Tuesday, December 23, 2008

Geriatric Mental Health Alliance News - Week of December 22, 2008

Geriatric Mental Health Alliance News
A bi-weekly email to brief you on issues important to geriatric mental health

December 22, 2008 - Vol 2, Issue 13


Tough Budget But GMH Demos Will Continue

The Governor's Executive Budget Request, released on December 16th, included $3.5 billion in cuts to Medicaid and other health care services, including aging service programs. Most of the cuts were to hospitals and nursing homes, some of which will be reinvested in outpatient and community based services, including mental health services.

Cuts to mental health and aging were not as large, but will have an impact. The general approach in the mental health and aging budgets is to not provide a cost of living adjustment and to delay start-up of new programs included in prior year budgets.

We are still analyzing the budget. Our concerns include:

  • The proposed decrease in the state share of the SSI payment
  • Changes in the pharmacy coverage in Medicaid and EPIC
  • Phase out of 6000 nursing home beds into new assisted living program beds
  • And more
As we get more information, we will provide updates.

We hope you will join us in our advocacy efforts with the state legislature.

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NYC Council Restores Elder Abuse Programs

On December 18th, the NYC Council voted to restore funding for NYC's elder abuse prevention services at $ 424,000. The other proposed mid-year cuts to important services for the aging community - social adult day, intergenerational programs, caregiver programs, non-core services, and congregate services - were not restored.

This is terrific news for elder abuse services, but the cuts in other programs are very sad for the aging community.

We all have been aggressively advocating for the restoration of this funding. Despite the unfortunate outcome, we should be proud of our efforts in what is a very difficult fiscal time. We must continue our fight to improve the lives of elders with mental illness!

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NYC Senior Center RFP Withdrawn


After months of debate, the City has decided to re-evaluate DFTA's plan to modernize senior centers. The announcement was made on December 19th at a City Hall press conference. City Council and Borough President funds, which were going to be used for senior center contracts, will be released to programs.

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New DFTA Commissioner

The NYC Department for the Aging Commissioner, Edwin Mendez Santiago resigned last week. Commissioner Mendez Santiago was a strong leader and advocate for older adults in NYC, and he understood the importance of geriatric mental health services. We wish him the best of luck in his future endeavors.

Lilliam Barrios-Paoli has been appointed as the new DFTA Commissioner. Barrios-Paoli has had a long career in both City government and the nonprofit sector. Most recently, she has served as President and Chief Executive Officer at Safe Space since 2004. Prior to joining Safe Space, she served as Senior Vice President and Chief Executive for Agency Services at United Way of New York City. Barrios-Paoli's has served as Commissioner at three city agencies -- the Department of Employment, the Department of Housing Preservation and Development and the Human Resources Administration.

We look forward to working with Ms. Barrios-Paoli as we continue to advocate for improved services and policies for elders with mental disorders.

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GMHA Upcoming Events

January 20, 2009 - Models of Substance Abuse Treatment for Older Adults: A Best Practices Presentation in Geriatric Mental Health co-sponsored by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College.

This presentation will give an overview of the issues faced by seniors with substance abuse disorders, including the dynamics of substance abuse among this population and information about effective treatment models for older adults.

The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please register by clicking here or visit: http://survey.constantcontact.com/survey/a07e2f56lfkfongg4b8/start. If you have any questions, please email or call Yusyin Hsin at yhsin@mhaofnyc.org or (212) 614-6356. The event is free but pre-registration is required.

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May 15, 2009 - Save-the-Date - Third Annual Geriatric Mental Health Alliance Conference.

More information soon.

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Other Upcoming Events

January 06, 2009 - The Integration of Behavioral Health and Primary Care The Institute for Family Health's Faculty Development Program presents a training about existing models for integration, Problem Solving Therapy and Behavioral Activation, Psychopharmacology, strategies to maximize productivity and patient outcomes through efficient use of behavioral health services in a primary care setting, and more.

