Wednesday, June 2, 2010

Dr. Phil Landrigan gives Dr. Gupta a list on how to keep your home safe from dangerous chemicals.

Dr. Phil Landrigan gives Dr. Gupta a list on how to keep your home safe from dangerous chemicals.Originally from: http://www.nursinglink.monster.com/news/articles/13199-dr-phil-landrigan-gives-dr-gupta-a-list-on-how-to-keep-your-home-safe-from-dangerous-chemicals

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2010 NANDA-I Award Recipients Announced

2010 NANDA-I Award Recipients AnnouncedOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/qkzbKo7s8Ic/2010-NANDA-I-Award-Recipients-Announced_34324.aspx

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Officials Discuss Future of Mental Health Funding

May 27- TERRE HAUTE - As funding structures change in the field of mental health, officials predict their emphasis will shift from treatment to recovery.

"This is a difficult time for all of us in mental health," Steve McCaffrey, CEO of Mental Health America of Indiana, said Thursday afternoon at the onset of a town hall discussion about Medicaid changes. Gina Eckert of Indiana's State Division of Mental Health, Galen Goode, CEO of the Hamilton Center, and state Reps. Nancy Michaels (D-Greencastle) and Clyde Kersey (D-Terre Haute) all participated in the discussion in the Vigo County Public Library's lower level.

But as Eckert and Goode explained throughout the two-hour presentation, the complexity of funding vehicles for mental illness is so great that adaptation has become a way of life for the organizations. As McCaffrey noted during his opening comments, studies commissioned by President George W. Bush showed that the mental health system in America is so fragmented that a complete overhaul was necessary anyway.

Recovery, Eckert explained, is a long-term journey for the mentally ill, with an emphasis on living a meaningful life within the community instead of state-run hospitals. The days of locking patients up and walking away is over for a number of reasons, moral and financial, she explained.

[widget:newsarticlemedicalresearch]

"A lot of service doesn't necessarily mean the right service," she said, explaining that a patient kept inside one of the state's six psychiatric hospitals might receive a lot of services, but putting that person into less-expensive community-based programming would not only cost less but be more beneficial to all involved. "Less services might means less money, but that might not be so bad."

The concept of using state psychiatric hospitals for long-term stays is probably over, she said, noting that the new effort will be on removing the stigma associated with being labeled "mentally ill." Landlords and employers will be approached on the matter, she said, as both groups will need to be open to giving the patients a chance in spite of their illness.

McCaffrey showed the group one of the television advertisements planned for the media campaign. Featuring Hollywood actors, the advertisement emphasizes awareness and tolerance.

Eckert said that in her life, the day is scheduled around work, family and church. Many of the mental health industry's clients have lives which revolve around therapy and doctors. This has to change, she said, pointing out that offering these people employment or volunteering opportunities can be just as beneficial as therapy and inpatient services the state can't afford anymore.

And while some program dollars will be cut, others are being shifted and blended. The proposed "hybrid" model for welfare distribution, which will replace the IBM-contracted services currently utilized by the state's welfare divisions, should actually bring money back to the mental health facilities, Goode said. With the confusion and errors caused by the privatization, many of the Hamilton Center's long-term patients found themselves bounced off Medicaid for failing to register or apply, largely because of issues stemming from their mental deficiencies. With the state bouncing the patients on and off Medicaid, the Hamilton Center found itself writing off $800,000 in services, he said.

"We can't wait for the hybrid," he said.

And in the long-run, helping the mentally ill recover reduces costs across many sectors, McCaffrey said. About 80 percent of the inmates inside Indiana's Department of Corrections have addiction problems, he said. But the prison system doesn't rehabilitate the addicts, it simply warehouses them.

"The way not to need a new prison is to provide better treatment to prevent its need," he said, noting the cost of a new prison is about $30 million.

-------------------------------------------------------------------------------------------

To see more of The Tribune-Star or to subscribe to the newspaper, go to http://www.tribstar.com/.

Copyright (c) 2010, The Tribune-Star, Terre Haute, Ind.

Distributed by McClatchy-Tribune Information Services.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

A service of YellowBrix, Inc.

Officials Discuss Future of Mental Health FundingOriginally from: http://www.nursinglink.monster.com/news/articles/13041-officials-discuss-future-of-mental-health-funding

View this post on my blog: http://travelnursesuccess.com/officials-discuss-future-of-mental-health-funding-2

Officials Discuss Future of Mental Health Funding

May 27- TERRE HAUTE - As funding structures change in the field of mental health, officials predict their emphasis will shift from treatment to recovery.

"This is a difficult time for all of us in mental health," Steve McCaffrey, CEO of Mental Health America of Indiana, said Thursday afternoon at the onset of a town hall discussion about Medicaid changes. Gina Eckert of Indiana's State Division of Mental Health, Galen Goode, CEO of the Hamilton Center, and state Reps. Nancy Michaels (D-Greencastle) and Clyde Kersey (D-Terre Haute) all participated in the discussion in the Vigo County Public Library's lower level.

But as Eckert and Goode explained throughout the two-hour presentation, the complexity of funding vehicles for mental illness is so great that adaptation has become a way of life for the organizations. As McCaffrey noted during his opening comments, studies commissioned by President George W. Bush showed that the mental health system in America is so fragmented that a complete overhaul was necessary anyway.

Recovery, Eckert explained, is a long-term journey for the mentally ill, with an emphasis on living a meaningful life within the community instead of state-run hospitals. The days of locking patients up and walking away is over for a number of reasons, moral and financial, she explained.

