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05-28 7:30 am Community Matters

May 28, 2017|

WWL’s Monica Pierre discusses various community projects and services that benefit the infrastructure of Greater New Orleans.

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Automatically Generated Transcript (may not be 100% accurate)

Good Sunday and welcome to the showed thinking so much for joining us today I'm your host Monica pier. Coming up. Have been more often than not know it census says this. Usually we will talk about the mental health awareness. And what metropolitan human services district is doing to help people get back on track. Mental health is something everyone should. Care about which talking about mental health awareness joining us is doctor Rochelle had done them. Executive director and medical director with metropolitan human services district doctor had done a welcome to the show thank you. Let's begin about talking about mental health. What does that really mean. Some mental help. Really speaks to one's ability to emotionally. And cognitively be stable. In other words com am I thinking clearly. Are my emotions working favorably for me is my ability there really can't negotiate that day to day stresses of life are on par. With what most people are able to do and are to be functional. Com is is my ability to reason and to understand. And to make rational decisions. I'll working functionally am I happy and more often than not. Com no excessive sadness all confusion. All of those things speak to our mental health. It seems like almost de Silva may fall short in some of those areas but how do you know that you've gone from just dealing with the normal stresses. Things happen and then you know we pray for a sound mind and body. It's just something that's not. Necessarily. Functional all right you council that's a great distinction to make. Com fortunately unfortunately. In mental health treatment. Our emotions really are what we are measuring here and we all have them. Com unlike other disease states where if you have that condition everybody does not have that condition. But in mental health treatment our mental illness we all have emotions and our emotions are always a 100%. Functional order on a 100% period. Arm we distinguished mental illness when there is a persistence. Of the impairment in New York on emotional ability or your intellectual ability. Over a long standing period of time Prez is depression for example we all get down. We all have days that aren't as good as other days. But we distinguish a major mood disorder when there is persistence for two more weeks unrelenting. Armed that is not typical of the average person they may so how's that different from grief and loss we all experienced the loss and we all experience grief. But grief and loss does not interfere with your ability to function on the dated date basis you can continue your usual routine and keep yourself. Focused on other things to distract from the lost. Hey you're able to get through your game in overtime. But the pain of the loss starts to diminish more correct yeah but when you're talking about a major mood disorder it actually render issue. Incapable of functioning. So with major depression for example you have trouble concentrating focusing if trouble sleeping your appetite can be effective it. On you feel hopeless helpless worthless. On both kinds of symptoms are paralyzed. And so most people who have a major depression for example take to the bit. They really are not able to get out of bad. That's very different from a person who when I think about my laws against I may cry but as long as I can keep on mind on something else right I can function. I can go to war pull myself out of it for a moment and is what I need to do that's exactly right. We're talking about mental health and awareness of mental health issues. Joining us is doctor Rochelle had done them executive director and medical director of medical human services. At metropolitan human services district. The month of may sense of not 1949. Has been designated mental health awareness. I'll talk about how we have maybe a involved in the conversation about mental health. A particularly for some who feel that businesses. You know we don't talk about uncle jell O we don't talk about a cousin Sarah. How has it evolved over here if it's evolved. And and we still don't talk enough about uncle Joseph and cousin Sarah because of the stigma associated with it. The evolution is from more along the lines of the researching what we understand to be. Clear clearly distinguished symptoms. Arm of a brain disorder. On that's characterize her or diagnose clinically as a major. On mental disorder. Com we also have evolved in terms of associated therapies that are available. I'm we have a lot of different medications that are available to treat major mood disorders but parallel to that we also have. Other non pharmaceutical interventions that work pretty well. Armed we are actually dual a lot of things that I'm not considered to be. Homeopathic and terms of our ability to. To treat people but you know one of the biggest things that we take for granted to help. With move without moved and calm mental instability is proper rest. Rest is. Absolutely critical to the mind healing itself the mine restoring itself. You know many will tell you that all I sleep well my body to rejuvenate itself but in truth the major reason why we need to sleep. Is our minds to rejuvenate itself and to reset itself. And sold the proper number of hours of sleep is really really important. But because now until our mental functioning as we were saying is is is all of ours to attend to. We tend to minimize. The problems that are associated with. A brain that is really not functioning. And we tend to things that well you know if you get more rest or if you're pre Maury if you. Do this and if you do that EE you'll be fine. But with a major mood disorder. You really cannot just will yourself or. Behavior early get yourself out of a user with some type of I'm more calm progressive vote more. Pumpkins. Approved intervention like medication psychotherapy in those type things but people embarrassed. To admit that they have a mood disorder families are embarrassed. To admit that their their family member has a major on mental disorder arm because we all expected to be able to think clearly. Make good decisions and when we can't. You know it's something