Plan to “Decimate” Mental Health Care

Leading mental health advocates are strongly condemning the Senate Republican health care bill proposed on June 22 for cutting Medicaid programs that provide vital lifelines to Americans struggling with mental illness.

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The criticism follows the harsh reaction voiced earlier this year to the American Health Care Act proposed by House Republicans to replace the Obama administration’s Patient Protection and Affordable Care Act, or Obamacare.

The National Alliance on Mental Illness, the nation’s largest grassroots mental health organization, said this week that the Senate Republicans’ Better Care Reconciliation Act “will slash Medicaid benefits for critical mental health services millions of Americans need to lead productive lives. NAMI opposes this effort to decimate our nation’s already struggling mental health system.”

NAMI explained the importance of Medicaid to mental health care:

“Medicaid is the largest source of funding for public mental health services in our nation. One-third of people covered by Medicaid expansion lives with a mental health or substance use condition and Medicaid serves as a lifeline for people with mental illness who typically fall through the cracks. It provides critical coverage so people have access and receive the mental health treatment they need to finish school, get back to work and contribute to their communities.”

NAMI said that the Senate and House proposals to convert Medicaid to a “per capita cap” for states will result in “devastating cuts to mental health services.”

“NAMI is deeply concerned that the Better Care Reconciliation Act will force people with mental illness out of the health care coverage they need and on to the streets and into costly emergency rooms, hospitals and jails. We encourage Senators to reject this harmful bill, and instead, ensure that Americans have receive the mental health care they need to lead healthy and productive lives.”

Paul Gionfriddo, president and CEO of Mental Health America, echoed NAMI’s concerns. He said the Senate Republican legislation would “do significant harm to people with all chronic conditions, including mental illnesses.” He said the proposal “replaces much of both the core and expanded Medicaid program—lifelines to people with serious and persistent mental illnesses.”

Gionfriddo called for changes to Obamacare to be made “in the context of rational health policy. We would all be well served if Congress were to go back to the drawing board and get this right. Too many lives depend on it.”

Similar to the House legislation, the Senate version would cut health care coverage to 22 million people, according to the Congressional Budget Office. “Repealing and replacing” Obamacare was a major campaign promise made by President Donald Trump. Trump’s Republican Party controls both houses of Congress.

NAMI is organizing a “Virtual Hill Day” on Thursday June 29 to lobby Congress against cuts in mental health coverage, demanding: “We need more mental health care, not less.”

The organization says that 1,000 mental health advocates will meet face-to-face with members of Congress; it encourages others to voice their opposition to cuts by phoning, emailing, or tweeting at their congressional representatives.

Bravo “Dear Evan Hansen”

“Dear Evan Hansen” is a musical about teenagers in the age of social media dealing with anxiety, confusion, loneliness, hurt, and suicide. A brilliant, cathartic narrative for our times, it cries out for us to recognize human fragility and empathize with it.

 

 

That message spread far beyond Broadway on Sunday night when “Dear Evan Hansen” won six Tony Awards, including for best musical, best actor, and best score. The musical’s cast album, with songs like “You Will Be Found,” “Requiem,” and “Waving Through a Window,” debuted in the Billboard Top 10 earlier this year.

Best-actor winner Ben Platt, who is 23, reached out to vulnerable teenagers in his acceptance remarks during the nationally televised ceremony at Radio City Music Hall:

“To all young people watching at home, don’t waste any time trying to be like anybody but yourself, because the things that make you strange are the things that make you powerful.”

In the plot, anxiety-ridden teen Evan Hansen writes pep-talk letters to himself on the advice of his therapist. One of the letters ends up in the pocket of a social outcast named Connor, who then dies by suicide. The Connor connection takes Evan into a swirl of lies as he fabricates stories about a friendship with Connor and pursues the crush he has on Connor’s sister. Evan achieves temporary social media-fueled fame as a campaigner to aid other youth experiencing Connor’s mental health struggles. Evan’s charade collapses, but the ordeal brings him to a reconciliation with his single-parent mom and to healthier self-awareness.

