Tag Archives: mental illness

John Hopkins Medicine study: Early-life exposure to dogs may lessen risk of developing schizophrenia

27 Dec

The American Psychiatric Association wrote in What Is Schizophrenia?

What Is Schizophrenia?
Schizophrenia is a chronic brain disorder that affects less than one percent of the U.S. population. When schizophrenia is active, symptoms can include delusions, hallucinations, trouble with thinking and concentration, and lack of motivation. However, with treatment, most symptoms of schizophrenia will greatly improve.
While there is no cure for schizophrenia, research is leading to new, safer treatments. Experts also are unraveling the causes of the disease by studying genetics, conducting behavioral research, and using advanced imaging to look at the brain’s structure and function. These approaches hold the promise of new, more effective therapies.
The complexity of schizophrenia may help explain why there are misconceptions about the disease. Schizophrenia does not mean split personality or multiple-personality. Most people with schizophrenia are not dangerous or violent. They also are not homeless nor do they live in hospitals. Most people with schizophrenia live with family, in group homes or on their own.
Research has shown that schizophrenia affects men and women about equally but may have an earlier onset in males. Rates are similar around the world. People with schizophrenia are more likely to die younger than the general population, in part because of high rates of co-occurring medical conditions, such as heart disease and diabetes…. https://www.psychiatry.org/patients-families/schizophrenia/what-is-schizophrenia

WebMD wrote a concise description of schizophrenia in Schizophrenia: An Overview:

Schizophrenia is a chronic, severe mental disorder that affects the way a person thinks, acts, expresses emotions, perceives reality, and relates to others. Though schizophrenia isn’t as common as other major mental illnesses, it can be the most chronic and disabling.
People with schizophrenia often have problems doing well in society, at work, at school, and in relationships. They might feel frightened and withdrawn, and could appear to have lost touch with reality. This lifelong disease can’t be cured but can be controlled with proper treatment.
Contrary to popular belief, schizophrenia is not a split or multiple personality. Schizophrenia involves a psychosis, a type of mental illness in which a person can’t tell what’s real from what’s imagined. At times, people with psychotic disorders lose touch with reality. The world may seem like a jumble of confusing thoughts, images, and sounds. Their behavior may be very strange and even shocking. A sudden change in personality and behavior, which happens when people who have it lose touch with reality, is called a psychotic episode.
How severe schizophrenia is varies from person to person. Some people have only one psychotic episode, while others have many episodes during a lifetime but lead relatively normal lives in between. Still others may have more trouble functioning over time, with little improvement between full-blown psychotic episodes. Schizophrenia symptoms seem to worsen and improve in cycles known as relapses and remissions.
What Are the Early Symptoms of Schizophrenia?
The condition usually shows its first signs in men in their late teens or early 20s. It mostly affects women in their early 20s and 30s. The period when symptoms first start and before full psychosis is called the prodromal period. It can last days, weeks, or even years. It can be hard to spot because there’s usually no specific trigger. You might only notice subtle behavioral changes, especially in teens. This includes:
• A change in grades
• Social withdrawal
• Trouble concentrating
• Temper flares
• Difficulty sleeping
https://www.webmd.com/schizophrenia/mental-health-schizophrenia#1

Johns Hopkins Medicine reported that exposure to dogs may lessen the risk of developing schizophrenia.

Science Daily reported in Early-life exposure to dogs may lessen risk of developing schizophrenia

Ever since humans domesticated the dog, the faithful, obedient and protective animal has provided its owner with companionship and emotional well-being. Now, a study from Johns Hopkins Medicine suggests that being around “man’s best friend” from an early age may have a health benefit as well — lessening the chance of developing schizophrenia as an adult.
And while Fido may help prevent that condition, the jury is still out on whether or not there’s any link, positive or negative, between being raised with Fluffy the cat and later developing either schizophrenia or bipolar disorder.
“Serious psychiatric disorders have been associated with alterations in the immune system linked to environmental exposures in early life, and since household pets are often among the first things with which children have close contact, it was logical for us to explore the possibilities of a connection between the two,” says Robert Yolken, M.D., chair of the Stanley Division of Pediatric Neurovirology and professor of neurovirology in pediatrics at the Johns Hopkins Children’s Center, and lead author of a research paper recently posted online in the journal PLOS One.
In the study, Yolken and colleagues at Sheppard Pratt Health System in Baltimore investigated the relationship between exposure to a household pet cat or dog during the first 12 years of life and a later diagnosis of schizophrenia or bipolar disorder. For schizophrenia, the researchers were surprised to see a statistically significant decrease in the risk of a person developing the disorder if exposed to a dog early in life. Across the entire age range studied, there was no significant link between dogs and bipolar disorder, or between cats and either psychiatric disorder.
The researchers caution that more studies are needed to confirm these findings, to search for the factors behind any strongly supported links, and to more precisely define the actual risks of developing psychiatric disorders from exposing infants and children under age 13 to pet cats and dogs.
According to the American Pet Products Association’s most recent National Pet Owners Survey, there are 94 million pet cats and 90 million pet dogs in the United States. Previous studies have identified early life exposures to pet cats and dogs as environmental factors that may alter the immune system through various means, including allergic responses, contact with zoonotic (animal) bacteria and viruses, changes in a home’s microbiome, and pet-induced stress reduction effects on human brain chemistry.
Some investigators, Yolken notes, suspect that this “immune modulation” may alter the risk of developing psychiatric disorders to which a person is genetically or otherwise predisposed.
In their current study, Yolken and colleagues looked at a population of 1,371 men and women between the ages of 18 and 65 that consisted of 396 people with schizophrenia, 381 with bipolar disorder and 594 controls. Information documented about each person included age, gender, race/ethnicity, place of birth and highest level of parental education (as a measure of socioeconomic status). Patients with schizophrenia and bipolar disorder were recruited from inpatient, day hospital and rehabilitation programs of Sheppard Pratt Health System. Control group members were recruited from the Baltimore area and were screened to rule out any current or past psychiatric disorders.
All study participants were asked if they had a household pet cat or dog or both during their first 12 years of life. Those who reported that a pet cat or dog was in their house when they were born were considered to be exposed to that animal since birth.
The relationship between the age of first household pet exposure and psychiatric diagnosis was defined using a statistical model that produces a hazard ratio — a measure over time of how often specific events (in this case, exposure to a household pet and development of a psychiatric disorder) happen in a study group compared to their frequency in a control group. A hazard ratio of 1 suggests no difference between groups, while a ratio greater than 1 indicates an increased likelihood of developing schizophrenia or bipolar disorder. Likewise, a ratio less than 1 shows a decreased chance.
Analyses were conducted for four age ranges: birth to 3, 4 to 5, 6 to 8 and 9 to 12.
Surprisingly, Yolken says, the findings suggests that people who are exposed to a pet dog before their 13th birthday are significantly less likely — as much as 24% — to be diagnosed later with schizophrenia.
“The largest apparent protective effect was found for children who had a household pet dog at birth or were first exposed after birth but before age 3,” he says…. https://www.sciencedaily.com/releases/2019/12/191218153448.htm

Citation:

Early-life exposure to dogs may lessen risk of developing schizophrenia
Findings do not link similar contact with cats to either schizophrenia or bipolar disorder

Date: December 18, 2019
Source: Johns Hopkins Medicine
Summary:
Ever since humans domesticated the dog, the faithful, obedient and protective animal has provided its owner with companionship and emotional well-being. Now, a study suggests that being around ‘man’s best friend’ from an early age may have a health benefit as well — lessening the chance of developing schizophrenia as an adult.

Journal Reference:
Robert Yolken, Cassie Stallings, Andrea Origoni, Emily Katsafanas, Kevin Sweeney, Amalia Squire, Faith Dickerson. Exposure to household pet cats and dogs in childhood and risk of subsequent diagnosis of schizophrenia or bipolar disorder. PLOS ONE, 2019; 14 (12): e0225320 DOI: 10.1371/journal.pone.0225320

Here is the press release from Johns Hopkins Medicine:

Study suggests early-life exposure to dogs may lessen risk of developing schizophrenia
by Johns Hopkins University School of Medicine
Ever since humans domesticated the dog, the faithful, obedient and protective animal has provided its owner with companionship and emotional well-being. Now, a study from Johns Hopkins Medicine suggests that being around “man’s best friend” from an early age may have a health benefit as well—lessening the chance of developing schizophrenia as an adult.
And while Fido may help prevent that condition, the jury is still out on whether or not there’s any link, positive or negative, between being raised with Fluffy the cat and later developing either schizophrenia or bipolar disorder.
“Serious psychiatric disorders have been associated with alterations in the immune system linked to environmental exposures in early life, and since household pets are often among the first things with which children have close contact, it was logical for us to explore the possibilities of a connection between the two,” says Robert Yolken, M.D., chair of the Stanley Division of Pediatric Neurovirology and professor of neurovirology in pediatrics at the Johns Hopkins Children’s Center, and lead author of a research paper recently posted online in the journal PLOS One.
In the study, Yolken and colleagues at Sheppard Pratt Health System in Baltimore investigated the relationship between exposure to a household pet cat or dog during the first 12 years of life and a later diagnosis of schizophrenia or bipolar disorder. For schizophrenia, the researchers were surprised to see a statistically significant decrease in the risk of a person developing the disorder if exposed to a dog early in life. Across the entire age range studied, there was no significant link between dogs and bipolar disorder, or between cats and either psychiatric disorder.
The researchers caution that more studies are needed to confirm these findings, to search for the factors behind any strongly supported links, and to more precisely define the actual risks of developing psychiatric disorders from exposing infants and children under age 13 to pet cats and dogs.
According to the American Pet Products Association’s most recent National Pet Owners Survey, there are 94 million pet cats and 90 million pet dogs in the United States. Previous studies have identified early life exposures to pet cats and dogs as environmental factors that may alter the immune system through various means, including allergic responses, contact with zoonotic (animal) bacteria and viruses, changes in a home’s microbiome, and pet-induced stress reduction effects on human brain chemistry.
Some investigators, Yolken notes, suspect that this “immune modulation” may alter the risk of developing psychiatric disorders to which a person is genetically or otherwise predisposed.
In their current study, Yolken and colleagues looked at a population of 1,371 men and women between the ages of 18 and 65 that consisted of 396 people with schizophrenia, 381 with bipolar disorder and 594 controls. Information documented about each person included age, gender, race/ethnicity, place of birth and highest level of parental education (as a measure of socioeconomic status). Patients with schizophrenia and bipolar disorder were recruited from inpatient, day hospital and rehabilitation programs of Sheppard Pratt Health System. Control group members were recruited from the Baltimore area and were screened to rule out any current or past psychiatric disorders.
All study participants were asked if they had a household pet cat or dog or both during their first 12 years of life. Those who reported that a pet cat or dog was in their house when they were born were considered to be exposed to that animal since birth.
The relationship between the age of first household pet exposure and psychiatric diagnosis was defined using a statistical model that produces a hazard ratio—a measure over time of how often specific events (in this case, exposure to a household pet and development of a psychiatric disorder) happen in a study group compared to their frequency in a control group. A hazard ratio of 1 suggests no difference between groups, while a ratio greater than 1 indicates an increased likelihood of developing schizophrenia or bipolar disorder. Likewise, a ratio less than 1 shows a decreased chance.
Analyses were conducted for four age ranges: birth to 3, 4 to 5, 6 to 8 and 9 to 12.
Surprisingly, Yolken says, the findings suggests that people who are exposed to a pet dog before their 13th birthday are significantly less likely—as much as 24%—to be diagnosed later with schizophrenia.
“The largest apparent protective effect was found for children who had a household pet dog at birth or were first exposed after birth but before age 3,” he says.
Yolken adds that if it is assumed that the hazard ratio is an accurate reflection of relative risk, then some 840,000 cases of schizophrenia (24% of the 3.5 million people diagnosed with the disorder in the United States) might be prevented by pet dog exposure or other factors associated with pet dog exposure.
“There are several plausible explanations for this possible ‘protective’ effect from contact with dogs—perhaps something in the canine microbiome that gets passed to humans and bolsters the immune system against or subdues a genetic predisposition to schizophrenia,” Yolken says.
For bipolar disorder, the study results suggest there is no risk association, either positive or negative, with being around dogs as an infant or young child.
Overall for all ages examined, early exposure to pet cats was neutral as the study could not link felines with either an increased or decreased risk of developing schizophrenia or bipolar disorder.
“However, we did find a slightly increased risk of developing both disorders for those who were first in contact with cats between the ages of 9 and 12,” Yolken says. “This indicates that the time of exposure may be critical to whether or not it alters the risk.”
One example of a suspected pet-borne trigger for schizophrenia is the disease toxoplasmosis, a condition in which cats are the primary hosts of a parasite transmitted to humans via the animals’ feces. Pregnant women have been advised for years not to change cat litter boxes to eliminate the risk of the illness passing through the placenta to their fetuses and causing a miscarriage, stillbirth, or potentially, psychiatric disorders in a child born with the infection.
In a 2003 review paper, Yolken and colleague E. Fuller Torrey, M.D., associate director of research at the Stanley Medical Research Institute in Bethesda, Maryland, provided evidence from multiple epidemiological studies conducted since 1953 that showed there also is a statistical connection between a person exposed to the parasite that causes toxoplasmosis and an increased risk of developing schizophrenia. The researchers found that a large number of people in those studies who were diagnosed with serious psychiatric disorders, including schizophrenia, also had high levels of antibodies to the toxoplasmosis parasite.
Because of this finding and others like it, most research has focused on investigating a potential link between early exposure to cats and psychiatric disorder development. Yolken says the most recent study is among the first to consider contact with dogs as well.
“A better understanding of the mechanisms underlying the associations between pet exposure and psychiatric disorders would allow us to develop appropriate prevention and treatment strategies,” Yolken says.
________________________________________
Explore further
Schizophrenia linked with abnormal immune response to Epstein-Barr virus
________________________________________
More information: Robert Yolken et al, Exposure to household pet cats and dogs in childhood and risk of subsequent diagnosis of schizophrenia or bipolar disorder, PLOS ONE (2019). DOI: 10.1371/journal.pone.0225320
Journal information: PLoS ONE
Provided by Johns Hopkins University School of Medicine

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American Psychological Association study: Mental health issues increased significantly in young adults over last decade

17 Mar

Here’s today’s COMMENT FROM AN OLD FART: Reputation takes a long time to burnish and nurture. It can be destroyed by a smear or an ill-thought-out act in a nanosecond.

