More Worries Regarding Sri Lanka's Lack of Progress

A group of international human rights organizations has recently penned an open letter to U.N. High Commissioner for Human Rights Zeid Ra’ad Al Hussein. The letter expresses a range of concerns regarding Sri Lanka’s compliance with a U.N. Human Rights Council (HRC) resolution that the government co-sponsored last October.

Here’s one paragraph:

While the [Sri Lankan] government’s assurances on progress have been plentiful its performance on the ground has been mixed and not befitting expectations outlined in your report and in the resolution as well as those of victims and people on the ground. There have been some positive developments on international cooperation such as the government’s recent decision to ratify the Convention against Enforced Disappearances and Convention on the Rights of Persons with Disabilities, the extension of standing invitations to Special Procedures and the visit of a number of Special Procedures, your own visit and that of other UN officials.

Here’s another paragraph:

At the same time there have been mixed signals on the government’s commitments made through the October [HRC] resolution, at the highest level of the government. There have been distressing reports on the ongoing use of arrests under the Prevention of Terrorism Act (PTA) instead of the regular criminal code. The PTA is a draconian law consistently condemned by UN bodies and officials and which the government had pledged to repeal as part of its October commitment. Repealing the PTA and dealing with the outstanding cases of those still detained under the law should be a foremost priority.

The HRC’s 32nd second session remains ongoing and the high commissioner will deliver an important oral update pertaining to Sri Lanka’s compliance with the previously mentioned resolution on June 29. Some diplomatic language is expected, but let’s hope the high commissioner is also open and honest about the coalition government’s lack of progress. It has become increasingly difficult to defend the new administration’s prevarication.

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Workplaces Fight Skyrocketing Prescription Drug Costs

The prescription drug train went full speed ahead in 2014 and is not losing steam. A new report from the International Foundation of Employee Benefit Plans asked employers how they are managing prescription drug costs and responses revealed that, among other expense-saving methods, 18% of organizations are setting limits for specialty and biotech drugs.

We’ve noticed a slight uptick in organizations placing limits on specialty and biotech drugs since we last surveyed our members in 2014. At that time, 15% placed limits. The estimated price tag for treating a patient with a specialty drug is high: For some chronic conditions, a year of treatment with a specialty drug can exceed $100,000. In many cases, specialty drugs represent only about 1% of all prescriptions but account for one-quarter to one-third of total drug spend.

The most popular cost-controlling methods for organizations are tiered pricing and a mail-order drug service, with 89% and 82% of employers currently implementing these initiatives. As for drug formulary lists, 71% of organizations have this tool in place, and 63% are using a pharmacy benefit manager (PBM).

Other techniques include:

• Reference-based pricing/cap on certain drugs – 6%
• Collective purchasing groups – 14%
• Coverage of select over-the-counter drugs – 15%
• On-site or near-site pharmacy – 16%
• Discontinued or limited coverage of cosmetic/lifestyle drugs – 17%
• Preferential pricing agreements (negotiated with pharmacies/manufacturers) – 18%
• Drug card program – 28%
• Preferred provider networks – 35%
• Mandated use of generic drugs when available – 37%
• Prior authorization/utilization management – 38%
• Step therapy/therapeutic substitution – 46%

Employers are finding it necessary to vigilantly watch prescription drug prices. They are striving to keep costs controlled by trying new approaches like using five or more tiers for cost sharing, where the highest tier is for the highest-priced drugs–usually specialty drugs. Moving forward, employers will continue exploring unique cost-saving measures like referenced-based pricing.

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5 Ways To Understand, Face And Move Through Fear And Live A Life That Turns You On

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Every single moment of healing, including when coaches create transformation in their clients and when practitioners facilitate moments of physical and emotional pain relief in theirs, comes from moving through fear into action that’s aligned with your soul.

What’re the fears you’re willing to face to have a different life?

Pondering the big questions are always game changer moments for me. Right in the middle of the asking and pondering this wonderful thing happens when my eyes light up and the fire in my soul gets stoked. Right – what fear would I have to face to change things up and do this life how I’ve dreamt?

