Untitled document Key Update: May 2009
Volume 5, Number 11
News and Alerts
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Deadline for Alternatives 2009 Call for Papers Is May 31; Scholarship Deadline Is June 5
The May 31 deadline for responding to the Alternatives 2009 Call for Papers is fast approaching, with the scholarship application deadline a few days later. Both forms are available on the Alternatives 2009 Web site, http://www.alternatives2009.org. Alternatives 2009 – October 28 through November 1 at the Hilton Omaha in Omaha, Nebraska – is organized by the National Mental Health Consumers' Self-Help Clearinghouse. The Alternatives conferences offer a great learning environment: Of respondents completing the Alternatives 2007 evaluation, 100 percent learned new ways to be involved in creating policy and/or delivering services, new alternative treatment options, new recovery possibilities for themselves and others, and new information skills they can use in their work. The Alternatives conferences are funded in part by the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.
Source: http://www.alternatives2009.org
Source: http://www.alternatives2009.org
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top Washington State Releases New Guidelines for Reporting on Mental Illness
Washington's Mental Health Transformation Project and the University of Washington School of Social Work have launched a new Web site (http://www.mentalhealthreporting.org) and a "Media Guide to Reporting on Mental Illness" to help the media improve their coverage of mental health issues. The resources were created after a content analysis of 856 news stories over 10 years showed that news stories often use derogatory terms and negative stereotypes to describe people living with mental illnesses. The new resources are intended to help journalists address a wider range of stories on mental health, and help them avoid using stereotypical language. The site includes suggestions for reporting a story involving both violence and mental illness, such as questioning whether it is relevant to report an individual's history of mental illness, and avoiding unsubstantiated attributions of the violence to mental illness. The Mental Health Transformation Project is funded by the Substance Abuse and Mental Health Services Administration. For an online copy of the Media Guide and the original study, go to www.mentalhealthreporting.org.
Source: http://www.dshs.wa.gov/mediareleases/2009/pr09067.shtml
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top Big Changes Ahead for the Fifth Edition of the "Diagnostic and Statistical Manual"
The American Psychiatric Association is on schedule to publish a new edition of its "Diagnostic and Statistical Manual" (DSM V) in 2012, and it will likely include significant changes. For example, hoarding may be added as a separate disorder among a larger group of obsessive-compulsive disorders. Also, what is now called gender-identity disorder, classified as a sexual dysfunction, may be classified differently, or the diagnosis may be eliminated altogether, as has recently occurred in France. The working group that is establishing the new criteria for psychoses hopes to discard the diagnosis of schizoaffective disorder, instead characterizing it as schizophrenia that includes a mood disorder. In addition, despite the danger of stigmatizing people who do not exhibit overt symptoms, the group is leaning toward including a category for those who might be predisposed to psychotic disorders. Since its initial publication, the DSM has wielded great influence in regard to defining what is and is not a mental illness. For example, in the 1970s, in what came to be seen as a watershed event, the third DSM famously stopped calling homosexuality a mental illness. The "DSM" was first published in 1952 and has had three updates since then.
Sources: http://www.medpagetoday.com/MeetingCoverage/APA/14270
http://www.france24.com/en/20090517-transsexuality-no-longer-classified-mental-illness-france-day-against-homophobia
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top New Tool Developed to Assess Voting Competence of Individuals with Mental Illnesses Whose Competence Has Been Challenged
People with serious mental illnesses generally seem to be able to understand the value and importance of their vote, according to researchers who have developed a new testing instrument to assess whether individuals with serious mental illnesses have the capacity to vote. The researchers used the Competency Assessment Tool for Voting (CAT-V) in a study of 52 individuals, and over 90 percent passed with ease, according to a report in the May 2009 edition of Psychiatric Services. The tool may be helpful in cases in which someone's capacity to vote has been challenged. "The bottom line is that standards for competence to vote are not – and should not be – demanding, and hence within the usual range of impairments found in a population with serious mental illnesses, incompetence to vote will be rare," study author and past American Psychiatric Association president Paul Appelbaum, M.D., told Psychiatric News. Noting that the general population is not screened, he stressed that the tool should not be used for general screening of people with mental illnesses. The CAT-V criteria are based on those established in a 2001 federal district court decision in Maine that declared that individuals are not competent to vote only if they "lack the capacity to understand the nature and effect of voting such that they cannot make an individual choice."
