Experts say the presence of police in full tactical gear and spending hours in school lockdown mode will leave a lasting impression on Maine teens and staff.
Phone calls claiming an active shooter was on school grounds were reported at 10 high schools across the state. Many students hid for hours while staff members prepared for the worst. Others sent text messages to family members, fearing their lives were in danger.
Licensed clinical social worker Greg Marley, senior director of suicide prevention at the National Alliance on Mental Illness in Maine, said the threat was real until it was proved otherwise, and each person affected will have a different reaction.
"And based on their previous trauma, their personality, their mental health condition, it could be incredibly traumatic," he said, "or it could be just really upsetting."
Marley said it's important to not minimize anyone's experience, even if it was based on a hoax. He said maintaining a healthy diet and exercise along with proper sleep are not to be underrated in preventing students from falling into despair.
Teens also can text NAMI-Maine's crisis hotline at 207-515-8398.
While some schools have experienced threats before, this was their experience with "swatting" - the act of calling 911 to report that a shooting already is taking place when it isn't. Experts say swatting is meant to cause chaos and erode students' trust in schools as a safe haven.
Marley said there will be some signs to look for over the coming weeks.
"But if they're showing that they're struggling sleeping, that they're reactive - they're emotionally upset, they're not eating, they don't want to go back to school - those are the signs you need to really respond to," he said.
Marley said parents should reach out to school officials should their students remain fearful, and recommended that parents and students tour the school together to better understand the safety mechanisms in place. Patience and time, Marley said, are key.
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A new blood test developed at the Indiana University School of Medicine
may shake up how doctors treat patients who suffer from anxiety disorders.
It took two decades to crack the code, but it now appears researchers can objectively diagnose anxiety through a simple blood test. The discovery offers peace of mind to some and takes away guesswork in treating more than 40 million Americans who struggle with the mental health disorder.
Dr. Alexander Niculescu, professor of psychiatry at Indiana University, said the new approach also helps match patients with existing medications.
"The big breakthrough here is not just developing the test, but in some way demystifying these stigmatizing mental health challenges; mild biological abnormalities or not so mild," Niculescu explained. "They are correctable, this can be in a primary care setting as part of your annual exam."
Niculescu added the test is available today with an order from a doctor, and results are usually returned after about three weeks.
Right now patients are responsible for the cost of the anxiety blood test, according to Niculescu, but there is a strong effort underway for Medicare and insurance companies to cover costs within the next year or two.
"Anxiety is usually viewed sort of not on par with other major severe mental health illnesses," Niculescu pointed out. "But if you ask patients who suffer from anxiety disorders it's as impairing. It curtails their lives; they're limited in terms of what they can do, and we want to do something to help them."
The I-U School of Medicine researchers who developed the test have spun it off with an Indianapolis-based tech startup, MindX Sciences.
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A host of barriers that make it harder for people suffering from poor mental health to access preventive care has led to an increase in care delivered through emergency departments, according to a new report.
Rick Doucet is the CEO of Community Reach Center, which provides mental-health care in Adams County. He said lack of adequate insurance coverage can cause people to put off getting help, which can lead to deteriorating conditions.
"It's hard for people that don't have insurance or Medicaid to make that decision to be seen," said Doucet. "That's why a lot of people end up in the ERs, or they end up being picked up by law enforcement."
Numerous efforts are underway in Colorado to improve diagnosis and treatment of mental-health conditions, reduce stigma, and expand coverage and access to services.
But according to new analysis by the Center for Improving Value in Health Care, the number of patients seen by Emergency Departments across Colorado continues to rise.
Emergency rooms have become the most accessible option for many suffering from potentially preventable mental-health crises.
From 2016 to 2021, the number of children seeking mental-health or potential self-harm care at emergency departments increased by 158%. In 2021, youths accounted for one in five of these visits.
Doucet noted that emergency rooms are not set up to provide mental-health services, and the services they can provide come at significantly higher costs.
"I mean, you walk into the ER, the dollars start adding up," said Doucet. "So it is going to increase the costs to the community, to the insurance companies, to the individual if they don't have insurance."
Anxiety, panic and major depressive disorders account for 44% of all mental health-related diagnoses in Colorado.
Doucet said the state is currently looking at the possibility of funding community mental-health centers at a higher rate to help cover the potentially crippling costs of uncompensated care.
"Because if you don't cover the costs for people that don't have insurance," said Doucet, "or their insurance companies don't pay enough for the services, you can't keep your doors open, you can't serve them."
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An estimated 291,000 Iowans suffer from eating disorders, which range from mild to lethal.
Experts are spreading knowledge and information during National Eating Disorders Awareness Week, and calling for additional education, funding and research to combat the problem.
Researchers have not been able to pin down exactly what causes eating disorders, which can range from an unhealthy relationship with food to a lethal obsession with overeating, under-eating, or both; often at the same time.
Lauren Smolar, vice president of mission and education for the National Eating Disorders Association, said the illnesses can show up in a variety of ways, including someone abruptly eating drastically greater or lesser amounts of food than they typically do.
"It could also mean that they are not interested in eating meals with other people anymore," Smolar pointed out. "Drastic changes in shape or weight can be a warning sign of an eating disorder. But even cause for concern can be just changes in mood and shifts in attitudes; the way that they're talking about foods."
One thing researchers agree on is eating disorders are a mental illness, not a choice, and while people often assume young, white females are most frequently afflicted, anorexia and bulimia nervosa, along with a host of other eating disorders, do not discriminate and are common in both genders of varying ages and ethnic groups.
Smolar noted the pandemic heightened awareness of eating disorders and other mental health issues, but added, despite some progress, there is still precious little research, funding and social acceptance of eating disorders as lethal mental illnesses the way, for example, cancer is accepted as a deadly disease.
"But you can see cancer on a physical screening, whereas it's a little harder to show that an eating disorder is there, in essence," Smolar observed. "There is still a lot to be learned about brain chemistry and rewiring of brains and how mental health works, and it's much more normalized to talk about it, but there's just a lot more education that needs to be done."
Smolar said because health care workers are not required to learn about eating disorders as part of their training, early detection is also lacking. The American Society for Nutrition reports more than 10,000 people die each year from eating disorders, the second most lethal mental illness, behind only opioid addiction.
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