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    • 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]
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      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
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  • Microglia and the Brain's Immune System
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  Val's Blog

if we dig deep, there may be more "harmony of interests" in the criminal Justice System than we realize

1/15/2019

 
          Some of what goes on in the Criminal Justice System is a SEARCH FOR TRUTH and a determination of disputed factual matters.
            A whole lot of what goes on in the Criminal Justice System is DESPERATE ATTEMPTS TO AVOID BRUTAL INCARCERATION.
              If the State offered through Medicaid Funding [& a Federal Match] Humane alternatives that provided for SAFETY -- a lot of those CROWDED CRIMINAL DOCKETS WOULD GO WAY DOWN.
                      Further, it may SHOCK some people to know that some people who allegedly have had all those CHANCES -- actually do sometimes choose INCARCERATION over PROBATION -- BECAUSE THEY DON'T WANT TO BE SET UP FOR FAILURE -- IT IS TOO STRESSFUL.
                        Those EXECUTIVE FUNCTIONING SKILLS that the Court, the prosecutor, and maybe even the Defense Attorney take for granted --- that person may not possess in some standard configuration.  
                           That could be because of a brain injury, mental illness, substance use issues, developmental disabilities, etc. --- or some combination.
                             FURTHER, even some people who have been convicted of horrible crimes DON'T WANT TO BE SET UP FOR FAILURE.
                                   The desire to REALLY AUTHENTICALLY SUCCEED is actually pretty UNIVERSAL.
                                 I've had CLIENTS who wanted a MORE RESTRICTIVE ENVIRONMENT than what I was originally suggesting.
                                  We're NOT suggesting that this is all going to be NIRVANA -- BUT THE DEEPER WE DIG -- THE MORE LIKELY WE ARE TO FIND A HARMONY OF INTERESTS.
                                
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Executive Functioning & "Prison Brain"

Mental Health's 3-legged stool is falling over

1/14/2019

 
IRONICALLY---
RESEARCHERS SOMETIMES REFER TO WHAT MENTAL HEALTH CLINICIANS DO AS A "RELIGION" -- WELL MEANING, BUT NOT WELL GROUNDED IN SCIENCE

WE ACTUALLY PROBABLY HAVE MORE "FAITH" @ THIS POINT IN RELIGION THAN WE DO IN THE MENTAL HEALTH PROFESSION

IT IS NOT THAT EVERYTHING THE MENTAL HEALTH PROFESSION BELIEVES IN IS WRONG --- BUT SOME PRETTY SIGNIFICANT PIECES ARE -- & THERE IS A PRETENSION TO KNOWLEDGE THEY JUST DON'T HAVE.

WELL, COULDN'T YOU SAY THAT ABOUT US, TOO?  WELL PROBABLY, BUT OUR ARGUMENT ISN'T THAT WE KNOW IT ALL.  IN SOME WAYS, IT IS A SOCRATIC ARGUMENT-- WE DON'T KNOW IT ALL BUT IT IS PRETTY CLEAR THE MENTAL HEALTH PROFESSION DOESN'T EITHER.

OBVIOUSLY, THIS IMPACTS THE GENERAL ISSUE OF "TREATMENT" BUT IT ABSOLUTELY GOES TO THE GROWING MAGNITUDE OF OUR "MENTAL HEALTH CRISIS" AND OUR RESULTING:  "MENTAL HEALTH/CRIMINAL JUSTICE CRISIS."

IF THE MENTAL HEALTH PROFESSION IS BEING DESPERATELY ASKED BY THE CRIMINAL JUSTICE SYSTEM TO WEIGH IN ON MATTERS IN WHICH THE PROFESSION HAS AN EXTREMELY PARTIAL UNDERSTANDING @ BEST --- THAT MAY HAVE THE POTENTIAL & ABILITY TO HELP BUT IT NOT ONLY HAS THE POTENTIAL -- IT HAS THE REALITY OF DOING GREAT HARM -- THINK "ANTI-SOCIAL PERSONALITY DISORDER."

WE THINK THE MENTAL HEALTH PROFESSION IS PROBABLY ONE LEG OF A 3-LEGGED STOOL:  IMMUNOLOGY, GASTROENTEROLOGY, & NEUROSCIENCE.

MENTAL HEALTH PROFESSIONALS REALLY DON'T HAVE ENOUGH KNOWLEDGE TO TESTIFY IN CRIMINAL COURTS.  IS THAT REALLY PROBLEMATIC -- YES, IT IS.  

