If you have family, friends or colleagues who live with mental illnesses, you may be unsure of how to speak to them in a respectful way. You want to show you care, but don’t know how to express your concern and not hurt the person at the same time.

Just ask…

1. Can you help me understand what it’s like living with your condition?
2. Is there anything you need from me or something I can do to help you?
3. Can we do something together – get coffee, go for a walk or see a movie?
   Just because the person has mental illness doesn’t mean he/she won’t want to do regular activities
4. What is your diagnosis and how do you feel about it?
5. Do you need to talk?
   Sometimes talking can help make things feel a little better.
6.  What can I do to be there for you, and help you feel supported?
7. How can I support you – can I listen to you, leave you alone, give you a hug?
8.  How has living with this condition shaped who you are today?
9. How are you? You don’t seem like yourself, and I want to know how you’re really feeling because I care about you.

Find Help and More Information Regarding Mental Illness

Help is available. For additional information, visit MagellanHealth.com/MYMH.

For more information on treatment resources, contact:
National Institute of Mental Health
https://www.nimh.nih.gov/health/find-help/index.shtml

NAMI (National Alliance on Mental Illness)
http://www.nami.org/

Substance Abuse and Mental Health Services Administration (SAMHSA) https://findtreatment.samhsa.gov/https://www.mentalhealth.gov/

Mental Health.gov
https://www.mentalhealth.gov/
Help is available. For additional information, visit MagellanHealth.com/MYMH

Read more about Mental Illness from Magellan Health Insights

When a person you care about is going through a difficult time or has been out of sorts for an extended period, it’s hard to watch and is only natural to want to do everything you can to help him or her feel better.

While this person may feel very grateful to have your support, there’s really only so much you can do as a friend, family member, or colleague. There comes a point where the person could really benefit from seeing a professional who can provide some unbiased advice and insight.

Treatments for mental illnesses are highly effective. According to the National Library of Medicine, only one out of three people who need help might actually seek it. Of that, the people who need help the most are typically the least likely to get it. People may worry about appearing weak if they seek therapy, or they may not even realize they really are sick.

Approaching the person and encouraging him or her to seek therapy can be a tricky situation. If done the wrong way, you could aggravate the person or turn him or her against the idea entirely. There is an effective way to have this conversation, but keep in mind that each person is unique, and what works for one person with mental illness may not be the solution for every person.

Nine steps to set up the conversation

1. Let the person know that you need to have an important conversation.
2. Pick a good time and a quiet place without other distractions.
3. Approach the person with empathy and consider using a phrase such as “If I didn’t care about you, we wouldn’t be having this talk.”
4. Be prepared for the person to be upset, but try not to get defensive.
5. Use “I” statements such as “I’m concerned about you.”
6. If the person has expressed concerns or frustrations to you, repeat these back to the person.
7. Avoid using words such as “crazy” or “abnormal.”
8. Offer to help in the process of finding a therapist or counseling service and scheduling an appointment.
9. Remind the person that you care about him or her and are here to provide ongoing support.

As a friend, family member, or close colleague, you have a lot of power in helping the mentally ill person that you care about. Use it. Help is available.

For additional information, visit MagellanHealth.com/MYMH

Source: Psych Central

This month marks several important milestones not only for disability advocacy nationally, but also for TMG by Magellan Health in Wisconsin.

On July 26, 1990, President George H.W. Bush signed the Americans with Disabilities Act (ADA) into law. This historic piece of civil rights legislation made it illegal to discriminate against someone because of a disability. The ADA has paved the way for people with disabilities to have access to the same opportunities that everyone else has.

This means that public transportation and public accommodations such as schools, restaurants, stores, clinics and theaters must accommodate people who use mobility aids, and must be accessible to those with audio or visual impairments or other types of physical disabilities. It means that children with an intellectual disability can receive a public education with their peers. And, it means that adults with disabilities can ask their employer for reasonable accommodations so that they can perform their job duties and remain active in the workforce. We know that a more inclusive world is a better world, and that’s why we celebrate the progress that’s happened over the nearly 30 years since the signing of the ADA.

We also celebrate Disability Pride in honor of the 40.7 million Americans[i] who have a disability and represent 12.8 percent of the U.S. population. They have valued roles in our communities as artists, advocates, entrepreneurs, athletes, co-workers, neighbors, and friends. Yet, not everyone looks beyond a person’s disability to recognize their ability and talents, and all too often people with disabilities can be invisible to society. That’s why Disability Pride parades and festivals are so important.

