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Showing posts with label mental illness. Show all posts
Showing posts with label mental illness. Show all posts

Monday, October 03, 2022

A Post-Gubernatorial Debate Reflection—Together with Data—on Texans' Shameful Lack of Access to Mental Health Care

Friends,

I'm thinking about the Uvalde school shooting and last Friday's debate between gubernatorial candidate Beto O'Rourke and Gov. Greg Abbott. You can view the entire debate here. Folks should know that when Beto said that Texas ranks at the bottom of the U.S. for mental health care access, he was correct. Abbott's lame response that we ranked 27th was not only not true but profoundly dishonest in light of real data provided in this 2022 report issued by Mental Health America where Texas appears at the bottom in practically every index that you can learn about and read for yourselves HERE

Relatedly, read the truth in this Business Insider story that Abbott denied in the debate regarding his cutting funding from mental health services to fund his flawed Operation Lone Star border immigration initiative that according to civil rights groups, is little more than a "state-funded 'shadow criminal legal system.'"

"Across the two years, more than $200 million was cut from the departments funds to go towards supporting the National Guard and efforts on the border, per the outlet. " (Al-Arshani, May 29, 2022)


In the debate, O'Rourke appropriately called out Operation Lone Star as a stunt. After all, our governor is "performing" governing while actually distracting us from a severe mental health care access crisis in our state together with other issues like the power grid, the environment, and funding schools and teachers in our state who are either considering leaving the profession or are actually departing (see Progress Texas, 2022).


For ease, I have condensed the Mental Health America report findings here. But first, take a look at how the MHA measures access with the acronym "AMI" meaning "a mental illness" and "MDE" meaning a "major depressive episode":

"ACCESS TO CARE RANKING. The Access Ranking indicates how much access to mental health care exists within a state. The access measures include access to insurance, access to treatment, quality and cost of insurance, access to special education, and workforce availability. A high Access Ranking (1-13) indicates that a state provides relatively more access to insurance and mental health treatment.

The 9 measures that make up the Access Ranking include:

  1.  Adults with AMI who Did Not Receive Treatment
  2.  Adults with AMI Reporting Unmet Need
  3. Adults with AMI who are Uninsured
  4.  Adults with Cognitive Disability who Could Not See a Doctor Due to Costs
  5.  Youth with MDE who Did Not Receive Mental Health Services*
  6.  Youth with Severe MDE who Received Some Consistent Treatment
  7.  Children with Private Insurance that Did Not Cover Mental or Emotional Problems
  8.  Students Identified with Emotional Disturbance for an Individualized Education Program
  9.  Mental Health Workforce Availability"

  • Adults with Ami Who Are Uninsured 2022—Texas ranks 51 (21,50%; n=759,000). 
  • Adults with Ami Who Did Not Receive Treatment 2022—Texas is ranks 46 (60.70%; n=2,148,000)
  • Adults with Ami Reporting Unmet Need 2022—Texas ranks 19 (24%; n=845,000)
  • Adults with Disability Who Could Not See a Doctor Due to Costs 2022—Texas ranks 51 (40.65%; n=954,935)
  • Youth with MDE Who Did Not Receive Mental Health Services 2022—Texas ranks 51 (73.10%; n=255,000)
  • Youth with Severe MDE Who Received Some Consistent Treatment 2022—Texas ranks 44 (19.20%; n=44,000)
  • Children with Private Insurance that Did Not Cover Mental or Emotional Problems 2022—Texas ranks 48 (13.80%; n=135,000)

I'm devastated, but glad I took a look. Do take a look for yourselves, as well. The numbers of folks not getting the help they need in our state are staggering.
These data are shocking and horribly upsetting as we ponder the incalculable suffering that tons of Texans are, and have been, experiencing. 
This is beyond shameful for a state as rich as ours, or for any state ranked at the bottom. After all, the purpose of government in a democracy should be to take care of its citizens. When it fails to do so, it's both derelict in its responsibilities and morally bankrupt.
Our task as voters it to voice our views at the ballot box.

