Saúde Mental Advocacia

Enviou-me amigo Alexandre Gruszynski

http://s.oab.org.br/arquivos/2018/10/c8a958b9-c04e-42d3-83b5-e3faa24bee71.pdf

mental-health-care system is broken

This Place is Crazy

Our mental-health-care system is broken. Ten of every eleven psychiatric patients housed by the government are incarcerated. Here’s what this crisis looks like from the inside—a series of lost lives and a few rare victories—as reported by a prisoner-journalist.

John J. Lennon, a contributing writer at The Marshall Project, has written for Vice, The Atlantic, and The New York Times. He is currently in Sing Sing Correctional Facility in Ossining, New York. He will be eligible for parole in 2029. 

Sleepless?

9 Things to Do When You Can’t Sleep Because Your Mind Is Racing

By AMANDA MACMILLAN / HEALTH

January 23, 2018

TIME Health

For more, visit TIME Health.

Why can’t I shut my brain off at night?

We’ve all had nights when we lie awake in bed, unable to quiet our racing thoughts. There are plenty of reasons why sleep may be evading you—maybe you had caffeine too late in the afternoon, for example, or you’ve been staring at your laptop screen for hours and haven’t given yourself time to wind down before bed.

These are things to keep in mind for improving future nights of sleep, of course. But what if it’s too late to make those changes tonight, and you’re already paying the wide-awake consequences? Or what if you’ve done everything “right” leading up to bedtime, and you still find yourself tossing and turning?

Women's mental health Dear Prof Achutti, While differences between men and women in terms of the prevalence and pattern of mental health problems are well-known, the underlying reasons are comparatively under-researched. The Lancet PsychiatrySeries on Women’s mental health explores the specific social and biological factors contributing to mental disorders in women, as well as issues of gender-specific research and management. This Series focuses on psychosis, depression, and anxiety disorders, describing the current state of knowledge and how future research might reveal more about underlying mechanisms and better treatments. The Series also explores the urgent problem of violence against women, how this affects mental health, and how clinical services might be able to intervene. To read the Series and learn more, click here. Yours sincerely, Niall Boyce Editor, The Lancet Psychiatry

Mental Health

Global Mental Health and the Demolition of Culture

September 27, 2016 | Cultural Psychiatry, Disaster Psychiatry, Social Behavior, Trauma And Violence

By Renato D. Alarcón, MD, MPH

© Ollyy/shutterstock.com
That the world is currently going through a complex and critical phase in its history is an understatement. The background is multifaceted: violence of all types with a different kind of war (but war anyway) at its peak, large migrations in all regions, religion transformed in terrorist codes and strategies with tragically massive sequelae, and politics in many countries (starting with the US) reaching levels of cheap TV shows or grotesque deformity by the words and actions of some of its protagonists. And the main victim, in addition to all the innocent lives of those who died or were injured (physically and emotionally) is humanity itself, the essence of its raison d’etre—culture—as both the repository of history and the expression of our human identity./.../

Food for thought

Could a Balanced Diet Alleviate Mental Illness?

This might sweeten the pill for eating right. While mainstream psychiatry has yet to embrace its potentially curative properties, a nascent research field has found intriguing links betweenfood and mood. Studies have shown that omega-3 fatty acids can reduce schizophrenia risk, and nutrient cocktails can lower anxiety. Although it’s too soon to tell, the possible paradigm shift could allow the nearly one in five American adults who suffer from mental illness to access treatment without the weight gain, listlessness and other common side effects of psychiatric drugs.
SOURCES: OZY

From NIMH to GOOGLE

Home > About NIMH

Dr. Tom Insel to Step Down as NIMH Director

After 13 years as NIMH Director, I have decided to move on. I will be leaving NIMH at the beginning of November. These years serving as director have been inspiring, at times challenging, and ultimately gratifying beyond anything I might have imagined when I arrived in 2002. I was fortunate to serve under two visionary NIH directors, Elias Zerhouni and Francis Collins, and to work with extraordinary Institute and Center Directors. I will be leaving a team of gifted and dedicated colleagues within NIMH. The NIMH has accomplished so much during this past decade — progress in neuroscience, progress in diagnostics and therapeutics, and, most of all, progress toward a focus on the needs of people with serious mental illness. To be able to work on such important problems with such talented people has been the high point of my professional career.

Why am I leaving? I had always planned to depart after 10 years. I stayed longer because of the fun of first launching a new Institute, the National Center for Advancing Translational Sciences (NCATS), and then the BRAIN Initiative, as well as my passion for what we have been doing at NIMH. I am not leaving because of a problem or crisis. Indeed, I chose this moment because I wanted to leave at a high point: for the first time in many years we have a complete and completely outstanding leadership team at NIMH, we have excellent engagement from the advocacy community, we have unprecedented support from Congress, and we have an inspiring strategic plan. I want to step away at the best of times with all signs pointing to a bright future.

In terms of my own future, I am certainly not planning to retire. I am currently working out the final details for a move to the life sciences team at Google (or rather, Alphabet, now!). The Google Life Sciences (GLS) team is developing new technologies to transform healthcare, such as a contact lens with an embedded glucose monitor. The GLS mission is about creating technology that can help with earlier detection, better prevention, and more effective management of serious health conditions. I am joining the team to explore how this mission can be applied to mental illness. That the life sciences team at Google would establish a major exploration into mental health is by itself a significant statement — recognizing the burden of illness from psychosis, mood disorders, and autism as well as the opportunity for technology to make a major impact to change the world for the millions affected. The Google philosophy has been to seek a 10x impact on hard problems. I am looking forward to a 10x challenge in mental health.

