My disenchantment with politics has hit a new low. I didn’t think that was possible until I began looking at Florida Gov. Rick Scott’s 2015 budget proposal line-by-line.
I was writing another story on child welfare programs and figured while I was looking at the budget, I might as well look at our governor’s budget proposal for mental health programs. Going straight to the bottom line, I see the governor is proposing spending $2.1 million more than the current fiscal year on adult mental health programs. Good news, right?
I took a gander at funding for strategic priorities:
The only strategic priorities that will see an increase in funding under the governor’s budget is mental health transitional beds, $2.5 million compared to $0 this year and $3 million to restore county criminal justice grants, which received no funding this year.
But under the category “Provide Effective and Enhanced Prevention Services,” which support 7 community crisis stabilization units and other local mental health care programs – the governor is cutting funding for all seven programs.
The governor’s proposed budget would have ticked me off three years ago – at the height of the recession – but it infuriates me now because Florida has a $1.2 billion budget surplus. So a $2.1 million increase for adult mental health care programs amounts to chump change. I mean, really?
The governor claims the three main parts of his “It’s Your Money Tax Cut Budget” are: 1) Creating Jobs for the Next Generation; 2) Investing in Education; and 3) Strengthening Florida Families. If that is true, investing in the state’s mental health care system should be among your top priorities.
If you want to attract business to Florida, you need a healthy and attractive environment. Homelessness and those pesky homeless people pushing grocery carts along the sidewalk or lining the intersections …
Imagine a bulletin board on the internet that allowed anyone to comment – anonymously – on your job performance.
Anyone can say whatever they want about the work you do. Some praise and thank you. Others mock you and trash a project that you painstakingly researched and produced. You must always always put your name on your work and claim it as your own. Still, anonymous critics swipe away at your work, leaving you unable to confront your accuser.
That’s what it’s like to be a newspaper reporter these days. It used to be that when readers wanted to criticize or comment on your story they would write a letter to the editor. Newspapers didn’t publish anonymous letters. They called the author and confirmed the person actually wrote the letter.
Then came the internet. Anyone can anonymously say anything about your work – and you – without any consequence. It ‘s unfair but as my mother used to say – “Life isn’t fair.”
You were right, mom. Life isn’t fair.
I am also an alcoholic. An alcoholic journalist. It’s been 15 years since I had my last drink but I am still an alcoholic and still a journalist. Always will be. I’m not ashamed of being an alcoholic or a journalist. I understand there is still a lot of stigma associated with being an alcoholic. But I am at a point in my career, life and recovery where I am comfortable with who I am. I don’t hide either but I don’t mix the two in reporting the news.
I’ve never liked the word asylum, unless you’re talking about some poor soul living under some repressive regime that desperately wants to be in the United States.
I’m talking about “asylum” as in “insane asylum.” You rarely even hear “asylum” used in that context anymore. guess that’s progress, right? So, I was shocked when a friend sent me an article which featured the word “asylum” in a bad kind of way.
According to the article, more than 1,000 bodies have been found on a construction site at the University of Mississippi. Some of the bodies are believed to have been patients at the Mississippi State Lunatic Asylum a century ago. None of the bodies have names or identifying information.
The asylum opened in 1855 and could house 150 patients. After the Civil War it expanded and could house 300 patients. Officials at the fast-growing University of Mississippi medical school planned to build a parking lot on the site.
Dr. James Keeton, dean of the medical school, said that moving the remains to a new burial site would cost an estimated $3 million — that’s $3,000 per body.
“We can’t afford that,” Keeton said, according to the article.
Really? Are you kidding me? First of all, I have a hard time believing the University of Mississippi can’t come up with $3 million to move the remains of mentally ill patients at the site of the state’s former Lunatic Asylum. If the Ole Miss football team needed $3 million, they would find it. Trust me.