IT MEANS WE MUST GET REALLY HONEST & REFORM OUR CRIMINAL JUSTICE SYSTEM AND WHILE WE ARE @ IT OUR PROVISION OF "MENTAL HEALTH SERVICES."
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  1. Competence in Job
  2. Concern for Others
  3. Keep Commitments

One of the most important legs of TRUST is Concern for Others --- our Mental Health Profession has that -- probably more than most Medical Professions

Competence in the Job and Keeping Commitments are really related and really go to this lack of Scientific Grounding.  AND really why the mental health profession and many advocates spend so much time on the "perfect wordsmithing" of the Civil Commitment Statutes.

Is this really the Mental Health Profession's fault? Maybe we can see with people we know care so much --- that we are all INTER-CONNECTED & nobody can do it by themselves.

It's fine for researchers or critics such as ourselves to refer to mental health clinical practice as a "RELlGION" or admonish clinicians to take an "AGNOSTIC" approach to the DSM 5.

But mental health professionals NEED A MASSIVE REFORM in how advances in knowledge are communicated to them and how to implement those in Clinical Practice.  That implicates those researchers and ultimately our GOVERNMENTS to FUND that activity.



​

Employment, Treatment, Neuroplasticity & reality

1/2/2019

 
People with disabilities in the Criminal Justice System want to be employed.
• The public wants to see people with disabilities in the Criminal Justice System employed.
• That is a lot more complicated than most people realize even with a person with invisible disabilities who has a High IQ.

• “Disabilities” are really weaknesses or deficits it is thought the majority don’t share – and often the majority don’t share these weaknesses or deficits.

•
Many people with “Disabilities” do have STRENGTHS the majority doesn’t have.  We really recognize this for people who experience blindness or deafness, but it can be true for other weaknesses of deficits, too.

• Further, some Mental Illnesses are closer to Developmental Disabilities that kick in @ Adolescence or Young Adulthood.

• Additionally, some mental illnesses are brought on in part by undiagnosed developmental disabilities and the stress and frustration when one’s own Compensatory Efforts & Skills are insufficient for the environment one is operating in.  [Attorney Val Corzine has personal experience with this]

• So all of this is a LONG WAY of saying actually a lot of things BUT we are going to focus on:

*Neuroplasticity is A LOT MORE complicated than we think it is.  --- Most people with developmental disabilities and mental illness have been naturally taking the advice of many brain researchers – to pay attention and practice.

Like people who may not have access to one or more senses – our brains have had to develop workarounds --- which may account for some of those STRENGTHS. 

• We wouldn’t ask a person with BLINDNESS to just sit around and work on their blindness and when they have that fixed we will open up some employment opportunities for them.

• We shouldn’t be doing that for people with developmental disabilities [even HIGH IQ), brain injury, mental illness, etc.

• That health care system has to be Person-Centered & Strength Based if people are going get better.

• That Health Care System MUST spend 80% of its time on Strengths identification & development, & 20% of its time on workarounds for weaknesses.

• People and employers MUST have easy access to these workarounds or “accommodations.”  

• One of the reasons why people with DISABILITIES NEED A STRENGTH BASED SYSTEM IS THAT THEY OFTEN HAVE STRENGTHS THE MAJORITY DOESN'T -- it is hard for the majority to understand -- BUT people NEED TO FOCUS ON THOSE STRENGTHS TO GET BETTER.

Those strengths are the keys to EMPLOYMENT, and the WORKAROUNDS can't be ignored but they are only 20% of the Solution.
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Go With The Flow
​Val's Confessions & a Cautionary Note on Neuroplasticity

     I have a poor working memory and am a person with slow processing speed.

     On the other hand, I "intuitively" understand SOME patterns, associations, and SYSTEMS.

      I consider myself a systemic thinker mainly because I am.  Now most people are too to some degree -- but it is likely due to my own deficits that my own abilities have been developed to a relatively high degree. 

​       The deficits didn't go away.

        Is that my fault because I didn't sufficiently pay attention or practice?

                 The implications of some of the talk around Neuroplasticity are pretty SCARY--as Maria Shriver says on this topic:  "We have to be response-able."

                        My fear is that we don't replace the Free Well rationale for Punishment with PERFECT & IMMACULATE NEUROPLASTICITY.

                                   If we want to provide TREATMENTS -- that's great.   That's being response-able.

          Let's not use NEUROPLASTICITY to do an end run so we can still make moral judgments about people and punish them. 

