Day: October 20, 2021

Blog article

California’s mental health crisis: What went wrong? And can we fix It?

California Gov. Gavin Newsom is steering a major transformation of California’s behavioral healthcare system, with much at stake in the years ahead. On Oct. 6, the Sacramento-based publication Capitol Weekly invited KHN’s Angela Hart to moderate an expert panel tackling the origins of the state’s broken system and potential solutions ahead.

The lively discussion featured healthcare leaders with deep experience in the political, provider and research aspects of mental health and addiction. The panelists were Dr. Elaine Batchlor, CEO of MLK Community Healthcare; former state Sen. Jim Beall, a Santa Clara County Democrat who spearheaded mental health legislation during his tenure in the legislature; Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California; and Janet Coffman, a researcher and faculty member with Healthforce Center at the University of California-San Francisco.

The discussion illuminated challenges that arise when the state puts insurance companies in charge

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Health News

Most kids newly diagnosed with ADHD aren’t getting best care

(HealthDay)—Preschoolers with attention deficit hyperactivity disorder (ADHD) rarely receive the gold-standard treatment recommended by the American Academy of Pediatrics (AAP) for their condition, a new study reports.

The AAP recommends a behavioral therapy technique called “parent training in behavior management,” or PTBM, as first-line treatment for ADHD kids ages 4 and 5.

But only 1 of every 10 children in that age group with an ADHD diagnosis or ADHD-like symptoms actually receive a referral for PTBM therapy, according to findings published online Oct. 18 in the journal JAMA Pediatrics.

Instead, parents often are given general advice that wouldn’t be out of place in any well-child visit—cut back on sugar, establish good sleep habits and limit screen time.

In fact, more preschoolers were prescribed ADHD medications than were referred for PTBM therapy, even though AAP guidelines say drugs should be considered only if behavior therapy doesn’t provide significant improvement.

“The

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