“Dear Evan Hansen” has been praised for its sensitive handling of mental disorders and suicide. The production has openly associated itself with mental health and suicide prevention organizations like the Child Mind Institute, the Crisis Text Line, The Jed Foundation, and The Trevor Project.

The show’s songwriters, Benj Pasek and Justin Paul, who won the Tony Award for best original score, spoke to Variety about the care they took in writing about teen suicide. As Paul put it:

“We wanted to make sure the subject was treated thoughtfully and sensitively. There was vetting of the script and of the story with mental health professionals, to make sure what we were telling felt truthful and honest, and like we weren’t trying to sugarcoat things, but that also wasn’t trying to provoke anything. There’s a small change in the show that we made between Second Stage and Broadway, the addition of two little lines toward the very, very end of the show, that we added after some feedback that we’d gotten from families of teenagers or people who had taken their own lives.”

 

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TIME’s Susanna Schrobsdorff captures the incredible impact “Dear Evan Hansen” is having on teenagers—and their parents:

Ask one of the many teenagers in the audience if the play seems authentic and they can barely get the words out. They say things like, “I’m in shock, it’s so good.” And often, right behind them, is a parent who’s also feeling undone. I lost it in the first act when the two stellar actors who play mothers of teens sing about feeling totally unqualified for the job of being a parent. “Does anybody have a map?” they cry. “Anybody maybe happen to know how the hell to do this?”

Thank You for Your Service

By David Shapiro

Thank You For Your Service, the 2016 documentary by Tom Donahue, opened my eyes to the mental trauma that our military veterans can fall victim to. Among the shocking realities highlighted by the film is that 20 veterans take their own lives every day in the United States. Thank You for Your Service goes beyond the statistics to reveal the failed mental health policies within the U.S. military.

It is a privilege for Family & Children’s Service in Ithaca to share this important movie with our community and participate in advocacy for improved mental health care for our veterans and active service men and women. The screening of Thank You For Your Service at Cinemapolis on May 17-18 is sponsored through Family & Children’s Pamela and Robert Swieringa Education Center, carrying on a tradition we began last year in using cinema as a powerful public educational platform during Mental Health Awareness Month.

Thank You for Your Service features all manner of players and experts discussing the mental health crisis in the U.S. military, including former Defense Secretary Robert Gates, ex-CIA chief David Petraeus, and war correspondents like Sebastian Junger and Dexter Filkins. But most importantly, the film gives voice to the voiceless veterans themselves. The Hollywood Reporter aptly summarized the story in its review of Thank You for Your Service:

The interview subjects all agree that the Defense Department and the Veterans Administration have not sufficiently attended to veterans’ mental health needs, and the problems they cite are numerous. Among them are bureaucratic inefficiencies, lack of funding, the overprescribing of psychotropic medications, a lack of qualified therapists, and extended tours of duty that result in soldiers serving far longer than they bargained for.

But it’s not the expert commentary, as illuminating as it is, that gives the film its power. Rather, it’s the handful of veterans who discuss their emotional struggles, both while serving in Iraq and Afghanistan and after their discharge. One describes watching his best friend being burned alive, while another relates how he felt so guilty over civilians killed as a result of his actions that he attempted to find their family members to apologize. They talk about suffering from nightmares and PTSD; resorting to drugs and alcohol to numb the pain; and, in one case, playing Russian roulette.

Thank You for Your Service has won awards, but its producers are determined to achieve something else: change. They are urging movie-goers to take action in support of a proposed Behavioral Health Corps in the armed services that would focus on addressing critical mental health needs.

“If the public takes one message away from this film: reach out to your member of congress and request that they support a behavior health corps in the military,” says Daniel Rice, president of the Thayer Leader Development Group. “That will be the best action that they can take to help address the plague of suicides that our veterans are suffering.”

David Shapiro is chief executive officer of Family & Children’s Service in Ithaca

Cinemapolis Program Details:

May 17: Film at 6:30 p.m., Panel Discussion at 8:30 p.m.

