Sunday, November 18, 2012

Affordable Health Care...



Houston, Texas, November 18, 2012 — People and providers of Houston were invited took an in-depth look at the Affordable Care Act during the month of September.  Over the course of four days, a variety of healthcare experts spoke to members of the community, healthcare workers, and religious based leaders learned about changes to come to healthcare and what to expect when changing the paradigm from “sick care to health care.”

By the end of the Healthy Lives, Healthy Futures Symposium over 300 Houstonians all agreed one thing; the issue of healthcare is a people issue and not a political issue.  “We need to refocus on health and not disease,” said Reverend Linda Walling. “This issue transcends partisanship,” she continued.  Walling, Executive Director of Faithful Reform in HealthCare, reminded the audience of other issues American citizens first opposed but then later embraced.  Issues like child labor laws, a women’s right to vote and the civil rights of African Americans and minority groups were all once controversial, political topics. 

The new law brings a “mind, body and soul” approach to healthcare.  It is integration rather than receiving care in silos. It is wellness through prevention instead of treating an illness.  Under the mandate of the law healthcare workers, providers and even congregations are eligible for incentive payments by improving the health condition of others.   

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Houston Learns Facts About Affordable Healthcare



Houston, Texas, November 18, 2012 The Greater Houston Coalition of Healthy Futures is celebrating the success of a great turn out at the Healthy Lives, Healthy Futures Symposium.  The big story for the weekend was the protection of customers instead of companies, ways to prevent the misuse and abuse of Medicare and the elimination of rejection from insurance plans because of preexisting conditions. 

Although the Affordable Care Act does not officially go into effect until the year 2014, some parts of the law are already active and are affecting the lives of Houstonians now.  For the next sixteen months an estimated 5,600 people can and will receive insurance because insurance companies can no longer exclude children with preexisting conditions, like asthma or diabetes.  Small businesses may be able to receive a tax credit up to $7,400 for providing healthcare to employees and an estimated 3.3 million will most likely be eligible for Medicaid.     

Houstonians were happy and are looking forward to the Affordable Care Act ending the abuse and misuse of Medicare made by practices, providers and agents which in turn will actually strengthen Medicare. For example, right now Medicare pays prescription costs for senior citizens up to a certain dollar amount.  After that dollar amount, the senior is then forced to pay out of pocket for their prescriptions until Medicare kicks back in and pay for prescriptions again.  This effect is called the “doughnut hole” and with the Affordable Care Act we can expect for the doughnut holes to be phased out by the year 2020.

Each day of the symposium was focused on a specific audience.  Friday was for medical providers, Saturday the religious community, Sunday included the entire Houston community and Monday was for behavioral and mental health providers.  

A few Texas celebrities and government officials were in attendance at the symposium.  Fox 26 news anchor, Jose Grinan, acted as Master of Ceremonies and stressed how important it is to take care of ourselves.  Health and Human Services Regional Director, Marjorie Petty, educated providers on Act’s impact on women and women’s health service issues. 

Other featured speakers were. Executive Director of Faithful Reform in Health Care, Reverend Linda Walling engaged audiences in interactive conversations and answered direct questions about the upcoming healthcare reform.  Mr. Michael Duffy warned behavioral health providers to become Medicaid licensed, to integrate with a health care partner and discussed the challenges of certified electronic health records.

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An intro to Social Work and Social Services: Help me to Understand Cultural Competence




 
As a descendent of a Cherokee grandmother, I am familiar with stories of lost land, hard struggles and the fight to maintain one’s dignity, but then that was all.  Adults often told the children horrible stories of being taken from home in the middle of the night by the locals or the fight for equal education.  However, I was rarely told things about the culture or ways of the Native American.  I only became familiar with the term “Cherokee Nation” because of a ‘Cher’ song.  However, reading the article, Indigenous People and the Social Work Profession: Defining Culturally Competent Services by Hilary N. Weaver, inspired me to have hope for the future of America’s first inhabitants.

