Premiering tonight at the Loft Theater for  one night only is the awarding winning documentary “Of Two Minds.”  The director will be available after the showing for questions and answers as well as a panel consisting of a local psychiatrist, a person living with Bipolar and a family member.  Sponsored in part by The Aurora Foundation of Southern Arizona.  The film begins at 7pm with Q and A afterwards.  A DVD of the film will also be available.  I’ll provide my “review” tomorrow.

 

OF TWO MINDS puts an authentic human face on bipolar, providing an intimate and stigma-busting look at those who live in its shadows – our parents and children, our friends and lovers… and ourselves ONE SHOW ONLY MAY 14TH AT 7 PM! LIVE PANEL Q&A AFTER THE FILM! Tickets & Info at: www.loftcinema.com/film/of-two-minds/

 

The recent suggestion from the NRA to have armed guards in our schools as an answer to increasing gun violence is beyond ridiculous.  “Fight fire with fire” seems to be their mantra.  Well, I have a better one.  “An eye for an eye makes the whole world blind,” – Gandhi.

It makes about as much sense as the law in Arizona that allows people to carry firearms in bars!  Great, “let’s get all liquored up” and and start playing with guns!  Ugh!  Am I the only one that doesn’t understand this mentality?  Don’t get me wrong, I totally support the second amendment, except when it comes to ballistic missiles, 30 round magazines, and other weapons of mass destruction. I understand wanting to protect yourself, but really?  What has happened to common sense? What about fences and security gates like most of the high schools have?

Devastating shootings like the one that occurred in Newtown last month or the one that occurred here on January 8th two years ago need to stop.  There has to be an answer other than putting more guns out there.  As a mental health advocate, I want more education in schools, community groups, businesses, and organizations about the realities of mental illness.  Everyone aggrees that a person who literally mowes down innocents with a high capacity gun needs to have his “head examined.”

Let the conversation start here……One in four families are effected by mental illness.  Treatment success rates for depression go as high as 90%.  One in eight teens experience depression, yet only 20% of them seek treatment. Even treatment success rates for schizophrenia are very high! Should people with a mental illness diagnosis be restricted from gun use?  Not necessarily, but let’s talk about it!

These are the topics of discussion we should be having.  Answers may not come as quickly as the “solution” from the NRA, but increasing arms in our schools is preposterous. The last thing our babies need is an increase in violence and an “eye for an eye” mentality.

In addition to the silent auction and dinner, the evening will include a presentation ceremony and keynote speech from Dr. Jose Apud, Clinical Director of the Schizophrenia Research Program at the National Institutes of Mental Health.  Dr. Nicholas Breitborde will also provide an update on the new Epicenter (Early Psychosis Intervention Center) at the UPH South Campus.

The event was founded in 2007 in an effort by the Daniel Moreno Family to increase awareness about mental health recovery and reduce the stigma surrounding mental illness.  Ten local individuals have previously been selected to receive the Daniel Moreno Recovery Award.  The 2012 Recovery Award will be presented to Sarah Martin, the Advocate Award will be presented to Neal Cash, CPSA CEO/President, the Educator Award to Peter Likins, President Emeritus of the University of Arizona and Adreinne Sainz, LMSW, Clinician at La Frontera will receive the Direct Service Provider. More information about the recipients will be provided over the next month on this blog.

Proceeds from the event will benefit the Aurora Foundation, a local non-profit dedicated to advancing disability justice and the newly formed Southern Arizona Suicide Prevention Coalition.  For more information or to purchase tickets, please visit the website at: www.planetaurora.org

http://azstarnet.com/news/opinion/editorial/article_a1372367-3bd9-5f49-8ea7-91fb0d25e4df.html

Local pyschiatric beds are commonly filled, but I wasn’t aware that psychiatric beds in our prison system are also filled.  Hummmmmm, I wonder what’s going on? Is it possible that we’re starting to see the results of continued budget slashes to mental health care in our state?  Or, is it because more people are becoming mentally ill? I think it’s the former.

Let’s look at some statistics.  One in four families are effected by mental illness in a given year and at least 10% of the population lives with a serious mental illness like schizophrenia or bi-polar disorder.  If Tucson’s population is one million, then that’s 100,000 people right here in the Old Pueblo.  Some are being successfully treated and some are not.  Many are in denial about their illnesses and don’t know about the high success rates of treatment – sometimes as high as 90%  do achieve mental health recovery.  But, not without proper treatment that can include medication, therapy and a strong support system.

