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Pain and The Nation’s Opioid Epidemic: An Interview with Luana Colloca, MD, PhD, MS
The so-called “opioid epidemic” is a far more complex social phenomenon than it appears to be when politicians and pundits propose solutions to it. They work largely from a simplistic and only partially true narrative that lately concludes that the villains are the drug companies that promoted...
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Put Mental Health into “Healthy Aging”
In June 2019 the NYC Department of Health and Mental Hygiene (DOHMH) issued a report on the health of older adults5. That’s good news since it reflects serious recognition of the aging of the population of New York City and of the need for the field of public health to pay greater attention to...
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The Behavioral Health Workforce Crisis: Past, Present, and Future
First on the list of topics for this issue of Behavioral Health News was “The Workforce Crisis Today.” That’s interesting because the workforce “crisis” is anything but new. For example, when I first entered this field during the height of deinstitutionalization in New York—the early...
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Leading the Way in Older Adult Mental Health: Recommendations for New York State
In 2005, New York State enacted the Geriatric Mental Health Act, the first act of its kind in the nation. With this legislation, New York demonstrated a significant commitment to older adults with mental health challenges, allocating $2 million per year in funding for statewide geriatric mental...
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Caring for Older Adults
We are now eight years into the “elder boom.” Sadly, the implications of this vast demographic shift are still not taken seriously. Yes, there is anxiety about sustaining Social Security and Medicare. And yes, there’s increasing talk about “healthy aging.” But even with these most obvious...
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To Improve Adolescent Mental Health, We May Need to Address Adverse World Events
It appears that the prevalence of mental disorders among adolescents has been increasing. The National Survey of Drug Use and Health (NSDUH) shows an increase in major depressive episodes.1 A study about children and adolescence who are eligible for SSI by virtue of mental disabilities found an...
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Will “System Transformation” Transform the System? Before We Celebrate: 20 Questions That Need Answers
System transformation is underway in New York State and throughout the United States through the development of elaborate financial structures such as accountable care organizations and health homes. No doubt these new structures will change the way business is done in the mental health system. But...
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Deaths of Despair: Social Research Suggests Troubling Trends for the Next Generation of Older Adults
Recent social research suggests that the next generation of older adults may be more troubled than the current and previous generations. This, of course, is counterintuitive. 70 is the new 50, we say; 80 the new 60. We are living longer, and we are healthier, right? Yes, but will the next...
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Legalization of Drugs: The Ultimate Harm Reduction Measure
Illegal drugs are dangerous, but many of their dangers are caused by their illegality rather than the drugs themselves. Yes, the use of illegal (and some legal) drugs results in addiction. But if we really want to reduce the dangers of drug abuse, we must address its illegality as well as the...
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Why Integrated Care for Co-Occurring Disorders Is So Important
Providing integrated treatment for people with co-occurring behavioral and physical health disorders has become a central goal of mental health policy reform. Why? In part the answer is that the failure to provide effective integrated care drives up the cost of care. But the answer also is that...
