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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
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    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
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      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
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  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System

  Val's Blog

​WHO BEARS THE BURDEN OF SOCIETY'S IGNORANCE?

2/4/2019

 

WELL, TRADITIONALLY IT HAS BEEN POOR PEOPLE, MINORITIES & PEOPLE WITH COGNITIVE "INVISIBLE" DISABILITIES LIKE BRAIN INJURY, MENTAL ILLNESS, SUBSTANCE ISSUES, & DEVELOPMENTAL DISABILITY 

  • The First Step is Protecting the Community
  • Even if we don't know everything [& we don't] --- the next Step is NOT punishment.
  • We're Still At Step 1 -- Protecting the Community
  • If we let go of "punishment" -- we are no longer @ "Proof Beyond A Reasonable Doubt" --- we can't get there on "Mens Rea" -- the "mental thing" or intent, except in a very over-simplified and damaging way -- which is what we are doing now.
  • If we take Mens Rea out of it -- and still say the "Actus Reus" [the criminal act] has to be proven "beyond a reasonable doubt"
  • Then we modify "Mens Rea" to be dealt with not in a "Sentencing Hearing" -- but in a "Treatment Plan"  Hearing
  • On felonies, "Treatment Plans" are not limited by a term of years but by a showing of dangerousness which must be made be "Clear & Convincing" Evidence.
  • If there is not a viable treatment @ this time, whether for Brain Injury, Mental Illness, Substance Issues or Developmental Disability, etc. the person is NOT to be incarcerated -- but they may be ordered to 24/7 Secure Facility to maintain the person's functioning as much as possible and protect the community.
​​​
NOW to a lot of Stanley Kubrick fans this probably sounds like a "A Clockwork Orange."  But the presumption in "A Clockwork Orange" was that the State was taking away the "FREE WILL" of a "bad actor" [pun intended] in order to comply with societal norms.

We DON'T have the presumption that somehow "bad acts" are the true expression of free will.  In fact our view is that people are struggling mightily with incredibly complicated biological forces and to the extent we can -- we need to help them AND protect the community.  That is very much fraught with peril, but no more morally perilous than punishing people with "Brain Injury" ------which we do everyday.

​
​(2015) The Link Between the Immune System & the Brain  -- Neuro-Inflammation Simplified
​​Neuroscience News (2018)

In one of the biggest breakthroughs in schizophrenia research in recent times, Professor Cynthia Shannon Weickert from Neuroscience Research Australia (NeuRA) and UNSW Sydney has identified immune cells in greater amounts in the brains of some people with schizophrenia.


https://neurosciencenews.com/schizophrenia-immune-cells-9867/
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​(2017)  Researchers @ the National Institutes of Health discover ‘Drain Pipes’ in the Brain: Lymphatic Vessels Act As A Pipeline Between the Brain and the Immune System

"IT" is not working

2/4/2019

 
From our perspective, in some cases what we are doing to "TREAT" mental illness -- just isn't working:
  • It's not working for the person,
  • It's not working from a clinical perspective
  • It's not working from a family perspective
  • It's not working for the society


TRUST --- does change everything -- & it really speeds things up -- ultimately -- BUT the FOUNDATION has to be laid.

Of the 4 major players:
  • the person
  • the clinician
  • the family
  • the society---

All may be clear that "it" is NOT working.

If we are all clear that SAFETY is non-negotiable -- maybe we can open things up, get curious & find some   real  solutions. 
​
Finnish "Open Dialogue Approach":  We have already approached Mental Health Advocate Amy Smith about spearheading a renewed advocacy effort for "Open Dialogue" in CO -- we might like to see that paired with including options for "anti-inflammatory" assessment, treatment, etc. as well as the traditional menu of options.
​

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Former Nat'l Mental Health Institute (NIMH) Director -- Dr. Thomas Insel
​
​Post by Former NIMH Director Thomas Insel (2013):

Antipsychotics: Taking the Long View


"[A]ntipsychotic medication, which seemed so important in the early phase of psychosis, appeared to worsen prospects for recovery over the long-term."

