Spotlight put on mental health awareness in Valley
YOUNGSTOWN, Ohio (WKBN) – Mental Health Awareness Month is recognized to make sure people understand services are available.
Everybody's mental health is important. Mental illness can affect anyone, no matter your background or circumstances. Problems are common locally.
'It mirrors the national average, which is about one in four adults in the United States will experience some type of mental health condition,' said Brenda Heidinger, associate director of the Mental Health and Recovery Board.
That could be depression, anxiety, or stress. There are counseling services or physicians and psychiatrists who can help. Check to see who's covered by your health insurance. And if you're not covered, you may qualify for services through the Mental Health & Recovery Board.
'It is really accessible for people if they're looking for it. So sometimes it's just reminding people that it's here, because we don't always think of something until we need it, and then we aren't sure where to find it,' Heidinger said.
Help is available. You can be there better for your family, loved ones, and others by taking care of your mental health. There is a way to turn your struggles into strength.
'We just want people to be able to access care when they need it, where they need it, because we want everyone to be able to live their best life and their most hopeful life,' Heidinger said.
Dial 988 if you feel at a crisis point, and a licensed counselor can help you through it before pointing you to services. Dialing 211 is the best way to find out about mental health services and where to go for them in the community.
A new license plate was unveiled in Ohio to increase awareness of the 988 Suicide and Crisis Lifeline.
The easy-to-remember, three-digit 988 Lifeline launched nationwide in July 2022 and provides free and confidential support 24/7 to Ohioans experiencing a behavioral health crisis. The digits are displayed on the new license plate.
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Medscape
an hour ago
- Medscape
France's Prisons Are Overcrowded — With Psychiatric Patients
Eric Kania, MD Eric Kania, MD, who has been a psychiatrist at Baumettes Prison in Marseille, France, for 25 years, has witnessed an increasing proportion of inmates being treated for psychiatric disorders. In an interview with Medscape's French edition, he explains how care teams are organizing treatment in often overcrowded prisons and describes the special monitoring implemented for inmates at highest risk for suicide. How did you become a prison physician? I studied medicine in Marseille and specialized in psychiatry. During my residency, I completed a 6-month internship at Baumettes Prison, which greatly interested me. After completing my thesis and working in hospitals, I returned to the prison because I wanted to continue this work. I now work half-time at Baumettes and half-time in private practice. Why this attraction to prison work? Prison is a place that requires dedication. It sits at the confluence of multiple issues: social, sociologic, medical, and judicial. I'm particularly interested in the criminal responsibility of offenders with psychiatric disorders. Like many of my colleagues, I've read the work of Michel Foucault — particularly his 1975 book Surveiller et punir: Naissance de la prison (Discipline and Punish: The Birth of the Prison) — which helped shape my thinking around justice, mental illness, and social structures. These reflections played a significant role in my decision to work in the prison system. How are psychiatric services organized at Baumettes? We are a team of seven psychiatrists — some of us, like myself, working part-time. We collaborate with a nursing team of eight for level 1 psychiatric care, and a second team handles level 2 care. Baumettes is a very old facility, originally opened in 1930, and it has housed a regional medico-psychological service since 1980. Today, we provide psychiatric care for more than 1000 inmates. The renovated section of Baumettes, which opened in 2017, was designed to accommodate 580 men and 200 women. However, overcrowding became an issue almost immediately. Although the cells were intended for single occupancy, additional fold-out beds had to be added owing to limited space. The older part of the facility previously held up to 2000 inmates in a space built for 1300. Currently, two detention buildings are in use, and three more are under construction, expected to open within 1-2 years. In the long term, the total capacity at Baumettes will once again double. Although we hope this will help relieve overcrowding, experience has shown that any new space tends to fill up very quickly. What are the main psychiatric disorders among inmates? There is an overrepresentation of psychiatric disorders in prisons. Epidemiologic studies show five to eight times more severe psychiatric disorders (bipolar disorder or schizophrenia) among inmates than in the general population. We also manage more common pathologies, such as depression and anxiety. Sometimes, people with no prior psychiatric history develop anxiety reactions owing to the prison environment. Do you have enough resources to care for everyone? Resource availability is a complex issue. It's reasonable to assume that there aren't enough mental health professionals working in prisons. This shortage was one of the reasons behind the creation of specially adapted hospital units, located within public health facilities, to provide care for incarcerated individuals. These units represented real progress, but they also had an unintended consequence: The more mental health staff we place in prisons, the more it appears that mental illness is prevalent in these settings. Is this a reality? The reality is that society, the justice system, and law enforcement are now more likely to send individuals with mental illness to prison, partly because they know that mental health professionals are available there to manage them. I've been practicing in prison since 2000. In the past, it was rare to see a person with schizophrenia incarcerated after committing an offense during an escape from a psychiatric hospital. Today, that scenario has become unfortunately common. Psychiatric patients are being sent to prison because understaffed hospitals are increasingly unwilling, or unable, to take them back. Should we conclude that France's psychiatric crisis is increasing the prison