-Angela Valenzuela
#Shameful #Uvalde #RememberUvalde #vote2022

References

Al-Arshani, S. (2022, May 29). Abbott blamed Texas school shooting on lack of mental health resources. But he reportedly cut more than $200 million from the department that handles them, Business Insider. Retrieved: https://tinyurl.com/ddwmf4u9

Mental Health America (2022) Access to Care Ranking 2022, Retrieved: https://tinyurl.com/2p9y7v3t

Progress Texas. (2022, August 17). As school starts, 70% of Texas teachers consider quitting. Retrieved: https://progresstexas.org/blog/school-starts-70-texas-teachers-consider-quitting

Friday, September 25, 2020

Say it plainly: The president is a psychopath, by Alan D. Blotcky & Seth D. Norrholm

We've been hearing this from authoritative psychologists long enough that Donald Trump suffers from mental illness.  For example, this top-selling book titled, "The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President - Updated and Expanded with New Essays" should be warning enough. We all of course know that his mental state affects us all as a nation. What he says and how he behaves should not get normalized. In contrast, if it's not already obvious, we should recognize this as putting us all in serious jeopardy.

Authors of this New York Daily News piece, Blotcky and Norrholm, are weighing in as psychologists themselves.

-Angela Valenzuela

#Vote2020 #VoteHimOut2020

Say it plainly: The president is a psychopath

By ALAN D. BLOTCKY and SETH D. NORRHOLM
New York daily news | September 24, 2020


U.S. President Donald Trump speaks during a news conference in the briefing room of the White House on September 23, 2020 in Washington, DC. (Joshua Roberts/Getty Images)

“Get rid of the ballots” and “there won’t be a transfer,” said Donald Trump on Wednesday. This comment is a direct and dangerous expression of his anti-democratic intention. If unstopped, Trump may well destroy our 244-year-old democracy.
It is time to stop pulling punches. It is time to stop relying on political pundits to weigh in on Trump’s behavior, which they often soften and even normalize.

We are psychologists, and we are convinced Donald Trump is a psychopath. His malignant behavior over the past four years is growing and escalating right before our eyes. Trump’s psychopathy will change us forever if he is not stopped.
This is not hyperbole. This is not an expression of "a left-wing agenda.” This is a mental health opinion based on thousands of hours of documented behavior by this president.

He breaks norms, rules, and laws with impunity.
He lies, on average, 15 times a day.
He peddles fake conspiracy theories and irrational magical thinking.
He has been accused of sexually predatory behavior by at least 25 women.
He blames, scapegoats and gaslights as easily as he breathes.
He undermines the vital role of the free press because he abhors oversight and accountability.
His lies and anti-scientific advice and intentional downplaying of the coronavirus pandemic has led to countless American deaths.
He is callous and cold and unfeeling because he has no conscience.
He denigrates and humiliates anyone and everyone in his path.
He has no respect for military heroes or renowned experts.
He is racist and xenophobic.
He incites violence and culture wars.
He is obsessed with power and adoration.
He is a greedy opportunist.
He is corrupt to the core.

Now Trump is desperate to win re-election. He does not want to lose his hold on power for a number of reasons, most notably his insatiable thirst for attention. He is afraid of facing criminal charges once he leaves office. He is already essentially an unindicted co-conspirator in a campaign finance crime. He knows he is lawless and corrupt; that is why he lies about it so frequently and fervently.

(Mandel Ngan/AFP via Getty Images)

Donald Trump in the White House
Trump will do absolutely anything — no matter how untruthful or illegal or immoral — to win this election. He has already compromised the Postal Service.
Trump will declare victory as soon as he can, even if millions of ballots have not been counted. If need be, he will challenge the election results so that the Supreme Court will ultimately choose him for a second term. In fact, he has openly admitted that he wants to immediately replace Justice Ruth Bader Ginsburg because of the upcoming election. Trump’s desire to sabotage our election process is the behavior of a dictator.
Trump is letting the Russians intervene on his behalf in this election. They are doing so. Before Trump, such an invitation would have been considered treasonous and criminal.
Trump is fearmongering about Joe Biden and all Democrats on a daily basis. His allegations against Biden are outrageous and even bizarre; Trump asserted that there are “people in dark shadows” who are controlling Biden.
Trump’s falsehoods about health insurance and pre-existing illnesses and Social Security benefits and Medicare are intended to sow doubt and confusion in the American public. He says one thing but does the exact opposite. He tells us that he will protect pre-existing illnesses, but behind the scenes he is taking court action to disallow them.
Trump is the most psychiatrically disordered president in history.
Donald Trump is dishonest and destructive and evil. He has become embolden and empowered by the complicity of his Republican sycophants. Sadly, he now believes he is destined to carry on his mission. He feels unstoppable. And he must be stopped before it is too late.