https://www.nimh.nih.gov/about/directors/thomas-insel/blog/2013/antipsychotics-taking-the-long-view.shtml
​
Cal-Tech Neuroscientist David Anderson on among other things the complicated reasons why psychiatric medications often don't work well:  they are targeted to the brain globally -- not to specific neural circuits.  In "some" cases, they can do more harm than good.
​NIMH:  Treating 1st Episode Psychosis:  RA1SE -- Recovery After An Initial Schizophrenia Episode

WE WANT HICKEN- LOOPER & KASICH TO LEAD A BIPARTISAN CENTER OF ELDER STATESMEN & WOMEN TO SERVE AS NAT'L POLITICAL MEDIATORS

2/4/2019

 
​This may come as a HUGE shock to people -- especially given how critical we have been of the previous Hickenlooper Administration.

Further, isn't this too "political"  for a non-profit? Well, our dysfunctional politics impacts people with disabilities A LOT.  

While we talk about the problem of "Systems" a lot -- we ourselves are not above "blaming" individuals.

With such a crowded Democratic Presidential field, there is a possibility that Hickenlooper may run for Senate.  He would probably be a very good Senator.


BUT Hickenlooper & Kasich have the POTENTIAL to CHANGE our NATIONAL POLITICAL LANDSCAPE & DISCOURSE in a BIPARTISAN manner.

How many people have the opportunity to do that?  Not many.
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Former Colorado Gov. John Hickenlooper & Ohio Gov. John Kasich

Why shouldn't Hickenlooper & Kasich lead a Nat'l & Global bipartisan, inclusive mediation center & Movement?

  • Mediate.com
  • Mediators Without Borders: A Proposal to Resolve Political Conflicts
  • Conflict and Movements for Social Change: The Politics of Mediation
  • Mediation in Political Conflicts - Penn State Law eLibrary​

THE SCARY DIVIDE BETWEEN THE RESEARCH COMMUNITY & THE MENTAL HEALTH  PROFESSION

2/3/2019

 
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         We said we thought the Global  Mental Health Crisis might be affecting a Billion people -- Forbes magazine just estimated 450 Million.

                           
The World Economic Forum estimates that the Global Financial Mental Health​   Burden could be @   $16 Trillion   by   2030.
​

                          "The “Lancet Commission” report by 28 global specialists in psychiatry, public health and neuroscience, as well as mental health patients and advocacy groups, said the growing crisis could cause lasting harm to people, communities and economies worldwide,"   quoting from   Reuters.

           This is A LOT more complicated than the paradigms contained in the DSM 5 or our current treatment protocols.

           If something works -- that's great -- BUT the reality is that the concerns of people with mental illness regarding "side effects" are rationalized away pretty easily by the Mental Health Profession & the Society -- hey, these people are crazy.

          [See also "Is Mental Health Declining in the U.S.? Despite more people taking medications, progress against mental illness seems to have stalled" -- Scientific American (2017) ]


          Our mental health profession is struggling under old paradigms that are in many cases NOT being used by the RESEARCH COMMUNITY.  Is that the Mental Health Profession's fault -- not exactly -- but we could use A LOT more leadership @ the National Level to address this SCARY DIVIDE.
​As a Society, we tend to focus on medication -- A LOT.  But the rate of mental illness isn't going down -- It's going up.

The hard truth is those medications can have a lot of side effects and they don't ALWAYS work as well as we need them to.

It is in not all but in at least some cases a MYTH that if that recalcitrant person with the mental illness would just take the medication -- Everything would be fine.

The reality is the person is NOT fine for very complicated reasons that are only partially understood.

The burden & challenge on the State is much, much greater than just providing for greater access to forced medication.
​

Science Up
Physical Health Issues, the Immune System & Mental Health Index
Mental Health's 3-Legged Stool is Falling Over

​Surrealism & Ignorance in Forensic Practice

2/1/2019

 
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David Lynch's "Six Men Getting Sick." Lynch says, "Absurdity is what I like most in life, and there's humor in struggling in ignorance."

