Early Serious Mental Illness Treatment Locator

from SAMHSA ESMI

I’ve included the Michigan locations, but all states are listed….

Welcome to the Early Serious Mental Illness Treatment Locator, a confidential and anonymous source of information for persons and their family members who are seeking treatment facilities in the United States or U.S. Territories for a recent onset of serious mental illnesses such as psychosis, schizophrenia, bi-polar disorder and other conditions.

These evidence-based programs provide medication, therapy, family and peer support, assistance with education and employment and other services.

Individuals who experience a first onset of serious mental illness – which can include a first episode of psychosis – may experience symptoms that include problems in perception (such as seeing, hearing, smelling, tasting or feeling something that is not real), thinking (such as believing in something that is not real even when presented with facts), mood, and social functioning.

There are effective treatments available and the earlier that an individual receives treatment, the greater likelihood that these treatments can lead to better outcomes and enable people to live full and productive lives with their family and friends.

RAISE Navigate – InterAct – Michigan
610 South Burdick St., Kalamazoo, Michigan 49007
Program Type: CSC
Age Range Accepted: 15-30
Eligible Diagnoses: Schizophrenia spectrum

Includes the following components:

Medication: Yes
Primary Care: NO
Psychotherapy: Yes
Family Education & Support: Yes
Supported Employment and Education: Yes
Case Management: Yes
Peer Services: Yes
Other:
RAISE Navigate – InterAct – Michigan
1131 Ionia NW, Grand Rapids, Michigan 49503
Contact: Carey Cutcher, LMSW
Program Type: CSC
Age Range Accepted: 15-30
Eligible Diagnoses: Schizophrenia Spectrum

Includes the following components:

Medication: Yes
Primary Care: No
Psychotherapy: Yes
Family Education & Support: Yes
Supported Employment and Education: Yes
Case Management: Yes
Peer Services: Yes
Other:
RAISE Navigate – ETCH – Michigan
4572 S. Hagadorn Rd., Suite 1E, East Lansing, Michigan 48823
Contact: Cathy Adams, LMSW, ACSW, CAADC
Program Type: CSC
Age Range Accepted: 15-30
Eligible Diagnoses: Schizophrenia spectrum

Includes the following components:

Medication: Yes
Primary Care: No
Psychotherapy: Yes
Family Education & Support: Yes
Supported Employment and Education: Yes
Case Management: Yes
Peer Services: Yes
Other:
RAISE Navigate – Easter Seals – Michigan
2399 E. Walton Blvd., Auburn Hills, Michigan 48326
Contact: Laura Brdak, MA, LLP
Program Type: CSC
Age Range Accepted: 15-31
Eligible Diagnoses: Schizophrenia spectrum

Includes the following components:

Medication: Yes
Primary Care: No
Psychotherapy: Yes
Family Education & Support: Yes
Supported Employment and Education: Yes
Case Management: Yes
Peer Services: Yes
Other:

Why Even Healthy Low-Income People Have Greater Health Risks Than Higher-Income People

by Peter J. Cunningham

The health of people with low incomes often suffers because they can’t afford adequate housing, food, or child care. Such living conditions, and the stress they cause, can lead to higher rates of  tobacco and alcohol use and increase the risk of health problems developing or worsening over time.

In addition, partly because they are more likely to be unable to afford care, people with low-incomes use fewer preventive care services. As a result, there are fewer opportunities for practitioners to assess and educate these patients about their health risks. Even when low-income people do see health care providers, the social needs like poor housing that may affect their health and complicate treatment are rarely addressed. If health plans and providers can better meet the needs of these patients, such improvement might spur higher quality improvements throughout the system.

To examine the impact of income on health, we analyzed data from the 2014–16 National Health Interview Survey conducted by the Centers for Disease Control and Prevention. We found that even relatively healthy lower-income people — those who earn 200% or less of the federal poverty level (FPL), or about $24,000 or less a year, and have fewer than three chronic conditions and no functional limitations — have higher health risks, greater social needs, and worse access to care than relatively healthy moderate-income (200%–400% FPL) and higher-income (>400% FPL) people.

Helen Keller, Disability Activist, Human Rights and World Traveler: A History Podcast For Kids

from Invisible Illness Blog

You might have heard her name before. I am relatively certain you have but I am guessing that you heard about her in the same way I was taught about Helen Keller, almost as an accessory to her teacher’s story.

I am so excited to get to introduce all of you to a woman that until I began researching I only knew as a brave disabled woman who inspired by her willingness to learn. There is so much more!
Helen was born in 1880 in Alabama a very healthy little girl who even started speaking at six months old. When she was just under two years old an illness left her blind and deaf. The illness has not been identified except to call it brain fever.
Helen, against the popular idea that she lived in complete isolation, had a friend and brothers and sisters. She and the daughter of the family cook, Martha Washington, were playmates who developed a type of sign language when she was seven years old. The invented a language with around sixty signs.
It was not ideal though and Helen had become very difficult to be around. She would throw epic temper tantrums kicking, yelling, and raging. Many of the family’s friends and acquaintances believed that Helen should be placed in an institution for her and the family’s own good.

