The Productivity Commission will undertake a major inquiry into the role of mental health in the economy as the Morrison government looks to extract better value from the $9 billion a year spent on mental wellbeing.

Treasurer Josh Frydenberg and Health Minister Greg Hunt have asked the commission to examine “whether the current investment in mental health is delivering value for money”, as well as how to improve economic and social participation for people struggling with their mental health.

Four million Australians deal with a chronic or episodic mental health issue each year, and one in five people affected by mental illness do not seek help because of the stigma, Mr Hunt said.

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"We are spending more than we've ever spent on suicide prevention, but the more we spend the worse things seem to get." https://t.co/WVKZugOr4e

— The Age (@theage) October 6, 2018

A Christian gynecologist who has dedicated his career to caring for victims of rape in the Democratic Republic of Congo (DRC) has been awarded a 2018 Nobel Peace Prize.

Denis Mukwege, nicknamed “Dr. Miracle” for his specialized procedures, was a co-recipient for the annual honor alongside Nadia Murad, a Yazidi activist who survived rape and kidnapping by ISIS in Iraq. The Nobel committee said both winners modeled “efforts to end the use of sexual violence as a weapon of war.”

Over the past 20 years, Mukwege has treated tens of thousands of women in Panzi Hospital in Bukavu, many of who had been gang raped by militants in the midst of the country’s conflict, left scarred and stigmatized.

His faith influences his approach to caring for patients holistically, “not only to treat women—their body, [but] also to fight for their own right, to bring them to be autonomous, and, of course, to support them psychologically. And all of this is a process of healing so women can regain their dignity,” he told NPR.

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This year’s Nobel Peace Prize winner says his faith inspires him to treat women not only physically, but “to support them psychologically. And all of this is a process of healing so women can regain their dignity” https://t.co/zFGEX8JPsZ

— Morgan Pomaika’i Lee (@Mepaynl) October 5, 2018

“…it’s becoming increasingly clear that stereotypes of marijuana users as risk-taking disaffected youth are outdated in the era of legal marijuana, with middle-aged and even older Americans becoming more likely to use the drug than their children and grandchildren.”

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From there:

My 12-year-old son, like many children with autism, is nonverbal. Through typing, writing, and signing, he is able to communicate many of his needs, though this patchwork of strategies still often leads to misinterpretation.

But one thing he knows how to tell me is when he is ready to walk. Most afternoons after school, or often early on Saturday mornings, we take walks together. Sometimes he listens to music to dull the sensory-interfering noises of the world, sometimes not. When time allows, we walk for miles and miles, often taking familiar routes in and around town, sometimes charting a new course. Side by side, and in silence, we walk. I discern this to be a part of my calling as a father.

The exercise is good for both of us, to be sure, but it also fills my soul. I am privileged to be there sometimes to guide and protect but also just to be alongside. Together, we experience both routine and surprise, stillness and movement, quiet and its varied interruptions. And there is mystery to be found in it all.

In other parts of my life as a pastor, I am not always so comfortable with silence. Sitting down to pray and meditate can be a challenge. I am prone to be thinking of the next meeting to attend, parishioner to visit, or sermon to write. In the quiet I fret about performance, worry about the future, dwell on all those many things that are so tempting to try to control. So often, it is so hard to just listen.

And so I walk. And my son, by walking with me, helps me embrace the quietness that we are allowed to share with one another. And in our shared silence I am reminded of the God who also walks alongside at all times and in all circumstances, the One who will speak if we are willing to listen.

John Wahl
Chagrin Falls, Ohio

—quoted by yours truly in the Morning sermon (all of the essays on silence are commended to blog readers)–KSH.

“I’m supposed to be a dead man,” says Bobi Wine, a Ugandan musician turned politician.

His driver Yasin Kawuma was shot dead on Aug. 13. Wine tweeted a graphic picture he said was of the man’s dead body. Wine says police were the ones who shot Kawuma, but Wine says he was their real target.

Bobi Wine’s real name is Robert Kyagulanyi Ssentamu. He rose to fame as a musician — first with love songs and dance songs, but more recently turned to political themes in his music. His 2017 song “Freedom” has become a rallying cry for the country’s opposition.

In the same year, Wine was elected to the country’s Parliament as an independent.

He’s become a leader in opposing the country’s longtime President Yoweri Museveni — in power since 1986. Museveni is known for violently crushing dissent. Human Rights Watch says the government “continues to violate free association, expression, and assembly rights.”