Getting beyond the "heroic values" of the Adversary System & the Expensive Legal Edifices we've created

12/31/2018

 
      In some respects we haven't gotten that far from the ancient Anglo-Saxon Wergeld -- if you have the money to pay for an injury you can -- if NOT -- you pay with your life.
        A lot of what attorneys do in "Street Law" -- Family Law, Criminal, Landlord/Tenant, etc. -- could be automated -- a lot of it is.
         It could be A LOT more.
         There aren't enough pro bono attorneys for individual representation of thousands of people .
          THAT IS NOT REALISTIC, and it is not really very EFFECTIVE.
           Just like anything else -- what people are really interested in are results --- further, most, not all, don't want to have to deal with attorneys -- and they certainly don't want to have to pay them.
              It is HARD to make things SIMPLE -- it is EASY to make them COMPLICATED.
                Most people want a better, less expensive system that they are not totally stressed out by -- and if there is a way to construct this without lawyers & multiple visits to the courthouse ---LET'S DO THAT.
                     The attorneys who are engaged in individual representation should be employed by independent State agencies to improve the Systems & Outcomes and recommend legislative changes as necessary.
                      It is very hard if not impossible for people to afford lawyers during a CRISIS in their lives that often has SERIOUS ECONOMIC dimensions.
                        Many of us know that most of our client's greatest needs are for a:
  • CASE WORKER 
  • Housing 
  • Treatment
  • Placements
  • Supported Employment
  • Etc.
                         As attorneys we need to be constantly trying to work ourselves out of the job of Individual Representation and into the job of Creative & Innovative Systems reform that brings about REAL CHANGE that people want and taxpayers feel good about funding.

                  Nowhere do people lie more than in a courthouse, whether the poor person or the authority figure.  

                     If we start taking some of the incentives out of that--- like [FEAR] ---we can build on the work that is already being done for a more COLLABORATIVE & COLLEGIAL Legal System and ultimately a BETTER SOCIETY.
         



                   


     
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Disys.com
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By and large lawyers are the LEAST IMPORTANT professionals our clients need [or we should live in a Society in which lawyers are the least needed by individuals].

BUT attorneys are & SHOULD BE some of the MOST IMPORTANT  ADVISORS to the SOCIETY as it CREATES, INNOVATES & MANAGES SOCIAL SYSTEMS INTEGRATION to PROMOTE THE ENDS OF HEALTH, WELFARE & JUSTICE. 

CO's Care & Treatment Act:  "Subject to available appropriations"

12/27/2018

 
 CONTEXT IS EVERYTHING:

The Goebel Lawsuit
  • Lawsuit was instituted in 1981 and it was dismissed in 2006.
  • ​It is named for a homeless woman with Schizophrenia who died on the streets of Denver.
  • Her name was Ruth Goebel.
​

The Original Attorneys that participated in the LANDMARK CASE:
  • James W. Dean, Legal Aid Soc. of Metropolitan Denver, Inc.
  • Kathleen Mullen, Law Offices of Kathleen Mullen, Denver.
  • Rodney R. Patula, Pryor, Carney & Johnson, P.C., Englewood, for Colo. Lawyers Committee.
​
  • ​One of the legal grounds for that case was Colorado's failure to comply with the State's CARE & TREATMENT Act for people with mental illness.
 
  • Attorney Iris Eytan [Kathleen Mullins' Heir Apparent], the Colorado Lawyers Committee, & Disability Law Colorado are pursuing another COLORADO LANDMARK MENTAL HEALTH CIVIL RIGHTS CASE-- the JAIL WAIT CASE (for competency exams)
  • They have been pursuing this for approximately 10 YEARS.


ARTICLE 65. CARE AND TREATMENT OF PERSONS WITH MENTAL HEALTH DISORDERS

CRS 27-65-101.
Legislative declaration

(1)  The general assembly declares that, subject to
available appropriations,
the purposes of this article 65 are:


(a)  To secure for each person with a mental health disorder such care and treatment suited to his or her needs and to ensure that the care and treatment are skillfully and humanely administered with full respect for the person's dignity and personal integrity;

(b)  To deprive a person of his or her liberty for purposes of care or treatment only when less restrictive alternatives are unavailable and only when his or her safety or the safety of others is endangered;

(c)  To provide the fullest possible measure of privacy, dignity, and other rights to persons undergoing care and treatment for a mental health disorder;

(d)  To encourage the use of voluntary, rather than coercive, measures to provide care and treatment for mental health disorders and to provide the care and treatment in the least restrictive setting;
(e)  To provide appropriate information to family members concerning the location and fact of admission of a person with a mental health disorder to inpatient or residential care and treatment;

(f)  To encourage the appropriate participation of family members in the care and treatment of a person with a mental health disorder and, when appropriate, to provide information to family members in order to facilitate that participation; and

(g)  To facilitate the recovery and resiliency of each person who receives care and treatment pursuant to this article 65.

