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IIMHL Update is researched,
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by Bill Davis.

For information about the International Initiative for Mental Health Leadership, please contact Fran Silvestri.











Rural Proofing the National Service Framework for Mental Health
"The Rural Proofing project was funded by NIMHE, in response to the mechanism, introduced in the Government's 2000 Rural White Paper, to assess all major polices for their rural impact and adjustments made. The project was managed by Mind and the National Mental Health Partnership.

The initial intention was to rural proof the English adult NSFMH, however the resulting document is more than that. As we researched the project it became clear that there was no single repository for rural issues that impact on mental health. We have therefore produced a document that has considered not only the adult NSFMH, its Standards and underpinning programmes, the Mental Health Policy Implementation Plan and the NHS Plan, but also other significant issues relevant to rural communities..." - Keith Elder, Rural Minds Development Manager.



daily link  Tuesday, September 28, 2004


Medicare Chief Challenges Predictions of Out-Of-Pocket Costs
Reuters Health story at Medscape - "The head of the U.S. Medicare program Tuesday said that newly released estimates showing that patients' out-of-pocket spending on services covered by Medicare will consume an ever-larger share of retirement income are being taken out of context. ... The chart, which the Bush administration chose not to publish as part of the annual Medicare trustees' report last March, was released to Rep. Pete Stark, D-Calif., in August, and parts were published in a front-page story in Tuesday's editions of the newspaper USA Today." "med"  
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Guidelines Raise Questions About Drug Availability
Page at the NAMI web site - "The New York Times reports that changes to Medicare have set off a battle over which medications will be available to Medicare recipients. The new law requires Medicare benefits to be administered by private health plans but does not specify which drugs will be covered, leaving each plan to draw up its own list of approved medications, known as formularies. Consequently, Medicare consumers find themselves caught between the drug companies, who want as many drugs as possible included on the formularies, and the health insurers, who want to limit the formularies to contain costs..." The page includes links to the Times story and other related NAMI resources.  
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Lawmakers Take FDA to Task on Antidepressants
September 24 Los Angeles Times story - "Members of Congress on Thursday accused the Food and Drug Administration of suppressing information, for as long as eight years, about the increased risks of suicidal thought and behavior in children and teenagers taking antidepressants. ... During a House subcommittee hearing on the FDA review of clinical trials involving the widely prescribed drugs, the legislators also criticized FDA officials for withholding information from clinical trials about the lack of benefit for children from most antidepressants." [Viewing Los Angeles Times stories requires registration, which is free]. See also the Washington Post  story, FDA Told Its Analyst to Censor Data on Antidepressants. [Viewing Washington Post stories requires registration, which is free.]  
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Stigma Changes When It Crosses Borders
Psychiatric News story - "The stigma of serious mental illness appears to vary from one country to another. For instance, persons with schizophrenia in Mongolia are not viewed as dangerous, but they are so viewed in Germany. Think what it might be like to live in Siberia and endure the incredibly cold, dark winters. Now imagine what it must be like to live in Siberia and also have schizophrenia. It may sound like a gargantuan challenge, but Siberian residents with schizophrenia appear to have at least one thing going for them—they are not viewed by others as being dangerous. This finding comes from a study conducted by M.C. Angermeyer, M.D., Ph.D., head of the clinic and outpatients' clinic of psychiatry the University of Leipzig in Germany. The results appeared in the June Acta Psychiatrica Scandinavica..."  
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Words, Actions at Odds on Children's Health Care
Washington Post story - "In his convention address in New York, President Bush announced a new $1 billion initiative to enroll "millions of poor children" in two popular government health programs. But next week, the Bush administration plans to return $1.1 billion in unspent children's health funds to the U.S. Treasury, making his convention promise a financial wash at best. The loss of $1.1 billion in federal money means six states participating in the State Children's Health Insurance Program face budget shortfalls in 2005; it is enough money to provide health coverage for 750,000 uninsured youngsters nationwide, according to two new analyses by advocacy organizations..." [Viewing Washington Post stories requires registration, which is free.]  
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Improving Mental Health – a draft second national mental health and addiction plan 2005-2015 (New Zealand)
Page at the New Zealand Ministry of Health web site, indexing resources related to the plan - "Improving Mental Health, a draft second national mental health and addiction plan is a strategic work plan that builds on the National Mental Health Strategy currently encapsulated in Looking Forward (Ministry of Health 1994) and Moving Forward (Ministry of Health 1997). ... The draft plan, to be used for consultation, is wide in its scope, covering the spectrum of interventions in mental health from promotion/prevention to primary care and specialist services. The draft sets out a vision, goals and principles, and is organised around seven interrelated strategic directions each with a series of related objectives and actions." The plan is available in both Acrobat and MS Word format.  
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Copyright 2003 © Bill Davis.

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