SENATE BILL: ...Mental Health Reform Act of 2013 (Failed)

[Southern Senator North Carolina Yankee]

Okay read this batch while I get the next ten or so:

http://www.sciencedaily.com/releases/2013/02/130212172211.htm

http://www.eurekalert.org/pub_releases/2013-02/ehs-gim021213.php  - couldn't load this one

http://www.sciencedaily.com/releases/2010/12/101207092354.htm

http://www.sciencedaily.com/releases/2010/12/101201124355.htm

http://www.sciencedaily.com/releases/2010/10/101011090145.htm

http://www.sciencedaily.com/releases/2009/12/091214075223.htm

http://www.sciencedaily.com/releases/2011/08/110802162329.htm

http://www.sciencedaily.com/releases/2011/04/110419111505.htm

http://www.sciencedaily.com/releases/2011/01/110118113451.htm

[Southern Senator North Carolina Yankee]

http://tv.msnbc.com/2012/12/17/the-other-conversation-americas-decrepit-mental-health-infrastructure/ - Couldn't Load this one

http://www.govtrack.us/congress/bills/113/s265/text

http://www.ncbi.nlm.nih.gov/pubmed/22352077 - Won't load properly. Might be more then what I can access on this page.

http://docfp.com/fixing-the-mental-health-infrastructure-in-the-us/



www.fas.org/sgp/crs/misc/R40536.pdf

Excepts from the last link:

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[Southern Senator North Carolina Yankee]

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[Fmr. Pres. Duke]

Sorry. I am out of town for the next week for my sister's college graduation so I wasn't checking this daily. I'll post what I have when I can, but you've got a lot of what I already looked at. Sorry for being unavailable with law school and now this event.

I just could not find anything concrete on this topic, and most I talked to didn't know anything about their respective country's system. Science Daily was the main source I used along with some others where they discussed reforms needed and problems with our system.

[Southern Senator North Carolina Yankee]

You aren't going to find a one magic bullet. You will find this one piece at a time and then have to fit them together like a puzzle to form a comprehensive reform effort, Duke. I have at least five amendments that could be offered based on what I have just posted.

- Child-Adult Transition

- Military Veterans

- Research Funding

- Changes to the Data Collection to improve Quality

- Reducing the lag time between developments and usage.

[Southern Senator North Carolina Yankee]

The first one will depend on the extent of which we have electronic medical records and how implemented they are as it pertains to mental health. So can anyone provide me with answers on this matter?

[Southern Senator North Carolina Yankee]

www.ncvhs.hhs.gov/050224p2.pdf

These pdfs are a monster. I am saving them on my computer, but if something were to happen to the machine again, I wouldn't be able to access them. I will try to put them on a flash drive, but this problem is in some way connected to the USB ports, hency why my external modem failed last night.

[Southern Senator North Carolina Yankee]

http://www.mentalhealthamerica.net/go/action/stigma-watch

www.ouhsc.edu/safeprogram/18CopingWithStigma.pdf

http://www.mayoclinic.com/health/mental-health/MH00076

http://apt.rcpsych.org/content/6/1/65.full

http://www.mentalhealth.org.uk/help-information/mental-health-a-z/S/stigma-discrimination/

http://www.forbes.com/fdc/welcome_mjx.shtml - Couldn't Load this one

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/

http://psychcentral.com/blog/archives/2010/09/24/mental-health-stigma-still-prevalent/

Might as well put these up, though I didn't have time to review them all in depth, unfortunately.

[Southern Senator North Carolina Yankee]

We have freedom of speech in this country, but a major role is played by media in the matter of stigmatization. We need to tread carefulyl thus.

I think one concrete thng we can do is seek to make changes within the field itself to explore and change anything that contributes to thep roblem like what the one article mentiond about how the placing of blame exlcusively on the family by the professionals in the field, actually served to make the problem of stigma worse.

[MaxQue]

Yes, stigma is a big problem.
People are afraid of mentally ill people. People around tham think it's their fault, the other are afraid since they aren't like them.

We must insist on mental illness being an illness. If you get bronchitis, you aren't looked like you're wierd. Mental illnesses must not be considered differently than other illnesses in own attitude towards them, Many of them are due to biochimical disbalances, which are like other, non-mental illnesses.

