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New 988 mental health hotline launches

D.C. among jurisdictions participating in rollout

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(Photo courtesy of Los Angeles County)

The first three-digit hotline in the U.S. for people who are experiencing suicidal thoughts and other mental health crises launched on Saturday.

988 will replace the existing National Suicide Prevention Lifeline.

The Substance Abuse and Mental Health Services Administration funds 200 call centers around the country. SAMHSA has allocated upwards of $282 million to state, territory and tribal governments in order to bolster their capacity ahead of 988’s launch. 

The agency, which is a branch of the U.S. Department of Health and Human Services, has met with state, territorial and tribal officials to ensure they smoothly implement 988. SAMSHA has also worked with the Centers for Medicare and Medicaid Services, the U.S. Department of Veterans Affairs and the Heath Resources and Services Administration to provide necessary financial support. 

“It is an unprecedented transformation and opportunity to transform how we think about crisis care across the nation,” said Assistant Secretary of Health and Human Services for Mental Health and Substance Use Miriam Delphin-Rittmon before the launch.

“The 988 lifeline is an important step forward,” she added. “It marks a critical transformation for the country in terms of how we approach crisis care and suicide prevention.”

John Palmieri, the acting director of SAMHSA’s 988 and Behavioral Health Crisis Coordination Office, notes anyone who calls, texts or chats with 988 will be able to speak with a crisis counselor who will listen to them and connect them to support. 

“It will ultimately save lives, providing crisis support for individuals who are suicidal or are facing other forms of emotional distress,” said Palmieri.

The National Hotline Suicide Designation Act that then-President Donald Trump signed in 2020 paved the way for 988’s creation. The law, according to the Washington Post, mandated the hotline provide specific services to LGBTQ youth.

Palmieri noted $7.2 million has been earmarked in fiscal year 2022 “to support specifically enhancing access to LGBTQ+ youth.”

“There are conversations and planning happening now to expand programming that will facilitate access for that population,” he said.

Health and Human Services Secretary Xavier Becerra on July 1 told the Washington Blade during a conference call that he and his colleagues “want to make sure that we are going to be responsive” to LGBTQ callers.

“Issues of discrimination, of attacks and abuse are coming to particular communities more than others, and so it would not surprise us to see cause of stress and distress coming from certain communities,” said Becerra. “And so we have been doing work on that.”

“We clearly understand that LGBTQ+ youth are at higher risk of suicide as well documented in some of the populations that we’re extremely invested in supporting,” added Palmieri during the same call. 

D.C. Mayor Muriel Bowser and D.C. Department of Behavioral Health Director Barbara J. Bazron on Friday announced the nation’s capital will participate in the 988 launch. Los Angeles County is among the other jurisdictions that have prepared for it.

“We are very focused on how we connect more residents to mental health care, and that is especially critical for people who are in crisis. Just like people know 911, now we also want people to know and use the 988 lifeline,” said Bowser in a press release. “In calling 988, people can get connected to trained crisis counselors and lifesaving services – any time, day or night.”

Maryland Congressman Jamie Raskin also highlighted 988.

“Tomorrow, after years of advocacy by Americans working to improve our mental health system, 988 will become our new nationwide number for suicide prevention, mental health and substance use crises,” tweeted Raskin on Friday. “Call or text 988 for a trained counselor who can provide support.”

Raskin’s son, Tommy Raskin, on Dec. 31, 2020, died by suicide.

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Health

UNAIDS to commemorate Zero Discrimination Day’s 10th anniversary

UN agency urges global action to protect human rights

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A UNAIDS anti-discrimination exhibit at Tocumen International Airport in Panama in 2018. (Washington Blade photo by Michael K. Lavers)

As the world marks the 10th anniversary of Zero Discrimination Day; UNAIDS is sounding the alarm on the increasing threats to human rights, calling for renewed efforts to protect the rights of all individuals as a fundamental step towards ensuring health for everyone.

Established by UNAIDS a decade ago, Zero Discrimination Day aims to promote equality and fairness regardless of gender, age, sexuality, ethnicity or HIV status. The progress achieved over the past years is now in jeopardy, however, due to rising attacks on the rights of women, LGBTQ people and other marginalized communities.

UNAIDS Executive Director Winnie Byanyima emphasized the critical link between protecting human rights and safeguarding public health. 

“The attacks on rights are a threat to freedom and democracy and are harmful to health,” she said in a press release. “Stigma and discrimination obstruct HIV prevention, testing, treatment and care and hold back progress towards ending AIDS by 2030. It is only by protecting everyone’s rights that we can protect everyone’s health.”

Despite challenges, there has been notable progress. 