The first Disability Pride parades took place in Boston in the early 1990s. Although those initial parades stopped after the death of the lead organizer, Diana Viets, the city of Chicago held its very first Disability Pride Parade on July 18, 2004. Since then, other cities across the country – including New York, Philadelphia, Los Angeles, and, Madison, Wisconsin – have held their own Disability Pride events, with many happening during July to commemorate the signing of the ADA. The focus at these festive events is inclusion and fun, and, to quote Chicago’s Disability Pride webpage, “to promote the belief that disability is a natural and beautiful part of human diversity.” If you have the opportunity, it’s great to take part in one of these empowering and fun events as TMG by Magellan Health staff have done in Madison.

Finally, this month also marks the 10-year anniversary of Wisconsin’s IRIS program, and our partnership with the Wisconsin Department of Health Services and other stakeholders since the program began. On July 1, 2008, the state’s fully self-directed Medicaid long-term care waiver, called IRIS (Include, Respect, I Self-Direct), was created to give those who wanted more control and choice in long-term supports and services (LTSS) the chance to self-direct those services. Since then, the state has made the IRIS program available and we have steadily expanded our IRIS Consultant Agency and Self-Directed Personal Care Oversight Agency services to all 72 Wisconsin counties.

Wisconsin is regarded as a leader in self-directed services through the IRIS program. Recently, Applied Self-Direction and AARP published an informative report entitled, Taking it to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction. The report highlights Wisconsin as one of the top four states for innovation in self-direction, along with Texas, Iowa and Florida. TMG is proud to be the original IRIS Consultant Agency and the only IRIS Self-Directed Personal Care Oversight Agency in Wisconsin, and we feel honored to support over 14,500 of the 17,000-plus people enrolled in the IRIS program.

For all these reasons – the anniversary of the ADA, Disability Pride events and the innovative IRIS program – July is indeed a month to celebrate progress in disability advocacy and policy!

[i] United States Census Bureau: American Fact Finder – Disability Characteristic 2016 American Community Survey

When Magellan Health received word that it had been named a Fortune 500 company for the first time in our company’s history, it was cause not only for great celebration, but also reflection.

In recent years, we’ve experienced tremendous growth and momentum. Our purpose—“Leading humanity to healthy, vibrant lives”—fuels the work of our more than 10,000 associates, who are dedicated each day to making a meaningful difference in members’ health and their lives. One of our biggest growth drivers has been our ability to innovate and introduce new products that resonate and disrupt the industry across all areas of healthcare and pharmaceutical management, with the ultimate goal of delivering a consumer-centric model that improves health and health outcomes.

At Magellan, our model of care is unique in that it is both high-touch and high-tech, supported by an innovative and inclusive culture. Three keys to our success stand out.

When it comes to innovation, Magellan’s secret sauce is its culture. We continually seek people from outside the healthcare industry to challenge the status quo and help drive innovation around access to care and care quality with their unique perspectives. By providing our associates the space, flexibility and resources to experiment, we encourage creativity and offer the freedom to pursue ideas that push traditional boundaries. We put a great deal of trust in our talented colleagues instead of relying on a structure that in and of itself is defeatist for innovation.

We innovate with the member in mind. At Magellan, we’re dedicated to consumer-centric care that achieves improved outcomes by integrating healthcare across physical, behavioral and pharmaceutical services. By pioneering new strategies, we’ve been able to tackle the highest-trend components of healthcare expenditures using agile, clinically based technology and applying advanced analytics to develop next-generation solutions. This approach not only enables highly personalized services to be delivered, but also supports the best possible outcomes in the most cost-effective way for our members.

For example, roughly half of total pharmacy spend is driven by specialty drugs, with half of that specialty spend covered under medical benefits. This portion of specialty spend is typically unmanaged by pharmacy benefit managers and health plans. Magellan has differentiated itself in the specialty drug management space by pioneering innovative strategies focused on improved outcomes and value. We provide high-touch decision support tools that support specialty physicians in ordering complicated drug regimens. These tools help to ensure treatments are being administered at the most clinically appropriate site of service and are appropriately used.

We pursue atypical collaborations. Transforming healthcare requires unique collaborations to fuel new solutions that achieve disruptive change and improve health. A majority of our unique collaborations are in the digital therapeutics space. Two years ago, we partnered with Click Therapeutics to create FDA-approved therapeutic apps for treating common behavioral health conditions such as insomnia, anxiety and depression. One example is an app called ComfortAble^TM, which helps people suffering from chronic pain identify and change unhelpful thinking and behavior and learn new problem-solving techniques. At a time when our nation faces an opioid epidemic, much of which stems from difficulties in managing pain, ComfortAble^TM presents an opportunity to curb the use of pharmaceuticals in pain management.

