with bipolar disorder as a child.
A Family Garden - Thorns and Roses
www.amazon.com/Family-Garden-Thorns-Roses-Poetry/dp/1438238819/ref=sr_1_1?ie=UTF8&s=books&qid=1248652539&sr=1-1
A story of love, courage and recovery for a boy named Josh, who was diagnosed with bipolar disorder as a child. Two of the writers have had a diagnosis of bipolar disorder. One of those two writers has been taken off all medication and declared by the doctors to be in remission. Why do we tell you this? So you can ponder the differences and the similarities we all may share, and that angst and growing and life's perspectives may not be so different between us all, regardless of what else we are dealing with. My family hopes you enjoy our little experiment. At the very least, we hope you find your thoughts provoked and your mind stimulated. Thank you for being a part of our experiment. My best to you all, Deborah Rose
Books Edited and Published by Deborah Rose
Partnerships: Family Education About Mental Illness
www.amazon.com/Partnerships-Family-Education-Mental-Illness/dp/144140242X/ref=sr_1_2?ie=UTF8&s=books&qid=1248652580&sr=1-2
A family guide to mental illness - "Partnerships" is designed to provide general information in regard to major mental illnesses, with the understanding that the authors are not engaged in rendering psychological, legal, or other professional services. What "Partnerships" is designed to provide is basic knowledge that gives the readers hope and practical influences on where and how to seek help.
Diagnosis - Reactive Attachment Disorder: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Reactive-Attachment-Disorder-Tomorrow/dp/1448638372/ref=sr_1_7?ie=UTF8&s=books&qid=1248652580&sr=1-7
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Weekly Workplace Thinkables - Book I
https://www.createspace.com/3392846
THINKABLES are intended to help you extend your thinking and experience to related areas you might not otherwise have considered. My expectation is that most of the readers will find some of the topics and thoughts of interest, and that some of the readers will find most all of the conclusions of interest. My desire is that some of the THINKABLES will encourage and challenge you to Think, See and then Act more keenly and deeply than before you turned these pages! Thanks for reading, thinking, and sharing.
Diagnosis - ADHD: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-ADHD-Visions-Tomorrow-Basics/dp/1442177543/ref=sr_1_1?ie=UTF8&s=books&qid=1248652580&sr=1-1
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Schizophrenia and Schizoaffective Disorder: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Schizophrenia-Schizoaffective-Disorder-Tomorrow/dp/1448635241/ref=sr_1_3?ie=UTF8&s=books&qid=1248652580&sr=1-3
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Anxiety Disorders: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Anxiety-Disorders-Visions-Tomorrow/dp/1448627958/ref=sr_1_5?ie=UTF8&s=books&qid=1248652580&sr=1-5
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Bipolar Disorder and Depression: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Bipolar-Disorder-Depression-Tomorrow/dp/1448635195/ref=sr_1_6?ie=UTF8&s=books&qid=1248652580&sr=1-6
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Borderline Personality Disorder: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Borderline-Personality-Disorder-Tomorrow/dp/1448635284/ref=sr_1_8?ie=UTF8&s=books&qid=1248652580&sr=1-8
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Eating Disorders: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Eating-Disorders-Visions-Tomorrow/dp/1448638410/ref=sr_1_4?ie=UTF8&s=books&qid=1248652580&sr=1-4
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Recovery for the Whole Person
https://www.createspace.com/3392715
A Book About Mental Health and Spiritual Growth This book, Recovery for the Whole Person, is intended to promote discussion, consideration, and application of spiritual resources available primarily through a personal relationship by faith with Jesus Christ. People who have a different object of their faith should be able to easily adapt much of this course to their own faith. To neglect consideration of our body, soul, or spirit as we plan for recovery is to be short sighted and deliberately choose not to play with a full deck. Since many books on recovery neglect detailed spiritual resources, this book emphasizes increased awareness and use of spiritual tools in your own recovery, including exchanging God's ways for man's ways.
Featured Writer
Chicken Soup for the Soul: Children with Special Needs: Stories of Love and Understanding for Those Who Care for Children with Disabilities
www.amazon.com/Chicken-Soup-Soul-Understanding-Disabilities/dp/0757306209/ref=sr_1_6?ie=UTF8&s=books&qid=1248652987&sr=1-6
'These powerful heart-rending stories are filled with honesty, humor, hope and offer inspiration to parents, teachers, and anyone else who cares for children with special needs. By embracing the magnificence, inner peace, and beauty each child possess, our own attitudes are shifted from despair to promise
Josh Wears a Red Cape
www.amazon.com/Josh-Wears-Red-Cape-Bipolar/dp/1435700066/ref=sr_1_1?ie=UTF8&s=books&qid=1248651853&sr=1-1
A story of love, courage and recovery for a boy named Josh, who was diagnosed with bipolar disorder as a child.
