‘Psych wards’ aren’t what you think. I’ve seen lives saved there.

An inspiring article from the Washington Post:

These are places where patients put their lives back together, picking up the pieces torn apart by such illnesses as depression, bipolar disorder and schizophrenia. Caregivers from doctors and nurses, to social workers and psychologists work to heal the sick, to guide patients out of the abyss. Families often reconcile with loved ones. Patients may find hope in one another, opening up in groups, sharing meals, discovering the comfort of shared experiences.

As this author states, “Overcoming the stigma against psychiatric units won’t be easy. But I think it’s possible.”

Read the article on WashingtonPost.com.

Abuse Cannot Be Blamed on Mental Illness

Abusive partners are no more likely to be mentally ill than the general population. From DomesticShelters.org:

Nancy Erickson, an attorney and consultant on domestic violence legal issues, researched this very topic some years ago. “I found that about half of abusers appeared to have no mental disorders. The other half had various mental disorders, including but not limited to psychopathy, narcissism, PTSD, depression and bipolar disorder.” However, she adds, “Domestic abuse is a behavior, not a symptom of a mental illness.”

Read the full article: https://www.domesticshelters.org/domestic-violence-articles-information/abuse-cannot-be-blamed-on-mental-illness#.WXiLq4jyvcv

Nearly one in five American adults experience mental illness annually

Mental illness affects 43.7 million adults in the United States each year, according to a newly released report from the Substance Abuse and Mental Health Services Administration (SAMHSA), part of the Department of Health and Human Services (HHS). That figure represents 18.39 percent of the U.S. population over the age of 18.

The data, collected through the National Survey on Drug Use and Health (NSDUH) from 2012 to 2014, show that Oregon had the highest rate of adults who had experienced any mental illness (AMI) in the past year – 22.72 percent. Following Oregon were Utah (21.72 percent), West Virginia (21.7 percent), Maine (21.3 percent), and Rhode Island (21.11 percent).

States with lower rates included New Jersey (15.83 percent), Illinois (16.36 percent), and North Dakota (16.45 percent). The rate for both Florida and South Dakota was 16.46 percent.

“The figures in SAMHSA’s report remind us how important it is to take mental health as seriously as any other health condition,” said SAMHSA Acting Deputy Assistant Secretary Kana Enomoto.

The report also compares the combined 2012–2014 state estimates of past year AMI with 2010–2012 estimates of AMI to examine changes over time. Four states experienced an increase: California, Maine, North Carolina, and Rhode Island. The remaining states saw no change.

In addition to providing state-level data, the report provides estimates for substate regions. Estimates ranged from 23.95 percent in Oregon’s Region 3, located in the northwestern part of the state, to 14.53 percent in Florida’s Southern region.

The report, State and Substate Estimates of Any Mental Illness from the 2012–2014 National Surveys on Drug Use and Health, is available at https://www.samhsa.gov/data/sites/default/files/report_3189/ShortReport-3189.html. NSDUH is an annual survey of the U.S. civilian, noninstitutionalized population age 12 years or older.

Mental Illness Is Far More Common Than We Knew

From Scientific American:

Most of us know at least one person who has struggled with a bout of debilitating mental illness. Despite their familiarity, however, these kinds of episodes are typically considered unusual, and even shameful.

New ew research, from our lab and from others around the world, however, suggests mental illnesses are so common that almost everyone will develop at least one diagnosable mental disorder at some point in their lives. Most of these people will never receive treatment, and their relationships, job performance and life satisfaction will likely suffer. Meanwhile the few individuals who never seem to develop a disorder may offer psychology a new avenue of study, allowing researchers to ask what it takes to be abnormally, enduringly, mentally well.

Epidemiologists have long known that, at any given point in time, roughly 20 to 25 percent of the population suffers from a mental illness, which means they experience psychological distress severe enough to impair functioning at work, school or in their relationships. Extensive national surveys, conducted from the mid-1990s through the early 2000s, suggested that a much higher percentage, close to half the population, would experience a mental illness at some point in their lives.

