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

August 31, 2009

Studies show impact of apathy, hopelessness on cardiovascular disease

A depressed emotional state -- feelings of hopelessness and apathy -- could have a direct effect on your physical health, new research indicates.
A study of stroke survivors found a slower rate of recovery among those experiencing apathy, caring little about themselves and the world around them. And a study of healthy middle-aged women found an association between hopelessness and unexpected thickening of the carotid artery, the main blood vessel to the brain.
Both findings are reported in the Aug. 27 issue of Stroke.

August 24, 2009

Heath Ledger’s Joker 'exacerbates stereotypes about mental health'


Hollywood shows schizophrenics and those with other mental illnesses only as either stupid or evil, according to a new report for the Time to Change Campaign, which is backed by the Mind and Rethink charities.
The latest Batman film, for which Ledger won a posthumous Oscar, is criticised for pandering to a false stereotype of schizophrenics, that they have split personalities.
. . . .
A survey of 1989 people, commissioned for the report, found that 49 per cent had seen people with a mental illness acting violently on screen.
In total, 44 per cent of those asked believe that people with mental illnesses are more prone to violence.
Sue Baker, Director for Time to Change, said: “This report highlights that movies are the main source of information that reinforces negative stereotypes of mental illness above and beyond any other form of media.
“We need to make it clear to directors and producers that they can still break box office records without wrecking lives.”

Tech Gunman's Records Reveal Lack of Treatment

The missing mental health records of Seung Hui Cho, released Wednesday afternoon, provide more evidence that Virginia Tech's counseling center and the state's mental health system failed to recognize, communicate and treat the gunman's increasingly erratic behavior.

But the triage forms, e-mails and Post-It notes provide no window into Cho's tortured mind.

The records indicate that Cho sought help at the university's Cook Counseling Center three times in November and December 2005, twice on the phone and once in person. Each time, he was assessed but not treated.
On Dec. 14, 2005, the day Cho was released from a psychiatric hospital, was declared a danger for threatening to kill himself and was ordered by a judge to receive involuntary outpatient treatment at Cook, the therapist who saw him there did not evaluate his mood. Instead, she drew an "X" through the preprinted triage form.

August 20, 2009

Obama on Why We Need Health Care Reform

http://www.nytimes.com/2009/08/16/opinion/16obama.html?ref=opinionOUR nation is now engaged in a great debate about the future of health care in America. And over the past few weeks, much of the media attention has been focused on the loudest voices. What we haven’t heard are the voices of the millions upon millions of Americans who quietly struggle every day with a system that often works better for the health-insurance companies than it does for them.
. . . .
There are four main ways the reform we’re proposing will provide more stability and security to every American.

First, if you don’t have health insurance, you will have a choice of high-quality, affordable coverage for yourself and your family — coverage that will stay with you whether you move, change your job or lose your job.
Second, reform will finally bring skyrocketing health care costs under control, which will mean real savings for families, businesses and our government. We’ll cut hundreds of billions of dollars in waste and inefficiency in federal health programs like Medicare and Medicaid and in unwarranted subsidies to insurance companies that do nothing to improve care and everything to improve their profits.

Third, by making Medicare more efficient, we’ll be able to ensure that more tax dollars go directly to caring for seniors instead of enriching insurance companies. This will not only help provide today’s seniors with the benefits they’ve been promised; it will also ensure the long-term health of Medicare for tomorrow’s seniors. And our reforms will also reduce the amount our seniors pay for their prescription drugs.

Lastly, reform will provide every American with some basic consumer protections that will finally hold insurance companies accountable. A 2007 national survey actually shows that insurance companies discriminated against more than 12 million Americans in the previous three years because they had a pre-existing illness or condition. The companies either refused to cover the person, refused to cover a specific illness or condition or charged a higher premium.

Tackling the Mystery of How Much It Costs

You go to a restaurant, peruse the menu, take your waiter’s suggestions, and order a meal. But there is something odd: the menu has no prices and you have no idea what you will be required to pay until a few weeks later when the bill arrives in the mail.

That, it turns out, is analogous to what goes on in health care, where fees are hidden at the time of service. Making matters even worse, patients often are seeking care when they are frightened and vulnerable, in no position to ask about prices or haggle.