New York City Mayor Eric Adams' new plan for aiding the mentally ill is facing backlash for its effectiveness.
Adams' plan allows police officers, firefighters, paramedics and other trained professionals to involuntarily hospitalize anyone deemed to be severely mentally ill. The new plan is aimed specifically at homeless people dealing with severe mental illness.
But, experts view the plan as shortsighted, and not as a more permanent solution.
Billye Jones is a licensed clinical social worker and an adjunct professor at New York University's Silver School of Social Work.
She said she feels the plan doesn't necessarily address long-term benefits of in-patient care, and adds that it also overlooks the issue of homelessness.
"Fundamentally, not having a home is destabilizing and it can diminish anyone's mental health and overall sense of safety," said Jones. "I don't really think that's being addressed in the plan."
Jones said there needs to be a long-term commitment to mental health systems, dealing with homelessness and stabilizing people long-term.
She said the plan would be better if it addressed the intersections of homelessness and mental illness.
For the plan to be salvaged, Jones said she feels a multi-year plan with city agencies involved with mental health and housing need to have a voice at the table.
Some experts are glad the conversation about this issue is being brought to the forefront of the city's consciousness.
Michael Capiello is former president of the National Association of Social Workers' New York chapter. He said there should be some different ways of starting a plan, and wants to see an assessment done of people this plan will involve.
"I do not think we have a clear assessment of the population who are, what is referred to as treatment refractory," said Capiello, "who are not the types of people who engage in traditional mental-health services."
He said he thinks the city should also consider the difficulty of engaging this sector of the population.
The assessment should examine how people got to this point. He questions if these are people who have long-standing disabilities, or would have been identified by New York State's offices of Disabilities or Mental Health.
In the end, Capiello said he wants to understand where the disconnect began.
The hope for this plan is to quell the recent rash of violent attacks plaguing New York City's mass transit system.
Kendall Atterbury is a social worker and an adjunct professor at NYU's Silver School of Social Work who said she feels the Adams administration is not asking the right questions to help severely mentally ill people.
She adds there are solutions to solve the problem of homelessness, but not exactly an ideal one.
"There is no ideal solution," said Atterbury. "We have a little bit of a Gordian knot here and there is no Alexander's sword; none of us has that. So, I think that's important to just sit with. There are a lot of things I would do differently. The first step is address homelessness through housing stock. If you want to end homelessness, you figure out a way for people to have homes."
She noted that housing isn't just a solution to homelessness but is a priority to begin the work of helping someone with their mental illness.
Atterbury said she thinks this could be a city policy, in spite of the costs.
Since the moral obligation has been up front with this plan, she said she wonders where it rests, at the beginning of the process, the end, or when it's convenient.
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A new report showed a significant decrease in suicidal ideation, planning and attempts on college campuses around the nation, as well as improved levels of those suffering from anxiety and depression.
The nonprofit Jed Foundation analyzed a decade's worth of data from higher ed institutions participating in their JED Campus program. It provides colleges and universities with resources and guidance to protecting and improving student mental health.
Michelle Mullen, senior vice president and chief design and impact officer for the foundation, said in Utah, 16 institutions took part in the program.
"We work them collaboratively to be able to identify what is already strong and the ways in which we can strengthen it," Mullen explained. "Are there critical pieces that may be missing to be able to enhance mental-health and suicide prevention on campus?"
With more than 18 million students attending colleges and universities every year, Mullen pointed out academic institutions are at the forefront of bringing mental health services to young adults. Her message to academic institutions is to not wait to implement what she calls a "comprehensive approach to mental health."
The group has a list of recommendations, including preventive practices, guidelines for treatment of people at risk of suicide as well as effective postvention efforts.
Mullen noted mental health challenges have risen significantly among young people and contended it is not a surprise when you take into account the multiple stresses and challenges younger adults face, such as what she calls "today's comparison culture," brought on by social media, mass shootings, race and faith-based harassment and threats as well as decreasing protections for LGBTQ+ youths.
"The amazing thing is that we are now seeing results that are coming out of our reports, is that this group is incredibly resilient," Mullen observed. "With the right support and structure, then they do better on campus. So there is hope and there is something we can do."
Mullen added if you or someone you know is struggling, the first step is to reach out to a friend, a family member or a professional for help. She said one can also call 988 to receive free and confidential support for those in distress.
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Alzheimer's disease is the eighth-leading cause of death in Pennsylvania.
A documentary on the topic debuts Saturday in Pittsburgh. "Remember Me: Dementia in the African American Community" features individuals and families who are dealing with memory loss.
C. Nathaniel Brown, founder and CEO of Expected End Entertainment and a former Pittsburgh resident, said his aunt lives with dementia, which sparked his interest in talking with others to find out more about the disease and how it affects communities of color.
"The first thing I found out was that there are over 100 types of dementia," Brown noted. "And the more I learned, the more I realized how much it was impacting the African American community disproportionately. We're twice as likely to be diagnosed with Alzheimer's disease or some other progressive type of dementia."
The film will be shown at the Carnegie Library in Homewood, from Noon to 3 p.m. ET. It is free, but registration is required. According to the Alzheimer's Association, more than half of Black Americans believe major declines in memory and cognitive function are simply a normal part of aging, rather than symptoms of Alzheimer's or dementia.
Brown added after the screening, there will be a question-and-answer session and community organizations will be there to provide resources.
"Allegheny County Health Department will be present, the University of Pittsburgh Alzheimer's disease Research Center will be there," Brown outlined. "The Dementia Friendly Pennsylvania organization will be there, as well as several people who were interviewed for the film, including counselors, professionals."
He mentioned the documentary features the late Academy Award-winning actor Louis Gossett, Jr. Brown said Gossett emphasized the importance of leaving a legacy by educating people about living with Alzheimer's, steps to take after diagnosis, and preventive measures.
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Boulder and Broomfield County residents can now access mental health services the same way they can access urgent medical care.
Dr. Nadia Haddad, medical director of mental health services with Mental Health Partners, said all too often, people can't get help unless they are already connected with an outpatient provider, and many have months-long waiting lists. She said if people have to wait for care, their situation can get worse, and what might have been a manageable issue can turn into a crisis.
"They are going to the emergency room or going to a psychiatric hospital. And so what we're trying to do is fill that gap so that people can get connected with services when they need it, on a walk-in basis," she said.
Mental Health Partners, a community mental health center serving Boulder and Broomfield counties for 60 years, recently launched UrgentPsych Mental Health and Substance Use Urgent Care. The walk-in program provides immediate, in-person support for urgent mental health and substance use needs for anyone, regardless of their ability to pay, whether or not they are an existing client, or speak English. For more information about the 24-hour facility in northeast Boulder, call 303-443-8500.
Mental Health Partners' new Intensive Family Services program provides in-home therapy for K through 12 youth with disruptive behaviors who are at risk of being placed in foster care or the juvenile justice system. The urgent care facility is also available to people of all ages.
"That's another really challenging part of seeking out services. Care for children and adolescents is often even more challenging to find. There are fewer child psychiatrists out there," she said.
Both new programs were created in part to get people the services they need to avoid hospitalization. But Haddad said when people do reach a point where they need 24/7 monitoring and daily visits from a medical provider, it is essential that people can access hospital-level care.
"The vast majority of people who are dealing with mental health-related issues do not require hospitalization. If we can change people's trajectories earlier, we can prevent mental suffering, and they may not have to go through the hospital," she explained.
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