“The way to gain a good reputation is to endeavor to be what you desire to appear.”
Socrates
“Your reputation is in the hands of others. That’s what the reputation is. You can’t control that. The only thing you can control is your character.”
Wayne W. Dyer
In an attempt to control online reputation, many schools are now helping their students clean their online presentation. Why? Because people like to gossip and most of us have been young and stupid or old and ill-advised.
“Great minds discuss ideas. Average minds discuss events. Small minds discuss people.”
Eleanor Roosevelt
“Isn’t it kind of silly to think that tearing someone else down builds you up?”
Sean Covey, The 7 Habits Of Highly Effective Teens

Science Daily reported in Mental health issues increased significantly in young adults over last decade: Shift may be due in part to rise of digital media, study suggests:

The percentage of young Americans experiencing certain types of mental health disorders has risen significantly over the past decade, with no corresponding increase in older adults, according to research published by the American Psychological Association.
“More U.S. adolescents and young adults in the late 2010s, versus the mid-2000s, experienced serious psychological distress, major depression or suicidal thoughts, and more attempted suicide,” said lead author Jean Twenge, PhD, author of the book “iGen” and professor of psychology at San Diego State University. “These trends are weak or non-existent among adults 26 years and over, suggesting a generational shift in mood disorders instead of an overall increase across all ages.”
The research was published in the Journal of Abnormal Psychology.
Twenge and her co-authors analyzed data from the National Survey on Drug Use and Health, a nationally representative survey that has tracked drug and alcohol use, mental health and other health-related issues in individuals age 12 and over in the United States since 1971. They looked at survey responses from more than 200,000 adolescents age 12 to 17 from 2005 to 2017, and almost 400,000 adults age 18 and over from 2008 to 2017.
The rate of individuals reporting symptoms consistent with major depression in the last 12 months increased 52 percent in adolescents from 2005 to 2017 (from 8.7 percent to 13.2 percent) and 63 percent in young adults age 18 to 25 from 2009 to 2017 (from 8.1 percent to 13.2 percent). There was also a 71 percent increase in young adults experiencing serious psychological distress in the previous 30 days from 2008 to 2017 (from 7.7 percent to 13.1 percent). The rate of young adults with suicidal thoughts or other suicide-related outcomes increased 47 percent from 2008 to 2017 (from 7.0 percent to 10.3 percent).
There was no significant increase in the percentage of older adults experiencing depression or psychological distress during corresponding time periods. The researchers even saw a slight decline in psychological distress in individuals over 65.
“Cultural trends in the last 10 years may have had a larger effect on mood disorders and suicide-related outcomes among younger generations compared with older generations,” said Twenge, who believes this trend may be partially due to increased use of electronic communication and digital media, which may have changed modes of social interaction enough to affect mood disorders. She also noted research shows that young people are not sleeping as much as they did in previous generations.
The increase in digital media use may have had a bigger impact on teens and young adults because older adults’ social lives are more stable and might have changed less than teens’ social lives have in the last ten years, said Twenge. Older adults might also be less likely to use digital media in a way that interferes with sleep — for example, they might be better at not staying up late on their phones or using them in the middle of the night.
“These results suggest a need for more research to understand how digital communication versus face-to-face social interaction influences mood disorders and suicide-related outcomes and to develop specialized interventions for younger age groups,” she said…. https://www.sciencedaily.com/releases/2019/03/190315110908.htm

Citation:

Mental health issues increased significantly in young adults over last decade
Shift may be due in part to rise of digital media, study suggests
Date: March 15, 2019
Source: American Psychological Association
Summary:
The percentage of young Americans experiencing certain types of mental health disorders has risen significantly over the past decade, with no corresponding increase in older adults, according to new research.

Journal Reference:
Jean M. Twenge, A. Bell Cooper, Thomas E. Joiner, Mary E. Duffy, Sarah G. Binau. Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005–2017.. Journal of Abnormal Psychology, 2019; DOI: 10.1037/abn0000410

Here is the press release from the American Psychological Association:

PUBLIC RELEASE: 14-MAR-2019
Mental health issues increased significantly in young adults over last decade
Shift may be due in part to rise of digital media, study suggests
AMERICAN PSYCHOLOGICAL ASSOCIATION
WASHINGTON — The percentage of young Americans experiencing certain types of mental health disorders has risen significantly over the past decade, with no corresponding increase in older adults, according to research published by the American Psychological Association.
“More U.S. adolescents and young adults in the late 2010s, versus the mid-2000s, experienced serious psychological distress, major depression or suicidal thoughts, and more attempted suicide,” said lead author Jean Twenge, PhD, author of the book “iGen” and professor of psychology at San Diego State University. “These trends are weak or non-existent among adults 26 years and over, suggesting a generational shift in mood disorders instead of an overall increase across all ages.”
The research was published in the Journal of Abnormal Psychology.
Twenge and her co-authors analyzed data from the National Survey on Drug Use and Health, a nationally representative survey that has tracked drug and alcohol use, mental health and other health-related issues in individuals age 12 and over in the United States since 1971. They looked at survey responses from more than 200,000 adolescents age 12 to 17 from 2005 to 2017, and almost 400,000 adults age 18 and over from 2008 to 2017.
The rate of individuals reporting symptoms consistent with major depression in the last 12 months increased 52 percent in adolescents from 2005 to 2017 (from 8.7 percent to 13.2 percent) and 63 percent in young adults age 18 to 25 from 2009 to 2017 (from 8.1 percent to 13.2 percent). There was also a 71 percent increase in young adults experiencing serious psychological distress in the previous 30 days from 2008 to 2017 (from 7.7 percent to 13.1 percent). The rate of young adults with suicidal thoughts or other suicide-related outcomes increased 47 percent from 2008 to 2017 (from 7.0 percent to 10.3 percent).
There was no significant increase in the percentage of older adults experiencing depression or psychological distress during corresponding time periods. The researchers even saw a slight decline in psychological distress in individuals over 65.
“Cultural trends in the last 10 years may have had a larger effect on mood disorders and suicide-related outcomes among younger generations compared with older generations,” said Twenge, who believes this trend may be partially due to increased use of electronic communication and digital media, which may have changed modes of social interaction enough to affect mood disorders. She also noted research shows that young people are not sleeping as much as they did in previous generations.
The increase in digital media use may have had a bigger impact on teens and young adults because older adults’ social lives are more stable and might have changed less than teens’ social lives have in the last ten years, said Twenge. Older adults might also be less likely to use digital media in a way that interferes with sleep – for example, they might be better at not staying up late on their phones or using them in the middle of the night.
“These results suggest a need for more research to understand how digital communication versus face-to-face social interaction influences mood disorders and suicide-related outcomes and to develop specialized interventions for younger age groups,” she said.
Given that the increase in mental health issues was sharpest after 2011, Twenge believes it’s unlikely to be due to genetics or economic woes and more likely to be due to sudden cultural changes, such as shifts in how teens and young adults spend their time outside of work and school. If so, that may be good news, she said.
“Young people can’t change their genetics or the economic situation of the country, but they can choose how they spend their leisure time. First and most important is to get enough sleep. Make sure your device use doesn’t interfere with sleep — don’t keep phones or tablets in the bedroom at night, and put devices down within an hour of bedtime,” she said. “Overall, make sure digital media use doesn’t interfere with activities more beneficial to mental health such as face-to-face social interaction, exercise and sleep.”
###
Article: “Age, Period, and Cohort Trends in Mood Disorder and Suicide-Related Outcomes in a Nationally Representative Dataset, 2005-2017,” by Jean Twenge, PhD, San Diego State University; Thomas Joiner, PhD, and Mary Duffy, BA, Florida State University; Bell Cooper, PhD, Lynn University; and Sara Binau, Pomona College. Journal of Abnormal Psychology, published online March 14, 2019.
Full text of the article is available from the APA Public Affairs Office and at
http://www.apa.org/pubs/journals/releases/abn-abn0000410.pdf.
Contact: Jean Twenge can be contacted via email at jtwenge@mail.sdsu.edu.
The American Psychological Association, in Washington, D.C., is the largest scientific and professional organization representing psychology in the United States. APA’s membership includes nearly 118,400 researchers, educators, clinicians, consultants and students. Through its divisions in 54 subfields of psychology and affiliations with 60 state, territorial and Canadian provincial associations, APA works to advance the creation, communication and application of psychological knowledge to benefit society and improve people’s lives.
http://www.apa.org
Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.
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There is something to be said for Cafe Society where people actually meet face-to-face for conversation or the custom of families eating at least one meal together. Time has a good article on The Magic of the Family Meal http://content.time.com/time/magazine/article/0,9171,1200760,00.html See, also The

Importance of Eating Together: Family dinners build relationships, and help kids do better in school. https://www.theatlantic.com/health/archive/2014/07/the-importance-of-eating-together/374256/

It also looks like Internet rehab will have a steady supply of customers according to an article reprinted in the Seattle Times by Hillary Stout of the New York Times. In Toddlers Latch On to iPhones – and Won’t Let Go https://www.seattletimes.com/life/lifestyle/toddlers-latch-onto-iphones-8212-and-wont-let-go/ Stout reports:

But just as adults have a hard time putting down their iPhones, so the device is now the Toy of Choice — akin to a treasured stuffed animal — for many 1-, 2- and 3-year-olds. It’s a phenomenon that is attracting the attention and concern of some childhood development specialists.

Looks like social networking may not be all that social.

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Michigan State University study: How to treat depression in prison — and why it matters

3 Mar

Moi has posted about the “school-to-prison” pipeline in The ‘school-to-prison pipeline’: Moi wrote about the “school-to-prison pipeline” in Inappropriate discipline: The first step on the road to education failure:
Joan Gausted of the University of Oregon has an excellent article in Eric Digest 78, School Discipline:

School discipline has two main goals: (1) ensure the safety of staff and students, and (2) create an environment conducive to learning. Serious student misconduct involving violent or criminal behavior defeats these goals and often makes headlines in the process. However, the commonest discipline problems involve noncriminal student behavior (Moles 1989).
The issue for schools is how to maintain order, yet deal with noncriminal student behavior and keep children in school.

Alan Schwartz wrote a provocative article in the New York Times about a longitudinal study of discipline conducted in Texas. In School Discipline Study Raises Fresh Questions Schwartz reports:

Raising new questions about the effectiveness of school discipline, a report scheduled for release on Tuesday found that 31 percent of Texas students were suspended off campus or expelled at least once during their years in middle and high school — at an average of almost four times apiece. http://www.nytimes.com/2011/07/19/education/19discipline.html?_r=2&hpw&
Donna St. George wrote a Washington Post article which elaborates on the Texas study. http://www.washingtonpost.com/local/education/study-exposes-some-some-myths-about-school-discipline/2011/07/18/gIQAV0sZMI_story.html?wpisrc=emailtoafriend

See:

Education Law Center
http://www.edlawcenter.org/ELCPublic/StudentRights/StudentDiscipline.htm

Discipline In Schools: What Works and What Doesn’t?
http://www.eduguide.org/article/discipline-in-school-what-works-and-what-doesnt

Many schools deal with populations of children suffering from depression. Many children suffering from depression or other mental health issues escalate their behavior to the point they are involved in the criminal justice system, See, https://drwilda.com/tag/depression-in-children/ The preferred strategy is to treat depression and mental health issues in the education system.

Science Daily reported in How to treat depression in prison — and why it matters:

Of the 4 million prisoners released each year, 23 percent have suffered from major depressive disorder. Due to resource shortages, many go without adequate treatment while in prison. Oftentimes they rejoin society in worse mental shape than before their incarceration — which could be prevented with the right care. A team led by Michigan State University has found a cost-effective way to improve mental health in prisons.
The research, published in Journal of Consulting and Clinical Psychology, tested the effectiveness of interpersonal psychotherapy for inmates battling major depressive disorder, or MDD, as a strategy to bring affordable treatment into a prison setting. It is the first large randomized trial of any treatment for MDD, including therapy or medications, in any incarcerated population.
About 15 million people touch the criminal justice system each year in the United States,” said Jennifer Johnson, lead author and professor of public health in MSU’s College of Human Medicine. “Most of us have friends, family or neighbors who have been through this system. The fact we’ve waited until 2019 to conduct a trial like this means we’ve understudied and underserved a huge population.”
About 2.3 million people are incarcerated every day, and if they too suffer from depression, addiction or other disorders, they often do not get the help they need. Prison funding for mental health care is determined by state legislatures, which often leaves them understaffed and under-resourced, Johnson explained. Voters may be unsympathetic, which creates a deficit for mental health treatment in the prison system — which houses many people with untreated mental illnesses.
To address the issues of care and cost, Johnson and colleagues trained a team to treat 181 inmates through interpersonal psychotherapy, or IPT. The team included master’s level health therapists working in the prisons and bachelor’s level re-entry counselors. This allowed the researchers to keep costs down by extending the reach of counselors and care without having to hire new mental health professionals.
Johnson explained that IPT is one of the most-effective forms of therapy because it addresses difficult life events, which consistently burden prison populations. She explained that traumatic and challenging experiences — such as assault, abuse, poverty, death of loved ones and loss of family members, children and friends — are overwhelmingly present with those incarcerated….
Counselors worked in a group-setting with inmates twice a week for 10 weeks, which reduced the cost of treatment. Inmates were individually assessed at the beginning of the trial, after the trial ended and then three months later to see if the therapy had a lasting impact….
Using IPT proved a low-cost intervention as well. Once counselors are trained and supervision is no longer needed, the cost per patient would be $575 — significantly less than treatment options outside of prison, she said.
“This is the first large randomized study for major depression ever conducted for an incarcerated population, one that found an effective and cost-effective solution,” Johnson said. “This method could drastically improve the mental well-being of people while in prison — and when they re-enter the world.”
Moving forward, Johnson will continue researching ways to treat inmates by conducting the first large randomized suicide prevention trial for people leaving the criminal justice system.
https://www.sciencedaily.com/releases/2019/02/190221115909.htm

Citation:

How to treat depression in prison — and why it matters
Date: February 21, 2019
Source: Michigan State University
Summary:
The first randomized study of its kind reveals effective treatment for prisoners suffering from mental illness.