A Family Garden - Thorns and Roses
www.amazon.com/Family-Garden-Thorns-Roses-Poetry/dp/1438238819/ref=sr_1_1?ie=UTF8&s=books&qid=1248652539&sr=1-1
A story of love, courage and recovery for a boy named Josh, who was diagnosed with bipolar disorder as a child. Two of the writers have had a diagnosis of bipolar disorder. One of those two writers has been taken off all medication and declared by the doctors to be in remission. Why do we tell you this? So you can ponder the differences and the similarities we all may share, and that angst and growing and life's perspectives may not be so different between us all, regardless of what else we are dealing with. My family hopes you enjoy our little experiment. At the very least, we hope you find your thoughts provoked and your mind stimulated. Thank you for being a part of our experiment. My best to you all, Deborah Rose
Books Edited and Published by Deborah Rose
Partnerships: Family Education About Mental Illness
www.amazon.com/Partnerships-Family-Education-Mental-Illness/dp/144140242X/ref=sr_1_2?ie=UTF8&s=books&qid=1248652580&sr=1-2
A family guide to mental illness - "Partnerships" is designed to provide general information in regard to major mental illnesses, with the understanding that the authors are not engaged in rendering psychological, legal, or other professional services. What "Partnerships" is designed to provide is basic knowledge that gives the readers hope and practical influences on where and how to seek help.
Diagnosis - Reactive Attachment Disorder: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Reactive-Attachment-Disorder-Tomorrow/dp/1448638372/ref=sr_1_7?ie=UTF8&s=books&qid=1248652580&sr=1-7
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Weekly Workplace Thinkables - Book I
https://www.createspace.com/3392846
THINKABLES are intended to help you extend your thinking and experience to related areas you might not otherwise have considered. My expectation is that most of the readers will find some of the topics and thoughts of interest, and that some of the readers will find most all of the conclusions of interest. My desire is that some of the THINKABLES will encourage and challenge you to Think, See and then Act more keenly and deeply than before you turned these pages! Thanks for reading, thinking, and sharing.
Diagnosis - ADHD: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-ADHD-Visions-Tomorrow-Basics/dp/1442177543/ref=sr_1_1?ie=UTF8&s=books&qid=1248652580&sr=1-1
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Schizophrenia and Schizoaffective Disorder: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Schizophrenia-Schizoaffective-Disorder-Tomorrow/dp/1448635241/ref=sr_1_3?ie=UTF8&s=books&qid=1248652580&sr=1-3
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Anxiety Disorders: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Anxiety-Disorders-Visions-Tomorrow/dp/1448627958/ref=sr_1_5?ie=UTF8&s=books&qid=1248652580&sr=1-5
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Bipolar Disorder and Depression: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Bipolar-Disorder-Depression-Tomorrow/dp/1448635195/ref=sr_1_6?ie=UTF8&s=books&qid=1248652580&sr=1-6
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Borderline Personality Disorder: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Borderline-Personality-Disorder-Tomorrow/dp/1448635284/ref=sr_1_8?ie=UTF8&s=books&qid=1248652580&sr=1-8
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Diagnosis - Eating Disorders: Visions for Tomorrow - The Basics
www.amazon.com/Diagnosis-Eating-Disorders-Visions-Tomorrow/dp/1448638410/ref=sr_1_4?ie=UTF8&s=books&qid=1248652580&sr=1-4
This book is a "Digest" from the original Visions for Tomorrow curriculum to provide basic information to the general public. There is a series of these "digests", each covering a mental illness in the VFT curriculum, providing basic and valuable information for families who are dealing with a first time crisis or still trying to get information to better provide for their child's needs.
Recovery for the Whole Person
https://www.createspace.com/3392715
A Book About Mental Health and Spiritual Growth This book, Recovery for the Whole Person, is intended to promote discussion, consideration, and application of spiritual resources available primarily through a personal relationship by faith with Jesus Christ. People who have a different object of their faith should be able to easily adapt much of this course to their own faith. To neglect consideration of our body, soul, or spirit as we plan for recovery is to be short sighted and deliberately choose not to play with a full deck. Since many books on recovery neglect detailed spiritual resources, this book emphasizes increased awareness and use of spiritual tools in your own recovery, including exchanging God's ways for man's ways.
Featured Writer
Chicken Soup for the Soul: Children with Special Needs: Stories of Love and Understanding for Those Who Care for Children with Disabilities
www.amazon.com/Chicken-Soup-Soul-Understanding-Disabilities/dp/0757306209/ref=sr_1_6?ie=UTF8&s=books&qid=1248652987&sr=1-6
'These powerful heart-rending stories are filled with honesty, humor, hope and offer inspiration to parents, teachers, and anyone else who cares for children with special needs. By embracing the magnificence, inner peace, and beauty each child possess, our own attitudes are shifted from despair to promise
Subscribe to:
Posts (Atom)
