This is a blog for the Mental Health Policy Class at the George Warren Brown School of Social Work.

October 28, 2007

Scientists Denounce Global Warming Report 'Edits'

Environmental and public health experts overwhelmingly denounced editing by the White House of a federal health agency head's testimony to Congress Tuesday. Significant deletions were made from the testimony, concerning global warming and the potential impact on human health. The original, unedited testimony presented to Congress by Dr. Julie Gerberding, director of the Centers for Disease Control and Prevention (CDC) and obtained by ABC News was 14 pages long, but the White House Office of Management and Budget edited the final version down to a mere six pages.
Scientists and public health organizations called the move "frustrating," "terrible" and "appalling." The edits essentially deleted all sections that referred to climate change as a public health concern -- including the risks of increased food-borne and waterborne diseases, worsening extreme weather events, worsening air pollution and the effect of heat stress on humans. "Dr. Gerberding is the lead of the premiere public health agency in the U.S.," said Kim Knowlton, a science fellow on global warming and health at the National Resources Defense Council in New York. "It's shocking that she was not allowed to say in a public discussion some of these vital details.
"One has to wonder why was this is so threatening to the White House."

Suicide by Soldiers in Iraq

More service members killed themselves while serving in the Iraq war last year than in any year since the war began, and the suicide count for 2007 is on track to surpass that. The dead are generally junior enlisted soldiers who are single, white and male.

SCHIP Redux

Sensing a political advantage, Democrats rushed Wednesday to move a health care bill for children back to the House floor, having made minor changes to win over more Republicans.
Speaker Nancy Pelosi said the House would vote Thursday on the new bill. Like the original, which President Bush vetoed three weeks ago, it would cover 10 million children through the State Children’s Health Insurance Program and increase spending on the program by $35 billion, for a total of $60 billion, in the next five years.
But the new bill would tighten eligibility for the program, generally barring the use of federal money to cover illegal immigrants, childless adults and children of families with incomes exceeding three times the poverty level: $61,950 for a family of four. . . .
Under the new bill, as under the previous one, the federal excise tax on cigarettes would be increased by 61 cents a pack, to a total of $1, and Mr. Leavitt said the administration still opposed that provision.

Should Middle School Students Have Access to Birth Control?

Two days after the school committee voted 7 to 2 in favor of adding prescription contraceptives to the services offered at the health clinic, the issue continues to draw fervent support and ardent opposition in this city of 64,000, the largest in Maine.
“I think it’s a great idea,” said Cathleen Allen, whose son is enrolled at King. “Someone is finally advocating for these students to take care of themselves.”
Ms. Allen added, “It’s an eye-opener for all of us, but when you look at the facts, why not?”
Bishop Richard J. Malone of the Roman Catholic Diocese of Portland is calling on the school committee to rescind its decision, as have the state and city Republican Parties. The city party is also pushing a recall for members who voted in favor.
Nick McGee, the city’s Republican Party chairman, said of the policy, “It is an attack on the moral fabric of our community, and a black eye for our state.”
On Friday, John Coyne, chairman of the school committee and one of the two members who voted against the plan, said he wanted the panel to reconsider the program. Mr. Coyne said that parents should have the option to enroll their children in all aspects of the clinic except reproductive health treatment, and that parents should be made more aware of the state’s confidentiality laws.
“I still don’t feel comfortable with this,” Mr. Coyne said. “There’s no talk about the health issues and the possible long-term ill effects on these young ladies.”
The school’s clinic functions much like a physician’s office and has been offering condoms and testing for pregnancy and sexually transmitted diseases since 2000. It also offers dental, mental health and basic care.
The clinics at Portland high schools have offered oral contraceptives for years, said Douglas S. Gardner, the city’s director of health and human services. Health officials decided to extend the policy to middle school after learning that 17 middle school students had become pregnant in the last four years, seven of them in the 2006-7 school year.

Sexual misconduct plagues US schools

The young teacher hung his head, avoiding eye contact. Yes, he had touched a fifth-grader's breast during recess. "I guess it was just lust of the flesh," he told his boss.
That got Gary C. Lindsey fired from his first teaching job in Oelwein, Iowa. But it didn't end his career. He taught for decades in Illinois and Iowa, fending off at least a half-dozen more abuse accusations.
When he finally surrendered his teaching license in 2004 — 40 years after that first little girl came forward — it wasn't a principal or a state agency that ended his career. It was one persistent victim and her parents. . . .
One report mandated by Congress estimated that as many as 4.5 million students, out of roughly 50 million in American schools, are subject to sexual misconduct by an employee of a school sometime between kindergarten and 12th grade. That figure includes verbal harassment that's sexual in nature.

Biden unveils health care plan

Democratic presidential candidate Joe Biden on Tuesday released a plan that would expand access to health coverage for all children and adults, but stops short of mandating universal coverage. . . .
The plan would cost an estimated $110 billion each year. It would be paid for by rolling back tax cuts for the top 1 percent of Americans, eliminating tax breaks on capital gains and ending tax loopholes for hedge fund managers and private equity partners, the campaign said.
To provide health coverage for uninsured children, Biden proposes expanding the State Children's Health Insurance Program, or SCHIP, to at least 300 percent of the poverty level — or about $61,950 for a family of four, and raising the coverage age to at least 21. Families that don't meet the poverty criteria would be able to purchase coverage under the program.

Voters favor Democratic ideas to mend healthcare

Healthcare is widely seen as the top domestic issue in next year's presidential race. Two of the main proposals advanced by Democrats received majority support in the poll. Sixty-two percent said they supported requiring large employers to help pay for coverage whereas 31% opposed it. And 51% said they favored a mandate that individuals purchase health insurance, much as drivers are required to carry auto coverage; 39% disagreed. Tax breaks to make insurance more affordable -- a leading Republican idea -- more closely divided the public, with 44% backing that approach and 45% opposing it. In one of the most politically significant results, the poll finds that independents and moderates were generally lining up with Democrats in the healthcare debate.