Source: http://pn.psychiatryonline.org/cgi/content/full/44/10/8?etoc
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top Provide Permanent Supportive Housing for Rural Homeless People with Psychiatric Disabilities, Study Suggests
Providing permanent supportive housing to people who are homeless and have mental illnesses or co-occurring mental health and substance use disorders in rural areas is less expensive to taxpayers than the current hodgepodge system of shelters, emergency hospitalizations and, sometimes, incarceration, according to a study by Maine researchers. The study included 163 participants, 97 percent of whom had mental illnesses. Permanent supportive housing – which the researchers defined as affordable housing with support services either on-site or in the community – reduced the costs of providing mental health services by 57 percent – including a 79 percent decrease in the cost of psychiatric hospitalization – and also gave study participants a higher quality of life. Read the report online at http://www.shalomhouseinc.org/documents/MaineCostofRuralHomelessnessReport.pdf
Source: http://www.keepmecurrent.com/organization/story.cfm?storyID=65798
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top Prices of Brand-name Psychiatric Medications Rose in 2008; Prices of Generics Fell
In 2008, the prices of name-brand psychiatric medications rose at a much faster rate than the general rate of inflation. While inflation was measured at 3.8 percent, the prices of name-brand drugs increased at an average of nearly 9 percent, according to the "Rx Watchdog Report" of AARP (formerly known as the American Association of Retired Persons). Clocking in at a 21 percent increase, the price of Wellbutrin rose the most. The prices of anticonvulsants rose, on average, 12.8 percent; antipsychotics 10.7 percent; and antidepressants 9.0 percent. People who take three name-brand medications could see their bills go up by $550 a year, according to AARP spokesman John Rother. He added that switching to generic medications is one simple way to begin reducing the cost of medical bills. AARP's "Rx Watchdog Report" is available online at http://assets.aarp.org/rgcenter/health/2009_07_rxq408.pdf
Source: http://pn.psychiatryonline.org/cgi/content/full/44/10/22-a?etoc
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top Acupuncture Therapy May Be Effective in Treating Depression, Studies Indicate
Although there have not been many studies of acupuncture's effectiveness in combating depression, most of the existing studies show that it may be a promising treatment option both for depression and anxiety, according to a recent report published in Psychiatric Times. For example, one study has shown that electroacupuncture therapy can cause a remission in depression without the memory loss or confusion of electroconvulsive therapy. Another study has shown that acupuncture relieves physical symptoms of the anxiety that often accompanies depression, while still another study indicated that acupuncture may be effective as a monotherapy for mild or moderate depression. A further study has suggested that acupuncture can be valuable as a complimentary therapy to relieve menopause-related symptoms among patients with breast cancer. Although the precise mechanism of action is still unknown, many believe that acupuncture may change the activity of certain neurotransmitters such as serotonin and norepinephrine. The researchers suggest that further research on acupuncture as an alternative treatment for depression is warranted. The complete report can be read at http://www.psychiatrictimes.com/display/article/10168/1413274
Source: New York Association of Psychiatric Rehabilitation Services Mental Health Enews http://www.nyaprs.org/pages/View_ENews.cfm?ENewsID=7859
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top Peer-Run Design Program, Among Finalists in National Competition, Seeks Votes Before May 28 Deadline
The Creative Strokes Network, a program created by peers in Bridgeport, Conn., who volunteer to paint and decorate each others' apartments, is among the top 10 finalists in the "Designing for Better Health" competition organized by the Robert Wood Johnson Foundation and Ashoka Changemakers. Instructions for voting to help them win the competition are available on the Creative Strokes Network Web site (http://saboe.shutterfly.com). "The Creative Strokes Network . . . creates wonderful opportunities for people to take ownership and pride in where they live, securing for themselves not only housing but a true sense of home, something we know to be crucial to sustained recovery," according to Dr. Larry Davidson, director of the Yale Program for Recovery and Community Health, who is quoted in a Creative Strokes Network press release. In the process, people give back to others, learn new skills, and gain self-confidence, Davidson said, adding "It has been truly transformative in people's lives."
Source: http://saboe.shutterfly.com/
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top Racial Disparities Persist in Prescribing Drugs and Adherence to Medication Regimens
Minorities are less like to receive appropriate medications than are individuals who are not members of minority populations, according to a review of the literature on medication use among minorities by the National Minority Quality Forum, a watchdog group that seeks to ensure that racial and ethnic minorities in the United States receive optimal health care. This disparity in medication use in general also includes less than optimal use of psychiatric medications, the report notes. According to the group, the disparity may sometimes be the unintentional consequence of cost containment strategies in medical insurance medication plans. Otherwise, it may relate to a clinician's poor understanding of a patient's culture. Patient adherence to prescribed drug regimens also can be a problem, with low income, lack of insurance, poor education, language barriers, low health literacy and poor communication by providers all playing a part. The full report is available online at http://store.nmqf.org/p-13-nmqf-e-books.aspx
Source: New York Association of Psychiatric Rehabilitation Services Mental Health E-news http://www.nyaprs.org/pages/View_ENews.cfm?ENewsID=7867
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top Criminal Justice Fact Sheets Available
The Center for Behavioral Health Services & Criminal Justice Research at Rutgers University is offering a series of "Intervention Fact Sheets" and "Policy Issue Briefs" that summarize current research on critical policy, program, and practice issues that affect people with mental illnesses involved with the justice system. The Center, funded by the National Institute of Mental Health, focuses on three research areas: arrest, diversion, and incarceration processing; the delivery of behavioral health services within jails and prisons; and the development, implementation, and evaluation of reentry, resettlement, and recidivism-reducing interventions. Links to these fact sheets and policy briefs can be found on the Center's Web site (in the "News" drop-down menu), along with "inmate-oriented manuals" to assist with reentry planning and reentry readiness assessment, and summaries of the Center's past and current research projects. To suggest topics for future fact sheets or policy briefs, contact Jenny Shi at jshi@ifh.rutgers.edu.