PEOPLE USED TO SAY THAT MENTAL ILLNESS WAS COMPLICATED BECAUSE IT DEALT WITH THE BRAIN. 

WE DIDN'T KNOW THE HALF OF IT & THE PROBLEM IS NEITHER "DO" FORENSIC PSYCHOLOGISTS & PSYCHIATRISTS.
​

​​ORCHID THEMES & SYMBOLS

David Lynch's Surrealism
Madness in the Human Mind


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​CU Study linking beneficial bacteria to mental health makes top 10 list for brain research​

​
​A CU Boulder-led study showing that injecting beneficial bacteria into mice can make them more resilient to stress has been named among the “top 10 advancements and breakthroughs” of 2016 by the nation’s leading non-governmental funder of mental health research.

Now, lead author Christopher Lowry, an associate professor in the Department of Integrative Physiology, is moving forward with clinical trials to see if altering the microbiome, or composition of resident bacteria, in military veterans with post-traumatic stress disorder can be beneficial.
​http://www.colorado.edu/today/2017/01/05/study-linking-beneficial-bacteria-mental-health-makes-top-10-list-brain-research
​
​
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​Frontiers in Neuroscience (Sept. 2018)

Gut-Brain Psychology: Rethinking Psychology From the Microbiota-Gut-Brain Axis.


Mental disorders and neurological diseases are becoming a rapidly increasing medical burden.

Although extensive studies have been conducted, the progress in developing effective therapies for these diseases has still been slow. 

The current dilemma reminds us that the human being is a superorganism. 

Only when we take the human self and its partner microbiota into consideration at the same time, can we better understand these diseases.

Over the last few centuries, the partner microbiota has experienced tremendous change, much more than human genes, because of the modern transformations in diet, lifestyle, medical care, and so on, parallel to the modern epidemiological transition.

Existing research indicates that gut microbiota plays an important role in this transition.

According to gut-brain psychology, the gut microbiota is a crucial part of the gut-brain network, and it communicates with the brain via the microbiota-gut-brain axis. 

The gut microbiota almost develops synchronously with the gut-brain, brain, and mind.

The gut microbiota influences various normal mental processes and mental phenomena, and is involved in the pathophysiology of numerous mental and neurological diseases. 

Targeting the microbiota in therapy for these diseases is a promising approach that is supported by three theories: the gut microbiota hypothesis, the "old friend" hypothesis, and the leaky gut theory. The effects of gut microbiota on the brain and behavior are fulfilled by the microbiota-gut-brain axis, which is mainly composed of the nervous pathway, endocrine pathway, and immune pathway. 

Undoubtedly, gut-brain psychology will bring great enhancement to psychology, neuroscience, and psychiatry.

Various microbiota-improving methods including fecal microbiota transplantation, probiotics, prebiotics, a healthy diet, and healthy lifestyle have shown the capability to promote the function of the gut-brain, microbiota-gut-brain axis, and brain.

It will be possible to harness the gut microbiota to improve brain and mental health and prevent and treat related diseases in the future.
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Oslo University Hospital, Norway
​The Brain-Immune -Gut Triangle:  Innate Immunity in Psychiatric & Neurological Disorders
https://www.researchgate.net/publication
/261994663_The_Brain-Immune-Gut_Triangle_Innate_Immunity_in_
​Psychiatric_and_Neurological_Disorders


See Also: The Emerging Link Between Autoimmune Disorders and Neuropsychiatric Disease
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3086677/
 
What Does The Environment Have To Do With Diseases Affecting The Immune System

https://ensia.com/features/environment-diseases-immune-system/

​

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Houston Methodist Research Center
​
​TREATABLE IMMUNE SYSTEM DISORDER
COULD BE​ MISTAKEN FOR SCHIZOPHRENIA OR BIPOLAR DISORDER 
Summary: A major finding from researchers at Houston Methodist reveals a significant number of people diagnosed with schizophrenia or bipolar disorder may actually have a treatable immune system disorder.

The condition causes NMDA receptors to stop functioning properly and can result in symptoms commonly associated with neuropsychiatric disorders.


Source: Houston Methodist.

