“Insanity is doing the same thing over and over again but expecting different results.”
~ Rita Mae Brown

Ya have to admire psychologists who endlessly lobby state legislatures for the right to extend prescription privileges to their profession (with a little additional training). They won’t take repeated defeat as a sign that perhaps their efforts are… insane?

Illinois is the latest state to hand psychologists seeking prescription privileges a defeat, with NAMI Illinois siding on the side of not supporting the bills in front of the Illinois legislature. After intense lobbying by both sides of this issue, they concluded, “NAMI Illinois opposes SB 2187 and HB 3074 in its current form to expand prescriptions privileges to psychologists.”

When will psychologists learn?

Jenn Ackerman has taken some fantastic black-and-white photography in a Kentucky prison. The photos depict the raw life of prisoners who are also dealing with mental illness. Because as the government has repeatedly cut back on funding mental health treatment, guess where the really sick people go?

They end up in prison, usually for repeated petty crimes or drug abuse. And society, in its infinite wisdom, has decided that spending 4x to 5x the cost of keeping the person in prison is “better” than simply getting them into a drug abuse treatment program.

“When I went on the tour (of the prison), I didn’t see it in color; when I came back, I was trying to remember what it looked like, and I couldn’t remember any of the colors at all,” Jenn Ackerman told Slate. “I knew there was something so gritty and raw.”

California has some patient-friendly regulations on its books, meant to help patients get the care they need in a reasonable amount of time. One of those regulations is that patients shouldn’t have to wait more than 10 business days for a regular appointment with their health or mental health care provider.

Yet, Kaiser Permanente’s health maintenance organization in the state — rather than abide by the regulation — regularly made patients wanting mental health care wait longer than the 10 business days. In fact, in one case from 2010, the California Department of Managed Health Care (DMHC) fined Kaiser $75,000 for unreasonably delaying a child’s autism diagnosis for almost 11 months! The new report found that anywhere from 17 to 40 percent of patients waited longer than 14 days for an appointment.

Last week, the DMHC was again at Kaiser’s doorstep, finding that Kaiser kept two sets of appointment records to try and circumvent this regulation — a paper appointment calendar and an electronic health record calendar. The DMHC cited Kaiser for “serious” deficiencies in how it manages and provides mental health care services to its patients.

Kaiser Permanente is one of those enormous health care providers that seems to have lost the plot — providing reasonable and timely health care for its customers.

The term and concept of “stress” has become ingrained in our vernacular. There are scores of articles on how to manage stress in everything from our homes to our health to our workplace and for everyone from moms to dads to the kids. (I’ve written many myself.)

However, according to Dana Becker, Ph.D, author of the thought-provoking book One Nation Under Stress: The Trouble with Stress As An Idea, by focusing on how each person can manage stress, we’re obscuring the bigger picture and issues: the social, political and economic problems that spark and perpetuate our stress in the first place.

Today’s articles and rhetoric on stress imply that if we fix ourselves, we’ll fix everything. Instead of stress-reducing tips empowering us, according to Becker, “we’re being sold a bill of goods.” We’re buying into an illusion that “blames the victim.”

As lawmakers across the country continue to pass ill-conceived laws implicating people with mental illness as having a greater penchant for violence (despite the scientific evidence that says otherwise), a new study has come out showing what most mental health advocates have long known. People with mental illness are far more likely to be victims of violence than perpetrators of it.

The study — published in the BMJ and conducted on data derived from the entire population of Sweden (can we say, “Big study!”) — found “After adjustment for sociodemographic confounders, any mental disorder was associated with a 4.9-fold risk of homicidal death, relative to people without mental disorders.”

In plain English — people with mental illness in Sweden were at nearly 5 times the risk of being murdered than citizens without a mental illness diagnosis.

Rather than wasting time passing laws to try and minimize outlier, tragic events (which, by their very definition, cannot be minimized by the passage of new laws), we instead should be putting more resources into protecting and helping treat people with mental illness.

Treating people with mental illness takes time, effort, money and resources. People with chronic serious mental illness — such as schizophrenia — sometimes find themselves homeless and reliant upon the state’s public health system for care.

And sometimes that public health care is a little… how shall we say? Lacking.

So last week it shouldn’t have been much of a surprise when Nevada was accused of patient dumping. A psychiatric hospital in Las Vegas, Rawson-Neal, apparently discharged a patient to a bus station to catch a bus to Sacramento, California with a one-way ticket. The patient was under the care of the Southern Nevada Adult Mental Health Services.