Journal Reference:
Jennifer E. Johnson, Robert L. Stout, Ted R. Miller, Caron Zlotnick, Louis A. Cerbo, Joel T. Andrade, Jessica Nargiso, Joseph Bonner, Shannon Wiltsey-Stirman. Randomized cost-effectiveness trial of group interpersonal psychotherapy (IPT) for prisoners with major depression.. Journal of Consulting and Clinical Psychology, 2019; DOI: 10.1037/ccp0000379

Here is the press release from Michigan State University:

HOW TO TREAT DEPRESSION IN PRISON – AND WHY IT MATTERS
Contact(s): Caroline Brooks , Jennifer Johnson
Of the 4 million prisoners released each year, 23 percent have suffered from major depressive disorder. Due to resource shortages, many go without adequate treatment while in prison. Oftentimes they rejoin society in worse mental shape than before their incarceration – which could be prevented with the right care. A team led by Michigan State University has found a cost-effective way to improve mental health in prisons.
The research, published in Journal of Consulting and Clinical Psychology, tested the effectiveness of interpersonal psychotherapy for inmates battling major depressive disorder, or MDD, as a strategy to bring affordable treatment into a prison setting. It is the first large randomized trial of any treatment for MDD, including therapy or medications, in any incarcerated population.
About 15 million people touch the criminal justice system each year in the United States,” said Jennifer Johnson, lead author and professor of public health in MSU’s College of Human Medicine. “Most of us have friends, family or neighbors who have been through this system. The fact we’ve waited until 2019 to conduct a trial like this means we’ve understudied and underserved a huge population.”
About 2.3 million people are incarcerated every day, and if they too suffer from depression, addiction or other disorders, they often do not get the help they need. Prison funding for mental health care is determined by state legislatures, which often leaves them understaffed and under-resourced, Johnson explained. Voters may be unsympathetic, which creates a deficit for mental health treatment in the prison system – which houses many people with untreated mental illnesses.
To address the issues of care and cost, Johnson and colleagues trained a team to treat 181 inmates through interpersonal psychotherapy, or IPT. The team included master’s level health therapists working in the prisons and bachelor’s level re-entry counselors. This allowed the researchers to keep costs down by extending the reach of counselors and care without having to hire new mental health professionals.
Johnson explained that IPT is one of the most-effective forms of therapy because it addresses difficult life events, which consistently burden prison populations. She explained that traumatic and challenging experiences – such as assault, abuse, poverty, death of loved ones and loss of family members, children and friends – are overwhelmingly present with those incarcerated.
“When practicing IPT, you go back to when someone’s depressed mood began and talk about what was going on in their life at that time,” Johnson said. “IPT deals with relationships, feelings, conflicts with others, life changes and grief. Using this therapy, you’re helping people feel and express emotions, and problem-solve with them in ways to improve communications or improve relationships that address the original problem.”
Counselors worked in a group-setting with inmates twice a week for 10 weeks, which reduced the cost of treatment. Inmates were individually assessed at the beginning of the trial, after the trial ended and then three months later to see if the therapy had a lasting impact.
“As compared to the usual treatment prisons offer, IPT reduced depressive symptoms, hopelessness and PTSD symptoms and was better at ending cases of major depression,” Johnson said.
Using IPT proved a low-cost intervention as well. Once counselors are trained and supervision is no longer needed, the cost per patient would be $575 – significantly less than treatment options outside of prison, she said.
“This is the first large randomized study for major depression ever conducted for an incarcerated population, one that found an effective and cost-effective solution,” Johnson said. “This method could drastically improve the mental well-being of people while in prison – and when they re-enter the world.”
Moving forward, Johnson will continue researching ways to treat inmates by conducting the first large randomized suicide prevention trial for people leaving the criminal justice system.
(Note for media: Please include a link to the original paper in online coverage: https://psycnet.apa.org/record/2019-05660-001?doi=1)

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

Schools have to deal with depressed and troubled children
https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children
https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’
https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/
Resources:

About.Com’s Depression In Young Children http://depression.about.com/od/child/Young_Children.htm

Psych Central’s Depression In Young Children http://depression.about.com/od/child/Young_Children.htm

Psychiatric News’ Study Helps Pinpoint Children With Depression http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034

Family Doctor’s What Is Depression? http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html

WebMD’s Depression In Children http://www.webmd.com/depression/guide/depression-children

Healthline’s Is Your Child Depressed?
http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449

Medicine.Net’s Depression In Children http://www.onhealth.com/depression_in_children/article.htm

Related:
A strategy to reduce school suspensions: ‘School Wide Positive Behavior Support’
https://drwilda.wordpress.com/2012/07/01/a-strategy-to-reduce-school-suspensions-school-wide-positive-behavior-support/

Single-sex classrooms should be allowed in public schools
https://drwilda.wordpress.com/2012/07/22/single-sex-classrooms-should-be-allowed-in-public-schools/

Boys of color: Resources from the Boys Initiative
https://drwilda.wordpress.com/2012/07/06/boys-of-color-resources-from-the-boys-initiative/

U.S. Education Dept. Civil Rights Office releases report on racial disparity in school retention
https://drwilda.wordpress.com/2012/03/07/u-s-education-dept-civil-rights-office-releases-report-on-racial-disparity-in-school-retention/

Where information leads to Hope. © Dr. Wilda.com
Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
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http://drwildareviews.wordpress.com/

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University of Texas Medical Branch at Galveston study: Mental illness not to blame for gun violence, study finds

10 Feb

Here’s today’s COMMENT FROM AN OLD FART: The U.S. Constitution is a bit like the Bible. People want to select passage from both documents which suit their purpose and their intent. People don’t want to deal with the parts that they don’t agree with or that they find disagreeable.

Political party culture is stuck on stupid. Moi grew up in Pierce County and was for many years a dem in the mold of Senators Henry M. Jackson and Warren G. Magnuson. There is no room in today’s dem party for folks like moi. Moi doesn’t believe in abortion in all circumstances and supports the FIRST AMENDMENT guarantees. In light of the fact that moi is an independent, this story illustrates why moi is an independent. Every now and again is a story that is so stupid, one has to comment.

City Looks to Twitter for Answer to Gun Problem: The best submitted ideas will be debated at an Oct. 11 panel discussion:

The City of Chicago is asking residents with ideas on how to get illegal guns off the streets to share their thoughts — in 140 characters or fewer on Twitter.
The initiative is part of Chicago Ideas Week, an annual forum for innovators, artists, scientists and others to share ideas and inspire action.
Those who think they know how to cut off the flow of illegal guns into Chicago are being asked to tweet them with the hashtag (hash)whatifchicago.
The best submitted ideas will be debated at an Oct. 11 panel discussion.
Chicago’s social media director, Kevin Hauswirth, says the effort is a great example of “the potential power that social media offers city government.” http://www.nbcchicago.com/news/local/City-Looks-to-Twitter-for-Answer-to-Gun-Problem-171939501.html#ixzz27ziNIsVD

Really, no one in Chicago can guess how to reduce gun violence. Must be that stranglehold of P.C. And ideology.

Let moi makes some suggestions even though she lives in Seattle not Chicago. Seattleites shouldn’t gloat as our government is equally stuck on stupid with a tendency to stick their head in sand regarding Seattle’s own gang problem.

Part if the solution will not be P.C. for “progressives.” In the short-term, just about any crime-ridden neighborhood in America needs better education and economic development. Can one say, JOBS, JOBS, and MORE JOBS. In the longer term, there will have to be a change in the cultural dynamic and thinking of groups trapped by low-income culture and mentality. This is what moi said in UN-traditional Father’s Day message: Don’t become a father unless you can make the commitment to YOUR child:
Humans have free will and are allowed to choose how they want to live. What you do not have the right to do is to inflict your lifestyle on a child. So, the responsible thing for you to do is go to Planned Parenthood or some other outlet and get birth control for yourself and the society which will have to live with your poor choices. Many religious folks are shocked because I am mentioning birth control, but most sluts have few religious inklings or they wouldn’t be sluts. A better option for both sexes, if this lifestyle is a permanent option, is permanent birth control to lessen a contraception failure. People absolutely have the right to choose their particular lifestyle. You simply have no right to bring a child into your mess of a life. I observe people all the time and I have yet to observe a really happy slut. Seems that the lifestyle is devoid of true emotional connection and is empty. If you do find yourself pregnant, please consider adoption.

Let’s continue the discussion. Some folks may be great friends, homies, girlfriends, and dudes, but they make lousy parents. Could be they are at a point in their life where they are too selfish to think of anyone other than themselves, they could be busy with school, work, or whatever. No matter the reason, they are not ready and should not be parents. Birth control methods are not 100% effective, but the available options are 100% ineffective in people who are sexually active and not using birth control. So, if you are sexually active and you have not paid a visit to Planned Parenthood or some other agency, then you are not only irresponsible, you are Eeeevil. Why do I say that, you are playing Russian Roulette with the life of another human being, the child. You should not ever put yourself in the position of bringing a child into the world that you are unprepared to parent, emotionally, financially, and with a commitment of time. So, if you find yourself in a what do I do moment and are pregnant, you should consider adoption. This is a totally NOT P.C. Message because “progressives” want to think that government can solve this society’s problem. First Lady Michelle Obama is a gracious and classy woman, but really girlfriend, the problem is too many “baby mamas” and “baby daddy.” When we have around 70% of Black children born to woman who are most likely not able to feed and care for the children, whether they are eating vegetables is not as relevant. One needs to treat the gaping head wound first.

There must be cultural change in addition to economic development and “progressives” don’t want to touch that hot potato. Meanwhile, because this society is not dealing with the root problem, the carnage goes on.
A University of Texas study examined gun violence and mental illness.

Science Daily reported in Mental illness not to blame for gun violence:

Counter to a lot of public opinion, having a mental illness does not necessarily make a person more likely to commit gun violence. According to a new study, a better indicator of gun violence was access to firearms.
A study by researchers at The University of Texas Medical Branch at Galveston looked into the association between gun violence and mental health in a group of 663 young adults in Texas. Their results were published in the journal Preventive Medicine.
“Counter to public beliefs, the majority of mental health symptoms examined were not related to gun violence,” said Dr. Yu Lu, a postdoctoral research fellow at UTMB and the lead author of the study.
What researchers found instead was that individuals who had gun access were approximately 18 times more likely to have threatened someone with a gun. Individuals with high hostility were about 3.5 times more likely to threaten someone.
“These findings have important implications for gun control policy efforts,” Lu said.
Each year, an estimated 75,000 to 100,000 Americans are injured by firearms and 30,000 to 40,000 die from firearms, according to the Centers for Disease Control.
“Much of the limited research on gun violence and mental illness has focused on violence among individuals with severe mental illnesses or rates of mental illness among individuals arrested for violent crimes,” Lu said. “What we found is that the link between mental illness and gun violence is not there.”
Lu and Dr. Jeff Temple, another author of the study and a professor at UTMB, surveyed participants in a long-term study about their firearm possession and use as well as about anxiety, depression, stress, posttraumatic stress disorder, hostility, impulsivity, borderline personality disorder, mental health treatment and other demographic details.
The researchers found that individuals who had access to guns, compared to those with no such access, were over 18 times more likely to have threatened someone with a gun, even after controlling for a number of demographic and mental health variables. Meanwhile, most mental health symptoms were unrelated to gun violence.
“Taking all this information together, limiting access to guns, regardless of any other mental health status, demographics or prior mental health treatments, is the key to reducing gun violence,” Temple said…. https://www.sciencedaily.com/releases/2019/02/190207102607.htm

Citation:

Mental illness not to blame for gun violence, study finds
Date: February 7, 2019
Source: University of Texas Medical Branch at Galveston
Summary:
Counter to a lot of public opinion, having a mental illness does not necessarily make a person more likely to commit gun violence. According to a new study, a better indicator of gun violence was access to firearms.

