calm down

When my mother was dying from cancer in 2008, my dad told me that there were 22 others living on Trailwood Avenue who were positive for some type of cancer concurrently. “There’s a lawsuit,” I told my dad. We were driving and it was warm outside and the air smells like Central California does in the Fall. Fog, basically.  There is no mystery that most probably embedded land subdivisions were watered by wells driven by the local growers and irrigation seepage will occur. Their water is screwed, no less. Now more than ever with the heat that will not stop and wells are drying. People are stealing their neighbor’s water in California.

My mother died in ’08 and my only sibling died from cancer at 53 years old in ’12 (also in November).

And so at my age, I have superseded the mortality for both, my biofamily and that of the <25 year early morbidity for people living with an SPMI who have received continuous US Community Public Mental Health services for at least 25 -30 years.

Which is worse? Cancer or the US Public Community Mental Health System? I’m laughing because I’m really not joking.

This writing’s intent is to at least touch upon the notion of how disease, chronic illnesses and malhealth – when not self-managed or self-cared for – will manifest physically and you will die sooner than later, probably.

Things to practice then:

  • Mindfulness.
  • Intentionality.
  • Carefully discerning that which takes your concern(s).
  • Be Kind to yourself and to others.
  • Love.
  • Be loved.
  • Adore.
  • Be adored.
  • Get that energy of others that is hurtful away from you.
  • Work your body out.
  • Practice Releasing.
  • Live gentler.
  • Walk with all of your senses as often as you can.
  • Get REM Sleep.
  • It’s okay to let yourself dream.
  • Walk in water.
  • Talk with your best friend.
  • Live.
  • Breathe.
  • Learn.
  • Teach.
  • The day is short. The night is shorter. Mind your time.
  • Harm no others.
  • Protect yourself and what’s yours.
  • Run. Run. Run.
  • Strength.
  • Power.
  • Know that you are immortal.

 

 

 

 

 

 

 

 

 

 

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White Privilege Systemic Eradication of the Other

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I missed my trauma therapy appointment for the 3rd week in a row today and it’s showing through the cracks of my face, my hands, my mouth, my eyes, my voice… is cracking.

My primary diagnosis nowadays is Post Traumatic Stress Disorder and so I wondered that my experienced childhood trauma has been exceeded by the adult trauma experienced living in the US as an out Gender Queer, polarized and profiled resistant, non risk averse woman of color raised on Queer Nation, ACT UP and fuck you bitch, stand beside me or step the fuck aside in yo face since my 20s.

Systemic White Privileged oppression, abuses, discrimination and hatefulness toward eradicating otherness based on race, culture, gender identity and/or presentation, color of skin and reversed discrimination of fair skinned people in a predominantly Black region (Atlanta, Georgia) pisses me off. It pisses me the fuck off, actually.

I often tell people that No, I do not believe in the premise and inherently false US Community Public Mental Health System, nor will I admit Mental Illness exists. The disease versus pussy recovery oriented system of care is the very basis of my work around behavioral health integration, mental diversity, substance use, isolationist first responder mobile crisis intervention (MH/SA) and finally, how I categorically espouse for  US Peer Workforce.

The hate I feel towards me when I walk into a predominantly white or BLACK environment in Atlanta is so thick, I can cut it with a brand new X-Acto Blade and leave marks, cuts of blood so deep it won’t bleed.

I listen to “Penthouse Floor” a lot and will rebel yell Resist, Fight, Fuck You in your face with my co-horts but to be reversed discriminated against because of my Queerness and because I’m not Black puts me into a position of being hated, feared, dismissed. My education, class, verbal upper class White Yankee, nay, Surfer Dude confuses, I admit.

We either work together against the real scourge of hate in 2017 or we don’t.

You can’t bullshit a bullshitter, either.

I dare you to walk your talk. Be transparent. Authentic. Speak your truth.

It’s now or never.

Step up or step aside.

Dead at 52

With all of the information and smack that’s out there about earlier morbidity and mortality with the <+25 years earlier death to you if you live with mental diversity, receive psychopharmacological and other clinically necessary psychiatric torture in an American Public Community Mental Health treatment provider, then, well, hats off to you, Friend.

The average age of death is 52 years old. Gender not withstanding. Race not withstanding. US regions not withstanding. Frontier. Rural. Urban. None of it matters. Dying an earlier death than the general population is now a given if you fit the population’s demographics.

face-1-copy45% of all people with mental illness, have 2+ physical disorders (co-morbidities).

  • Nearly half (45%) of all individuals living with any mental disorder have two or more debilitating physical disorders further lowering their quality of life and leading to a significantly high rate of comorbid physical issues.
  • Average age of death is now 52 years old for an individual living with an SPMI diagnosis.

 

A medically, clinically necessary diagnosis substantiating the use of psychotropic medication dosing is geared to control and manage exhibited DSM-5 symptomology popularized and normalized by the American Psychiatric Association, the American Medical Association, National Association of Social Work and the American Psychological Association.

