Mental Health in the Headlines: Week of April 19, 2010

Mental Health in the Headlines offers summaries of the latest news and views in the mental health field. Coverage of news items in this publication does not represent Mental Health America's support for or opposition to the stories summarized or the views they express.


*DID YOU KNOW?

An interaction of genetics and family conflict may trigger Attention-Deficit Hyperactivity Disorder (ADHD)...more

*HEALTH REFORM UPDATE

Obama Pushing to Implement Reforms Quickly

Although many of the elements of the health reform law won’t take effect for several years, President Obama is pushing to implement the overhaul more quickly. He has assembled a team of administration officials to carry out a multi-pronged implementation plan. The President has also urged advisers to begin moving sooner to set up an Independent Payment Advisory Board for controlling Medicare spending, a top priority of his. Many experts believe the board could prove effective in restraining spending. (The New York Times, 4/17/10)

*TODAY’S NEWS

Health Insurers Sue to Stop Parity Rules

A group of three managed behavioral health care organizations have sued to stop federal agencies from finalizing regulations implementing the federal mental health parity law. Although many providers and insurers gave a positive reaction to the rules, some managed care companies are unhappy with regulation requiring a single deductible for both behavioral and general health. In the lawsuit, they assert that the law does not require it and would result in administrative burdens. (Modern Healthcare [subscription required], 4/12/10)

Parity Law May Eliminate Need for Public Mental Heath System

The federal mental health parity law may eliminate the need for a public mental health system if it is implemented properly, a state official said last week. Michael Hogan, New York State’s mental health commissioner, said that if the law is handled in a way that “genuine and deep” and includes care for people referred by the criminal justice system, the state may not need a separate public system. (Wall Street Journal, 4/15/10)

South Korea Struggles with High Suicide Rate

The suicide rate in South Korea has doubled in the past decade and is now the highest in the industrialized world. It is the leading cause of death among South Koreans in their 20s and 30s, and it is the fourth leading cause of death overall, after cancer, stroke and heart disease. Prior to its economic boom, Korea’s suicide rate was among the lowest. Many Koreans don’t seek help for depression because of the stigma it carriers. (The Washington Post, 4/18/10)

Cambodia Has High Rates of Mental Illness, Little Treatment

Years of civil war and genocide have taken a toll on the mental health of Cambodians. Despite economic progress in recent years, the country has high rates of mental illness and little access to treatment. A study by the Dutch aid group Transcultural Psychosocial Organization found 35 percent of Cambodians suffer from some kind of psychiatric problem, from mild conditions to major illness. More than a quarter of the population shows signs of Post-Traumatic Stress Disorder, and over 10 percent suffer major depression, even though most of the population is too young to remember past problems. (Voice of America, 4/15/10)

1 in 5 Children Has Diagnosable Mental Health Condition

One in five American children has a diagnosable mental health condition, according to researchers. And kids in military families have an even higher incidence of emotional and behavioral problems. The Center for Children in Poverty, which released the data, says that the country’s system for children who need mental health services isn’t sufficient to handle the volume or meet the specific needs of children. May 6 is National Children’s Mental Health Awareness Day. (St. Louis Post-Dispatch, 4/15/10)

NIMH Head Seeks Consensus Strategy on Pediatric Bipolar

The head of the National Institute of Mental Health (NIMH) is advocating a concerted approach to address the increase in the diagnosis of child and adolescent bipolar disorder. Dr. Thomas Insel writes in his Director’s Blog that NIMH is committed to bringing the field together to resolve these diagnostic issues, discover the causes, and develop more effective treatments for youth with bipolar disorder and mood-related syndromes. “Achieving consensus about the boundaries of the diagnosis will lead to more reliable prevalence estimates and improve the comparability of research findings on course, causes and interventions across studies,” he said. (NIMH.nih.gov, 4/08/10)

Questionnaires Help Diagnose Conditions

Some of the best tests for identifying early signs of depression and Alzheimer’s disease are standard questionnaires. They allow doctors to quickly obtain important information that patients might not disclose on their own. They don’t replace a talk by the doctor with the patient, but they speed up the process. (Newsweek, 4/13/10)