“We suspect that a significant number of people believed to have schizophrenia or bipolar disorder actually have an immune system disorder that affects the brain’s receptors,” said Joseph Masdeu, M.D., Ph.D., the study’s principal investigator and a neurologist with the Houston Methodist Neurological Institute.

“If true, those people have diseases that are completely reversible – they just need a proper diagnosis and treatment to help them return to normal lives.”
​

https://neurosciencenews.com/schizophrenia-immune-disorder-bipolar-8179/
​
​This is a Lecture from the National Institute of Health on "The Microbiota as Instructor and Arbiter of Immune Responses in Health and Disease" (2017) -- It's over an hour long!

TRAUMA, Inflammation & autoimmune disorders

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University of California @ San Francisco VA & Psychiatry Dept.
​Childhood Trauma Can Result in Chronic Inflammation which can affect the Immune System (2012)
http://www.medicaldaily.com/childhood-trauma-can-result-chronic-inflammation-241114
​
​
​Elevated Risk for Autoimmune Disorders in Iraq and Afghanistan Veterans with Post-Traumatic StressDisorder (2014)
http://www.biologicalpsychiatryjournal.com/article​/S0006-3223(14)00457-0/fulltext


Role of gut 
​microbiome in posttraumatic stress disorder: More than a gut feeling

​

Chad Kelly & Mr. Universe

1/31/2019

 
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Chad Kelly was released from the Broncos a day after he was found mumbling incoherently after breaking into the home of a stranger and arrested for "Trespass." He has a history of behavioral issues.
PictureMr. Universe
What Must We Do To Prove We Are Humans?
By Mr. Universe              
                They call me Mr. Universe.  I have severe mental disabilities, and I have been homeless for over 20 years, and this is a true story.
                I have no friends or support system or family and I'm homeless, I have been in and out of jail and prison for 20 years.
                The sad part is when I get out of jail there's nowhere for me to go, and no one who cares what happens to me.
                So what about the large percentage of us who don't want to be homeless and our only crime is being mentally ill?  How do we supposed to live without effective and immediate assistance from the State -- the same people that want to keep us locked up simply because they do not understand us?
                 What must we do to prove we are humans?
                  The System was designed to hurt us not to help us.
                 I am using the term "us" because my voice is for all the homeless and mentally ill people who try so hard to get off the street.
                  The last 2 times I was in jail I had drug charges.  I asked the DA to give me treatment and he refused me both times.
                  How do I suppose to live if I have a disability and cannot work, who do I go to for help?

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Chad Kelly & Mr. Universe

​
Why is the Chad Kelly story so important to us? 

Well we worked with Mr. Universe above, a Black Homeless Man in his 50's facing a factual situation very similar to Chad Kelly's -- only Mr. Universe is now doing 24 years in a Colorado Prison.

He had a lot of chances, right?  No he didn't.  AND that is not the right question anyway.

​Also when people have executive functioning problems it doesn't really matter if that is because of mental illness, brain injury, substance use issues, developmental disability, other factors, a combination.

The person has those issues -- incarceration is going to make them worse -- and we need to treat those issues as best we can and protect the community.

The Global Mental Health Crisis

1/31/2019

 

​IF WE BUILD OUT AN ADEQUATE MENTAL HEALTH SERVICE DELIVERY SYSTEM WITH HOUSING & PLACEMENTS TO SCALE -- THEY WILL COME & THAT'S THE ISSUE

​WE'VE GOT TO GET OUT OF THIS DOWNWARD SPIRAL & THAT MEANS FUNDING RESEARCH & BRINGING RESEARCH TO CLINICIANS IN A TIMELY MANNER

So What's the Point?  --- There are many millions of people in the US, Western Countries, & really around the world including less developed countries that constitute the "Global Mental Health Crisis" --- Is it really all Social Media?

We are pretty sure that if we address this -- People Are Going To Come.  Now most people may not be @ STAGE 4 -- but there are Millions, maybe even a BILLION -- with "Mental Illness/Developmental Disability" that affects multiple domains of functionality.