For more information, please click here.

January 09, 2009 - Mental Health and Quality of Life Improvement A one-day event to discuss behavioral problems and their treatment in dementia, diagnosis and course of depressive illness in older persons, mental health aspects of bereavement and widowhood, and more. The event will be from 8:00am to 5:00pm at Manhattan VAMC (423 East 23rd St., New York, NY 10010). Go to www.nygec.org and click on Registration and then choose the appropriate elective. Or, contact Brenda Rodriguez at (212) 998-5618 or brenda.rodriguez@nyu.edu

For event flyer, click here.

January 29, 2009 - Veterans and Suicide Prevention A presentation and discussion of the issues surrounding the care of veterans in the NYC area. This event will be from 10:00am to 12:00pm at Holliswood Hospital (87-37 Palermo St., Holliswood, NY)

March 18-22, 2009 - Allied Tea Training for Parkinson (ATTP) The National Parkinson Foundation, Inc is pleased to announce its signature educational program for health care professionals and students. Allied Team Training for Parkinson is a unique, comprehensive interdisciplinary training program where over 4.5 consecutive days, participants will learn:
  • Key symptoms and treatment approaches for early, middle, and late stage Parkinson disease
  • Specialized assessment and care techniques specific to their profession
  • How to participate in interdisciplinary health care teams by practicing in teams
  • Key concepts in health literacy and culturally responsive services
Click here for brochure.

RRTI 2008-9 Geriatrics and Developmental Disabilities Nurse Training Program The Rehabilitation Research and Training Institute is pleased to announce the schedule for the 2008-2009 Geriatrics and Developmental Disabilities Nurse Training Program. For a full list of courses and their descriptions and registration, please visit www.rrti.org. Nurses with all levels of training are invited to register for these free courses. Please note that a certificate is available for those Nurses who complete C1-C4 and Nursing Contact Hours can be obtained. For more information and questions, please contact Matt Yaeger at matt@nyrehab.org or 518-449-2976 ext 101. Courses start September 17, 2008 at various videoconference sites.

This continuing education activity has been submitted to the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online at www.spop.org or call: 212-787-7120.

For topics, dates, and registration information, click here.

Consortium of New York Geriatric Education Centers
GNYGEC 2008/2009 is beginning another semester of Core and Elective trainings throughout the five boroughs. Click here for the 2008/2009 program announcement, registration form, credit card forms, and training locations. You may also register online here.

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LifeSPAN

The NYS Office of Mental Health (OMH) Wellness Initiative "LifeSPAN" was developed in response to the National Association of State Mental Health Program Directors' (NASMHPD) multi-state study that revealed persons with serious mental illness (SMI) die 25 years earlier than the general population. As alarming as that is, what is even more astounding is that their increased morbidity and mortality are largely due to treatable medical conditions that are caused by modifiable risk factors such as smoking, obesity, substance abuse, and inadequate access to medical care.

The goal of LifeSPAN is to engage service recipients, families and providers in collaborative programs which offer understandable and achievable means of living healthier and longer lives. The focus of LifeSPAN is on reducing cardiometabolic risk factors, those behaviors and physiologic processes that substantially increase the risk of medical morbidity and death among people with SMI.

To read the full summary, click here.


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Supported/Shared Living Survey

NYSACRA is researching Shared Living options for New York State and are seeking input on a survey about supported/shared living as an alternative to the traditional models of community residential supports in New York State.

There are two versions, one for provider agencies and one for people with disabilities and/or their families. Please complete the version relevant to your situation.

Click on this link to complete the Supported/Shared Living Survey

Click on this link to complete the Supported/Shared Living For People with Disabilities and their Families


If you are aware of others who would like to complete the survey, please pass it along.