Many Adults with Depression Smoke

More than 40 percent of U.S. adults who have depression also smoke, according to a government survey released last week. The findings show people need help with both if they want to quit. The survey, conducted by the National Center for Health Statistics, found more than half of middle-aged men with depression were also smokers, while half of women under age 40 who were depressed also smoked. (Reuters, 4/14/10)

Further Reading

Dr. Thomas Insel, Director of the National Institute of Mental Health, writes in the April edition of Scientific American [subscription required] that “neuroscience is revealing the malfunctioning connections underlying psychological disorders and forcing psychiatrists to rethink the causes of mental illness.”

The New York Times Magazine devotes its April 18 issue to “The Science of Living a Healthy Life.” Among the articles, “The Medium” column looks at the website Psycho-Babble.

Latest Research

Genetics, Family Discord May Trigger ADHD: An interaction of genetics and family conflict may trigger Attention-Deficit Hyperactivity Disorder (ADHD), researchers assert. A study of 304 youths found that ADHD symptoms were more common in children and teens with high or low activity levels of the neurotransmitter serotonin and who blame themselves for conflict between their parents. Published in the journal Behavioral and Brain Functions, the study examined the genetic region known as 5HTTLPR, which is responsible for regulating the production of a protein that transports serotonin. Previous studies have linked this area to a number of personality traits and neuropsychiatric disorders. The researchers say their results add to evidence that the gene variants create a risk for ADHD that is precipitated in particular environments. (HealthDay News, 4/19/10)

Spanking Can Make Children More Aggressive: Spanking a child is associated with an increased risk for aggression, according to a new study. Researchers interviewed 2,461 mothers about their use of corporal punishment and their children's aggressive behavior at ages 3 and 5. Reported in the journal Pediatrics, the study found that spanking a child of 3 more than twice a month was associated with an increased risk for higher levels of aggression at age 5. (Reuters, 4/12/10)

Criteria for Eating Disorders May be Too Narrow: Definitions of eating disorders may be too narrow, a new study asserts. Researchers at Stanford University examined 1,310 females ages 8 to 19 with diagnoses of anorexia, bulimia or a catch-all term "eating disorder not otherwise specified.” This category has been criticized because it is often considered less serious. In the study, about two-thirds were given that diagnosis and this group was sicker than patients who received the diagnosis of bulimia. Published in the journal Pediatrics, the study concludes that diagnosis for eating disorders should be reevaluated. (The Los Angeles Times, 4/12/10)

Recovery form Borderline Personality Disorder Can be Achieved: Recovery from borderline personality disorder can be long-lasting, according to a new study. Often viewed as difficult to treat, advances have been made in recent years. Researchers from McLean Hospital in Massachusetts studied 290 hospitalized patients with the condition over 10 years. Half of the patients recovered from the disorder after 10 years of follow-up. Recovery was defined as at least two years without symptoms and both social and vocational functioning. Overall, 93 percent of patients achieved a remission of symptoms lasting at least two years and 86 percent for at least four years. Published in The American Journal of Psychiatry, the research argues that once recovery has been attained, it appears to last. (The Los Angeles Times, 4/15/10)

*HEADLINES at Mental Health America

Ashley Miers Sings for A Cause as Well as Acclaim: Ashley has chosen Mental Health America as a cause she is supporting through a unique, new program called “Share the Mic.” 

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*Mental Health America MEDIA HIGHLIGHTS

Mental health courts are now being used by a number of cities. Mental Health America supports their use, but discourages over-criminalization of mentally ill offenders. Psychcentral.com, “Mental Health Courts: The Drawbacks,” April 13, 2010

A new poll reveals that more and more women are experiencing anxiety and depression. Mental Health America features advice for finding a support group and dealing with health insurance issues, as well as a free newsletter about the latest developments in mental health and research. Self, “Guide to Improving Your Mental Health,” May, 2010

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