Last time I checked there weren’t that many psychiatric beds in Tucson.  Even with the new psychiatric crisis hospital opening soon there won’t be new beds as it will only replace the currently existing beds at UPH.  Without more funding I don’t see any growth for new tratment facilites, but unfortuanately I do see growth in the prison facilities.  It seems like that’s one of the few areas of growth in our state.  Some legislators in Phoenix have stated that it’s time for families and loved ones to “step up” and take care of those struggling with menta illness. I wish it were that simple.

But, I’m glad to see that the Arizona Daily Star is initiating this dialogue.  Hopefully some inovative solutions will come about…….and they won’t cost anything!

Undiagnosed depression is the number one cause of suicide, yet few people know what the symtoms are and even fewer seek treatment.  Each year nearly 26,400 teens in Arizona attempt suicide…….and that number reflects only the attempts that end up in an emergency rooms and/or require treatment by a professional! Many times the family is able to do something to treat the effects of the attempt (induce vomiting, CPR, etc.) without anyone outside the home ever being notified.

Education and awareness is crucial and O.P.T.I.O.N.S. (Offering Parents and Teens Information on Needless Suicide) is a free depression education and suicide prevention program offered to Arizona high schools by Mental Health America of Arizona. The successful educational program has been operating in the Phoenix area for several years and it is now available in Southern Arizona. When evaluated, 85%  of the students said the program provided helpful information on clinical depression and were able to identify at least 5 of the symptoms, and 90% felt that schools need a program like this.

Mental Health America of Arizona (MHAAZ) is a 501(c)3 non-profit organization providing leadership to address the full range of mental health, illness and wellness issues in Arizona. We are dedicated to improving care, treatment and recovery for people with all types of mental illness through support services, education and advocacy.

For more information or to schedule presentations in your child’s school, please contact Susan Moreno at:  smoreno@mhaarizona.org

Recent articles on teen depression and suicide:

http://health.usnews.com/health-news/family-health/childrens-health/articles/2010/10/04/adhd-depression-and-suicide-how-parents-can-keep-children-safe.html

http://www.huffingtonpost.com/dr-harold-koplewicz/gay-teen-suicide_b_760093.html

The law included a six month extension of higher Medicaid federal matching funds for states – a major contribution towards some of the drastic slashes in mental health coverage in Arizona.

Recent budget slashes (I prefer that term over cuts as I feel it’s much more descriptive) in the state’s healthcare system for the poor have forced many people to search for alternatives to afford their medications. Some are going to Canada, while some have been fortunate to be able to get discounts directly from the pharmaceutical companies. I applaud the efforts of some of the drug companies to help and I wish they would all step up.

While illegal immigration and calls to enforce the border by sending in troops occupies the headlines, our state’s most vulnerable citizens are doing the best they can just to survive.  In my world they take priority over someone who has illegally crossed our borders to look for a better way of life.  Helping disabled and seriously mentally ill people is not only money well spent, it’s the “right” thing to do!

How Did Your Member Vote?

View the House roll call vote on final passage of HR 1586

Both McCain and Kyle voted no when the bill went through the senate.

Read further details on the provisions in HR 1586 designed to support state Medicaid programs into 2011.

The new test is not really new. The EEG (electroencephalography) has been around for years. It measures brainwaves and researchers have found that a certain type of brain wave is slightly different in people whose siblings have schizophrenia. Researchers believe it could be used to identify people at risk so treatment can be introduced pre-emptivley.  The test could possibly be used to see how the treatment is working as well.

The research showed that a certain activity, called the P300 marker,  was reduced in people that had siblings with schizophrenia.  That marker is thought to represent attentional and inhibitory control aspects of brain processing.  But, the diminished activity of the marker may be a sign of increased risk for the illness, not a sign of the illness itself.

Researchers are also investigating P300 in people with ADHD (Attention Deficit Hyperactivity Disorder).

Separate studies have linked brain disorders to malfunctions in genes involved in making synapses between brain cells.

These are all positives signs in the slow progress to diagnose and treat mental illnesses.  It is difficult enough to accept a mental illness for a loved one, or for the patient himself. A specific test will help that process and make treatment more accurate as well.

Staying out of the heat can be difficult for our homeless population, many of whom also live with mental illness. I have seen a homeless person on more than one occasion totally overdressed during our 100 degree plus days because he either doesn’t realize how hot it is, or he’s afraid to leave his few possessions, including his clothing, behind.

