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May 31, 2007

Study finds 3 factors negatively affecting mental health of moms with young children

A new research study published in the July edition of the American Journal of Public Health looks at the factors that detrimentally affect the general mental health of the mothers of young children.

Among women with children ages four months to three years (35 months), these three conditions are the biggest predictors of poor maternal mental health:

* Lack of emotional support - No one to rely on for day-to-day emotional help with parenting (3.4 times more likely to experience mental health problems)

* Lack of functional support in caring for children - Little or no help with child care when mothers need a break (2.2 times more likely to experience mental health problems)

* Spending too much time alone caring for their child (3.5 times more likely to experience mental health problems)

Mothers who reported having just one of the above parenting-related stressors had triple the risk of poor mental health, while women who had two or more of the above stressors increased a mental health risk x12.

The authors' conclusions: Improving family leave policies and making high quality childcare more 'affordable and accessible' could help ease the stresses on mothers. Once again proving the point...The personal is political!

May 19, 2007

Call to Action: More U.S. Senate co-sponsors needed for The MOTHER'S Act

This important call-to-action from Susan Stone, president of Postparutm Suport International (PSI):

Last Friday, Senator Robert Menendez reintroduced The MOTHER's Act at a Capitol Hill press conference. Also speaking were Congressman Bobby L Rush, NJ First Lady Mary Jo Codey, actress Brooke Shields, author Sylvia Lasalandra, advocate Carol Blocker and PSI president Susan Dowd Stone.

While The MOTHER's Act is gathering steam, we still need Senate co-sponsors from BOTH sides of the aisle. Please call and write your local and state senators TODAY, reference the Capitol Hill press conference and ask them WHERE THEY STAND on this issue. Ask them to endorse this legislation. We must capitalize on this momentum to create more sponsorship for this important legislation. Please forward this email to all related consortia, healthcare facilities, maternal child health agencies and organizations.


You may find out who your local and state senators are by visiting this website.

Your support has gotten us this far. Please join in the final push!

May 11, 2007

Today's press conference on the Hill

Many thanks to the fabulous Adrienne Griffen, advocate-mom and PSI coordinator for the state of Virginia, for this recap of today's Capitol Hill press conference to re-introduce The MOTHERS Act into Congress:

"The press conference was terrific. Senator Menendez and Representative Rush were well-educated in their understanding of the need for legislation that would screen women for PPD and provide information for them, as well as ongoing research. The five women who spoke were all passionate, articulate, and , in the words of Sen Menendez, 'forces to be reckoned with.'

Brooke Shields spoke emotionally about her experience with PPD following the birth of her first daughter, at times tearfully explaining how disconnected she felt from her daughter and how she wished she could "disappear permanently." She implored Congress "from the bottom of my heart" to pass this much-needed legislation.

Mary Jo Codey, the former First Lady of New Jersey and a longtime postpartum depression awareness advocate, also recounted her experience with postpartum depression 23 years ago following the birth of her son and her experience with electro-shock therapy treatment. Her message to Congress was the same: No other women should have to suffer the way that she did and that it would be a fitting Mother's Day present to women throughout the United States to pass this legislation.

Carol Blocker spoke about the postpartum psychosis that led to her daughter's suicide following the birth of her only child. She was tearful throughout the press conference as she recalled that her granddaughter asked yesterday whether they could make a cake for her mother.

Susan Stone, president of Postpartum Support International, spoke forcefully about the need to help women everywhere, adding that Iran was a recent addition to the list of countries where PSI volunteers are active. She explained how PPD affects women without regard for race, education, age, or socioeconomic status. Ms. Stone recounted that PSI's message to women is that "you are not alone, you are not to blame, and that with help, you will be well" -- important words for any woman experiencing PPD who feels isolated or like a bad mother.

Sylvia Lasalandra, a mother from New Jersey, told of her experience with postpartum psychosis, how she felt herself a "monster" who feared doing harm to her newborn daughter, and of how her parents cared for her daughter for several months while she recovered. She has since written a book called A Daughter's Touch, which was also the basis for an award-winning short film. (I was moved to tears by her story). She threatened Congress that if they did not act on this legislation that she would be back with her Sicilian mother (in dressing gown) in tow. Sen Menendez referred to Ms Lasalandra as a "firecracker," and she really was hot about this issue.

When asked whether they had been informed about PPD during any time prior to their experience, all the women responded that they had not, and they encouraged early education and screening as the primary tool for preventing PPD.

