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    <title>You can do so much better. - Indexed</title>
    <dc:date>2021-12-03T04:45:21+00:00</dc:date>
    <link>https://thisisindexed.com/2021/11/you-can-do-so-much-better/</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>sex rage relationships maleness insecurity mental Indexed Jessica Hagy</dc:subject>
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    <title>The Clinical History of 'Moron,' 'Idiot,' and 'Imbecile' | Merriam-Webster</title>
    <dc:date>2020-05-30T13:30:29+00:00</dc:date>
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    <title>Geschwind syndrome - Wikipedia</title>
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    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Recently, a strong association was found between impulsivity and obesity which may explain the high prevalence of metabolic disorders in individuals with mental illness even in the absence of exposure to psychotropic drugs. As the overlapping neurobiology of impulsivity and obesity is being unraveled, the question asked louder and louder is whether they should be treated concomitantly. The treatment of obesity and metabolic dysregulations in chronic psychiatric patients is currently underutilized and often initiated late, making correction more difficult to achieve. Addressing obesity and metabolic dysfunction in a preventive manner may not only lower morbidity and mortality but also the excessive impulsivity, decreasing the risk for aggression. In this review, we take a look beyond psychopharmacological interventions and discuss dietary and physical therapy approaches.]]></description>
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    <title>Quality of information sources about mental disorders: a comparison of Wikipedia with centrally controlled web and printed sources. - PubMed - NCBI</title>
    <dc:date>2015-07-27T02:40:44+00:00</dc:date>
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    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[The quality of information on depression and schizophrenia on Wikipedia is generally as good as, or better than, that provided by centrally controlled websites, Encyclopaedia Britannica and a psychiatry textbook.
]]></description>
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    <title>Medicating Women’s Feelings - NYTimes.com</title>
    <dc:date>2015-03-08T02:10:00+00:00</dc:date>
    <link>http://www.nytimes.com/2015/03/01/opinion/sunday/medicating-womens-feelings.html?_r=3</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[But at what cost? I had a patient who called me from her office in tears, saying she needed to increase her antidepressant dosage because she couldn’t be seen crying at work. After dissecting why she was upset — her boss had betrayed and humiliated her in front of her staff — we decided that what was needed was calm confrontation, not more medication.]]></description>
<dc:subject>women health mental power office politics complaisance medication overmedication SSRI antidepressant depression anxiety</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:07401a1cb486/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:power"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:office"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:politics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:complaisance"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:medication"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:overmedication"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:SSRI"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:antidepressant"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:depression"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:anxiety"/>
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</item>
<item rdf:about="http://recursos.hispanicaccess.org/51664/Association-for-Retarded-Citizens-of-South-Florida.html">
    <title>Service Providers : Association for Retarded Citizens of South Florida</title>
    <dc:date>2013-10-25T13:07:41+00:00</dc:date>
    <link>http://recursos.hispanicaccess.org/51664/Association-for-Retarded-Citizens-of-South-Florida.html</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>civil rights advocacy mental retardation developmental disability service education community</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:c7e6b1c48289/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:rights"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:advocacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:retardation"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:developmental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:disability"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:service"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:education"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:community"/>
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</item>
<item rdf:about="http://www.floridasupremecourt.org/clerk/comments/2003/03-685_CommentsAssocRetardedCitizens.pdf">
    <title>http://www.floridasupremecourt.org/clerk/comments/2003/03-685_CommentsAssocRetardedCitizens.pdf</title>
    <dc:date>2013-10-24T12:49:56+00:00</dc:date>
    <link>http://www.floridasupremecourt.org/clerk/comments/2003/03-685_CommentsAssocRetardedCitizens.pdf</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>civil rights trial death penalty constitutional law mental retardation developmental disability</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:4affa5e31085/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:civil"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:rights"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:trial"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:death"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:penalty"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:constitutional"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:law"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:retardation"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:developmental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:disability"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.biomedcentral.com/1741-7015/11/3">
    <title>BMC Medicine | Full text | Diet, a new target to prevent depression?</title>
    <dc:date>2013-08-21T20:55:50+00:00</dc:date>
    <link>http://www.biomedcentral.com/1741-7015/11/3</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[RT @pfanderson: Diet, a new target to prevent depression?  #psych #mhealth #mental #health #depression #nutrition #diet]]></description>
<dc:subject>depression diet mental mhealth psych nutrition health</dc:subject>
<dc:source>https://twitter.com/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:23be2b5ae34f/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:depression"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:diet"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mhealth"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psych"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:nutrition"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://blogs.psychcentral.com/anxiety/2011/09/four-risks-of-obsessive-compulsive-disorder/">
    <title>OCD is bad enough on its own. Watch out for other problems. | Anxiety and OCD Exposed</title>
    <dc:date>2012-06-27T07:33:12+00:00</dc:date>
    <link>http://blogs.psychcentral.com/anxiety/2011/09/four-risks-of-obsessive-compulsive-disorder/</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health comorbidities risk disorder</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:47ce93b242a1/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:comorbidities"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:risk"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:disorder"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.digitalnewsrelease.com/?q=jama_3839">
    <title>Study Compares Effectiveness of Telephone-Administered vs. Face-to-Face Cognitive Behavioral Therapy for Depression | Digital News Release</title>
    <dc:date>2012-06-21T07:57:04+00:00</dc:date>
    <link>http://www.digitalnewsrelease.com/?q=jama_3839</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[The trial included 325 patients with major depressive disorder, recruited from November 2007 to December 2010. Participants were randomized to 18 sessions of T-CBT or face-to-face CBT. The primary measured outcome for the study was attrition (completion vs. non-completion) at post-treatment (week 18). Secondary outcomes included measures of depression.

The researchers found that significantly fewer participants discontinued T-CBT (n = 34; 20.9 percent) before session 18 compared with face-to-face CBT (n = 53; 32.7 percent). Attrition before week 5 was significantly lower in T-CBT (n = 7; 4.3 percent) than in face-to-face CBT (n = 21; 13.0 percent), but there was no significant difference in attrition between sessions 5 and 18. T-CBT patients attended significantly more sessions than those receiving face-to-face CBT.

“The effect of telephone administration on adherence appears to occur during the initial engagement period. These effects may be due to the capacity of telephone delivery to overcome barriers and patient ambivalence toward treatment. Access barriers likely exert their effects early in treatment, and thus the effect of the telephone on overcoming those barriers is most prominent in the first sessions,” the authors write.

In terms of changes in level of depression, the researchers found that T-CBT was not inferior to face to face CBT in reducing depressive symptoms at posttreatment. However, face-to-face CBT was significantly superior to T-CBT during the 6-month follow-up period. By 6-month follow-up, 19 percent of T-CBT vs. 32 percent of face-to-face CBT participants were fully remitted.