(2)  To carry out these purposes,
subject to available appropriations,
the provisions of this article shall be liberally construed.


[Orchid Commentary:  Good Luck with that without SUFFICIENT APPROPRIATIONS]


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Photo Credit: Westword
denver posT: Lawsuit’s end restarts battle for mental HEALTH CARE [APRIL 15, 2006]
Attorney Kathleen Mullin: CO's Dorothea Dix
CO's Landmark Goebel Case

​






​





​




​​in response to the goebel case---

the CO Legislature to Attorney Kathleen Mullin, mental Health attorneys, advocates & the mental health community [paraphrasing]

So specifically what the CO LEGISLATURE did as a response to the "Goebel Lawsuit" was to limit Colorado's legal responsibilities under the CARE & TREATMENT ACT to "AVAILABLE APPROPRIATIONS."

That's about as DISCRIMINATORY as you can possibly get.  [Remember, Discrimination under the Americans with Disabilities Act (ADA) does NOT require INTENT.

What is DISCRIMINATORY about a Legislative Decision to Limit the "Care & Treatment Act" to "Available Appropriations"?

Well, we really have to look @ the total scheme of treatment available for people with mental illness in Colorado.  Like most states, it is a BIG JIGSAW PUZZLE MESS with:
  • Inadequate State authorized Medicaid funding with the State Match,
  • Inadequate Funding from SAMHSA, and
  • Inadequate State Funding.
Now, the State is trying to pool all that together into some type of coherent system that covers Coloradans BUT it is NOT working -- and it hasn't for decades.  THERE IS NOT ENOUGH REVENUE FROM THE SOURCES MENTIONED ABOVE TO MAKE THIS WORK.

Now if people's mental health needs are being taken care of outside of the CARE & TREATMENT ACT -- maybe it doesn't matter.  BUT there are THOUSANDS of people with mental illness in this State who are homeless or incarcerated because the State is NOT providing adequate services -- that sounds @ the very least like "GRAVELY DISABLED."


THIS ALSO HAS A LOT TO DO WITH WHAT MEDICAID WILL & WILL NOT COVER
[but that is not the whole story because Medicaid will cover A LOT Colorado isn't providing to SCALE -- think ASSERTIVE COMMUNITY TREATMENT]

TOMORROW:
​

We will look at CMS' [Centers for Medicare & Medicaid Services] prohibition on Medicaid funding INSTITUTES OF MENTAL DISEASE or --- The IMD RULE

Our Current Arc of Authenticity​ & Age of Integration of Pluralistic/& Not So Pluralistic Societies [Religion/Morality, Science, Medicine, Economies & Law]-- Part 1 The Spirituality of Imperfection

12/26/2018

 
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     As a child, we think the adults around us are perfect or at least should be -- along with the institutions of our schools, community & Country.
        J.K. Rowling so brilliantly captured our disillusionment in her Harry Potter Series.
         Harper Lee did too with her original version of Atticus Finch in "Go Set A Watchman" -- contrasting sharply with our heroic view of Gregory Peck in "To Kill A Mocking Bird."
         Of course, ultimately that disillusionment extends most disturbingly to ourselves.
          Religion/Morality are in no small measure a human attempt to tap into the TRANSCENDENT & take a crack @ TIMELESS TRUTHS while surrounded by not just harmless HUMAN IMPERFECTIONS, BUT DANGEROUS ONES AS WELL.
             Are those cracks @ TIMELESS TRUTHS -- INSPIRED -- I would say so -- BUT as Joseph Campbell observed -- we really don't want to go back to that "OLD TIME RELIGION" -- it is pretty SCARY.  AND ANY RELIGION or INSTITUTION is pretty SCARY if it can't change with NEW KNOWLEDGE.
             RELIGIONS are often societies' most conservative institutions because they are often ANCIENT and they have withstood A LOT OF THREATS TO THEIR EXISTENCE.
                  Historically, RELIGIONS do change but it is based on COMPLEX POLITICAL CONSIDERATIONS NOT A MERE SHOWING OF  "REASONABLE CAUSE."
                      Now SCIENCE & MEDICINE have their own pretty whacked out histories & THEY ARE FAR, FAR FROM PERFECT -- & they do sometimes think they are "perfect" -- just with a small "p" --- not the blazing capital letters of "PERFECT OR IMMACULATE RELIGION."
                         IRONICALLY, it is the INSTITUTIONS OF VARIOUS RELIGIONS that understand better than any other in our SOCIETY how imperfect human beings really are.
                                 For these INSTITUTIONS of VARIOUS RELIGIONS to have the INFLUENCE in our PLURALISTIC SOCIETIES that we need them to have -- THEY MUST HAVE AN APPRECIATION OF THEIR OWN IMPERFECTION AS WELL.
  