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Health and Aging Policy Fellows: 2009-2010 Call for Applications

Supported by The Atlantic Philanthropies and directed by Harold Alan Pincus, MD, Professor of Psychiatry at Columbia University (in collaboration with the American Political Science Association Congressional Fellowship Program), this national program seeks to provide professionals in health and aging with the experience and skills necessary to make a positive contribution to the development and implementation of health policies that affect older Americans. The program offers two different tracks for individual placement: (1) a residential track that includes a nine-to-12-month placement in Washington, D.C. (as a legislative assistant in Congress, a professional staff member in an executive agency or in a policy organization) or at a state agency; and (2) a non-residential track that includes a health policy project and brief placement(s) throughout the year at relevant sites. Core program components focused on career development and professional enrichment are provided for fellows in both tracks.

The program is open to physicians, nurses and social workers at all career stages (early, mid, and late) with a demonstrated commitment to health and aging issues and a desire to be involved in health policy at the federal, state or local level. Other professionals with clinical backgrounds (e.g., pharmacists, dentists, clinical psychologists) working in the field of health and aging are also eligible to apply. Under special circumstances, exceptions may be made for non-clinicians who are in positions that can impact health policy for older Americans at a clinical level.

The application deadline for the 2009-2010 fellowship year is April 15, 2009.

For further information, please visit the website at www.healthandagingpolicy.org .

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Article...Imaging Compound May Help Predict Alzheimer's Disease

A new brain imaging study has found that elderly people can develop a key hallmark of Alzheimer's disease in the brain without any evidence of cognitive impairment. The researchers hope that their detection method will one day help predict who will develop Alzheimer's disease in 5 to 10 years.

Click here to read more.

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Article...AHRQ Research Activities

Changes in Cost to Patients Reduce New Use of Antidepressants Among The Elderly, But Have Less Impact on Continued Use

Greater cost-sharing requirements reduce the likelihood that elderly adults with depression will begin using needed antidepressant medications, but has little effect on those who are already taking such medications, according to a new study. The researchers funded in part by the Agency for Healthcare Research and Quality (AHRQ) used two closely timed changes in costs to elderly patients in the Canadian Province of British Columbia to shed light on the likely impact of changes in prescription drug coverage in the United States as persons go from private insurance copayments (fixed payment per prescription) for medications to Medicare coinsurance (fixed percentage of the cost per prescription) with deductibles.

Click here to read more.

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Article...NIA Study to Examine Early, Inherited Form of Alzhiemer's

NIA Study to Examine Early, Inherited Form of Alzheimer's-NIH Funds International Network in Search of Biological Clues

The adult children of people diagnosed with inherited Alzheimer's disease are the focus of a new study to better understand the biology of the disease. Researchers are seeking 300 volunteers with a biological parent with a known genetic mutation causing rare and typically early-onset forms of the disorder to join the Dominantly Inherited Alzheimer's Disease Network (DIAN) study, a six-year, $16 million study funded by the National Institute on Aging (NIA), part of the National Institutes of Health (NIH). The scientists hope to identify the sequence of brain changes in early-onset Alzheimer's, even before symptoms appear, and by understanding this process, to also gain insight into the more common late-onset form of the disease.

Press Release: http://www.nih.gov/news/health/nov2008/nia-19.htm

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Article...NIH: Gingko Study Fails To Show Benefit in Preventing Dementia

NIH: Ginkgo Evaluation of Memory (GEM) Study Fails To Show Benefit in Preventing Dementia in the Elderly

The dietary supplement Ginkgo biloba was found to be ineffective in reducing the development of dementia and Alzheimer's disease in older people, according to a study published in the Journal of the American Medical Association. Researchers conducted the trial known as the Ginkgo Evaluation of Memory (GEM) study at four clinical sites over the course of 8 years. GEM is the largest clinical trial ever to evaluate ginkgo's effect on the occurrence of dementia. This research was co-funded by five components of the NIH: National Center for Complementary and Alternative Medicine; NIA; National Heart, Lung, and Blood Institute; National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements.