Journal Reference:
Yu Lu, Jeff R. Temple. Dangerous weapons or dangerous people? The temporal associations between gun violence and mental health. Preventive Medicine, 2019; 121: 1 DOI: 10.1016/j.ypmed.2019.01.008

Here is the press release from University of Texas Medical Branch at Galveston:

Mental illness not to blame for gun violence study finds

February 6, 2019

GALVESTON, Texas – Counter to a lot of public opinion, having a mental illness does not necessarily make a person more likely to commit gun violence. According to a new study, a better indicator of gun violence was access to firearms.
A study by researchers at The University of Texas Medical Branch at Galveston looked into the association between gun violence and mental health in a group of 663 young adults in Texas. Their results were published in the journal Preventive Medicine.
“Counter to public beliefs, the majority of mental health symptoms examined were not related to gun violence,” said Dr. Yu Lu, a postdoctoral research fellow at UTMB and the lead author of the study.
What researchers found instead was that individuals who had gun access were approximately 18 times more likely to have threatened someone with a gun. Individuals with high hostility were about 3.5 times more likely to threaten someone.
“These findings have important implications for gun control policy efforts,” Lu said.
Each year, an estimated 75,000 to 100,000 Americans are injured by firearms and 30,000 to 40,000 die from firearms, according to the Centers for Disease Control.
“Much of the limited research on gun violence and mental illness has focused on violence among individuals with severe mental illnesses or rates of mental illness among individuals arrested for violent crimes,” Lu said. “What we found is that the link between mental illness and gun violence is not there.”
Lu and Dr. Jeff Temple, another author of the study and a professor at UTMB, surveyed participants in a long-term study about their firearm possession and use as well as about anxiety, depression, stress, posttraumatic stress disorder, hostility, impulsivity, borderline personality disorder, mental health treatment and other demographic details.
The researchers found that individuals who had access to guns, compared to those with no such access, were over 18 times more likely to have threatened someone with a gun, even after controlling for a number of demographic and mental health variables. Meanwhile, most mental health symptoms were unrelated to gun violence.
“Taking all this information together, limiting access to guns, regardless of any other mental health status, demographics or prior mental health treatments, is the key to reducing gun violence,” Temple said.
This research was supported by awards from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and from the National Institute of Justice. The content is solely the responsibility of the authors and does not necessarily represent the official views of NICHD or NIJ. https://www.utmb.edu/newsroom/article11989.aspx

What both proponents of gun control and those who advocate unfettered gun possession along with unlimited possession of ALL types of guns don’t want to acknowledge is that it ultimately goes back to the Constitutional process of a legislature enacting a law and the judiciary reviewing the Constitutionality of the law. Neither side may be happy with the result. See, Both sides in the gun debate are acting like morons https://drwilda.com/tag/gun-control/

Resources:

A Dozen Things Students Can Do to Stop School Violence http://www.sacsheriff.com/crime_prevention/documents/school_safety_04.cfm

A Dozen Things. Teachers Can Do To Stop School Violence

Click to access teacher12.pdf

Preventing School Violence: A Practical Guide

Click to access psv.pdf

Related:

Violence against teachers is becoming a bigger issue https://drwilda.com/2013/11/29/violence-against-teachers-is-becoming-a-bigger-issue/

Hazing remains a part of school culture
https://drwilda.com/2013/10/09/hazing-remains-a-part-of-school-culture/

FEMA issues Guide for Developing High-Quality School Emergency Operations Plans
https://drwilda.com/2013/07/08/fema-issues-guide-for-developing-high-quality-school-emergency-operations-plans/

Study: 1 in 3 teens are victims of dating violence
https://drwilda.com/2013/08/05/study-1-in-3-teens-are-victims-of-dating-violence/

Pediatrics article: Sexual abuse prevalent in teen population
https://drwilda.com/2013/10/10/pediatrics-article-sexual-abuse-prevalent-in-teen-population/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Tags: , , , , , , , , ,

University of California San Diego study: Targeted cognitive training benefits patients with severe schizophrenia

8 Dec

Bethany Yeiser wrote in the Psychology Today article, Schizophrenia and Homelessness: Paranoia drove me to sleep outside:

Over the past few years, I have been contacted by several families who have a loved one struggling with schizophrenia. Many of these people with schizophrenia are homeless.
For me, becoming homeless was a direct result of schizophrenia. Because of the illness, I could not work the easiest job or focus enough to take even one class. The illness brought on a paranoia which led me to cut off all my family members and my closest friends.
While homeless, I badly wanted a place to sleep, as I was tired of sleeping outside in a churchyard. Remarkably, I was given plenty of opportunities to leave my homeless life, and I rejected every one of them…. https://www.psychologytoday.com/us/blog/recovery-road/201807/schizophrenia-and-homelessness

SARDAA has information about schizophrenia.

In Quick Facts About Schizophrenia, SARDAA reported:

Quick Facts About Schizophrenia
• Schizophrenia can be found in approximately 1.1% of the world’s population, regardless of racial, ethnic or economic background
• Approximately 3.5 million people in the United States are diagnosed with schizophrenia and it is one of the leading causes of disability.
• Three-quarters of persons with schizophrenia develop the illness between 16 and 25 years of age.
• The disorder is at least partially genetic.
• To be diagnosed as having schizophrenia, one must have associated symptoms for at least six months.
• Studies have indicated that 25% of those having schizophrenia recover completely, 50% are improved over a 10-year period, and 25% do not improve over time.
• Treatment and other economic costs due to schizophrenia are enormous, estimated between $32.5 and $65 billion annually.
• Between one-third and one-half of all homeless adults have schizophrenia.
• 50% of people diagnosed with schizophrenia have received no treatment.
To learn more, we invite you to view a presentation by Linda Whitten Stalters, APRN, BC, FAPA, SARDAA Board of Directors. https://www.slideshare.net/SARDAA https://sardaa.org/resources/about-schizophrenia/

The University of California San Diego reported that cognitive training might aid those suffering from schizophrenia.

Science daily reported in Targeted cognitive training benefits patients with severe schizophrenia:

Schizophrenia is among the most difficult mental illnesses to treat, in part because it is characterized by a wide range of dysfunction, from hallucinations and mood disorders to cognitive impairment, especially verbal and working memory, which can be explained in part by abnormalities in early auditory information processing.
In recent years, targeted cognitive training (TCT) has emerged as a promising therapeutic intervention. TCT uses computerized training, such as sophisticated brain games, to target specific neural pathways, such as memory, learning and auditory-based senses, to beneficially alter the way they process information.
But while TCT has proven effective for mild to moderate forms of schizophrenia under carefully controlled conditions, it remains unclear whether the approach might benefit patients with chronic, refractory schizophrenia treated in non-academic settings, such as those cared for in locked residential rehabilitation centers.
In a study published in the December print issue of Schizophrenia Research, senior author Gregory A. Light, PhD, professor of psychiatry at UC San Diego School of Medicine and director of the Mental Illness, Research, Education and Clinical Center at Veterans Affaris San Diego Healthcare System, and colleagues investigated whether TCT improved auditory and verbal outcomes among the most difficult of schizophrenia patients.
“Chronic, treatment-refractory patients mandated to locked residential care facilities make up just a small subgroup of persons with schizophrenia, but they consume a disproportionately large share of mental health care resources,” said Light. “Finding an effective therapy for them is critical.”
Light’s team studied 46 patients with schizophrenia psychosis recruited from a community-based residential treatment program, each following acute hospitalization. All were deemed “gravely disabled,” unable to care for themselves, and under the guardianship of a private party or government agency. Participants were randomized to either standard treatment-as-usual (TAU) or TAU plus TCT, in which they used laptop computers to perform various learning and memory game exercises, often involving auditory cues.
The researchers found that among participants who completed the roughly three months of TAU-TCT treatment, verbal learning and auditory perception scores improved; and severity of auditory hallucinations lessened. Of note: The benefits were not negatively impacted by age, clinical symptoms, medication or illness duration. “Our results suggest that chronically ill, highly disabled patients can benefit from TCT,” said Light. “That contradicts current assumptions.”
Light cited some caveats. “We’re somewhere between the Wild West and golden age of cognitive training for schizophrenia patients. There is much still to be learned and done,” he said. Patients in this study represented some of the most difficult patients to treat, with therapy regimens that are highly complex. “We need to do a lot more research….” https://www.sciencedaily.com/releases/2018/12/181207112759.htm

Citation:

Targeted cognitive training benefits patients with severe schizophrenia
Study participants improved auditory and verbal outcomes
Date: December 7, 2018
Source: University of California – San Diego
Summary:
Researchers find that patients with severe, refractory schizophrenia benefit from targeted cognitive therapy, improving auditory and verbal outcomes and the way they process information.
Journal Reference:
Michael L. Thomas, Andrew W. Bismark, Yash B. Joshi, Melissa Tarasenko, Emily B.H. Treichler, William C. Hochberger, Wen Zhang, John Nungaray, Joyce Sprock, Lauren Cardoso, Kristine Tiernan, Mouna Attarha, David L. Braff, Sophia Vinogradov, Neal Swerdlow, Gregory A. Light. Targeted cognitive training improves auditory and verbal outcomes among treatment refractory schizophrenia patients mandated to residential care. Schizophrenia Research, 2018; 202: 378 DOI: 10.1016/j.schres.2018.07.025

Here is the press release from University of California San Diego:

PUBLIC RELEASE: 6-DEC-2018
Targeted cognitive training benefits patients with severe schizophrenia
Study participants improved auditory and verbal outcomes
UNIVERSITY OF CALIFORNIA – SAN DIEGO
Schizophrenia is among the most difficult mental illnesses to treat, in part because it is characterized by a wide range of dysfunction, from hallucinations and mood disorders to cognitive impairment, especially verbal and working memory, which can be explained in part by abnormalities in early auditory information processing.
In recent years, targeted cognitive training (TCT) has emerged as a promising therapeutic intervention. TCT uses computerized training, such as sophisticated brain games, to target specific neural pathways, such as memory, learning and auditory-based senses, to beneficially alter the way they process information.
But while TCT has proven effective for mild to moderate forms of schizophrenia under carefully controlled conditions, it remains unclear whether the approach might benefit patients with chronic, refractory schizophrenia treated in non-academic settings, such as those cared for in locked residential rehabilitation centers.
In a study published in the December print issue of Schizophrenia Research, senior author Gregory A. Light, PhD, professor of psychiatry at UC San Diego School of Medicine and director of the Mental Illness, Research, Education and Clinical Center at Veterans Affaris San Diego Healthcare System, and colleagues investigated whether TCT improved auditory and verbal outcomes among the most difficult of schizophrenia patients.
“Chronic, treatment-refractory patients mandated to locked residential care facilities make up just a small subgroup of persons with schizophrenia, but they consume a disproportionately large share of mental health care resources,” said Light. “Finding an effective therapy for them is critical.”
Light’s team studied 46 patients with schizophrenia psychosis recruited from a community-based residential treatment program, each following acute hospitalization. All were deemed “gravely disabled,” unable to care for themselves, and under the guardianship of a private party or government agency. Participants were randomized to either standard treatment-as-usual (TAU) or TAU plus TCT, in which they used laptop computers to perform various learning and memory game exercises, often involving auditory cues.
The researchers found that among participants who completed the roughly three months of TAU-TCT treatment, verbal learning and auditory perception scores improved; and severity of auditory hallucinations lessened. Of note: The benefits were not negatively impacted by age, clinical symptoms, medication or illness duration. “Our results suggest that chronically ill, highly disabled patients can benefit from TCT,” said Light. “That contradicts current assumptions.”
Light cited some caveats. “We’re somewhere between the Wild West and golden age of cognitive training for schizophrenia patients. There is much still to be learned and done,” he said. Patients in this study represented some of the most difficult patients to treat, with therapy regimens that are highly complex. “We need to do a lot more research.”
Light and others are doing so. In a recent paper published in Neuropsychopharmacology, for example, he and colleagues described the underlying mechanism involved in TCT to improve auditory function. And in past work, schizophrenia-and-auditory-cues.aspx Light and others have shown that deficiencies in the neural processing of simple auditory tones can evolve into a cascade of dysfunctional information processing in the brains of patients with schizophrenia.
###
This study was made available online in July 2018 ahead of peer-review and publication this month.
Co-authors include: Michael L. Thomas, Andrew W. Bismark, Yash B. Joshi, Melissa Tarasenko, Emily B.H. Treichler, William C. Hochberger, Joyce Sprock, David L. Braff and Neal Swerdlow, UC San Diego and Veterans Affairs San Diego Healthcare System; Wes Zhang, SDSU-UCSD Joint Doctoral Program in Clinical Psychology; John Nungaray, UC San Diego; Lauren Cardoso, UC San Diego and Alpine Special Treatment Center; Mouna Attarha, Alpine Special Treatment Center; and Sophia Vinogradov, University of Minnesota.
Disclosures: Dr. Greg Light has been a consultant to Astellas, Boehringer-Ingelheim, Dart Neuroscience, Heptares, Lundbeck, Merck, NeuroSig, Neuroverse and Takeda. Dr. Mouna Attarha is a research scientist and stock holder at Posit Science Corporations, which developed the computerized brain training program used in the study.
Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

Science Daily reported in Roots of schizophrenia: Excess of methionine during pregnancy?