Helen’s mother came across an article written by none other than Charles Dickens (we will have an episode on him I promise and near the Holidays please look up Neil Gaiman reading a Christmas Carol). The article mentioned a teacher by name who had had success teaching another deaf and blind child, Laura Bridgman. This here becomes a who is who of the time. Helen was referred to Alexander Graham Bell who was working with deaf children at the the time (yes, the inventor of the telephone). I promise you there will be much name dropping in this episode. Helen became great friends with many people you might recognize.
At the Perkins Institute for the Blind the director felt that one of the most recent graduates would be best for Helen, Anne Sullivan began her 49-year relationship as mentor and teacher to Hellen. The first word that Anne taught Helen to fingerspell was ‘doll’ so that Helen could understand the gift Anne brought her (Please check out the show notes for the attached fingerspelling chart and try to spell words out with your friends).
This was not an easy process, remember Helen was known for her wild tantrums. Anne insisted that she and Helen go somewhere isolated from others so that there could be a complete focus and Anne could teach Helen finger spelling by making the shapes of the letters on Helen’s palm. This worked. Helen learned 30 words that day.
So most of this you probably knew or at least had an idea of but here is what you might not be aware of. Her temper showed her to be willful but willful means tenacious. She did not give up easily even when the struggle was long and hard. It took Helen twenty-five years to teach herself to speak so that others could understand her.

Why Emotional Support Animals Are Important

by David Broido

This is a video with open captions. The link to the video is in David’s name…

Indiana Bones Service Dog Tribute

The wonderful story of Indiana Bones, one of the best service dogs ever.

This story is important for many reasons, but one is that people with mental health needs don’t always know that an emotional support animal is even a support option. Once they decide that an emotional support animal is important, there is no good way for them to have help with the training or the cost of training and care.

The cost for non-emotional support animals is largely to cover training and care during training.  There are a sizeable number of common behavior habits that work well for most typical support animals, and the behaviors that need to be customized to the individual can be layered on the trained behavior base. 

All of this is less possible with an emotional support animal because the infrastructure (training and funding) for providing it is FAR less developed than is the case for standard support animal training and care.

In the video, the person and his family did the base behavior training focused on David’s needs at the time. Many people with mental health issues are extremely isolated and extremely poor and simply could not pull together the necessary tools that David was able to create himself and with and through his family and friends.

These realities make emotional support animal use more difficult in every way.

The common stigmatizing of people with emotional support animals is just another kind of disability bullying and devaluing. It should have no place in any community that prides itself on inclusion as a core value.  -ngd

 

 

An Opioid Crisis Foretold

by The NYT Editorial Board

One of the more distressing truths of America’s opioid epidemic, which now kills tens of thousands of people every year, is that it isn’t the first such crisis.

Across the 19th and 20th centuries, the United States, China and other countries saw drug abuse surge as opium and morphine were used widely as recreational drugs and medicine. In the West, doctors administered morphine liberally to their patients, while families used laudanum, an opium tincture, as a cure-all, including for pacifying colicky children. In China, many millions of people were hooked on smoking opium.

In the mid-1800s, the British went into battle twice — bombing forts and killing thousands of civilians and soldiers alike — to keep the Chinese market open to drug imports in what would become known as the Opium Wars.

A New Disability Poetics Symposium

from Pennsound Center for programs in contemporary writing

Organized by Jennifer BartlettAriel Resnikoff, Adam Sax, and Orchid Tierney, in collaboration with Knar Gavin, Declan Gould, Davy Knittle, and Michael Northen.

Larry Eigner’s Disability Poetics

Moderated by Charles Bernstein

  1. George Hart, “Larry Eigner’s Ecrippoetics” (22:14): MP3
  2. Michael Davidson, “’the endless / Room at the center’: Doing Time With Eigner” (29:33): MP3
  3. Jennifer Bartlett, “Projective Verse” (24:27): MP3
  4. Full reading (1:22:45): MP3

Disability & Performance

Moderated by Declan Gould

  1. torrin a. greathouse, “Bridging or Burning the Empathy Gap: Perfomance as Affective Labor” (18:10): MP3
  2. Camisha Jones, presentation (17:02): MP3
  3. Q&A (4:53): MP3
  4. Full reading (44:22): MP3

Poetic Experiment & Disability

Moderated by Orchid Tierney

  1. Sharon Mesmer, “Sea Monster in the Brain: Temporal Lobe Epilepsy and Poetic Experimentation” (17:24): MP3
  2. Gaia Thomas, “The I without certainty” (17:40): MP3
  3. Q&A (25:19): MP3A
  4. Full reading (1:00:32): MP3

and a good sample of readings….