We think this is a "GENERATIONAL ISSUE":
​ 
  • We think our immune systems have become much more "sensitive" over the last few generations given the move from the farm but also combining that with the move to processed food and a more sedentary lifestyle.
  • So a lot of this "Sensitivity" shows up in "Emotional Sensitivity" -- which people physically feel -- so if people trash us on Social Media -- we don't just feel upset -- or whatever -- it's the end of the world.  Is Suicide an appropriate response?  NO -- but it may "feel appropriate" given the level of disturbance in our Central Nervous Systems.
  • It also includes all those relatively new FOOD SENSITIVITIES & ALLERGIES.
  • Social Media is really problematic and it does ratch things up -- but we're not sure that our ancestors would be having the same problems with it that we are ---of course they would be out in the fields working.
  • In the US,  we are probably two, three, four generations into epigenetic changes from moving off the TRADITIONAL FARM. [In some cases maybe more]
  • Additionally, RACIAL DISCRIMINATION [PROBABLY ANY KIND OF DISCRIMINATION]/UNCONSCIOUS BIAS affects people's physical/mental health -- we have to Include & Listen to people because we are not aware of our own UNCONSCIOUS BIASES -- and everybody has them.
  • Furthermore -- we have evolved into an UBER SENSITIVE PEOPLE--- that has A LOT OF CONSEQUENCES -- many unintended.
The Mental Health Crisis is so ubiquitous really all over the world BUT especially in Western Countries
  • Most of us around the world are pretty far beyond people with mental illness being possessed by demons although mental health advocates & providers are in some parts of the world still battling treatment by hyena or chaining.
  • In the West, we are not beyond:  "People are just BAD/EVIL -- He/She Intended It" if we don't fully understand what's going on. -- we might put a sham scientific gloss on it like -- "anti-social personality disorder."
  • It would be so much easier & likely cheaper if our knowledge was less than it is --- it is clear we know a lot & that we don't know enough.
  • That has lot of moral implications and a lot of implications about who we put the burden on:  is it going to be on often INDIGENT INDIVIDUALS or often the WEALTHIEST SOCIETIES IN THE WORLD that have the resources, but may NOT want to ADEQUATELY FUND:​
    • Research
    • The Massive Task of Bringing Research to Clinicians in a Timely Manner
    • Treatment
    • Housing
    • Supported Employment
    • Custodial Care
    • Custodial Care with Beefed Up Security Features
  • ​Of course, in the LONG TERM it is SO MUCH CHEAPER for the SOCIETY to adequately FUND the above rather than ask FUTURE GENERATIONS to pay.
  • That payment may include unnecessary TRAUMA & epigenetic changes [heritable changes in gene expression] to our progeny
​​
What Is Epigenetics?
Suicide: The Urgent Need to Apply the Research
Poverty Linked to Epigenetic Changes & Mental Illness -- Nature (2016)
ADHD, Reciprocity, Rejection Sensitive Dysphoria, & Differences in Intensity
"I'm Too Sensitive A Person"

UNDERSTAND-ING FEDERAL & STATE LEGAL IMPEDIMENTS  TO rESOLVING CO'S MENTAL HEALTH CRISIS

1/27/2019

 
SUFFICIENTLY FUNDING CARE Under CO's Civil Commitment Statutes

PEOPLE -- The PROBLEM isn't that CO's Care & Treatment for People with Mental Health Disorders Act hasn't been sufficiently wordsmithed to include people who may need treatment.  Further, one only has to have "imminent danger" or "gravely disabled" [which is very broad] for a 72-hour hold.  One can still petition the Court under "gravely disabled" or 'danger' for a "court-ordered" evaluation.  Now if people want to include "danger" for 72-holds -- we don't object.