October 27, 2007

Holiday-Suicide Link Newspapers Continue to Perpetuate the Myth

Despite no basis in fact, newspapers continue to report on the increased risk of suicide around the Thanksgiving, Christmas and New Year holidays. An analysis of newspaper reporting over the past seven years released today by the Annenberg Public Policy Center shows that this story represents about half of all holiday-relevant suicide reporting. . . .
As noted in previous studies, the rate of suicide in the U.S. is lowest in December, and peaks in the spring and fall. Data collected by the National Center for Health Statistics show that this pattern has not changed through 2003, the most recent year for which national data are available.

October 23, 2007

House Failure To Override Veto Good News For Tobacco

The U.S. House's failure Thursday to override President George W. Bush's veto of tobacco tax hike legislation is another break for the industry. The bill would have increased federal tobacco excise taxes the equivalent of 61 cents per pack of cigarettes. . . .
The $35 billion raised by the tobacco tax increase over five years would have offset the cost of expanding the State Children's Health Insurance Program. The bill's supporters said that by 2012, the expansion would have allowed the program to cover nearly 10 million children.
House Speaker Nancy Pelosi, D-Calif., already has promised to have the same bill back on Bush's desk within two weeks. Asked whether the bill might include an alternative funding source, Pelosi said simply, "no."
Bush vetoed the bill on Oct. 3, arguing that it would encourage families to drop private insurance. He has offered $5 billion that would temporarily increase the number of children enrolled in the program, but would reduce enrollment over the next five years.

October 22, 2007

Meth Stories

Some of these first-person accounts may be of interest.

Should Cities Offer Safe Sites for Injection Drug Users?

City health officials and addiction experts took the first steps Thursday toward opening the nation's only government-sponsored injection room that would give drug addicts a safe, clean place to shoot up. Hoping to reduce San Francisco's high rate of fatal drug overdoses, the local public health department co-sponsored a symposium on the only such facility in North America, a 4-year-old Vancouver site where an estimated 700 users a day self-administer narcotics under the supervision of nurses.

October 12, 2007

Optimal treatment for depression (LA Times article)

Nearly 20 million Americans suffer from some form of depression, according to the National Institute of Mental Health. About 14% of adults now take antidepressants -- triple the percentage during the late 1980s -- and most stay on them for at least six months. A study published in this month's issue of the Archives of General Psychiatry estimated that mental disorders, largely depression, cost Americans 1.3 billion days of normal activity each year. Many people with such illnesses say they feel hopeless, helpless, unable to face life, unable to find solutions to their problems, and at times think of killing themselves. Some of them do.

Medicare Audits Show Problems in Private Plans

Tens of thousands of Medicare recipients have been victims of deceptive sales tactics and had claims improperly denied by private insurers that run the system’s huge new drug benefit program and offer other private insurance options encouraged by the Bush administration, a review of scores of federal audits has found. . . . The audits show the growing pains that Medicare has experienced as it introduced the popular new drug benefit and shifted more responsibility to private health plans. For years, Democrats have complained about efforts to “privatize Medicare,” and they are likely to cite the findings as evidence that private insurers cannot be trusted to care for the sickest, most vulnerable Medicare recipients.

Kids get inadequate health care

As Washington debates children's health insurance, a startling study finds that kids who regularly see doctors get the right care less than half the time — whether it's preschool shots or chlamydia tests for teen girls. The findings, from the first comprehensive look at children's health care quality, are particularly troubling because nearly all the 1,536 children in the nationwide study had insurance. Eight-two percent were covered by private insurance. Three-quarters were white, and all lived in or near large or midsized cities. Two experts called the findings "shocking." Others said minority children, those with more-restrictive government insurance, and the millions with no insurance at all certainly fare even worse.

October 11, 2007

Boom Times for Dentists, but Not for Teeth

Previously unreleased figures from the Centers for Disease Control and Prevention show that in 2003 and 2004, the most recent years with data available, 27 percent of children and 29 percent of adults had cavities going untreated. The level of untreated decay was the highest since the late 1980s and significantly higher than that found in a survey from 1999 to 2002.

Despite the rise in dental problems, state boards of dentists and the American Dental Association, the main lobbying group for dentists, have fought efforts to use dental hygienists and other non-dentists to provide basic care to people who do not have access to dentists.

October 5, 2007

Fifth Of State Prison Inmates Mentally Ill

A legislative report shows more than 20 percent of Connecticut's approximately 19,000 prison inmates have moderate to severe mental illness.That fact is prompting some state lawmakers to point out an apparent shortage of trained psychiatric nurses and a need for more training for correction officers. Also, there's talk of creating a separate facility for inmates with mental illness to ease the space crunch" . . . . "If you want to free up prison beds [to keep violent offenders behind bars longer], then get these mentally ill people out of there," Lawlor said.

Suicide prevention team: Victim's dad, former tormentor

After a 17-year-old fellow student took his own life, Kirk Zajac was devastated. Not because he and the other teen were friends; but because they so clearly were not.
Kirk didn't even know the name of the quiet boy whom he and others tormented regularly on the crowded bus to Notre Dame-Cathedral Latin School. They called him "Polar Bear" because of his size and refused to make room for him in a seat. They made fun of him behind his back and to his face.
Last September, when the principal somberly announced that Andy Lehman had died in a car crash, it took awhile for Kirk to even figure out who Andy was. Then he discovered that the crash was no accident.