wrong with you and I'm embarrassed. That something is from as I can't really tell anybody advocates for service that's a sockets who have. And and her mother was saying that when you know what do not use the mental illness because that hasn't doesn't happen our family. In the next breath but we had so I was so used to do this until it's so we used to do that. Is it because sometimes we don't consider certain certain actions. Mental illness yet. It's also in a gain of the behaviors are soul. Familiar. Arm and a Sauna believed into the normal. You know arms sold sometimes. You know it take for example with aging your memory is not a shock. Gain you sometimes take a minute define words right Vietnam well is that all use. Ons are isn't as normal aging right bomb. Sometimes. We we get confused about things you know and you may say something that doesn't make a whole lot of sense. From well is that some kind of psychosis. Coming on our did I just not sleep long enough. It in my mad thinking is not as clear and sharp as it should be you know so there there is that that then gray area of bleeding into normal vs not normal. And of course we would rather. Defer to a default to this is just normal neighboring you need to do such and such to pull yourself out of this. Our guest is doctor Rochelle had done on the executive director and medical director with metropolitan human services district. We're talking about mental health awareness. And what was some of the activities are are some of the program that few people were aware of this particular month of may with. Actually really put more emphasis into promoting. The services that we provide on it's an ongoing task for us to get the word out and get that understanding how that first of all. It is absolutely okay. I'm to have a mental illness because the brain like the body is an organism that is subject to not functioning a 100%. And whereas we're OK with acknowledging that people in our lives we have. Conditions like hypertension diabetes because we know that our bodies on perfect. We are not as willing to acknowledge that we have conditions like bipolar disorder bomb attention deficit disorder traumatic. Posttraumatic stress disorder. Where our brain is not functioning so putting the word out that we are there we have services and all of our five clinics. We have the whole range of professional psychiatrist psychologist. Advanced practice nurses licensed clinical social workers lessons addictions thousand. We got the whole range of services there and we are converting to a walk in clinic model where if you call art care center five's it's 83130. You'll get an offer eventually from all of our clinics to either get an appointment or wakin because we recognize that com. Mental illness is pervasive in fact approximately one. In five adults in the United States 43 point eight million or eighteen point 5%. Are people in this country experienced mental illness in a given year it is anticipated that by 20/20 it will be the third. Largest cost. What this country in terms of overall costs to care for the people of this country and so preventative strategies are very very important you can't prevent. Your genetic predisposition to developing a brain disorder Aziz are terrible diseases. How ever you can delay the onset. You can also decrees the relapse from numbers and upped the number of times that you relapse into a full blown expression of the condition. In Asia and also shorten the duration of an episode. Of mental illness and so we have really promoted this month those things but we also have the next week any event. With some of our collegiate. Students to helped them. Recognized because mental illness substance use and suicides trauma. All those things are pretty pervasive amongst our college age kids. And so spending some time with them helping them to understand what's coolant lines and where etiquette help is very important. When you look at. Who's impacted with a brain disorder. Is it because of heredity. Is it because of medication to treat something that triggered it. Or what do you find so in our line of work armed there are two categories for person experiencing symptoms. Bomb that all our diagnose the ball. There are external factors that make people experience symptoms. Om and those things are typically situation. Com circumstances. That if you address the external factors. The circumstances the person probably won't have as many symptoms. Now that's not always easy grade poverty for example as an example is hard to fix poverty. I'll root easily but people often depressed because their pork. Simply because of that and everything that comes with that four letter word. Com people become very depressed their very stressed. Bomb and they have symptoms that are diagnosed a ball and need to be treated. Medications can be an intervention to solve the symptoms immediately but it's not gonna fix the problems and so there are other interventions. And then there are on internal on factors that contribute to wire person may have. Full grown expression of symptoms of mental illness. And those are more genetic or hair and a ball where independent of what environment how Obama bin or how calm. Much I've had favor in my life I'm still gonna have the symptoms because I'm wired. Com that way mentally psychologically. And that's really Hilton family just recently in the news they're going through a lot of their son via there extremely wealthy yes that's right that's right there for mental illness you can't throw enough money at it only thing that money does is. Allow you access to batters. But you still have to take advantage of those services themselves. You still need in most cases medication and he was able you know bomb a lot of times people just want to Medicaid away. People's problems but in truth the quickest way to get the symptoms under control. Is to medication. Some medication short consideration. Of the experience. And it helps with the decrease persistence of the symptoms. Over a very long period of time now medications though with cycle therapy medications alone maybe get about 50%. Bomb bomb remission and the problem but you need to as psychotherapy. And other social. And other approaches in our get them to Nady. 89% range of permissions. When two people. Normally are if it is even possible to say normally seek help is it because of it outside intervention like two they get to the point where the sick and tired of