Prior to reading this article, I had heard alcoholism was a problem for Native Americans; however I was unaware of the reason.  I had not heard about containment, although it explains my grandmother’s favorite expression, “If you don’t have anything nice to say then don’t say anything nice at all.” 

My views, as a woman, a person of color, and a descendent are sympathetic and empathetic to Native Americans.  I believe in the integration of cultural competence into the social work profession, for any indigenous population.  It is of extreme importance to have historical knowledge to best know a client; it is necessary to understand the client’s perspective.  The statement, social workers must understand the “effect of oppression” stuck out in my mind.  I think that one line explains everything; if a social worker is able to understand the overall effect of oppression at the micro, mezzo and macro level, they should be able to effectively empower any client.


I am very pleased with NASW’s move toward cultural competence; if more people with Eurocentric values began to truly understand the varied perspectives of the others around them, then we, as a society, could begin healing from a long history of pain.  Professor McMahan says, “Social workers are the people who educate other professions…” and if this is true, I welcome an opportunity to work with Native Americans.  Only when I have the support to empower Native Americans to make a change towards their idea of “better,” would I work with this population, otherwise it would be emotionally stressful.  I consider myself a macro level worker; I am too sensitive, but I am interested in learning more about the Native American culture.   


Now, I understand the social work profession has matured through-out the years and is working to recognize individual worth by understanding the individual’s cultural make-up; their environment, social realities and historical presence.  NASW is acknowledging the profession’s ethnocentric foundation and is advising social workers, Caucasian or otherwise, to display an openness to divergent beliefs, norms and value systems.  Social workers should understand and appreciate diversity among any population, display humility (a quality often lost by people with higher educations), a willingness to learn and the most important component, a respectful, nonjudgmental, open state of mind.

An intro to Social Work and Social Services: What is Social Welfare?



In the small suburb of Broadview, Illinois, where I grew up, children either brought their lunch from home or went home for lunch and in special cases, parents brought a fast food favorite for their child.  Having a parent bring lunch to school meant you were the talk of the lunch room.  To us, the “poor children” usually had no apples, no fruit snacks and the brown bag was reused.  However, the amount of money people did, or did not make, was never discussed. Everyone had the same type of house and ate the same type of dinners, we were all equal.  Inside the city was different; do not stare at people and do not make eye contact.  In fact, the first time I ever saw food stamps was in the city, while staring at them I pondered what post office gave stamps to buy food with.
When I moved to Texas, I immediately, noticed a dramatic difference in the lives of those around me.  I discovered middle class; our family was upper middle class.  My Mother worked for NBC affiliate, KHOU Channel 2, as an Electric Engineer.   I knew there were school counselors who were available should a student need someone to talk to, but I had never heard of a Social Worker.
Now, I am 28 years old, a junior in college and I am a welfare recipient.  I receive Food Stamps and Medicaid.  My roommate, Scott, receives unemployment.  My Mother is on disability; she suffers from Renal Kidney Failure.  My step-father is retired from the Air Force and works as a Postal Carrier for the United States Post Office.  Now, welfare is all around me.  I am extremely grateful for Food Stamps; there have been many times where I would not have eaten if it were not for Food Stamps. 
Scott worked for a bank in Flint, Michigan before he was laid off.  He started receiving unemployment this past fall.  He suggested a different perspective of the situation: single men.  He feels a single man has more difficulty getting the same amount of welfare a single woman receives.    
Two mutual friends, Joe and Johnny, from Bellville were also interviewed.  Johnny educates himself through YouTube by watching documentaries on the earth, music, religion, everything.  Joe is a poet, a combination of man’s man and a lady’s man. Both are very intense in their own way.  Johnny thought welfare was simply low income families receiving government money provided by the tax payers.  When asked about benefitting the public  Johnny said, “Unfortunately, there are people who really need it and use it and it is a benefit to them, but there are people who abuse it and even though… it’s still a benefit.”   Joe thought welfare was, “People who don’t have jobs going to the government asking them to send them checks because they can’t find jobs. Oh, wait no that’s unemployment.”  Joe believed people who received welfare were stay at homes moms, people with lots of children, not able to work, and undergraduates, like the four of us. Scott said welfare was, “A social service to help the non-financially adept (broke) citizens of the country.  Like the disabled.” 
When Scott hears the word welfare he thinks of the poor white children of his elementary school.  There were very few and all of them seemed incredibly poor.  He believes welfare is a benefit, “If a person is making meager earnings then it adds, some people will never escape poverty.  It’s better to have than to have not.”  He has two sisters who are Social Workers.  One works for Child Protective Services, she does home surveys and home studies.  The other goes to the homes of people currently receiving welfare and “makes sure they are poor.” 
Comparing all of our varied lives was very interesting to me.  Even though Joe and Johnny grew up in the same town, Joe was raised by his mother and grandmother, while Johnny lived with his parents.  I suffered a family tragedy at a young age and became a ward of the state.  I was blessed with a wonderful, caring foster family for a small time before my grandparents became my guardians.  Before Scott and I spoke, he thought no one in his immediate family had ever used welfare. Now, he knows simple routine things, like deducting the interest of a mortgage payment, means everyone is on welfare.