An abundance of an amino acid called methionine, which is common in meat, cheese and beans, may provide new clues to the fetal brain development that can manifest in schizophrenia, University of California, Irvine pharmacology researchers report in the journal Molecular Psychiatry.
The findings point to the role methionine overload can play during pregnancy and suggest that targeting the effects of this amino acid may lead to new antipsychotic drugs….
https://www.sciencedaily.com/releases/2017/08/170816100305.htm

Citation:

Roots of schizophrenia: Excess of methionine during pregnancy?
Date: August 16, 2017
Source: University of California – Irvine
Summary:
An abundance of an amino acid called methionine, which is common in meat, cheese and beans, may provide new clues to the fetal brain development that can manifest in schizophrenia, pharmacology researchers report.
Journal Reference:
1. A Alachkar, L Wang, R Yoshimura, A R Hamzeh, Z Wang, N Sanathara, S M Lee, X Xu, G W Abbott, O Civelli. Prenatal one-carbon metabolism dysregulation programs
schizophrenia-like deficits. Molecular Psychiatry, 2017; DOI: 10.1038/mp.2017.164

Here is the press release from UC Irvine:

Public Release: 15-Aug-2017
UCI study uncovers possible roots of schizophrenia
Excess of methionine during pregnancy alters prenatal brain development related to the psychiatric disease
University of California – Irvine
Irvine, Calif., Aug. 15, 2017 – An abundance of an amino acid called methionine, which is common in meat, cheese and beans, may provide new clues to the fetal brain development that can manifest in schizophrenia, University of California, Irvine pharmacology researchers report in the journal Molecular Psychiatry.
The findings point to the role methionine overload can play during pregnancy and suggest that targeting the effects of this amino acid may lead to new antipsychotic drugs.
The UCI study also provides detailed information on the neural developmental mechanisms of the methionine effect, which results in changes in the expression of several genes important to healthy brain growth and, in particular, to one linked to schizophrenia in humans.
Amal Alachkar and colleagues based their approach on studies from the 1960s and 1970s in which schizophrenic patients injected with methionine experienced worsened symptoms. Knowing that schizophrenia is a developmental disorder, the UCI team hypothesized that administering three times the normal daily input of methionine to pregnant mice may produce pups that have also schizophrenia-like deficits, which is what occurred.
The pups of the injected mothers displayed deficits in nine different tests encompassing the three schizophrenia-like symptoms behaviors – “positive” symptoms of overactivity and stereotypy, “negative” symptoms of human interaction deficits, and “cognitive impairments” memory loss.
The research team treated the mice with anti-schizophrenic drugs well used in therapy. A drug that in schizophrenics treats mostly the positive symptoms (haloperidol) did the same in the mice, and a drug that treat preferentially the negative symptoms and the cognitive impairments (clozapine) did the same.
Alachkar, an associate adjunct professor of pharmacology, said that the study is the first to present a mouse model based on methionine-influenced neural development that leads to schizophrenic-like behaviors.
“This mouse model provides much broader detail of biological processes of schizophrenia and thus reflect much better the disorder than in the animal models presently widely used in drug discovery,” said Olivier Civelli, chair and professor of pharmacology and an author on the paper.
“Our study also agrees with the saying, ‘we are what our mothers ate’,” Alachkar added. “Methionine is one of the building blocks of proteins. It is not synthesized by our bodies, and it needs to be ingested. Our study points at the very important role of excess dietary methionine during pregnancy in fetal development, which might have a long-lasting influence on the offspring. This is a very exciting area of research that we hope can be explored in greater depth.”
###
The study received support from the National Institutes of Health (DA024746), the UCI’s Center for Autism Research & Translation, the Eric L and Lila D Nelson Chair of Neuropharmacology, and the Institute of International Education.
Link to study: http://www.nature.com/mp/journal/vaop/ncurrent/full/mp2017164a.html?foxtrotcallback=true
Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.
Media Contact
Tom Vasich
tmvasich@uci.edu
949-824-6455
@UCIrvine
http://www.uci.edu
University of California – Irvine
Journal
Molecular Psychiatry
Funder
National Institutes of Health
Original Source
http://www.som.uci.edu/news_releases/uc-irvine-study-finds-possible-roots-of-schizophrenia.asp

Related Journal Article
http://dx.doi.org/10.1038/mp.2017

Learn more about prenatal and preconception care.
http://www.nichd.nih.gov/health/topics/preconceptioncare/Pages/default.aspx

http://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/prenatal-care.aspx

See, Prenatal care fact sheet http://www.womenshealth.gov/publications/our-publications/fact-sheet/prenatal-care.html

Our goal as a society should be a healthy child in a healthy family who attends a healthy school in a healthy neighborhood. ©

Where information leads to Hope. © Dr. Wilda.com

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Kings College London study: Falling IQ scores in childhood may signal psychotic disorders in later life

5 Feb

Human Intelligence has a very good summary of the Bell Curve book:

The Bell Curve, published in 1994, was written by Richard Herrnstein and Charles Murray as a work designed to explain, using empirical statistical analysis, the variations in intelligence in American Society, raise some warnings regarding the consequences of this intelligence gap, and propose national social policy with the goal of mitigating the worst of the consequences attributed to this intelligence gap. Many of the assertions put forth and conclusions reached by the authors are very controversial, ranging from the relationships between low measured intelligence and anti-social behavior, to the observed relationship between low African-American test scores (compared to whites and Asians) and genetic factors in intelligence abilities. The book was released and received with a large public response. In the first several months of its release, 400,000 copies of the book were sold around the world. Several thousand reviews and commentaries have been written in the short time since the book’s publication….
The Bell Curve, in its introduction, begins with a brief description of the history of intelligence theory and recent developments in intelligence thought and testing, through the eyes of the authors. The introduction concludes with six important assumptions that the authors build much of the Bell Curve’s case upon. These six assumptions regarding the validity of “classical” cognitive testing techniques include:
There is such a difference as a general factor of cognitive ability on which human beings differ.
All standardized test of academic aptitude or achievement measure this general factor to some degree, but IQ tests expressly designed for that purpose measure it most accurately.
IQ scores match, to a first degree, whatever it is that people mean when they use the word intelligent, or smart in ordinary language.
IQ scores are stable, although not perfectly so, over much of a person’s life.
Properly administered IQ tests are not demonstrably biased against social, economic, ethnic, or racial groups.
Cognitive ability is substantially heritable, apparently no less than 40 percent and no more than 80 percent.
The authors proceed to explain, using classical cognitive test results primarily, to explain how lower levels of measured intelligence impact an individual’s, or indeed an entire class or group of individual’s life in American society. The rest of the book is divided into four major parts. http://www.indiana.edu/~intell/bellcurve.shtml

Needless to say, this book ignited a firestorm.

Cam Soucy wrote an excellent summary of IQ tests for the Livestrong site in the article, What Is the Definition of IQ Test?

History
French psychologist Alfred Binet developed the the first IQ-style tests at the beginning of the 20th century. The first tests were designed only to assess the intelligence of children. The U.S. military relied on intelligence testing to assess and place recruits during World Wars I and II. Psychologist David Wechsler used the military IQ tests as a model in devising his own test in 1949. Today, a group of tests derived from Wechsler’s work are the most widely used IQ tests.
Download Free White Paper on assessment and teaching from CTB/McGraw-Hill CTB.com
Sponsored Links
Tests
The fourth version of the Wechsler Intelligence Scale for Children, the WISC-IV, was released in 2009. A companion test, the Wechsler Adult Intelligence Scale, targets people 16 and older. Other frequently used IQ tests include the Stanford-Binet Intelligence Scale, the Das-Naglieri Cognitive Assessment System and the Kaufman Assessment Battery for Children.
Elements
IQ tests commonly assess the taker’s logical reasoning, math ability, spatial-relations skills, short-term memory and problem-solving skills.
Scoring
IQ tests originally were scored by dividing the subject’s “mental age,” as determined by which questions she answered correctly on the test, by her “chronological age,” her actual age in years, then multiplying that quotient by 100. For example, an 8-year-old child with a mental age of 12 would have an IQ of 125, with the calculation being 12/8 = 1.25, and 1.25 x 100 = 125. A person whose mental age precisely matched his actual age would have an IQ of 100, so a 100 IQ was defined as “average.”
Modern IQ tests no longer use such a formula. They simply compare a person’s test results with those of everyone else in the same age group, on a scale where 100 is defined as average intelligence.
Criticism
Criticism of IQ tests focuses on the content of the tests–that is, the type of questions they ask–and their application. Such areas as vocabulary and “logic” can be strongly influenced by culture and socioeconomics. For example, consider a test that asks what word goes best with “cup”: saucer, plate or bowl. The test may intend “saucer” to be the correct answer. However, a test-taker who grew up in a home where tables weren’t set in a formal fashion might not know what a saucer is. He may be just as “intelligent” as the next person, but his score will suffer because of cultural factors. Authors of IQ tests are continually refining tests to address such concerns; some tests have removed verbal elements entirely.
Even test creators argue that the results are only one tool for assessing a person’s abilities, and that “intelligence” in a person is not a fixed quality, but changeable–even from day to day. In reality, however, people and institutions tend to put great weight on IQ scores. Students have been labeled “learning disabled” based on the outcome of IQ tests alone. As authors revise their tests, they also are revising their instructions to stress the tests’ limited application
http://www.livestrong.com/article/130019-definition-iq-test/

Daniel Willingham, cognitive scientist and a psychology professor at the University of Virginia and author of “Why Don’t Students Like School?” His next book, “When Can You Trust The Experts? How to tell good science from bad in education,” http://www.danielwillingham.com/books.html Willingham’s research is crucial for understanding IQ.

Science Daily reported in Falling IQ scores in childhood may signal psychotic disorders in later life:

New research shows adults who develop psychotic disorders experience declines in IQ during childhood and adolescence, falling progressively further behind their peers across a range of cognitive abilities. The researchers from King’s College London’s Institute of Psychiatry, Psychology & Neuroscience (IoPPN) and Icahn School of Medicine at Mount Sinai in the United States found falls in IQ start in early childhood, and suggest educational interventions could potentially delay the onset of mental illness.
Psychotic disorders, such as schizophrenia, are severe mental illnesses affecting 1-3% of the UK population that cause a range of abnormalities in perception and thinking. The study, published today in JAMA Psychiatry, is the first to track IQ scores and cognitive abilities throughout the entire first two decades of life among individuals who develop psychotic disorders in adulthood.
Dr Josephine Mollon from King’s IoPPN, now with Yale University, said: ‘For individuals with psychotic disorders, cognitive decline does not just begin in adulthood, when individuals start to experience symptoms such as hallucinations and delusions, but rather many years prior — when difficulties with intellectual tasks first emerge — and worsen over time. Our results suggest that among adults with a psychotic disorder, the first signs of cognitive decline are apparent as early as age 4.’
Previous studies have shown that deficits in IQ begin many years before hallucinations and delusions first appear in patients with psychotic disorders, but the timing of when these IQ deficits emerge has not been clear. The new study provides the clearest evidence to date of early life cognitive decline in individuals with psychotic disorders.
The study included 4322 UK-based individuals who were followed from 18 months to 20 years old. Those who developed psychotic disorders as adults had normal IQ scores in infancy, but by age 4 their IQ started to decline, and continued to drop throughout childhood, adolescence and early adulthood until they were an average of 15 points lower than their healthy peers… https://www.sciencedaily.com/releases/2018/01/180131133348.htm

Citation:

Falling IQ scores in childhood may signal psychotic disorders in later life
Date:
January 31, 2018
Source:
King’s College London
Summary:
New research shows adults who develop psychotic disorders experience declines in IQ during childhood and adolescence, falling progressively further behind their peers across a range of cognitive abilities. The researchers found falls in IQ start in early childhood, and suggest educational interventions could potentially delay the onset of mental illness.
Journal Reference:
1. Josephine Mollon, Anthony S. David, Stanley Zammit, Glyn Lewis, Abraham Reichenberg. Course of Cognitive Development From Infancy to Early Adulthood in the Psychosis Spectrum. JAMA Psychiatry, 2018; DOI: 10.1001/jamapsychiatry.2017.4327

Here is the press release from King’s College:

Falling IQ scores in childhood may signal psychotic disorders in later life
Posted on 01/02/2018
New research shows adults who develop psychotic disorders experience declines in IQ during childhood and adolescence, falling progressively further behind their peers across a range of cognitive abilities. The researchers from King’s College London’s Institute of Psychiatry, Psychology & Neuroscience (IoPPN) and Icahn School of Medicine at Mount Sinai in the United States found falls in IQ start in early childhood, and suggest educational interventions could potentially delay the onset of mental illness.
Psychotic disorders, such as schizophrenia, are severe mental illnesses affecting 1-3% of the UK population that cause a range of abnormalities in perception and thinking. The study, published today in JAMA Psychiatry, is the first to track IQ scores and cognitive abilities throughout the entire first two decades of life among individuals who develop psychotic disorders in adulthood.
Dr Josephine Mollon from King’s IoPPN, now with Yale University, said: ‘For individuals with psychotic disorders, cognitive decline does not just begin in adulthood, when individuals start to experience symptoms such as hallucinations and delusions, but rather many years prior – when difficulties with intellectual tasks first emerge – and worsen over time. Our results suggest that among adults with a psychotic disorder, the first signs of cognitive decline are apparent as early as age 4.’
Previous studies have shown that deficits in IQ begin many years before hallucinations and delusions first appear in patients with psychotic disorders, but the timing of when these IQ deficits emerge has not been clear. The new study provides the clearest evidence to date of early life cognitive decline in individuals with psychotic disorders.
The study included 4322 UK-based individuals who were followed from 18 months to 20 years old. Those who developed psychotic disorders as adults had normal IQ scores in infancy, but by age 4 their IQ started to decline, and continued to drop throughout childhood, adolescence and early adulthood until they were an average of 15 points lower than their healthy peers.
As well as falling behind in IQ, individuals who developed psychotic disorders lagged increasingly behind their peers in cognitive abilities such as working memory, processing speed and attention.
IQ scores fluctuate among healthy individuals, and not all children struggling at school are at risk of developing serious psychiatric disorders. Senior author Dr Abraham Reichenberg, Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai and with King’s IoPPN said: ‘It is important to bear in mind that many children will experience some difficulties with schoolwork or other intellectual tasks at some point in their lives, and only a small minority will go on to develop a psychotic disorder.’
The results suggest that adults who develop psychotic disorders do not go through a deterioration in cognitive function, but instead they fail to keep up with normal developmental processes. Early interventions to improve cognitive abilities may potentially help stave off psychotic symptoms from developing in later life.
‘There are early interventions offered to adolescents and young adults with psychosis,’ said Dr Reichenberg. ‘Our results show the potential importance of interventions happening much earlier in life. Intervening in childhood or early adolescence may prevent cognitive abilities from worsening and this may even delay or prevent illness onset.’
The researchers are now examining changes in the brains of individuals who go on to develop psychotic disorders, as well as potential environmental and genetic risk factors that may predispose individuals to poor cognition.
The study was funded by the Medical Research Council, and the data was drawn from the Avon Longitudinal Study of Parents and Children (ALSPAC).
Notes to editors
Paper reference:
‘Course of Cognitive Development From Infancy to Early Adulthood in the Psychosis Spectrum’ by Mollon et al., JAMA Psychiatry, DOI: 10.1001/jamapsychiatry.2017.4327
To contact the authors, or for further media information, please contact: Robin Bisson, Senior Press Officer, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, robin.bisson@kcl.ac.uk / +44 20 7848 5377 / +44 7718 697176. +45 87165358

