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    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
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    • 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

Getting to the Underlying Biology is A Key to Policy reform

10/30/2021

 
 If we don't provide the UNDERLYING BIOLOGY of these DISORDERS to the PUBLIC--- many people are NOT GOING TO BUY IT.

​Our researchers may not have all the BIOLOGICAL ANSWERS, but they have many and more and more all the time.  
​
​South Park:  Randy Marsh is Powerless Against this Terrible Disease (2021)
Labroots

​
The reciprocal relationship between cytokine dysregulation and binge alcohol consumption

Riffing off Temple Grandin

10/28/2021

 
​Unlike Temple Grandin -- I am that ABSTRACT THINKER --- who thinks in CATEGORIES and ANOMALIES.

Like Temple --- I don't have a good working memory --- so I'm not trying to remember everything ---- I'm trying to understand the principles behind DEFINITIONAL CATEGORIES and identify LOGICAL or SUBSTANTIVE INCONSISTENCIES or ANOMALIES and RESOLVE THEM.

That brings us to PSYCHIATRIC CATEGORIES, BIOLOGICAL CATEGORIES and LEGAL CATEGORIES --- and they are NOT lining up to DISASTROUS EFFECT.

This SPILLED OVER in 2013 when the then Director of the National Institute of Mental Health publicly declared the DSM 5 lacked scientific validity because it only described clusters of symptoms, not the underlying biology of psychiatric disorders.

I think most lawyers are not aware of this and if they are --- it represents a PANDORA'S BOX --- they are afraid to open.
Picture
​"Pandora's box is an artifact in Greek mythology connected with the myth of Pandora in Hesiod's Works and Days. He reported that curiosity led her to open a container left in care of her husband, thus releasing physical and emotional curses upon mankind." Wikipedia
For the attorney:  Who's Your Expert?
  • Those guys and gals over there with the SCIENTIFICALLY INVALID DIAGNOSTIC MANUAL
Temple Grandin --- TedxCSU
Educating Different Kinds of Minds
Picture
Stanford Professor & Author Dr. Robert Sapolsky
​
In the meantime, Neuro-Endocrinologist, Author and Stanford Professor Robert Sapolsky --- clarified the issues further --- in ways some people may not be ready for --- providing ALL THOSE EXAMPLES for the BIOLOGICAL BASIS of BEHAVIOR in his 2017 book "Behave."

So the big time philosophical and scientific issues are there:
  • Intent appears to be BIOLOGICALLY-DRIVEN, and 
  • BIOLOGY / ENVIRONMENT are NOT SEPARATE in the common experience of life.
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​Before someone gives us ARISTOPHANES "CLOUD AWARD" --- we can do 2 BIG PRACTICAL THINGS to make the current situation much better:
  • Make major investments in TRANSLATIONAL RESEARCH & MEDICINE,
  • Comply with some of those DISABILITY LAWS & DECISIONS that have been on the books for awhile.

Colorado & Other States Exhausted the Health Care SYSTEM for Psychiatric Disorders Decades Ago

10/20/2021

 
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  • We estimate Colorado needs an ADDITIONAL Billion $$$ over the next ten years --- an ADDITIONAL 100 Million $$$ a Year to treat Cognitive Disability in this State.
​​
  • We and the World are in desperate need of BETTER UNDERSTANDINGS and BETTER TREATMENTS.
​
  • Some of those BETTER UNDERSTANDINGS are here --- BUT we often haven't SUFFICIENTLY INVESTED in TRANSLATIONAL RESEARCH & MEDICINE.

THE DRAMA OF IT ALL

10/16/2021

 
Picture
Black Shakespeare [Explicit] by Finney the Chimney -- Parental Advisory
Picture
Former US President Bill Clinton

​There are a lot of people at the TOP and BOTTOM of this SOCIETY with seemingly greater than average EMOTIONAL REGULATION PROBLEMS and maybe greater DEVELOPMENTAL INFLAMMATION.

How that is playing out would make SHAKESPEARE PROUD --- BUT it is not good for the SOCIETY or the INDIVIDUALS within it.
Picture
Former US President Donald Trump

World Mental Health Day ---​We'd Like to See World Translational Research & Medicine Day

10/11/2021

 
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​You'd think we would be THRILLED with the THEME of WORLD MENTAL HEALTH DAY 2021 --- SCALE UP Mental Health Services at ALL LEVELS.

         Isn't that what we say almost everyday on this website --- SCALE UP HOUSING, SERVICES and PLACEMENTS.

           BUT ----

            Bringing Mental Health Services to SCALE at ALL LEVELS is going to BANKRUPT most governments without better CONCEPTUALIZATIONS, DIAGNOSTICS & TREATMENTS.

             A BIG PART of that is MORE BASIC RESEARCH . . . BUT a surprising amount of that work is TRANSLATIONAL RESEARCH and MEDICINE based on RESEARCH we already have.
Picture
Textbook of Immunopsychiatry
Picture
Psycho Neuro Endocrine Immunology and the Science of Integrated Care
The PRACTICALITIES of "INTEGRATED CARE"

               It takes a lot of TIME, ENERGY & EFFORT to "INTEGRATE" complicated bodies of KNOWLEDGE --- even if those BODIES of KNOWLEDGE are RELATED.

               BUT what if ---- we SPEED IT UP --- and we KEEP SPEEDING IT UP without sufficient provision to keep CLINICIANS on top of this RESEARCH and  "INTEGRATE" all this complicated information.
I Love Lucy -- "Job Switching" (1952)
​​Well, you end up with a BIG MESS in which RESEARCHERS are running FAR AHEAD of CLINICIANS --- and estimates are it will take CLINICIANS 17 to 20 years to catch up.

BUT if the SPEED KEEPS INCREASING --- the LEGITIMACY of the PROFESSION is called into question more and more.

It is in the INTERESTS of EVERYONE to DRAMATICALLY IMPROVE TRANSLATIONAL RESEARCH & MEDICINE EFFORTS for PSYCHIATRIC DISORDERS.
The Journal of Translational Immunology

​"The Immune System and Psychiatric Disease:  A Basic Science Perspective" (2019)

    VAL'S BLOG 2
    ​
    Val Corzine

    Executive Director of Orchid Mental Health Legal Advocacy of Colorado, Inc.

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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