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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.











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.



daily link  Thursday, March 31, 2005


Showdown in the Show-Me State: Gov. Blunt vs. Medicaid Report, in Adobe Acrobat format, from Families USA - "Governor Blunt and the Missouri General Assembly have proposed some of the largest Medicaid cuts of any state in the nation. Under their plan, more than one in 10 Medicaid enrollees will lose coverage altogether, and many more will lose access to essential health care services. Families USA analyzed the Missouri proposal and found [that] Governor Blunt has proposed slashing Medicaid eligibility levels for parents from 75 percent of the federal poverty level to 30 percent; 60,000 parents will lose their Medicaid coverage completely; if this cut is enacted, Missouri’s eligibility level for working parents will drop to 47th in the nation."  
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Mental Disorders Are on the Rise Among Afghanistan, Iraq Veterans USA Today story reprinted at MentalHelpNet - "As many as one out of four veterans of Afghanistan and Iraq treated at Veterans Affairs hospitals in the past 16 months were diagnosed with mental disorders, a number that has been steadily rising, according to a report in today's New England Journal of Medicine. Records show that 20% of eligible ex-soldiers came to VA hospitals seeking medical treatment between October 2003 and February 2005. Overall, 26% of them were diagnosed with mental disorders, say Han Kang and Kenneth Hyams of the VA." The report is available for a fee at the NEJM web site.  
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Trauma Stress Examined Dominion Post story reprinted at MentalHelpNet - "Post-traumatic stress disorder may be more common than most people think. Five in 100 men, and 10 in 100 women will get post-traumatic stress disorder (PTSD) in their lifetime, according to research from Britain's National Institute for Clinical Excellence reported by BBC News. The institute says PTSD is under-recognised and is urging better screening and treatment by issuing new guidelines. Symptoms, including flashbacks, anger, anxiety and depression, can occur soon after a traumatic event or years later."  
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Mental Health Commission supports Rights Action Plan (New Zealand) Story at Scoop - "The Mental Health Commission congratulates the Human Rights Commission for its stand on improving the human rights of New Zealanders, including those with mental illness, in its Action Plan. Mental Health Commissioner Mary O’Hagan said she is especially pleased that the Human Rights Commission has recognised two critical human rights issues in mental health clinical practice – the use of seclusion and compulsory treatment."  
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Mental health center's winning approach puts consumers first (Colorado) Rocky Mountain News story - "Winning the prestigious Community Provider of Excellence award from the National Council for Community Behavioral Healthcare is an honor, but chances are the people who work at the Mental Health Center of Denver are more concerned with individuals than honors. ... 'Our approach is not to just focus on what's wrong with somebody, or what their limitations are, but what their strengths are,' said Marijo Rymer, associate director of communications for the MHCD, which was formed in 1989 by the merger of four neighborhood organizations. Moreover, he said, 'We know that people with mental illness need more than psychotropic drugs and therapy. They need jobs and a social life. They need good medical care. They need a place to live.' "  
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Bread and Shelter, Yes. Psychiatrists, No. Essay in the New York Times on "Project One Billion," an international conference organized by Dr. Richard Mollica, a psychiatrist at Harvard, under the auspices of the World Bank, the World Health Organization, and humanitarian nonprofit organizations - "Days after the tsunami struck South Asia, American mental health workers flew to Sri Lanka to offer counseling services to grief-stricken victims. ... Sri Lankan health officials saw things slightly differently. They discouraged aid agencies that offered to send counselors to their country. ... 'One billion' signified the number of people worldwide, roughly one in six, suffering the psychological consequences of war, torture and terrorism. And though these people suffered human-caused horror rather than natural disaster, the question still applies: can outsiders bearing therapy provide meaningful help in times of crisis? One thing is clear. Even before strife ripped these societies apart, many of them had pitiful mental health systems..." [Viewing New York Times resources requires registration, which is free].  
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Task force to outline mental health reform (New Jersey) New Jersey Times story - "Acting Gov. Richard J. Codey's mental health task force is set to present a final report today calling for widespread changes to mental health services across the state, an administration source said yesterday. The 300-page report will outline some 50 recommendations to improve mental health programs, including a proposal to expand inpatient facilities, such as the Trenton Psychiatric Hospital in Ewing. Bob Davison, the task force's chairman, said yesterday the goal of the report is to help people who suffer from mental illness fully engage in their lives rather than simply recover from their symptoms." See also the preview of the report at NorthJersey.com.  
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