In September, the Office of the Surgeon General issued a clear warning about vaping and adolescents — cigarette smoking is going down, but vaping is going up.
As I write this, it's raining — again. I'm reminded of a problem we were having a few years ago; too much water was leaking into our basement too often — common in New England homes. A professional came, and offered to seal holes in basement walls, cover them with plastic sheeting, and many other remedies. “You'll forever have a dry basement,” he said, with a multi-thousand-dollar proposal. Instead, a friend helped me place a $10 plastic wedge, diverting the water from coming into the basement in the first place. Problem (mostly) solved!
Suicide is the second leading cause of death among adolescents and young adults living in Rhode Island (RI). Throughout the last decade, the number of Latinx and Hispanic (L/H) adolescents in RI experiencing depressive symptoms has risen. In 2023, about five in every 10 reported feeling sad or hopeless almost every day for 2 weeks or more. Further, approximately 12% of L/H RI high school students attempted suicide one or more times in the past year.
When a teenager begins acting “out of control,” many parents feel helpless and angry. They may tighten control, withdraw emotionally, or label their child as the problem. But beneath such reactions often lies something deeper — unrecognized fear, shame, or pain from the parent's own past.
On September 22, President Donald Trump said that acetaminophen (Tylenol brand name) should not be taken during pregnancy, because, he said, it causes autism in the child. Immediately, many medical experts criticized this announcement, saying that it was not evidence-based. The President spoke about the “epidemic” of autism, offering acetaminophen as a cause and another drug — leucovorin — as a possible “cure” for language-based difficulties sometimes associated with autism.
The Food and Drug Administration (FDA) is revising the labeling of all extended-release stimulants indicated to treat attention-deficit/hyperactivity disorder (ADHD) — including certain formulations of amphetamine and methylphenidate — to warn about the risk of weight loss and other adverse reactions (side effects) in patients younger than 6 years taking these medications.
As I write, I'm looking out at rain that has temporarily cooled this scorching summer. But as you're reading this, perhaps the air is crisp and the first golden leaves are appearing. So I wanted to take a break from the usual to talk about how experience of nature may improve mental health. As the lead pieces this month focus on adults — caregivers and providers — I figured I would follow suit.
In the aftermath of the COVID-19 pandemic, staff morale has become a major concern in clinical settings at all levels of care, as well as in school settings. Staff morale is a major workplace factor in maintaining quality clinical care, adequate staffing levels, and a healthy work environment. Low staff morale is often associated with individual and organizational factors such as low staffing levels, low employee self-efficacy, and a high workload (Gilbody et al. 2006). Low staff morale is a multifaceted phenomenon that may be best operationalized at the individual level through the concept of burnout.
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