What bothers me most is that no one seems interested in finding out who these poor souls are, where they came from and how to dignify their resting place. No one is mentioning conditions and policies at the Lunatic Asylum that allowed inmates to be buried in mass graves with no records identifying them, their illnesses and how they died.
Personally, I care. I think it is tremendously important for us to be reminded how people with mental illnesses were treated – mistreated …
I am totally into preventive health care – especially mental health care.
I practice preventive mental health care. It’s a program I came up with on my own based on a bunch of stuff I’ve read and been told by people I trust. It’s based on this simple premise: my brain is constantly producing or not producing chemicals and hormones. If there is too much of one chemical and not enough of another, I can sink into a black hole or leap tall buildings in a single bound.
The single, most powerful preventive tool in my little toolbox is exercise. Exercise prevents both depression and mania. It releases endorphins, hormones that activate my opiate receptors. As for my mania, exercise is like a fire extinguisher, snuffing out that burning desire to leap tall buildings in a single bound.
There was a time when I wanted a really big house. A two-story house with big bedrooms and bathrooms with his and her’s sinks – even though there is no “his.”
My siblings have huge houses on big chunks of land. BIG – as in having an intercom so the kids can ask mom to bring some snacks down to the basement, where they have gym, pool table, bar and movie room. You can put a 20-foot Christmas tree in their living rooms and it won’t hit the ceiling.
My house is 1,332 square feet on .17 acres. No basement. No upstairs. Right now, I absolutely love it. I have the windows open and it is raining. When you live in a very small house and you open the windows during a rain, it sounds like you are actually outside, in the rain. Surround-sound rain but you are cozy and dry.
In the words of the philosopher Crow: It’s not having what you want, it’s wanting what you’ve got.
This is gratitude and it is an entirely impossible state of mind when you have depression. If you want to get a taste of what depression feels like, it is the complete absence of gratitude. It is compounded by friends and family trying to cram gratitude down your throat…”You have so much to live for…”
I couldn’t hear what the man on 60 Minutes was saying because I was busy making dinner but I saw the scar across his face and figured he was a veteran or had been in a car crash.
I record 60 Minutes every week so I figured I would watch it later. I did and then I realized this was Virginia state Sen. Creigh Deeds. I vaguely remembered reading a few news stories about some senator’s son attacking his father and then killing himself but there was no follow up – just that the senator had pulled through.
I did not know that Deeds’ son, Gus, 24, had bipolar disorder and that he and his father had been in the emergency room trying to get treatment for Gus the day before the attack. Or that there were no beds available in the psych unit and so Gus went home – unlike other kids who can linger for days in emergency rooms waiting for a psych bed to open up.
The story got more horrific as it went along. Deeds gave us the unimaginable details of the attack and how he looked at his son as he sliced at him with a knife and told him how much he loved him. And then there were interviews with other parents who had been in similar situations, with children much younger than Gus – discharged from emergency rooms because there were no beds for psych patients.
All I could think while watching was… What The F-word is wrong with us! Sandy Hook wasn’t enough? Aurora wasn’t enough? Virginia Tech wasn’t enought? What astounds and infuriates me is that we – or at least I – know who is to blame.
An article published in today’s issue of the Journal of the American Medical Association has me kind of freaked out.
According to a press release advancing the article, Wide Variation Found in Quality of Evidence Used By FDA For Approval of New Drugs:
“Many patients and physicians assume that the safety and effectiveness of newly approved therapeutic agents is well understood; however, the strength of the clinical trial evidence supporting approval decisions by the U.S. FDA has not been evaluated.”
As someone who has been on not one, not two but a cocktail of three medications – two anti-depressants and a mood stabilizer – for more than seven years I am one of those persons who assumed that the safety and effectiveness of the drugs I take were established by the gold standard for evaluation: the randomized, double-blind study.
Apparently not. Dr. Joseph Ross and Nicholas Downing from the Yale University School of Medicine examined every FDA drug approval from 2005-2012. Their study included how many clinical trials were submitted to support the approval, how long the trials lasted, how many patients were studied and the outcomes used to define the drug’s effects and safety.
