Source: Temple Collaborative on Community Inclusion https://bit.ly/2Kgri55
Source: Temple Collaborative on Community Inclusion https://bit.ly/2Kgri55
Data from the National Ambulatory Medical Care Survey
In 2016, mental illness affected about 45 million U.S. adults (1). Although mental health-related office visits are often made to psychiatrists (2), primary care physicians can serve as the main source of treatment for patients with mental health issues (3); however, availability of provider type may vary by geographic region (3,4). This report uses data from the 2012–2014 National Ambulatory Medical Care Survey (NAMCS) to examine adult mental health-related physician office visits by specialty and selected patient characteristics.
Leisure participation is important for the development of healthy family relationships.
Leisure Education Toolkit for Parents with Mental Illnesses
This toolkit is an evidence-based guide that will help parents better understand the importance of family leisure and develop strategies to participate in meaningful family leisure. Research on the need for family leisure, potential benefits, and strategies to increase participation are presented. This user friendly guide provides worksheets and activities that parents can use with their children to make the most out of family leisure. For individuals who want to receive additional support, each section also provides an opportunity to summarize goals and issues that can be shared with a mental health professional. Download now to learn more about: (1) the benefits of family leisure; (2) core and balance family leisure; (3) strategies to assess family leisure interest; (4) barriers to and facilitators of family leisure; (5) planning and making time for family leisure; and (6) using leisure to talk with your kids about mental illnesses.
At The Collaborative, we love biking! Many of us are active cyclists who peddle our path to fun and fitness. As biking grows in popularity, we want to do our part to encourage consumers to give it a try. In this effort, The Temple University Collaborative recently led four bike pilot programs for consumers of mental healthcare services in Philadelphia. Providers, consumers, bikeshare representatives, and bike advocacy groups worked with us to develop and run groups. Everyone seemed as excited as us throughout the process.
Each program consisted of six classes led during a three-week period. Participants learned laws and safe riding practices. Then they planned and participated in group rides using Indego Bikeshare Bikes. Participants reported that they enjoyed the classes, learned how to bike safely, found new things to do in their communities during group rides, and enhanced social connections with other bike group members. One group of consumers even advocated for a weekly bike group which has since been included in ongoing programming at their agency.
In an effort to encourage agencies to run similar programming, we’ve developed the Biking & Serious Mental Illness manual which outlines the classes we led and shares what we learned through running these programs.
Since 1949, Mental Health America and our affiliates across the country have led the observance of May is Mental Health Month by reaching millions of people through the media, local events and screenings. We welcome other organizations to join us in spreading the word that mental health is something everyone should care about by using the May is Mental Health Month toolkit materials and conducting awareness activities.
When we talk about health, we can’t just focus on heart health, or liver health, or brain health, and not whole health. You have to see the whole person, and make use of the tools and resources that benefit minds and bodies together. That’s why this year, our May is Mental Health Month theme is Fitness #4Mind4Body. We’ll focus on what we as individuals can do to be fit for our own futures – no matter where we happen to be on our own personal journeys to health and wellness – and, most especially, before Stage 4.
Learn more about:
Here are ten individuals who would like to tell you what work has meant to them. “We Can Work.” New York Association for Psychiatric Rehabilitation Services (NYAPRS), https://www.youtube.com/watch?v=dC4FQpn0Fko.
Crisis Trends aims to empower journalists, researchers, school administrators, parents and all citizens to understand the crises Americans face so we can work together to prevent future crises from happening.
Source: Crisis Trends – Crisis Text Line
Explore trends across texter conversations across all states in the U.S. http://crisistrends.org/
Crisis Text Line: Text 741-741 from anywhere in the USA, anytime, about any type of crisis.