An Eye Toward Tomorrow’s Healthcare Model

As Magellan has migrated to a culture of innovation, one of our biggest learnings is the need to innovate with a small “i.” We’ve learned over time that the best ideas aren’t always going to be big, bold-stroke, billion-dollar ideas. Ultimately, we’re innovating to help people live better, healthier and more vibrant lives. That’s a purpose all of our associates, from our senior leaders to our interns, not only embrace, but act upon.

At Magellan, all of our initiatives are centered on one objective: to provide highly personalized services that support the best possible outcomes in the most cost-effective way for our members. We will continue to innovate and introduce products that resonate, disrupt the industry and make a meaningful difference in people’s lives.

The following is an excerpt from an article appearing in Advances in Addiction & Recovery

Deaths from prescription opioid abuse have more than quadrupled since 1999, prompting President Donald Trump to declare the opioid epidemic a national public health emergency.[1] But while discussions around opioid abuse prevention have intensified, numerous barriers to recovery continue to exist.

For example, one of the most effective ways to combat opioid addiction is through medication-assisted treatment (MAT), an evidence-based approach that combines medication with psychosocial intervention. MAT empowers those suffering from opioid use disorder (OUD) to recover from their addiction while rebuilding their lives.

However, the stigma often related to MAT—on the part of both the medical community and addiction support professionals as well as family members of patients—continues to limit its use across the industry. Further, the need to educate communities and legislators about the complex issues surrounding addiction treatment cannot be overstated. Addiction should be considered a chronic condition, and such treatments need to be viewed the same way.

You can read the rest of the article on pages 24-25 in Advances in Addiction & Recovery.

[1] https://www.cdc.gov/drugoverdose/epidemic/index.html

1. Myth: Mental health problems don’t affect me.

Fact: Mental health problems are actually very common.

Annually, about:

• One in five American adults experienced a mental health issue
• One in 10 young people experienced a period of major depression
• One in 25 Americans lived with a serious mental illness, such as schizophrenia, bipolar disorder, or major depression
• Suicide is the 10th leading cause of death in the United States. It accounts for the loss of more than 41,000 American lives each year, more than double the number of lives lost to homicide.

2. Myth: Children don’t experience mental health problems.

Fact: Even very young children may show early warning signs of mental health concerns.

These mental health problems are often clinically diagnosable, and can be a product of the interaction of biological, psychological, and social factors. Half of all mental health disorders show first signs before a person turns 14 years old, and three quarters of mental health disorders begin before age 24.

Unfortunately, less than 20% of children and adolescents with diagnosable mental health problems receive the treatment they need. Early mental health support can help a child before problems interfere with other developmental needs.

3. Myth: People with mental health problems are violent and unpredictable.

Fact: The vast majority of people with mental health problems are no more likely to be violent than anyone else.

Most people with mental illness are not violent, and only 3%–5% of violent acts can be attributed to individuals living with a serious mental illness. In fact, people with severe mental illnesses are over 10 times more likely to be victims of violent crime than the general population. You probably know someone with a mental health problem and don’t even realize it, because many people with mental health problems are highly active and productive members of our communities.

4. Myth: People with mental health needs, even those who are managing their mental illness, cannot tolerate the stress of holding down a job.

Fact: People with mental health problems are just as productive as other employees.

Employers who hire people with mental health problems report good attendance and punctuality as well as motivation, good work, and job tenure on par with or greater than other employees.

When employees with mental health problems receive effective treatment, it can result in:

• Lower total medical costs
• Increased productivity
• Lower absenteeism
• Decreased disability costs

5. Myth: Personality weakness or character flaws cause mental health problems. People with mental health problems can snap out of it if they try hard enough.

Fact: Mental health problems have nothing to do with being lazy or weak and many people need help to get better.

Many factors contribute to mental health problems, including:

• Biological factors, such as genes, physical illness, injury, or brain chemistry
• Life experiences, such as trauma or a history of abuse
• Family history of mental health problems

6. Myth: There is no hope for people with mental health problems. Once a friend or family member develops mental health problems, he or she will never recover.

Fact: Studies show that people with mental health problems get better and many recover completely.

Recovery refers to the process in which people are able to live, work, learn, and participate fully in their communities. There are more treatments, services, and community support systems than ever before, and they work.

7. Myth: I can’t do anything for a person with a mental health problem.

Fact: Friends and loved ones can make a big difference and be important influences to help someone get the treatment and services they need by:

• Reaching out and letting them know you are available to help
• Helping them access mental health services
• Learning and sharing the facts about mental health, especially if you hear something that isn’t true
• Treating them with respect, just as you would anyone else
• Refusing to define them by their diagnosis or using labels such as “crazy”

Help is available.

