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    • 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
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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

Moving towards biomarkers and Precision Medicine In Treating "Invisible Disabilities" ---To better avoid institutionalization

10/20/2024

 
Val's Take/Conjecture
  • The BLESSING and the CURSE of the Neuro-Developmental/Psychiatric Continuum is that most people on it do not have any visible MOBILITY issue.
  • However, many people with MOBILITY ISSUES do have PSYCHIATRIC SYMPTOMS.
    • That includes Autoimmune Diseases such as Multiple Sclerosis, Cerebral Palsy, Cancer, Parkinson's, Dementia, etc.
  • People with Neuro-Developmental/Psychiatric Disorders and an IQ above 70 can be at risk of Incarceration and/or Homelessness.
    • This is not a situation in which ignorance is bliss.
I think there can be a lot of fear of the "MEDICAL MODEL" --- but many people feel ill-served by the "NON-MEDICAL MODEL" or PRIMITIVE MODEL of SUBJECTIVE SYMPTOM CLUSTERS in the DSM.

Further, while many neuro-diverse people do not have obvious MOBILITY issues, many do have IDIOSYNCRATIC "FATIGUE" and/or ENERGY/OVER-EXCITABILITY issues that relate to MITOCHONDRIAL DYSFUNCTION, among other things.
Can lifestyle choices help this, I think it probably can but that is a lot more complicated than how we normally treat it.

We need to acknowledge the challenge of ACCELERATED AGING AT A CELLULAR LEVEL as a result of MATERNAL IMMUNE ACTIVATION.

BIOMARKERS can make that a lot clearer for everyone.
Picture
Mitochondrial dynamics and psychiatric disorders: The missing link (2024)

Accumulating data have underlined how mitochondrial bioenergetics affect major psychiatric disorders. However, how mitochondrial dynamics, a term addressing mitochondria quality control, including mitochondrial fission, fusion, biogenesis and mitophagy, is im …
Neurodivergent Rebel
Setting & Maintaining Healthy Boundaries
Val's Take:  This is an interesting video and it goes in part to the difficulty of defining "Neurodivergence" from symptoms alone --- because those symptoms can be fairly idiosyncratic.

There are often processing differences --- but those too tend to be idiosyncratic.

To me, Neurodevelopmental Inflammation is a much better predictor of Neurodivergence --- at least in many to most cases.
Picture
Mitochondria: multifaceted regulators of aging (2019)

Metabolic processes, including nutrient sensing pathways and mitochondrial function, have emerged as prominent regulators of aging.

Mitochondria have been considered to play a key role largely due to their production of reactive oxygen species (ROS), resulting in DNA damage that accumulates over time and ultimately causes cellular failure.

EMPLOYMENT ACCOMMODATIONS for PEOPLE on the Neuro-Developmental/ Psychiatric Continuum

10/18/2024

 
Picture
Val's Take/Conjecture
  • For some of us, we found out we were on the Neuro-Developmental/Psychiatric Continuum by reaching STAGE 4 of that Continuum.
  • That is a PROFOUNDLY TRAUMATIC EXPERIENCE in and of itself.
  • AND it can be a dangerous experience.
Medication
  • When most of us think of Mental Illness --- we think of Psychosis.
  • In many cases Medication can resolve a Psychosis. (not for everyone)
  • That is a MIRACLE.
BUT
  • the Neuro-Developmental/Psychiatric Continuum is a whole lot more than Psychosis.
  • People may have various "EXECUTIVE FUNCTIONING" Challenges.
  • They may literally be MORE SENSITIVE --- they may have MORE REACTIVE CELLS ---
    • That may take more time and effort to manage, but
    • It can also be a SUPER POWER of SORTS in the right circumstances and part of that is creating the right circumstances.
    • It can seem like such a SUPER POWER that we, family members and employers often don't appreciate that the person needs more TIME to RECOVER to avoid a BURNOUT or BREAKDOWN.
Strengths
  • When we're talking about the Neuro-Developmental/Psychiatric Continuum we need to not only ACCOMMODATE WEAKNESSES, we also need to ACCOMMODATE STRENGTHS.
  • There are Savants on the Continuum, but most people aren't.
  • On the other hand, many people on the Continuum do have a WIDE RANGE of SPECIAL ABILITIES that could benefit an employer.

Addressing Developmental Inflammation could reduce institutionalization of people with disabilities

10/13/2024

 
Picture
Progress in Neuro-Psychopharmacology and Biological Psychiatry
Developmental neuroinflammation and schizophrenia (2013)

Val's Take/Conjecture
  • People on the Neuro-Developmental/Psychiatric Continuum --- millions of people--- are in essence contending with Pre-Mature Aging as a result of In Utero Inflammation.
    • Inflammation acquired after birth is important too, but how that inflammation is processed by the body will be influenced by the Inflammation that was acquired prior to birth.

One of the things that CMS (the Centers for Medicare & Medicaid Services) did awhile back was it partnered with the National Institute of Mental Health (NIMH) to develop protocols for 1st Episode Psychosis.
Research is everybody's Business
States that want to Legally Control their MI Olmstead Compliance Costs Should Keep Up With the Science
The Feds and the States have a HUGE INTEREST in getting better treatments for a whole range of issues, including:
  • Autoimmune Disease
  • the Neuro-Developmental/Psychiatric Continuum
  • Endocrine Disorders
  • Cancer, and
  • Dementia

There are numerous researchers around the world in quest of the HOLY GRAIL of MICROGLIA (immune cells in the brain) REPLACEMENT, REPAIR and/or PROTECTION.

This could be a game-changer.

We need CMS and the National Institutes of Health to champion Public Education and Professional Education in this important area as well as other emerging research.

The Microglia focus has considerable potential to reduce Institutionalization of People with Disabilities

    Olmstead Law & Order Thursday

    Looking at Legal Issues Surrounding Olmstead Class Actions as well as Individual Actions

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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