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    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
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    • Olmstead Law & Order Thursday
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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

Part 3 of 3:  Hidden Brain --- So Many Implications

12/30/2021

 
​      The Hidden Brain Episode that was set in Denver --- "Both Things Can Be True At the Same Time" went to
  • Integrative Complexity, and 
  • Integrative Thinking

       ---it  chose as its backdrop Addiction, Mental Health Problems, & Criminal Justice --- mainly because those are the EXTREMES --- and in some ways it is easier to SEE THE ISSUES.

        This staid NPR Program isn't really that different than some DRAMA or SATIRE that is ratcheting things up to make a point. 
​
WARNING:  Offensive Language
J. Cole
Amari
"Let's work, hey . ..

"​I punch the time sheet, not no more
And now my assigned seat is the throne."

At some point, most of us realize --- WE"RE PLAYING A GAME -- and if it's NOT WORKING FOR US --- We have to step outside it.

It usually has to be PRETTY BAD for us to do that ---  BECAUSE there are many DIS-INCENTIVES.
Picture
 NPR'S HIDDEN BRAIN
"Both Things Can Be True"
Don't Look Up
"Sit Tight and Assess"

​Ironically, one of the things we are trying to do on Orchid is RATCHET things down for people with mental illness from SERIAL KILLER to ARTISTIC TEMPRAMENT.

The GOOD GUYS in "Don't Look Up" are the Nerdy, Anxious Outsiders ---  ---- because that is who is making the ART.   

In "Don't Look Up," the Protagonists basically are following the CHAIN of COMMAND and making SUBSTANTIVE ARGUMENTS --- and it is not getting them very far.
Divergent --- Drowning Scene (2014)
​Shailene Woodley as Tris Prior

Addressing "DIVERGENCE" is:
  • "STEPPING OUT OF OUR ASSIGNED SEAT" (see J. Cole above)
  • Engaging the "Other Side" to find a MUTUALLY AGREEABLE SOLUTION
  • And giving those POLITICIANS a CONSENSUS
  • Because if you wait for the POLITICIANS --- IT WILL BE TOO LATE. 

​We'd like to avoid ARMED REBELLION.

Part 2 of 3:  Hidden BRAIN -- Everyone Has Their Problems --- Spoiler Alert

12/30/2021

 
Picture
Casablanca (1942)
​--- In the Stephanie and Kim Story on NPR's Hidden Brain--- Kim was a life saver and a thief, and Stephanie was someone who had been suicidal and a addict and wanted to be a good friend.

Most of the time it is not that dramatic --- but EXTREMES help us see COMMON PATTERNS.


One of the COMMON PATTERNS for many NEURO-DIVERSE people is --- "Hey, I'm not the only one here with some challenging behaviors."

In fact, most of the US population has low grade inflammation ---- it may be showing up as cancer, or autoimmune diseases or other inflammatory "physical" diseases, and the psychiatric issues may be less severe but there.

Another EXTREME EXAMPLE:  poor black, hispanic, white guy with psychiatric disorders is arrested for breaking into a garage while drunk/high  and subsequently gets beat up by officers in the jail--- those officers have their  own neuro-developmental / psychiatric problems.

Most of the time nothing happens to the officers unless there is a video and even then it can take a lot to get the matter addressed. 

We have much more of a population-wide problem with INFLAMMATION than we realize and it's not just the USUAL SUSPECTS.
How did we get to the point that 1/5 to 1/4 of the populations of most developed countries and more and more developing countries have mental health concerns and chronic disease is rampant?

Some of those simple answers aren't all wrong --- we need to eat our fruits and vegetables and exercise.  BUT that can come perilously close to "PRAY THE GAY AWAY."

Neuro-Diversity is not sufficiently recognized by the Mental Health Profession and it's the bulk of the  Mental Health Population.


Where did that Neuro-Diversity start --- by and large IN UTERO.
Picture
 NPR'S HIDDEN BRAIN
"Both Things Can Be True"
Tedx:  Professor Graham Rook at Kings College London on the "Old Friends Hypothesis"

See 4:10:  Widespread low level  background inflammation in US population.
Starting to look at this from a Public Health -- Population-Based Approach (with some BIOMARKERS) could get us a much more accurate view of what's going on. --- and start to address some entrenched BIASES.