We’re living in a culture of trailblazers, light-workers, healers and world-changers, and we’re helping the world to do what brings us all back to one simple thing; love. How? By waking each other up enough to feel, inspiring each other enough to act, and supporting one another enough to not give up.

This is badass. I’m proud to be a part of it. And it’s time to do this thing at a level that pushes out the doubt and fear and replaces it with a sort of aware and vulnerable action taking. We’ll feel the fear, recognize it’s old belief/thought/behavior, shut that down almost as soon as we feel it and choose an action step that is aligned with what we really want; to feel love.

I make this sound easy maybe. It’s not, but it’s totally doable, and now more than ever, because we have a tribe, because we have teammates, because we have a world that’s suffering enough to create change, we should embrace the difficulty of this task head on.

What’re the fears you’d have to face to live a different life?

Let this sink in enough to stir you. You already know the answers. You’ve known them for a while. The real question isn’t what are the fears, it’s what will you do differently in the face of them this time?

For me it’s speaking up in conversations with people that either have triggered me in the past, or I feel vulnerable with in the present. Those are the fears I have to face each day; to stand up for myself with my own voice, to the point of being out loud about it. And to be able to handle the reactions without taking any personally.

Part of unraveling the baggage that’s created the lifelong fears has been a willingness to feel the feelings without labeling them, including the feelings of love, joy and ecstasy that burn in my soul. Seems feeling the bad stuff is easy now. But what about the bliss?

We aren’t really great at focusing on or feeling the good stuff. We put our focus on the stuff that’s expected, the stuff we’re supposed to tolerate, and the problems we have to solve. We aren’t great at feeling the ecstasy. We’re really great at being afraid.

This needs to change, especially if we’re going to get together and do something to change the world.

So I’ve laid this out for you to make it easy.

Here are 5 steps to understanding, facing and busting the fears you have that keep you from living in a way that turns you on:

1. Feel it but don’t label it

Fear is a physical sensation in your body. Get better at feeling that stuff. Get counseling if you need it. Stop labeling it and just feel it, let it move through you and then begin to focus on what’s on the other side of the feeling; the way you’d feel if you weren’t afraid.

2. Recognize that familiar feeling and treat it like a compass

The thing is about this fear stuff; it’s pointing you to what you need to do to change it. The feeling is your compass. The fears getting in your way are telling you exactly what you need to cope with, deal with, sort out, change or transform. Stop getting stuck in the feeling and recognize it as a gift.

3. Write down what you want

This might be the most important thing. Write it down, in pen. How do you want to feel? What do you want to do? Who do you want to spend your time with? What work do you want to do in the world? If you could feel ecstasy in your life, what would that look like? How would it feel? Defining this is the start to being able to move through fear. The why has to be big enough.

4. Create a list of action steps

Nothing creates magic in your life more than action, even if that action fails. So think about what you want and create a long list of action steps, from tiny to huge. Don’t hold back; you want to give yourself a lot of ideas here. Need some assistance? Hire a coach to help light a fire under your ass. Stop making excuses and start doing something.

5. Do the things on your list every day

Action trumps planning every single time. Don’t just make your list. Do something, anything, off that list on a daily basis. Keep a notebook handy to record connections, next best steps, ideas, etc… Protect time in your day for the actions you want to take to move through the things that scare you to what you dream of.

Fear can be a tricky thing, if you think it is.

Fear can be paralyzing, if you think it is.

Fear can make you suffer, if you think it will.

Fear can ruin everything, if you let it.

Don’t let it.

Take your amazing life by the balls and do what you need to do to live fiercely alive. You have one chance, and it’s now.

Would love to continue the conversation in the comments; tell me what most gets in the way of you living your life differently and how you’re going to bust through that fear.

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Orlando Inks Up In Solidarity #OrlandoStrong

All over Orlando, something unexpected and wonderful is happening.

Many Orlando tattoo shops have created special designs donated proceeds to the victims over the weekend, and lines were out the door and down the block. What a great way to show support for the victims and the gay community!