Press Release: http://www.nih.gov/news/health/nov2008/nccam-18.htm

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Article...Depression Research: Mindfulness Based Cognitive Therapy

Depression Research: Mindfulness Based Cognitive Therapy
Medical News Today
December 4, 2008

Research revealed today outlines the success of group-taught meditation therapies, such as mindfulness-based cognitive therapy (MBCT) when treating depression.

The Dove Clinic for Integrated Medicine offers a course of MBCT sessions that aim to teach patients the skills needed to help recognise and cope with the signs of depression.

Dr Richard Fuller of The Dove Clinic says, "Mindfulness approaches help us to focus on the present moment, rather than re-living the past or pre-living the future. This can help to halt the escalation of negative thought spirals and help with regaining control and confidence, and increase self-esteem."

The new research, published in the Journal of Consulting and Clinical Psychology comapred patients undergoing group therapies with those taking conventional anti- depressant drugs.

For more information about the MBCT programme on offer at The Dove Clinic, and how the approach can benefit you, please visit http://www.doveclinic.com.

To read more, click here.

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Article...AARP Report Finds Value of Family Caregiving Hits $375 Billion

AARP Report Finds Value of Family Caregiving Hits $375 Billion
From Long-Term Living eNews

Estimated value of family caregiving during 2007 exceeded national Medicaid spending
(11/21/2008)

The economic value of family caregiving in the United States reached $375 billion in 2007, according to a new report by AARP's Public Policy Institute. The report, which updates a study by AARP last year, finds that the value of family caregiving was 7% higher than the estimated value of $350 billion in 2006.

The estimated value exceeds the $311 billion spent nationally in 2007 for Medicaid. The value of family caregiving also exceeds Medicaid's long-term care spending in every state. The new estimate reflects an increase in the U.S. population, the aging of the population, and a higher estimate of the average value for one hour of care, AARP says.

The report, "Valuing the Invaluable, The Economic Value of Family Caregiving, 2008 Update," estimates that 34 million Americans provide more than 20 hours of care per week to another adult, making informal caregiving a cornerstone of U.S. health and long-term care, AARP says.

The organization notes that informal caregivers of people 50-plus spent an average of $5,531 out-of-pocket in 2007 to care for their loved ones. That spending was often coupled with lost workdays, wages, health insurance, and retirement savings. More than one-third of informal caregivers are forced to quit their jobs or reduce their working hours, with women more likely to leave the labor force entirely, according to the report.

The full report is available here.

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Article...New Treatment Hope For People With Recurring Depression

New Treatment Hope For People With Recurring Depression
Medical News Today
December 4, 2008

Research shows for the first time that a group-based psychological treatment, Mindfulness Based Cognitive Therapy (MBCT), could be a viable alternative to prescription drugs for people suffering from long-term depression.

In a study, published yesterday (1 December 2008) in the Journal of Consulting and Clinical Psychology, MBCT proved as effective as maintenance anti-depressants in preventing a relapse and more effective in enhancing peoples' quality of life. The study also showed MBCT to be as cost-effective as prescription drugs in helping people with a history of depression stay well in the longer-term.

Funded by the Medical Research Council (MRC), the study was led by Professor Willem Kuyken at the Mood Disorders Centre, University of Exeter, in collaboration with colleagues at the Centre for Economics of Mental Health (CEMH) at the Institute of Psychiatry, King's College London, Peninsula Medical School, Devon Primary Care Trust and the Medical Research Council Cognition and Brain Sciences Unit.

The randomised control trial involved 123 people from urban and rural locations who had suffered repeat depressions and were referred to the trial by their GPs. The participants were split randomly into two groups. Half continued their on-going anti-depressant drug treatment and the rest participated in an MBCT course and were given the option of coming off anti-depressants.