Further, we need to look at MORE THAN ONE GENERATION.  
Picture
Developing mental health policy in Sweden:

a policy analysis exploring how a complex societal challenge was consigned to individual citizens to solve
 (April 2021)
Picture
Karolinska Institutet in Sweden --- Photo Credit: Nobelprize.org
Press Release from the Karolinska Institutet in Sweden (2014):

"The conference will focus on the development of the brain from conception, in utero to the early post natal stages.

"If something goes wrong during this time, it may have major consequences, and many known psychiatric illnesses can be traced back to this period.  

"Schizophrenia, autism, ADHD, bipolar disorder and anxiety syndrome are just a few examples. "  

Part 1 of 3:  A Complicated Story from Denver  --- SPOILER ALERT

12/30/2021

 
  • NPR's National Program "Hidden Brain" this week was "Both Things Can Be True" and looked at Integrative Complexity from the standpoint of "Stephanie" and her friendship with "Kim."
  • Kim had both saved Stephanie's life and stolen from Stephanie.
  • Stephanie had her own problems and needed the assistance of the SOCIETY to address the stealing.
  • It appears that Kim was prosecuted in Denver District Court, Kim was  put on Probation, was not successful on PROBATION and went to prison for many months.
 
  • We don't have all the facts --- BUT it is not a big leap to say Stephanie didn't have a lot of options and neither did the Criminal Justice System.
 
  • For Stephanie, Kim and the Criminal Justice System, the State Legislature could be and has been a source of options.
 
  • The Criminal Law is often STATE LAW.
 
  • More and more effort has been put into providing MEDICAID Services and Supportive Housing to "JUSTICE-INVOLVED" people.
 
  • PROBATION is NOT a good fit for people with EXECUTIVE FUNCTIONING CHALLENGES and many if not most people in Criminal Justice have EXECUTIVE FUNCTIONING CHALLENGES.
 
  • BUT People with Executive Functioning Challenges generally have other STRENGTHS -- they may even be SAVING OTHER PEOPLE'S LIVES. 
Picture
 NPR'S HIDDEN BRAIN
 "Both Things Can Be True"
Picture
The link below is from San Mateo County Probation in California.

It is not what one would expect from a Government Probation website -- but it is extremely HELPFUL in providing CONTEXT --- about where we've been.

It briefly goes back to the Middle Ages and works its way up.
History of Probation
Picture
The Nexus Between Neuro-Science & Probation
Picture

Data & Olmstead

12/25/2021

 
Picture
Ultimately, we see  this as a State Responsibility to COLLECT THE DATA going to the NEEDS OF PEOPLE WITH DISABILITIES under Olmstead.

Further, States have an INCENTIVE to COLLECT THIS DATA not only to do OLMSTEAD PLANNING --- BUT to BARGAIN WITH THE FEDS --- especially on HOUSING.
Municipalities and Counties also have an interest in collecting some of this data --- to BARGAIN with the STATE.   The States are cost-shifting SIGNIFICANT HIGH COGNITIVE DISABILITY COSTS to the MUNCIPALITIES & COUNTIES.

Trying to Get A Process For Olmstead in Colorado and other States

12/25/2021

 
Picture
After my interview for the State's Disability Policy Coordinator Position, it was clear the State is walkin' a FINE LINE.

It was certainly clear to me that I wasn't the right person for the position, and I hope whoever gets the position gets the backing of the State.


We are 20 years out from the Olmstead Decision and STATE COMPLIANCE is a BIG ISSUE.

It's a big issue for many reasons including the decision itself.

Unfortunately, the Olmstead Decision makes an Olmstead Plan a "DEFENSE in a LAWSUIT," not an independent requirement.

So that has really put the BURDEN on People with Disabilities to File Lawsuits.


Many lawsuits have been filed against the State of Colorado, generally for good reason.

It is saying a lot in a LOUD VOICE if the John Hickenloopers and Jared Polises of the world don't really see a clear path to Olmstead Compliance.


