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NNED – National Network to Eliminate Disparities in Behavioral Health

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News

NNED Partner of the Month – August 2019

August 2, 2019

In order to highlight pockets of excellence across the country, the NNED selects a partner organization to highlight once a month. Florida Institute for Community Studies, Inc. (FICS) has been selected as the Partner of the Month for August.

FICS began by a combination of community advocates, students, professors and direct service workers in 2001. Since then it has developed a model that works at the community level to identify gaps and strengths. Through their community advisors, FICS uses those strengths to write plans and create effective programs that build resilience and keep youth out of gangs, help make people healthier, and HIV and Substance free. FICS’s reach extends to thousands of people per year, and have documented significant improvements in teen pregnancy reduction, violence prevention, improved community responsibility and reduced dependence on law enforcement, prisons, and healthcare systems. It’s estimated a conservative savings to the FICS community of $4.89 for every dollar spent on after school programs, meaning they have saved the community $3.2 million for youth. In terms of diabetics’ outcomes, FICS’s have documented a cost-savings of $782,811 per year. In 2018-9, FICS’ volunteers invested over 1200 hours in community clean-ups, gardening, mentoring/tutoring and teaching ESL. FICS served 160 youth in quality Out-of-School time programming and another 56 families with Partners in Well-Being, a holistic approach to mind-body balance and health (bienestar). The social media hash is #FICSCreates because they want to focus on creating: art, opportunity, wellness and resilient communities.

FICS serves as a facilitator in assisting the community by working across partners and groups in a way that allows youth, parents, researchers, community members, educators, and professionals to interact, exchange information and knowledge to create solutions. FICS is implementing Familia Adelante as an NNED partner in FY 2019. 

A few of FICS’s programs include:

  • Afterschool4Success: Mentoring program that builds STEAM, improves grades and prevents youth (7-17) from getting involved in risky behaviors.
  • HIV/AIDS Education, Counseling, and Testing: Providing free RAPID HIV testing and services.
  • Partners In Well-Being: Transforming the Morgan Recreation Center into a Community Wellness and Arts Center, creating and maintaining ways people can get access to health.

Learn more about the Florida Institute for Community Studies, and how they are partnering with communities across Florida to help them achieve their goals through research, education, training, services and the arts.

View a list of previous NNED Partners of the Month.

Filed Under: News

What Happens to the Mental Health of School-Shooting Survivors?

July 31, 2019

We have witnessed how the devastating after-effects of a school shooting can reverberate long after the immediate trauma. Recently, two survivors of the Parkland massacre of 2018 — a 19-year-old graduate named Sydney Aiello and an unnamed Parkland sophomore — both died in apparent suicides. And on March 25, Jeremy Richman, whose daughter Avielle was killed at Sandy Hook Elementary in 2012, was also found dead in an apparent suicide.

This is not the first time we’ve seen the toll that experiencing the trauma of a school shooting can take; after the Columbine massacre of 1999 one student and the mother of a student who was severely wounded took their own lives. And as the Daily Beast reported, six students attempted suicide after a 2012 shooting in Ohio that left three schoolmates dead.

Aiello’s mom has said her daughter struggled with PTSD and suffered from “survivor’s guilt” after living through the deaths of her classmates. While school shootings have become an American epidemic, psychologists and experts in trauma are just beginning to gather data on how these events affect survivors and their communities in the long term. To find out what we do and don’t know about the mental-health effects of surviving a school shooting, we spoke to Amy Nitza, the director of the Institute for Disaster Mental Health at the State University of New York at New Paltz. Nitza’s work focuses on understanding the psychological implications of disasters such as school shootings.

What do you take away from it?
It’s a reminder of the level of devastation these events create and how debilitating the mental-health consequences are on people. At Sandy Hook, it has been six and a half years after the incident and so many mental-health resources that have been poured into that community, and yet there’s this level of suffering. These suicides are likely to have a really strong impact on other survivors. I think we can expect there to be a ripple effect in terms of triggering a resurgence of other people’s pain.

What do we know about the mental-health effects of school shootings?
School shootings have opened up a whole new set of questions. There’s all these sorts of questions around how best to protect kids from exposure to more trauma in the aftermath, because any reexposure to the setting, sights, sounds, or smells of the incident have the potential to become real triggers. For example: what kind of memorials do you do, and how many? Do you keep teddy bears and gifts people have sent on display? And how soon do you reopen the school? What’s the best way to help kids collect their belongings?

One of the parents of one of the women who died said that her daughter had been suffering from “survivor’s guilt,” which is a term that gets used colloquially. What do we know about that phenomenon from a psychological standpoint?
Survivor’s guilt by itself is not a diagnosis. it’s a phenomenon that occurs. Typically it involves the triggering of belief or a question about one’s worth and one’s value, as in why did I survive when other people did not, or why did I deserve to live and others didn’t? It can trigger these sort of deep existential questions that there aren’t really answers to. And wrestling with these questions become a really significant challenge cognitively and emotionally that can build on itself and create cognitive distortions.

Read more on TheCut.com.

Filed Under: News

Alarming Suicide Trends in African American Children: An Urgent Issue

July 26, 2019

The suicide rate among African American children aged 5 to 11 years has increased substantially since 1993 and is persisting, according to Dr. Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. In 1993 suicide ranked as the 14th leading cause of death among this population. Today it’s the 10th leading cause of death—with rates nearly twice that of their White counterparts. While it is not intuitive and is difficult to understand, suicide ranks as a leading cause of death among all youth aged 5-11 years. Dr. Bridge and his colleagues are among the first to spearhead suicide research within this young population, and their work has revealed these concerning trends in suicidal behaviors among African American children.