Source: http://www.cbhs-cjr.rutgers.edu
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top Do Psychiatric Drugs Increase the Risk of Cardiac Death? A New Study Suggests, "Maybe."
New research suggests that people who take certain psychiatric medications may face a greater risk of death during situations in which their hearts suddenly stop functioning normally than do people who do not take psychiatric medications. Researchers in Finland compared the drugs taken by 321 individuals who had died as a result of heart attacks with those taken by 609 people who had survived heart attacks, and found that people taking antipsychotic medications, antidepressants, or benzodiazepines in particular had a higher rate of death when experiencing acute heart problems. There was no indication, however, that the increased mortality rates were caused directly by the medications. Instead, the increased rate of mortality could be caused by other medical issues that people who take psychiatric drugs face. The researchers advise advocating for further research on people who take the medications in order to minimize the risks.
Source: Healthday News, Thursday May 14, 2009
Source: http://www.ajc.com/health/content/shared-auto/healthnews/dead/627094.html
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top UPenn Collaborative Seeks Innovative Programs
The UPenn Collaborative on Community Integration, funded by the National Institute on Disability and Rehabilitation Research, is seeking innovative initiatives that address community barriers limiting the opportunities of people with mental illnesses to participate equally in the community, and/or programs that provide rehabilitative supports that address an individual's unique needs. These barriers and supports might be in housing, employment, education, leisure/recreation, social roles (parenting, intimate relationships, friendships), peer support, health and well-being, citizenship, self-determination, and religion/spirituality. The UPenn Collaborative will feature selected programs on its Web site. (The programs do not need to be within mental health organizations.) Contact Pam Cousounis (pamelac2@mail.med.upenn.edu or 215-746-1950) and include the agency/organization name, program/initiative name, short description, and contact information (including name, phone number, e-mail address, and Web site).
Source: http://www.upennrrtc.org
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top A Movement Leader Blogs About Life as a Hospice Patient
Judi Chamberlin, an early leader of the consumer/survivor movement and author of "On Our Own: Patient Controlled Alternatives to the Mental Health System" (McGraw-Hill, 1978), a work that galvanized the self-help/advocacy movement of individuals with psychiatric histories, is seriously ill and is receiving home hospice care. She believes hospice is a good model for what a caring mental health system would look like. Her blog is available at the link below.
Source: http://judi-lifeasahospicepatient.blogspot.com/
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top Final Days for National Technical Assistance Centers Impact Assessment Survey
The five consumer and consumer-supporter national technical assistance centers (TAC) are seeking feedback on how well they are serving individuals and organizations involved in the mental health self-help and advocacy movement. The National Consumer and Consumer-Supporter TAC Impact Assessment includes 31 questions to help the five TACs improve their services and supports, promote consumer-directed approaches, and strengthen consumer network organizations. Any time before May 31, please click on the link below to fill out the survey, which was developed by CONTAC (Consumer Organization and Networking Technical Assistance Center). Your responses are greatly appreciated! The five TACs are the National Mental Health Consumers' Self-Help Clearinghouse, the National Empowerment Center TAC, the Peers Helping Peers TAC of the Depression and Bipolar Support Alliance, Mental Health America's National Consumer Supporter Technical Assistance Center (NCSTAC), and NAMI's STAR (Support, Technical Assistance and Resource) Center.
Source: https://www.surveymonkey.com/s.aspx?sm=wmSQrRMlvjSX73YqoZM_2bqg_3d_3d
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top Consumer-Driven Services Directory
The Clearinghouse welcomes all programs in which consumers play a significant role in leadership and operation to apply for inclusion in its Directory of Consumer-Driven Services. The directory, accessible at www.cdsdirectory.org, is searchable by location, type of organization, and targeted clientele and serves as a free resource for consumers, program administrators and researchers.
Apply online, via fax at 215-636-6312, or by phone at 800-553-4KEY (4539). To receive an application by mail, write to info@cdsdirectory.org or NMHCSH Clearinghouse, 1211 Chestnut Street, Suite 1100, Philadelphia, PA 1
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top About The Key Update
The Key Update is the free monthly e-newsletter of the National Mental Health Consumers' Self-Help Clearinghouse Volume 5 No.11, May 2009, http://www.mhselfhelp.org
To subscribe send a message to: subscribe thekey. To unsubscribe send a message to: unsubscribe thekey. For content, reproduction or publication information, contact Susan Rogers at 215-751-1800 x288 or srogers@mhasp.org.
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