At What Age is One Old Enough to Make Healthcare Decisions?

The article in the The Atlantic is what I came across both yesterday and today on LinkedIn. A 17-year-old girl is being forced to accept treatment that she does not want. Cassandra C. was diagnosed with a type of cancer called Hodgkin’s lymphoma in September 2014. The disease infiltrates essential components of the body’s immune system, specifically weakening the lymphatic tissue, which helps fight infection. Though fatal, patients often have a high survival rate with early treatment. Yet, Cassandra was adamantly against treatment from the beginning, according to the Hartford Courant. Her mother (Fortin) supported her decision….

Full Story @
#Cancer, #EndOfLife, #Healthcare, #Treatment

Viewing Mass Incarceration as a Public Health Issue

A recent editorial in the New York Times echoed a report by the Vera Institute on the need to understand and treat mass imprisonment as a public health issue.  Nearly 2.3 million people are locked behind bars in America’s jails and prisons on a given day.  Most of these are inmates in state prisons.  They are largely ill-educated, poor, and many suffer from mental illness, substance abuse or both.  They are the throwaways in a society that celebrates high achievers.  Our criminal justice system is no longer correctional—having largely abandoned most efforts to rehabilitate its prisoners.  Prisons are warehouses for many of society’s undesirables.  Little care is given to sanitary conditions and many facilities are incubators for illness and disease. …

Full Story @
#Healthcare, #Incarceration, #PublicHealth, #SocialPolicy

Applying ACEs to Juvenile Justice

The high rate of abused and neglected children within the juvenile justice system was one of the themes percolating throughout a three-day conference on childhood trauma last week in San Francisco.

“The relationship between childhood trauma and juvenile justice involvement is pretty startling,” said Karleen Jakowski, supervisor of adolescent behavioral services at a non-profit health clinic in Yolo County. Jakowski was one of five juvenile justice panelists at the conference calling for improvement in the treatment of traumatized youth. …

Full Story @
#Abuse, #Advocacy, #Healthcare, #JuvenileJustice, #MentalHealth, #Youth

Study Alert: The Health Consequences of Sex Trafficking and Their Implications for Identifying Victims in Healthcare Facilities

By Sharon E. Chin

Can victims of sex trafficking be identified?

The usefulness of training U.S. healthcare providers to identify victims of human trafficking has long been debated. As ongoing – slim – research reveals more information about shared characteristics and symptoms a ……

Full Story @
#Healthcare, #Location, #ReproductiveHealth, #SexTrafficking

Mindfulness protects adults from physical, mental health consequences of childhood abuse, neglect

Fact #1: People who were abused and neglected when they were kids have poorer physical and mental health. The more types of ACEs (adverse childhood experiences) – physical abuse, an alcoholic father, an abused mother, etc. – the higher the risk of heart disease, depression, diabetes, obesity, being violent or experiencing violence. Got an ACE score of 4 or more? Your risk of heart disease increases 200%. Your risk of suicide increases 1200%….

Full Story @
#Academic, #Compassion, #Healthcare, #Neurobiology, #PublicHealth, #Research, #Violence

Examining Health Care and New York’s transition to Managed Care

In the Spotlight: The transition to Managed Care 
Healthcare redesign continues to be a topic of much discussion, especially as government experts announced on September 3 that national healthcare spending will peak as a result of economic improvements and increased coverage. With the expansion of Medicaid, mental health clinics, now able to treat individuals who were previously unable to access services, have seen a surge of clients.

Full Story @
#Healthcare, #MedicaidRedesign

Excerpt: “What it Takes to Free a Sex Slave”

By Candice Hong
A rescuer of sex slaves discusses the difficulties of his work, but endorses the positive impact it has on a society.

“This initial process can take anywhere from one week to a year or more, depending on the scope of the operation. A quality target package represents hundreds o ……

Full Story @
#Cancer, #Dependingonthe, #DSM, #Featured, #Healthcare, #Impactithas, #Issue, #Location, #Research, #SocialJustice

Human Trafficking and Healthcare: A Historical Perspective

In a landmark article on child abuse entitled “The Battered Child Syndrome” published in July of 1962 in JAMA, Dr. Henry Kempe and his coauthors attempted to estimate the incidence of child abuse in America. A survey of 71 hospitals uncovered 302 cases. At the same time, they surveyed 77 District Attorneys who had knowledge of 447 cases across the country. While certainly not a scientific nationwide survey, this article represented the best estimation of child abuse at that time. …

Full Story @
#Healthcare, #Poverty, #Tech

Vermont legislator hopes to transform his “Adverse Legislative Experience (ALE)”

The principal sponsor of the Vermont ACEs bill, Dr. George Till, has an ALE (not a typo) score of at least one. He describes losing six of seven sections of the ACEs legislation as an “Adverse Legislative Experience (ALE)”. But if re-elected this November, he plans to “push again next session” for provisions to embed the ACEs research findings into medical practice. While “extremely disappointed” with the outcome of the conference committee dropping most of his bill’s provisions, his resiliency is evident as he looks ahead to the next opportunity to improve health outcomes. …

Full Story @
#AceStudy, #Healthcare, #Legislation

Q-and-A: Pediatrician screens parents, kids for ACEs because her ACE score is 9

Q. What personal or professional moment or event in your life inspired you to work on adverse childhood experiences (ACEs)?
A. When I was four-and-a-half years old, I saw my father murder my grandmother.
My father was quite a demanding man — he felt as if everyone owed him. But he was also lazy. He didn’t work my entire childhood. He supported himself from state welfare checks intended to provide for his three children. My father wanted Grandma Hahn to give him money for cigarettes, but she refused. She told him he needed to go work at the hardware store and do something productive before she would give him more money. He became VERY angry and he pushed her down her basement steps. …

Full Story @
#Abuse, #AceStudy, #Healthcare, #PublicHealth