I have a few questions about Urban Outfitters controversial “Depression” shirt – like who the heck would wear that?
You’ve got a cropped t-shirt (who even wears those anymore?) covered the word “depression” in a busy pattern of different size letters. In the t-shirt’s defense, “Depression” is the name of the clothing line. Really? Who names their clothing line after a mental illness? What’s next?
Well, I don’t know what’s next but I can tell what the last shirt that got Urban Outfitters in trouble. It’s the one that said “Eat Less” on an emaciated teenager. REALLY? I mean, REALLY? You tell me that there was a photo shoot at some studio and the stylists put an “Eat Less” t-shirt on an emaciated teenage model and SOMEONE in the studio didn’t say, “Whoa, whoa, whoa. This is not cool. We can’t do this!”
And there is some buyer at Urban Outfitters (who apparently didn’t get the memo about the Eat Less shirt) who saw the Depression t-shirt and thought, “Ooooo! We just have to carry that shirt!”
Don’t get me wrong. I like a lot of the stuff that Urban Outfitters sells. In fact, I just got a pair of tangerine Chuck Taylors for $10. Obviously, I don’t have much fashion sense but I love a good deal. But what little fashion sense – and common sense – I have were thoroughly insulted by the “Depression” t-shirt.
For those of you with depression who live in areas that are expecting life-threatening cold weather this week, I am not going to say “I feel your pain.” I don’t and I won’t insult you by saying it.
Although I have felt your pain in my lifetime, I do not feel your pain now because I live in Florida. I also won’t insult you by telling you what the weather is like in West Palm Beach right now.
I was born and raised in northwest Wisconsin and southwest Michigan. Phrases like “wind chill,” “lake effect,” “black ice” and “sub-zero” were part of my daily vocabulary for about five months of the year.
The only thing worse than the temperature was the sky – so uniformally gray that it looked like someone had painted it one solid color. There were no clouds per se – just one massive, flat gray cloud that covered the entire sky for as far as you could see. Nine hours separated sunrise and sunset but it would be months before you would ever see the sun again so it didn’t really matter if it was day or night.
Today the Centers for Medicare & Medicaid Services of the U.S. Department of Health and Human Services is releasing conditions of participation (CoPs) that community mental health centers (CMHCs) must meet in order to participate in the Medicare program.
This means there are finally rules that ”focus on the care provided to the client, establish requirements for staff and provider operations, and encourage clients to participate in their care plan and treatment.”
We’re talking about protecting not only the 48 million seniors covered by Medicare but also 8 million other, younger disabled adults who are covered by Medicare. That’s 56 million Americans – more than the populations of California and Florida combined.
In 2012, 100 certified community health centers around the country billed medicare for partial hospitalization services.
There are 184 pages of rules and they are going to make some folks unhappy. There will now be rules for the qualifications of personnel working in CMHCs; client rights; admission, evaluation, comprehensive assessment and discharge or transfer of client; the treatment team and plan and coordination of services; quality assessment and performance improvement; and governance and administration.
Why do we need these rules? Because of complaints of physical abuse, fragmented care and that some CMHCs have stopped providing services once their center has been certified. Many centers have never had an on-site visit from the Centers for Medicare & Medicaid Services after they are certified and if a problem was found, the government is limited in kicking the CMHC out of the Medicare program.
We also need the rules because of the findings of and August 2012 Inspector General’s report entitled Questionable Billing by Community Mental Health Centers. The report found that in 2010 about half of the CMHCs met or exceeded what is considered high billing for at least one questionable billing characteristics.
Additionally, two-thirds of those with questionable billing were located in eight metropolitan areas. Finally, 90 percent of the CMHCs with questionable billing were located in States that do not require CMHCs to be licensed or certified.
Among the 203 comments submitted by the public in response to the proposed rule were complaints that anyone with money, yet no knowledge …