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Source: http://www.afsp.org/

A recent report noted that 22 veterans commit suicide each day–almost one person each hour. We’ve all heard about PTSD (post-traumatic stress disorder) among veterans and the anxiety and depression that can accompany a veteran’s attempt to return to a “normal” life. Pressure on the Veterans Health Administration has led to changes in screening for these health issues, but are the responses the right ones?

Tonight on Healthstyles, producer Diana Mason, RN, PhD, interviews two nurses who are calling for a re-examination of how we work with veterans who may suffer from depression and anxiety, in particular. Kathryn Steele, RN, MA, is a veteran Navy nurse at the University of Minnesota where she is studying integrated approaches to helping veterans with these health problems, including developing social supports from their family, other veterans, friends, and their communities.  Kathleen (Kate) Wheeler, PhD, APRN, is a mental health practitioner and professor of nursing at Fairfield University, where she studies the use of Eye Movement Desensitization and Reprocessing (EMDR) therapy.

Tune in for this important discussion about depression and suicide among veterans, tonight on Healthstyles, on WBAI, 99.5 FM (www.wbai.org) at 11:00 PM, or click here anytime to listen to the interview:

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College.

[caption id="attachment_9900" align="aligncenter" width="193"] Source: http://www.afsp.org/[/caption] A recent

 

 

Earlier this week, PBS’s News Hour featured a story about Aaron Debah, a nurse in Liberia who is the only mental health worker for a half million people in Liberia–a country that was engaged in civil war  for 14 years. The story notes that 40% of the population suffers from PTSD, and this includes the child soldiers who were forced into killing and maiming and now suffer the psychological consequences. Debah uses the airwaves to encourage people to talk about their emotional struggles, hoping that their stories and conversations will encourage others to realize that they are not alone.

Two points from the video are striking. First, Sean Mayberry of StrongMinds notes that 90% of the developing world has no access to mental health services. And the need isn’t just in war-torn countries. This week on Frontline, a stunning report on TB in Swaziland showed the emotional devastation that TB has inflicted on whole families. It’s not just the TB, including those who suffer daily with multi-drug-resistant (MDR) TB. It’s the often-toxic medications that must be taken precisely or the person can develop XDR, an even more resistant and deadly form of TB. The story included examples of people with MDR and XDR who are suffering from severe depression that has sometimes led to suicide because of the miserableness and hopelessness of their lives. The need for mental health care is great.

Second, the Carter Center is working to expand Swaziland’s capacity for  mental health care by training nurses to develop their knowledge and skill in providing mental health care. Former First Lady Rosalyn Carter has long been an advocate for improving mental health care worldwide. This program will be an interesting one to watch. It doesn’t seem like enough but it’s a start.

In the U.S., we are struggling with implementing the Affordable Care Act’s requirement for mental health parity–requiring insurers to cover mental health problems to the same extent that they cover physical health problems. Certainly, the primary care workforce in the U.S. struggles to provide frontline mental health care. Mental health nurse practitioners and clinical nurse specialists can help our situation, though barriers remain to these clinicians being able to practice to the full extent of their education and training. In the face of Liberia’s situation, it’s hard to justify our own continuing restrictions on mental health workers in the U.S.  Time to get perspective.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

 

 

  http://www.youtube.com/watch?v=e7obHWHsvfI   Earlier this week, PBS's News Hour featured

These past few years, it’s become a vernal ritual: in early April, just as the buds on the flowering pear trees are about to pop here in New York City, I get on a plane and fly to Iowa, where spring “may continue taking its time” to arrive. It seems perverse, I know. What could lure me again to the great, flat, frozen Midwest after a winter like we’ve had? The Examined Life Conference: Writing, Humanities, and the Art of Medicine, an annual gathering of health care providers and writers at the University of Iowa Carver College of Medicine—this year’s conference takes place April 10 – 12.
examinedlifelogoAmong the featured presenters will be Andrew Solomon, whose most recent book, Far from the Tree: Parents, Children, and the Search for Identity, won the National Book Critics Circle award for nonfiction and many other prizes. (He’s also the author of a much-discussed New Yorker article, “The Reckoning,” based on his extensive interviews with Peter Lanza, the father of the Sandy Hook Elementary School shooter, Adam Lanza.) Also on hand will be Louise Aronson, a Harvard-educated geriatrician who holds an MFA from the Program for Writers at Warren Wilson College. She is the author of a short story collection, A History of the Present Illness.

I’m especially excited this year because CHMP Poet-in-Residence Joy Jacobson and I will lead a two-day preconference writing workshop, Writers as Healers, Healers as Writers, on Tuesday and Wednesday, April 8 – 9. There’s still time to sign up.

We don’t follow the format of the traditional writing workshop, in which participants critique drafts of stories, poems, or essays with an eye to improving their literary value. Rather, the focus of our workshops is on the writing process as an act of discovery and healing. We base our approach on the expressive writing method pioneered by psychologist James W. Pennebaker and colleagues, who have demonstrated a wide range of physical and emotional health benefits associated with intensive writing about trauma and other emotionally charged events. We’ve also adapted the methods outlined in Louise DeSalvo’s Writing as a Way of Healing: How Telling Our Stories Transforms Our Lives, itself an elaboration of Pennebaker’s expressive writing technique.

Also due in April is Expressive Writing: Words that Heal, coauthored by Pennebaker and John Evans. According to the Amazon blurb, “It explains why writing can often be more helpful than talking when dealing with trauma, and it prepares the reader for their writing experience. The book looks at the most serious issues and helps the reader process them. From the instructions: ‘Write about what keeps you awake at night. The emotional upheaval bothering you the most and keeping you awake at night is a good place to start writing.’”

Joy and I will post from the conference. Stay tuned. And enjoy the Rite of Spring!

–Jim Stubenrauch is a senior fellow at the Center for Health, Media & Policy
and teaches writing at the Hunter-Bellevue School of Nursing.

These past few years, it’s become a