A Regular Checkup Is Good for the Mind as Well as the Body

By Ann Carrns
The New York Times
Originally published November 13, 2012

EVERYONE is familiar with the concept of a periodic medical checkup — some sort of scheduled doctor’s visit to check your blood pressure, weight and other physical benchmarks.

The notion of a regular mental health checkup is less established, perhaps because of the historical stigma about mental illness. But taking periodic stock of your emotional well-being can help identify warning signs of common ailments like depression or anxiety. Such illnesses are highly treatable, especially when they are identified in their early stages, before they get so severe that they precipitate some sort of personal — and perhaps financial — crisis.
      

“Absolutely, people should have a mental health checkup,” said Jeffrey Borenstein, editor in chief of Psychiatric News, published by the American Psychiatric Association. “It’s just as important as having a physical checkup.”

 

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Over all, however, 15 percent of employers in the United States do not offer mental health coverage to employees, according to the Society for Human Resource Management. Such benefits may become more widely available in 2014, when many provisions of the Affordable Care Act take effect. Mental health benefits will be part of the “essential package” that must be offered by many insurance plans, including the new state-sponsored insurance exchanges.

 

The entire article is here.

Military says it's focusing on suicide prevention

By Mike Urban
The Reading Eagle
Originally published November 12, 2012


Fewer of America's troops are heading into combat with the war in Iraq over and the war in Afghanistan nearing a close.

But the demand for mental health care among active duty personnel is increasing, in part because combat has left many in need of help, and because the military is doing more to treat its mentally ill troops, Department of Defense officials said.

Suicide prevention has become one of the military's most urgent concerns, and treatment of post-traumatic stress disorder within the military has come a long way in recent years, said Defense Department spokeswoman Cynthia O. Smith.

"We are committed to taking care of our people, and that includes doing everything possible to prevent suicides in the military," she said.

To reduce the long-standing military stigma surrounding mental health problems, the defense department urges commanders to support those in need of care, she said.

The entire story is here.

Army, Navy suicides at record high

By Gregg Zoroya
USA Today
Originally published on November 19, 2012


With six weeks left in the year, the Army and Navy are already reporting record numbers of suicides, with the Air Force and Marine Corps close to doing the same, making 2012 the worst year for military suicides since careful tracking began in 2001.

The deaths are now occurring at a rate faster than one per day. On Nov. 11, confirmed or suspected suicides among active-duty forces across the military reached 323, surpassing the Pentagon's previous high of 310 suicides set in 2009.

Of that total, the Army accounted for 168, surpassing its high last year of 165; 53 sailors took their own lives, one more than last year.

The Air Force and Marine Corps are only a few deaths from record numbers. Fifty-six airmen had committed suicide as of Nov. 11, short of the 60 in 2010. There have been 46 suicides among Marines, whose worst year was 2009 with 52.

The entire story is here.

Emotions Come to Fore in Political Wins and Losses

By Richard Friedman
The New York Times 
Originally published November 12, 2012

Just one look at the dejection on the faces of Romney supporters or the jubilation of Obama supporters on election night should tell you that politics is first and foremost a very emotional affair.

Ann Romney was crying while her husband delivered his terse concession speech, not because a majority of Americans voted against his economic policy, but because of the personal — and highly public — rejection of Mitt Romney as their next president.

Nor were President Obama’s supporters ecstatic because his health care policy would not be overturned. Rather, both camps were in the grip of powerful emotions akin to the passion of spectators rooting for their team at a sporting event.

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But political affiliation is not driven by ideas alone. Most people do not choose a political party by carefully analyzing its policies or even its track record for competence. Instead, some social scientists argue that people select their political party in early adulthood the way they choose their friends or social groups: They go for the party that has people who resemble themselves.

Once you’ve selected your party, you are likely to retrofit your beliefs and philosophy to align with it. In this sense, political parties are like tribes; membership in the tribe shapes your values and powerfully influences your allegiance to the group.

So strong is the social and emotional bond among members of a political tribe that they are likely to remain loyal to their party even when they give it low marks for performance. Yankees fans don’t jump ship when their team loses any more than Republicans switch parties when they lose an election.

The entire blog post is here.

25 Tips to Prevent Data Breaches

By Sharon D. Nelson & John W. Simek
The Wisconsin Lawyer

Volume 85, No. 11, November 2012

Another day, another data breach. Data breaches have proliferated with amazing speed. Here is the roundup of some of the largest victims in 2011 alone: Tricare, Nemours, Epsilon, WordPress, Sony, HB Gary, TripAdvisor, Citigroup, NASA, Lockheed Martin, and RSA Security. Some mighty big names on that list.