“The findings of this study suggest that telephone-delivered care has both advantages and disadvantages. The acceptability of delivering care over the telephone is growing, increasing the potential for individuals to continue with treatment,” the authors write. “The telephone offers the opportunity to extend care to populations that are difficult to reach, such as rural populations, patients with chronic illnesses and disabilities, and individuals who otherwise have barriers to treatment. … “However, the increased risk of posttreatment deterioration in telephone-delivered treatment relative to face-to-face treatment underscores the importance of continued monitoring of depressive symptoms even after successful treatment.”
(JAMA. 2012;307[21]:2278-2285.)]]></description>
<dc:subject>psychotherapy mental health delivery distance remote telephone phone efficacy comparison technology treatment psychological behavioral research</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:3e4e886824e4/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:distance"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:remote"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:telephone"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:phone"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:comparison"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:technology"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychological"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:behavioral"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://journals.lww.com/annalsofsurgery/Abstract/2008/09000/A_National_US_Study_of_Posttraumatic_Stress.9.aspx">
    <title>A National US Study of Posttraumatic Stress Disorder, Depres... : Annals of Surgery</title>
    <dc:date>2012-06-20T09:39:56+00:00</dc:date>
    <link>http://journals.lww.com/annalsofsurgery/Abstract/2008/09000/A_National_US_Study_of_Posttraumatic_Stress.9.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Objective: To examine factors other than injury severity that are likely to influence functional outcomes after hospitalization for injury.
Summary Background Data: This study used data from the National Study on the Costs and Outcomes of Trauma investigation to examine the association between posttraumatic stress disorder (PTSD), depression, and return to work and the development of functional impairments after injury.
Method: A total of 2707 surgical inpatients who were representative of 9374 injured patients were recruited from 69 hospitals across the US. PTSD and depression were assessed at 12 months postinjury, as were the following functional outcomes: activities of daily living, health status, and return to usual major activities and work. Regression analyses assessed the associations between PTSD and depression and functional outcomes while adjusting for clinical and demographic characteristics.
Results: At 12 months after injury, 20.7% of patients had PTSD and 6.6% had depression. Both disorders were independently associated with significant impairments across all functional outcomes. A dose-response relationship was observed, such that previously working patients with 1 disorder had a 3-fold increased odds of not returning to work 12 months after injury odds ratio = 3.20 95% (95% confidence interval = 2.46, 4.16), and patients with both disorders had a 5-6 fold increased odds of not returning to work after injury odds ratio = 5.57 (95% confidence interval = 2.51, 12.37) when compared with previously working patients without PTSD or depression.
Conclusions: PTSD and depression occur frequently and are independently associated with enduring impairments after injury hospitalization. Early acute care interventions targeting these disorders have the potential to improve functional recovery after injury.]]></description>
<dc:subject>mental health care intervention prevention economics social cost benefit PTSD depression efficacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:9e3e688ca00b/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:care"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:intervention"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prevention"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:economics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:social"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:cost"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:benefit"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:PTSD"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:depression"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://guilfordjournals.com/doi/abs/10.1521/psyc.2009.72.4.346?journalCode=psyc">
    <title>Guilford Press | Using Target Population Specification, Effect Size, and Reach to Estimate and Compare the Population Impact of Two PTSD Preventive Interventions</title>
    <dc:date>2012-06-20T08:03:49+00:00</dc:date>
    <link>http://guilfordjournals.com/doi/abs/10.1521/psyc.2009.72.4.346?journalCode=psyc</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[The population impact of a preventive intervention depends on two factors: what proportion of the full population at risk receives the intervention and how large a reduction in risk occurs among those who receive it. We sought to illustrate how information from a cognitive behavioral psychotherapy (CBT) trial and stepped collaborative care (CC) trial could be used to estimate the population impact of two contrasting approaches to PTSD prevention. We first specified trauma center target populations represented by participants in each trial. Patient characteristics were compared, as were effect size and reach indices and population-level reductions in PTSD incidence. The CBT trial demonstrated a larger effect size (50% PTSD prevention), but minimal reach (27/10,000), while the CC trial demonstrated a smaller effect size (7% PTSD prevention) but greater reach (1762/10,000). Modeling of the population impact suggested that a 9.5-fold greater cumulative reduction in the incidence of PTSD would result from the dissemination of the CC broad reach prevention strategy. A reciprocal relationship between effect size and reach was evident in these two trials. By specifying a target population, effect size and reach could be combined to project the overall population impact of each PTSD prevention approach.]]></description>
<dc:subject>medical behavioral research PTSD prevention efficacy peer-reviewed delivery mental health care access reach comparison psychotherapy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:ec4b62ed0bb2/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:behavioral"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:PTSD"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prevention"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:peer-reviewed"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:care"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:access"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:reach"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:comparison"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="https://www.google.com/search?hl=en&amp;noj=1&amp;q=2%2C400+patients+found+that+50%25+improved+measurably+after+eight+sessions%2C+and+75%25+improved+after+six+months+in+therapy.&amp;oq=2%2C400+patients+found+that+50%25+improved+measurably+after+eight+sessions%2C+and+75%25+improved+after+six+months+in+therapy.&amp;aq=f&amp;aqi=&amp;aql=&amp;gs_l=serp.3...5856.19505.0.23320.40.19.0.0.0.0.0.0..0.0...0.0.63uduI8xqF0">
    <title>2,400 patients found that 50% improved measurably after eight sessions, and 75% improved after six months in therapy. - Google Search</title>
    <dc:date>2012-06-12T01:23:23+00:00</dc:date>
    <link>https://www.google.com/search?hl=en&amp;noj=1&amp;q=2%2C400+patients+found+that+50%25+improved+measurably+after+eight+sessions%2C+and+75%25+improved+after+six+months+in+therapy.&amp;oq=2%2C400+patients+found+that+50%25+improved+measurably+after+eight+sessions%2C+and+75%25+improved+after+six+months+in+therapy.&amp;aq=f&amp;aqi=&amp;aql=&amp;gs_l=serp.3...5856.19505.0.23320.40.19.0.0.0.0.0.0..0.0...0.0.63uduI8xqF0</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health psychotherapy treatment efficacy dose effect</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:fd9074c1001d/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:dose"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:effect"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="https://www.google.com/search?q=The+dose%E2%80%93effect+relationship+in+psychotherapy.+By+Howard%2C+Kenneth+I.%3B+Kopta%2C+S.+Mark%3B+Krause%2C+Merton+S.%3B+Orlinsky%2C+David+E.+American+Psychologist%2C+Vol+41(2)%2C+Feb+1986%2C+159-164.&amp;ie=utf-8&amp;oe=utf-8&amp;aq=t&amp;rls=org.mozilla:en-US:official&amp;client=firefox-a#hl=en&amp;client=firefox-a&amp;hs=vpG&amp;rls=org.mozilla:en-US:official&amp;sa=X&amp;psj=1&amp;ei=RJfWT9XmM8fm2AW4goixDw&amp;ved=0CAcQBSgA&amp;q=The+dose%E2%80%93effect+relationship+in+psychotherapy.+By+Howard,+Kenneth+I.%3B+Kopta,+S.+Mark%3B+Krause,+Merton%27s.%3B+Orlinsky,+David+E.+American+Psychologist,+Vol+41(2),+Feb+1986,+159-164.&amp;spell=1&amp;bav=on.2,or.r_gc.r_pw.r_cp.r_qf.,cf.osb&amp;fp=9d3f9b1de854f28a&amp;biw=1916&amp;bih=630">
    <title>The dose–effect relationship in psychotherapy. By Howard, Kenneth I.; Kopta, S. Mark; Krause, Merton's.; Orlinsky, David E. American Psychologist, Vol 41(2), Feb 1986, 159-164. - Google Search</title>
    <dc:date>2012-06-12T01:18:29+00:00</dc:date>
    <link>https://www.google.com/search?q=The+dose%E2%80%93effect+relationship+in+psychotherapy.+By+Howard%2C+Kenneth+I.%3B+Kopta%2C+S.+Mark%3B+Krause%2C+Merton+S.%3B+Orlinsky%2C+David+E.+American+Psychologist%2C+Vol+41(2)%2C+Feb+1986%2C+159-164.&amp;ie=utf-8&amp;oe=utf-8&amp;aq=t&amp;rls=org.mozilla:en-US:official&amp;client=firefox-a#hl=en&amp;client=firefox-a&amp;hs=vpG&amp;rls=org.mozilla:en-US:official&amp;sa=X&amp;psj=1&amp;ei=RJfWT9XmM8fm2AW4goixDw&amp;ved=0CAcQBSgA&amp;q=The+dose%E2%80%93effect+relationship+in+psychotherapy.+By+Howard,+Kenneth+I.%3B+Kopta,+S.+Mark%3B+Krause,+Merton%27s.%3B+Orlinsky,+David+E.+American+Psychologist,+Vol+41(2),+Feb+1986,+159-164.&amp;spell=1&amp;bav=on.2,or.r_gc.r_pw.r_cp.r_qf.,cf.osb&amp;fp=9d3f9b1de854f28a&amp;biw=1916&amp;bih=630</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>psychotherapy efficacy dosage duration mental health treatment dose effect</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:37561b40ec6c/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:dosage"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:duration"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
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<item rdf:about="http://books.google.com/books?id=IvSnUEKuuzMC&amp;printsec=frontcover&amp;dq=politician+attitude+mental+health&amp;hl=en&amp;sa=X&amp;ei=bL7RT-SAKMfY2QXP7aG4Dw&amp;ved=0CE4Q6AEwAg#v=onepage&amp;q=politician%20attitude%20mental%20health&amp;f=false">
    <title>Public Mental Health Marketing: Developing a Consumer Attitude - Donald R. Self - Google Books</title>
    <dc:date>2012-06-12T01:09:23+00:00</dc:date>
    <link>http://books.google.com/books?id=IvSnUEKuuzMC&amp;printsec=frontcover&amp;dq=politician+attitude+mental+health&amp;hl=en&amp;sa=X&amp;ei=bL7RT-SAKMfY2QXP7aG4Dw&amp;ved=0CE4Q6AEwAg#v=onepage&amp;q=politician%20attitude%20mental%20health&amp;f=false</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>patient consumer mental health marketing market</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:cf60a056e5a8/</dc:identifier>
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</item>
<item rdf:about="http://pgionfriddo.blogspot.com/2011/01/what-polls-say-about-our-attitude.html">
    <title>Our Health Policy Matters: What Polls Say About Our Attitude Toward Health Reform and Mental Illness</title>
    <dc:date>2012-06-12T01:05:14+00:00</dc:date>
    <link>http://pgionfriddo.blogspot.com/2011/01/what-polls-say-about-our-attitude.html</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health public perception violence risk law crime myths healthcare poll reforem attitude</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:32c94fb7826a/</dc:identifier>
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<item rdf:about="http://www.stopstigma.samhsa.gov/topic/facts.aspx">
    <title>Violence and Mental Illness: The Facts</title>
    <dc:date>2012-06-12T00:53:29+00:00</dc:date>
    <link>http://www.stopstigma.samhsa.gov/topic/facts.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>violence illness data mental health research literature review correlation behavioral</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:d76ab308be3a/</dc:identifier>
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<item rdf:about="https://www.google.com/search?tbm=bks&amp;tbo=p&amp;hl=en&amp;q=politician%20attitude%20mental%20health">
    <title>politician attitude mental health - Google Search</title>
    <dc:date>2012-06-12T00:42:17+00:00</dc:date>
    <link>https://www.google.com/search?tbm=bks&amp;tbo=p&amp;hl=en&amp;q=politician%20attitude%20mental%20health</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>politician attitude mental health public psychotherapy politics</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:873e718a156d/</dc:identifier>
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<item rdf:about="http://www.macarthur.virginia.edu/risk.html">
    <title>The MacArthur Violence Risk Assessment: Executive Summary</title>
    <dc:date>2012-05-30T10:29:10+00:00</dc:date>
    <link>http://www.macarthur.virginia.edu/risk.html</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>violence mental health risk disorder</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:bec44b97fd98/</dc:identifier>
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<item rdf:about="http://www.press.uchicago.edu/ucp/books/book/chicago/V/bo3684057.html">
    <title>Violence and Mental Disorder: Developments in Risk Assessment, Monahan, Steadman</title>
    <dc:date>2012-05-30T10:28:07+00:00</dc:date>
    <link>http://www.press.uchicago.edu/ucp/books/book/chicago/V/bo3684057.html</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>violence mental health risk disorder</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:a212401f03d2/</dc:identifier>
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<item rdf:about="http://www.ontario.cmha.ca/backgrounders.asp?cID=1081747">
    <title>Backgrounders : Canadian Mental Health Association, Ontario</title>
    <dc:date>2012-05-30T10:26:33+00:00</dc:date>
    <link>http://www.ontario.cmha.ca/backgrounders.asp?cID=1081747</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>violence mental health risk</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:8ad6568ad771/</dc:identifier>
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</item>
<item rdf:about="http://archpsyc.jamanetwork.com/article.aspx?volume=55&amp;issue=5&amp;page=393">
    <title>JAMA Network | Archives of General Psychiatry | Violence by People Discharged From Acute Psychiatric Inpatient Facilities and by Others in the Same Neighborhoods</title>
    <dc:date>2012-05-30T10:09:09+00:00</dc:date>
    <link>http://archpsyc.jamanetwork.com/article.aspx?volume=55&amp;issue=5&amp;page=393</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health drug use abuse risk violence disorder research behavioral correlation</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:2b3147bd19f6/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:use"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:abuse"/>
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<item rdf:about="http://archpsyc.jamanetwork.com/article.aspx?volume=66&amp;issue=8&amp;page=848">
    <title>JAMA Network | Archives of General Psychiatry | National Patterns in Antidepressant Medication Treatment [a.k.a. National Patterns and Antidepressant Prescribing]</title>
    <dc:date>2012-05-30T06:18:35+00:00</dc:date>
    <link>http://archpsyc.jamanetwork.com/article.aspx?volume=66&amp;issue=8&amp;page=848</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[ From 1996 to 2005, there was a marked and broad expansion in antidepressant treatment in the United States, with persisting low rates of treatment among racial/ethnic minorities. During this period, individuals treated with antidepressants became more likely to also receive treatment with antipsychotic medications and less likely to undergo psychotherapy.

In the United States, there has been a recent increase in the percentage of persons receiving mental health treatment each year. Among nonelderly adults, the percentage increased from 12.2% in 1990-1992 to 20.1% in 2001-2003.1 Several factors may have contributed to this trend, including a broadening in concepts of need for mental health treatment,2 campaigns to promote mental health care,3 and growing public acceptance of mental health treatments.4

In parallel with growth in mental health service usage, psychotropic medications have become increasingly prominent in treatment. The percentage of the US population using at least 1 psychotropic medication increased from 5.9% in 1996 to 8.1% in 2001.5 Among the psychotropic drugs, antidepressants are the most frequently prescribed medications.6 - 7 In 2005, antidepressants surpassed antihypertensive agents to become the most commonly prescribed class of medications in office-based6 and hospital outpatient–based7 medical practice.