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#BobiWine says he is determined to go home, ask Ugandans to stand up – Daily Nation https://t.co/UtktRO3F6v #uganda #violence #injustice #military #ethics #abuse #politics #foreignaffairs #abuse #africa

— Kendall Harmon (@KendallHarmon6) September 8, 2018

Libby is in Lincoln County, which has a population of nearly 20,000 but just one behavioral health employee, Amy Fantozzi, a graduate student who oversees the county’s contracts with medical providers who do mental health assessments.

The town had a clinic run by the nonprofit Western Montana Mental Health Center, the largest service provider in the region, which had 12 clinics serving 15,000 clients across 15 counties. But after the cuts were announced last year, the center laid off more than 60 case managers and shut down three clinics, including the one in Libby. That left hundreds of patients without access to therapy, medication and a case manager to check on them.

Now, when those patients are in crisis, their only option is the emergency room at Lincoln County’s lone hospital. Once they check in, Fantozzi gets a call, and she must decide whether to spend $100 of her $18,500 annual budget on a mental health assessment. Depending on the results, she could then spend an additional $300 to have the patient evaluated and involuntarily committed at the nearest mental institution 90 miles away.

There have yet to be any publicly reported deaths by suicide as a result of the local clinic’s closure, but county officials fear the current system of mental health triage won’t hold up…

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Montana has the highest suicide rate of any state in the country.

“When it comes to depression and suicide in our community, it’s out of control,” says the father of Michael Lee, a 13-year-old who dreamed of being a football player. https://t.co/MSoMQ0XG7J (1/6)

— NBC News (@NBCNews) August 28, 2018

“What I want to do is to widen the bandwidth of gender,” says Alex Drummond, the Cardiff psychologist and author and a trans woman, who decided to keep her beard, while also forgoing surgery or hormones. Drummond, who identifies as lesbian, told BuzzFeed: “If all you ever see is trans women who completely pass and are completely convincing as natal females, then those of us who just don’t have that kind of luck won’t have the confidence to come out.” (Most trans women have not had genital surgery, according to a recent survey by the American National Center for Transgender Equality and the National Gay and Lesbian Task Force.) Her project of “gender queering” hasn’t met universal acceptance; one trans woman writer has likened her to “the older, oversized bully” who “throws himself into the toddlers’ sandpit and kicks everyone else out”. Did I mention quakes and tremors?

But a conversation – a negotiation – has begun, gloriously. Every day, men negotiate with one another about what masculinity means. And not just men. “Man” and “woman” are part of a system of interacting identities. Nor, for that matter, can black and white and Asian and brown racial identities be negotiated separately by black and white and Asian and brown people. That’s why we have to resist the liberal fantasy in which identities are merely chosen, so we are all free to be what we choose to be. In truth, identities without demands would be lifeless. Identities work only because, once they get their grip on us, they command us, speaking to us as an inner voice; and because others, seeing who they think we are, call on us, too. If you do not care for the shapes your identities have taken, you have to work with others inside and outside the labelled group in order to reframe them so they fit you better; and you can do that collective work only if you recognise that the results must serve others as well.

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Can we choose our own identity? https://t.co/pfbFzNOWP2

— The Guardian (@guardian) August 31, 2018

I will take comments on this submitted by email only to KSHarmon[at]mindspring[dot]com.

“We’re in a climate where parents are feeling like they need to schedule every minute of structured time, and 30 percent of kindergartens offer no recess,” said Dr. Michael Yogman, chairman of the A.A.P. committee on psychosocial aspects of child family health and the lead author of the statement. To some, he said, “play is seen as irrelevant and old-fashioned.”

Dr. Benard Dreyer, the director of developmental and behavioral pediatrics at New York University School of Medicine and a past president of the American Academy of Pediatrics, said, “The old saying is, play is the work of children. Play is the way they learn and the way they develop. It’s important to understand how all of us, and especially parents, can encourage play.”

“Kids develop 21st-century skills in play,” said Dr. Yogman, who is chief of the division of ambulatory pediatrics at Mount Auburn Hospital in Cambridge, Mass. These include social and emotional skills and executive function, “skills that are crucial for adults in the new economy, that help them collaborate and innovate.”

A fundamental job in pediatric primary care is to strengthen the parent-child relationship, he said, and play is important in that area as well….