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ML Van Valkenburgh told me the story of her tattoo:

I live in College Park. I knew Cory Connell, who was killed at Pulse, casually–everyone in the neighborhood did. He worked at the Publix around the corner and he was incredibly kind and outgoing–the person who always had a smile for you.

I am also a writer for an online paper based in Chicago, and my publisher emailed me asking if I remembered his friend who had been instrumental in designing the site. He told me her brother Andy’s daughter was engaged to one of the victims’ brother. When I asked which victim, I was stunned to find out it was Cory. I contacted Andy to offer anything I could–meals, support, just ANYTHING. He asked the simplest thing of me. He asked that when I used the #OrlandoStrong hashtag in social media, I also use the #CoryStrong hashtag. And I promised I would.

This tattoo represents three things–the indomitable spirit of my city, my love and support for both the victims and families and my loved ones in the LGBTQ community, and my determination to keep a promise I made.

I’ve talked with Andy a lot this week and will be attending Cory’s wake tonight. I wanted to get this done prior to being there. I wanted the Connells to know the love their son put into the world will always live on.

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Jeff Brow and Brian Wettstein, co-owners of The Doggie Door in Winter Park, got their first tattoos this weekend.

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Krystina Gilio, co-owner of Lady Luck Orlando, chose a beautiful cityscape underscored by a rainbow pulse.

One love. One heart. One pulse. I am #OrlandoLove #OrlandoStrong #OrlandoUnited

A photo posted by Princess Kari (@kari_salvat0r3) on Jun 17, 2016 at 5:34am PDT

New ink ?????????? This tragedy has honestly brought me so much more closer to the #LGBT community. I can probably speak for a lot of people saying that this moment has brought me to understand a lot more about a community I didn’t know much about. I thank the #LGBT community for still expressing nothing but love & unity even when they have so many reasons to be angry. May my fellow Orlando family rest in peace & their families find sanity during a time like this. I stand with you all. For me to permanently put this on my body just shows how much my city and these people have truly impacted my life. Thank you @tat2mafia for understanding my reason behind this tattoo & for bringing it to life ???? #OrlandoStrong #LoveisLove

A photo posted by Kay-Lani ?? (@viva_glam_kay) on Jun 16, 2016 at 7:34pm PDT

Tara is here bright & early! Come see her on this beautiful Friday! #BikiniWash #Baywash #Love #OrlandoStrong #BlondeBabe

A photo posted by Baywash Bikini Carwash (@baywashorlando) on Jun 17, 2016 at 6:38am PDT

A little off-topic, but an Orlando Lynx bus is getting a makeover as well:

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Persian Gulf War Veterans Still Suffering Serious Health Problems

This year marks the 25th anniversary of the Persian Gulf War.

It was fought in late 1990 through early 1991 by a U.S.-led coalition of 34 countries against Iraq in response to Saddam Hussein’s invasion of Kuwait.

It also was the first U.S. war to be waged after the advent of the 24-hour cable television news cycle.

The conflict was accompanied by memorably intense and round-the-clock coverage on CNN.

But there’ve been few recognitions of the war’s 25-year milestone on the cable news networks, let alone in broadcast or print media.

For David Winnett, a Gulf War combat veteran who climbed the ranks from private to captain during his 20-year career in the U.S. Marines, it’s just the latest in a succession of insults to the men and women who served in this largely forgotten war.

“It’s no surprise that many people could easily forget ‘our war.’ It was far too fast by any historical measure,” Winnett told Healthline. “Perhaps things would be different had we continued our advance all the way to Baghdad, but the fact is, we didn’t. So regardless of whether or not we think our war has been unfairly set aside in the history books, it is what it is.”

Toxic Aftermath

While ground combat in the Persian Gulf War only lasted days, Winnett said, the toxic legacy of the war has been just as devastating for the postwar health of Gulf War veterans as the defoliant Agent Orange has been for those who served in Vietnam.