I'm going to be focusing on this as much more of a National Issue.
​The BRAVE WORK of Mental Health Colorado, NAMI Colorado, Colorado Cross Disability Coalition, ADAPT, Disability Law Colorado, the Colorado Lawyers Committee and many others has been amazing to watch and we hope they will continue to pursue these Olmstead Issues at the State Level.
With regard to Families, Private Insurance Companies, Medicare and Medicaid, States and Businesses, it is hard to see how we are going to FINANCE TREATMENT, SERVICES and SUPPORTED EMPLOYMENT for Cognitive Disability without:
  • Better DIAGNOSTICS and TREATMENTS and
  • BETTER STRATEGIES for ADDRESSING EXECUTIVE FUNCTIONING in Supported Employment,, Supported Entrepreneurship, and Non-Supported Employment and Entrepreneurship.

That has been and is going to continue to be a BIG FOCUS of Orchid going forward.  ​

Homelessness, Fitting into the economy & Gifts & Challenges

12/16/2021

 
Well, this video started out as a fairly traditional take on Housing First and then it went into an Assault on Capitalism.

It's hard to ignore that ECONOMICS are big factors in homelessness and other social problems.

I do think that ENTREPRENEURSHIP and SUPPORTED ENTREPRENEURSHIP are pieces to the puzzle, especially in the US.

Further, HOUSING FIRST is important BUT it is also important to recognize that many of the people who are homeless have:
  • STRENGTHS that need to be developed and fit into the economy (it might not be working for somebody else)
  • AND have EXECUTIVE FUNCTIONING DIFFERENCES.  ​​​

​This video doesn't really get into ADA (Americans with Disability Act) Employment Issues --- but they have been PROBLEMATIC especially in the COGNITIVE DISABILITY context largely for all sides.
Picture
​It seems to me there is an interesting DYNAMIC going on between PERCEIVED NEURO-TYPICAL PEOPLE and PERCEIVED NEURO-DIVERSE PEOPLE.

Right now we view many people with "psychiatric disorders" has having:
  • "RIGID THINKING" and 
  • "DIVERGENT THINKING"

Hmmm . . . wouldn't those generally be OPPOSITES? -- BUT

The person who is perceived to be NEURO-DIVERSE is often thinking:
  • this other person has really "RIGID THINKING," and 
  • they've got their own problems.

Are they both right? I think many times they are.
​The perceived NEURO-TYPICAL is often performing executive functioning issues more EFFICIENTLY AND AUTOMATICALLY than the person who is perceived to be NEURO-DIVERSE.
  • that NEURO-DIVERSE person is looking for ACCOMMODATIONS for things that maybe coming "more automatically" for the perceived NEURO-TYPICAL.
Second Thought:
How Finland Ended Homelessness (Sept. 2021)
On the other hand:

​The Neuro-Diverse person often hasn't been able to rely on AUTOMATIC EXECUTIVE FUNCTIONING to the same extent.
  • If they have been EDUCATED they may have a lot of "BOOK LEARNING"  and even if they haven't they often have a lot of SENSORY AWARENESS (& OVERLOAD).
  • Their emotions are often Typical -- BUT are MORE INTENSE.
  • This is where we need to hang up our Mr. Spock idea of Human Reasoning (Spock was 1/2 Human) --- BECAUSE Humans need EMOTION to REASON.
  • If I don't have those AUTOMATIC EXECUTIVE FUNCTIONING SKILLS to the same extent--- I'm going to need to use a lot more of my REASON to get there.
  • Further, how is my body going to help me do that:  It's going to turn up the inflammation
    • ​BUT I likely already have SIGNIFICANT INFLAMMATION or I would have more TRADITIONAL EXECUTIVE FUNCTIONING.
  • The more that INFLAMMATION gets TURNED UP--- the more I'm taking in from the environment so I can REASON  --- BUT SENSORY OVERLOAD can lead to an EMOTIONAL OVERLOAD.​
If you've had to do this over a lifetime, you may know that a lot of things the SOCIETY is doing are NOT REASONABLE even though your EXECUTIVE FUNCTIONING may never be that of someone perceived to be more NEURO-TYPICAL.
TED-ED
The Unexpected Math Behind Van Gogh's "Starry Night"

Val's Take:  An amazing and cautionary tale regarding heightened awareness

Picture
Icarus

    VAL'S BLOG 2
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    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