Near the end they go up into libs from their knees 🙀

CDC Gov Doc Youth-Friendly Reproductive Health Services

The Centers for Disease Control and Prevention (CDC) webpage on teen-friendly reproductive health services provides the Elements of Youth-Friendly Contraceptive & Reproductive Health Services and a downloadable infographic of a teen-friendly reproductive health visit.

Contraceptive and reproductive health services include: family planning; contraception (methods to prevent pregnancy); prenatal, obstetric, and postnatal care; and prevention or treatment of reproductive tract infections, including sexually transmitted infections.

These best practices were developed through the U.S. Department of Health and Human Services’ Office of Adolescent Health and CDC’s Communitywide Initiatives to reduce teen pregnancy and ensure clinical services are teen-friendly. The Elements focus on systems related to:

  • Access of care;
  • Processes for the delivery of care;
  • Use of evidence-based clinical recommendations;
  • Costs;
  • Confidentiality;
  • Consent;
  • Supportive infrastructure; and
  • Health care delivery environment.

Visitors to the site can learn more about the Elements of Youth-Friendly Contraceptive & Reproductive Health Services and access a number of relevant resources.


get to know me and candy bby a littler better in We Interview Us!

Obama's HHS Chief: We need to make Obamacare available to illegal immigrant "dreamers"


Well, who didn’t see this coming?

from Red Alert Politics:

The Obamacare and immigration debates collided Tuesday as Health and Human Services chief Sylvia Burwell called for extending Obamacare benefits to DREAM-eligible illegal immigrants.

Burwell was speaking on a public Google hangout with prominent Latina bloggers to promote Saturday’s opening of the Obamacare enrollment period when she shifted to her thoughts on immigration reform.

“DREAMers are not able to be covered in the marketplace. And this is an issue that I think is more than a health care issue — it is an immigration issue,” Burwell said in response to a question about whether families with mixed immigration statuses can get coverage.

“And I think everyone probably knows that this administration feels incredibly strongly about the fact that we need to fix that. We need to reform the system and make the changes that we need that will lead to benefits in everything from health care to economics to so many things — a very important step that we need to take as a nation.”

Only legal immigrants are eligible for Obamacare benefits, but liberal and pro-immigration groups have asked that Obamacare benefits be extended to illegal immigrants as well. Several groups have also advocated for the Obama administration to mandate Obamacare exchange eligibility for DREAMers, a term used to describe illegal immigrants who are granted Deferred Action for Childhood Arrivals status.
Burwell also addressed a recent Los Angeles Times report that found legal immigrants are avoiding Obamacare exchanges out of fear that any family members who are in the country illegally will be found out and punished thanks to their participation in the government program.

In March, President Obama went on the Spanish-language TV network Univision to promise Latinos that any information gleaned during the Obamacare enrollment process would not be turned over to immigration officials. During the first open enrollment, outreach workers were encouraged to carry a letter from U.S. Immigration and Customs Enforcement echoing that promise, but it seemed to only make most people more nervous.

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Somebody owes Rep. Joe Wilson a fruit basket.


SAMSHA Gov Doc/Data: State Estimates of Adult Mental Illness from the 2011 and 2012 National Surveys on Drug Use and Health

Mental illness is a major public health concern in the United States. Information on the prevalence of mental illness is needed to help guide and inform effective treatment and prevention programs. The Substance Abuse and Mental Health Services Administration (SAMHSA) provides block grant funding to States in support of programs and services for adults with mental illness with the goal to improve the life of adults and their capacity to work in their community.

SAMHSA defines mental illness based on diagnostic criteria in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

Any mental illness (AMI) among adults aged 18 or older is the presence of any mental, behavioral, or emotional disorder in the past year that met DSM-IV criteria.

Among adults with a disorder, those adults whose disorder caused substantial functional impairment (i.e., a disorder that substantially interfered with or limited one or more major life activities) are defined as having serious mental illness (SMI) and have the most urgent need for treatment. In 2012, only 62.9 percent of adults with SMI (6.0 million people) had received mental health treatment nationally in the past 12 months.

This issue of The NSDUH Report presents State-level estimates of SMI based on data collected from approximately 92,400 adults aged 18 or older from the combined 2011 and 2012 National Surveys on Drug Use and Health (NSDUHs).


  • Among adults aged 18 or older, the rate of serious mental illness (SMI) in the past year ranged from 3.1 percent in New Jersey to 5.5 percent in West Virginia; nationally the rate was 4.0 percent, which equates to 9.3 million Americans with SMI
  • Nationally, 42.5 million adults aged 18 or older experienced any mental illness (AMI) in the past year, corresponding to a rate of 18.2 percent of the adult population; among States, AMI rates ranged from 14.7 percent in New Jersey to 22.3 percent in Utah

via alan zoellner

Predicting Army Suicides After Hospital Discharge
High-risk patients can be identified using big data predictive analytics

t has long been known that patients recently discharged from psychiatric hospitalizations have a significantly elevated suicide risk. However, the rarity of suicide even in this high-risk segment of the population makes it impractical to justify providing intensive post-hospital suicide prevention programs to all recently discharged patients.

Targeted programs for patients at especially high suicide risk would be more feasible, but it is difficult for clinicians to predict with good accuracy which patients are at high risk for suicide.

A new report published online Nov. 12 in JAMA Psychiatry suggests that big data predictive analytic methods might help address the problem of determining which recently discharged patients are at highest risk for suicide.

The report comes from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), a multicomponent epidemiological and neurobiological study of Army suicides and their correlates sponsored by the U.S. Army and funded under a cooperative agreement with the U.S. Department of Health and Human Services, the National Institutes of Health and the National Institute of Mental Health (NIH/NIMH).

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Hold me responsible for the ‘debacle.’ I am responsible.

Health and Human Services Secretary KATHLEEN SEBELIUS, taking full responsibility for the glitches on the Healthcare.gov website during a contentious House committee hearing.

Unfortunately, this is the soundbite Republicans have been waiting for

(via CNN)