Winnett is just one of hundreds of thousands of Gulf War vets who suffer from Gulf War Illness (GWI), also known as Gulf War Syndrome, the panoply of chronic and often debilitating symptoms reported by veterans of that conflict.

The acute symptoms, which for many veterans never go away, include extreme fatigue, neurological issues, insomnia, migraines, joint pain, persistent coughing, gastrointestinal issues such as diarrhea and constipation, skin problems, dizziness, respiratory disorders, and memory problems.

The National Academy of Sciences estimates that as many as 250,000 of the 700,000 U.S. troops who served in the Persian Gulf War have been affected by GWI, which studies have shown is the result of a litany of toxic exposures that troops like Winnett endured while serving.

Troops were exposed to toxic smoke from the fires of thousands of military burn pits in the war zone. The fires involved tires and other things that contain harmful chemicals.

There was also sarin and other toxic chemicals dropped on U.S. troops.

Two peer reviewed scientific research studies released in 2012 concluded that weather patterns carried massive toxic chemical cloud that fell on U.S. troops. The cloud was created by the U.S. bombing of Iraqi chemical weapon storage facilities

The first study concluded that nerve and blister agents, which were supplied to Iraq by the U.S. before the Gulf War when Hussein was an uncomfortable ally, were bombed by U.S. forces. The toxic substances were swept into the atmosphere and subsequently dropped on U.S. troops.

The second study confirmed the number of GWI reports was in fact higher at the places where the sarin fell.

“Our peer reviewed scientific findings bring us full circle by confirming what most soldiers believed when they heard the nerve gas alarms. The alarms were caused by sarin fallout from our bombing of Iraqi weapons sites,” James Tuite, who led the first study, said in a statement.

The VA’s Position

Despite the scientific evidence and a mandate from Congress that Department of Veterans Affairs (VA) recognize several of the symptoms as connected to service in the Gulf War, the VA maintains that there are no definitive scientific studies that link symptoms and diseases associated with GWI to toxic exposures during the war.

According to a 2015 report, about 80 percent of Gulf War veterans who file disability claims citing presumptive chronic multisymptom illnesses connected to toxic exposures are denied by the VA.

A written statement from the VA’s Post-Deployment Health Services team to Healthline stated that in the past few years the VA has “ramped up educational efforts to VA providers on Gulf War Illness.” However, the statement read, “there are times when referral to a psychiatrist is indicated due to a co-morbid condition such as severe depression or another severe mental health condition.”

In another email to Healthline, VA officials said a claim could be denied for a number of reasons, including the belief an ailment was caused by something other than military service or the ailment could be “less than 10 percent disabling.”

Most often, say multiple sources for this story, veterans who say they have these symptoms are sent to the psychiatric departments of VA centers, where they are typically given psychotropic drugs that don’t help them, and in many cases make things worse.

The VA acknowledges the following in a statement on its website: “Rockets filled with sarin and cyclosporine mixes were found at a munitions storage depot in Khamisiyah, Iraq, that had been demolished by U.S. service members following the 1991 Gulf War cease-fire. An undetermined amount of these chemicals was released into the atmosphere. The Department of Defense concluded about 100,000 Gulf War Veterans could have been exposed to low levels of these nerve agents.”

The VA also adds that “research doesn’t show long-term neurological problems from exposure to low levels of sarin. A low level of sarin is an amount that doesn’t cause noticeable symptoms during the exposure.”

Regarding the burn pits, a VA statement on its burn pits registry page reads, “At this time, research does not show evidence of long-term health problems from exposure to burn pits.”

Did the Gulf War Cause Cancer, Too?

Benjamin Krause is a Gulf War veteran who went to law school after he retired from the military, and dedicates his practice to helping his fellow veterans.

He told Healthline that burn pit exposures are associated with an increasing number of diseases, including cancer.

“There’s growing evidence showing a link between burn pits and certain cancers like pancreatic cancer, for example,” Krause said. “VA is working to create a registry to help with service connection and health benefits for these veterans, but history has shown us that such initiatives take much longer to perfect while sick veterans die.”