Blotcky is a clinical psychologist in Birmingham, Ala. Norrholm, also a psychologist, is on faculty at the Wayne State University School of Medicine in Detroit.

Wednesday, July 11, 2018

Trauma suffered in childhood echoes across generations, study finds


Psychiatry has always grasped well the relationship between trauma and mental illness. Genetic memory and generational trauma are concepts with which many of us are familiar in the context of Native American history and Indigenous ways of knowing that tie directly to wars, exploitation, colonization and genocide—the true cost of "modernity" that issues from the Enlightenment—that has lasted for 526 years since Columbus landed on an island in the Bahamas archipelago that he later named San Salvador.  

How dare Columbus name us!  We on this continent already had our names.  We were "Turtle Island" (a name that many Indigenous people had for the North American continent), "Abya Yala" (from the Kuna Indians of Panama in reference to the entire hemisphere), and "Tawantinsuyú," (Inca Empire) and various others.  But then that's what conquest and colonization are about.


Why the heck have we had to fight so hard with the State Board of Education just to get one course, "Mexican American Studies" into the state curriculum?  And why did Arizona have to have such a vicious political, policy, and court battle over this, too?  And why, after we won a course at the April 11th meeting of the Texas SBOE did we then have to struggle again for a name that honored a legitimate field of study, rather than the name that they paternalistically gave us not unlike Columbus' naming of San Salvador?


I've blogged about this sordid narrative continuously herein so feel free to keyword search this under "Mexican American Studies," "SBOE," and "Ethnic Studies."


And why have we had to struggle so ridiculously hard against our mind-numbing, punishing, high-stakes testing system when it has been demonstrably invalid, unfair, non-research-based since day one?


The answer is the long arm of the conquest together with its colonial designs and its "imperial subjects" that largely unbeknownst to them—after all, "they're just living their lives"—are agents of empire and its plans for us.  Plus, it's a highly effective weapon of mass distraction that keeps us on the defensive, and in so doing, from engendering alternatives that I know are within our reach.  


That is, the cost of fighting high-stakes testing—which we must obviously continue to do—is that of forgoing the opportunity to radically re-think an educational model based on shared values where schools are sacred places premised on caring relationships and responsible, ethical partnerships where community-based organizations and institutions work together in a democratic, transparent, and open fashion.  I know that this is possible because that is what some among us, myself included, are doing in the context of our Saturday academy, Academia Cuauhtli (Eagle Academy).
See video at https://tinyurl.com/y9urln9s

Do read the sobering piece by Denise Powell below as she offers a psychiatric lens through which we should understand the humanitarian crisis our country is currently enmeshed in.  

However, what I would add is that we need to address not only the mental health in our education system, but also the mental illness induced by it through its alienating practices that turn parents into passive customers, children into objects, teachers into widgets, and the public into spectators, in order to limit and reduce any sense of possibility of what education in a democracy could be—including a system where no child or parent is unequal or inferior because of their zip code, documentation status, race, ethnicity, or sexuality.  


Instead, these are emancipatory spaces that foster thriving, as opposed to just getting by or meeting the grade.  These are places that teach children and not subjects and where assessment is based on relationships, as opposed to "metrics," and "evaluation," as opposed to "grading" and rules.

So yes, children do need health classes throughout to boost their resiliency. However, this would still only be a necessary, but not sufficient, strategy since the root causes of mental illness will not have been addressed.

I nevertheless read this piece by Denise Powell with great interest in light of today's victims of state-sanction, parental separation along the U.S.-Mexico border.  I go to bed thinking of, and praying for, them.  I wake up thinking of, and praying for, them.  

I know that people around the world are equally horrified at what our government is doing to these children and families in using them as political fodder for their equally disgusting campaigns that instigate fear on the basis of falsehoods, un-truths, lies, distortions, bullying, power-mongering, and the like in order to incite an already insecure, mostly white, electorate.

To be sure, this arrogant, and frequently hostile, way of knowing and being has enjoyed fertile ground in state curricula that has historically exhibited a deafening silence when it comes to the histories, stories, contributions, aesthetics, ways of knowing and being in the world with respect to people of color and all Third World peoples.  And what about language?  Why aren't we a multilingual country?  Why are we not learning Mandarin in addition to Spanish and many other languages?  And why aren't we supporting Indigenous projects embarked in historical recovery, language revitalization, and a restoration of Indigenous languages, arts, science, and culture? And how is this NOT a policing of identities—to which Native American scholar, Dr. Brayboy (2011), refers to in his work as a "policing of Native American bodies and minds."