Over the 15 months after the trial, 47% of the group following the MBCT course experienced a relapse compared with 60% of those continuing their normal treatment, including anti-depressant drugs. In addition, the group on the MBCT programme reported a higher quality of life, in terms of their overall enjoyment of daily living and physical well-being.

To read more, click here.

Monday, December 1, 2008

Geriatric Mental Health Alliance News - Week of December 01, 2008

Geriatric Mental Health Alliance News
A bi-weekly email to brief you on issues important to geriatric mental health

December 01, 2008 - Vol. 2, Issue 12


GMHA Joins in Effort to Fight NYS Budget Cuts

On Tuesday, November 19th GMHA joined aging, mental health, and other human service organizations in Albany to fight the Governor's proposed budget cuts. Over 1,000 individuals were at the rally and press conference at the Capitol, which was sponsored by the Better Choice Budget Campaign and the One New York: Fighting for Fairness Coalitions.

While the mid-year budget cuts did not move ahead, we will have to be prepared for the Governor's Budget Proposal on December 16th. We have a tough budget ahead of us, and we must work together to preserve services for older adults with mental disorders.

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GMHA Responds to NYC Mayor's Financial Plan

The Alliance submitted testimony in response to the Mayor's proposed financial plan, urging the Council to reject cuts in mental health and aging.

To read the testimony, click here.

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Michael Receives SSA's President's Award
At the State Society of Aging of New York's Annual Conference, Michael received the 2008 President's Award. Michael has done tremendous work over the course of 40 years to improve policies and services for people with mental illness in New York State and most recently to call attention to the needs of elders with mental health problems. We congratulate Michael on this important recognition.

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GMHA Upcoming Events

December 02, 2008 - Legal Issues Confronting Older Adults with Mental Health Needs: A Best Practices Presentation in Geriatric Mental Health co-sponsored by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College.

This panel will give an overview on the legal issues facing seniors with mental health needs: how seniors are at risk of losing their housing, what can be done to prevent this risk, what can be done after a legal proceeding is brought, protection for persons with diminished capacity and how social workers are integral to the process; latest developments in Medicaid/Medicare; and advance directives.

The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please register by clicking here. If you have any questions, please email or call Yusyin Hsin at yhsin@mhaofnyc.org or (212) 614-6356. The event is free but pre-registration is required.

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January 20, 2009 - Save the Date - Older Adults and Substance Abuse

More information soon.

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Geriatric Mental Health/Chemical Dependency Planning Council

The NYS Geriatric Mental Health/Chemical Dependency Council held its quarterly meeting on October 2, 2008. The Council welcomed two additional co-chairs, OASAS Commissioner, Karen Carpenter Palumbo and Director of Veterans Affairs, James McDonough. Representatives from South Oaks Hospital, one of the geriatric mental health demonstration grantees, gave a terrific presentation on their grant project. OMH gave a presentation about the evaluation of the grants programs. There was also a brief discussion about the development of a long-term plan for geriatric behavioral health, which will stem from the successful work of the grantees.

To view the archived webcast, click here.

The next Council meeting is January 29, 2009. To view the webcast, click here.

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HHS Announces $1.9 M Effort to Help Seniors/Adults w/ Disabilities

HHS Announces $1.9M Effort to Help Seniors/Adults w/Disabilities; Creates National Center for Benefits Outreach and Enrollment

HHS Assistant Secretary for Aging Josefina G. Carbonell has announced that older Americans and adults with disabilities will have improved access to available community services and supports, including benefits to which they are entitled, under a $1.9 million grant awarded by the Administration on Aging (AoA).

AoA is issuing a grant to the National Council on Aging (NCOA) to establish the National Center for Benefits Outreach and Enrollment. AoA is creating the Center to support local outreach and enrollment projects targeted at seniors and people with disabilities. The establishment of the Center is another part of AoA's approach to integrating services and benefits and to implementing the new outreach provisions that were recently incorporated into the Older Americans Act.