Compounding the problem, Krause said, are non-VA healthcare providers who are simply unaware of the health risks of military service.

“They don’t ask the right questions and risk deadly misdiagnosis of symptoms because of a lack of awareness of the harms of burn pits, among other things,” Krause noted. “Veterans are getting sick and dying now. We need our VA to pick up the pace before more veterans get sick and die from burn pit exposure related illnesses.”

Congress Steps In

Anthony Hardie, a staff sergeant in the Army who served in combat deployments in the Gulf War and Somalia, has worked for years to get laws passed that set the framework for Gulf War veterans’ healthcare, research, and disability benefits.

The director of Veterans for Common Sense and chair of the programmatic panel of directors for the Gulf War Illness Research Program, Hardie’s work with fellow veteran advocates on both sides of the aisle led to the passage of the Persian Gulf War Veterans Act of 1998 and the Veterans Programs Enhancement Act of 1998.

Hardie told Healthline that these laws gave Gulf War veterans hope for new treatments and recognition by the VA that their persistent symptoms were related to their service.

“But when veterans suffering from Gulf War Illness walk through the door at VA centers and clinics in 2016,” he said, “there are still no evidence-based treatments for them. And most of them are just shuffled off to psychiatric care.”

Winnett added that while Congress deemed three symptoms to be “presumptive” to service in the Gulf War, the VA continues to largely ignore that.

“The most widely reported symptoms of Gulf War Illness are profound fatigue, excruciating bodywide muscle pain, and chronic GI problems,” said Winnett. “The VA, despite its own regulations that are supposed to give the benefit of the doubt to veterans with symptoms considered ‘presumptive’ to service in the Persian Gulf War, instead continue as an organization to view Gulf War Illness as a psychosomatic illness.”

Winnett explained that if a veteran can’t get their symptoms rated as service-connected, “their chance of receiving medical care relative to their symptoms is slim to none. This is a national tragedy of the highest order.”

Reasons for Optimism

Despite the frustrations, every veteran advocate interviewed for this story said there is reason for optimism.

For one thing, Congress recently decided to continue funding GWI treatment research at $20 million for the next year.

“[This] is just what we asked for,” said Hardie. “It shows that Congress continues to take Gulf War veterans’ health issues far more seriously than the Department of Defense or the VA.”
In addition to the two House hearings earlier this year, the Senate has also taken up the GWI issue.

Last month, Sen. Tammy Baldwin, a Democrat from Wisconsin, announced that reforms and investments she fought for to improve veterans’ care were passed by the Senate as a part of the fiscal year 2017 Military Construction and Veterans Affairs funding bill.

Among Baldwin’s priorities stated in the bill is “better treatment for veterans suffering from Gulf War Illness.”

Baldwin’s provisions, which have received virtually no media coverage, would “improve the approval rates of veterans’ disability claims; enhance ongoing studies and research into the causes of and treatments for Gulf War Illness; and strengthen the membership and work of the Research Advisory Committee, which oversees the government’s research agenda.”

A spokesperson for the VA told Healthline, “The Department of Veterans Affairs is currently working on responding directly to Senator Baldwin, and will include relevant post-deployment health information.”

Promising New Science

The science surrounding GWI also continues to progress.

Two major, four-year, $5 million treatment development research projects at Nova Southeastern University and Boston University are about halfway completed and are expected to break new ground for possible GWI treatment recommendations.

And while there are no evidence-based treatments yet for GWI, some natural supplements have been shown in studies to effectively lessen some of the symptoms.

Researchers at the University of California, San Diego, concluded a few years ago that 19 of the most common GWI symptoms improved after taking supplements.

“We found in our research that there was significant benefit to the veterans’ physical function,” Beatrice Golomb, professor of medicine at the school and principal investigator on the study, told the Bergmann & Moore veterans law firm. “And that is a huge issue with these veterans, whose physical functions often decline. Some of them used to run 20 miles. Now they can’t jog a couple of blocks.”