All eyes were on Brooke Shields, as you might imagine, and she was terrific - emotional, truthful, humble (in one instance, she reached over to retrieve Ms. Lasalandra's papers before the fell from the podium), compassionate (when Mrs. Blocker was tearing up, she tried to find a tissue for her), and truly an outstanding advocate for this issue. I really hope that she provides the celebrity hook that is needed to get things done.

I was amazed at how much press coverage was there -- shows what a celebrity can do for a cause."


Thanks again, Adrienne, for sharing this play-by-play from the press conference!


p.s. The companion bill in the US House, the Melanie Blocker-Stokes Act (HR 20), now has over 110 sponsors. It's big progress!


Cheers for AWHONN's support of The MOTHERS Act

Thanks to AWHONN for speaking out swiftly and strongly after to today's re-introduction of The MOTHERS Act into Congress. Here's their release, hot off the press:

"The 'Moms' Opportunity to Access Help, Education, Research and Support for Postpartum Depression Act' (MOTHERS Act), introduced today by Senator Menendez, is groundbreaking legislation that has the potential to help countless families and save lives.

Unfortunately, postpartum depression (PPD) usually receives the kind of public attention it deserves only after tragedy strikes and this complex medical condition drives a new mother to endanger or end her own life or that of her spouse or children. But the impacts of this illness are certainly not limited to the sensational.

Each year in this country, more than 400,000 new mothers suffer debilitating postpartum depression, a prevalence that continues unabated. PPD can lead to alienation from loved ones, daily dysfunction due to overwhelming sorrow and disorientation and at its most extreme, personal terror resulting in dangerous thoughts and violent
actions. Our nation can and must do more to help those afflicted with this painful outcome of humankind's most natural event - childbirth.

The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) urges every Member of Congress to support this crucial legislation.

The MOTHERS Act would award states grants to educate new mothers about PPD, screen them for the condition in the first year after birth and provide needed support in the event of a PPD diagnosis. A second grant program under the proposed law would subsidize direct medical assistance to PPD mothers and their families and support
needed research into the causes, diagnosis and treatment of the condition."

May 08, 2007

Brooke Shields & Mary Jo Codey on Capitol Hill, supporting The MOTHERS Act

Hot off the press, here's the release just issued by the offices of Senator Mendez and Representative Rush, in conjunction with Postpartum Support International (PSI):

A MOTHER'S DAY MESSAGE FROM BROOKE SHIELDS, SEN. MENENDEZ, REP. RUSH AND MARY JO CODEY

WASHINGTON - On Friday morning, leading into Mother's Day weekend, actress Brooke Shields will join U.S. Senator Robert Menendez (D-NJ), Rep. Bobby Rush (D-IL) and Mary Jo Codey, wife of former New Jersey Governor Richard Codey, and others to announce the introduction of The MOTHERS Act in the Senate.

The legislation would initiate new federal investment in postpartum depression education, detection, and treatment programs for new mothers. Similar legislation - the Melanie Stokes Postpartum Depression Act - has been introduced in the House by Rep. Rush.

WHO: Brooke Shields, Senator Robert Menendez (D-NJ), Rep. Bobby Rush (D-IL), Mary Jo Codey (longtime postpartum depression awareness advocate, wife of former New Jersey Governor Richard Codey), Carol Blocker, (whose daughter, Melanie Blocker Stokes, took her own life after battling postpartum depression)

WHEN: FRIDAY, May 11, 10 a.m.

WHERE: 538 Dirksen Senate Office Building (Banking, Housing and Urban Affairs Committee Hearing Room), Washington, DC

The role of politics in social change, healthcare reform

For those among us who want things to be different for women but are loathe to get involved in the messiness of "politics," I like what former Virginia governor Mark Warner told attendees at the recent 58th Annual Council on Foundations Conference in Seattle:

"If you are really going to make meaningful, significant, long-term, substantive change, you've got to deal with the policy world."

Not necessarily comforting words...but true ones.

May 02, 2007

Cut the crap, Mr. Deal

The B.S. that goes on in Congress is enough to choke a horse. I'm appalled at Rep. Nathan Deal's attempt to railroad the Melanie Blocker-Stokes Act at yesterday's House subcommittee hearing. He could very well co-opt, delay, or kill this bill, all in the interest of abortion politics.

In an obscene waste of taxpayer time and money, the ranking member decided to divert attention away from PPD by placing the subject of abortion-related depression at the center of his opening remarks. Ironically, Deal is a sponsor of the Blocker-Stokes Act - but it appears that he plans to use HR 20 as a staging ground for another agenda entirely. At best, it's a distraction from the issue of PPD. At worst... It's the lowest form of Capitol Hill slime.