Stay Safe

Educate yourself about the symptoms of heat stroke , such as:

* An extremely high body temperature (above 103 degrees Fahrenheit)
* Red, hot and dry skin (no sweating)
* Rapid, strong pulse
* Throbbing headache
* Dizziness
* Nausea
* Confusion

Individuals living with mental illness may be more prone to heat stroke because some medications alter the body’s response to heat. In addition, people taking specific medications may be at a higher risk of developing Neuroleptic Malignant Syndrome (NMS) , a serious condition that may be connected to high temperatures and the dehydration that can result from heat stroke. NMS and heat stroke have similar symptoms, so it is especially important that people with mental illness inform their doctors of all medications they are currently taking.

Stay Informed

The National Weather Service is the hub of information about heat alerts. The Weather Channel offers a free service that will send updates about heat advisories to your phone.

Stay Inside

On extremely hot days, limit your exposure to the heat and sun, especially during the hottest part of the day. Don’t walk long distances if you don’t have to. Some public transportation systems offer free bus service on days with a dangerous heat index.

Stay Cool

If you do have an air conditioner, change the filter and perform other maintenance that will keep the unit working at peak capacity. If you don’t have an air conditioner, try to spend a few hours a day in an air-conditioned public place like a library or mall. Look into area programs that may provide air conditioners for people with disabilities for free or at a reduced cost. In the past, some local United Way chapters have collected donated units and redistributed them to people with the most need.

Here’s a list of some of Tucson’s Homeless Shelters.  I don’t know if any of them have room, but hopefully they can provide a respite from the heat for our city’s people on the streets.

Some have struggled for years to find the right medication “cocktail” and now the rug is being pulled out from under them. They won’t be able to afford the newer, more effective drugs that can cost thousands of dollars a month and they won’t have a therapist or case manager monitoring their changes.  Many are the “working poor” who make just a few too many dollars to qualify for the the state’s medicaid system, AHCCCS;  also  in jeopardy of loosing millions.

Yes, it looks like it could get even worse since  Congress may not extend the states Medicaid assistance. Medicaid assistance from the federal government was voted against by the U.S. Senate last week.  Without it, Arizona’s health care budget falls further into the red.  In a letter to Arizona members of Congress, Governor Brewer complained that “(I)t has become clear that Congress does not have the will to assist states in addressing the very problem that it created.” Based on her combative attitude displayed recently all over the media, I will be surprised if any “Fed” will pay attention.

I guess you can tell I’m angry, but instead of complaining, I wish she would use the same “take charge” attitude towards our state’s health care system as she does toward our illegal immigration issues where no expense spared is the mantra.  We’re soon to be using our local city and state law enforcement officers to enforce federal immigration laws.  Plus, there always seems to be more money to build more prisons to house the additional “illegal immigrants.”  What about using money to house and treat some of our state’s most vulnerable citizens?

The Obama administration launched a new health care reform website yesterday that provides information to the public on “the full range of public and private health insurance plans” that fits their specific circumstances. Mandated by the health reform law, the site will show users how their options “will change in coming years” as the law takes effect. – The Progress Report, July 1, 2010

“Thinking outside the box” was a phrase heard repeatedly and for many attending that answer was not enough to calm their fears. For a population accustomed to difficulties  finding appropriate mental health care that particular phrase has become a mantra.

One question about how the non-title XIX residents will be covered if they are currently in the Arizona State Hospital was never answered.

Of major concern to me is the misguided thought by some in Phoenix that people that are currently taking some of the more expensive, newer anti-psychotics, mood stabilizers and anti-depressants  can now be administered some of the older, less expensive drugs to save money.  What he forgot to say when talking about the older, less expensive medications is that they don’t work for some people.  Hence the reason for being prescribed the newer, more effective medications. Plus, the newer medications don’t have some of the debilitating side effects  that the older medications cause.  (Although, I must admit all of these medications do have some sort of negative side effect)

Even when a certain medication is successfully treating some of the symptoms today,  next week, next month or next year it may loose it’s efficacy and a new medication will need to be introduced; most likely a newer drug.

The state’s crisis system which had up until recently seen some positive advances is now experiencing limited funding as well.   It was suggested at the meeting that family members “step up” to the plate and do what they can to cover the shortages like manning all night crisis phone lines, etc.  on a volunteer basis.  Hum…….I guess that might work if their loved one isn’t in a crisis because their newly prescribed medication is working!