About 80 percent of veterans with GWI who took coenzyme Q10 (CoQ10) saw improved physical function, and the improvement correlated to higher levels of CoQ10 found in the blood, according to research published in Neural Computation.

“This is not a cure, but we think maybe if we give the veterans more of a mitochondrial cocktail they will see an even greater benefit,” Golomb said.

Forgotten After 9/11

Winnett said he felt a “moral obligation” to help his fellow vets after making a 2008 trip to Washington for a VA hearing on Gulf War veterans’ health.

“I was taken aback by the physical condition of the veterans I saw there,” Winnett recalled. “I was older than most Gulf War veterans because I had 16 years of service under my belt when the war began. In Washington, I saw veterans in their 40s who couldn’t walk without assistance. Some were in wheelchairs.”

Winnett said that after 9/11, many people in America, including legislators, just forgot about the fact that many thousands of 1991 veterans were sick.

“We moved on as a country following 9/11 to more pressing matters,” he said. “I would guess that Korean War veterans experienced a similar phenomenon as the Vietnam War ramped up in the mid 1960s. There comes a time when you’re no longer the flavor of the day.”

Thomas Bandzul, an attorney and veterans advocate who’s testified numerous times before Congress on Gulf War health issues, said the American public to this day simply does not have a good understanding of the effects the Gulf War had on the troops.

“The VA has downplayed the significance of Gulf War Illness and has successfully delayed the research that help veterans with their physical ailments,” Bandzul said. “VA still refuses to treat or allow these veterans a disability claim. The unspecific term of ‘general illness’ is still applied to most Gulf War veterans, and their claims are usually denied. This callous and capricious manner in dealing with veterans is a shame.”

Veterans Have Each Other’s Backs

But what stands out most among the Gulf War veterans who agreed to talk to Healthline for this piece is their relentless support of each other.

Last year, Larry Cockrell, a combat veteran who served with the 7th Marines in Task Force Ripper during the first Gulf War, was rated 100 percent disabled by the VA and retired from a successful career as an investigator for several Fortune 500 companies.

Cockrell has several serious health issues as a result of his service, but he’s dedicated his life to assisting his fellow combat veterans as well as their families on their ranch in Lake Mathews in Southern California.

“We assist combat veterans with file claims or file disagreements with VA,” he told Healthline. “Honestly, the Gulf War was forgotten when the parades ended. We fought the largest tank battles, birched the largest minefields, and injected our troops with experimental vaccines, all while fighting on the most contaminated battlefield in the history of warfare.”

Cockrell said “everyone dropped the ball” when Gulf War veterans came home and could not get the healthcare they needed. But he said he has gotten new strength and has never felt a stronger sense of purpose than he does now by helping his fellow veterans on his ranch.

“We love having the spouses and partners here enjoying the ambience and horses and giving their kids rides,” he said. “Ironically, I’ve only had a few veterans jump on a horse and ride. But as Winston Churchill once said, ‘the outside of a horse is good for the inside of a man.’ Just being around them assists veterans. It’s a given that our health issues are not going to get better as we get older. It’s time to give these combat veterans a 100 percent disability rating and a chance to manage their disabilities.”

By Jamie Reno

The original article can be found on Healthline.com.

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Reunification Month: Teaming Up For Families

“Ten years ago, after my baby was taken from me, there was no team of people to ensure a common goal of safety and reunification. What I needed more than anything was help, support and even just a kind word.”

For many parents in the unfortunate and heart-breaking position of having their child placed in the hands of the state, this Iowa mother captures the essence of what they need to have a meaningful opportunity to reunify with their baby: a team behind them. These parents come with complex challenges such as substance abuse, domestic violence, economic insecurity, mental health concerns, and trauma. They need help from multiple agencies to navigate their journey to health and successful parenting. If those issues are not acknowledged and treated, the chances for success are greatly reduced. Yet, for the most part, the parties responsible for the health and well-being of these families work in separate silos – often at odds with one another. Too often, they make decisions as though one size could fit all, rather than the unique and individual needs and concerns of families. Once decisions are made, the ability to right any potential wrongs becomes far more difficult and costly.