this plus a combination of all you know just depends on the person aware of their level of tolerance com. Begins and ends. Some people. See early symptoms and they seek help. Because it's so close to them changing from the normal functioning to the abnormal functioning that they'll seek help. Arm many times in it depends on the age so for children it was our children for a minute on parents. Often seek help for their kids. Once they start school in there and the social environment and is really really apparent. Whether you recognized it and most the time parents recognize. Differences in their kids. But it becomes apparent to other people the pressure increases because they unable to perform as well. Preschool com elementary school in Seoul on the eve of their by the L will they seek help for their child or the school sometimes. Com requires that they can't help all the school evaluates and recognizes that they need help. If you've managed to get past year childhood years and you have expression of some conditions like. Com depression bipolar disorder is really. In your twenty's using expresses in its in your twenties mid late twenties even early thirties. Armed than the person usually is the one who seeks help if they realize that in I am not my mood is just not stable. All are because they're so abnormally functioning of the people put pressure on them or they get into trouble frankly. With the law all our. Com. With their jobs. Etc. and so something external core system again select gambling or maybe a sex addiction or something like those are separates. I'm diagnoses in and of themselves and sold those conditions can result in problems socially. That. Put the pressure on the person to get help. Let's listen finally to the people who noticed that they're not functioning well for years now and now they're listening because their you know that bottom place that this seeking help. Doctor Rochelle has done I'm joins us and inducted Dunham had Dunham is the executive director of medical director with metropolitan human services district. But talking about mental health awareness. That talked about the state we talked about system with some help. What about legislatively. And you said in a few years this is going to be off third largest expenditure. When he comes to it's too money here in this country. What are we looking like. Legislatively here in Louisiana. So there's quite a bit of legislation. From on the table for incarceration for example. The at the governor actually. He created the a task force. To look at what's how should we reform our criminal justice system to better meet the needs of people. Com woven into that is needed better meeting the needs of people with. Mental illness and substance use disorders because. Sixty to 80% depending upon who's dating you look at other people incarcerated. Have a mental illness and or substance use disorder. Soul why is this displacement. A two year earlier question one of the ways that people decide to get treatment or recognizes having a problem. Is because untreated. Mental illness often results in criminal behavior OK and so in those instances people do things minor offenses. Com and they get arrested. And they are incarcerated rather than provided treatment and we do have a drug court system that allows people to. Be diverted in lieu of palm booking them in and sentencing them. You have an opportunity to get treatment but that certainly is not happening enough. It's very much at the discretion. The judges in the course and so there's a lot of legislation the justice task force at the governor created. Came a week ten pieces of legislation to look at reforming in it and that. On is also some reformation and help with mental illness so that some of what's happening at the legislature. I'm but there's also a lot of. Consideration about funding. For our mental illness and substance use of behavioral issues themselves. Armed there are a lot of concerns. About what the budgets will ultimately look look like when they complete price house bill one. And make all the edits to address the deficit where will that leave us in terms of the funding that's available to treat people who are mentally ill. And on the dollar's continuing that's into Wendell throughout the years this is something that you look at cutting it we have had reductions. Over the course of the last ten years analysts say and now with the deficit being so great. Right now we have and reductions and there are planned additional reductions to our budgets to treat. Mental health home with the state general. What are you all have been awarded a grant talk about the grad and what will the grant be used for yet we were awarded Wii or some recipients to the him medication assisted treatment. Prescription drug mobile it abuse grants. That the office of behavioral health in the Louisiana department of health applied for. On as a sub recipient we are really does service delivery agency. On here in the tri parish area of Orleans saints and an implacable. It Orleans and Saint Bernard in particular we have some of the highest rates it will be like deaths. On that's been very calm prevalent in the news the number of people were dying. I'm certainly. A contribution made a contribution to that is the the increased use offense a little in particular. From one many people wonder why are we. Making such an issue out of the deaths due to OP Lloyds. And as opposed to the fact that people have been dying for decades from substance. That is very much a truth and reality. Home we have not I've ever seen on the number of deaths when the number of deaths due to a drug. On exceed the murder rate in this city that. Is cause for recognition and understanding and attention. And so we're seeing these types of statistics. On exceed. Commonly high statistically they exceed the rate of HIV deaths at this point. With as a result of mobile use and a lot of it is because of the on the school's availability. Often a fentanyl which is extremely potent. In many times people are taking what they think is a tried to coat on and socks coat on tablet and it really is. Fentanyl laced with it which is extremely potent in difficult to revive. People from insulin grant is intentional to put in place I'm aggressive services to help and to make now waksal. Which is a blocker to the appealing you were sector arm to immediately revive that person from the respiratory death that they are experiencing when they