Even a Dog Distinguishes between being stumbled over & being kicked
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Jorge Agustín Nicolás Ruiz de Santayana y Borrás, known in English as George Santayana [1863 – 1952), was a philosopher, essayist, poet, and novelist. Originally from Spain, Santayana was raised and educated in the United States from the age of eight and identified himself as an American -- Wikipedia
We're Including this video of No Kidding, Me 2 not just as a message regarding "Mental Illness" -- BUT really the larger issue of "IMPERFECTION" in all individuals and institutions that we have a hard time coming to terms with and STIGMATIZE -- we do it too.[

We have to create a CULTURE & SOCIETY in which we can FREELY ACKNOWLEDGE our IMPERFECTIONS [both individuals & institutions} without FEAR of PUNISHMENT & with REASONABLE EXPECTATION of CARE, SUPPORT & ASSISTANCE.


Why so much on religion?

​As a Mental Health Advocacy organization, why are we spending so much of our time on RELIGION?

Well -- it's interesting, BUT it is actually more than that.  Much of our current criminal law has ancient roots -- including ancient religious roots.

We may think we have scrubbed RELIGION out of our modern statute books or for that matter our MENTAL HEALTHPROFESSION -- but if you look with the "trained" eye-- A LOT OF IT IS STILL THERE.

AND some of it is preventing us from making the reforms necessary.  IRONICALLY, IT IS OUR CURRENT RELIGIOUS FOLKS WHO COULD LEAD THE WAY.
Even A Dog Distinguishes Between Being Stumbled Over & Being Kicked

A Holiday Message:  A MATTER OF FAITH & OF SCIENCE

12/25/2018

 
                                      There are the saints, spiritual gurus, wise people, etc. --- that naturally & intuitively see the good in people and build on that. 
                             Historically, that has NOT been most of us --- especially when confronted by people behaving badly.
                                The FIRST thing we have to have is SAFETY -- WE GOTTA HAVE SAFETY.
                                Now we could just kill everybody that poses a threat to us -- and for much of human history -- that's what we did.
                                  It's been a big step up "COMPASSION-WISE" to "imprison" people but it is not as "EFFICIENT" as just killing people -- and most people come out worse than they were before. 
                                     Of course, there is A HUGE FLY IN THE OINTMENT of both killing people, imprisonment, punishment, etc.  That HUGE FLY is AGGRESSION -- so we may have gotten rid of the people who were posing the original threat --- ONLY TO TURN OURSELVES INTO THE THREAT.
                                      Now, very nice people have been looking for alternatives to imprisonment for awhile.  Some have worked better than others -- but no one has found a magic wand.

                                   The scientific evidence is piling up that large percentages of the Criminal Justice population have "Prison Brain" or EXECUTIVE FUNCTION DEFICITS related to a number of invisible conditions affecting cognition:  BRAIN INJURY, MENTAL ILLNESS, SUBSTANCE USE, DEVELOPMENTAL DISABILITY, ETC.

                      MANY PEOPLE IN THE CRIMINAL JUSTICE SYSTEM HAVE MORE THAN 1 OF THESE CONDITIONS.

                                     Of course, some of those conditions are NOT as INVISIBLE as they have been during much of human history.  Further, government funded scientific efforts around the world are working hard to make even more of these INVISIBLE CONDITIONS----- VISIBLE.

                    What should all of this mean for us NOW?
  • We still have to have SAFETY -- so we need to provide SUPERVISION where necessary
  • We need to AVOID AGGRESSION'S DOUBLE-EDGED SWORD
  • We need to make available evidence-based treatment where it is known;
  • We need to spend 80% of our time working with people in the identifying and developing STRENGTHS in people in the Criminal Justice System AND ourselves;
  • We need to spend 20% of our time working with people in the Criminal Justice System in identifying  and developing WORKAROUNDS for WEAKNESSES in people in the Criminal Justice System & OURSELVES.