N Engl J Med 2017; 376:1103-1105
March 23, 2017 DOI: 10.1056/NEJMp1615974
My name is Adam. I am a human being, a husband, a father, a pediatric palliative care physician, and an associate residency director. I have a history of depression and suicidal ideation and am a recovering alcoholic. Several years ago, I found myself sitting in a state park 45 minutes from my home, on a beautiful fall night under a canopy of ash trees, with a plan to never come home. For several months, I had been feeling abused, overworked, neglected, and under-appreciated. I felt I had lost my identity. I had slipped into a deep depression and relied on going home at night and having a handful of drinks just to fall asleep. Yet mine is a story of recovery: I am a survivor of an ongoing national epidemic of neglect of physicians’ mental health.
Interview with Dr. Stuart Slavin on depression and suicide among physicians and trainees and how to address stigma associated with mental illness. (6:24)
Last year, I decided I could no longer sit by and watch friends and colleagues suffer in silence. I wanted to let my suffering colleagues know they are not alone. I delivered a grand-rounds lecture to 200 people at my hospital, telling my own story of addiction, depression, and recovery. The audience was quiet, respectful, and compassionate and gave me a standing ovation. Afterward, hundreds of e-mails poured in from people sharing their own stories, struggles, and triumphs. A floodgate of human connection opened up. I had been living in fear, ashamed of my own mental health history. When I embraced my own vulnerability, I found that many others also want to be heard — enough of us to start a cultural revolution.
My years of recovery taught me several important lessons. The first is about self-care and creating a plan to enable us to cope with our rigorous and stressful work. Personally, I use counseling, meditation and mindfulness activities, exercise, deep breathing, support groups, and hot showers. I’ve worked hard to develop self-awareness — to know and acknowledge my own emotions and triggers — and I’ve set my own boundaries in both medicine and my personal life. I rearranged the hierarchy of my needs to reflect the fact that I’m a human being, a husband, a father, and then a physician. I learned that I must take care of myself before I can care for anyone else.
The second lesson is about stereotyping. Alcoholics are stereotyped as deadbeats or bums, but being humbled in your own life changes the way you treat other people. An alcoholic isn’t a bum under a bridge or an abusive spouse: I am the face of alcoholism. I have been in recovery meetings with people of every color, race, and creed, from homeless people to executives. Mental health and substance-abuse conditions have no prejudice, and recovery shouldn’t either. When you live with such a condition, you’re made to feel afraid, ashamed, different, and guilty. Those feelings remove us further from human connection and empathy. I’ve learned to be intolerant of stereotypes, to recognize that every person has a unique story. When we are privileged as professionals to hear another person’s story, we shouldn’t take it for granted.
The third lesson is about stigma. It’s ironic that mental health conditions are so stigmatized in the medical profession, given that physicians long fought to categorize them as medical diagnoses. Why do medical institutions tolerate the fact that more than half their personnel have signs or symptoms of burnout? When mental health conditions come too close to us, we tend to look away — or to look with pity, exclusion, or shame.
We may brand physicians who’ve had mental health conditions, while fostering environments that impede their ability to become and remain well. When, recently, I moved to a new state and disclosed my history of mental health treatment, the licensing board asked me to write a public letter discussing my treatment — an archaic practice of public shaming. Indeed, we are to be ashamed not only of the condition, but of seeking treatment for it, which our culture views as a sign of weakness. This attitude is pervasive and detrimental — it is killing our friends and colleagues. I’ve never heard a colleague say, “Dr. X wasn’t tough enough to fight off her cancer,” yet recently when a medical student died from suicide, I overheard someone say, “We were all worried she wasn’t strong enough to be a doctor.” We are all responsible for this shaming, and it’s up to us to stop it.
The fourth lesson is about vulnerability. Seeing other people’s Facebook-perfect lives, we react by hiding away our truest selves. We forget that setbacks can breed creativity, innovation, discovery, and resilience and that vulnerability opens us up to personal growth. Being honest with myself about my own vulnerability has helped me develop self-compassion and understanding. And revealing my vulnerability to trusted colleagues, friends, and family members has unlocked their compassion, understanding, and human connection.