These surveys were large, involving thousands of participants representative of the U.S. in age, sex, social class and ethnicity. They were also, however, retrospective, which means they relied on survey respondents’ accurate recollection of feelings and behaviors months, years and even decades in the past. Human memory is fallible, and modern science has demonstrated that people are notoriously inconsistent reporters about their own mental health history, leaving the final accuracy of these studies up for debate. Of further concern, up to a third of the people contacted by the national surveys failed to enroll in the studies. Follow-up tests suggested that these “nonresponders” tended to have worse mental health.

Our new study, published earlier this year in the Journal of Abnormal Psychology (whose very name suggests an outdated understanding of the prevalence of mental illness), took a different approach to estimating disease burden. Rather than ask people to think back many years in the past, we instead closely followed one generation of New Zealanders, all born in the same town, from birth to midlife. We conducted in-depth check-ins every few years to assess for evidence of mental illness occurring during the preceding year.

We found that if you follow people over time, and screen them regularly using simple, evidence-based tools, the percentage of people who develop a diagnosable mental illness at any point in their lives jumps to well over 80 percent. In our cohort only 17 percent of study members did not develop a disorder, at least briefly, by middle age. Because we can’t be certain these individuals remained disorder-free in the years between assessments, the true proportion that never experienced a mental illness may be even smaller.

Put another way, our study shows that you are more likely to experience a bout of mental illness than you are to develop diabetes, heart disease or any kind of cancer whatsoever—combined. These findings have been corroborated by data from other similar cohorts in New Zealand, Switzerland and the U.S.

If you ever develop a psychological disorder, many assume you will have it for life. The newest research suggests, for the most common psychological complaints, this is simply not true. “A substantial component of what we describe as disorder is often short-lived, of lesser severity or self-limiting,” says John Horwood, a psychiatric epidemiologist and director of the longitudinal Christchurch Health and Development Study in New Zealand. (Horwood has found that close to 85 percent of the Christchurch study members develop a diagnosable mental illness by midlife).

This may be a useful message to spread. According to Jason Siegel, a professor of social psychology at Claremont Graduate University, people tend to be more sympathetic and helpful when they believe that a friend or co-worker’s health problems are temporary.

And individuals with mental illness need support. Even short-lived or self-limiting disorders can wreak havoc on a person’s life. To be classified as having a disorder, “an individual typically has to meet fairly stringent symptom criteria,” Horwood says. “There needs to be substantial impairment of functioning.”

To some, though, the new statistics on mental illness rates can sound a lot like the overmedicalization of “normal” human experience. Advocates for individuals with mental health concerns tend to disagree with this perspective. “I’m not at all surprised by these findings,” commented Paul Gionfriddo, president of Mental Health America, a national advocacy group. His organization views mental illnesses as common, “though not always enduring.” Three years ago Mental Health America launched a Web-based tool to allow individuals to discreetly screen themselves for possible psychological disorders. Since then over two million people have used the tool, with over 3,000 people a day now logging on to determine if they may have a condition that could benefit from treatment.

The widespread nature of mental illness unearthed by careful longitudinal research holds some implications for the way we study and treat disease in this country. To Gionfriddo, a former lawmaker who watched his son end up homeless and incarcerated following undiagnosed childhood schizophrenia, “one implication of these new studies is that we as a society will get tremendous benefit out of ubiquitous mental health screening.”

Although the U.S. Preventive Services Task Force currently recommends mental health screening on a regular basis for everyone over age 11, such screening is still far from routine. “At a time when we have recognized the importance of early intervention for cancer or for diabetes or heart disease, why would we say, ‘Okay, for mental illness we aren’t going to screen or do early intervention’?” Gionfriddo says. “This should be as common for adults as blood pressure screening. Putting our head in the sand and waiting for a catastrophe is not a health care plan.”