Being Mad and Creative: The Connection between Mental Illness and Brilliance



The major historical and theoretical trends of the history of the idea of a correlation between mental illness and sheer brilliance did not initiate only after the French Revolution.  The controversial connection between insanity and creativity has been an incredible, indescribable phenomenon since the days of Socrates in Greece. 
This academic discussion of the linking commonalities between creativity and mental illness will entail details of the number, and quality of, scientific evidence regarding creative people having a greater likelihood of being diagnosed mentally ill.  More so than non-creative people; and how artists and writers are more likely to be alcoholics, clinically depressed, or commit suicide more so than average citizen. Specifically, within the last few hundred years of Hollywood cinema, celebrities have gained an embarrassingly, unattractive reputations when dealing with illicit drugs and alcohol. 
Celebrities, such as, Robert Downey Jr., Drew Barrymore and now Charlie Sheen have, at one time or another, all been seen publicly in a drunken state.  However, this is not the first dangerous combination of youthful, creative people expressing their inner battle to be sane.  Dr. Arnold M. Ludwig, a psychiatrist at the University of Kentucky Medical Center, compared the mental health of famous twentieth century artist and writers with the mental health of more conservative, traditional professionals.  Ludwig discovered that artists and writers experienced two to three times the rate of psychosis, suicide attempts, mood disorders, and substance abuse than did comparably successful people in business, science, and public life. (Stanger)  Although there was a period of time when being "madness and genius" was considered in style, a cultural trend.  The Age of Romanticism was the era of greatly admired, yet later suspected of dealing with bipolar disorder, Percy Bysshe Shelley, Edgar Allan Poe, Schumann, and Beethoven.  Other note-worthy, mentally ill “creators” include the highly acclaimed Russian author Leo Tolstoy (War and Peace), the Nobel Laureate John Nash, of whom the film A Beautiful Mind was written about and of course there is one of the most widely and commonly known self-mutilating artists, Vincent Van Gogh.  The introduction of The Ingenious Gentleman Don Quixote of La Mancha in Miguel de Cervantes novel began an escalation in the number of asylums for the insane.  When the story of Quixote was released in the early sixteen hundreds the understanding of the insane was that they are unable to fully contribute as a member of society and therefore were unfit to coexist with the rest of society’s members.  In the textbook, Interpersonal Communication and Human Relationships, authors Knapp and Vangelisti said there is wisdom in belief that the most intolerable form of punishment is isolation (solitary confinement).  Total and complete social exclusion from human contact can leave human beings feeling devoid of satisfying the impulse to express experiences.  Each person has a reservoir of private experiences that at some point must overflow onto others. (Knapp, 1984)  The distinction between the mentally and criminally insane did not come until much later after the eighteenth and nineteenth centuries.  All of these examples are considered to be the greatest, the most influential or best works ever, but these tasks were accomplished by people who were considered to think outside-the-box.
Secondly, the research presented in this discussion will highlight the three main points of scientific studies regarding the link between bipolar disorder and creativity.  Individuals with bipolar disorder are not necessarily automatically considered creative people.  Also, usually easily recognizable creative people do not always suffer from mental illnesses or mood disorders.  Or any other mental health challenges for that matter.  There are conflicting ideas about whether mood disorders interfere or promote creativity.  In the 2009 online article The Myth of the Mentally Ill Creative Keith Sawyer called the link between the mentally ill and creative personality traits as a myth.  According to Sawyer there is no solid scientific evidence affirming the correlation.  In fact, Sawyer says there is a large amount of scientific evidence that creativity is more commonly associated with the positive moods of the human existence, with happy and healthy lives.  In Sawyer’s opinion, severe mental illness may actually reduce creativity.  He continued to say that in order to see a connection one must first consider the mentally challenged who are not creative and the creative who are not mentally ill.  Now this point, in particularly, stood out in my mind because of a conversation in the recently released blockbuster film Tropic Thunder between the lead protagonists played by Robert Downey Jr. and Ben Stiller.  Robert Downey Jr.’s character says to Ben Stiller’s character, “You never go full retard” which loosely translated means you never completely let loose control over your mental comprehension. 