population? Penrose's law, named after an English psychiatrist, suggests that in several countries, reductions in psychiatric hospital beds have been associated with increases in the prison population. In France, the decrease in psychiatric inpatient capacity has coincided with a rise in both overall incarceration rates and the number of inmates with psychiatric disorders. Although correlation does not imply causation, the pattern is worth considering. Of course, other factors may also contribute to the growing number of individuals with mental illness in prison. What are those factors? Many believe that the 1994 reform of the French Penal Code, which introduced the concept of partial criminal responsibility, contributed to an increase in the number of mentally ill individuals in prison. Previously, under the 1810 Penal Code, a person deemed to be in a state of insanity was exempt from criminal responsibility and was transferred to a psychiatric hospital. The 1994 reform amended this principle, specifying that individuals whose judgment is impaired, but not completely abolished, by mental illness can still be held criminally liable. This change led to convictions that might not have occurred under the previous legal framework. Sociologist Caroline Protais has shown that the number of rulings of criminal irresponsibility has decreased since the reform. Another policy that has significantly contributed to the increase in mentally ill inmates is comparution immédiate (immediate appearance), a legal procedure introduced in 1983 and strengthened in the mid-2000s under then-Interior Minister Nicolas Sarkozy. This fast-track process has been a major driver of prison overcrowding, particularly among individuals with serious psychiatric disorders that often go unrecognized at the time of sentencing. By the time their condition is identified in prison, the sentence has already been handed down, making transfer to a psychiatric facility no longer possible. How are inmates cared for? Can a patient request to see you? Are there mandatory check-ups? Every inmate undergoes a medical consultation upon arrival, typically with a general practitioner. If needed — whether due to existing psychiatric care or observed concerns — they are referred the same day for a psychiatric evaluation. If we identify signs of 'carceral shock' (a psychological reaction to incarceration) during this initial assessment, we schedule follow-up and initiate appropriate care. Additionally, if an inmate requests to see a psychiatrist or psychologist at any point during their incarceration, or if someone in their environment alerts us to an urgent situation, we make arrangements to see the patient promptly. What are your main concerns? Are inmates treated differently than other patients? The context for providing care in prison is very specific, and we have to account for that. Inmates often reach out to us because the prison environment intensifies their psychological distress. At times, we need to coordinate with the prison administration to adjust detention conditions, even though that falls outside our formal responsibilities. If an inmate expresses suicidal thoughts, we inform the administration so that special monitoring can be implemented. At night, correctional officers check through the cell's observation window to ensure the inmate is safe. Every 2 weeks, a multidisciplinary committee reviews the cases of these at-risk individuals. How far does this special monitoring go? If inmates are at high risk for suicide or attempt to hang themselves during the night, the prison administration may transfer them to the emergency department. They can also place the individual in an 'emergency protection cell' designed to ensure safety until appropriate care can be arranged. These cells are smooth and free of any anchor points. In many cases, an emergency protection system is also activated, which consists of making the prisoner wear a tear-away gown to avoid any risk for hanging. The following morning, the inmate is seen by the regional medico-psychological service, which determines — based on clinical assessment — whether hospitalization is required. A recent study by the penitentiary administration shows rising suicide rates among inmates. Are you concerned? We have always been concerned about this issue. There have been several suicides at Baumettes in recent years; some involved patients we were actively treating, while others were unknown to us. Each case is a tragedy. Importantly, suicides are not limited to individuals who previously expressed distress; many had no diagnosed psychiatric illness. In some cases, the act may have been a way to protest or attempt to change detention conditions. Fortunately, not all suicide attempts result in death. Psychiatric care for the approximately 80,000 incarcerated individuals in France is organized into a three-tiered system. Level 1 care is available in all 187 prisons across the country and provides outpatient psychiatric services. Inmates leave their cells to attend appointments in the prison's health unit, where they may be seen by a psychiatrist, psychologist, psychiatric nurse, and, when appropriate, a social worker or educator. When level 1 care is insufficient owing to the severity of the condition, inmates can access level 2 care through day hospitals. Twenty-six prisons are equipped with both level 1 and level 2 services, including a day hospital as part of the regional medico-psychological service. If level 2 care is still inadequate — typically when a patient is highly unstable — they may be transferred to level 3 care, which involves full-time inpatient psychiatric hospitalization. This may occur in a nearby psychiatric hospital when the patient is experiencing an acute emergency, such as a psychotic episode or suicidal crisis. The inmate may remain hospitalized for several days and can be admitted to one of the nine specially adapted hospital units located in Lyon, Nancy, Toulouse, Villejuif, Lille, Rennes, Orléans, Bordeaux, and Marseille. These units accept inmates under voluntary or compulsory care, based on a decision by a state representative when the patient is deemed incapable of providing informed consent. These secure facilities — equipped with video surveillance, barbed wire, and security checkpoints — are dedicated healthcare environments. Prison staff only intervene in cases of agitation or violence; otherwise, all care is provided exclusively by medical professionals.