Here are some key findings of Intelligence: New Findings and Theoretical

Developments. American Psychologist. Advance online publication. doi: 10.1037/a0026699 which deal directly with the Bell Curve:
Stress, Intelligence, and Social Class
One factor that Neisser and colleagues (1996) did not deal with extensively is stress. Chronic, continuous stress—what can be considered as “toxic” stress—is injurious over time to organ systems, including the brain. Chronically high levels of stress hormones damage specific areas of the brain—namely, the neural circuitry of PFC and hippocampus—that are important for regulating attention and for short-term memory, long-term memory, and working memory (McEwen, 2000). Although the extent to which the effect of early stress on brain development and stress physiology may affect the development of intelligence is not currently known, we do know that (a) stress is greater in low-income home environments (Evans, 2004) and (b) a low level of stress is important for self-regulation and early learning in school (Blair & Razza, 2007; Ferrer & McArdle, 2004; Ferrer et al., 2007). Research suggests that part of the Black–White IQ gap may be attributable to the fact that Blacks, on average, tend to live in more stressful environments than do Whites. This is particularly the case in urban environments, where Black children are exposed to multiple stressors. Sharkey (2010), for example, has recently found that Black children living in Chicago (ages 5–17) scored between 0.5 and 0.66 SD worse on tests (both the WISC-Revised and the Wide Range Achievement Test-3) in the aftermath of a homicide in their neighborhood. Sharkey’s data show that debilitating effects were evident among children regardless of whether they were witnesses to the homicide or had simply heard about it. An impressive study by Eccleston (2011) indicates that even stress on the pregnant mother may have enduring effects on her children. The children born to women in New York City who were in the first six months of pregnancy when 9/11 occurred had lower birth weights than children born before 9/11 or well after it, and the boys at the age of six were more than 7% more likely to be in special education and more than 15% more likely to be in kindergarten rather than first grade. Oddly, girls’ academic status was unaffected by mothers’ stress. Investigation of relations between early stress and intelligence thus seems an important direction for future research. A particularly important issue concerns the degree to which the effects of stress on the brain are reversible. These five unresolved issues are merely examples of some of the important contemporary paradoxes and unknowns in intelligence research. It is to be hoped that as much progress on these and other issues will be made in the next 15 years as has been made on some of the paradoxes and unknowns since the time of the Neisser et al. (1996) review.

IQ is not a simple concept and this newest research points to more questions than answers.

Children will have the most success in school, if they are ready to learn. Ready to learn includes proper nutrition for a healthy body and the optimum situation for children is a healthy family. Many of societies’ problems would be lessened if the goal was a healthy child in a healthy family.

Our goal as a society should be a healthy child in a healthy family who attends a healthy school in a healthy neighborhood. ©

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

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Duke University study: Juvenile offenders probably more criminal to begin with

17 Apr

Plessy v. Ferguson established the principle of “separate but equal” in race issues. Brown v. Board of Education which overturned the principle of “separate but equal.” would not have been necessary, but for Plessy. See also, the history of Brown v. Board of Education

If one believes that all children, regardless of that child’s status have a right to a good basic education and that society must fund and implement policies, which support this principle. Then, one must discuss the issue of equity in education. Because of the segregation, which resulted after Plessy, most folks focus their analysis of Brown almost solely on race. The issue of equity was just as important. The equity issue was explained in terms of unequal resources and unequal access to education.

Alyssa Morones reported in the Education Week article, Juvenile-Justice System Not Meeting Educational Needs, Report Says:

Many of the teenagers who enter the juvenile-justice system with anger problems, learning disabilities, and academic challenges receive little or no special help for those issues, and consequently fall further behind in school, a report released Thursday concludes.
“Way too many kids enter the juvenile-justice system, they don’t do particularly well from an education standpoint while they’re there, and way too few kids make successful transitions out,” said Kent McGuire, the president and CEO of the Atlanta-based Southern Education Foundation, which produced the report, “Just Learning: The Imperative to Transform Juvenile Justice Systems Into Effective Educational Systems.”
The report characterizes the problems plaguing the juvenile-justice system as “systemic.” It found a lack of timely, accurate assessments of the needs of students entering the system, little coordination between learning and teaching during a student’s stay, and inconsistency in curricula. Many of the teaching methods were also inappropriate, outdated, or inadequate, and little or no educational technology was used.
“We need to help find ways to create structures and dramatically change how schools and principals and teachers [in the juvenile-justice system] are held accountable,” said David Domenici, the executive director of the Center for Educational Excellence in Alternative Settings, in Washington.
“We have kids who have not done well in school, but, more or less, they have to come every day. They’re a captive audience,” he said. “We can transform their perspective on school. But the reality is, education has been forgotten [in juvenile-justice systems].”
On any given day, 70,000 students are in custody in juvenile-justice systems across the country. Nearly two-thirds of those young people are either African-American or Hispanic, and an even higher percentage are male. Those systems, though, may be doing more educational harm than good, according to the report. http://www.edweek.org/ew/articles/2014/04/17/29justice.h33.html

A Duke University study examines the question of nature vs. nurture regarding juvenile offenders/

Science Daily reported Juvenile offenders probably more criminal to begin with                         

It’s a long-simmering debate in juvenile justice: Do young offenders become worse because of their experience with the justice system, or are they somehow different than people who don’t have their first criminal conviction until later in life?

“There seems to be a lot of evidence that people who are convicted early are more heavily involved in crime,” says postdoctoral researcher Amber Beckley at Duke University, who has a new study out on the topic that appears online in the Journal of Criminal Justice.

Using data from a study that has tracked nearly 1,000 New Zealanders from birth to age 38, Beckley looked at patterns that would distinguish youthful offenders from what she calls “adult-onset offenders.”

Of the 931 study participants, 138 males began criminal activity as juveniles. The adult-onset group consisted of 66 males. Across the entire cohort, in fact, 42 percent of the men have some sort of conviction, ranging from shoplifting and DUI to property crimes and assaults.

Using this unusually rich source of data, the study was able to look at childhood history compared with adult behavior. Beckley, who is in the department of psychology and neuroscience at Duke, said the adult-onset group had a history of anti-social behavior back to childhood, but reported committing relatively fewer crimes.

The researchers looked at several possible reasons for adult-onset criminal behavior.

This group reported committing more crimes than folks who had never been convicted, but fewer crimes than people who had been in trouble as juveniles.

Contrary to some hypotheses, adult-onset offenders in this study were not found to come from significantly wealthier socioeconomic backgrounds, nor were they any more intelligent than those who were caught younger. They were more likely than non-offenders to have schizophrenia or bipolar disorder and to be dependent on alcohol, but they were no more likely to be unemployed.

Beckley said her findings have some clear implications also for the mental health component of adult-onset criminal behavior. “It should be addressed in sentencing, because it’s not now and most incarcerations aren’t exactly therapeutic.”

Juvenile offenders probably more criminal to begin with: ‘Adult-onset’ criminals are different, but not in expected ways

Citation:

Juvenile offenders probably more criminal to begin with

‘Adult-onset’ criminals are different, but not in expected ways

Date:             April 14, 2016

Source:         Duke University

Summary:

It’s a long-simmering debate in juvenile justice: Do young offenders become worse because of their experience with the justice system, or are they somehow different than people who don’t have their first criminal conviction until later in life? A longitudinal study covering 931 people from birth to age 38 finds juvenile offenders are probably more criminal to begin with.

Journal Reference:

  1. Amber L. Beckley, Avshalom Caspi, Honalee Harrington, Renate M. Houts, Tara Renae Mcgee, Nick Morgan, Felix Schroeder, Sandhya Ramrakha, Richie Poulton, Terrie E. Moffitt. Adult-onset offenders: Is a tailored theory warranted?Journal of Criminal Justice, 2016; 46: 64 DOI: 1016/j.jcrimjus.2016.03.001

Here is the press release from Duke University:

Juvenile Offenders Probably More Criminal to Begin With

‘Adult-onset’ criminals are different, but not in expected ways

April 14, 2016 |

DURHAM, NC – It’s a long-simmering debate in juvenile justice: Do young offenders become worse because of their experience with the justice system, or are they somehow different than people who don’t have their first criminal conviction until later in life?

“There seems to be a lot of evidence that people who are convicted early are more heavily involved in crime,” says postdoctoral researcher Amber Beckley at Duke University, who has a new study out on the topic that appears online in the Journal of Criminal Justice.

Using data from a study that has tracked nearly 1,000 New Zealanders from birth to age 38, Beckley looked at patterns that would distinguish youthful offenders from what she calls “adult-onset offenders.”

Of the 931 study participants, 138 males began criminal activity as juveniles. The adult-onset group consisted of 66 males. Across the entire cohort, in fact, 42 percent of the men have some sort of conviction, ranging from shoplifting and DUI to property crimes and assaults.

Using this unusually rich source of data, the study was able to look at childhood history compared with adult behavior. Beckley, who is in the department of psychology and neuroscience at Duke, said the adult-onset group had a history of anti-social behavior back to childhood, but reported committing relatively fewer crimes.

The researchers looked at several possible reasons for adult-onset criminal behavior.

This group reported committing more crimes than folks who had never been convicted, but fewer crimes than people who had been in trouble as juveniles.

Contrary to some hypotheses, adult-onset offenders in this study were not found to come from significantly wealthier socioeconomic backgrounds, nor were they any more intelligent than those who were caught younger. They were more likely than non-offenders to have schizophrenia or bipolar disorder and to be dependent on alcohol, but they were no more likely to be unemployed.

Beckley said her findings have some clear implications also for the mental health component of adult-onset criminal behavior. “It should be addressed in sentencing, because it’s not now and most incarcerations aren’t exactly therapeutic.”

“I don’t think the court system has a large role in the juvenile offender’s trajectory,” Beckley said. The New Zealand subjects who were juvenile offenders self-reported that they were doing more and worse crimes at a young age, “before they even got caught.”

If there were any recommendations out of this study, Beckley said, hers would be to focus more on juvenile offenders while perhaps being be a bit more lenient on first-time adult offenders. “We should continue to devote resources to juvenile justice because two-thirds of the criminal population first commit crimes in adolescence.”

CITATION: “Adult-Onset Offenders: Is a tailored theory warranted?” Amber Beckley, Avshalom Caspi, Honalee Harrington, Renate Houts, Tara Mcgee, Nick Morgan, Felix Schroeder, Sandhya Ramrakha, Richie Poulton, Terrie Moffitt. Journal of Criminal Justice, 2016. DOI: 10.1016/j.jcrimjus.2016.03.001

MORE INFORMATION

CONTACT: Karl Leif Bates

PHONE: (919) 681-8054

EMAIL: karl.bates@duke.edu

© 2016 Office of News & Communications
615 Chapel Drive, Box 90563, Durham, NC 27708-0563
(919) 684-2823; After-hours phone (for reporters on deadline): (919) 812-6603

Kids Count Data Center has statistics about the number of children in detention centers.

According to the report, Youth residing in juvenile detention and correctional facilities:
Location Data Type 2001 2003 2006 2007 2010
United States Number 104,219 96,531 92,721 86,814 70,792

Rate 335 306 295 278 225
INDICATOR CONTEXT

A change is underway in out nation’s approach to dealing with young people who get in trouble with the law. Although the United States still leads the industrialized world in the rate at which it locks up young people, the youth confinement rate in the US is rapidly declining.

Read Reducing Youth Incarceration in the United States to learn more.
http://datacenter.kidscount.org/data/tables/42-youth-residing-in-juvenile-detention-and-correctional-facilities#detailed/1/any/false/133,18,17,14,12/any/319,320

Although, the number of children in detention was declining as of the date of this report, these children must have their needs addressed and the Southern Education Foundation report indicates that that is not happening.