Don't be lulled into thinking that law firms (large and small) aren't suffering data breaches just because they don't have millions of clients affected. On Nov. 1, 2009, the FBI issued an advisory, warning law firms that they were specifically being targeted by hackers. Rob Lee, an information security specialist who investigates data breaches for the security company Mandiant, estimated that 10 percent of his time in 2010 was spent investigating law firm data breaches.

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Top Practical Security Tips

1. Have a strong password – at least 12 characters. No matter how strong an eight-character password is, it can now be cracked in about two hours. A strong 12-character password takes roughly 17 years to crack. Much easier to hack someone else. Use a passphrase so you can remember the password: "Love ABATECHSHOW 2013!" is a perfect example.

2. Don't use the same password everywhere. If they crack you once, they've got you in other places, too.

3. Change your passwords regularly. This will foil anyone who has gotten your password.

The entire story is here.

Thanks to Ken Pope for this article.

Psychologist Kristina Nana Killam Duangpatra banned for six months for inappropriate relationship with prisoner

By Tony Keim
The Courier-Mail
Originally published November 5, 2012


A FEMALE psychologist who had a "personal and intimate relationship" with a Brisbane prisoner - including offering to have his child - has been banned for six months.

The Queensland Civil and Administrative Tribunal was told psychologist Kristina Nana Killam Duangpatra had an improper relationship with a prisoner over a two-year period.

QCAT acting Deputy President Kerrie O'Callaghan, in a just published eight-page decision, said Duagnpatra first met the prisoner, identified only as Mr Cougan, at Wacol's Wolston Correctional Centre when she began treating him on August 3, 2009.

The tribunal became involved after a disciplinary referral from the Psychology Board of Australia indicated Duangpatra was having an improper relationship with a former patient.

The entire story is here.

EHRs Push Private Practice Docs Out of Business

Growing numbers seek employment, in part because government-mandated technology costs too much

By Ken Terry
Information Week
Originally published November 9, 2012


Sixty-one percent of independent physicians are seeking employment, and the majority of those doctors say that the government requirement for them to adopt and show meaningful use of an electronic health record (EHR) is one reason, a new Accenture report finds.

The paper, entitled "Clinical Transformation: New Business Models for a New Era in Healthcare," notes that the percentage of private practice physicians in the workforce dropped from 57% in 2000 to 39% in 2012. By the end of next year, Accenture forecasts, only 36% of physicians will be self-employed.

The biggest reason for doctors to seek employment, the Accenture survey shows, is the cost of doing business as an independent practitioner. Eighty-seven percent of respondents who were looking for a job cited that challenge, and 61% checked off "the prevalence of managed care." Government EHR requirements and maintaining/managing staff each were mentioned by 53% of doctors.

The entire story is here.

Missouri, Kansas Reject State-Run Health Insurance Exchanges

By Alana Gordon
Kaiser Health News, in cooperation with NPR
Originally published November 19, 2012

Immediately after the presidential election, and more than a week ahead of the Nov. 16 deadline, Missouri Gov. Jay Nixon, a Democrat, announced he had made up his mind. The state would not be setting up its own health insurance exchange.

Next door in Kansas, Gov. Sam Brownback, a Republican, made a similar announcement. These governors' moves open the door for increased federal involvement in health care in both states.
President Barack Obama's health law has never had any easy time in this part of the country.

"Kansans feel Obamacare is an overreach by Washington and have rejected the state’s participation in this federal program," Brownback said in a statement.

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Some health policy experts find the situation in Missouri ironic. "We have a state that is very much committed to state rights and state control," notes Thomas McAuliffe, with the Missouri Foundation for Health. "Yet we’re willing to just blindly cede all creation and administration of a health exchange or insurance state marketplace to the federal government." The foundation helped fund efforts to plan an exchange.

The entire story is here.

Backers of Mass. assisted suicide measure concede

ASSOCIATED PRESS  
Originally published NOVEMBER 07, 2012


Supporters of a ballot question legalizing physician-assisted suicide for the terminally ill in Massachusetts have conceded defeat, even though the vote is too close to call.

A spokesman for the Death With Dignity Act campaign said in a statement early Wednesday that ‘‘regrettably, we fell short.’’

The entire story is here.