Here's CQ HealthBeat and Kaiser's coverage of what went down:

The House Energy and Commerce Health Subcommittee on Tuesday debated legislation (HR 20) that would aim to identify causes and treatments for postpartum depression, and some Republicans on the panel indicated that the measure should be amended to include language on "postabortion depression.

The bill, sponsored by Rep. Bobby Rush (D-Ill.), would "expand and intensify" research at the National Institute of Mental Health and other agencies on postpartum depression and postpartum psychosis. The bill also would provide grants through HHS for the "establishment, operation and coordination of effective and cost-efficient systems for the delivery of essential services" for women with the conditions and their families (HR 20 text, 5/2). Rush has been working for passage of the bill since 2001.

Rep. Nathan Deal (R-Ga.) -- the ranking member on the subcommittee and co-sponsor of the legislation -- said in his opening statement that postpartum depression "has consequences not only for the woman but for the child and the family as a whole." He added that more should be known about all aspects of depression, including depression that might occur after undergoing an abortion.

Deal's reference to abortion "triggered a rebuke" from Rep. Diana DeGette (D-Colo.), who called the reference "offensive," CQ HealthBeat reports. DeGette said that postabortion depression has not been recognized as a clinical condition by established medical professionals, adding that U.S. women have waited too long for action on postpartum depression to have the hearing diverted into a "political theatre."

Deal cited witness testimony from women who said they developed depression after undergoing abortion. He also said that he would not attempt to modify the bill to include research on the condition, but that his 'Republican colleagues might do so.'

Let me be frank: Thousands of new mothers suffering terribly from this misunderstood, grossly under-diagnosed illness need HELP NOW. Help that can be greatly facilitated by the federal government's funding of new research and public education. A new mama struggling in the depths of darkness - and a newborn baby who needs immediate care and affection - doesn't give a rat's ass about any other issue. She's not a part of your political game. She needs HELP for the condition of PPD, and she needs it NOW.

Deal, or no deal? If you want to assist Rep. Nathan Deal in focusing his attention on the issue at hand... Click here to contact his Washington, DC office, or call them at 202.225.5211. Let Deal's staff know that when he tries to railroad a hearing on a public health policy crucial to women, babies, and families, he doesn't speak for you. And you're not buyin' what he's sellin'.

April 30, 2007

Tuesday, May 1: Hearing on Blocker-Stokes Act

Tomorrow, May 1 at 12 noon is the House Energy and Commerce Subcommittee on Health hearing re: the pending Melanie Blocker-Stokes Postpartum Depression Research and Care Act (HR 20) - To be held in room 2123, the Rayburn Building on Capitol Hill.

Today, April 30, is your LAST CHANCE to contact the offices of the members of this subcommittee and let them know how important it is to the women, children, and families of this country that they move the bill forward!

The panel at tomorrow's hearing includes Catherine Roca - chief, Women's Programs, National Institute of Mental Health, National Institutes of Health; Nada Stotland - professor of psychiatry and obstetrics/gynecology, Rush Medical College, Chicago, representing the American Psychiatric Association; Mary Jo Codey - former first lady, State of New Jersey; Carol Blocker - mother of Melanie Blocker-Stokes; Priscilla Coleman - associate professor of human development and family studies, Bowling Green State University; and Michaelene Fredenburg - president, Life Perspectives.

For more on the bill's namesake, click here.

April 22, 2007

Congressman Bobby Rush to receive first Melanie Stokes Leadership Award at May 12 event in Chicago

A first-of-its-kind Postpartum Depression (PPD) Symposium is scheduled for Saturday, May 12 from 11 a.m. to 2 p.m. in Chicago, sponsored by The Melanie Blocker-Stokes Foundation and Postpartum Support International (PSI).

Congressman Bobby Rush (D-IL) is expected to attend, where he will be honored with the first Melanie Stokes Leadership Award for his tireless advocacy on behalf of women, children, and families.

When passed by the US Congress, The Melanie Blocker-Stokes Act (HR 20) will provide for research on and services for women with postpartum depression (PPD) or postpartum psychosis (PPP) - the condition that took Melanie's life soon after giving birth to her daughter.

Your voice is needed for the Melanie Blocker-Stokes Act

A Congressional hearing has been scheduled for May 1 on the Melanie Blocker-Stokes Act!

The voices of women's and children's advocates need to be heard loudly, clearly, and in large numbers if this legislation has a hope of being ratified this time around - Here are some sample messages for the key members of Congress, in support of the Blocker-Stokes Act. Contact them well BEFORE May 1:

Dear Chairman Dingell:

We, the undersigned organization [ or individual voter ], are the primary caregivers and health professionals, the service providers and program administrators, and therapists and researchers serving women suffering from postpartum depression. We call on the House Energy and Commerce Committee to support the immediate consideration and passage of H.R. 20, the Melanie Blocker Stokes Postpartum Depression Research and Care Act.