[widget:newsarticlemedicalresearch]

"A lot of service doesn't necessarily mean the right service," she said, explaining that a patient kept inside one of the state's six psychiatric hospitals might receive a lot of services, but putting that person into less-expensive community-based programming would not only cost less but be more beneficial to all involved. "Less services might means less money, but that might not be so bad."

The concept of using state psychiatric hospitals for long-term stays is probably over, she said, noting that the new effort will be on removing the stigma associated with being labeled "mentally ill." Landlords and employers will be approached on the matter, she said, as both groups will need to be open to giving the patients a chance in spite of their illness.

McCaffrey showed the group one of the television advertisements planned for the media campaign. Featuring Hollywood actors, the advertisement emphasizes awareness and tolerance.

Eckert said that in her life, the day is scheduled around work, family and church. Many of the mental health industry's clients have lives which revolve around therapy and doctors. This has to change, she said, pointing out that offering these people employment or volunteering opportunities can be just as beneficial as therapy and inpatient services the state can't afford anymore.

And while some program dollars will be cut, others are being shifted and blended. The proposed "hybrid" model for welfare distribution, which will replace the IBM-contracted services currently utilized by the state's welfare divisions, should actually bring money back to the mental health facilities, Goode said. With the confusion and errors caused by the privatization, many of the Hamilton Center's long-term patients found themselves bounced off Medicaid for failing to register or apply, largely because of issues stemming from their mental deficiencies. With the state bouncing the patients on and off Medicaid, the Hamilton Center found itself writing off $800,000 in services, he said.

"We can't wait for the hybrid," he said.

And in the long-run, helping the mentally ill recover reduces costs across many sectors, McCaffrey said. About 80 percent of the inmates inside Indiana's Department of Corrections have addiction problems, he said. But the prison system doesn't rehabilitate the addicts, it simply warehouses them.

"The way not to need a new prison is to provide better treatment to prevent its need," he said, noting the cost of a new prison is about $30 million.

-------------------------------------------------------------------------------------------

To see more of The Tribune-Star or to subscribe to the newspaper, go to http://www.tribstar.com/.

Copyright (c) 2010, The Tribune-Star, Terre Haute, Ind.

Distributed by McClatchy-Tribune Information Services.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

A service of YellowBrix, Inc.

Officials Discuss Future of Mental Health FundingOriginally from: http://www.nursinglink.monster.com/news/articles/13041-officials-discuss-future-of-mental-health-funding

View this post on my blog: http://travelnursesuccess.com/officials-discuss-future-of-mental-health-funding

Medical Careers Fascinate A Growing Number Of Females

Recently there has been a shift in the field of medicine that will alter the shape and face of health care for years to come. In the United States, women are embarking on careers in the medical field in remarkable numbers. In recent past, the division between male and female applicants was nearly equal. Cohorts of medical students were roughly 50-50 between men and women. Medical schools have also noticed an increasing number of female applicants, which can be attributed to two key reasons.

One reason for the sudden increased interest is the changed view in society about what jobs are considered to be "women's work". Legal and engineering careers are also seeing spikes in the number of females among the ranks. As more and more females are applying to medical programs, the programs themselves have been forced to admit more females to their schools. Another factor that has increased interest are the regulations and laws that protect women from discrimination in the job market, opening up new opportunities and options than ever before in history.

There isn't any recent data available on the dropout rate of female medical students. Even though in previous years there were more women who dropped out than men, these women didn't drop out for academic reasons. Female medical students claim the dropout rate to be equal nowadays because of the fact that more women in medical school means the minority is much bigger than it once was, so there is power in numbers. In fact, as more women enter the medical field they find themselves able to exert more force and can drive changes regarding discriminatory behavior.

An example of discriminatory behavior includes the case of a visiting lecturer who decided to break the ice with his mostly male audience by telling a joke. He asked his students which word didn't belong in this series - rug, egg, woman, and sex, and gave the answer as sex, because you can't beat sex. This doesn't seem like much, and it is quite tame compared to some of the other things women heard in their days as students, but it isn't very professional and makes women look like the lesser sex. These jokes could soon be gone for good as well as some of the other overly discriminatory practices commonly found in the medical school setting.

Besides the sexual humor, women in the medical field have to deal with other issues as well. At one large public university, a female student was declined the opportunity to observe a physical exam of a male patient. Why? Because his genitals would be uncovered. It was considered improper or inappropriate for her to see the man's naked genitalia. Yet, in a near medical bay, her husband, who is also a medical student, was permitted to not only observe, but perform a pelvic exam on a female. There are other common problems, such as interviewers that almost always asked women about their family and marriage plans but never asked any of the men these questions. Additional problems include the fact that there are very few women serving on the faculties and admission committees for the medical schools, as well as the typical belief that women are less likely to practice once they graduate, which has prevented many women from entering specialized fields, especially surgical areas.

One woman faculty member who has asked to remain anonymous stated that she knows for a fact that women are often denied admission based on their answer to the marriage or career question. The answer the women gives is irrelevant because some male interviewers will bar the woman's admission regardless. So if the woman says she plans to have someone take care of her children, the interviewer will feel that her real job is to raise her children. Say she says she's going to have children and take care of them herself, the interviewer will then tell her she's not taking medicine seriously.

It has been said that female doctors are much more sensitive than their male counterparts after interviews. But this is chalked up to being another stereotype of women. One second year female medical student has personally witnessed some very unprincipled women and some very caring men, but empathy is still treated as something determined by biology and sociology.

One dean at a prominent medical school commented that women actually bring much to table in the field and that traits that are seen more in women are in fact positive and make them good doctors. Women are often cast as the more open and sensitive gender, beginning when they are young girls, and this can be a positive asset in medicine. Aggressiveness that is possessed by men isn't exactly a bad thing, but it isn't necessarily a good thing either.


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