                                 
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We are not endorsing the Biologos Organization -- & we are using it as an example of how some people are confronting matters of faith & science.
Aggression: Humanity's Double-Edged Sword
Orchid Book Club
Executive Functioning & Prison Brain
Scientific Reality, a kinder gentler nation -- and making our peace with "the state of nature"
Science & Religion, Rejecting social Darwinism for a Road less travelled
its-kinda-funny-but-religious-folks-may-be-more-adaptable-to-the-changing-science-than-our-mental-health-profession-legal-systems
Faith, Criminal Justice,  AND bringing religion in from the Cold

WHAT IN THE HELL----ALL TOO OFTEN IF OUR MENTAL HEALTH PROFESSION DOESN'T KNOW THE ANSWER -- THEY THINK THE ANSWER IS JAIL OR PRISON

12/19/2018

 
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​
​Is the Glass Half Empty or Half Full?  We would be the first to acknowledge that is a HUGE MATTER OF PERSPECTIVE.

The mental health profession actually does do a lot of good things which we have a responsibility to honor.

On the other hand, we are not going to get to the root causes of our "Mental Health/Criminal Justice Crisis" if we can't acknowledge and correct the HUGE ROLE the Mental Health Profession has played in it.

That certainly includes Jaffe's "Insane Consequences" for difficult to treat "Bipolar Disorder" and "Schizophrenia."

But to us, it also includes "Anti-Social Personality Disorder" which is a pretty horrific unscientific rationalization for inadequate care. 

If we don't have all the answers we need to acknowledge that --- BUT the DEFAULT ANSWER SHOULD NOT BE putting people in brutal environments in which they get worse.

WE CAN'T PUT UP WITH THAT ANYMORE.
​


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     ​Colorado Mental Health Centers have dumped their most difficult patients on the Criminal Justice System for Decades.

If we want that to STOP. we must do more than we are doing now.
​

God of the Gaps, Criminal Liability of the Gaps

Urbanization & Mental Health

12/16/2018

 

          So urbanization has been going on for thousands of years.  There are a lot of benefits to urbanization:  Security, Trade, More Efficient Use of Resources being right up there.

             BUT there have also been A LOT of UNINTENDED CONSEQUENCES -- from Social Problems to Disease Problems.

     
Selected Mental Health & Biological Issues Associated with Urbanization
  • Urbanization & Mental Health
            Industrial Psychiatry Journal (2009)
  • Impact of Rapid Global Urbanization on Mental Health Outcomes
​            Psychiatry Advisor (2016)
  • The Urbanization-Mental Health Connection
    Three evolution-based reasons that humans were shaped for small-scale living
           Psychology Today (2016)
  • ​Does City Life Pose a Risk to Mental Health?
    Recent studies shed light on the link between urban living and psychosis
​            Scientific American (2016)
  • Recent urbanization in China is correlated with a Westernized microbiome encoding increased virulence and antibiotic resistance genes.    
​            Microbiome (2017)
  • Meta-analysis of the human gut microbiome from urbanized and pre-agricultural populations.
​            Environmental Microbiology (2017)
  • Gut Microbiome: Westernization and the Disappearance of Intestinal Diversity
​            Current Biology (2015)        


             


Aggression: Humanity's Ultimate Double-Edged Sword
Aggression As A Protection Against Bipolar Disorder Depression

sUPPLY & dEMAND & THE lOGICAL SONG

12/13/2018

 
Val's Take

Roger Hodgson of Supertramp is a very financially successful musician --- and he found it wasn't enough.

For many artists of one type or another --- the STARVING ARTIST is a reality.

Further, there are many artists who do have mental health issues -- NOT ALL.

Additionally, there are a surprising number of accomplished musicians who are homeless and people who are interested in developing their musical talents.

It is quite difficult for my family to understand why I have made the choices I have to do what I do.  

I've always considered it a matter of survival.

I do have weaknesses & I do have strengths.

If the market doesn't know what to do with my strengths or the strengths of others or how to compensate for weaknesses -- that turns out to be a big problem.

We really need to figure out how to develop & create markets for all the raw, unique natural talent that is withering on the vine without more support.


​
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STEAM: science, technology, engineering, arts & mathematics
STEM to STEAM 
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    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
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      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
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      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
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    • 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]
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