On the opposite side of the argument, noted authors Jason L. Hicks and Richard L. Marsh believe "creative activity does involve very regular, cognitive process” and that evidence shows that people use information the same way whether or not they are creating a novel idea or merely accomplishing a non-creative task." (Bink & Marsh, 2001, p. 60)  Bink and Marsh understood, in detail, the cognitive process behind creative thinking.  A website specifically intended to aid individuals living with bipolar disorder, bipolar-lives.com, does openly discuss the side effects of medication and a hindrance to the creative ability.
The findings of an extensive study conducted by Dr. Ludwig and his colleagues resulted in findings proving that “genius does in fact border on insanity, but that people diagnosed with psychological illness cannot be highly creative."  He said, “Studies suggest that creative people often share more personality traits with the mentally ill than “normal” people in less creative pursuits.”  Ludwig also went so far as to trace various types of mental illness to different creative professions: he found that if you're a poet you're more likely to suffer from mania and psychoses; a musician or actor, drug abuse; a composer, artist, or non-fiction writer, alcohol dependence. (Stanger)
Next, let us take the time to discuss the personality traits of creativity in artists versus scientists and the commonly shared personality traits between creative people and the mentally ill, yet considered “normal” people.  There are many similar traits between the creativity that comes from an artistic mind versus the creativity that comes from a scientific mind.  These personality traits begin with, but are not limited to, being open to experience, a strong sense of drive, ambition and the ability to produce literal and physical achievements.  However, the distinguishable differing personality trait in artists includes a certain type impulsiveness that often leads to a lack of the sense of right and wrong.  Artists most commonly exert signs of anxiety, artists are said to be extremely emotionally sensitive sometimes to a point of hostility.  Artists are widely known for nonconforming, being aloof and can often be unfriendly to those who do not share the same perspective as themselves.  The independence exhibited by artists can often be misread as a lack of warmth originated from the imagination of a fantasy-oriented individual.  In an article from the Rochester Institute of Technology entitled, Creative Genius or Psychotic? A Look at the Strong Positive Correlation between Creativity and Psychoses, writer Jonathan S. Byrd says the inclination to fantasize could be equated with having an "overactive imagination".
On the opposite end of the spectrum, the creativity that spawns from scientists is still an attitude of hostility but this time the hostility is derived from a feeling of dominance and arrogance.  It is said that scientific creativity is evident because scientists independently act as their own moral compass; their confidence resides within themselves and their own abilities.  Although, no matter what the motivating factor may be behind the either artistic or scientific “creativity” the entity created, the byproduct of that creativity, can be something wonderful, magnanimous…an apparent innovation for the creator.  Another interesting point to mention is about scientists, although they are said to be more self-absorbed they are also said to be much more flexible in changing the pattern of their thoughts, more so than artists.  
I believe the true divider between artists and scientists is as simple as one word: intelligence.  In the late 1800s tests were developed to point out high levels of intelligence in individuals and again in the nineteenth century intelligence was used as a barometer to promote the individual’s mental property.