Antidepressant use by adults and youths has increased in the United States. According to the National Health and Nutrition Examination Surveys, the monthly rate of antidepressant use among adults increased from 2.5% in 1988-1994 to 8.1% in 1999-2001.8 Data from the National Comorbidity Surveys indicate that among adults aged 15 to 54 years, use of an antidepressant in the last year because of mental health reasons increased from 2.2% in 1990-1992 to 10.1% in 2001-2003.9 Medical Expenditure Panel Survey (MEPS) data reveal that annual antidepressant use among youths younger than 19 years increased from 1.3% in 1997 to 1.8% in 2002.]]></description>
<dc:subject>psychotherapy mental health medical research cost economics use data treatment psychotropic drug healthcare medicalization pharmacization youth children culture</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:ac9ed1110b73/</dc:identifier>
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</item>
<item rdf:about="http://www.thefreelibrary.com/Antidepressant+use+doubled+from+1996-2005%3a+surveys+show+number+of+...-a0209188188">
    <title>Antidepressant use doubled from 1996-2005: surveys show number of Americans treated with medication climbed from 13 million to 27 million. - Free Online Library</title>
    <dc:date>2012-05-30T03:54:23+00:00</dc:date>
    <link>http://www.thefreelibrary.com/Antidepressant+use+doubled+from+1996-2005%3a+surveys+show+number+of+...-a0209188188</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[report on Marcus, Olfson]]></description>
<dc:subject>psychotherapy mental health medical research cost economics use data treatment psychotropic drug efficacy healthcare</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:d6c9995104ea/</dc:identifier>
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</item>
<item rdf:about="http://www.apa.org/monitor/2010/11/perspectives.aspx">
    <title>Where has all the psychotherapy gone?</title>
    <dc:date>2012-05-30T03:51:05+00:00</dc:date>
    <link>http://www.apa.org/monitor/2010/11/perspectives.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[While medication is an appropriate part of a treatment plan for many mental health disorders, psychotherapy has been documented as the preferred treatment for many common psychological disorders. A growing body of literature demonstrates the efficacy of several forms of psychotherapy for these disorders.

Notwithstanding that evidence, however, some disturbing trends in mental health treatment patterns from 1998 to 2007 are reported in the U.S. government’s Medical Expenditure Panel Surveys.

While the percentage (3.37) of Americans who receive outpatient mental health care in 2007 is very similar to the proportion of those (3.18 percent) receiving such treatment in 1998, the pattern of that care has changed. Overall there has been a decrease in the use of psychotherapy only, a decrease in the use of psychotherapy in conjunction with medication and a big increase in the use of medication only.

In 2008, 57.4 percent of patients received medication only, indicating that compared with treatment patterns in 1997, approximately 30 percent fewer patients received psychological interventions. This trend was noted particularly among those with anxiety, depression and childhood-onset disorders.

For children being treated, 58.1 percent received medication alone and no other interventions! There has been a dramatic increase in prescribing psychotropic medications, including antipsychotics, to children and adolescents, even though research to support the safety and usefulness of some of these medications is lacking. Indeed, the U.S. Food and Drug Administration publicly concurred with a 2004 finding from controlled clinical trials that the use of nine common antidepressants increased the risk of suicidal thoughts and actions in pediatric patients.

Several reasons account for this shift in the focus of care for individuals with mental health disorders, beginning with the rise of the managed behavioral health-care industry in the 1990s. This burgeoning industry developed strategies to reduce the costs associated with the mental health and substance abuse benefits portion of both public and private health insurance plans. Over time, management of these benefits has resulted in controlling provider fees, strict limitations on episodes of inpatient care and reduction in the average number of outpatient visits per patient treated.

Interestingly, prescription drugs are not typically part of the costs managed by these carve-out plans. By 2006, the costs of psychotropic drugs accounted for 51 percent of mental health care spending. Per capita expenditure for psychotropic medications tripled from 1996 to 2006.

In addition to these market forces, other contributing factors have shaped our current mental health care delivery systems. One factor in particular has had a huge impact on the increasing reliance on psychotropic medications: aggressive marketing by the pharmaceutical houses, augmented by their ability since the late 1990s to advertise directly to consumers. Pharmaceutical companies constantly make information available to the public about the benefits of a variety of medications. In 2005, these companies spent $4.2 billion on direct-to-consumer advertising and a whopping $7.2 billion on promotion to physicians — nearly twice what they spent on research and development (A. Shaw, 2008).]]></description>
<dc:subject>psychotherapy mental health medical research cost economics treatment psychotropic drug efficacy healthcare</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:bea2a207b9c0/</dc:identifier>
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<item rdf:about="https://www.google.com/search?hl=en&amp;noj=1&amp;q=By+inflexibly+and+excessively+structuring+treatment%2C+the+therapist+risks+empathic+failures+and+inattentiveness+to+clients%E2%80%99+experiences%E2%80%A6+Dogmatic+reliance+on+particular+relational+therapy+or+therapy+methods%2C+incompatible+with+the+client%2C+imperils+treatment.&amp;oq=By+inflexibly+and+excessively+structuring+treatment%2C+the+therapist+risks+empathic+failures+and+inattentiveness+to+clients%E2%80%99+experiences%E2%80%A6+Dogmatic+reliance+on+particular+relational+therapy+or+therapy+methods%2C+incompatible+with+the+client%2C+imperils+treatment.&amp;aq=f&amp;aqi=&amp;aql=&amp;gs_l=serp.3...7810335.7810335.0.7811354.2.2.0.0.0.0.0.0..0.0...0.0.waviOs_dKZo">
    <title>By inflexibly and excessively structuring treatment, the therapist risks empathic failures and inattentiveness to clients’ experiences… Dogmatic reliance on particular relational therapy or therapy methods, incompatible with the client, imperils treat</title>
    <dc:date>2012-05-29T21:14:48+00:00</dc:date>
    <link>https://www.google.com/search?hl=en&amp;noj=1&amp;q=By+inflexibly+and+excessively+structuring+treatment%2C+the+therapist+risks+empathic+failures+and+inattentiveness+to+clients%E2%80%99+experiences%E2%80%A6+Dogmatic+reliance+on+particular+relational+therapy+or+therapy+methods%2C+incompatible+with+the+client%2C+imperils+treatment.&amp;oq=By+inflexibly+and+excessively+structuring+treatment%2C+the+therapist+risks+empathic+failures+and+inattentiveness+to+clients%E2%80%99+experiences%E2%80%A6+Dogmatic+reliance+on+particular+relational+therapy+or+therapy+methods%2C+incompatible+with+the+client%2C+imperils+treatment.&amp;aq=f&amp;aqi=&amp;aql=&amp;gs_l=serp.3...7810335.7810335.0.7811354.2.2.0.0.0.0.0.0..0.0...0.0.waviOs_dKZo</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[APA working position on effective therapeutic practice, 2011]]></description>
<dc:subject>mental health psychotherapy delivery mode school technique treatment efficacy evidence APA</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:57ca523a12d2/</dc:identifier>
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</item>
<item rdf:about="http://www.dol.gov/ebsa/faqs/faq-mhpaeaimplementation.html">
    <title>Understanding Implementation of the Mental Health Parity and Addiction Equity Act of 2008</title>
    <dc:date>2012-05-21T06:08:28+00:00</dc:date>
    <link>http://www.dol.gov/ebsa/faqs/faq-mhpaeaimplementation.html</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>health insurance healthcare mental coverage parity equity access drug substance abuse treatment addiction compliance</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:196b25f0d4b4/</dc:identifier>
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</item>
<item rdf:about="http://healthaffairs.org/blog/2012/05/10/implementing-health-reform-increasing-medicaid-payments-for-primary-care-physicians/">
    <title>Implementing Health Reform: Increasing Medicaid Payments For Primary Care Physicians – Health Affairs Blog</title>
    <dc:date>2012-05-21T06:06:34+00:00</dc:date>
    <link>http://healthaffairs.org/blog/2012/05/10/implementing-health-reform-increasing-medicaid-payments-for-primary-care-physicians/</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[On May 9, the Labor Department also issued a series of frequently asked questions (FAQ) regarding the implementation of the Mental Health Parity and Addiction Equity Act of 2008.  While these FAQs do not apply directly to the Affordable Care Act, they are likely to be used to interpret the mental health parity provisions of the ACA.  The FAQs clarify that if a plan provides mental health and substance abuse benefits, it may not limit those benefits to inpatient services only.  Plans may carve out mental health services and handle them through managed behavioral health organizations as long as standards applied are comparable to and not more stringent than those applied to other services.  Indeed, this is the standard that plans must follow generally in applying non-quantitative treatment limitations to mental health and substance abuse services.]]></description>
<dc:subject>health insurance healthcare mental coverage parity equity access drug substance abuse treatment addiction compliance Medicaid</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:e4499cae276a/</dc:identifier>
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</item>
<item rdf:about="http://www.washingtonpost.com/opinions/americans-are-waiting-for-mental-health-parity/2012/04/12/gIQANhrnDT_story.html">
    <title>Americans are waiting for mental health parity - The Washington Post</title>
    <dc:date>2012-05-21T05:27:24+00:00</dc:date>
    <link>http://www.washingtonpost.com/opinions/americans-are-waiting-for-mental-health-parity/2012/04/12/gIQANhrnDT_story.html</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[For example, many health insurance plans still refuse to cover lifesaving treatment for eating disorders. Others create discriminatory barriers to care, such as imposing stricter prior-authorization requirements for mental health and addiction treatment than for medical benefits. Sadly, as underscored in a recent report by the assistant secretary for planning and evaluation at the U.S. Department of Health and Human Services, levels of care for evidence-based behavioral treatments, such as residential psychiatric services for children, are being eliminated because of uncertainty about what is required.

The most recent National Survey on Drug Use and Health, published last year, found that fewer than half of the 45.9 million adults with a mental illness receive treatment or counseling and that only 10 percent of the more than 23 million people who need help for a substance-use problem received any specialized treatment in 2010. Even more troubling is the fact that people with either disease have shorter life expectancies than most Americans; a 2006 study put the difference at 25 years.]]></description>
<dc:subject>health insurance healthcare mental coverage parity equity access drug substance abuse treatment addiction compliance</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:ebb1904ec7d2/</dc:identifier>
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<item rdf:about="http://www.pressofatlanticcity.com/news/top_three/keeping-up-with-cost-of-treatment-is-a-struggle-for/article_1626781e-9c85-11e1-a5e4-0019bb2963f4.html">
    <title>Addiction rehab patients find keeping up with cost of treatment is a struggle - pressofAtlanticCity.com: Today's Top Headlines</title>
    <dc:date>2012-05-20T09:39:03+00:00</dc:date>
    <link>http://www.pressofatlanticcity.com/news/top_three/keeping-up-with-cost-of-treatment-is-a-struggle-for/article_1626781e-9c85-11e1-a5e4-0019bb2963f4.html</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[More than 23.2 million people 12 and older needed treatment for an illicit drug- or alcohol-use problem in 2007, according to the National Institute on Drug Abuse, or NIDA. Only 3.9 million received treatment at a substance-abuse facility. Lack of insurance and insufficient coverage were cited in the 2009 report as two principal causes for this disparity.
Between 40 percent and 60 percent of those who seek treatment relapse, the same report found.
Robin Barnett said recent legislation to promote parity between medical and mental-health coverage has largely been circumvented or ignored by insurers. As co-owner of [a treatment facility], she said keeping patients in treatment after detox is a constant, often futile battle.
“Insurance (companies) are the gatekeepers to the amount of treatment somebody is able to obtain"....
NIDA guidelines recommend 90 days or more of primary treatment...but most insurance companies cut off patients at two weeks. Because of the tremendous costs associated with that level of treatment, she said, there’s no incentive to see patients through.
Congress passed the Mental Health Parity and Addiction Equity Act in 2008, and there was hope of improved access to treatment...Insurers, however, quickly found new loopholes.
Barnett said coverage is often dropped as soon as the physical symptoms disappear, even though the psychological addiction remains.
“Someone can come in in acute distress and withdrawal, with sweating, shaking, exhaustion and body aches...As soon as those symptoms go away, and if there’s no major damage to the liver or other organs, or high blood pressure or physiological issues, they’ll say (the treatments) don’t meet medical necessity.”]]></description>
<dc:subject>healthcare mental health delivery quality psychotherapy access compliance insurance addiction equity parity managed care rationed</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:15beb0ebe312/</dc:identifier>
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<item rdf:about="http://www.nuhw.org/caredenied">
    <title>Care Denied - National Union of Healthcare Workers | NUHW</title>
    <dc:date>2012-05-20T07:35:09+00:00</dc:date>
    <link>http://www.nuhw.org/caredenied</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>medicine profit nonprofit labor working conditions monetocracy healthcare mental health delivery quality psychotherapy group individual access compliance insurance HMO</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:446064d1b809/</dc:identifier>
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<item rdf:about="http://ajp.psychiatryonline.org/article.aspx?Volume=167&amp;page=1456&amp;journalID=13">
    <title>PsychiatryOnline | American Journal of Psychiatry | National Trends in Outpatient Psychotherapy</title>
    <dc:date>2012-05-20T01:17:29+00:00</dc:date>
    <link>http://ajp.psychiatryonline.org/article.aspx?Volume=167&amp;page=1456&amp;journalID=13</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[During the decade from 1998 to 2007, the percentage of the general population who used psychotherapy remained stable. Over the same period, however, psychotherapy assumed a less prominent role in outpatient mental health care as a large and increasing proportion of mental health outpatients received psychotropic medication without psychotherapy.