May 18: Film at 7 p.m.

Also in Mental Health Awareness Month:

Family & Children’s Service Annual Celebration

Honoring:

Adga Osborn Award recipient Joan Jacobs Brumberg

Family Partner of the Year Serendipity Catering

Volunteer of the Year Bert Odom-Reed

Guest Speaker:

Karl Pillemer

Director of Bronfenbrenner Center for Translational Research.

Tuesday May 16

8-9:30 a.m.

Ithaca Country Club

189 Pleasant Grove Road

Click here to purchase tickets

Risky Business

May is Mental Health Awareness Month and #riskybusiness is Mental Health America’s theme this year. The Sophie Fund will be sharing materials from the #riskybusiness awareness campaign throughout the month.

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As MHA’s awareness campaign explains:

“When you or someone you love is dealing with a mental health concern, sometimes it’s a lot to handle. It’s important to remember that mental health is essential to everyone’s overall health and well-being, and mental illnesses are common and treatable.

“Yet, people experience symptoms of mental illnesses differently—and some engage in potentially dangerous or risky behaviors to avoid or cover up symptoms of a potential mental health problem.

“That is why this year’s theme for May is Mental Health Month—Risky Business—is a call to educate ourselves and others about habits and behaviors that increase the risk of developing or exacerbating mental illnesses, or could be signs of mental health problems themselves.

“Activities like compulsive sex, recreational drug use, obsessive internet use, excessive spending, or disordered exercise patterns can all be behaviors that can disrupt someone’s mental health and potentially lead them down a path towards crisis.”

Click here to take MHA’s interactive quiz about when you think behaviors or habits go from being acceptable to unhealthy.

Click here to download MHA’s toolkit and spread the word about #riskybusiness yourself.

Emma Stone’s Story

Emma Stone, who won the 2016 Academy Award for Best Actress for her role in La La Land, has kicked off the Child Mind Institute’s #MyYoungerSelf video series for Mental Health Awareness Month. The 28-year-old Stone discusses her struggles with anxiety and panic disorder.

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Watch the video, and read the transcript:

Hi I’m Emma.

What I would tell kids that are going through anxiety, which I have and can relate to, is that you’re so normal it’s crazy. So many people—I mean, to say that “you’re so normal, it’s crazy” is a pretty funny thing to say—but, it is so normal.

Everyone experiences a version of anxiety or worry in their lives. And maybe we go through it in a different or more intense way for longer periods of time. But there’s nothing wrong with you.

To be a sensitive person, that cares a lot, that takes things in in a deep way, is actually part of what makes you amazing. And is one of the greatest gifts of life. You think a lot, and you feel a lot, and you feel deeply. And it’s the best. The trade off—I wouldn’t trade it for the world, even when there are really hard times. There are so many tools you can use to help yourself in those times.

It does gets better and easier as life goes on, and you start to get to know yourself more and what will trigger certain instances of anxiety and where you feel comfortable and safe.

So, I would just say, don’t ever feel like you are a weirdo for it. We are all weirdos!

#MyYoungerSelf is a series of honest stories from public figures about growing up with a mental health or learning disorder—what they would tell their younger selves about mental health. Click here to keep track of all the videos in the series throughout Mental Health Awareness Month in the United States.

#MyYoungerSelf is part of the institute’s annual public education campaign, Speak Up for Kids, which promotes awareness of children’s mental health issues and providing needed information to families, educators, the media, and policymakers. Speak Up for Kids aims to counter the stigma for the one in five children struggling with mental health or learning disorders.

The Child Mind Institute is an independent, national nonprofit dedicated to transforming the lives of children and families struggling with mental health and learning disorders. Its teams work “to deliver the highest standards of care, advance the science of the developing brain, and empower parents, professionals, and policymakers to support children when and where they need it most.”

Click here to read Refinery 29’s story about the Emma Stone video

Click here to read Vogue’s article on Emma Stone.