The seventeenth and eighteenth centuries, most commonly referred to the historically popular Age of Reason or period of Enlightenment, were the leading, distinguishable eras of initial arguments of rationality. The imagination was held as the “key element of human cognition” according to the writings of Thomas Hobbes.  The historical significance of the connection between mental illness and brilliance has been seen in the common, everyday life ever since the nineteenth and twentieth centuries.  In my opinion, the connection between mental illness and brilliance is undeniable.  Especially since teachings of this correlation have been taught since the seventeenth century and has become the understood and accepted rational today.  Even for those who do not believe in the association.  For those of us who were lucky enough to have lived during these two monumental centuries this association has become “common knowledge” that these two are intertwined.
As we [society] have learned more about these creative people and their accomplishments, we have learned something more mental illnesses and how to reach the pinnacle of artistic expression that is admired even until these modern times.
So in effect, Sigmund Freud’s work led to the thought logic progression of the belief that great artistic talent is usually linked to mental illness.  The fact that this holds true in so many of our world renowned great artists has also added to this “understanding and acceptance”.  Recently at a Middle School art fair there was a beautiful painting that stood out from all the other competitors.  When I inquired about the painting; I was told an autistic student had painted it and my response was, “Oh”.  I knew I had to include that in this paper.  I realized that simply saying the student is autistic was the answer to my unasked question. The “Oh” was my acceptance to the response of my unasked question.
The 19th century teachings of Freud aided the thought logic progression that defined what we refer to as, “Genius artistry.”  It was written that: “The phenomenon of transference in the therapeutic relationship, established its central role in the analytic process.”   This is so true.  Sigmund Freud taught us to define the thought process. This logical thought progression is the process commonly used and taught throughout the centuries of our existence. However analyzing within the logical thought process is how we reason and develop thought and understandings and this is all attributable to Freud’s breakdown of the Id, Ego, and Super Ego.
With definitions and understandings of what mental illness is and what brilliance is we can now recognize connections that we perceive.  Most artists that were deeply depressed painted beautiful works of art void of the depression altogether, or works that gave you a new way of looking at the expression of the simplicity of beauty.  It seems that since there is something on the inside that is unhappy these mentally challenged artists produced what was beautiful and happy to them in outward expressions.   It may have been to hide the mental illness, or to do the opposite of what they felt inside.  Some artists look at their work as the “birth” of an artistic piece and some do not want to give birth to what is considered ugly, or something they themselves cannot begin to actually express. They might feel that the feeling within their mental illness is disgusting or grotesque to them. And that could be the reason they did not share their grotesque expressions with the world.  On the other hand, battling mental illness could allow them to be completely self-serving not even aware of the impact their works would have on the world and they simply created what they felt during the time of artistic creation,  and it is just that, no other logic was ever involved.
I really feel that with the works of Salvador Dali.  His works depict a positive and a negative force in competition with each other.  Some of his works are so well depicted that you can literally feel the forces battling to see which one overcomes the other.  Salvador Dali’s works also depict extremes, long noses and extended buttocks on some of his caricatures.  Dali was noted to have commented that, this is his expression of the depression he experiences.  His work has to include the loss of balance because he was without balance in his life.    He said he could not leave this out of his works and feel that he had expressed himself.  His mental illness, or lack of balance as he put it, was an accepted part of him.  Dali seemed to have a sense of peace with the fact that he suffered from mental illness.  He accepted his mental illness as also what defined him as his self.  Dali was definitely described as an outside the box thinker along with so many mental greats of all the past centuries.  
In conclusion, thinking outside the box may possibly be a creative boost in both, a career or personal life.  However, why a correlation between the mentally ill and the creative exists is still being widely researched and may allude to certain points, but nothing can be said for sure. 