Another implication stems from the fact that individuals who never develop a mental illness—those who experience what we call “enduring mental health”—are actually quite remarkable. These people may be the mental health equivalents of healthy centenarians: individuals who somehow manage to beat the odds and enjoy good health for much longer than we’d expect. It’s possible that studying the mentally robust more closely could provide insight into how we can help more people to enjoy lives like theirs.

Who are these extraordinary people? In our New Zealand cohort we found that those with enduring mental health tended to have two things going for them: First, they had little to no family history of mental illness and, second, they tended to have what we called “advantageous” personalities. As early as age five, individuals who would make it to midlife without an episode of mental disorder tended to display fewer negative emotions, get along better with their peers, and have greater self-control. Perhaps just as striking, we found that these individuals were not any richer, smarter or physically healthy than their peers, at least in childhood.

Ultimately, the most important suggestion from the newest research is that mental health concerns may be nearly universal. As a result, society should begin to view mental illnesses like bone breaks, kidney stones or common colds—as part of the normal wear and tear of life. Acknowledging this universality may allow us to finally devote adequate resources to screening, treating and preventing mental illnesses. It may also help us go easier on ourselves and our loved ones when we, inevitably, hit our own rough patches in the road.

Gov. Christie On Addiction: Life Moves, It’s Not Static, It’s Not Something You’re Stuck With

Governor Chris Christie today met with case managers and support staff at Homeless Solutions in Morris Township to discuss an innovative approach to increasing the number of skilled drug counselors in the state. The employees are currently participating in a 45-week, state-funded, on-site drug counseling certification program and company-paid apprenticeship. Watch the video:

This employee needed mental health days. This is how her CEO responded.

“I just wanted to personally thank you for sending e-mails like this,” he wrote. “Every time you do, I use it as a reminder of the importance of using sick days for mental health – I can’t believe this is not standard practice at all organizations. You are an example to us all, and help cut through the stigma so we can bring our whole selves to work.”

Madalyn Parker

Madalyn Parker says her CEO’s response was “refreshing.”

Courtesy of Madalyn Parker

When Madalyn Parker needed some time off to focus on her mental health, she wrote an e-mail to her co-workers letting them know.

“Hey team, I’m taking today and tomorrow to focus on my mental health. Hopefully I’ll be back next week refreshed and back to 100 [per cent],” she wrote in the message.

Two weeks ago, the Olark Live Chat software developer from Ann Arbor, Mich., posted that e-mail exchange with her CEO Ben Congleton on Twitter — an exchange that has now gone viral.






Rockaway Prevention Agency Awarded F.M. Kirby Grant

Morris County Prevention is Key logoThe staff and Board of Trustees of Morris County Prevention is Key (MCPIK) is pleased to announce that MCPIK is the proud recipient of a grant from the F.M. Kirby Foundation, Inc. in the amount of $20,000.  The grant is intended to support the overall operations of the agency in preventing and reducing the incidence of addiction across the lifespan in Morris County.

The F.M. Kirby Foundation, based in Morristown, NJ, each year recognizes a limited number of nonprofit organizations in health, educational, arts, youth programs, religious and other charitable organizations whose programs are reflective of important contemporary problems in our society. The Foundation favors programs encouraging people to solve their own problems without government aid.

Morris County Prevention is Key is a community focused non-profit organization providing prevention education programs, professional development training, advocacy, information and referral services that address multiple issues.  The county’s most extensive resource center has significantly expanded its capacity and reach through the further development of the Center for Addiction Recovery, Education and Success (CARES) which now includes a statewide Certified Peer Recovery Specialist credential training, Telephone Recovery Support and the provision of Naloxone Rescue Trainings throughout the northern tier of the state through the Opioid Overdose Prevention grant.

MCPIK and CARES are located at 25 West Main Street, Rockaway, NJ 07866 and can always use a helping hand. If you are interested in volunteer opportunities to help make a difference in your community contact 973-625-1998; send an email to info@MCPIK.org or log onto their website www.mcpik.org or www.caresnj.org .