Psychotherapy has traditionally been regarded as a central feature of mental health service in the United States. It is widely viewed as a core clinical activity of psychiatrists, psychologists, social workers, and other mental health care professionals (1). Some evidence suggests that the role of psychotherapy in community treatment has diminished in recent years. According to the National Ambulatory Medical Care Survey, visits to office-based psychiatrists that include psychotherapy declined from 44.4% in 1996-1997 to 28.9% in 2004-2005 (2). Although the survey includes clinical diagnoses reported by the treating physicians, it offers no information about psychotherapy delivered by other mental health specialists and no person-level data on psychotherapy use. As measured by the Medical Expenditure Panel Survey (MEPS), the percentage of Americans treated with antidepressants who also received psychotherapy decreased from 31.5% in 1996 to 19.9% in 2005 (3). There has also been a decrease in employer-sponsored health plans that cover outpatient psychotherapy (4). Over this period, however, Americans have become more comfortable talking with health care professionals about personal problems (5), and concerns about antidepressant-associated suicidality may have led more depressed adults to pursue psychotherapy (6).

There is a paucity of information about recent national trends in use of psychotherapy in the United States. The most recent national profile of psychotherapy use indicated that in 1997 approximately 3.6% of Americans received at least one psychotherapy visit and most of those who received psychotherapy (61%) were also treated with a psychotropic medication (7). The scarcity of data on basic patterns in psychotherapy use contrasts with a relative abundance of information on patterns of psychotropic medication use (8, 9).]]></description>
<dc:subject>mental health psychotherapy usage expenditure psychotropic drug treatment data trends insurance sources</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:87104e442d75/</dc:identifier>
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</item>
<item rdf:about="http://meps.ahrq.gov/mepsweb/data_stats/MEPS_topics.jsp?topicid=11Z-1">
    <title>Medical Expenditure Panel Survey Topics</title>
    <dc:date>2012-05-14T10:13:57+00:00</dc:date>
    <link>http://meps.ahrq.gov/mepsweb/data_stats/MEPS_topics.jsp?topicid=11Z-1</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Expenditures for Treatment of Mental Health Disorders among Young Adults Ages 18-26, 2007-2009: Estimates for the U.S. Civilian Noninstitutionalized Population  
Statistical Brief #358 
Top 10 Most Costly Conditions among Men and Women, 2008: Estimates for the U.S. Civilian Noninstitutionalized Adult Population, Age 18 and Older  
Statistical Brief #331 
Health Care Expenditures for Adults Ages 18-64 with a Mental Health or Substance Abuse Related Expense: 2007 versus 1997  
Statistical Brief #319 
Anxiety and Mood Disorders: Use and Expenditures for Adults 18 and Older, U.S. Civilian Noninstitutionalized Population, 2007  
Statistical Brief #303 
The Five Most Costly Medical Conditions, 1997 and 2002: Estimates for the U.S. Civilian Noninstitutionalized Population  
Statistical Brief #80 
Antidepressant Use in the U.S. Civilian Noninstitutionalized Population, 2002  
Statistical Brief #77 
Trends in Antidepressant Use by the U.S. Civilian Noninstitutionalized Population, 1997 and 2002  
Statistical Brief #76 
Outpatient Prescription Medicines: A Comparison of Expenditures by Household-Reported Condition, 1987 and 2001  
Statistical Brief #43]]></description>
<dc:subject>mental health data statistics demographics cost spending prescription drug</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:4a21f5ff73d2/</dc:identifier>
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<item rdf:about="http://online.wsj.com/article/SB10001424052970204346104576636923254728228.html">
    <title>Help Wanted: a Good Therapist - WSJ.com</title>
    <dc:date>2012-05-14T09:58:51+00:00</dc:date>
    <link>http://online.wsj.com/article/SB10001424052970204346104576636923254728228.html</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[About 3% of Americans had outpatient psychotherapy in 2007—roughly the same as in 1998—although the percentage taking antidepressants and other psychotropic drugs rose sharply, according to an analysis in the American Journal of Psychiatry last year. The same study found that the average number of visits dropped from nearly 10 in 1998 to eight in 2007. ]]></description>
<dc:subject>mental health psychotherapy consumer guide choice patient data sources efficacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:d303cb5d5905/</dc:identifier>
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</item>
<item rdf:about="http://www.huffingtonpost.com/2011/11/14/kaiser-permanente-overburden_n_1092694.html">
    <title>Kaiser Permanente Makes Billions In Profits While Overburdening Staff: Report</title>
    <dc:date>2012-03-19T18:06:23+00:00</dc:date>
    <link>http://www.huffingtonpost.com/2011/11/14/kaiser-permanente-overburden_n_1092694.html</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[In California, where Kaiser operates dozens of hospitals and hundreds of clinics, patients seeking treatment for mental health conditions are sometimes made to wait weeks for appointments, in violation of state law, a report from National Union of Healthcare Workers finds. When they finally get to see a doctor, they often receive brief consultations that only last half as long as the the recommended minimum amount of time, according to the report. And many patients end up in group therapy settings when one-on-one sessions with a clinician would be more appropriate.

The NUHW's findings come at a moment when mental health care service providers are becoming increasingly burdened due to budget cutbacks. Since 2009, 28 states have cut a combined $1.7 billion from their mental health budgets, according to the Associated Press. In the past year, California alone has reduced its mental health funding by $177.4 million, ABC News reports.

Mental health treatment may also be of particular concern in California due to that state's weak economy. California's unemployment rate is 11.9 percent -- well above the national level of 9.0 percent -- and its foreclosure rate is the second highest in the nation. Joblessness and foreclosure have been shown to take a serious toll on mental health, putting people at risk for depression, anxiety and compulsive behavior like alcoholism and gambling.

Kaiser's alleged habit of rushing its patients through the treatment process carries dire implications for the company's more than 6.6 million California members. Such practices are likely to lead to misdiagnoses, according to the report, and to patients not getting the kind of treatment that will best help them.

The report cites incidents where patients are "funneled" into group therapy sessions, involving one clinician and as many as 20 patients. Clinicians say that for many patients, individual sessions would be more appropriate, yet Kaiser's emphasis on consolidation means these patients often end up in a group setting.

The widespread use of group therapy seems to stem from Kaiser's insistence on doing more with less. One researcher writes that "Kaiser comes off exceptionally badly... in the way they overburden the treating clinicians with new cases. The requirement that therapists have to handle seven or more new intakes per week makes weekly psychotherapy, other than group, a virtual impossibility."

The same researcher writes that "at Kaiser, group psychotherapy is the way to pretend that patients are not kept on a waiting list."]]></description>
<dc:subject>medicine profit nonprofit labor working conditions monetocracy healthcare mental health delivery quality psychotherapy group individual access compliance insurance HMO</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:132aa60d9e31/</dc:identifier>
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<item rdf:about="http://www.bazelon.org/News-Publications/Publications/List/1/CategoryID/8/Level/a/ProductID/27.aspx?SortField=ProductNumber%2cProductNumber">
    <title>In the Driver's Seat</title>
    <dc:date>2012-02-27T08:00:47+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/Publications/List/1/CategoryID/8/Level/a/ProductID/27.aspx?SortField=ProductNumber%2cProductNumber</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[People who rely on public mental health services should be directly involved in designing their own care plan. In what are termed self-directed care programs, individuals may choose from a wider array of services and supports than have traditionally been offered them. Further, they have the flexibility to spend some of the money allocated for their care in new ways, based on an individualized plan and budget.

In the Driver's Seat is designed to help consumers and other advocates obtain policies that give consumers a primary role in their recovery planning and greater control over how resources are spent to meet their needs. The booklet includes advocacy strategies and examples of existing programs’ approaches to self-directed care. Fact sheets summarize important aspects such as financing.