Forty-six (46) years ago, in 1967, 1:3 American adults filled a prescription for a “psychoactive” medication, with total sales of such drugs reaching $692 million. In its’ June 2008 report the GAO determined that one in every sixteen young adults in the United States is now diagnosed with an SPMI (Whitaker, R., 2010).

In 2010, $16.1 billion was spent on antipsychotics in the US, to treat depression, bipolar disorder and schizophrenia. $11.6 billion was spent on antidepressants, while $7.2 billion for the treatment for ADHD.

yellow towerSuicide completion numbers worldwide today occur every 40 seconds with injury accounting for 30-40% of excess mortality, and where 60% of premature deaths in persons with a diagnosis of schizophrenia are due to medical conditions such as cardiovascular, pulmonary and infectious diseases. World Health Organization (2016). Retrieved April 11, 2016 http://www.befrienders.org/suicide-statistics.

  • Physical comorbidities are the leading reasons why people with SPMI are dying 25 years earlier than the general population not receiving Public Community Mental Health. There are higher frequencies of multiple general medical conditions that more than double the rate of premature deaths from these conditions.

Many argue that the employment of peer providers is more than a simple addition to the human service workforce, seeing it as a critical means by which to transform services into care that is recovery-focused. But it has also been argued that evidence is needed from studies examining the impact implementing a peer workforce has on access to care, cost of services, participant outcomes, and provider outcomes (Hardin, Padron, & Manderscheid, 2014).

There is also a growing recognition that poor mental health and complex physically related health problems are linked, often with deleterious outcomes for the seriously mentally ill (e.g., Brekke et al., 2012). There is an emerging notion that peer providers are a crucial link in services that are coordinated in Integrated care environments.  Peer providers have a history in stepping up to help with continuum of care in infectious diseases, vector diseases, chronic illnesses to whole health, substance use and health outreaching, educating in communities regionally and nationwide.

clouds-overhead-in-atlanta-sept-1-copy “The Modern Asylum,” Op-Ed piece by Dr. Christine Montross, a Rhode Island Butler Hospital staff psychiatrist, wrote in The New York Times (2015), “… my patients with chronic psychotic illness cycle between emergency hospitalizations and inadequate care treated by community mental health centers (receiving) twenty minutes of attention every three months. Many struggle with homelessness. Many are incarcerated.”

Montross goes so far as to state that the need for modern Asylum “… is care for vulnerable patients, the severely mentally disabled” citing “… escalating prison and court costs, inpatient hospitalizations… chaos and suffering” can best be treated in a modern warehouse for the mentally ill “citizens.”

Trending talk of reinstitutionalization, trans institutionalization and Asylum warehousing of the “infirmed” are stigmatizing and is an outright example of scapegoating man, woman, child or youth who may live with a psychiatrically label and who is persecuted because of it. This is a promulgation of Recovery. It will unduly increase numbers of involuntary inpatient, forced medication, seclusions and restraints to individuals and create a climate of perpetrated “clinically and medically necessary” psychiatric treatment which inflicts trauma. It will further normalize medical based psychiatric compliance that dismisses Recovery based oriented systems of care and its’ embrace of a strengths-based and self-directed US Peer.

I defer that current primary models for health care delivery are the medical model and the wellness model. Integrated health care delivery carves in the best practices of treating disease, improving quality of life by encouraging healthy life style choices and focuses on preventing disease before treatment is necessary. It collocates behavioral and physical integrated environments and systems of care.

 

As well, trending workforce development is a SAMHSA Center for Integrated Health Solutions (CIHS) priority. To meet the seven core strategic goals identified in SAMHSA’s Action Plan on Behavioral Health Workforce Development, the CIHS elicited the guidance of an array of experts and drew upon published literature.
Goals identified include:
Goal 1: Expand the role of consumers and their families to participate in, direct, or accept responsibility for their own care;
Goal 2: Expand the role and capacity of communities to identify local needs and promote health, and Wellness;
Goal 3: Implement systematic federal, state, and local recruitment and retention strategies; Goal 4: Increase the relevance, effectiveness, and accessibility of training and education; Goal 5: Actively foster leadership development among all segments of the workforce;
Goal 4: Enhance available infrastructure to support and coordinate workforce development effort;
Goal 5: Implement a national research and evaluation agenda on workforce development.

Mitigating rising health care costs, a fundamental shift in reimbursement is occurring. “Patients” and organizations, alike, are inherently required to transition from an episodic, fee-for-service model of reimbursement to a new model that reimburses and encourages money in the pocket wellness and care across the health service continuum.

A wellness focus on prevention and coached self-activated management of chronic conditions that our population experiences with early intervention and prevention, care experience will improve, providers will be better able to deliver quality care seeing an overall reduction in costs.

pablo

Surviving Race: National Teleconference November 6 | 2016. Join Us.

Join the relevant, innovative and emergent National Teleconference call November 6, 2016 featuring national attendance on “Surviving Race: The Intersection of Injustice, Disability and Human Rights.”

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