Related:

3rd world America: Many young people headed for life on the dole https://drwilda.com/2012/09/21/3rd-world-america-many-young-people-headed-for-life-on-the-dole/

The Civil Rights Project report: Segregation in education                                           https://drwilda.com/2012/09/19/the-civil-rights-project-report-segregation-in-education/

Study: Poverty affects education attainmen                                                                    https://drwilda.com/2012/08/29/study-poverty-affects-education-attainment/

Center for American Progress report: Disparity in education spending for education of children of color                                                                                                                  https://drwilda.com/2012/08/22/center-for-american-progress-report-disparity-in-education-spending-for-education-of-children-of-color/

Education funding lawsuits against states on the rise                                                     https://drwilda.com/2012/01/25/education-funding-lawsuits-against-states-on-the-rise/

3rd world America: The link between poverty and education                   https://drwilda.wordpress.com/2011/11/20/3rd-world-america-the-link-between-poverty-and-education/

Race, class, and education in America                                             https://drwilda.wordpress.com/2011/11/07/race-class-and-education-in-america/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©                                                 http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©                                                                        http://drwildareviews.wordpress.com/

Dr. Wilda ©                                                                                                                           https://drwilda.com/

 

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Tulane University study: Don’t want to raise a psychopath? Be sensitive to a child’s distress

9 Dec

Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Jyoti Madhusoodanan and Nature magazine reported in the Scientific American article, Stress Alters Children’s Genomes:

Growing up in a stressful social environment leaves lasting marks on young chromosomes, a study of African American boys has revealed. Telomeres, repetitive DNA sequences that protect the ends of chromosomes from fraying over time, are shorter in children from poor and unstable homes than in children from more nurturing families…
http://www.scientificamerican.com/article/stress-alters-childrens-genomes/?WT.mc_id=SA_Facebook

Not only are the child’s gene’s altered, but there are behavioral indications of the stress being felt by the child.

Science Daily reported in Don’t want to raise a psychopath? Be sensitive to a child’s distress:

How do you stop a child, especially one who has experienced significant adversity, from growing up to be a psychopath? Responsive, empathetic caregiving — especially when children are in distress — helps prevent boys from becoming callous, unemotional adolescents, according to a new Tulane University study of children raised in foster care.

The research, which was published in the Journal of the American Academy of Child and Adolescent Psychiatry, is the first to show that an intervention can prevent the precursors to psychopathy. The destructive condition affects approximately 1 percent of the population and is characterized by callous interpersonal interactions and lack of guilt or empathy.

Researchers measured levels of callous-unemotional behavior in 12-year-olds from the Bucharest Early Intervention Project, a cohort of children abandoned in Romanian orphanages in the early 2000s and followed longitudinally ever since. Half of these children were placed in high-quality foster care as toddlers, while others grew up in institutional care. Researchers compared their results with children who had never been orphans. The study is led by Dr. Charles H. Zeanah from Tulane, Nathan A. Fox from the University of Maryland, and Charles A. Nelson from Harvard Medical School.

Overall, children reared in orphanages had significantly higher levels of callous-unemotional traits compared to children who had never been institutionalized. Boys placed in foster care had lower levels of callous-unemotional traits than those who did not receive the intervention. What explained the difference? Researchers observed children with their caregivers as toddlers and found that the more sensitive caregivers were to a young child’s distress, the less callous and more empathic the boys were in adolescence.

Lead author Kathryn Humphreys, a who conducted the study as a postdoctoral fellow in infant mental health at Tulane, says the findings can help child welfare advocates target and support specific caregiver behaviors when reaching out to families.

“If we can intervene early to help kids in their development, it not only helps them but also the broader society,” she says. “The best way to do that is making sure children are placed in homes with responsive caregivers and helping caregivers learn to be more responsive to their child’s needs.” Don’t want to raise a psychopath? Be sensitive to a child’s distress: New study is the first to show that an intervention can prevent the precursors to psychopathy

Citation

Don’t want to raise a psychopath? Be sensitive to a child’s distress  New study is the first to show that an intervention can prevent the precursors to psychopathy

Date:        December 3, 2015

Source:   Tulane University

Summary:

How do you stop a child, especially one who has experienced significant adversity, from growing up to be a psychopath? Responsive, empathetic caregiving — especially when children are in distress — helps prevent boys from becoming callous, unemotional adolescents, according to a new study of children raised in foster care.

Journal Reference:

  1. Kathryn L. Humphreys, Lucy McGoron, Margaret A. Sheridan, Katie A. McLaughlin, Nathan A. Fox, Charles A. Nelson, Charles H. Zeanah. High-Quality Foster Care Mitigates Callous-Unemotional Traits Following Early Deprivation in Boys: A Randomized Controlled Trial. Journal of the American Academy of Child & Adolescent Psychiatry, 2015; 54 (12): 977 DOI: 10.1016/j.jaac.2015.09.010

Here is the press release from Tulane University:

Don’t want to raise a psychopath? Be sensitive to a child’s distress

December 3, 2015

Keith Brannon
Phone: 504-862-8789
kbrannon@tulane.edu

How do you stop a child, especially one who has experienced significant adversity, from growing up to be a psychopath? Responsive, empathetic caregiving – especially when children are in distress – helps prevent boys from becoming callous, unemotional adolescents, according to a new Tulane University study of children raised in foster care.

The research, which was published in the Journal of the American Academy of Child and Adolescent Psychiatry, is the first to show that an intervention can prevent the precursors to psychopathy.

Researchers measured levels of callous-unemotional behavior in 12-year-olds from the Bucharest Early Intervention Project, a cohort of children abandoned in Romanian orphanages in the early 2000s and followed longitudinally ever since. Half of these children were placed in high-quality foster care as toddlers, while others grew up in institutional care. Researchers compared their results with children who had never been orphans. The study is led by Dr. Charles H. Zeanah from Tulane, Nathan A. Fox from the University of Maryland, and Charles A. Nelson from Harvard Medical School.

Overall, children reared in orphanages had significantly higher levels of callous-unemotional traits compared to children who had never been institutionalized. Boys placed in foster care had lower levels of callous-unemotional traits than those who did not receive the intervention. What explained the difference? Researchers observed children with their caregivers as toddlers and found that the more sensitive caregivers were to a young child’s distress, the less callous and more empathic the boys were in adolescence.

Lead author Kathryn Humphreys, a who conducted the study as a postdoctoral fellow in infant mental health at Tulane, says the findings can help child welfare advocates target and support specific caregiver behaviors when reaching out to families.

“If we can intervene early to help kids in their development, it not only helps them but also the broader society,” she says. “The best way to do that is making sure children are placed in homes with responsive caregivers and helping caregivers learn to be more responsive to their child’s needs.”                                                                                                    Tulane University – Don’t want to raise a psychopath? Be sensitive to a child’s distress                           http://tulane.edu/news/releases/how-to-prevent-raising-a-psychopath.cfm

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

GAO report: Children’s mental health services are lacking

https://drwilda.com/2013/01/12/gao-report-childrens-mental-health-services-are-lacking/

Schools have to deal with depressed and troubled children

https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

University of Cambridge study: Saliva test may detect depression in kids

https://drwilda.com/2014/02/23/university-of-cambridge-study-saliva-test-may-detect-depression-in-kids/

Study: Some of the effects of adverse stress do not go away

https://drwilda.com/2012/11/09/study-some-of-the-effects-of-adverse-stress-do-not-go-away/

American Psychological Association: Kids too stressed out to be healthy

https://drwilda.com/2014/02/12/american-psychological-association-kids-too-stressed-out-to-be-healthy/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©

http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©

http://drwildareviews.wordpress.com/

Dr. Wilda ©

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‘Mental Health First Aid’ helps schools reach out to troubled kids

22 Apr

Anna M. Phillips has wrote the New York Times article, Calming Schools by Focusing on Well-Being of Troubled Students which describes how one New York school is dealing with its troubled children.

Mark Ossenheimer, principal of the Urban Assembly School for Wildlife Conservation in the Bronx, threw out a name to add to the list of teenagers in trouble.
Several teachers and a social worker seated around a table in the school’s cramped administrative offices nodded in agreement. They had watched the student, who had a housebound parent who was seriously ill, sink into heavy depression. Another child seemed to be moving from apartment to apartment, showing up at school only sporadically. And then there was the one grappling with gender-identity issues. Soon the list had a dozen names of students who could shatter a classroom’s composure or a school windowpane in a second.
Convening the meeting was Turnaround for Children, a nonprofit organization that the young-but-faltering school in an impoverished neighborhood near the Bronx Zoo had brought in this year to try to change things.
“This is the condition our organization was created to solve,” said Dr. Pamela Cantor, Turnaround’s founder and president. “A teacher who works in a community like this and thinks that these children can leave their issues at the door and come in and perform is dreaming.”
In focusing on students’ psychological and emotional well-being, in addition to academics, Turnaround occupies a middle ground between the educators and politicians who believe schools should be more like community centers, and the education-reform movement, with its no-excuses mantra. Over the past decade, the movement has argued that schools should concentrate on what high-quality, well-trained teachers can achieve in classrooms, rather than on the sociological challenges beyond their doors.
http://www.nytimes.com/2011/11/15/nyregion/calming-schools-through-a-sociological-approach-to-troubled-students.html?hpw

One strategy in helping children to succeed is to recognize and treat depression.

How Common Is Depression In Children?

According to Mary H. Sarafolean, PhD, in the article, Depression In School Age Children and Adolescents:

In general, depression affects a person’s physical, cognitive, emotional/affective, and motivational well-being, no matter their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in self-destructive ways and/or have a sense of hopelessness.
Prevalence and Risk Factors
While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:
* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression.

How to Recognize Depression In Your Child?

MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.

Signs and symptoms of depression in children include:
* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite — either increased or decreased
* Changes in sleep — sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to
treatment
* Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests
* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide
Not all children have all of these symptoms. In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol,
especially if they are over the age of 12.

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world.

Ann Schimke posted at Chalkbeat Colorado in the article, A new tool in schools’ mental health tool box which describes Mental Health First Aid:

Called Youth Mental Health First Aid, the training originated in Australia and was unveiled in Colorado last year. There is also an adult version of the training, introduced here in 2008, called Mental Health First Aid or MHFA.
Both are gaining momentum in what mental health advocates say is a welcome development in a state saddled with one of the highest suicide rates in the country and more than its fair share of school tragedies, including a deadly shooting at Centennial’s Arapahoe High School in December and a self-immolation at Westminster’s Standley Lake High School in January.
Olga Gonzalez, a community outreach worker who participated in the recent Greeley training, said she regularly fields questions from parents who are worried about their children but don’ t know where to turn. She recounted how one family she’d worked with discovered their son had started using drugs. Another learned that their son had stolen credit card information from a customer while manning the cash register at the family’s store.
“He has money in a savings account, you know. He just did it,” she said. “I wasn’t sure what kind of support he needs.”
Youth Mental Health First Aid aims to answer such questions for people who are not mental health professionals but who work closely with young people and their families. The target audience includes lay-people like teachers, coaches, guidance counselors, school nurses and even bus drivers.
Advocates for MHFA say Colorado now has one of the largest contingents of certified instructors—around 230 so far. In addition, it’s among only a handful of states to dedicate public funds to the trainings, with $750,000 appropriated for the program next year.
“We have been at the forefront of this since the beginning,” said Brian Turner, director of Mental Health First Aid Colorado at the Colorado Behavioral Healthcare Council.
Preparing first responders
The concept behind both versions of MHFA, much like medical first-aid, is to equip first responders with the know-how to address emerging mental health or addiction problems. The youth version is also meant to help distinguish between true mental health issues and the normal mood swings and behavior changes that characterize the life of a teenager…
In fact, encouraging youth to seek professional help is one of five action steps—condensed in the acronym ALGEE–outlined in the training. The other four include “Assess for suicide/self harm,” “Listen non-judgmentally,” “Give assurance/information,” and “Encourage self-help/other support.”
Turner said having concrete action steps is important because “there’s a big difference between learning about mental health and substance abuse problems and being able to do something about it.”
During the Greeley training, participants were asked to come up with gestures that would convey each of the five action steps. Soon, in an effort to commit the steps to memory, Vaughn and co-trainer Noelle Hause were leading the group in miming actions like non-judgmental head-nodding and reassuring arm-patting.
Reaching out to schools
While Turner said Youth Mental Health First Aid is not yet widely offered by school districts, there is growing interest. Among the districts that have offered it for at least some staff are Douglas County, Aurora, Thompson, and Weld County District 6.
Barb Becker, division director for community programs at the Arapahoe/Douglas Mental Health Network, said the one-day format make it a very doable training for educators.
“It just gives a really good overview,” she said, adding, “It takes away some of the stigma associated with mental health….” http://co.chalkbeat.org/2014/04/16/a-new-tool-in-schools-mental-health-tool-box/

Here is a description of Mental Health First Aid:

Mental Health First Aid is an 8-hour course that teaches you how to help someone who is developing a mental health problem or experiencing a mental health crisis. The training helps you identify, understand, and respond to signs of mental illnesses and substance use disorders.
History

Tony Jorm and Betty Kitchener.
Mental Health First Aid was created in 2001 by Betty Kitchener, a nurse specializing in health education, and Anthony Jorm, a mental health literacy professor. Kitchener and Jorm run Mental Health First Aid™ Australia, a national non-profit health promotion charity focused on training and research. More information on the history of the course is available at Mental Health First Aid Australia.
The United States is just one of the many countries that have adapted the program from Australia. Check out the countries at Mental Health First Aid International.
Who We Are
Mental Health First Aid USA is coordinated by the National Council for Behavioral Health, the Maryland Department of Health and Mental Hygiene, and the Missouri Department of Mental Health. In 2008, we worked with the program’s founders to adapt Mental Health First Aid for the U.S. We ensure the quality and standardization of the program nationwide, certify instructors to teach Mental Health First Aid in local communities, and support program growth. http://www.mentalhealthfirstaid.org/cs/about/

Here is The National Registry of Evidence-based Programs and Practices (NREPP) review of Mental Health First Aid.