Electronic Visit Verification (EVV): A Blueprint for Self-Direction

by Applied Self Direction

An overview a=of how EVV COULD support self-direction. Don’t get your hopes up!!

Electronic Visit Verification (EVV): A Blueprint for Self-Direction was developed to provide detailed information regarding how EVV can be successfully implemented in self-direction. For purposes of this resource, successful implementation is defined as one that protects and upholds the participants choice and control over their services and supports while strengthening program integrity.
This resource is intended to be a guide for stakeholders developing their own EVV products for use in self-direction programs. It is also intended to help stakeholders evaluate existing EVV products to determine whether these products will be compatible with their operational needs.
Background
Early EVV products were designed for use in home care provided by a traditional agency. In this context, EVV was successful in reducing a form of Medicaid fraud that occurs when payment is made for services that were not provided. Given the success and rapid growth of EVV in traditional services, several states implemented EVV in their self-direction programs; however, these early implementations proved challenging.

Widespread pushback emerged among participants, families, and workers, who felt that
EVV decreased participants’ choice and control over their services. For example, some early EVVsystems relied on landline phones in a participant’s home to verify services, which forced people to remain at home while receiving services and limited their access to the broader community.
The EVV industry has grown and matured over the last decade, and many vendors now advertise that their products are able to serve self-direction programs.3 However, not all EVV systems currently on the market provide the full range of functionality necessary to support a successful implementation. In other words, it is unlikely that an EVV system designed solely to support traditional personal care and home health services can be implemented successfully in self-direction unless additional functionality is
developed.

Social Anxiety’s Newest Theory and the 7 Links to Depression

by Susan Krauss Whitbourne Ph.D.

This fits my personal experience of depression and social anxiety over my life better than the standard descriptions. One of these days I’m going to do a post on social anxiety as a learning disability….

People with social anxiety disorder experience extreme fears about being evaluated by others, causing them to feel so distressed that they readily can become loners. However, even without having an actual diagnosis of social anxiety disorder, which requires meeting a specific set of criteria, people who experience the symptoms of social anxiety can suffer from extreme self-doubts about how others will regard them. The accompanying unhappiness they experience may also border on feeling depressed and hopeless. In a new study by Washington University in St. Louis psychologists led by Julia Langer (2019), the overlap among the symptoms of both sets of disorders was tested using a unique methodological approach. The findings of this study suggest ways that you can approach your own feelings of social anxiety and depression by addressing those symptoms directly.

Microbiome Changes through Diet May Help Ease Lupus Symptoms

from Genetic Engineering and Biotech News

New research has uncovered how a dietary intervention could help prevent the development of the autoimmune disease, systemic lupus erythematosus (SLE). Using mouse models of lupus, the team from Yale University set out to test the role of diet and the microbiota and dissect its mechanisms as the role of commensal bacteria in autoimmunity remains unclear.

“We dissected, molecularly, how diets can work on the gut microbiome,” said senior author Martin Kriegel, M.D., Ph.D., associate professor adjunct in the department of immunobiology, Yale University School of Medicine. “We identified a pathway that is driving autoimmune disease and mitigated by the diet.”

The paper, A Diet-Sensitive Commensal Lactobacillus Strain Mediates TLR7-Dependent Systemic Autoimmunity was published recently in Cell Host & Microbe.

The team first identified the bacterium, Lactobacillus reuteri, in the gut of the mice that triggered an immune response leading to the disease. Specifically, in the Toll-like receptor 7 (TLR7)-dependent mouse models of lupus, L. reuteri stimulated immune cells known as dendritic cells, as well as immune system pathways that exacerbated disease development.

To investigate the potential impact of diet on the presence of this bacteria in the mice, first author Daniel Zegarra-Ruiz, a graduate student in the lab, fed the mice “resistant starch”— a diet that mimics a high-fiber diet in humans. Foods that are high in resistant starch are rice, whole grains such as oats and barley, beans, peas, and lentils.

The resistant starch is not absorbed in the small intestine but ferments in the large intestine, enriching good bacteria and causing the secretion of short-chain fatty acids. The diet suppressed both the growth and movement of L. reuteri bacteria outside the gut that would otherwise lead to autoimmune disease.

Emergency Preparedness Publications & Resources

from The Pacific ADA Center

The Pacific ADA Center is a vast repository of disability emergency prep, response, and recovery info for what I suppose ae obvious reasons. Good stuff!

The Pacific ADA Center produces webinars, tip sheets, and podcasts to clarify disability and ADA issues in emergency preparedness and management. In addition, listed below are national, regional, and local resources and publications related to disability and emergency preparedness. Select the section below for more information.

Legal Briefs

Personal Preparedness Publications

Planning Resources for Governmental Agencies and First Responders

ADA National Network

 

And much more….