overdose. And sold. The grant pace from it's paying for the on the treatment that we've been Italy Spain and we're partnering with a couple of other agencies. Odyssey house umbrage house grace house com and job hero whole group. On an order to war with these individuals pretty aggressively. What was the thinking with all Felix why weren't those in the medical profession prescribing backs. You know that the OB sides were represented. Not completely. The way that they I'm absolutely. Our all operating so initially when. The pharmaceutical companies. Made this frog it was not represented as addictive and it was also lol a way of addressing. The severity of chronic pain in people were experience. Now one of the most desperate situations to have in front of you as a physician is a person who is having severe pain. Om and it's it's it's not easy to treat. But oh felines relieved paying they do on that is what their pharmaceutical purposes it's an anesthetic and it and that's the sizes. Very well. But not without costs. And sold the addictive potential of all Beilein was not necessarily. As disclosed. In terms with the research show on these medications. And then nor was it also conveyed to people who were taking that this is a very addictive substance. On and so in the prescribing the medication other things that. Probably should've been taken into consideration were not like. Bomb. Number one do you have an addictive disorder do you have an addictive. A boring genetically these who's gonna say yes to that well cool is gonna say yes. Probably not many but some whale and if you do you're drug screens and everybody you know in most cases that the person is using other substances. So that's scenario changes the dynamic number one for using an OP side. But let's say the purses and the conservatives on appearances and I have an addictive disorder. Com but you prescribed it. Short term for. Pain that is not chronic. That's not debilitating or malignant pain that is the recommended standard of care. For pain has not gonna. As a part of all malignant condition condition with a person's actually dying. He used OP on short term and you supplement with other medications. There is a level of pain. That you have to learn to live way if you have a chronic pain disorder. And there are other intervention strategies that should be employed. Bomb that have to do with the muscle manipulation and com. I'm moment eating exercise. Acupuncture. Com those type things work. As in combination when it sold a sold dependence on OP alliance to treat pain. Has created. The situation where an insult people have legitimate pain in the need legitimate ways of treating it. But conditioning and I think that that is the only thing that they should be doing is really relieved I gotta tell you it's like I'm gone think that I haven't had to deal with that but I'm scared to death. Now on the possibility of what OB all right and what it may do end. It doesn't really disuse so many tragic stories and that's unfortunate because when used properly. The medications are legitimate. A game you some situations. You have to have been mobile line in order to do that you mean in the correct me. But when prescribed properly and that's where the departure took place us where we fell into this gap. They weren't being always being prescribed properly in people were being given to many pills. Om and you know the problem now is that you've got so many appeals. Out in the public on that it there's access to people who don't even have a chronic pain conditions but have a maybe a major mood disorder. Works very well that worked very well with treating itself. You've got children have access to it they're getting exposed to it and so he's got a lot of these deaths being contributed to. Inadvertent exposure to. On these medications which are extremely powerful extremely. Doctor Rochelle head dot com is our guest she's the executive director and medical director with metropolitan. Humans services district. And I know you are phenomenal communicate here. Do you have lots of talks and discussions in the community and what are some of the things that you talk about what some of the conversations surrounding mental health. So people you know under the hot topic right now really is the ED OP noise debate calm but but people who have severe and persistent mental illness. It's an ongoing topic armed particularly. People who are homeless and have these conditions. I give you another statistic I'm an estimated 26%. Of homeless adults staying in shelters. Com live with serious mental illness and an estimated 46%. Live with severe mental illness and our substance use disorders. On vets is usually problematic because the game untreated. Mental illness com becomes something very very potentially. Com problematic and ending kept some cases dangerous illegal because of the activity the most homeless people really just wanna be left little. And they really are more afraid of you then then you are of them. Om and so they typically seek. Dark places if you will under the bridge that kind of they're really really are not trying to. The intrusive are problematic. All money imagine the vulnerability vulnerability that they have that don't have fully and shelter they don't have people. Looking out for them in all because they're using not around other people except other homeless people and for them at the survival on world for them. And so this is really. A hot topic. In our world because we struggle. The fines on housing for people many oval as I've shared. I'll have mental illness that's a hot topic the criminal justice issue is a hot hot topic because it's such a huge costs. Putting somebody in jail on is very very expensive to our healthcare system and so. Bomb there's a lot of work that we're doing with the very institute that has been awarded funds from buy. The MacArthur Foundation two. Address. The incarceration. Issues in cities and so. On New Orleans has been awarded bomb a grant as well it is one point five million to do the planning way in the planning phase of looking at what we're gonna do. About this issue and a part of it what we're doing is looking at home the homeless contribution to this one well doctor Michelle. Eight on on the director and medical director Mueller. Thank you so much and he showed up neatly. That is our show for two days thinking so much for joining us until next time enjoy this Sunday and the rest of New Orleans.