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The Checkup: Let Kids Play https://t.co/cHckYawRrY

— The New York Times (@nytimes) August 27, 2018

You need to take the time to watch it all. If you cannot handle it visually please read the transcript there.

Many of us pastors, including Spurgeon and including me, have fallen into the emotional abyss—not in spite of the fact that we are in ministry, but because we are in ministry.

Studies show that pastors experience anxiety and depression at a rate that is disproportionately high compared to the rest of the population. Due to the unique pressures associated with spiritual warfare, unrealistic expectations from congregants and oneself, the freedom many feel to criticize and gossip about pastors with zero accountability (especially in the digital age), failure to take time off for rest and replenishment, marriage and family tensions due to the demands of ministry, financial strains and self-comparison, pastors are prime candidates for relational isolation, emotional turmoil, and moral collapse.

Studies also show that some pastors face unreasonable, even impossible, demands placed on them by their people. I am NOT one of those pastors, thanks to a church that both receives my gifts and embraces my limitations. All in all, the people of Christ Presbyterian Church treat me with extraordinary love and kindness. But, sadly, not all pastors are as lucky as I am.

Dr. Thom Rainer, a leading pastoral ministry guru, once conducted a survey asking church members what they expected from their pastors. Specifically, Dr. Rainer wanted to know the minimum amount of time church members believed their pastors should give each week to various areas of ministry, including prayer, sermon preparation, outreach and evangelism, counseling, administrative tasks, visiting the sick, community involvement, denominational engagement, church meetings, worship services, and so on. On average, the minimum amount of time church members expected their pastors to give to the ministry was 114 hours per week.

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Pride destroys the ability to weep with those who weep. Instead it’s the reverse. We weep when others rejoice and rejoice when others weep. @scottsauls pic.twitter.com/NvYHxneafV

— Covenant Seminary (@CovSeminary) January 26, 2018

Go here to watch and enjoy it all and you can read more there.

Inspiration. 🙂https://t.co/cbdjFQ1pyl

— Stephen 🙂 (@StephenAnfield) August 14, 2018

The recent suicides of fashion entrepreneur Kate Spade and chef-turned-TV-star Anthony Bourdain have sparked a culture-wide discussion, as often happens when a celebrity dies in a horrible fashion. But unlike previous celebrity suicides, the anxieties prompted by these deaths took on a different coloration when it became clear in their wake that their deaths are part of a larger and disturbing public-health crisis we’ve failed to acknowledge. 

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"We live in an empty culture. We have fled from God, from meaning, from purpose, and the suicide epidemic is a direct result. People are wallowing in a sea of despair, believing that there is no transcendent truth or beauty to be found in life.
– Alexander Solzhenitsyn pic.twitter.com/qhr1kwlwuE

— Dr James Kent 🎩 (@DrJamesKent3) July 17, 2018

A doctor has been fired from a top government role for suggesting gender is determined at birth.

Dr David Mackereth, 55, who has worked as an NHS doctor for 26 years, was deemed to be ‘unfit to work’ after he said he would refuse to identify patients by their preferred gender.

The senior doctor was set to become a disability assessor for the Department for Work and Pensions claims a person’s gender is biological and said his right to freedom of speech had been denied.

The medic, from Dudley in the West Midlands, fears other ‘professional people of faith’ could lose their jobs simply for holding opinions about gender that are ‘centuries old’.

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Most teens today own a smartphone and go online every day, and about a quarter of them use the internet “almost constantly,” according to a 2015 report by the Pew Research Center.

Now a study published Tuesday in JAMA suggests that such frequent use of digital media by adolescents might increase their odds of developing symptoms of attention deficit hyperactivity disorder.

“It’s one of the first studies to look at modern digital media and ADHD risk,” says psychologist Adam Leventhal, an associate professor of preventive medicine at the University of Southern California and an author of the study.

When considered with previous research showing that greater social media use is associated with depression in teens, the new study suggests that “excessive digital media use doesn’t seem to be great for [their] mental health,” he adds.

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A recent study suggests frequent use of digital media by adolescents might increase their odds of developing symptoms of ADHD. https://t.co/GBh6r2IFbc

— NPR (@NPR) July 17, 2018

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#Swift Gene-Editing Method #May Revolutionize Treatments for #Cancer and Infectious Diseases.
Scientists report that they have discovered a way to tweak #genes in the body’s immune cells by using electrical #fields… Read more @ https://t.co/acsxaYwoNp pic.twitter.com/ec9poxTDca

— CellScience&Therapy (@CellScienceJour) July 13, 2018

Kids today. The phrase is usually followed by eye-rolling and words like self-absorbed, impatient and entitled. But the idea that today’s children need immediate gratification turns out to be wrong. In fact, research published last month in the journal Developmental Psychology shows that they are much more patient than kids were 50 years ago.