Intervention Summary
Mental Health First Aid
Mental Health First Aid is an adult public education program designed to improve participants’ knowledge and modify their attitudes and perceptions about mental health and related issues, including how to respond to individuals who are experiencing one or more acute mental health crises (i.e., suicidal thoughts and/or behavior, acute stress reaction, panic attacks, and/or acute psychotic behavior) or are in the early stages of one or more chronic mental health problems (i.e., depressive, anxiety, and/or psychotic disorders, which may occur with substance abuse).
The intervention is delivered by a trained, certified instructor through an interactive 12-hour course, which can be completed in two 6-hour sessions or four 3-hour sessions. The course introduces participants to risk factors, warning signs, and symptoms for a range of mental health problems, including comorbidity with substance use disorders; builds participants’ understanding of the impact and prevalence of mental health problems; and provides an overview of common support and treatment resources for those with a mental health problem. Participants also are taught a five-step action plan, known as ALGEE, for use when providing Mental Health First Aid to an individual in crisis:
• A–Assess for risk of suicide or harm
• L–Listen nonjudgmentally
• G–Give reassurance and information
• E–Encourage appropriate professional help
• E–Encourage self-help and other support strategies
In addition, the course helps participants to not only gain confidence in their capacity to approach and offer assistance to others, but also to improve their personal mental health. After completing the course and passing an examination, participants are certified for 3 years as a Mental Health First Aider.
In the studies reviewed for this summary, Mental Health First Aid was delivered as a 9-hour course, through three weekly sessions of 3 hours each. Participants were recruited from community and workplace settings in Australia or were members of the general public who responded to recruitment efforts. Some of the participants (7%-60% across the three studies reviewed) had experienced mental health problems.

Descriptive Information
Areas of Interest Mental health promotion
Outcomes Review Date: May 2012
1: Recognition of schizophrenia and depression symptoms
2: Knowledge of mental health support and treatment resources
3: Attitudes about social distance from individuals with mental health problems
4: Confidence in providing help, and provision of help, to an individual with mental health problems
5: Mental health
Outcome Categories Mental health
Social functioning
Ages 18-25 (Young adult)
26-55 (Adult)
55+ (Older adult)
Genders Male
Female
Races/Ethnicities Non-U.S. population
Settings Workplace
Other community settings
Geographic Locations Urban
Suburban
Rural and/or frontier
Implementation History Mental Health First Aid was developed in 2001 at the Australian National University. The program was first used in the United States in 2007, and since then, the program has trained over 1,500 instructors in 45 States, the District of Columbia, and Puerto Rico. These instructors have taught the course to more than 38,000 people in a variety of communities. The program has been implemented internationally in Australia, Cambodia, China, England, Finland, Hong Kong, Ireland, Japan, Nepal, New Zealand, Scotland, Singapore, South Africa, Sweden, Thailand, and Wales.
NIH Funding/CER Studies Partially/fully funded by National Institutes of Health: No
Evaluated in comparative effectiveness research studies: No
Adaptations Mental Health First Aid has been adapted for youth participants (i.e., those under age 18), using age-appropriate examples and format. The program has been translated into Vietnamese for use in Vietnamese communities in Australia.
Adverse Effects No adverse effects, concerns, or unintended consequences were identified by the developer.
IOM Prevention Categories Universal
Selective
Indicated
Learn More – Click on each category bar below or the buttons at the right to expand or collapse the sections.
http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=321

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

GAO report: Children’s mental health services are lacking https://drwilda.com/2013/01/12/gao-report-childrens-mental-health-services-are-lacking/

Schools have to deal with depressed and troubled children https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

University of Cambridge study: Saliva test may detect depression in kids https://drwilda.com/2014/02/23/university-of-cambridge-study-saliva-test-may-detect-depression-in-kids/

Study: Some of the effects of adverse stress do not go away https://drwilda.com/2012/11/09/study-some-of-the-effects-of-adverse-stress-do-not-go-away/

American Psychological Association: Kids too stressed out to be healthy https://drwilda.com/2014/02/12/american-psychological-association-kids-too-stressed-out-to-be-healthy/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

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Children of older fathers can have genetic issues: Study reports mental illness risk higher

28 Feb

Apparently there is not an unlimited shelf life for sperm. Benedict Carey reported in the New York Times article, Father’s Age Is Linked to Risk of Autism and Schizophrenia:

Older men are more likely than young ones to father a child who develops autism or schizophrenia, because of random mutations that become more numerous with advancing paternal age, scientists reported on Wednesday, in the first study to quantify the effect as it builds each year. The age of mothers had no bearing on the risk for these disorders, the study found.
Experts said that the finding was hardly reason to forgo fatherhood later in life, though it might have some influence on reproductive decisions. The overall risk to a man in his 40s or older is in the range of 2 percent, at most, and there are other contributing biological factors that are entirely unknown.
But the study, published online in the journal Nature, provides support for the argument that the surging rate of autism diagnoses over recent decades is attributable in part to the increasing average age of fathers, which could account for as many as 20 to 30 percent of cases.
The findings also counter the longstanding assumption that the age of the mother is the most important factor in determining the odds of a child having developmental problems. The risk of chromosomal abnormalities, like Down syndrome, increases for older mothers, but when it comes to some complex developmental and psychiatric problems, the lion’s share of the genetic risk originates in the sperm, not the egg, the study found. Previous studies had strongly suggested as much, including an analysis published in April that found that this risk was higher at age 35 than 25 and crept up with age. The new report quantifies that risk for the first time, calculating how much it accumulates each year.
The research team found that the average child born to a 20-year-old father had 25 random mutations that could be traced to paternal genetic material. The number increased steadily by two mutations a year, reaching 65 mutations for offspring of 40-year-old men.
The average number of mutations coming from the mother’s side was 15, no matter her age, the study found.
“This study provides some of the first solid scientific evidence for a true increase in the condition” of autism, said Dr. Fred R. Volkmar, director of the Child Study Center at the Yale School of Medicine, who was not involved in the research. “It is extremely well done and the sample meticulously characterized.” http://www.nytimes.com/2012/08/23/health/fathers-age-is-linked-to-risk-of-autism-and-schizophrenia.html?emc=eta1

Citation:

Rate of de novo mutations and the importance of father’s age to disease risk
Journal name: Nature
Volume: 488,
Pages: 471–475
Date published: (23 August 2012)
DOI: doi:10.1038/nature11396
Received 28 February 2012 Accepted 04 July 2012 Published online 22 August 2012
Abstract
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Carey is updating this study with findings from a newer study.

Benedict Carey reported in the New York Times article, Mental Illness Risk Higher for Children of Older Fathers, Study Finds:

Children born to middle-aged men are more likely than those born to younger fathers to develop any of a range of mental difficulties, including attention deficits, bipolar disorder, autism and schizophrenia, according to the most comprehensive study to date of paternal age and offspring mental health.
In recent years, scientists have debated based on mixed evidence whether a father’s age is linked to his child’s vulnerability to individual disorders like autism and schizophrenia. Some studies have found strong associations, while others have found weak associations or none at all.
The new report, which looked at many mental disorders in Sweden, should inflame the debate, if not settle it, experts said. Men have a biological clock of sorts because of random mutations in sperm over time, the report suggests, and the risks associated with later fatherhood may be higher than previously thought. The findings were published on Wednesday in the journal JAMA Psychiatry.
“This is the best paper I’ve seen on this topic, and it suggests several lines of inquiry into mental illness,” said Dr. Patrick F. Sullivan, a professor of genetics at the University of North Carolina, who was not involved in the research. “But the last thing people should do is read this and say, ‘Oh no, I had a kid at 43, the kid’s doomed.’ The vast majority of kids born to older dads will be just fine.”
Dr. Kenneth S. Kendler, a professor of psychiatry and human molecular genetics at Virginia Commonwealth University, also urged caution in interpreting the results. “This is great work from a scientific perspective,” he said. “But it needs to be replicated, and biomedical science needs to get in gear and figure out what accounts for” the mixed findings of previous studies.
The strengths of the new report are size and rigor. The research team, led by Brian M. D’Onofrio of Indiana University, analyzed medical and public records of about 2.6 million people born in Sweden from 1973 to 2001. Like many European countries, Sweden has centralized medical care and keeps detailed records, so the scientists knew the father’s age for each birth and were able to track each child’s medical history over time, as well as that of siblings and other relatives. Among other things, the analysis compared the mental health of siblings born to the same father and found a clear pattern of increased risk with increasing paternal age.
Compared with the children of young fathers, aged 20 to 24, those born to men age 45 and older had about twice the risk of developing psychosis, the signature symptom of schizophrenia; more than three times the likelihood of receiving a diagnosis of autism; and about 13 times the chance of having a diagnosis of attention deficit disorder. Children born to older fathers also tended to struggle more with academics and substance abuse.
The researchers controlled for every factor they could think of, including parents’ education and income. Older couples tend to be more stable and have more income — both protective factors that help to temper mental problems — and this was the case in the study. But much of the risk associated with paternal age remained. http://www.nytimes.com/2014/02/27/health/mental-illness-risk-higher-for-children-of-older-parents-study-finds.html?_r=0

Citation:

Original Investigation|February 26, 2014
Paternal Age at Childbearing and Offspring Psychiatric and Academic MorbidityONLINE FIRST
Brian M. D’Onofrio, PhD1; Martin E. Rickert, PhD1; Emma Frans, MSc2; Ralf Kuja-Halkola, MSc2; Catarina Almqvist, MD2,3; Arvid Sjölander, PhD2; Henrik Larsson, PhD2; Paul Lichtenstein, PhD2
[+] Author Affiliations
JAMA Psychiatry. Published online February 26, 2014. doi:10.1001/jamapsychiatry.2013.4525
Text Size: A A A
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ABSTRACT
ABSTRACT | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES
Importance Advancing paternal age is associated with increased genetic mutations during spermatogenesis, which research suggests may cause psychiatric morbidity in the offspring. The effects of advancing paternal age at childbearing on offspring morbidity remain unclear, however, because of inconsistent epidemiologic findings and the inability of previous studies to rigorously rule out confounding factors.
Objective To examine the associations between advancing paternal age at childbearing and numerous indexes of offspring morbidity.
Design, Setting, and Participants We performed a population-based cohort study of all individuals born in Sweden in 1973-2001 (N = 2 615 081), with subsets of the data used to predict childhood or adolescent morbidity. We estimated the risk of psychiatric and academic morbidity associated with advancing paternal age using several quasi-experimental designs, including the comparison of differentially exposed siblings, cousins, and first-born cousins.
Exposure Paternal age at childbearing.
Main Outcomes and Measures Psychiatric (autism, attention-deficit/hyperactivity disorder, psychosis, bipolar disorder, suicide attempt, and substance use problem) and academic (failing grades and low educational attainment) morbidity.
Results In the study population, advancing paternal age was associated with increased risk of some psychiatric disorders (eg, autism, psychosis, and bipolar disorders) but decreased risk of the other indexes of morbidity. In contrast, the sibling-comparison analyses indicated that advancing paternal age had a dose-response relationship with every index of morbidity, with the magnitude of the associations being as large or larger than the estimates in the entire population. Compared with offspring born to fathers 20 to 24 years old, offspring of fathers 45 years and older were at heightened risk of autism (hazard ratio [HR] = 3.45; 95% CI, 1.62-7.33), attention-deficit/hyperactivity disorder (HR = 13.13; 95% CI, 6.85-25.16), psychosis (HR = 2.07; 95% CI, 1.35-3.20), bipolar disorder (HR = 24.70; 95% CI, 12.12-50.31), suicide attempts (HR = 2.72; 95% CI, 2.08-3.56), substance use problems (HR = 2.44; 95% CI, 1.98-2.99), failing a grade (odds ratio [OR] = 1.59; 95% CI, 1.37-1.85), and low educational attainment (OR = 1.70; 95% CI, 1.50-1.93) in within-sibling comparisons. Additional analyses using several quasi-experimental designs obtained commensurate results, further strengthening the internal and external validity of the findings.
Conclusions and Relevance Advancing paternal age is associated with increased risk of psychiatric and academic morbidity, with the magnitude of the risks being as large or larger than previous estimates. These findings are consistent with the hypothesis that new genetic mutations that occur during spermatogenesis are causally related to offspring morbidity.

Paul Raeburn posted the article, The conversation we’re not having about dads’ biological clocks at Today’s Moms blog.
According to Raeburn:

Even genetic counselors, who advise couples on such risks, often ignore the risks associated with older fathers, said Jehannine Austin, a genetic counselor at the University of British Columbia whose specialty is psychiatric genetic counseling.
“Medicine tends to focus on the role of mothers in bringing children into the world far more so than we do the role of fathers,” she said. “And I think that really should change.”
Sandra Darilek, an expert on prenatal genetic counseling, says it is still unclear what to do about the risks associated with older fathers.
“There aren’t guidelines about what you should and shouldn’t expect with regard to paternal age,” she said. “Older fathers have a higher risk of passing on what we call new mutations. The problem is that there isn’t any prenatal test that will identify that.”
Furthermore, counselors often do not see couples until the woman is already pregnant, she said. And then it might be wiser not to tell couples about the increased risks associated with fathers’ age. “We’d just be alarming couples when we have nothing to offer them,” she said.
D’Onofrio’s research found that risk increased steadily as fathers aged. There was no age at which the risk zoomed up. Instead, the older the father was, the greater the risk to his children.
“Everyone wants to know when it is safe to have children and when it is not safe,” D’Onofrio said. “There is an increasing risk as men get older. There is not a safe age and a risky age.”
Our two boys are now 7 and 4 — yes, we had another one knowing the risks — and they are fine. We have years to go before we will know for sure whether they have avoided the risks related to my age, but Elizabeth and I have not had any second thoughts about our choices.
http://www.today.com/moms/conversation-were-not-having-about-dads-biological-clocks-2D12184290

Both older males and older females bring genetic issues to any possible late-in-life birth. Potential parents should be advised and counseled concerning these risks.

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

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COMMENTS FROM AN OLD FART©
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