Probably not very clear, through.

[Fmr. Pres. Duke]

http://www.whptv.com/news/local/story/Campaign-launched-to-reduce-mental-health-stigma/0Qbvb5qTBkymreWxjvs-0A.cspx

Irony have my laptop with me but I'll keep posting things as I get them. Yankee posted a lot of what I had found already.

[Southern Senator North Carolina Yankee]

Yes my first bet is to do the following on stigmatization.

1. Review all the standard practices in the relevant professions for any unnecessary or otherwise not worth the damage acts that encourage the problem similar to what the one article mentioned. I am unsure how to proceed, but my first bet would be a panel of experts.

2. We can't force people to do something in media because of freedom of speech, but we can do something similar to one and produce a set of recommended practices. This probably would extend no further than news media as I doubt any other forms would care, but just simply changing the way it is covered can be a big help.

3. Some kind of educational changes, but this one is the most complex and the most opaque so to speak as none of us are experts in the field of teaching children, so our only means would be to sort of provide the "inertia for action" on the part of those who do know.

As for the infrastructure issue, I need to pour over more material first and I have not had occassion to do that as of yet.

As for the five I previously listed, I will do my best and just assume that we have or are in the process of implementing electronic medical records and use them to ensure no children fall throguh the cracks as they age from one system to the other. Perhaps encouraging great synchronization between the two systems, not so much in treatment but in communicating and ensuring that that case history is available and thus what stage the patient is at can be more easily ascertained.

Finally (for now), we have to review reducing bureaucracy and other unnecessary delays that keep new developments out of use for an unnecessary length of time. The problem is once again that aside from general knowledge of such things, we are limited to what I stated above with regards to the educational effort.

[Southern Senator North Carolina Yankee]

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[Southern Senator North Carolina Yankee]

If you have any recommendations about texts, errors noticed or whatever please feel free to post about them, because they may get neglected and left in, since we have many more texts to come and then we will only be halfway done. Will review them as I systemize them and work them into the bill text (which I started to do, but abandoned in favor of content as can be clearly seen).

[Fmr. Pres. Duke]

I think the first thing we need to ask, given the volume of information we have presented, is whether we need to make this a mega bill or a series of small bills.

Good news is, I will be home tomorrow and back with my laptop. Trying to read all of these things on an iPad has proved to be a problem.

[Southern Senator North Carolina Yankee]

I think several small bills are near impossible with a large queue. That is unforturnate cosnidering the work we achieved on immigration and education was best served by small bills.

[Southern Senator North Carolina Yankee]

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[Marokai Backbeat]

This has certainly grown to become a hell of a bill.

[Southern Senator North Carolina Yankee]

I expect it to be much larger than that once we are all said an done. Most of this stuff so far is just mechanics both in the profession and in the bureaucracy.

I plan to offer that as amendment tonight and then commence working on other components at the earliest opportunity. I had not planned to delay quite so many days after posting that and had planned on only one or two to facilitate a thorough review by all the Senators (though as stated before I wasn't able to get on yesterday).

[Southern Senator North Carolina Yankee]

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[Southern Senator North Carolina Yankee]

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Sponsor Feedback: Origination
Status: Senators have 24 hours to object.

Also, we need to include some standards for the curriculum change provision, lest we neglect that and defeat the whole purpose of its inclusion.

[Southern Senator North Carolina Yankee]

The amendment has been adopted.

[Southern Senator North Carolina Yankee]

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[Southern Senator North Carolina Yankee]

I might need to use some other indication then just bold, perhaps italics since the numbers and headings are also in bold.

One the infrastructe issue, tis is one where I need some help, not because I don't know, but because there is litterally far too many options to be pursued to advance this. Do we provide funding? How much funding? How do we direct them to be distributed? Should it be paid for with cuts elsewhere or a tax increase?

These are simply and specific questions and that shouldn't overwhelm anyone, all that is needed is people to be paying attention.

I didn't wnat to lose a week here, but those storms last week, the weekend and the sheer depth of time required for this cause it to sink on the priority list, once again. Hopefully we can change that from here on out.

[Southern Senator North Carolina Yankee]

I would prefer to actually get something concrete on this matter nad not just antoher bureaucratic directive or some committee of experts, which dominates the bulk of the rest of the bill.