For additional information, visit MagellanHealth.com/MYMH

What is the difference between mental health and mental illness? The former refers to our emotional and psychological state, our social well–being and how we feel about ourselves and interact with others. Mental health is not the same as mental illness, although poor mental health can lead to mental and physical illnesses.

When we have good mental health, we are resilient, can handle life’s challenges and stresses, have meaningful relationships and make sound decisions. Being mentally healthy, like being physically healthy, is important at every stage of life, from childhood and adolescence through adulthood and old age.

Being mentally healthy is influenced by life experiences, relationships with others, physical health and one’s environment. Just as people may experience physical problems over the course of their lives, they may also experience emotional or mental health problems that affect their thinking, mood and behaviors. This does not necessarily mean that a person who is going through a difficult time and is experiencing poor mental health has a mental illness. Feeling miserable and socially isolated are red flags that one’s mental health needs attention.

The benefits of improving one’s mental health are well worth the effort. Being mentally healthy helps you feel confident in your worth and abilities, accept your strengths and weaknesses, set realistic goals and create a sense of meaning and purpose in your life. Emotional health and mental health are closely intertwined, and both can positively or negatively impact physical health as well.

What is Mental Illness?
Mental illness refers to a wide range of disorders that affect mood, thinking and behavior. Mental illness can affect anyone regardless of age, gender, social standing, religion or race/ethnicity. People with mental illness often experience distress and problems functioning at work, home and in social situations. Mental illness is not something the person can “overcome with willpower,” and can be caused by biological factors such as genes or brain chemistry, trauma and abuse, and family history of mental illness.

The major types of mental illness include:
• Depression
• Anxiety
• Mood disorders, including bipolar
• Personality disorders
• Schizophrenia
• Trauma disorders
• Eating disorders
• Addictive behaviors

Mental illnesses are common in America, and approximately one in five adults lives with a mental illness (43.8 million in 2015.)1 While depression and anxiety are two of the most common disorders, mental illness includes many different conditions that range from mild to moderate to severe. People who don’t have a mental illness might still be impacted by the mental illness of a friend or family member.

Signs and symptoms of mental illness vary, but may include changes in sleep, appetite, and energy level, severe mood swings, persistent thoughts or compulsions, hearing voices, social withdrawal, feeling sad, hopeless, or agitated, having trouble performing everyday tasks, or wanting to hurt oneself or others.

With the right treatment, people can and do recover from mental illness. Friends and family members can be important influences to help someone get the treatment and services they need. Primary care physicians can refer individuals to psychiatrists and other professionals who specialize in mental health treatment. Treating a physical illness might require medications and physical therapy, and treating a mental illness might also require medications and different therapies. For many people, the first step is to recognize there is a problem and be willing to accept help.

For more information on treatment resources, contact:
National Institute of Mental Health
https://www.nimh.nih.gov/health/find-help/index.shtml

NAMI (National Alliance on Mental Illness)
http://www.nami.org/

Substance Abuse and Mental Health Services Administration (SAMHSA) https://findtreatment.samhsa.gov/https://www.mentalhealth.gov/

Mental Health.gov
https://www.mentalhealth.gov/
Help is available. For additional information, visit MagellanHealth.com/MYMH

1. https://www.nami.org/learn-more/mental-health-by-the-numbersd to replace a visit with a provider. Magellan Health does not endorse other resources that may be mentioned

Read more more about this topic from Magellan Health Insights

The following is an excerpt from an article appearing in the American Journal of Managed Care (AJMC)

One out of four patients who receive long-term opioid therapy in primary care settings struggle with opioid use disorder (OUD), according to Centers for Disease Control and Prevention research. While conversations around opioid addiction are beginning to impact physician prescribing patterns, there is still much progress to be made around treatment and recovery solutions for those battling OUD.

One important option that requires greater attention: the need to leverage an integrated team approach in opioid treatment and recovery.

Recent research points to the value of a holistic approach to opioid recovery delivered in a community setting. Such an approach may include relapse prevention medications; group and individual counseling; physician visits for medication management; mental health therapy; and psychiatric treatment for cooccurring disorders. But there are barriers to accessing holistic opioid recovery treatment within the patient’s community. Such barriers can include lack of mental health resources, stigmas associated with certain treatment options, limited availability of specialized providers, difficulties navigating the complexities of substance abuse treatment, and insufficient capacity.

Overcoming the challenges to a holistic approach to opioid recovery is critical to engaging patients safely and comfortably and supporting sustained recovery. The following five elements contribute to a successful integrated approach.

You can read the rest of the article in the American Journal of Managed Care (AJMC).