The only problem? The patient had no contacts or family in Sacramento, California. He knew absolutely no one there.

Americans take considerable pride in our Constitutionally guaranteed civil liberties, yet our government and institutions often abridge or ignore those rights when it comes to certain classes of people.

According to a National Council on Disability report, people with psychiatric illnesses are routinely deprived of their civil rights in a way that no other people with disabilities are (2). This is particularly so in the case of people who are involuntarily committed to psychiatric wards.

Under present standards of most states, a person who is judged by a psychiatrist to be in imminent danger to self or others may be involuntarily committed to a locked psychiatric ward and detained there for a period of time (3). Some would argue that involuntary civil commitment is a necessary approach justified by safety and treatment concerns. Others would counter that it is an inhumane and unjustifiable curtailment of civil liberties.

Let’s look at the example of recent suicide survivors in order to examine this debate in more depth.

The open source movement has long been about sharing information and code freely and openly. So it’s a little odd when a “grassroots, open security conference” decides to censor a speaker it had invited to talk at one of its conferences.

The security conference, BSides SF, made the decision after a complaint was lodged against the talk by the Ada Initiative’s Valeria Aurora. The Ada Initiative is a group that works “to increase the participation of women in open technology and culture by educating both women and people of all genders who want to support women in open tech/culture” and was co-founded by Mary Gardiner and Valerie.

Valeria Aurora’s complaint was lodged against Violet Blue’s talk entitled, “sex +/- drugs: known vulns and exploits.” But rather than talking directly to the presenter to learn more about what the talk was going to be about, they brought their complaint to BSides SF’s organizer, Ian Fung.

In seeking to censor Violet Blue’s talk and add to the stigma of having open and frank discussions of sexuality, all that happened is that it amplified the controversy — and left a lot of unanswered questions.

You may have missed the Oscars on Sunday night, but you surely haven’t missed all the talk about them since their aired.

One of the things you may have also missed, though, was Oscar-winner Jennifer Lawrence speaking about mental illness and the stigma and prejudice that still surround people with a mental health concern.

In the movie she won the Best Actress Oscar for, Lawrence plays a character who befriends Bradley Cooper’s character, who has bipolar disorder. Her performance is simply wondrous, and given her age at the time of the filming — just 21 — also quite extraordinary.

“I think that there’s such a huge stigma over it [mental illness], that I hope we can get rid of, or help… I mean, people have diabetes or asthma and they have to take medication for it. But as soon as you have to take medication for your mind, there’s this instant stigma. Hopefully we’ve given those people hope, and made people realize that it’s not–”

Click through to watch the interview…

Finally, the U.S. is going to get serious about giving a boost to our understanding of the body’s most important organ — our brain. Stuck in the equivalent of the 19th century medical knowledge, we know less about how the brain works than any other part of the physical body. What we’ve had for the past century are a whole lot of theories and some pretty pictures showing the brain’s uptake of sugar (fMRI) — the modern equivalent of phrenology via brain scans.

Understanding how the black box we call the brain works could unlock the mystery for a myriad of issues — diseases, mental disorders, consciousness, thought processes, emotions and so much more.

The challenge of this effort — to be named the Brain Activity Map project — will be whether it will be properly funded by the federal government. Because while the reward is potentially immeasurable, the risk is also very great.

Did you know that simply watching TV causes harm to children? Well, that’s what the American Academy of Pediatrics would have you believe. And yet, here we are in the sixth decade since TV became popular, and we have not yet seen the end of the world based upon multiple generations that grew up with television as a mainstay.

The latest issue of Pediatrics has two studies — and a bonus editorial! — that suggests television viewing by children is associated with greater criminality and antisocial personality, and that a child’s behavior can be modified by simply changing what they’re watching.

Pediatrics is the mouthpiece for the American Academy of Pediatrics. And while it’s ostensibly an objective, scientific journal, it continually publishes weak research — especially on the effects of TV and children.

Let’s check out the latest…

Everyday, when we open our electronic mailbox, we get our fair share of unsolicited email. Of course, the unsolicited offers have gotten a lot more subtle and duplicitous. A few years ago, dozens of marketeers tried to get us to post badly sourced and designed infographics.

Now they’ve moved on to something that, in my opinion, looks a lot like deception.

In today’s email box, we found an email from “Jeffrey Redd, Project Outreach Director” with an email address of jeff@va.gov.samhsa.net sharing with us “a guide about finding treatment, free of cost.” Wow, really? A new fantastic resource from the folks over at SAMHSA?

But wait, hold on a minute. That email address doesn’t look quite right…