Research shows that children fare better in the long run when they when they can remain with their parents in a safe, loving, predictable home. That is why child welfare agencies and communities must first recognize and address the needs of parents and the underlying conditions that led to their children being placed into care in the first place. As we acknowledge and celebrate the reunification of families this month, let’s also consider the steps necessary to ensure the best possible outcomes for the whole family.

One proven approach is at work right now in 15 communities in eight states. It’s the ZERO TO THREE Safe Babies Court Teams, and it’s designed to provide holistic support to families by strategically teaming with parents along with all the agencies, individuals and organizations that are a part of the child welfare process. That team includes judges, child welfare staff, legal representatives, foster parents and community service providers. Key elements of the program include:

  • Viewing and supporting parents as true partners in the process. No matter what the final outcome is, Safe Babies Court Teams honor parents’ love for their children and respect their desire to participate in making decisions about their children’s future.
  • Establishing family-centered casework aimed at achieving timely reunification, while concurrently creating a viable permanency plan if reunification with birth parents is not realistic.
  • Improving child permanency outcomes and reducing time spent in out-of-home care through frequent parent-child contact (when appropriate and safe). More frequent family contact and placement stability increases the likelihood of a child’s achieving permanency within 12 months of removal from the home.

And this approach is working. An independent evaluation conducted by James Bell Associates found that 99.05% of infants and toddlers served by the Safe Babies Court Teams were protected from further maltreatment. A study at the University of North Carolina at Chapel Hill, using a mixed methods evaluation, found that children in Safe Babies Court Teams exited foster care nearly 3 times as fast as a nationally representative comparison group. Reunification was the most common type of exit for Safe Babies Court Teams children (38%), while adoption was the most typical for the comparison group (41%).

But states have much room for improvement. Findings from a ZERO TO THREE and Child Trends 2013 survey of state child welfare agencies show that states are not fully addressing the complex needs of birth parents. The policies and related services necessary for parents to overcome their own trauma, mental health, substance abuse and domestic violence issues are often not being provided regularly across states. The majority of states do not have policies requiring health, mental health and substance abuse-related supports be offered to all parents of maltreated infants and toddlers involved with the child welfare system.

The most commonly reported screenings and supports required by policy for parents of maltreated infants and toddlers in all cases are domestic violence screening (17 states), followed by substance abuse screening (12 states), and priority for substance abuse treatment when substance abuse is identified (12 states). Thirty-one states reported that they do not have policies requiring a physical exam to detect any underlying issues that may contribute to maltreatment or a neuropsychological assessment to assess parents’ abilities and capacities.

Why are these procedures important? Because parents who maltreat or abuse their children are often victims of maltreatment themselves. In one Safe Babies Court Team community, 100% of the mothers acknowledged four or more adverse childhood experiences (ACEs), while 25% had all 10 of the ACEs identified in the landmark study by Drs. Vince Felitti and Robert Anda. This “secondary trauma” can play a significant role in the lives of birth parents. Only 18 states routinely provide information about secondary trauma and offer strategies for coping with and managing this history.

For reunification of families to be truly successful, child welfare agencies and communities must recognize and address the critical underlying needs of parents. Both during the children’s placement in foster care and at case closure, parents need to be welcomed into a healthy community of friends and families where they can be respected and contributing members. The Community Coordinator for each Safe Babies Court Team facilitates this process, ensuring families are connected to resources and receiving the supports they need. More states routinely offer post-permanency services and supports to adopted children than to reunified children. Birth parents need broader support from the child welfare system both before and after reunification is achieved. The aforementioned mother from Iowa experienced the power of this approach first hand:

“What I got from the Safe Babies Court Team was a room full of people asking what they could do to help me, what my strengths were and how we could build on those. We agreed on a plan that my son would stay with my sister, how often I could see him, and we started taking action for me to get back on track and for my son to be returned to my care as soon as I could show them that I was willing to do the work.”

