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OCTOBER 2024 NEWSLETTER

SOURISH CHOUDHURY | Published on 11/2/2024

world mental health





BAKER ACT DASHBOARD DEMONSTRATION


An improvement in timely public health data, which is produced by the State of Florida in the USA. Usually data is 2 years old when posted by states and is worthless for measuring whether a new resource or program is effective.  A breakthrough is in Florida with this link to show involuntary Emergency Room Psychiatric Evaluations, locally called 'Baker Acts': 
https://www.myflfamilies.com/BakerActDashboard  As a result of this timely data, we can see improvements in our county that coincide with the introduction of a new program.  For example, the rate per 100,000 in 2021 was 2.2. A new community resource was implemented in 2022 and the rate in that year moved to 1.74, followed in 2023 by a rate of 1.44.  The information is so timely that we can project from the existing months data the improvement appears to continue.  We know this is not cause and effect but it is a timely indication that the new resource may be helping.

A PROJECT BASED ON A ROTARY TOOLKIT CALLED "A LEVER"


In a significant step forward for paediatric mental health care, Collier County has become the first in Florida where the majority of paediatricians are equipped to treat conditions like anxiety, ADHD, and depression.

This level of care integration is still rare across the state, where only one in four paediatricians in other counties provide behavioural health services.

Spearheading this initiative are Dr. Debra Shepard of Lighthouse Paediatrics and Dr. Salvatore Anzalone of Healthcare Network, who have introduced patient self-management toolkits to help Collier paediatricians manage these issues effectively within standard appointment times.

Recognizing the critical need for accessible behavioural health resources, Dr. Shepard and Dr. Anzalone implemented practical tools that equip both paediatricians and patients with resources to address mental health concerns. Their work underscores a significant change in how behavioural health care can be delivered in primary care settings.

To build on this momentum, all Paediatric Primary Care Practitioners (PPCP) in Florida are now invited to participate in a self-paced training program that offers medical training and patient resources through a special scholarship. Paediatricians can register to access this training at bit.ly/BCHcme.

Mental health challenges are alarmingly common in today’s youth. Research shows that one in five children and adolescents will experience a psychiatric condition within a single year, while one in three will experience such a condition at some point in their lives.

Moreover, half of these psychiatric conditions appear by age 14, and three-quarters emerge by age 25. Despite this prevalence, less than half of affected children and adolescents currently receive the treatment they need. Bridging this gap in mental health care is essential for early intervention and better long-term outcomes.

To support paediatricians in handling complex behavioural health cases, the Florida Behavioural Health Collaborative has established a Paediatric Hotline, which offers consultation with a Florida-based child and adolescent psychiatrist.

Paediatricians across the state can reach this service by calling 866-487-9507. This initiative ensures that doctors have timely access to specialist advice, allowing them to provide informed, empathetic care for their young patients.

The Collier County initiative is part of Boston Children's Hospital's "Building Bridges of Understanding" program, which provides valuable resources for Behavioural Health Integration (BHI) in primary care.Over the past decade, BHI has demonstrated its effectiveness in enhancing paediatric practices, helping doctors build knowledge, skills, and confidence in treating behavioural health conditions. It has also been shown to improve access to mental health services without significantly raising costs, making it an efficient approach to tackling the growing mental health needs of today’s youth.


However, challenges remain. 
Data indicates an average ten-year delay between the onset of mental health symptoms and the start of treatment, highlighting the importance of early intervention strategies like those provided by Collier’s toolkit.

 

The “Building Bridges of Understanding” initiative employs a toolkit that brings together patients, families, Paediatric Primary Care Practitioners (PPCP), Behavioural Health Clinicians, and trusted adults (such as school counsellors) in a coordinated approach to care.By promoting shared language and treatment goals, the toolkit helps everyone involved to stay on the same page, fostering a comprehensive support network around the child. Free for patients and families, these toolkits teach at-home, evidence-based skills to manage early-stage anxiety, depression, ADHD, and behavioural issues.

 

By making behavioural health resources more readily available in paediatric primary care, Collier County is setting a powerful example. Through the “Building Bridges of Understanding” program and the commitment of Collier’s paediatricians, Florida is now better positioned to meet the mental health needs of its youngest residents, giving them and their families the tools they need for a brighter, healthier future.

Paediatricians interested in participating can visit
On.BChil.org/43nWrZV for program registration, ensuring they have access to a supportive community of practitioners and comprehensive resources to assist young patients in need.