Through web-based technology, the Center will simplify access to services, resources and benefits at the federal, state and local level that seniors and people with disabilities need. The Center will reach people nationwide through the use of web-based tools and by establishing Benefits Enrollment Centers (BECs) in ten areas of the country designed especially to help seniors in need and people with disabilities find and enroll in all the benefits programs for which they are eligible. The AoA grant funds will be used by the Center to:
  • Increase the use of web-based screening and enrollment tools with aging and disability organizations, older people and younger adults with disabilities, their families and caregivers;
  • Maintain, update and enhance current web-based benefits screening and enrollment systems;
  • Foster the use of cost-effective benefits outreach and enrollment strategies by BECs and aging and disability service providers;
  • Provide training and technical assistance to BECs and the larger aging and disability communities;
  • Develop an online information clearinghouse of cost-effective, promising practices related to benefits outreach and enrollment.
For more information, visit http://www.aoa.gov or http://www.ncoa.org

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Other Upcoming Events

RRTI 2008-9 Geriatrics and Developmental Disabilities Nurse Training Program The Rehabilitation Research and Training Institute is pleased to announce the schedule for the 2008-2009 Geriatrics and Developmental Disabilities Nurse Training Program. For a full list of courses and their descriptions and registration, please visit www.rrti.org. Nurses with all levels of training are invited to register for these free courses. Please note that a certificate is available for those Nurses who complete C1-C4 and Nursing Contact Hours can be obtained. For more information and questions, please contact Matt Yaeger at matt@nyrehab.org or 518-449-2976 ext 101. Courses start September 17, 2008 at various videoconference sites.

This continuing education activity has been submitted to the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online at www.spop.org or call: 212-787-7120.

For topics, dates, and registration information, click here.

Consortium of New York Geriatric Education Centers
GNYGEC 2008/2009 is beginning another semester of Core and Elective trainings throughout the five boroughs. Click here for the 2008/2009 program announcement, registration form, credit card forms, and training locations. You may also register online here.

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Article...Suicide Rates Rise Among Baby Boomers

Suicide Rates Rise Among Baby Boomers

TUESDAY, Oct. 21 (HealthDay News) -- The suicide rate in the United States is increasing for the first time in a decade, particularly among middle-aged white women, a new study finds.

"This is a group we haven't had as much focus on in terms of suicide, because the death rates were higher in elderly white males, and there has been a lot of attention to teenagers and young adults," said lead researcher Susan P. Baker, a professor at the Johns Hopkins Bloomberg School of Public Health. "This 40-to-64 age group has been neglected."

The suicide rate declined over the same period for blacks and remained stable for Asians and Native Americans, the study found.

Baker said it's not clear what might be causing the rising suicide rates among middle-aged whites. "We need to study the individual people who have committed suicide and see what were their living circumstances. Were they depressed, was this impulsive? A lot more specific information is needed," she said.

One possible explanation is that doctors may not be paying enough attention to the mental health of their middle-aged white patients to spot the risk of suicide, Baker said.

The report was published online Oct. 21 in theAmerican Journal of Preventive Medicine.

To read more, click here.

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Article...Mental Health Funding

"Future Funding for Mental Health And Substance Abuse: Increasing Burdens For The Public Sector;" Health Affairs: The report, by Katharine Levit, senior research leader at the health care business of Thomson Reuters, and colleagues finds that spending on mental health and substance use treatment is expected to double between 2003 and 2014, but it is projected to grow at a slower pace than overall health care spending. According to the report, mental health and substance use treatment spending is expected to increase from $121 billion in 2003 to $239 billion in 2014, while overall health spending is expected to grow 0.8 percentage points faster. In addition, the report projects that behavioral health spending will decline as a share of total health spending, from 7.5% in 2003 to 6.9% in 2014 (Levit et al., Health Affairs, 10/8).