BUT THE REAL PROBLEM IS --

The CO Legislature limited the Care & Treatment ACT to "AVAILABLE APPROPRIATIONS" --- & SUFFICIENT APPROPRIATIONS ARE NOT AVAILABLE TO DEAL WITH CO'S MENTAL HEALTH CRISIS


  • So we don't have enough bed space [which most people know] -- 
  • But we also don't have enough small mental health residential treatment facilities
  • We don't have enough Housing [we know that -- but we often don't think of that as a BIG part of CO's Mental Health Crisis -- IT IS]
  • We don't have enough Assertive Community Treatment -- basically 24/7 Wraparound Services -- the gold standard of Intensive Community Mental Health Treatment -- & a common element of US Dept of Justice Mental Health Americans with Disabilities Act/Olmstead settlement agreements -- provided under CO Medicaid as an "Alternative Service" & not to all Medicaid recipients where reasonably medically necessary.
  • We don't have any Flexible Assertive Assertive Community Treatment -- a less expensive form of ACT that is provided on an as needed basis, especially for "cycling" forms of mental illness --- where in general, people may be functioning pretty well but have periods of need for intense support.  Originally developed in Scandinavia.
  • We don't have enough Intensive Case Management again provided as an "Alternative Service"  & not to all CO Medicaid recipients where reasonably medically necessary.
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THE FEDERAL "IMD EXCLUSIONARY RULE" OR THE ROAD TO HELL IS PAVED WITH GOOD INTENTIONS

[The IMD RULE prevents Medicaid funding of "Institutes of Mental Disease" except in limited circumstances] 

In many cases, Prosecutors & Courts will not agree to an alternative to incarceration without significant address of safety concerns.  The hard truth for the society & what most Correction officials already know -- INCARCERATION MAKES PEOPLE WORSE.

[IT IS TIME TO INSTITUTE EMERGENCY PROCEDURES TO DEAL WITH THE CURRENT MENTAL HEALTH CRISIS --- & LET'S NOT HAVE THE PERFECT BE THE ENEMY OF THE GOOD LEST WE HAVE THE CURRENT STATUS QUO:  THE HORRIFIC]
​

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​Feds get rid of IMD Rule--- in exchange States are required to develop comprehensive, detailed Mental Health Continuums of Care that are brought to SCALE @ each TIER.

In search of a criminal justice policy we can handle & that is based on the truth

1/25/2019

 
We post this stuff a lot. 

What we're hoping is going to happen is that probably some leaders within the Mental Health profession with other health professionals &  with the assistance of the State are going to try to address these problems [theoretically with an inclusive stakeholder group] regarding:
  • Incomplete Knowledge [Mental Health, Brain Injury, Developmental Disability, Substance Use] & the Criminal Justice System

A lot of people in the Criminal Justice System have one or more of the issues mentioned above.  Further, there are people in the Criminal Justice System who have all 4 issues -- a mental illness, brain injury, developmental disability, & Substance Use issues.

For much [not all] of Criminal Law, the issue really isn't an individual bad act -- it is really long term complicated cognitive issues that we may or may not partially understand.

The people with these "issues" must be a part of this ---- because they have a lot of CRITICAL INFORMATION only they know.

THIS IS PRETTY IDEALIZED BUT THIS IS WHAT WE ARE GOING FOR:

Ideally, providing for:
  • SAFETY, secure and therapeutic placements to meet the NEED, consider RURAL Areas, horticulture, farm animals, etc. & to address NIMBY [not in my backyard];
  • The Social Determinants of Health, including Housing & Supported Employment
  • Person-Centered, Strength Based Approach
  • Treatment to meet the NEED
  • Individualized Medicine with Shared Decision-making
  • Timely Integration of Research into Clinical Practice
​​

"If Natural Consequences were gonna do it -- They would have already worked."

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The Great Pat Tomlan, Ph.D: "If natural consequences were gonna do it, they would have already worked." Pat did psycho-educational assessments. We worked on a case together while I was working @ The Legal Center for People with Disabilities & Older People, now Disability Law Colorado. She taught me so much! She passed away a few years ago -- & she is greatly, greatly missed.

​Dr. Thomas Insel, former Dir. of the Nat'l Institute of Mental Health --- We Don't Even Have a Parts List for the Brain -- We're in a AGE OF DISCOVERY  (2014)
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-------Dr. Aristotle Voineskos, Director of the Campbell Family Mental Health Research Institute at the Centre for Addiction and Mental Health (CAMH) in Toronto
Neuroscience News
January 4, 2019 


“But we needed to take an agnostic approach and let the data tell us what the brain-behavioural profiles of our study participants looked like.