This legislation will provide immediate attention and resources towards one of the most commonly undiagnosed conditions after childbirth, postpartum depression. There will be over 400,000 new cases this year, making this the single most frequent serious complication of pregnancy. Less than 15 percent of those women will not receive any treatment; however, with treatment over 90 percent of these patients can overcome their depression.

H.R. 20, the Melanie Blocker Stokes Postpartum Depression Research and Care Act tackles the problem in the medical trenches where providers are in a position to immediately diagnose and treat postpartum disorders; and in the research laboratory where scientists endeavor to understand the physiology behind the illness. Thank you for your immediate attention and support of this legislation.

Sincerely,


Cc: Ranking Member Barton


To personalize for YOUR member of Congress:

Date

Dear Congressman X:

I write to ask you support and cosponsor H.R. 20, the Melanie Blocker Stokes Postpartum Depression Research and Care Act. This legislation will provide immediate attention and resources towards one of the most commonly undiagnosed conditions after childbirth, postpartum depression.

There will be over 400,000 new cases this year, making this the single most frequent serious complication of pregnancy. Less than 15 percent of women will not receive any treatment; however, with treatment over 90 percent of these patients can overcome their depression. Most primary caregivers, including OB/GYNs, pediatrician, and family practitioners do not have the time or training to address this problem—even the best of them will only identify 40 percent of cases.

Specifically, H.R. 20 would:
1) Prioritize postpartum depression and psychosis by expanding research on the mental illness; and
2) By establishing grants for the operation and coordination of cost-effective delivery systems of essential services to afflicted individuals and their families.

The bill tackles the problem in the medical trenches where providers are in a position to immediately diagnose and treat postpartum disorders; and in the research laboratory where scientists endeavor to understand the physiology behind the illness. Thank you for your immediate attention and support of this legislation.

Sincerely,



For more about the tragic, and preventable, story of Melanie and the family she left behind, click here.

April 15, 2007

May 8: National Children's Mental Health Awareness Day

An important call-to-action on children's mental health (which is, of course, strongly connected to maternal and paternal mental health):

The first week of May is Children's Mental Health Week 2007. On Tuesday, May 8, 2007, communities across the nation will hold events to commemorate the second annual National Children's Mental Health Awareness Day.

In conjunction, national organizations are sponsoring a congressional briefing in Washington, DC, on that day. The
national partners for Awareness Day include Bazelon Center for Mental Health Law, Federation of Families for Children's Mental Health, Mental Health America, National Alliance on Mental Illness, and the National Association of Social Workers. Data will be presented to encourage the continued support of comprehensive, community-based, mental health services for children and youth, and to raise awareness about the effectiveness of school-based mental health programs. Speakers will share their personal stories to "put a face" on the issues that affect children with mental healthcare needs and their families.

You have a powerful role to play at the community level. The invitation to members of Congress and their staff to attend the Awareness Day briefing on Capitol Hill is made more effective when they hear from their constituents: you.

Here's what you can do:

1) Contact your Congressional representative and senator and encourage him or her to attend the Awareness Day Briefing on Capitol Hill. To find your legislator’s contact information, click here:

Let them know how the issues that will be discussed affect your family and your community. If you have it, share data that illustrates how these issues are affecting your district or your state. By supporting National Children's Mental Health Awareness Day, you can lend your voice to those who don’t have a vote.

ALSO: Free, downloadable materials are available for use by community advocates and professionals in raising awareness and educating the public. Press kits and other resources are available in both English and Spanish.

February 26, 2007

Women's mental health advocate Cynthia Wainscott nominated to National Council

Congratulations to Cynthia Wainscott, a tireless champion for women's mental health and perinatal wellbeing, for her nomination by President George Bush to the National Council on Disability (NCD).

Cynthia, who has spoken publicly about her mother's struggle with depression and her daughter's experience of PPD (most recently at the National HMHB Coalition briefing on Capitol Hill last fall), has been a board member of Mental Health America (formerly National Mental Health Association) since 1999. She also directed a pilot site for the National Institute of Mental Health (NIMH) program "Depression: Awareness, Recognition, and Treatment," a groundbreaking public education campaign that developed a training model for education programs nationwide.

I can testify that Cynthia is at her finest when speaking about her personal experiences of depression and her vision for change - she's an impassioned, inspiring advocate for women and families!