In observance of National Minority Mental Health Awareness month this July, the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Office of Behavioral Health Equity is bringing attention to suicide among African American children. A year ago, SAMHSA convened a Virtual Roundtable of leading experts on African American mental health and wellness to identify ethnic-specific risk and protective factors contributing to suicidal behaviors in children. The experts emphasized the need for early identification of mental health problems in children, better outreach and engagement of children and their families, understanding family and community factors that impact children’s mental health, and the urgent need for culturally responsive and effective mental health services geared for young children of color.

The persistent suicide trend should prompt a call to action among practitioners that work in child-serving systems, such as pediatric and family health care, schools, child welfare; mental health providers and researchers. It should also be a call to action for faith-based communities, families and particularly fatherhood initiatives, and community leadership. Collaborating together to prevent child suicide is critical. And reaching out to and saving children who endure such pain as to want to take their own life is of the utmost urgency.

Read more on SAMSHA.gov.

Filed Under: News

Native Americans Hit Hard by the Opioid Crisis

July 19, 2019

The Native American population living on reservations has the highest overdose death rate among all minorities.

The Washington Post is reporting that among the demographic groups that have endured the most severe impact by the opioid crisis, Native Americans have suffered some of the highest death rates, yet have rarely been included in the national conversation about the epidemic.

A report from the Centers for Disease Control and Prevention (CDC) said that while death rates among white Americans in rural areas rose by more than 325% in 2015, the Native American population living on reservations suffered an increase of more than 500% during the same time frame—the highest among all minority groups.

The situation is not a new occurrence; the CDC reported that in 2014, 8.4 per 100,000 Native Americans were dying of opioid overdoses, the highest number of any racial demographic. As CBS News noted, the National Institute on Drug Abuse found that Native American students used heroin and OxyContin two to three times more than the national average between 2009 and 2012. 

Native American leaders have made efforts to take matters directly to the U.S. government—tribal leaders from New Mexico met with representatives from the Department of Justice (DOJ) under President Barack Obama to discuss the state’s skyrocketing drug overdose rate in 2016, and a series of listening sessions between tribal leaders and the DOJ in May and June of 2017 led to the announcement of new strategies to expand assistance to Native American tribes in regard to opioid dependency, among other public health and legal issues.

However, as critics have noted, the Public Health Emergency fund has just $57,000 in available funds—a number that appears too low to provide any significant assistance to any demographic.

Read more at TheFix.com.

Filed Under: News

Featured NNEDshare Resource: The Behavioral Health Barometer, Volume 5

July 18, 2019

The Behavioral Health Barometer, Volume 5, is one of a series of national, regional, and state reports that provide a snapshot of behavioral health in the United States. The reports present a set of substance use and mental health indicators as measured through the National Survey on Drug Use and Health (NSDUH) and the National Survey of Substance Abuse Treatment Services (N-SSATS), sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA).

View the recently released Behavioral Health Barometer on NNEDshare.

Filed Under: News

Black Female Therapists Wish They Could Tell All Black Women About Mental Health

July 17, 2019

The thought of going to therapy used to give Jameelah Nasheed  anxiety. While to many people going to therapy may seem like the obvious solution to feelings of overwhelming stress, sadness, and anxiousness, for Nasheed—a Black woman—it hasn’t always felt like a clear and reasonable option. Nasheed had never known another woman who looked like her who had gone to therapy. So she grew up thinking therapy was a “white thing” or a “rich thing” because all the women around her just dealt with their problems—or so it seemed.

According to the Health and Human Services Office of Minority Health, African Americans are 20% more likely to experience serious mental health problems than the general population. Despite this being the case, according to the National Alliance of Mental Illness, only about one-quarter of African Americans seek mental health care, compared to 40% of whites. This is due to the negative stigma surrounding mental health, lack of access, and a general distrust of the medical field among Black people (for valid reasons). Thankfully, the increased visibility of Black women seeking treatment and the creation of tools made with Black women in mind (such as the Therapy for Black Girls directory), conversations about mental health care are being had in spaces and by people who didn’t have them in previous years.

Still, there’s room for improvement. Nasheed spoke with mental health professionals—also Black women—about common misconceptions regarding mental health care. From letting go of the Superwoman Schema (yes, that’s a real thing), to finding the right therapist and sticking with it, they told me what they wish they could tell all Black women about mental health.

“What I tell Black women about mental health is that it is okay for you to be honest about your pain and where it comes from. You do not have to explain it away, and it is possible to have both inner strength AND vulnerability at the same time. Learning how to connect with yourself, what you truly feel AND need is the best path to healing, because then not only can you ask for help, but also know how to truly take care of you.” — Shena Tubbs, founder of Black Girls Heal.

“I often tell black women that mental health is an investment you’re making for your soul. Remember: mental health does not mean mental illness, and seeing a therapist can help to minimize stressors in your life. As Black women, we have to recognize that we can take off the superwoman cape and be vulnerable, ask for help, and express our stressors to others. Taking care of your mental health is just as important as taking care of your physical health.” — Marline Francois, owner of Hearts Empowerment Counseling Center.

Read more on HelloGiggles.com.

Filed Under: News

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The NNED has been a multi-agency funded effort with primary funding by the Substance Abuse and Mental Health Services Administration (SAMHSA). It is managed by SAMHSA and the Achieving Behavioral Health Excellence (ABHE) Initiative.
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