Forbes
2 hours ago
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Designing Sports Facilities That Support Athletes Holistically
As the Managing Partner of ZGF Architects, Sharron van der Meulen manages a firm of 750 people across seven offices in the U.S. and Canada. Professional and collegiate sports leagues and teams operate at the crossroads of business, entertainment and elite athleticism, putting players in a unique pressure-filled spotlight. Research indicates that as many as 35% of elite athletes report a mental health disorder. However, in recent years, numerous high-profile athletes have come forward to express their need to pause and prioritize their well-being—something that's helping destigmatize the mental health challenges many athletes face. This spotlight has encouraged some teams, leagues and universities to pay attention to the role they play and decipher whether they're doing all they can to support their athletes. Our firm ZGF Architects has designed a variety of sports facilities, so we've encountered many organizations that are ready and willing to look beyond the game day experience. They're recognizing that it is more crucial to support athletes holistically and consider their everyday needs because this can have a greater impact on long-term team performance. But how can the places where athletes train and compete make a difference in individuals' health and well-being—and ultimately in team stability? These are some of the strategies we've seen have an impact, and I encourage sports organizations and developers renovating, expanding or building new facilities to keep them in mind. To reach elite levels of competition, many players have been specializing in a single sport for most of their lives. Years of repetitive motion can increase athletes' risk of injury. This underscores the need for top-tier health and fitness equipment and spaces for personalized training and recovery. It also points to the opportunity to consider each athlete more holistically in order to address the connection between mental and physical health and reduce the pressure of high performance. In addition to spaces for stretching, massage, yoga and aquatics, at ZGF, we've been seeing greater demand for quiet zones for counseling, rest and meditation. Additional amenities becoming more common include full-service dining facilities with in-house chefs and nutritionists. And increasingly, dental and optical services are being included in order to offer athletes stress-free access to comprehensive care. Spaces dedicated to female athletes must address women's unique and complex health needs, including dietary requirements, strength training and ongoing education for our ever-changing bodies. Going beyond the standards, this translates to spaces that are comfortable and private and that acknowledge support and understanding. Throughout all of these spaces, design details should reflect soothing, elevated environments, with low-contrast material palettes and warm textures. I recommend putting a greater emphasis on access to nature through outdoor connections, biophilic design and natural light—including within practice courts and other indoor fitness facilities. Not only can this contribute to stress reduction, but natural light can also help athletes overcome the fatigue associated with frequent travel across time zones. Frequent travel can be a major stressor for elite athletes, which reinforces the need for training and performance centers to convey a sense of home. In many cases, we're designing for young adults who are apart from their families for the first time. As sources of connection and belonging, these facilities become their safe spaces. Design details should feature comfortable furnishings with spaces that are residential in feel and incorporate local, natural materials. A professional team's training center that we worked on in Texas, for example, features a mix of mass timber and local limestone that fits within the context of the location, while another complex in the Pacific Northwest takes inspiration from the surrounding mountains and forests. Playful and inviting lounges encourage athletes to unwind. Indoor-outdoor connections also encourage restorative breaks and connection to outdoor spaces. In many facilities, outdoor spaces offer chances for athletes to connect with the broader community, further expressing the support and enthusiasm that surrounds them. But, with athletes' health and well-being in mind, privacy and security are paramount. This means providing private parking areas, separate entrances and other accommodations that help shield athletes from their celebrity status and reinforce that their safety and well-being are taken seriously. In many sports, performance is said to peak for elite athletes in their mid-to-late 20s or early 30s, which can heighten the pressure to maximize this short career. This also reinforces teams' opportunity—and, to some, obligation—to play a role in protecting athletes' long-term health and in setting them up for success later in life. At both the collegiate and professional levels, we're seeing greater demand for spaces that support academic education, life skills development, post-sports career training, financial planning and more. This is especially pronounced at universities, where student-athletes not only face intense pressure to stay healthy and fit for their sport but also to keep up their grades to maintain scholarships. In the Pacific Northwest, for example, one university we worked with demonstrated its support for these challenges by putting its academic center for student-athletes front and center on campus. Upstairs tutoring and studying spaces, a library and teaching labs are reserved specifically for athletes and feature abundant glass, daylight and an airy sense of openness. Downstairs, with a vibrant backdrop of graphics and art that celebrate past and present student-athletes, the first-floor cafe and community spaces are open to all, nurturing cross-campus connections. On full display, these connections ultimately lay a strong foundation for a well-supported and supportive athletic program. This also signals to others the university's dedication to the success of student-athletes after graduation. At the core of this foundation is an athletes-first approach. Yes, the game day experience matters. Creating a sports venue that engages the community and entertains fans matters. But a team's most significant investment is its players. Even for highly skilled, elite athletes, the pressure to compete at the highest level can take a toll on mental and physical health. But when facilities are designed to nurture mind, body and spirit, everyone wins. Forbes Business Council is the foremost growth and networking organization for business owners and leaders. Do I qualify?