Purchase the booklet (shipping is included) or download a PDF.]]></description>
<dc:subject>mental health care self-directed guide free advocacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:466a8facaf85/</dc:identifier>
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<item rdf:about="http://scholar.google.com/scholar?q=%3A++The+Mental+Health+Parity+and+Addiction+Equity+Act+of+2008&amp;hl=en&amp;btnG=Search&amp;as_sdt=1%2C5&amp;as_sdtp=on">
    <title>: The Mental Health Parity and Addiction Equity Act of 2008 - Google Scholar</title>
    <dc:date>2012-02-24T07:05:22+00:00</dc:date>
    <link>http://scholar.google.com/scholar?q=%3A++The+Mental+Health+Parity+and+Addiction+Equity+Act+of+2008&amp;hl=en&amp;btnG=Search&amp;as_sdt=1%2C5&amp;as_sdtp=on</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[As of 2012-02-23, no effects research found—DMM]]></description>
<dc:subject>mental health services parity access addiction</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:3f96d01f5eef/</dc:identifier>
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<item rdf:about="http://www.nytimes.com/2012/01/17/health/depression-defies-rush-to-find-evolutionary-upside.html?_r=4&amp;ref=science">
    <title>Depression Defies Rush to Find Evolutionary Upside - NYTimes.com</title>
    <dc:date>2012-02-21T06:46:15+00:00</dc:date>
    <link>http://www.nytimes.com/2012/01/17/health/depression-defies-rush-to-find-evolutionary-upside.html?_r=4&amp;ref=science</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[According to the World Health Organization, depression is the leading cause of disability and the fourth leading contributor to the global burden of disease, projected to reach second place by 2020. There is also strong evidence that it is an independent risk factor for heart disease, and several studies show that prolonged depression is associated with selective and possibly permanent damage to the hippocampus, a region of the brain critical to memory and learning.
Add the fact that 2 percent to 12 percent of depressed people eventually commit suicide, and the [supposed evolutionary] “advantages” of depression suddenly don’t look so good....
What is natural, the thinking goes, is best. If we are designed to suffer depression in response to life’s ills, there must be a good reason for it, and we should allow it to take its painful and natural course.
But unlike ordinary sadness, the natural course of depression can be devastating and lethal. And while sadness is useful, clinical depression signals a failure to adapt to stress or loss, because it impairs a person’s ability to solve the very dilemmas that triggered it.
Even if depression is “natural” and evolved from an emotional state that might once have given us some advantage, that doesn’t make it any more desirable than other maladies. Nature offers us cancer, infections and heart disease, which we happily avoid and do our best to treat. Depression is no different.]]></description>
<dc:subject>disability morbidity mortality risk depression evolution theory comorbidities brain medical research hippocampus cardiovascular mental health illness chronic hatmandu earnest</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:21a6b6dcb1a4/</dc:identifier>
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<item rdf:about="http://www.hopetocope.com/one-two-punch-3/">
    <title>Anxiety &amp; Depression Magazine | Men with Anxiety &amp; Depression | Fall 2011 | | bphope</title>
    <dc:date>2012-02-21T06:14:45+00:00</dc:date>
    <link>http://www.hopetocope.com/one-two-punch-3/</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[While a diagnosis of both disorders can feel like a double whammy, it’s common for depression and anxiety to occur together. A 1995 Columbia University Medical Center study which identified baseline figures in the general population noted that 85 percent of those with depression also experience symptoms of anxiety. Similarly, depression is diagnosed in up to 90 percent of those with anxiety disorders.

In fact, getting the double diagnosis actually may promote better recovery: “One key to successful treatment of patients with mixed depressive and anxiety disorders is early recognition of comorbid conditions,” concluded study author Jack M. Gorman, MD.

[I am somewhere between shocked and seething (against a faint background note of relief) that in 20 years of pursuing treatment for first depression, then anxiety, then both, I cannot recall ever - EVER - being told that their coincidence is overwhelmingly the rule rather than the exception—and that this had been documented for over five years before my own search for help began.—DMM]]]></description>
<dc:subject>mental health anxiety depression comorbidities medical research men gender prevalence identity correlation diagnosis</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:8830d44f5721/</dc:identifier>
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<item rdf:about="http://www.nami.org/Template.cfm?Section=Press_Room&amp;template=/ContentManagement/ContentDisplay.cfm&amp;ContentID=125166">
    <title>NAMI | Kelly Thomas Tragedy in Fullerton, California Statement by National Alliance on Mental Illness (NAMI)</title>
    <dc:date>2012-02-21T05:55:53+00:00</dc:date>
    <link>http://www.nami.org/Template.cfm?Section=Press_Room&amp;template=/ContentManagement/ContentDisplay.cfm&amp;ContentID=125166</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health police policing public safety social services government</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
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<item rdf:about="http://www.bazelon.org/News-Publications/Publications/List/1/CategoryID/7/Level/a/ProductID/62.aspx?SortField=ProductNumber%2cProductNumber">
    <title>Asking Why</title>
    <dc:date>2012-02-21T05:42:20+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/Publications/List/1/CategoryID/7/Level/a/ProductID/62.aspx?SortField=ProductNumber%2cProductNumber</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health incarceration prisons jails recidivism public safety social services government</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
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<item rdf:about="http://www.bazelon.org/News-Publications/In-The-News.aspx">
    <title>In the News</title>
    <dc:date>2012-02-21T05:41:19+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/In-The-News.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>disability rights government advocacy Social Security politics mental health children services parenting family</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:7cfa2e4d4814/</dc:identifier>
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<item rdf:about="http://www.bazelon.org/News-Publications/Press-Releases/3-15-10Illinois.aspx">
    <title>3-15-10Illinois</title>
    <dc:date>2012-02-21T05:37:46+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/Press-Releases/3-15-10Illinois.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health aging nursing homes warehousing housing social services government</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:18b9fef8a561/</dc:identifier>
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<item rdf:about="http://www.bazelon.org/News-Publications/Press-Releases/3-1-10DAI.aspx">
    <title>3-1-10DAI</title>
    <dc:date>2012-02-21T05:31:50+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/Press-Releases/3-1-10DAI.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[The judge rejected as "egregiously deficient" the remedy proposed by the State, saying that it “scarcely begins to address the violations identified...A proposal that affords a remedy to only 23% of those individuals whose civil rights are currently being violated...is grossly inadequate.” 
The judge ruled “in order to rectify the violations found by the court, [state officials] must change the way they manage their mental health system so that [adult home residents] have a choice – a real and meaningful choice – to receive the services to which they are entitled in supported housing instead of an adult home.”
In doing so, the State must:
* Provide all qualified adult home residents the chance to move to supported housing within four years and ensure that appropriate services are in place...
* Create at least 1,500 supported housing units per year for three years, and create additional units as necessary after, to accommodate all current adult home residents and future individuals with mental illnesses being considered for adult home placement...
* Contract with supported housing providers to engage and educate adult home residents about their opportunities to live in their own housing with support services...This education is necessary to overcome the fear and self-doubt that have been instilled in many residents during years of living in adult homes with no other options.
* Employ “Peer Bridgers” (individuals in recovery from mental illnesses who are trained to assist others making the transition) to assist current and future adult home residents wishing to move....
"The court's order will stop the unnecessary warehousing of people with mental illnesses in institutional adult homes.  For decades, people who can live in the community and receive services there have been stuck in these dismal institutions, when living in their own apartments and receiving services there would both enrich their lives and save the state money," said Cliff Zucker, executive director of Disability Advocates, Inc., plaintiff in the case.]]></description>
<dc:subject>mental health aging housing warehousing public social services government civil rights courts law</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:43f8fdf6fe10/</dc:identifier>
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<item rdf:about="http://www.bazelon.org/News-Publications/Press-Releases/5-12-CJrelease.aspx">
    <title>5-12-CJrelease</title>
    <dc:date>2012-02-21T05:07:29+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/Press-Releases/5-12-CJrelease.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health incarceration prisons jails recidivism public safety social services government</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:f33f6bddaecd/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:incarceration"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prisons"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:jails"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:recidivism"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:public"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:safety"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:services"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:government"/>
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</item>
<item rdf:about="http://www.bazelon.org/News-Publications/Press-Releases/7-6-10PIPRelease.aspx">
    <title>5 Communities Re-examine Use of Police to Intervene</title>
    <dc:date>2012-02-21T05:04:20+00:00</dc:date>
    <link>http://www.bazelon.org/News-Publications/Press-Releases/7-6-10PIPRelease.aspx</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health police violence</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:8877ae13dda1/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:police"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:violence"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://store.samhsa.gov/home">
    <title>Substance Abuse and Mental Health Publications| SAMHSA Store</title>
    <dc:date>2011-12-27T01:36:45+00:00</dc:date>
    <link>http://store.samhsa.gov/home</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>substance abuse mental health services delivery access research medical</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:0a508bfc1b27/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:substance"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:abuse"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:services"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:access"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:medical"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/health/publications/suicide-in-the-us-statistics-and-prevention/index.shtml">
    <title>NIMH · Suicide in the U.S.: Statistics and Prevention</title>
    <dc:date>2011-12-27T01:33:53+00:00</dc:date>
    <link>http://www.nimh.nih.gov/health/publications/suicide-in-the-us-statistics-and-prevention/index.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[A fact sheet of statistics on suicide with information on treatments and suicide prevention.

    * Introduction
    * What are the risk factors for suicide?
    * Are women or men at higher risk?
    * Is suicide common among children and young people?
    * Are older adults at risk?
    * Are Some Ethnic Groups or Races at Higher Risk?
    * What are some risk factors for nonfatal suicide attempts?
    * What can be done to prevent suicide?
    * What should I do if I think someone is suicidal?
    * For More Information About Suicide
    * References


Suicide is a major, preventable public health problem. In 2007, it was the tenth leading cause of death in the U.S., accounting for 34,598 deaths.1 The overall rate was 11.3 suicide deaths per 100,000 people.1 An estimated 11 attempted suicides occur per every suicide death.1

Suicidal behavior is complex. Some risk factors vary with age, gender, or ethnic group and may occur in combination or change over time.]]></description>
<dc:subject>suicide risk data statistics mental health NIMH</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:217cba46bd3a/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:suicide"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:risk"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:data"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:statistics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:NIMH"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.oas.samhsa.gov/NSDUH/2k6NSDUH/2k6results.cfm#Ch8">
    <title>Results from the 2006 NSDUH: National Findings, SAMHSA, OAS</title>
    <dc:date>2011-12-27T01:29:01+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/NSDUH/2k6NSDUH/2k6results.cfm#Ch8</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[8. Prevalence and Treatment of Mental Health Problems

This chapter presents findings on mental health problems in the United States, including the prevalence and treatment of serious psychological distress (SPD) and major depressive episode (MDE) and the association of these problems with substance use and substance dependence or abuse (substance use disorder).

SPD is an overall indicator of past year psychological distress that is derived from the K6 scale administered to adults aged 18 or older in the National Survey on Drug Use and Health (NSDUH). Numerical scores derived from responses to these six questions range from 0 to 24. For this report, a score of 13 or higher is considered SPD. It is notable that the data related to SPD in 2005 and 2006 are not directly comparable with data from earlier years because of study design changes. Further information on the measurement of SPD, the scoring algorithm, and the study design changes is provided in Section B.4.4 of Appendix B.

A module of questions designed to obtain measures of lifetime and past year prevalence of MDE, severity of the MDE as measured by role impairments, and treatment for depression was administered to adults aged 18 or older and youths aged 12 to 17 in 2006. Some questions in the adolescent depression module were modified slightly to make them more appropriate for youths. Given these differences, adult and youth depression estimates are presented separately in this chapter.

MDE is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had symptoms that met the criteria for major depressive disorder as described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (American Psychiatric Association [APA], 1994). It should be noted that no exclusions were made for MDE caused by medical illness, bereavement, or substance use disorders.]]></description>
<dc:subject>mental health illness disorder prevalence treatment care services delivery access</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:b94738c06fce/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:illness"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:disorder"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prevalence"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:care"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:services"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:access"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.oas.samhsa.gov/MHabstracts.htm#TX">
    <title>mental health highlights: SAMHSA, Substance Abuse and Mental Health Statistics, Office of Applied Studies</title>
    <dc:date>2011-12-27T01:08:01+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/MHabstracts.htm#TX</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Highlights of Recent Reports on Mental Health

    bulletPrevalence of mental illness

    bulletTreatment and mental health issues

    bulletYouth and mental health issues

    bulletChildren's mental health
    bulletAll mental health reports and data]]></description>
<dc:subject>mental health data motherlode prevalence treatment youth children delivery accessibility summaries abstracts</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:6a32e81f6606/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:data"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:motherlode"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prevalence"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:youth"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:children"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:accessibility"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:summaries"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:abstracts"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/about/director/2011/the-global-cost-of-mental-illness.shtml">
    <title>NIMH · The Global Cost of Mental Illness</title>
    <dc:date>2011-12-27T01:02:30+00:00</dc:date>
    <link>http://www.nimh.nih.gov/about/director/2011/the-global-cost-of-mental-illness.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[The economic costs of mental illness have never been easy to pin down.1 The costs of mental health care can be estimated much the way we estimate other health care costs. The Agency for Healthcare Research and Quality, cites a cost of $57.5B in 2006 for mental health care in the U.S., equivalent to the cost of cancer care.2 But unlike cancer, much of the economic burden of mental illness is not the cost of care, but the loss of income due to unemployment, expenses for social supports, and a range of indirect costs due to a chronic disability that begins early in life.

