
Two documents that will be of interest to those attending the IIMHL Leadership Exchange are the following:
Te Puawaitanga: Maori Mental Health National Strategic Framework , which includes additional links to other Maori Health Publications, and A Pacific Perspective on the NZ Mental Health Classification and Outcomes Study (Microsoft Word format),
prepared for the Mental Health Commission by Fuimaono Karl Pulotu-Endemann, Magila Annandale and Annette Instone provides a Pacific perspective on the policy implications arising from the New Zealand Mental Health Classification and Outcomes Study (CAOS). The paper summarises the CAOS evidence focussing on Pacific-specific information.
Monday, February 14, 2005
Aripiprazole Use in Children and Adolescents Article from
Pediatric Pharmacotherapy at
Medscape - "On November 15, 2002, the newest of the atypical antipsychotics, aripiprazole, was approved by the Food and Drug Administration (FDA) for the treatment of schizophrenia. It has subsequently been approved for use in the treatment of bipolar mania as well. This agent has been shown to be similar in efficacy to traditional antipsychotics as well as other atypical antipsychotics, but offers an improved adverse effect profile. There is growing interest in the use of aripiprazole in children with schizophrenia, schizoaffective disorder, and conduct disorders..." [Viewing
Medscape resources requires registration, which is free].
State Data on Alcohol, Tobacco, and Illegal Drug Use Page at the SAMHSA/OAS web site that has links to a variety of resources. As noted in an email from SAMHSA, " SAMHSA's Office of Applied Studies (OAS) has just released the following State report on the web, based on SAMHSA's National Survey on Drug Use & Health (NSDUH). It provides State level data for substance use and serious mental illness and is filled with maps and tables. Data from the 2002 and 2003 NSDUH were pooled to get more stable estimates for each State and DC. Also below is the direct link for some State cocaine treatment data." See, especially,
State Estimates of Substance Use From the 2002-2003 National Surveys on Drug Use & Health. "To find data on a specific topic," notes the email, "go to SAMHSA's Office of Applied Studies' topics website at
http://www.oas.samhsa.gov/topics.cfm. You can always get to the topics website by clicking on 'Topics' on the OAS banner at the top of most OAS web pages. You can also get data on specific drugs by clicking on 'Drugs' on the OAS banner. You can get to the treatment topics at the Topics page or by clicking on 'Treatment' on the footer of most OAS web pages."
NIH Chief Calls for Ethics Summit Los Angeles Times story - "The director of the National Institutes of Health — describing consulting payments from drug companies as a "systemic problem" that threatened the integrity of his agency — has called for a summit of government and academic leaders to address conflicts of interest throughout American medical research. Dr. Elias A. Zerhouni last week banned all of his agency's scientists from accepting consulting fees, stock or any other compensation from the biomedical industry. He also instructed the scientists to divest stock holdings in any biomedical company. The reforms, Zerhouni said in an interview, will put the NIH ahead of universities and private physicians in battling conflicts of interest." [Viewing
Los Angeles Times stories requires registration, which is free].
Social Isolation, Guns and a 'Culture of Suicide' New York Times story - "...suicides occur at a higher rate in rural areas than in cities or suburbs, with the rate rising steadily the more rural the community. With homicides, the trend works in reverse, with higher rates in more urban areas. Researchers have long known the statistics, but new research illuminates the substantial role of firearms in suicide. When Professor Branas examined data from the federal Centers for Disease Control and Prevention, he found that the risk of dying by gunshot was the same in rural and urban areas from 1989 to 1999, findings that were published in The American Journal of Public Health. ... Suicide risk factors like depression, economic worries and alcohol use are, of course, prevalent in urban areas, said Dr. Alex Crosby, an epidemiologist in the National Center for Injury Prevention and Control at the Centers for Disease Control. But they are heightened in rural areas by social isolation, lack of mental health care and the easy availability of guns. " [Viewing
New York Times resources requires registration, which is free].
Therapists Question Canada's Action on Hyperactivity Drug New York Times story - "Psychiatrists said yesterday that they were as confused as they were concerned by the news that Canadian regulators had suspended the use of a commonly prescribed hyperactivity drug amid reports of deaths linked to its use. 'The news just threw a curveball into our efforts to advise doctors on how to treat attention deficit disorders in kids,' said Dr. Oscar Bukstein, an associate professor of psychiatry at the University of Pittsburgh School of Medicine. 'I think everyone in the field is going to be more fastidious in how they screen children for potential heart or other problems' before prescribing drugs, said Dr. Bukstein, who is helping the American Academy of Child and Adolescent Psychiatry write treatment guidelines for the attention disorder. Canadian health officials said on Wednesday that they were suspending the sale of Adderall XR indefinitely because the drug was linked to 20 deaths, 12 of those children..." [Viewing
New York Times resources requires registration, which is free].
Mental health story needs clarification (Maine)Letter to the editor of the
Morning Sentinel by a professor and senior research associate Institute for Health Policy Muskie School of Public Service University of Southern Maine - "
I am responding to the article "Study shines light on mental health costs" (Jan. 25) to clarify some points it made. My co-authors, David Lambert and Stuart Bratesman, and I found that, from 1996 to 2002, for all MaineCare members, spending on behavioral health care services increased much more rapidly -- 163 percent -- than spending on medical services, which rose 112 percent, or spending on long-term care such as nursing home or home health care, which rose 6 percent. ... The greater cost increase for behavioral compared to medical or long-term care services was a result of more members diagnosed with behavioral conditions and more spent per month on their services. Many changes contribute to this, including greater awareness of mental- health problems, expanded programs for children with behavioral conditions, access to more effective treatments and medications, and a shift by the state of coverage onto Medicaid to increase access to federal funds. These increases are dramatic and warrant careful consideration..."
Copyright 2003 © Bill Davis.
IIMHL Update is a project done in collaboration with MHCA and
the Centre
for Community Change International. IIMHL Update is powered by Radio Userland.