First responders experience some of the most horrific events in modern life and often carry huge loads of stress home from their jobs. A new program developed by Wayne State University provides resources and cutting-edge services to Michigan first responders to alleviate post-traumatic stress disorder and other work-related mental health challenges.
The result is Frontline Strong Together, a website and 24/7 call line created by first responders and mental-health experts.
Alireza Amirsadri, associate professor of psychiatry and behavioral neuroscience at Wayne State University, and the project's main developer, said high stress pushes too many first responders to the edge.
"Part of trauma, in fact, is that you dismiss, you deny, you try to rationalize, intellectualize all these. But in reality, it is avoidance of discussing it and the impact of stress on them," Amirsadri said.
Wayne State teamed with the Michigan Crisis and Access Line in consultation with police and fire unions, paramedics and dispatchers to develop the program. The Frontline Together Strong website is at FST5.org, and the helpline is 833-34STRONG (833-347-8764).
Amirsadri said in developing the program, he found that there is a stigma among many police, firefighters and other first responders against admitting to a mental health issue and seeking help.
"We were seeing them in need of mental health issues and many of them were not accepting although they were suffering from symptoms. So, many of them were self-medicating," Amirsadri said.
He said research shows 30% of first responders experience mental-health disorders, including depression and post-traumatic stress disorder, compared with 20% of the general public.
"Did you know that the life of police officers at retirement is about 15 years less than a civilian? 15 to 20 years less? There's a reason for it," Amirsadri said.
The program is funded through a $2-million grant from the Michigan Department of Health and Human Services.
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New continuing education classes can help New York psychologists better work with disabled patients.
The courses center on understanding disabilities - providing universal access for patients with disabilities, ethics, and cultural competence.
Sharon McLennon-Wier, Ph.D. - executive director of the Center for Independence of the Disabled New York - said in developing the curriculum, there were certain takeaways people should have.
"The first step really is for people to understand that a disability is a disability, and there are going to be barriers to the environment with it," said McLennon-Wier. "And we need to work together to ensure that each and every person has access to treatment."
Other takeaways are ensuring clinicians are aware of their expectations, noting they're not trained to work with every single client.
It's taken two years to get these courses up and running, and McLennon-Wier said she is eager to see how these will shape up.
The first course begins on May 29 and anyone interested can register online at www.cidny.org/ce.
There's also a hope psychologists will learn about confronting their stigmas toward disabilities.
McLennon-Wier said she feels this begins by looking through the lens of ableism. She said people should consider how they implement universal access for disabled patients.
"Does your biases prevent you from utilizing the knowledge of treatment that you have?" said McLennon-Wier. "Does it work with what's needed by that person who has a disability because first is the treatment practice, but also you have to understand the implications of disabilities."
Other considerations should be given to issues like the segregation disability creates. She said she thinks certain determinants of health like race and gender also impact a person's mental health.
Future classes could deal with different psychological treatments with an infusion of multicultural disability competence.
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The 2024 Arizona Alzheimer's Consortium Public Conference kicks off Saturday, where industry experts and researchers will share the latest scientific developments and ongoing advances to fight Alzheimer's disease and other forms of dementia.
David Coon, director of the Center for Innovation in Healthy and Resilient Aging at Arizona State University, will lead the conference.
Coon said experts continue to see growing numbers of people developing dementia in the Grand Canyon State, which also means increased demand for care from family and friends.
"The reality is we're still facing this," he said, "and we're facing it also with a growing number of people living alone with cognitive decline, and that is very important for us to recognize as well."
It's a growing public health crisis in Arizona, according to the Alzheimer's Association. An estimated 152,000 people 65 and older are living with Alzheimer's disease in the state.
Coon said increasing awareness about the disease is critical to not only diminish stigma but also plan for the future.
Saturday's event is free and will take place from 8 a.m. to 1 p.m. at the Memorial Union on ASU's Tempe campus. Coon said a panel of experts will share information about treatment options, but also the resources and support systems available across the state.
He added that it is critical for people not to wait until a crisis strikes, and that the sooner patients know their cognitive-health status, the better they can have a voice in their own preferences for care.
"How you get assistance, who's engaged, and I think that is really important for you to be, in part, in the driver's seat," he said, "and similarly, for somebody that's going to help you along that way to have those conservations."
Coon called Saturday's event a "family affair," and encouraged anyone impacted by dementia or Alzheimer's to bring family and friends to learn more. Topics will range from new drug treatments to reducing the risk of Alzheimer's with exercise, as well as resources for caregivers.
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A new report showed a significant decrease in suicidal ideation, planning and attempts on college campuses around the nation, as well as improved levels of those suffering from anxiety and depression.
The nonprofit Jed Foundation analyzed a decade's worth of data from higher ed institutions participating in their JED Campus program. It provides colleges and universities with resources and guidance to protecting and improving student mental health.
Michelle Mullen, senior vice president and chief design and impact officer for the foundation, said in Utah, 16 institutions took part in the program.
"We work them collaboratively to be able to identify what is already strong and the ways in which we can strengthen it," Mullen explained. "Are there critical pieces that may be missing to be able to enhance mental-health and suicide prevention on campus?"
With more than 18 million students attending colleges and universities every year, Mullen pointed out academic institutions are at the forefront of bringing mental health services to young adults. Her message to academic institutions is to not wait to implement what she calls a "comprehensive approach to mental health."
The group has a list of recommendations, including preventive practices, guidelines for treatment of people at risk of suicide as well as effective postvention efforts.
Mullen noted mental health challenges have risen significantly among young people and contended it is not a surprise when you take into account the multiple stresses and challenges younger adults face, such as what she calls "today's comparison culture," brought on by social media, mass shootings, race and faith-based harassment and threats as well as decreasing protections for LGBTQ+ youths.
"The amazing thing is that we are now seeing results that are coming out of our reports, is that this group is incredibly resilient," Mullen observed. "With the right support and structure, then they do better on campus. So there is hope and there is something we can do."
Mullen added if you or someone you know is struggling, the first step is to reach out to a friend, a family member or a professional for help. She said one can also call 988 to receive free and confidential support for those in distress.
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