A report last week from the World Economic Forum (WEF) attempts to capture the costs of several classes of non-communicable diseases (NCDs) and projects the economic burden through 2030. Recognizing there is no ideal method, the authors adopted three approaches to estimate global economic burden: (a) a standard cost of illness method, (b) macroeconomic simulation, and (c) the value of a statistical life. The results of all three methods project staggering costs over the next two decades, with cardiovascular disease, chronic respiratory disease, cancer, diabetes, and mental health representing a cumulative output loss of $47T, roughly 75% of the global GDP in 2010.3

The WHO has already reported that mental illnesses are the leading causes of disability adjusted life years (DALYs) worldwide, accounting for 37% of healthy years lost from NCDs.4 Depression alone accounts for one third of this disability.5 The new report estimates the global cost of mental illness at nearly $2.5T (two-thirds in indirect costs) in 2010, with a projected increase to over $6T by 2030. What does $2.5T or $6T mean? The entire global health spending in 2009 was $5.1T. The annual GDP for low-income countries is less than $1T. The entire overseas development aid over the past 20 years is less than $2T.3

The WEF report also provides comparisons across NCDs to give some sense of the drivers of global economic burden. Mental health costs are the largest single source; larger than cardiovascular disease, chronic respiratory disease, cancer, or diabetes. Mental illness alone will account for more than half of the projected total economic burden from NCDs over the next two decades and 35% of the global lost output. Considering that those with mental illness are at high risk for developing cardiovascular disease, respiratory disease, and diabetes, the true costs of mental illness must be even higher.3

What makes these numbers especially important is the realization that they can be reduced. The WHO recently provided a list of "best buys" — low-cost interventions such as tobacco control and reductions in alcohol and substance use that can dramatically alter the prevalence and cost of NCDs. The WEF advises governments and corporations not medical practitioners and patients. But the message should be of broad interest: the economic health of both developing and developed nations will depend on controlling the staggering growth in costs from NCDs.]]></description>
<dc:subject>mental health care treatment prevention cost economics NIMH diabetes</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:b33119f6c6ed/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prevention"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:cost"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:economics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:NIMH"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:diabetes"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.oas.samhsa.gov/MH.cfm">
    <title>Mental Health Topics on SAMHSA's Office of Applied Studies website</title>
    <dc:date>2011-12-27T00:56:20+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/MH.cfm</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Mental Health & Substance Abuse
Comorbidity/Co-occurring Disorders/ Dual Diagnosis

SAMHSA's Office of Applied Studies provides national estimates on mental health problems. As of 2001, state-level estimates on mental health measures are available. Such data includes maps showing the prevalence ranks by States.  The latest available national data on serious mental problems are for 2006 and the latest State level data are for 2005. See Mental Health Variables by State, 2005.

Mental health reports:

    * All mental health reports from OAS
    * Latest national data on mental health problems
    * State level mental health data
    * Mental health treatment

Special mental health topics:

    * Children's mental health
    * Co-occurring disorders
    * Depression
    * Education & mental health
    * Employment & mental health
    * Homeless
    * Mental health in Hurricane Katrina/Rita areas
    * Mental health in State treatment planning areas
    * Race/ethnicity, education & employment and mental health
    * Serious psychological distress
    * Suicide
    * Unmet mental health treatment need
    * Violence
    * Youth and mental health issues (highlights)



Mental health data tables:

    * OAS data tables on mental health topics
    * State treatment planning area mental health data tables
    * National Outcome Measures (NOMs) for co-occurring disorders

Public use data files:

    * Analyzing mental health data in SAMHSA's OAS data sets

Methodology:

    * Methods used for mental health measures in OAS reports

Other resources:

    * SAMHSA's Center for Mental Health Services (CMHS)
    * Mental health statistics from SAMHSA's CMHS
    * SAMHSA's National Clearinghouse on Mental health information (NMHIC)
    * SAMHSA's Mental Health Services Locator
    * Mental health objectives in Healthy People 2010
    * Hurricane Katrina/Rita areas]]></description>
<dc:subject>government reference statistiics mental health comorbidities treatment data children youth homeless risk child diagnosis</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:e839d9801ec4/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:comorbidities"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:data"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:children"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:youth"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:risk"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:diagnosis"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/about/director/2011/the-economics-of-health-care-reform.shtml">
    <title>NIMH · The Economics of Health Care Reform</title>
    <dc:date>2011-12-27T00:52:32+00:00</dc:date>
    <link>http://www.nimh.nih.gov/about/director/2011/the-economics-of-health-care-reform.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[As we begin a new decade, the need to control costs — while improving the quality of care — is vitally important to all sectors of health care. The annual economic costs of mental illness in the United States are enormous. The direct costs of mental health care represent around 6 percent of overall health care costs1. Among all Americans, 36.2 million people paid for mental health services totaling $57.5 billion in 2006 — the most recent year we have this type of data available2. This places mental health care expenditures as this nation’s third costliest medical conditions, behind heart conditions and trauma, and tied with cancer. Of course, the costs of mental health care are only a fraction of the costs of mental illness, which can result in substantial costs for co-morbid medical conditions as well as social costs due to disability, unemployment, and incarceration.

Cost control issues are central to the Patient Protection and Affordable Care Act (PPACA) of 2010, which set in motion a dramatic expansion of health insurance coverage and the creation of a new long-term care insurance program. It also calls for the evaluation of different approaches to restrain health care costs. Such sweeping changes and complex challenges cannot be successfully implemented without reliable research to tell us how to go about it. NIMH-supported research will be a key component in determining what can be done to control mental health care costs while expanding access to high-value care, fostering technological innovation, and maximizing public health.

Health care economics research is not new to NIMH. We have been facilitating mental health economics research since 1979, when, in response to President Carter’s Commission on Mental Health, the institute created a program to stimulate and support research on the economic aspects of the delivery, accessibility, use and cost of mental health services. This economic research has yielded important results. For example, it has been instrumental in understanding the impact of reimbursement policies which have influenced Medicare payment policy changes for inpatient psychiatric care3,4. It has been critical to the development of the theory of managed care and methods for adjusting payment for services based on individual risk factors. These methods guide mental health, substance use and general medical insurance benefit design in both private and public health care systems5. Empirical studies also demonstrated that the continuity of care for the severely mentally ill covered by the Medicare/Medicaid system would be negatively impacted by the “donut hole” coverage gap in the Medicare Part D medication benefit. These findings contributed to the closing of the donut hole as part of the PPACA by 20206.]]></description>
<dc:subject>mental health care reform economics cost control containment NIMH managed contrainment management efficacy Medicaid</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:fa586625f79d/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:care"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:reform"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:economics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:cost"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:control"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:containment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:NIMH"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:managed"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:contrainment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:management"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:Medicaid"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/science-news/2007/intensive-psychotherapy-more-effective-than-brief-therapy-for-treating-bipolar-depression.shtml">
    <title>NIMH · Intensive Psychotherapy More Effective Than Brief Therapy for Treating Bipolar Depression</title>
    <dc:date>2011-12-27T00:48:07+00:00</dc:date>
    <link>http://www.nimh.nih.gov/science-news/2007/intensive-psychotherapy-more-effective-than-brief-therapy-for-treating-bipolar-depression.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[in addition to examining the role of medication, STEP-BD set out to compare several types of psychotherapy and pinpoint the most effective treatments and treatment combinations.

With 293 participants, David Miklowitz, Ph.D., of the University of Colorado and colleagues set out to test the effectiveness of three types of standardized, intensive, nine-month-long psychotherapy compared to a control group that received a three-session, psychoeducational program called collaborative care. The intensive therapies were

    * family-focused therapy, which required the participation and input of patients’ family members and focused on enhancing family coping, communication and problem-solving;
    * cognitive behavioral therapy, which focused on helping the patient understand distortions in thinking and activity, and learn new ways of coping with the illness; and
    * interpersonal and social rhythm therapy, which focused on helping the patient stabilize his or her daily routines and sleep/wake cycles, and solve key relationship problems.

All participants were already taking medication for their bipolar disorder, and most were also enrolled in a STEP-BD medication study reported in the New England Journal of Medicine on March 28, 2007. The researchers compared patients’ time to recovery and their stability over one year.

Over the course of the year, 64 percent of those in the intensive psychotherapy groups had become well, compared with 52 percent of those in collaborative care therapy]]></description>
<dc:subject>mental health psychotherapy intensive comparison research efficacy bipolar depression treatment dose effect</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:e60857d851e4/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:intensive"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:bipolar"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:depression"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:dose"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:effect"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.oas.samhsa.gov/mhTXgap.htm#content">
    <title>MH Treatment Gap: Gap in Mental Health Treatment, SAMHSA, Office of Applied Studies</title>
    <dc:date>2011-12-27T00:41:15+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/mhTXgap.htm#content</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Mental Health Treatment Gap

  bulletAll mental health reports
  bulletHighlights of all mental health treatment reports

  bulletAll treatment gap detailed tables

  bulletLatest mental health treatment gap highlights:

    * In 2006, there were 10.5 million adults aged 18 or older (4.8 percent) who reported an unmet need for treatment or counseling for mental health problems in the past year. This included 4.8 million adults who did not receive mental health treatment and 5.6 million adults who did receive some type of treatment or counseling for a mental health problem in the past year. That is, about 20 percent of the 23.8 million adults that received treatment for a mental health problem in the past 12 months reported an unmet need. (Unmet need among adults who received treatment may reflect a delay in treatment or a perception of insufficient treatment.) (section on mental health treatment received and unmet need)

    * Among the 4.8 million adults who reported an unmet need for treatment or counseling for mental health problems and did not receive treatment in the past year, several barriers to treatment were reported. These included an inability to afford treatment (41.5 percent), believing at the time that the problem could be handled without treatment (34.0 percent), not having the time to go for treatment (17.1 percent), and not knowing where to go for services (16.0 percent) (Figure 8.7).

  bulletMental health treatment gap reports and data:

    * new2006 National Survey on Drug Use & Health (HTML): provides the latest data on prevalence and correlates of substance use, serious mental illness, related problems, and treatment in the U.S. 

          o Chapter 8.1:  Treatment for mental health problems and unmet treatment need among adults
          o Detailed tables: Unmet Need for Mental Health Treatment/Counseling
       