And then there's all the good, white liberals, in and out of the academy, that profit from this system—even if they, too, suffer under its objectifying forms and manifestations.  Perhaps willing beneficiaries of epistemic arrogance and narrow-mindedness, they are all nevertheless just as responsible as the right-wing ideologues that they disingenuously deride. Such persons have basically decided that they're going to "ride this white thing out, blinders on," if you will. 

"Life is good."  "Don't turn over the apple cart, Angela."

And I don't necessarily think that even in this scenario, that they are being completely disingenuous because their culture—one that I know intimately—either did or did not provide the history, conceptual frameworks, experiences, or tools to know the difference. 

I shudder to my core as I consider the long-term consequences for these children, particularly the babies, the little ones, with no capacity to express themselves and how our government is robbing them not only of their childhood, but their very right to mental, physical, psychic, spiritual, and emotional well-being.  I also fear and am deeply troubled as I ponder what lays ahead for them even if they are reunited with their parents after such a long time period of separation and abuse at the hand of our government, government contractors, ICE workers, and all the arbiters of cruelty and unspeakable violence to their bodies, minds, and spirits.
Make no mistake.  These are crimes against humanity that scream for justice.
Palabra!
Angela Valenzuela



Trauma suffered in childhood echoes across generations, study finds






The study, conducted by researchers at the University of California at Los Angeles and published today in Pediatrics, finds that traumatic events in childhood increase the risk of mental health and behavioral problems not just for that person but also for their children.

“Early-life experiences -- stressful or traumatic ones in particular -- have intergenerational consequences for child behavior and mental health," the lead author, Adam Schickedanz, clinical instructor in pediatrics at the David Geffen School of Medicine at UCLA, told ABC News. "This demonstrates one way in which all of us carry our histories with us, which our study shows has implications for our parenting and our children's health.”
Asked by ABC News how the research may relate to the more than 2,000 children recently separated from their families after crossing the U.S. border, Schickedanz said all families who participated in the study were from the U.S. but that evidence suggests the effects of adverse childhood events "take a toll in large part as a result of toxic stress responses that appear to be universal, since they have been demonstrated across families from diverse backgrounds."
The researchers looked at the effects over a generation when a child grows up in an unstable environment, suffers neglect or has absent parents. "Based on the available evidence, one would expect that the stresses and trauma children are experiencing due to family separation at the border will have intergenerational behavioral health consequences," Schickedanz said.
The study used a national sample of families from previous research -- parents who had participated in a 2014 Child Development Supplement and 2,529 of their children who had complete data in the 2014 Childhood Retrospective Circumstances Study.
The severity of a child's behavioral issues was measured through a scale called the behavior problems index. Researchers gave the primary caregivers of children ages 3 to 17 years old a series of questions to assess present problems, including with anxiety, depression, dependency, hyperactivity, and aggression.
The study found a link between children with a high rate of behavioral problems and parents who had experienced a greater number of adverse childhood events, ACEs.
Parents who growing up suffered four or more adverse events before they were 18 -- including neglect, abuse and household dysfunction -- were more likely to have children with behavioral issues, such as being hyperactive or having problems regulating their emotions, the research found.
Among the group studied, one-fifth of the parents had four or more traumatic experiences as children.
The researchers also found that a parent's gender was a factor in the outcome of the child. Children's outcomes were more negatively affected when it was their mothers, rather than fathers, who suffered trauma as children. Researchers explained this by noting that mothers are more often the primary caregivers.
This is the first study showing a correlation between adverse events in childhood and outcomes for the children of those who suffered the original trauma, and the researchers don’t want to stop there.
“Right now, we are exploring whether these intergenerational [adverse event] associations persist across more than one generation. In fact our study team's next step is to examine whether grandparents' [adverse childhood events] can be linked to their grandchildren's behavioral health.”
While this study focused on the behavioral consequences of traumatic childhood experiences, other research has shown that adverse childhood events affect physical health, increasing the risk of chronic disease and premature mortality later in life.
Denise Powell, M.D. candidate, is a student from Jackson, Mississippi, working in the ABC News Medical Unit.