February 14, 2007

Bringing insurance coverage into the 21st century

This morning's Diane Rehm Show on NPR focused on mental health insurance benefits, with guests including Senator Pet Domenici (R-New Mexico), Senator Edward Kennedy (D-Massachusetts), Vice President for Health Policy at American Benefits Council Paul Dennett, Andrew Sperling from the National Alliance on Mental Illness (NAMI), and President of Cigna Behavioral Health Keith Dixon.

Senators Domenici, Kennedy, and Mike Enzi have introduced legislation that requires health insurers who cover "mental illnesses" to offer benefits on par with those provided for "physical ailments."

Thanks to Diane Rehm and her producers for featuring this important and timely topic! To hear the podcast of this program, or to order a text transcript, click here.

February 13, 2007

It's about time...

Just received this policy-related press release from Mental Health America (formerly National Mental Health Association):

Senators Propose Protections for Americans with Mental Health Needs

"Senate leaders today introduced legislation that holds the promise of ending insurance discrimination against people who participate in employer-sponsored health care plans and need help for a mental health or substance abuse problem. Mental Health America applauds the leadership of Senators Pete Domenici (R-N.M.), Edward Kennedy (D-Mass) and Michael Enzi (R-Wyo.) in crafting this long-sought measure to bring fundamental insurance protections to the nearly 60 percent of Americans who rely on employer-sponsored coverage.

'As it stands now, most private health care plans set arbitrary and inequitable limits on behavioral health care -millions are denied care each year,' said David L. Shern, Ph.D., president and CEO of Mental Health America. 'Limiting access to needed health care based solely on society's characterization of an illness raises a profound civil rights issue. The legislation introduced today would thrust our nation forward in both improving access to care and realizing a broader principle - namely that our nation must address mental illness with the same urgency and priority attached to other chronic illnesses.'

The Mental Health Parity Act of 2007 would outlaw practices that have for too long caused needless suffering to the individual, caused reduced productivity in the workplace, increased overall health care costs and contributed to higher costs in the public health care system. The legislation also maintains the enforceability of key insurance protections established by states across the country. State parity laws vary widely from state to state (for a map of state laws, visit www.mentalhealthamerica.net/go/parity/states).

The vast majority of Americans (89%) - including Democrats, Republicans, managers, and employees alike - want to end insurance discrimination against people with mental health needs, according to a recent survey by Mental Health America. 'This is not a political issue,' said Shern. 'This is an issue of fairness, and we applaud the strong bipartisan support it is receiving.'

Mental Health America looks forward to working with the Senate - and the House of Representatives - to enact legislation that achieves insurance equity and expands the civil rights of people with mental health and substance abuse needs.

For more information and recent public opinion survey findings related to mental health insurance coverage, go to www.mentalhealthamerica.net. "

January 06, 2007

VOICE YOUR SUPPORT for the re-introduced Melanie Stokes Act, H.R. 20

Thanks so much to Susan Stone, current president of PSI (Postpartum Support International), for sharing this important news with us:

Yesterday, January 4, 2007, U.S. Congressman Bobby Rush [Illinois] reintroduced The Melanie Stokes Act to the 110th Congress as H.R. 20! (To learn about Melanie Stokes' story, click here.)

Susan writes, "It is crucial that we generate additional momentum for passage of this bill by placing calls to our local Congressmen encouraging their support of the legislation.

Please, without delay, determine your local Congressman by clicking on the link below and immediately placing a call to their office, strongly requesting their support for passage of H.R. 20. We have a window of opportunity to finally enact protections for all women which will include assessment, treatment, and education about perinatal mood disorders. Your call could elicit the deciding vote."

To contact your representative in Congress, click here.

FYI, the current status of this bill, as of January 4: Referred to the House Committee on Energy and Commerce. (Yeah, weird, I know. The protocols of Congress are mysterious indeed.)

November 22, 2006

Katherine Stone blogs on the federal MOTHERS Act

A new post on Postpartum Progress, from blogger-advocate Katherine Stone:

Murders & Attempted Murders in California, South Carolina, & Connecticut Should Move Congress to Pass the MOTHERS Act

August 13, 2006

New resource for family planning programs, state & local public health agencies

The Women's and Children's Health Policy Center at the Johns Hopkins University Bloomberg School of Public Health has released a new policy brief, "Considering Interventions for Depression in Reproductive-Age Women in Family Planning Programs."

This brief explores family planning programs as a possible site for incorporating interventions around depression, including screening and treatment, and looks at opportunities to reach women who otherwise may have little contact with the healthcare system. Included is a list of potential interventions and recommendations that can be used by family planning programs, state and local public health agencies, as well as mental healthcare providers.

To check out this resource, click here.