Fox News
3 hours ago
- Fox News
Detransitioner pens new book about 'embracing God's design' after living as a woman for eight years
A man who lived as a woman for years believes those who struggle with their gender need to address the underlying issues that drive them to question their identity in order for them to "embrace" who God made them to be. Walt Heyer, 84, detransitioned 40 years ago after identifying as a woman for eight years. Heyer runs a ministry and website called "Sex Change Regret" where he says he's helped thousands of people who regret trying to change their gender. Heyer and Dr. Jennifer Bauwens, Director of the Center for Family Studies at the Family Research Council, spoke to Fox News Digital about their new book, "Embracing God's Design," which addresses "the spiritual and psychological crisis behind transgender identity." The book details the major players in the history of the transgender movement and argues that left-wing activism has influenced diagnostic and ethical standards in the counseling field and harmed patient care over the past two decades. The authors argue that uncovering the root causes of gender confusion is essential to treatment. They also give advice on how friends and family can help those struggling with their gender identity. Bauwens, a former trauma therapist and researcher, claims that a great number of people who experience gender confusion also were abused, neglected or had other adverse experiences in their childhood. Professional counseling standards have changed over the years and now push for affirming one's gender identity as part of treatment, she said, adding that this doesn't address the patient's trauma. "When you look at the data, around half of those who identify as transgender also report some type of abuse, whether it be emotional, psychological, physical, sexual abuse," Bauwens told Fox News Digital. "It's actually not only malpractice, it's borderline criminal to treat someone with a surgical procedure who clearly matches the profile of someone who's had really severe abuse," she said. "Some of the reasons that are used to quickly get people 'gender-affirming care,' such as suicidality, that's a very common experience of someone who's had abuse. Self-harm is a very common experience of somebody who's abused." Heyer's own history of gender confusion started at a young age with family members who abused him. "I was being cross-dressed by my grandma secretly and she was affirming me. She made me a purple chiffon evening dress and that was a secret for about two-and-a-half years," he explained. "When I decided to take the purple dress home and my parents found it, and they realized grandma had been cross-dressing me, and I was enjoying it as a four or five, 6-year-old boy, then the heavy discipline started with my father. Then his adopted teenage brother sexually molested me. So that's where the trauma comes in." Heyer started identifying as a female as a teenager and became an alcoholic in his 20s as he dealt with the grief from his father dying from cancer. He started taking cross-sex hormones and was eventually diagnosed with gender dysphoria in his 40s and underwent sex change surgery to live as "Laura Jensen" for eight years. He said his therapist "didn't take into account that I'd been sexually, physically and emotionally abused which was really the problem, and it wasn't gender dysphoria." "I've worked with thousands of people over the last 20 years. And when I work with them, I always ask them, what caused you to not like who you are?" Heyer said of his ministry. "When we dive into this discussion, they peel back the issues, and we look back, and we find out that they were sexually abused and emotionally abused, physically abused. They were abandoned. They were in foster care." "Something happened that caused them to not like who they are. It's not even a gender issue. That's why Jennifer referred to it as an identity issue. They like to say that it's a gender issue because then you can apply hormones in surgery, but that doesn't fix the problem." Heyer credits God for "redeeming and restoring his life," as well as a few Christian counselors who helped him to get sober, address his gender issues, and turn his life around. The Christian authors believe that the modern gender movement is a spiritual battle that should be taken seriously by people of faith. "The gender movement isn't just about erasing male or female. It's actually about erasing the very image of God and family, because family is the first place that we learn safety, security, and there are attributes of male and female that God has uniquely embedded in our DNA, in our design," Bauwens said. "And when you erase those or attempt to erase those, you're erasing an aspect of the very heart and nature of God." "We look at our young people in our world, especially our country right now, and many people are saying, 'why is there such a mental health crisis?' As if we can divorce this current issue from the very mental health crisis that we're trying to fix," she continued. "When you erase the very design of God, in a generation or try to do that, then we're left with people who have no identity, no rudder, no sense that there's a higher purpose to life, that there is meaning through relationship and how God made us… So I would argue that there's much more at stake with the battle we're facing. And it's really a good fight of faith that we are embracing here," Bauwens said.