DAGMHI INDIA CHAPTERS CELBRATED WORLD MENTAL HEALTH DAY 

- DR. AABHA PIMPRIKAR,CHAIR  DAGMHI CHAPTER 3030 


Celebrating Mental Health 2.0:

A Focus on Workplace Well-Being October 13, 2024 – DAGMHI India hosted a virtual event that focused on the WHO theme of Workplace Mental Health, emphasizing the importance of mental well-being in different professional settings. RAGMHI Chair Bob Anthony, delivered an inspiring opening address, setting the tone for the day. 

Dr. Harish Shetty, a renowned psychiatrist, captivated attendees with his keynote address on the challenges and solutions surrounding mental health at work. Further delving into the topic, Sangeeta Chandran, Global Head- TCS Wellness Program, shared valuable insights about the TCS initiative.

The session concluded with DAGMHI announcements by Dr. Aabha Pimprikar (President, DAGMHI 3030), shedding light on upcoming initiatives and programs. 

A panel discussion moderated by Rita Aggarwal (Chair-Elect RAGMHI) provided a platform for young voices to express their perspectives on workplace mental health. Panellists Rtr. Gregor Baum (Entrepreneur, Writer), Rtn. Agastya Munim (Educator, Career Consultant), Devika Gokhale (Psychologist, School Counsellor), Karan Jaswani (Third Generation Business Entrepreneur) and Saachi Pimprikar (Artist, Educator, Designer) discussed about the general workplace stressors, how it impacted them personally, and how they managed these issues. Lastly, they offered suggestions on how organizations should prioritize mental health and create supportive work environments. As the discussions wrapped up, participants were left inspired and motivated to implement positive changes in their workplaces.

Satish Mandora (member, DAGMHI 3030), the Master of Ceremony, gave a foreground to the ultimate need for comprehensive mental health initiatives and highlighted the work District Chapters of RAGMHI, India are doing in the field. Dr. Smita Handotkar (Secretary, DAGMHI 3030), Dr. Bindu Shirsath (Chair, DAGMHI 3132) and Vrinda Walimbe (Chair-Elect, DAGMHI 3131) introduced the speakers Dr. Harish, Sangeeta Chandran and Rita Aggrawal respectively. 

The event was wrapped by Sourish Choudhury (Director, RAGMHI) with a vote of thanks. Members of District Chapters 3030 (lead chapter), 3192, 3170, 3131, 3291, 3150, 3132, 3240 and 3141 worked hard to make this event a great success. 



WELCOME TO CALGARY

- LAURENE WILSON,CLUB SECRETARY,ROTARY CLUB OF CALGARY, DOWNTOWN

 

Calgary is excited about Welcoming the Rotary World to Calgary in 2025!


With that in mind, I want to invite you to attend our Calgary Mental Health & Addiction Event focused on the "Alberta Recovery Model” immediately following the convention. 

The "Alberta Recovery Model, transforming Alberta’s Addiction and Mental Health system to focus on long-term recovery," is the first of its kind in Canada.

This is an excellent, synergistic opportunity to introduce some of the most effective addiction & mental health initiatives being implemented in Canada.  

I’m thrilled to say Marshall Smith, the former Chief of Staff for Daniel Smith, Alberta’s Premier (no relation) and one of the architects behind the "Alberta Recovery Model”, has agreed to speak to our luncheon event, scheduled for June 26 2025. He recently resigned his position to take Alberta’s model into other jurisdictions across Canada.

In addition, we are excited to have the Hon. Dan Williams, Alberta’s Minister of Addictions and Mental Health and a driver behind the Model’s implementation, speak at our event. "Alberta continues to increase access to a recovery-oriented continuum of mental health and addiction services and supports that incorporate prevention, intervention, treatment, and recovery. 

Budget 2024 will invest more than $1.55 billion to continue building the Alberta Recovery Model and ensure anyone suffering from the deadly disease of addiction or facing mental health challenges, has an opportunity to pursue recovery in communities across the province."

I have secured the Crystal Ballroom, a spectacular venue at the Palliser Hotel. A plated lunch will be served.

The room holds a maximum of 300. I’ve been told we will likely sell out. While this event will be open to others, I think it will be of particular interest to the Rotary International Mental Health Action Group, operating under Bob Anthony’s stewardship.

It could also be a place for Action group members to meet. Ticket prices remain the same as our Club luncheons, $55. Canadian. 

Tickets will be available for purchase on the Rotary Club of Calgary Downtown website Click Here.  