 It turned out that the relationship between brain function and social behaviour had nothing to do with conventional diagnostic categories in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).”


-------Dr. Aristotle Voineskos in the Campbell Family Mental Health Research Institute at the Centre for Addiction and Mental Health (CAMH) in Toronto

Neuroscience News
Brains of People With Schizophrenia Related Disorders Aren’t All the Same

https://neurosciencenews.com/?s=schizophrenia+brains+not+all+the+same
Science Up
New Science is amazing & it has huge moral implications NOW

Divergent Thinking & Creativity are High risk High reward strategies---The desperation that causes is pretty intense

1/22/2019

 
     So what is really a CRITICAL element of "Divergent Thinking" & "Creativity" --- High Sensitivity To The Environment.
           Is that a GOOD thing or a BAD thing?
           Well, IT DEPENDS.
            It can provide the raw information, data one needs to be "Creative" or engage in "Divergent Thinking" to solve problems -- but that "Sensitivity" has the very real potential to be disabling.
                That "Sensitivity" MAY BE the very nice person who is extremely considerate of the feelings of others -- it may be that person PLUS/OR someone who easily takes offense, whose feelings are easily hurt:
  • the person may be "acting out"
  • withdrawing, or 
  • just pretending that "it" doesn't hurt -- as much as "it" does.
      On top of all this -- as if this weren't enough -- are COMPLICATED Biological Drivers that are only PARTIALLY UNDERSTOOD by the Researchers much less the Clinicians.
         WE'RE GOING TO PILE ON: 
  • This is the "Best of All Possible Worlds" -- "We Gotta Provide Hope" & "POSITIVITY" -- Mental Health Profession [the reality is we provide hope to others by being really honest, transparent & as open as possible about our own limitations -- including knowledge limitations  -- so others can be really honest & transparent so there is the Foundation for TRUST & SHARED DECISION MAKING to solve "problems"]. 
  • A Criminal Justice System That Is So Overwhelmed with Its Heavy Dockets -- It Doesn't Have the Capacity to Ask the Tough Questions & Would Probably Say That's a Legislative Matter -- Substantive Due Process anyone?
  • IMPERFECT KNOWLEDGE
  • SOCIETAL DESPERATION 
​
Is that a Recipe for Moral & Ethical Decision Making & REFORM?

IT COULD BE.
    
             
Picture
When I first saw this video while writing this blog --- I Cried.  It's gonna be hard --- BUT try not to throw up -- you don't want to damage your computer.
We agree with many of Peterson's points on the "Curse of Creativity."  We DON"T AGREE with the old argument that if "Everybody is Special, Nobody's Special."

That's a pretty fallacious argument and we understand how people can get trapped in it.  Why is it a fallacious argument?: 
  • there is no contradiction in a lot of people being "Creative" -- [HINT:  All men are mortal, Socrates is a man, therefore Socrates is mortal.]
  • there is even no contradiction in everyone being "Special" if its in different respects.
  • You first really need to start with defining "Creativity" -- welcome to the Labyrinth & the Rabbit Hole -- Socrates didn't last very long after he started walking around asking people: "What Is Virtue?"  Good Luck with "Creativity."  That doesn't mean we shouldn't ask -- we should ask.
  • What we believe are Psychology Professor Peterson's "good points" have so many implications for the ECONOMY,  EMPLOYMENT, & MENTAL HEALTH -- we'll be trying to flesh some of that out in the coming days. [Peterson is @ the University of Toronto].  In the MEANTIME ---
CANADA: RISE Asset Development -- Supports Entrepreneurs Overcoming Mental Health & Addiction Challenges
BIO-MOLECULES & THERAPEUTICS (2018)
Korean Society of Applied Pharmacology


Schisantherin B Improves the Pathological Manifestations of Mice

Caused by Behavior Desperation in Different Ages-Depression with Cognitive Impairment
Picture
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