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Survey Suggests Better Integration of 988 with Mobile Crisis Teams May Be Needed

Nearly a year since the launch of the 988 Suicide and Crisis Lifeline, there is still uncertainty about its role within the mental health system. One goal of 988 is to connect callers in urgent need of support with a mobile crisis team (MCT) in their area. However, a national survey of MCT personnel found that only a third of respondents (32%) indicated that their MCT could be reached by 988. Respondents were most likely to report that their MCT could be dispatched by calling the MCT directly (65%) or through 911 (54%). The findings highlight the need to continuously evaluate and improve 988 integration in communities, as well as the importance of communicating how individuals can reach an MCT if needed. To learn more, see the study in Psychiatric Services.  

Survey of Patient and Family Perspectives to Inform Clinical Research in Serious Mental Illness

Engagement and retention of participants in clinical mental illness research studies can be low. To better understand the perspectives of direct stakeholders, researchers surveyed individuals diagnosed with a schizophrenia spectrum condition (SSC) and caregivers of a family member with a SSC regarding their knowledge, comfort, concerns and preferences related to mental illness clinical research. 67 individuals with a diagnosis and 131 caregivers were include in the final analysis. Overall, individuals with a diagnosis and caregivers were interested in engaging with clinical research. While respondents expressed discomfort with certain research procedures, the authors demonstrate that educational materials tailored to the concerns voiced by these populations may increase meaningful engagement. To learn more, see the study in Psychiatry Research.   

Study Reviews Suicide Intervention for Veterans

Caring Letters is a suicide prevention intervention in which individuals receive letters of care and support with the goal of facilitating connection and lowering suicide risk. The Department of Veterans Affairs implemented a Caring Letters program in 2020 for all Veterans who contact the Veterans Crisis Line. A recent study adds to the evidence that the intervention is effective for this population. Researchers interviewed 23 Veterans who received nine letters over one year that included messages of support and mental health resources. Most participants reported that the letters had a positive impact, with some indicating they were more likely to engage with resources. However, they also offered areas for improvement. To learn more, see the study in Psychiatric Services.

Study Finds Racial Disparities in Follow-Up Psychiatric Care

Continuing outpatient mental health services after a psychiatric hospitalization is critical to prevent readmissions or involvement with the criminal justice system. However, a retroactive analysis of Medicaid claims data for approximately 18,000 patients who were hospitalized in psychiatric units found racial disparities in receipt of follow-up care. While 60% of patients overall attended outpatient mental health services within 30 days of discharge, Black (55%) and Native American/Alaska Native (56%) patients were significantly less likely than white (64%) counterparts to receive follow-up care. Community factors including county poverty levels and urbanicity were found to have the most significant impact on variation in follow-up care. To learn more, see the article in Psychiatric Services.
 

Study Finds Link Between Air Pollution and Late-Life Depression

Research has shown that social determinants of health such as environmental quality influence a person’s health outcomes. A longitudinal, cohort study of 8.9 million Medicare recipients sought to understand the association between long-term exposure to common air pollutants and a diagnosis of depression in older adults (aged 64 and older). When accounting for other environmental factors, exposure to fine particulate matter, nitrogen dioxide, and ozone was associated with an increased risk of depression – with the risk increasing the longer the exposure. To learn more, see the study in JAMA Network Open.  
 

SAMHSA Releases NSDUH LGB Behavioral Health 2021-22 Report

The most recent update of results from SAMHSA’s 2021-2022 National Surveys on Drug Use and Health (NSDUH) highlights mental health disparities faced by sexual minority adults, particularly bisexual females. More than half of all bisexual females had any mental illness (AMI) in the past year (53.9%), compared to 38.7% of lesbian and 25.4% of straight females. 43.3% of bisexual males experienced AMI in the past year, compared to 37.5% of gay and 18.1% of straight males. About 1 in 5 (19.5%) bisexual females and 14.4% of bisexual males experienced serious mental illness in the past year. Future surveys will ask respondents about their sex assigned at birth, gender identity, and sexual identity regardless of age in hopes of better capturing the experiences of LGBTQI+ individuals. To learn more, view the report from SAMHSA.    

SAMHSA Releases 2022 National Survey on Drug Use and Health Report

In November, SAMHSA released results from the 2022 National Survey on Drug Use and Health (NSDUH), an annual, nationally representative survey on mental health, treatment rates, substance use, and more. Among U.S. adults, 23.1% experienced any mental illness (AMI) in the past year while 6% experienced serious mental illness (SMI). Half (50.6%) of adults with AMI and two thirds (66.7%) of adults with SMI received mental health treatment in the past year. New to the NSDUH, the 2022 report also includes use of non-treatment services: 12.3% of adults received services from a support group and 6.4% engaged with a peer support specialist or recovery coach. To learn more, see the 2022 National Survey on Drug Use and Health Report.  

SAMHSA Releases 2021 National Survey On Drug Use And Health

This month, SAMHSA released results from the 2021 National Survey on Drug Use and Health (NSDUH), an annual nationwide survey on mental health, substance use, treatment rates, and more. Approximately 1 in 5 U.S. adults (22.8%) experienced mental illness in the past year. A third of young adults ages 18-25 (33.7%) experienced mental illness in the past year – the highest rate of any age group. Although new data collection methods limit the comparability of the 2021 NSDUH data to previous years, the data show just how common experiences of mental health conditions have become, particularly among young people. To learn more, see the 2021 National Survey on Drug Use and Health.
 

Research Finds Mixed Results in Antidepressant Maintenance Treatment of Bipolar 1

Patients with bipolar disorder experience cyclic episodes of mania and depression which makes symptom management challenging. Common treatment practices include antidepressants and mood stabilizers or antipsychotics. An international clinical trial study of 177 patients with Bipolar I in remission from a depressive episode were randomly assigned to continue antidepressant use for 52 weeks or taper antidepressant use after six weeks and begin taking a placebo at eight weeks. Patients continuing antidepressant use were significantly less likely to experience a depressive episode (17%) compared to those taking a placebo (40%). However, 12% experienced a manic episode compared to 6% in the placebo group. Further research is needed to better understand the maintenance of manic and depressive episodes in patients with bipolar disorder. To learn more, read the article in the New England Journal of Medicine.

Racism as a Risk Factor for Psychosis

The social determinants of health framework is commonly used to conceptualize the cultural and structural factors affecting mental health. A new review applies this framework specifically to psychosis-related health outcomes in communities of color, demonstrating that structural factors such as racial discrimination, food insecurity, and police violence are significant risk factors for psychosis within these communities. These findings inform a more nuanced understanding of the increased rates of psychosis and disparities in mental health treatment of Black and Latinx populations across the US – a critical step to developing policies and practice to address these issues. To learn more, read the article in Annual Review of Clinical Psychology.  

NAMI HelpLine is available M-F, 10 a.m. – 10 p.m. ET. Call 800-950-6264,
text “NAMI” to 62640, or email. In a crisis, call or text 988 (24/7).