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Article...Ginkgo Biloba Ineffective Against Dementia, Researchers Find

Ginkgo Biloba Ineffective Against Dementia, Researchers Find

By RONI CARYN RABIN
Published: November 18, 2008

The largest and longest independent clinical trial to assess ginkgo biloba's ability to prevent memory loss has found that the supplement does not prevent or delay dementia or Alzheimer's disease, researchers are reporting.

The study is the first trial large enough to accurately assess the plant extract's effect on the incidence of dementia, experts said, and the results dashed hopes that it is an effective preventative. In fact, there were more cases of dementia among participants who were taking ginkgo biloba than among those who were taking a placebo, though the difference was not statistically significant.

To read more, click here.

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Article...More Alzheimer's Risk for Hispanics, Studies Find

More Alzheimer's Risk for Hispanics, Studies Find

By PAM BELLUCK
Published: October 20, 2008

PHILADELPHIA - Antonio Vasquez was just 60 when Alzheimer's disease derailed him.

He lost his job at a Queens bakery because he kept burning chocolate chip cookies, forgetting he had put them in the oven. Then he got lost going to job interviews, walking his neighborhood in circles.

Teresa Mojica of Philadelphia was 59 when she got Alzheimer's, making her so argumentative and delusional that she sometimes hits her husband. And Ida J. Lawrence was 57 when she started misplacing things and making mistakes in her Boston dental school job.

Besides being young Alzheimer's patients - most Americans who develop it are at least 65, and it becomes more common among people in their 70s or 80s - the three are Hispanic, a group that Alzheimer's doctors are increasingly concerned about, and not just because it is the country's largest, fastest-growing minority.

Studies suggest that many Hispanics may have more risk factors for developing dementia than other groups, and a significant number appear to be getting Alzheimer's earlier. And surveys indicate that Latinos, less likely to see doctors because of financial and language barriers, more often mistake dementia symptoms for normal aging, delaying diagnosis.

To read more, click here.

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Article...Caring for Family, Caring for Yourself

Caring for Family, Caring for Yourself

By JANE E. BRODY
Published: November 17, 2008

Whether you choose to be a family caregiver or the job is thrust upon you by circumstances, your most important responsibility beyond caring for your ill or disabled relative is caring for yourself.

Too often, family caregivers are reluctant to "abandon" their patients, even temporarily, or entrust others with their care. But a caregiver should not feel guilty about looking out for No. 1.

Self-care is not a selfish act. It's an essential act, because a caregiver who burns out, who becomes overly stressed, exhausted or ill, is no help to anyone. There are many ways for caregivers to protect their physical and emotional health, and a growing number of organizations that can help. Sometimes all you need to do is ask.

To read more, click here.

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Three-Country Study on Alzheimer's Caregivers and Depression

First Three-Country Randomized Controlled Trial Finds Counseling And Support Is Key To Alleviating Depression Among Alzheimer Caregivers

NEW YORK CITY- Counseling and social support are key to alleviating depression for family caregivers, even when their relatives with Alzheimer's disease receive pharmacologic treatment. These findings are reported in "A Three-Country Randomized Controlled Trial of a Psychosocial Intervention for Caregivers Combined with Pharmacological Treatment for Patients with Alzheimer's Disease: Effects on Caregiver Depression," published in the November issue of the American Journal of Geriatric Psychiatry.

According to lead author Mary Sherman Mittelman, Dr. P.H., of The William and Sylvia Silberstein Institute for Aging and Dementia, a Center of Excellence at NYU Langone Medical Center, this is the first study to evaluate the effect of a pharmacologic intervention for patients combined with a psychosocial intervention for caregivers in three countries simultaneously. The study looked at change in symptoms of depression in a total of 158 pairs of spouse-caregivers and patients with Alzheimer's disease at NYU Medical Center in New York City; the University of Manchester in Manchester, UK; and the Dementia Collaborative Research Centre, School of Psychiatry, University of New South Wales in Sydney, Australia.

To read the report, click here.