    * 2005:  Treatment and Unmet Need for Treatment among Adults with Serious Psychological Distress]]></description>
<dc:subject>mental health treatment gap demographics economics delivery care epidemiology disparities</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:9cdfb962943b/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:gap"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:demographics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:economics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:care"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:epidemiology"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:disparities"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/science-news/2011/adding-psychotherapy-to-medication-treatment-improves-outcomes-in-pediatric-ocd.shtml">
    <title>NIMH · Adding Psychotherapy to Medication Treatment Improves Outcomes in Pediatric OCD</title>
    <dc:date>2011-12-27T00:27:21+00:00</dc:date>
    <link>http://www.nimh.nih.gov/science-news/2011/adding-psychotherapy-to-medication-treatment-improves-outcomes-in-pediatric-ocd.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>OCD medical research treatment NIMH youth children drug CBT psychotherapy comparison counseling mental health efficacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:7e6ed16118b0/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:NIMH"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:youth"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:children"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:drug"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:CBT"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:comparison"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
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</item>
<item rdf:about="http://www.nimh.nih.gov/science-news/2004/psychotherapy-medications-best-for-youth-with-obsessive-compulsive-disorder.shtml">
    <title>NIMH · Psychotherapy, Medications Best for Youth With Obsessive Compulsive Disorder</title>
    <dc:date>2011-12-27T00:25:30+00:00</dc:date>
    <link>http://www.nimh.nih.gov/science-news/2004/psychotherapy-medications-best-for-youth-with-obsessive-compulsive-disorder.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Ninety-seven 7-17 year-olds with OCD completed 12 weeks of treatment with either CBT, the SSRI sertraline, the combination treatment, or a placebo. Independent evaluators, blind to their treatment status, assessed each patient every four weeks. Patients in the study were typical of patients seen in clinical practice. For example, while industry-sponsored trials commonly exclude patients with more than one condition, 80 percent of study participants had at least one additional psychiatric disorder.

Combining sertraline and CBT was more effective than treatment with just one or the other. CBT alone did prove superior to sertraline, which, in turn, was better than a placebo. By the end of the trial, the remission rates were 53.6 percent for combined treatment, 39.3 percent for CBT, 21.4 percent for sertraline, and 3.6 percent for placebo.

CBT alone was more effective in the University of Pennsylvania site than at Duke University site, but the combination treatment was equally effective at both sites, suggesting that it may be less susceptible to setting-specific variations. The strong showing of CBT at the University of Pennsylvania led the researchers to recommend it as "a first line option" for initial treatment. They point out, however, that "only a small minority" of children and adolescents with OCD receives such state-of- the-art care.]]></description>
<dc:subject>OCD medical research treatment NIMH youth children drug CBT psychotherapy comparison counseling mental health efficacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:304ea06d5d3a/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:NIMH"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:youth"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:children"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:drug"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:CBT"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
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</item>
<item rdf:about="http://www.nimh.nih.gov/science-news/2003/medication-and-psychotherapy-treat-depression-in-low-income-minority-women.shtml">
    <title>NIMH · Medication and Psychotherapy Treat Depression in Low-Income Minority Women</title>
    <dc:date>2011-12-27T00:18:03+00:00</dc:date>
    <link>http://www.nimh.nih.gov/science-news/2003/medication-and-psychotherapy-treat-depression-in-low-income-minority-women.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Participants were randomly assigned an antidepressant, psychotherapy, or referral to a community mental health service provider. "Structured care reduces major depression in these diverse and impoverished patients," said lead author Jeanne Miranda, Ph.D., University of California at Los Angeles Neuropsychiatric Institute. "This study broadens the knowledge base by evaluating depression treatments among young, predominantly minority women. It is the first study to let providers know that treating depression in this population can significantly improve the ability of these women to feel and function."

Results show that low-income women in minority populations benefit from depression treatment when it is paired with intensive outreach and encouragement to support the interventions. Not only did women achieve lower levels of depressive symptoms, but they also gained higher levels of functioning in daily life.

Outreach support—including transportation, child care, and spending considerable time to gain the trust of these participants—was an essential part of the study. Miranda and colleagues screened thousands of women for ethnicity, major depression, and exclusionary factors while they attended Women, Infants, and Children food subsidy programs and family planning clinics in four suburban counties near Washington, D.C.]]></description>
<dc:subject>mental health disparities race ethnicity class income poverty psychotherapy depression treatment services care economics demographics epidemiology Black Hispanic Latino African-American racism efficacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:82c58f00ec68/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:race"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:ethnicity"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:class"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:income"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:poverty"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:depression"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:Black"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:Hispanic"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:Latino"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:African-American"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:racism"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.oas.samhsa.gov/mentalHealthHP2010/mentalHealth.cfm">
    <title>TOC Mental Health: Healthy People Progress Review, table of contents (TOC)</title>
    <dc:date>2011-12-27T00:04:22+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/mentalHealthHP2010/mentalHealth.cfm</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Healthy People 2010 Progress Review
Focus Area 18: Mental Health & Mental Disorders

Goal: Improve mental health and ensure access to appropriate, quality mental health services.

    bulletHealthy People 2010 Mental Health Objectives

    bulletMental Health Data

    bulletProgress Review

    bulletChallenges & Strategies (PDF format)

    bulletSummary Power Point Presentation

    bulletTerminology

    bulletCo-Lead Agencies:

        * Substance Abuse and Mental Health Services Administration

        * National Institutes of Health

 

  Data: Mental Health

     

    bulletHealthy People Mental Health Data  in Excel Spreadsheets- each objective is in a separate worksheet, check the tabs at the bottom of the spreadsheet for the trend data on each objective number.

    bulletOther Reports on Mental Health

 

  Mental Health Objectives: Healthy People 2010

 

    bulletHealthy People 2010 Mental Health Objectives:  Specifics  (Word Document)

    bulletRelated Objectives from Other Focus Areas]]></description>
<dc:subject>mental health delivery availability wellness worried wellbeing</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:1c479671a84a/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:availability"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:wellness"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:worried"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:wellbeing"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.oas.samhsa.gov/MHrace.htm">
    <title>Mental Health Measures from SAMHSA's Office of Applied Studies</title>
    <dc:date>2011-12-26T23:47:15+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/MHrace.htm</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Reports with mental health data and race/ethnicity

bulletMental health measures for racial and ethnic groups  (2005 & 2004)

    * Serious Psychological Distress
    * Received Mental Health Counseling by Serious Psychological Distress
    * Major Depressive Episode (age 12-17)
    * Major Depressive Episode (age 18 or older)

bulletMental health measures for all racial and ethnic groups  (2004 & 2003)

bulletSerious Mental Illness for Persons Age 18 and Older, 2001 (PDF format:  Tables 8.2A - 8.2B)

bulletAll mental health reports

bulletAll reports on racial and ethnic groups

 

Reports with Race/Ethnicity & Mental Health Data
 

newThe NSDUH Report: Depression and the Initiation of Alcohol and Other Drug Use among Youths Aged 12 to 17

The DASIS Report:  Adolescents with Co-Occurring Psychiatric Disorders:  2003

The NSDUH Report:  Suicidal Thoughts among Youths Aged 12 to 17 with Major Depressive Episode

The DASIS Report:  Admissions with Co-Occurring Disorders,  1995 and 2001

The NSDUH Report:  Reasons for Not Receiving Treatment Among Adults with Serious Mental Illness

The NHSDA Report:  Serious Mental Illness Among Adults

The NHSDA Report: Treatment Among Adults with Serious Mental Illness

Demographic and Socioeconomic Characteristics of Adults Receiving Mental Health Treatment in Patterns of Mental Health Service Utilization and Substance Use Among Adults, 2000 and 2001 (HTML)  ]]></description>
<dc:subject>mental health disparities incidence prevalence demographics epidemiiology data statistics comorbidities epidemiology</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:6c6cd5476354/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:disparities"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:incidence"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:prevalence"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:demographics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:epidemiiology"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:data"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:statistics"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:comorbidities"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:epidemiology"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/health/topics/psychotherapies/index.shtml">
    <title>NIMH · Psychotherapies</title>
    <dc:date>2011-12-26T23:43:25+00:00</dc:date>
    <link>http://www.nimh.nih.gov/health/topics/psychotherapies/index.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Sometimes psychotherapy alone may be the best treatment for a person, depending on the illness and its severity. Other times, psychotherapy is combined with medications. Therapists work with an individual or families to devise an appropriate treatment plan. What are the different types of psychotherapy?
Many kinds of psychotherapy exist. There is no "one-size-fits-all" approach. In addition, some therapies have been scientifically tested more than others. Some people may have a treatment plan that includes only one type of psychotherapy. Others receive treatment that includes elements of several different types. The kind of psychotherapy a person receives depends on his or her needs.]]></description>
<dc:subject>mental health counseling psychotherapy treatment talk therapy efficacy approaches citations sources medical behavioral research</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:64d9226bfd50/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:counseling"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:treatment"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:talk"/>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
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</item>
<item rdf:about="http://www.nimh.nih.gov/science-news/2008/new-research-to-refine-approaches-in-psychotherapy.shtml">
    <title>NIMH · New Research to Refine Approaches in Psychotherapy</title>
    <dc:date>2011-12-26T23:39:17+00:00</dc:date>
    <link>http://www.nimh.nih.gov/science-news/2008/new-research-to-refine-approaches-in-psychotherapy.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Psychotherapy is a crucial part of treatment for many mental disorders, but it can be difficult to identify the right approach for an individual. To that end, NIMH is funding eight new projects designed to evaluate, refine and improve psychotherapy-based treatments. Projects range from developing and piloting novel approaches for treating specific mental disorders, to conducting large, multi-site clinical trials to test treatments and treatment combinations for both adults and children.]]></description>
<dc:subject>mental health research psychotherapy approach delivery efficacy</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:074c7d7e0ac6/</dc:identifier>
<taxo:topics><rdf:Bag>	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:mental"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:research"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:psychotherapy"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:approach"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:delivery"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:efficacy"/>
</rdf:Bag></taxo:topics>
</item>
<item rdf:about="http://www.nimh.nih.gov/research-funding/scientific-meetings/2010/closing-the-gaps-the-role-of-research-in-reducing-mental-health-disparities-in-the-us.shtml">
    <title>NIMH · Closing the Gaps: The Role of Research in Reducing Mental Health Disparities in the U.S.</title>
    <dc:date>2011-12-26T23:35:41+00:00</dc:date>
    <link>http://www.nimh.nih.gov/research-funding/scientific-meetings/2010/closing-the-gaps-the-role-of-research-in-reducing-mental-health-disparities-in-the-us.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Evidence regarding mental health disparities paints a puzzling picture that is complicated by the interrelationships of race/ethnicity, SES, and geography across the life course.  For example, although the prevalence of common mental disorders is higher in White Americans than in Black Americans and Latino Americans, the latter groups have a more pernicious course of illness, and poorer access to services.1  However, certain other mental disorders exhibit different patterns of prevalence and trajectory.  Thus, it is necessary to understand how patterns of mental health disparities differ by disorder, along with the factors that create these patterns, including causes and mechanisms. Furthermore, it is critical to close gaps in treatment access and service provision affecting these populations.  Collaborations with other federal agencies will be essential to strengthening links between research and practice.]]></description>
<dc:subject>mental health care services delivery race class ethnicity demographics economics research NIMH epidemiology disparities Black Hispanic Latino African-American racism</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:e88a978fa367/</dc:identifier>
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	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:health"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:care"/>
	<rdf:li rdf:resource="https://pinboard.in/u:Michael.Massing/t:services"/>
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<item rdf:about="http://www.nimh.nih.gov/science-news/2008/virtual-reality-psychotherapy-show-promise-in-treating-ptsd-symptoms-civilian-access-to-care-remains-a-concern.shtml">
    <title>NIMH · Virtual Reality, Psychotherapy, Show Promise in Treating PTSD Symptoms; Civilian Access to Care Remains a Concern</title>
    <dc:date>2011-12-26T23:24:36+00:00</dc:date>
    <link>http://www.nimh.nih.gov/science-news/2008/virtual-reality-psychotherapy-show-promise-in-treating-ptsd-symptoms-civilian-access-to-care-remains-a-concern.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[At this point, all patients benefit from the virtual reality exposure therapy. The degree to which d-cycloserine coupled with virtual reality exposure therapy is more or less effective in reducing anxiety symptoms compared with placebo or alprazolam will not be known until the study is completed by the end of August, 2011.
The stimuli used for activation during the startle assessment consist of two-minute video clips of scenes depicting the Iraq theater of combat including that of a Humvee driving alone along a desert highway, a Humvee traveling within a convoy along a desert highway, and a soldier on foot patrol in an Iraqi city.
Acoustic startle, which measured hyperarousal symptoms, was assessed while patients were exposed to each of the three virtual environments at (1) pre-treatment, (2) post-treatment, (3) three months post-treatment, and (4) six months post-treatment. During treatment, the virtual reality exposure therapy was tailored to each of the patients such that they were repeatedly exposed to a virtual environment closely matched to that in which they were traumatized or injured.
At the time of pre-treatment, all subjects displayed a robust acoustic startle response within their relevant treatment environment. This robust startle magnitude decreased significantly, by 75 percent, during the course of treatment with its lowest levels at 6 months post-treatment. This reduction in acoustic startle magnitude observed in Rothbaum's study is consistent with a decrease in symptom severity in these patients as measured by scores on the Clinician Administered PTSD Scale.
"We think using virtual reality makes for a more potent and therapeutic exposure session by putting together the memories, sights, smells, feelings, and emotions and helping them to confront and cope with that complete memory," says Rothbaum. "We think that d-cycloserine specifically may facilitate the emotional learning process that takes place in exposure therapy and hopefully makes this process faster, more robust and long-lasting"....