Many physicians fear that showing vulnerability will lead to professional repercussions, judgment, or reduced opportunities. My experience has been that the benefits of living authentically far outweigh the risks. When I introduced myself in an interview for a promotion by saying, “My name is Adam, I’m a recovering alcoholic with a history of depression, and let me tell you why that makes me an exceptional candidate,” I got the job. My openly discussing recovery also revealed the true identity of others. I quickly discovered the supportive people in my life. I can now seek work opportunities only in environments that support my personal and professional growth.
The fifth lesson is about professionalism and patient safety. We work in a profession in which lives are at risk, and patient safety is critically important. But if we assume that the incidence of mental health conditions, substance abuse, and suicidal ideation among physicians is similar to (or actually higher than) that in the general population, there are, nevertheless, many of us out there working successfully. The professionals who pose a risk to patient safety are those with active, untreated medical conditions who don’t seek help out of fear and shame. Physicians who are successfully engaged in a treatment program are actually the safest, thanks to their own self-care plans and support and accountability programs.
Instead of stigmatizing physicians who have sought treatment, we need to break down the barriers we’ve erected between our colleagues who are standing on the edge of the cliff and treatment and recovery. Empathy, unity, and understanding can help us shift the cultural framework toward acceptance and support. Mentally healthy physicians are safe, productive, effective physicians.
The last lesson is about building a support network. My network has been the bedrock of my recovery. You can start small and gradually add trusted people, from your spouse and family to friends, counselors, support groups, and eventually colleagues. Then when you fall flat on your face, there will be someone to pick you up, dust you off, and say, “Get back out there and try it again.” A support network can also hold you accountable, ensuring that you remain true to your own personal and professional standards.
Without question, my own successful recovery journey has made me a better physician. My newfound perspective, passion, and perseverance have opened up levels of compassion and empathy that were not previously possible. I still wear a scarlet A on my chest, but it doesn’t stand for “alcoholic,” “addict,” or “ashamed” — it stands for Adam. I wear it proudly and unapologetically.
When a colleague dies from suicide, we become angry, we mourn, we search for understanding and try to process the death . . . and then we go on doing things the same way we always have, somehow expecting different results — one definition of insanity. It’s way past time for a change.
From the Indiana University School of Medicine and the Riley Hospital for Children, Indianapolis.
Community college leaders are increasingly concerned with finding ways to better support and engage students in an effort to improve college completion rates. In order to increase their persistence and completion, many students need assistance connecting to services, activities, programs, and supports relevant to their individual needs and goals. Postsecondary institutions can play a significant role in helping students access these services, supports, and opportunities. This series of Info Briefs is designed for community colleges to raise awareness about the significance of connecting students to services and supports such as health insurance, financial assistance, housing, and transportation, and assisting them in navigating these and other services and supports relevant to their individual needs and goals. In addition, these briefs provide practical examples of how some colleges are supporting students and relevant resources for implementing connecting activities at community colleges.
Being Bullied Tied to Anxiety, Depression in Special-Needs Kids
by American Academy of Pediatrics, news release, April 29, 2012
More than chronic conditions themselves, maltreatment by peers added to mental distress in small study.
SUNDAY, April 29 (HealthDay News) — Special-needs youth with chronic medical conditions or developmental disabilities are at risk for anxiety and depression if they’re excluded, ignored or bullied by other young people, a new small study says.
It included 109 youngsters, ages 8 to 17, who were recruited during routine visits to a U.S. children’s hospital. The patients and their parents completed questionnaires that screen for symptoms of anxiety and depression, and the youngsters also completed a questionnaire that asked them about bullying or exclusion by their peers.
The patients in the study had one or more conditions such as: attention-deficit hyperactivity disorder (39 percent); cystic fibrosis (22 percent); type 1 or 2 diabetes (19 percent); sickle cell disease (11 percent); obesity (11 percent); learning disability (11 percent); autism (9 percent); and short stature (6 percent).