Come join us to hear what Alberta is doing, in the increasingly challenging area of Addiction and Mental Health.

Attached is an article on Marshall Smith from Feb. 2023. It gives you an idea of one of the men behind this initiative. Link https://www.cbc.ca/newsinteractives/features/the-way-out-addiction-in-alberta-marshall-smith


 


MINDFUL CHOICES: EMBRACING NEUTRALITY FOR CLARITY AND BALANCE
- SOURISH CHOUDHURY,MINDFULNESS LIFE COACH


Neutrality can sometimes be perceived as a way to avoid the complexities that arise from taking sides in debates or conflicts. By choosing to remain neutral, we can sidestep stress, reduce misunderstandings, and evade confrontations that might come with active involvement. A neutral stance enables individuals and organizations to maintain peace and objectivity, focusing on understanding rather than choosing sides.

However, neutrality is not without its challenges. In situations where action or advocacy is needed, staying neutral may be seen as a lack of support or even as indifference. Some argue that in instances of harm or ethical issues, choosing silence can be interpreted as endorsing the status quo. Thus, whether neutrality is valuable or harmful often depends on the context and potential consequences.

The Double-Edged Nature of Neutrality

Neutrality fosters an atmosphere of unbiased judgment and can help mediate or resolve disputes by valuing all perspectives. But in circumstances where clear injustices are present, remaining neutral might be perceived as passivity or complicity, especially in social or ethical issues. In such cases, neutrality can prevent the action needed to bring about change.

The challenge lies in recognizing when neutrality serves a constructive purpose—promoting peace, understanding, and fair judgment—and when it may unintentionally obstruct progress or justice. Neutrality becomes beneficial when it offers a path to balanced decision-making and mutual respect, while certain situations may demand more than silent observation, calling instead for action and moral clarity.

The Power of Non-Reaction

At times, choosing not to respond can be the most powerful course of action. By withholding a reaction, we gain control over the situation, defuse potential conflict, maintain dignity, and encourage reflection. In cases of negativity or provocation, silence can suggest that the matter doesn’t deserve our energy. This restraint can even shift the power dynamic, leaving others to question their actions and consider alternate viewpoints. Practicing mindful neutrality reminds us that not every situation requires immediate engagement; often, patience and restraint convey strength and resolve more effectively than words.

Steps for Making Mindful, Neutral Choices

Incorporating neutrality and mindfulness into decision-making supports clarity and minimizes bias. Here’s a guide for making thoughtful, balanced choices:

  1. Pause and Breathe: Before making a decision, take a moment to breathe deeply. This helps clear your mind and centres you in the present, allowing for a more thoughtful approach.
  2. Gather Information: Seek relevant information about the situation. Consider facts, opinions, and possible outcomes without rushing to conclusions.
  3. Identify Your Values: Reflect on what matters most to you. Aligning choices with your core beliefs ensures authenticity in decision-making.
  4. Consider Multiple Perspectives: Aim to view the situation from various angles. Think about the impact on different people or groups.
  5. Weigh Pros and Cons: List the benefits and drawbacks of each option. This visual helps clarify choices without emotional bias.
  6. Embrace Uncertainty: Accept that not every decision has a clear right or wrong answer. Being comfortable with ambiguity reduces pressure, fostering a balanced stance.
  7. Practice Self-Compassion: Understand that it’s okay to make mistakes. Each choice is a learning opportunity, so approach decisions kindly and forgive yourself if needed.
  8. Reflect Post-Decision: After choosing, reflect on the outcome. Consider what you learned and how it aligns with your values, which can improve future decision-making.
  9. Stay Open to Change: Remain flexible and willing to adjust if new insights arise. Adaptability is key to maintaining a neutral, mindful approach.

Neutrality, when combined with mindfulness, becomes more than just an act of disengagement. Mindfulness, in particular, plays a pivotal role in this approach. Through mindfulness, we learn to observe our thoughts and emotions without rushing to judgment or action, allowing us to respond rather than react. This pause creates space for clarity, helping us make choices that are less influenced by fleeting emotions or external pressures and more aligned with our true values.

Mindfulness encourages us to stay grounded and cantered, even in the face of stress or provocation. By maintaining this state of awareness, we foster a calm and steady presence, which naturally promotes empathy and respect for differing perspectives.

In a world often marked by conflict and polarized opinions, practicing mindful neutrality allows us to stand as pillars of peace and understanding. This approach empowers us to navigate life’s complexities with resilience and to inspire those around us to embrace patience, self-reflection, and mutual respect.

































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