A national search for a new NIMH Director will be launched, but in the meanwhile Dr. Collins has issued an official statement  appointing Dr. Bruce Cuthbert as Acting Director. Bruce has held a number of leadership positions at NIMH, including leading our RDoC initiative as well as the NIMH Division of Adult Translational Research. He is an internationally recognized researcher. I greatly appreciate his willingness to lead the Institute during this transition period. I know with Bruce at the helm and the leadership team in place at NIMH, I leave the Institute in strong, capable hands.

Religion and Mental Health

Mini Quiz: Is Religion Hazardous to Mental Health?

July 09, 2015 | Cultural Psychiatry, Quizzes

By Psychiatric Times Editors

Research tells us that religious understanding ("religiosity") on the part of the clinician impacts mental health.

Religiosity is generally:

Your vote was recorded.

Choices

A. Beneficial for mental health

57% (123 votes)

B. Harmful for mental health

17% (36 votes)

C. Neither harmful not beneficial for mental health

27% (58 votes)

Total votes: 217

Answer: A. Religiosity has been found to be beneficial for mental health.

Discussion:

Spirituality and religiosity are terms referring to various dimensions of life related to the sacred and divine. Improving religious competence among clinicians is vital if everyday psychiatric care is to become truly person-centered.

Despite findings that indicate that psychiatrists are significantly more likely to be atheists than other physicians and the general population, a well-established body of research indicates a positive association between religiosity and mental health.1,2 Religiosity has consistently been identified as a factor that can promote healing and facilitate recovery amongst those with various physical and mental illnesses.3,4

Religion can provide access to a community of people who can offer material, moral, emotional, and social support.5 This is especially the case for underserved minority populations who find solace in their religiosity, often in the absence of other institutional support.6

For related information, please see “Religious Understanding as Cultural Competence: Issues for Clinicians,” by Rob Whitley, PhD and G. Eric Jarvis, MD, on which this quiz was based.

References

1. Koenig HG. Research on religion, spirituality, and mental health: a review. Can J Psychiatry. 2009;54:283-291.

2. Koenig HG. Handbook of Religion and Mental Health. San Diego: Academic Press; 1998.

3. Galanter M. Spirituality and the Healthy Mind: Science, Therapy and the Need for Personal Meaning. New York: Oxford University Press; 2005.

4. Levin JS. How religion influences morbidity and health: reflections on natural history, salutogenesis and host resistance. Soc Sci Med. 1996;43:849-864.

5. Durkheim E. The Elementary Forms of Religious Life. New York: Oxford University Press; 2001.

6. Whitley R. “Thank you God”: religion and recovery from dual diagnosis among low-income African Americans. Transcult Psychiatry. 2012;49:87-104.

- See more at: http://www.psychiatrictimes.com/cultural-psychiatry/mini-quiz-religion-hazardous-mental-health?GUID=06330328-7EC6-4063-9713-845359366D29&rememberme=1&ts=17072015#sthash.QDGnkxDm.dpuf

Microbiome

 

Eric Topol‏@EricTopol

The gut #microbiome <-> #brain gets legs http://bit.ly/1ACkBue  @JAMA_current http://thebea.st/1Qj2Id9  @thedailybeast

 David Perlmutter, MD

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All-Purpose Antidepressants

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The Rise of All-Purpose Antidepressants

Doctors are increasingly prescribing SSRIs to treat more than just depression

Oct 16, 2014 |By Julia Calderone

Antidepressant use among Americans is skyrocketing. Adults in the U.S. consumed four times more antidepressants in the late 2000s than they did in the early 1990s. As the third most frequently taken medication in the U.S., researchers estimate that 8 to 10 percent of the population is taking an antidepressant. But this spike does not necessarily signify a depression epidemic. Through the early 2000s pharmaceutical companies were aggressively testing selective serotonin reuptake inhibitors (SSRIs), the dominant class of depression drug, for a variety of disorders—the timeline below shows the rapid expansion of FDA-approved uses.

As the drugs' patents expired, companies stopped funding studies for official approval. Yet doctors have continued to prescribe them for more ailments. One motivating factor is that SSRIs are a fairly safe option for altering brain chemistry. Because we know so little about mental illness, many clinicians reason, we might as well try the pills already on the shelf./.../

Social determinants of mental health

Jessica Allen

Reuben Balfour

Ruth Bell

Michael Marmot

International Review of Psychiatry (Impact Factor: 1.8). 08/2014; 26(4). DOI: 10.3109/09540261.2014.928270

ABSTRACT A person's mental health and many common mental disorders are shaped by various social, economic, and physical environments operating at different stages of life. Risk factors for many common mental disorders are heavily associated with social inequalities, whereby the greater the inequality the higher the inequality in risk. The poor and disadvantaged suffer disproportionately, but those in the middle of the social gradient are also affected. It is of major importance that action is taken to improve the conditions of everyday life, beginning before birth and progressing into early childhood, older childhood and adolescence, during family building and working ages, and through to older age. Action throughout these life stages would provide opportunities for both improving population mental health, and for reducing risk of those mental disorders that are associated with social inequalities. As mental disorders are fundamentally linked to a number of other physical health conditions, these actions would also reduce inequalities in physical health and improve health overall. Action needs to be universal: across the whole of society and proportionate to need. Policy-making at all levels of governance and across sectors can make a positive difference.