The 19th century teachings of Freud aided the thought logic progression that defined what we refer to as, “Genius artistry.”  It was written that: “The phenomenon of transference in the therapeutic relationship, established its central role in the analytic process.”   This is so true.  Sigmund Freud taught us to define the thought process. This logical thought progression is the process commonly used and taught throughout the centuries of our existence. However analyzing within the logical thought process is how we reason and develop thought and understandings and this is all attributable to Freud’s breakdown of the Id, Ego, and Super Ego.
With definitions and understandings of what mental illness is and what brilliance is we can now recognize connections that we perceive.  Most artists that were deeply depressed painted beautiful works of art void of the depression altogether, or works that gave you a new way of looking at the expression of the simplicity of beauty.  It seems that since there is something on the inside that is unhappy these mentally challenged artists produced what was beautiful and happy to them in outward expressions.   It may have been to hide the mental illness, or to do the opposite of what they felt inside.  Some artists look at their work as the “birth” of an artistic piece and some do not want to give birth to what is considered ugly, or something they themselves cannot begin to actually express. They might feel that the feeling within their mental illness is disgusting or grotesque to them. And that could be the reason they did not share their grotesque expressions with the world.  On the other hand, battling mental illness could allow them to be completely self-serving not even aware of the impact their works would have on the world and they simply created what they felt during the time of artistic creation, and it is just that, no other logic was ever involved.
 I really feel that with the works of Salvador Dali.  His works depict a positive and a negative force in competition with each other.  Some of his works are so well depicted that you can literally feel the forces battling to see which one overcomes the other.  Salvador Dali’s works also depict extremes, long noses and extended butts on some of his caricatures.  Dali was noted to have commented that, this is his expression of the depression he experiences.  His work had to include the loss of balance because he was without balance in his life.    He said he could not leave this out of his works and feel that he had expressed himself.  His mental illness, or lack of balance as he put it, was an accepted part of him.  Dali seemed to have a sense of peace with the fact that he suffered from mental illness.  He accepted his mental illness as also what defined him as his self.  Dali was definitely described as an outside the box thinker along with so many mental greats of all the past centuries.  
Many of the Great artists that did struggle with mental illness were also noted for being able to look at things and perceive them differently.  What they saw, and what the average “normal” person saw, was very different, sometimes very simplistic and at times so extremely complicated.  Though it was recognizable it was from a completely different perspective; a perspective that the “normal thinkers” had not considered.  Some of the time working from definitions, and understandings, can cause us to limit our investigations of matters and be content with out truly searching out a matter.  The term,” outside the box” is a phrase used to describe the thinker that does not hold on to the understood without allowing their thoughts to be limited to only what is known and understood, and/or defined.  They are open enough in their thinking to just allow thoughts to proceed beyond what they think they already know, and explore what else it can be , or become.  I feel mentally ill people have the ability to allow their thoughts to just be, or become whatever they are.  They seem to have the ability to quite the analytical thinking, and even the logical thinking, and create without definition or understanding.
Why the link?  I am convinced the link exist because of the mentally ill person has some capabilities of the mind in thoughts that we the “normal” thinkers don’t have.  To create or recreate works that their mind sees, just the way they see them, is what a mentally ill person does and a person without mental illness does the same.  In artistic expressions the mentally ill can only produce what they see in their minds eye.  The link is the sight.  Non-conforming, not understood expressions, but the skew they see in their mind eye vision.  Once translated to a physical work, then we “normal” thinkers can study the concept, use the logical thought progression and incorporate new knowledge into our analytical thinking process and voila, we understand.




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