At the onset of the AIDS pandemic more than 40 years ago, two-thirds of countries criminalized consensual same-sex sexual relations. They are now decriminalized in two-thirds of countries. An additional 38 countries around the world have pledged to end HIV-related stigma and discrimination, contributing to positive changes that include 50 million more girls attending school compared to 2015.

To sustain and enhance these advancements; UNAIDS urges global support for women’s rights movements, LGBTQ rights, racial justice, economic justice, climate justice and peace initiatives. By standing with communities advocating for their rights, the U.N. aims to reinforce the collective effort towards a more inclusive and equitable world.

Zero Discrimination Day is observed on March 1.

Events and activities that will take place around the world throughout the month will serve as reminders of the essential lesson and call to action: Protecting everyone’s health is synonymous with protecting everyone’s rights.

“Through upholding rights for all, we will be able to achieve the Sustainable Development Goals and secure a safer, fairer, kinder and happier world — for everyone,” said Byanyima.

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Health

New CDC report finds transgender women at higher risk for HIV

More than 1,600 people in seven cities surveyed

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The Centers for Disease Control and Prevention in Atlanta (Photo courtesy of the CDC)

The Centers for Disease Control and Prevention issued a new study report this week that revealed that restricted by employment and housing discrimination and lack of access to needed gender-affirming healthcare for transgender women increasing the risk of contracting HIV. 

Researchers reviewed data from a 2019-2020 survey, the National HIV Behavioral Surveillance Among Transgender Women, which found that the demographics of HIV/AIDS have been disproportionally high, especially among Black and Latina trans women, who had experienced employment and housing discrimination coupled with lack of access to gender-affirming healthcare.

The Jan. 25 Morbidity and Mortality Weekly Report was based on data studies of more than 1,600 trans women in seven major urban locales. Participants from Atlanta, Los Angeles, New Orleans, New York, Philadelphia, San Francisco and Seattle were chosen by referrals from people and community-based organizations who knew or were part of the local population of trans women.

The study’s researchers noted: “Employment discrimination occurs at the overlapping nexus of poverty, homelessness, incarceration, health insurance, disability, food insecurity and survival sex work. These issues are interconnected.”

The study stated that trans women’s inability to access quality healthcare, including gender-affirming treatment or access to PrEP, and can expose them to potential incarceration as many turn to “survival sex work” and violence, which increases the risk of contracting HIV. 

The study’s author’s pointed out: “When economically marginalized transgender women are refused employment, this refusal cyclically contributes to economic hardships. This analysis …demonstrates the importance of transgender women working and living with dignity and without fear of unfair treatment.”

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Health

A Whole New Perspective on Well-Being

The Mather’s team recognizes that everyone’s wellness journey is completely unique to their life experiences and influences.

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The Mather is incorporating biophilic design—a design approach to facilitate access to nature or things that replicate natural patterns.

It’s easy to spot the distinctive, elegant silhouette of The Mather, a Life Plan Community for those 62+ opening this spring in Tysons, Virginia. What is not apparent to the naked eye is The Mather’s unique wellness philosophy, which is literally built into the community. 

The Mather’s team recognizes that everyone’s wellness journey is completely unique to their life experiences and influences.

Nature is one of the important factors that contribute to well-being. So The Mather is incorporating biophilic design—a design approach to facilitate access to nature or things that replicate natural patterns. This can include interior spaces with sightlines to a garden, choosing natural wood and stone as interior materials, or incorporating fragrant flowers and plants indoors to spark memories and provide tactile opportunities such as gardening. 

Residents of The Mather will be able to select from plentiful amenities, programs, and other offerings to target their personal wellness goals and preferences.

“Providing biophilic design within interior settings connects residents to the natural world,” says Mary Leary, CEO and President of Mather, the organization behind The Mather. “Research shows that a connection to nature provides positive benefits to mental states and overall well-being. At The Mather, biophilic design is the intersection of buildings and programs with nature in an urban setting.”

“The Mather is attracting a diverse group of older adults,” says Mary. “As a result, we aim to incorporate wellness practices from around the world, including Wyda movement theory of the Celtic Druids, which helps people achieve harmony with nature and contentment through mindfulness.” This holistic regenerative approach is similar to Qi Gong and yoga, while born in a different part of the world. Mather Institute has a special focus on mindfulness to support older adults’ practice of present moment awareness, which can lead to increased overall well-being, compassion, and joy.

A very different example of a wellness offering at The Mather is the Gharieni Welnamis spa wave bed, which uses computer-controlled vibrational therapy and audio frequencies to train the brain to relax. “The bed increases mindfulness, concentration, and creativity—all of which support our mission of creating Ways to Age Well,SM” says Mary.

These and other personalized ways to wellness will ensure that residents of The Mather can choose from seemingly countless ways to focus on their well-being. In other words, the sky’s the limit!

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