Yes, you read that correctly. Twenty-first century children are able to wait longer for a reward than children of the same age a generation ago, and a generation before that. The new study shows that today’s preschoolers are better at what psychologists call self-regulation, which is the conscious control of one’s immediate desires—the ability to hold off and wait until the time is right.

Stephanie Carlson, the lead author of the paper and a professor at the University of Minnesota’s Institute of Child Development, knows that her findings will come as a surprise: “The implicit assumption is that there’s no way that kids can delay. They’re used to being gratified immediately and don’t know what it’s like to be bored anymore.”

But faithful re-enactments of the famous “marshmallow experiment” have upended that notion.

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The eight top Anglican bishops of New Zealand have come out against David Seymour’s proposed euthanasia bill but three other bishops have voiced their support.

The two very different submissions on the End of Life Choice Bill are a sign of the differences of opinion within the country’s second largest church and among its 450,000 adherents.

The eight bishops, the church’s top leaders, have told Parliament’s Justice select committee that more money should be put into palliative care and helping families looking after the terminally ill, rather than allowing euthanasia or assisted dying.

The submission – by the bishops of Dunedin, Christchurch, Waiapu, Auckland, Wellington, Nelson, Te Waipounamu and Waikato/Taranaki – is one of 35,000 to the committee and among thousands made public this month.

But three other bishops – two former bishops, John Bluck and David Coles, and Assistant bishop of Auckland, Jim White – have published a contrary opinion saying for some people with a terminal illness, assisted dying “is a good and moral choice”.

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Claire humored her parents, even as her frustration with them mounted. Eventually, though, something shifted. In a journal entry Claire wrote last November, she traced her realization that she wasn’t a boy to one key moment. Looking in the mirror at a time when she was trying to present in a very male way—at “my baggy, uncomfortable clothes; my damaged, short hair; and my depressed-looking face”—she found that “it didn’t make me feel any better. I was still miserable, and I still hated myself.” From there, her distress gradually began to lift. “It was kind of sudden when I thought: You know, maybe this isn’t the right answer—maybe it’s something else,” Claire told me. “But it took a while to actually set in that yes, I was definitely a girl.”

Claire believes that her feeling that she was a boy stemmed from rigid views of gender roles that she had internalized. “I think I really had it set in stone what a guy was supposed to be like and what a girl was supposed to be like. I thought that if you didn’t follow the stereotypes of a girl, you were a guy, and if you didn’t follow the stereotypes of a guy, you were a girl.” She hadn’t seen herself in the other girls in her middle-school class, who were breaking into cliques and growing more gossipy. As she got a bit older, she found girls who shared her interests, and started to feel at home in her body.

Heather thinks that if she and Mike had heeded the information they found online, Claire would have started a physical transition and regretted it later. These days, Claire is a generally happy teenager whose mental-health issues have improved markedly. She still admires people, like Miles McKenna, who benefited from transitioning. But she’s come to realize that’s just not who she happens to be.

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I will take comments on this submitted by email only to KSHarmon[at]mindspring[dot]com.

A woman with late-stage breast cancer came to a city hospital, fluids already flooding her lungs. She saw two doctors and got a radiology scan. The hospital’s computers read her vital signs and estimated a 9.3 percent chance she would die during her stay.

Then came Google’s turn. An new type of algorithm created by the company read up on the woman — 175,639 data points — and rendered its assessment of her death risk: 19.9 percent. She passed away in a matter of days.

The harrowing account of the unidentified woman’s death was published by Google in May in research highlighting the health-care potential of neural networks, a form of artificial intelligence software that’s particularly good at using data to automatically learn and improve. Google had created a tool that could forecast a host of patient outcomes, including how long people may stay in hospitals, their odds of re-admission and chances they will soon die.

What impressed medical experts most was Google’s ability to sift through data previously out of reach: notes buried in PDFs or scribbled on old charts. The neural net gobbled up all this unruly information then spat out predictions. And it did it far faster and more accurately than existing techniques. Google’s system even showed which records led it to conclusions.

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