In a new study conducted at the University of Washington, researchers found that a very effective PTSD psychotherapy called behavioral activation reached only one percent of the hospitalized population of injured civilian survivors of assaults and motor vehicle crashes targeted for PTSD prevention. Behavioral activation is a form of cognitive psychotherapy requiring injured patients to attend four to six psychotherapy sessions within one to three months after hospitalization. It appears that acutely injured trauma survivors had many other post-traumatic concerns and competing demands that prevented them from participating in the cognitive behavioral psychotherapy trial.
In contrast, a stepped collaborative care intervention that began with techniques to engage patients around their most pressing post-injury concerns, such as physical health and bodily pain, reached 54 percent of the target population of injured trauma survivors. This therapy eventually became more intensive and included evidence-based cognitive behavioral therapy as well as medications targeting insomnia and anxiety.
"These findings suggest that cognitive behavioral psychotherapy interventions may be highly effective in reducing PTSD symptoms in tightly controlled clinical experiments," says Doug Zatzick, MD, medical director of the psychiatric consultation liaison service at Seattle's Harborview Medical Center, a level I trauma center. "But they may require augmentation with other intervention strategies, such as the stepped collaborative care component, if they are going to reach large numbers of individuals suffering from PTSD in the real world."

In another study of 2,707 adult surgical inpatients nationwide, Zatzick and his colleagues found that PTSD and other disorders were associated not only with marked individual suffering but also substantial impairments in the ability to work, socialize, and even perform routine physical activities.
The study of adult surgical patients from 69 hospitals found that after one year, 20.7 percent of patients had PTSD and nearly seven percent had depression. Patients with both PTSD and depression had the greatest functional impairment, including inability to return to work, 12 months after injury; patients with one disorder (PTSD or depression) had high levels of impairment; and patients with neither PTSD nor depression had only modest levels of impairment. "This suggests the need for an enhanced focus on screening and intervention for PTSD and related co-morbidities in acute care settings if we are going to adequately improve functional recovery after injury" Zatzick says.]]></description>
<dc:subject>health care services delivery technology virtual reality PTSD treatment research medical psychotherapy mental efficacy access behavioral economics social benefit cost startle response</dc:subject>
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<item rdf:about="http://www.oas.samhsa.gov/groups.htm#Homeless">
    <title>Population Groups on SAMHSA's Office of Applied Studies website</title>
    <dc:date>2011-12-26T23:17:24+00:00</dc:date>
    <link>http://www.oas.samhsa.gov/groups.htm#Homeless</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[Data Tables with government assistance as a variable:
    * Adult (age 18 and older) mental health treatment/counseling, 2000 & 2001 (PDF format) --  Number and percent of (1) any mental health treatment, (2) inpatient, outpatient, and prescription medication treatment, and (3) unmet need for mental health treatment/counseling by socioeconomic demographics & geographic variables, family income, government assistance, and any illicit drug use  (Tables 8.35A - 8.40B).  
    * Substance use by adult mental health treatment/counseling , 2000 & 2001 (PDF format) -- Number & percent of past year users of any illicit drugs, marijuana, nonmedical use of prescription-type drugs, cigarettes, & alcohol by receipt & perceived need for mental health treatment/counseling by sociodemographics, government assistance, and geographic variables 
  ]]></description>
<dc:subject>mental health care services delivery availability affordability government assistance support help drug addiction treatment demographics race ethnicity class epidemiology disparities</dc:subject>
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<item rdf:about="http://www.nimh.nih.gov/research-funding/grants/concept-clearances/2011/grand-challenges-in-global-mental-health.shtml">
    <title>NIMH · Grand Challenges in Global Mental Health</title>
    <dc:date>2011-12-26T23:01:08+00:00</dc:date>
    <link>http://www.nimh.nih.gov/research-funding/grants/concept-clearances/2011/grand-challenges-in-global-mental-health.shtml</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[This initiative aims to support innovative research that will generate the major scientific advances needed to make a significant impact on the lives of people living with neuropsychiatric disorders worldwide. The research supported will address barriers that, if removed, will have a significant impact on the prevention and treatment of mental disorders worldwide.
Rationale

The World Health Organization’s Global Burden of Disease Study identifies neuropsychiatric disorders as being responsible for 13 percent of the total global disease burden.i Moreover, across the world, the treatment gap (i.e., the difference between the number of people suffering from mental, neurological and substance use (MNS) disorders and the number who actually receive the treatment they need) for MNS disorders is large and leads to chronic disabilities and increased mortality. Yet despite the suffering and disability these disorders cause, relatively few resources are allocated worldwide to fund the necessary research to prevent and treat neuropsychiatric disorders effectively.

This initiative builds upon previous priority-setting exercises to identify what stands in the way of progress in neuropsychiatric research worldwide. The term ‘global mental health’ underscores the cross-national influences on neuropsychiatric disorders and relates the shared responsibility for promoting mental health in all countries. Its core focus on equity strives to reduce and, ultimately, eliminate health inequalities between and within countries.]]></description>
<dc:subject>mental health care services delivery availability affordability</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:ae1d6d7ce55c/</dc:identifier>
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<item rdf:about="http://wwwsearch.nimh.nih.gov/?q=psychotherapy+bad+experience&amp;btnG=Search+Internet&amp;entqr=0&amp;sort=date%3AD%3AL%3Ad1&amp;output=xml_no_dtd&amp;client=internet_frontend&amp;ud=1&amp;oe=UTF-8&amp;ie=UTF-8&amp;proxystylesheet=internet_frontend&amp;site=internet_collection">
    <title>WWW Search - Search Results: psychotherapy bad experience</title>
    <dc:date>2011-12-26T20:08:43+00:00</dc:date>
    <link>http://wwwsearch.nimh.nih.gov/?q=psychotherapy+bad+experience&amp;btnG=Search+Internet&amp;entqr=0&amp;sort=date%3AD%3AL%3Ad1&amp;output=xml_no_dtd&amp;client=internet_frontend&amp;ud=1&amp;oe=UTF-8&amp;ie=UTF-8&amp;proxystylesheet=internet_frontend&amp;site=internet_collection</link>
    <dc:creator>Michael.Massing</dc:creator><dc:subject>mental health care servces psychotherapy bad experience</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:dadd3ff55c22/</dc:identifier>
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<item rdf:about="http://www.meps.ahrq.gov/mepsweb/">
    <title>Medical Expenditure Panel Survey Home</title>
    <dc:date>2011-12-26T20:04:18+00:00</dc:date>
    <link>http://www.meps.ahrq.gov/mepsweb/</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[ 


The Medical Expenditure Panel Survey (MEPS) is a set of large-scale surveys of families and individuals, their medical providers, and employers across the United States. MEPS is the most complete source of data on the cost and use of health care and health insurance coverage. Learn more about MEPS.]]></description>
<dc:subject>mental health medical expense cost data statistics managed care management control containment access demographics spending disparities insurance uninsured prescription projections quality geography drug</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
<dc:identifier>https://pinboard.in/u:Michael.Massing/b:77fc18f793e8/</dc:identifier>
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<item rdf:about="http://www.hcp.med.harvard.edu/ncs/">
    <title>National Comorbidity Survey</title>
    <dc:date>2011-12-26T19:29:38+00:00</dc:date>
    <link>http://www.hcp.med.harvard.edu/ncs/</link>
    <dc:creator>Michael.Massing</dc:creator><description><![CDATA[The baseline NCS, fielded from the fall of 1990 to the spring of 1992, was the first nationally representative mental health survey in the U.S. to use a fully structured research diagnostic interview to assess the prevalences and correlates of DSM-III-R disorders. The baseline NCS respondents were reinterviewed in 2001-02 (NCS-2) to study patterns and predictors of the course of mental and substance use disorders and to evaluate the effects of primary mental disorders in predicting the onset and course of secondary substance disorders. In conjunction with this, an NCS Replication survey (NCS-R) was carried out in a new national sample of 10,000 respondents. The goals of the NCS-R are to study trends in a wide range of variables assessed in the baseline NCS and to obtain more information about a number of topics either not covered in the baseline NCS or covered in less depth than we currently desire. A survey of 10,000 adolescents (NCS-A) was carried out in parallel with the NCS-R and NCS-2 surveys. The goal of NCS-A is to produce nationally representative data on the prevalences and correlates of mental disorders among youth. The NCS-R and NCS-A, finally, are being replicated in a number of countries around the world. Centralized cross-national analysis of these surveys is being carried out by the NCS data analysis team under the auspices of the World Health Organization (WHO) World Mental Health Survey Initiative. ]]></description>
<dc:subject>mental health morbidity mortality incidence prevalence statisticx data epidemiiology peer-reviewed database</dc:subject>
<dc:source>https://pinboard.in/</dc:source>
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