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      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
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Translational Medicine Friday

The ECONOMICS & ETHICS of: A MENTAL HEALTH PROFESSION in the MIDDLE of a MAJOR PARADIGM SHIFT

8/6/2023

 
and A SHADOW HEALTHCARE SYSTEM in CRIMINAL JUSTICE
Conjecture

  • There are so many PAINFUL CHALLENGES about living in a WORLD OF INFINITE POSSIBILITY and
    • Finite Resources
    • Limited Time and
    • Energy
 
  • We are almost always of necessity leaving work for FUTURE GENERATIONS.
 
  • One of the most important things we can do is grapple with the ETHICAL ISSUES raised by PARADIGM SHIFTS in OUR OWN TIME.
    • AND how we can do this BETTER.
 
  • To me ---- A BIG PIECE OF THE PUZZLE IN DEALING with COGNITIVE DIFFERENCE/DISABILITY and RESOURCE INEQUALITY is thinking through a PRO LIFE APPROACH through the LIFE SPAN.
 
  • I often pick on Elon Musk because he is an "OUT" NEURO-DIVERSE PERSON, he is one of the RICHEST PEOPLE in the the WORLD --- and he is kind of a NUT CASE and in "some ways" is very SMART.
 
  • I also often "pick on" the Mental Health Profession and the Legal Profession ---
    • and I do think those Professions have serious problems --- and so do most professions.
 
  • So one of the ISSUES is trying to ACCURATELY DESCRIBE where we are at in our understanding of "Neuro-Developmental and Psychiatric Disorders."
    • Seemingly we know or some people (some researchers, lay people, etc) know that the current PSYCHIATRIC DIAGNOSTIC MANUAL is SERIOUSLY FLAWED and/or "INVALID" according to the National Institute of Mental Health in 2013.
    • What are the Ramifications of that?
 
  • Neuro-Developmental & Psychiatric Disorders are more and more viewed as on a "CONTINUUM."
    • What are the Ramifications of that?
 
  • Neuro-Developmental & Psychiatric Disorders are still viewed as "Brain Issues" but in addition to the Central Nervous System, we're also talking about DYSREGULATIONS of the IMMUNE SYSTEM, ENDOCRINE SYSTEM, the MICROBIOME, and the METABOLISM.
    • What are the Ramifications of that?
 
  • Further, this is not as SIMPLE as:
    • Challenging Genes = Neuro-Developmental and Psychiatric Disorders
    • At the very least this is often:
      • Challenging Genes + Maternal Immune Activation (during pregnancy)
      • And the impact of GREATER "DEVELOPMENTAL" and AFTER ACQUIRED INFLAMMATION OVER THE LIFE SPAN
    • Both Maternal Immune Activation and Inflammation Acquired after Birth can come from MANY SOURCES.
    • What are the RAMIFICATIONS of this COMPLEXITY?

So when it comes to ECONOMICS ---
  • We need to fund TRANSLATIONAL RESEARCH, MEDICINE
  • We need to DE-PERSONALIZE as in DE-CRIMINALIZE DYSREGULATIONS of the Body --
    • while at the same time recognizing the need for PRECISION MEDICINE and these DYSREGULATIONS can be HIGHLY IDIOSYNCRATIC.
  • Get HONEST about IMPERFECT TREATMENTS, and
  • Bring people into the PROBLEM-SOLVING PROCESS from all sides.
Picture
Neurodevelopmental disorders—the history and future of a diagnostic concept
 (2020)
Abstract

This article describes the history of the diagnostic class of neurodevelopmental disorders (NDDs) up to DSM-5.

We further analyze how the development of genetics will transform the classification and diagnosis of NDDs. In DSM-5, NDDs include intellectual disability (ID), autism spectrum disorder (ASD), and attention-deficit/hyperactivity disorder (ADHD).

Physicians in German-, French- and English-speaking countries (eg, Weikard, Georget, Esquirol, Down, Asperger, and Kanner) contributed to the phenomenological definitions of these disorders throughout the 18th and 20th centuries.

These diagnostic categories show considerable comorbidity and phenotypic overlap. NDDs are one of the chapters of psychiatric nosology most likely to benefit from the approach advocated by the National Institute of Mental Health’s Research Domain Criteria project.

Genetic research supports the hypothesis that ID, ASD, ADHD, schizophrenia, and bipolar disorder lie on a neurodevelopmental continuum.

The identification of recurrently observed copy number variants and disruptive gene variants in ASD (eg, CDH8, 16p11.2, SCN2A) led to the adoption of the genotype-first approach to characterize individuals at the etiological level.


***Physical Health Issues, the Immune System, the Endocrine System & Mental Health Index
Shared Genes & Psychiatric Disorders
Maternal Immune Activation
Schizophrenia, the Immune System, the Endocrine System & the Microbiome
Psychiatric Disorders:
  • Maternal Immune Activation
  • Developmental Aspects
  • Common Genes
  • Epigenetics
  • Executive Functioning Difference/Deficits

Comments are closed.

    Translational Medicine Friday

    We're riffing off NPR's Science Friday to create Translational Medicine Friday.

    We'll be collecting Research Article recommendations for Clinicians with regard to Cognitive Disability.

    ​There is much in the RESEARCH JOURNALS and we'll just be SKIMMING THE SURFACE.

    The POINT is to INCREASE FUNDING for TRANSLATIONAL RESEARCH at the Federal Level for the National Institutes of Health, the Centers for Disease Control, the Nation's Research & Teaching Hospitals and possible collaborations with Medicare and Medicaid providers.

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System