It has been said that the definition of insanity is doing the same thing over and over again and expecting different results. Safe Babies Court Teams aim to break a dysfunctional cycle by aligning resources and addressing the individual and underlying needs of parents – prior to and following reunification or other permanency outcome. Investments in the programs that empower parents to make significant changes in behavior and measurable progress toward their goals will yield great dividends not only for their children, but for their communities and society as a whole.

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From Laugh Tracks to Bat Bombs: This Week's Curios

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Every day of the year, Curious.com CEO Justin Kitch writes a quirky fact, known as the Daily Curio, intended to tickle the brains of lifelong learners everywhere. This is a weekly digest.

Last week’s Curios covered the original laugh track, bat bombs, and why humans have chins.

Curio No. 1060 | The easiest way to get a good laugh
Do you ever need a good laugh? In the early days of TV, many shows were taped in front of a live audience. While the crowd made tapings more lively, the actors couldn’t always predict when the audience would laugh… and when they wouldn’t. So Charles Douglass, a TV sound engineer and ex-Navy radar technician, invented a machine that took the guesswork out of audience reactions. Called the laff box, Douglass’ creation looked like a mix between a typewriter and an organ. Each of its 32 color-coded keys activated a tape loop of chuckling, guffaws, or applause; a foot pedal controlled the length of the reaction… keep reading.

Curio No. 1059 | How many close friends do you have? Are you sure?
In 2003, Gallup conducted a poll among Americans that asked, “Not counting your relatives, about how many close friends would you say you have?” The most popular answer was “10 or more.” An even larger portion of people were happy with the amount of friends they have, and didn’t want more. New research casts some doubts about those responses. A group of data scientists at MIT and Tel Aviv University found that people greatly overestimate the number of friends they have, and that only half of friendships are actually reciprocal. A more realistic number for close friends would be five, at least according to anthropologist Robin Dunbar, who has been studying social relationships for over three decades… keep reading.

Curio No. 1058 | Hacking the wheel of fortune
Betting on roulette is not a very good investment, unless you’re J. Doyne Farmer. In the 1970s, Farmer and a group of fellow graduate students at UC Santa Cruz built a computer that could regularly win at casino-grade roulette. It took six years of work and several prototypes, but the team eventually pooled together their math and physics knowledge to beat casinos at their own game. The “casino hack” starts with a data collector, who uses a clicker in his shoe to measure the position and velocity of the ball after it has been released. A computer then processes the input and relays a vibrating signal to the gambler, which encodes the best bet…. keep reading.

Curio No. 1057 | The tech empire built on CDs
Remember those AOL trial CDs? In the mid-’90s, they were everywhere. In the mailbox, hidden in magazines, at the local video rental store. There were thousands of designs, but each disc generally contained the same thing: a free trial to the internet. The discs were part of an aggressive direct marketing campaign to get new subscribers. In 2016, it sounds pretty outdated, but at the time, the campaign worked like a charm. From 1992 to 2002, AOL’s subscriber base blossomed from less than 200,000 to 25 million. In total, the company spent over $300 million on discs and, at one point, controlled 50% of the world’s production of CDs… keep reading.

Curio No. 1056 | The b-bomb
In 1941, reeling from the attack on Pearl Harbor, the US military was desperate for a retaliation plan. So desperate that they funneled $2 million into the idea of strapping bombs to bats. The idea was that the Air Force would airdrop the bomb-equipped bats just as they were awakening from a forced hibernation. Then they would roost throughout the city and set fire to the paper-and-wood Japanese architecture, causing massive infrastructural damage with “minimal loss of life.” The bat bomb, codename “Project X-Ray,” was the brainchild of Dr. Lytle Adams, a dentist by trade, who was inspired by a trip to the bat-filled Carlsbad Caverns in New Mexico… keep reading.

Curio No. 1055 | Cheers to that!
The first sip of a drink always goes best with a clink of the glass and a toast. As to why we toast the way we do, the history is muddled. There is an unsubstantiated rumor that glass-clinking began as a way to ensure that one’s drink wasn’t poisoned. The idea is that by clinking one’s glass with another, the drinks would be mixed, thus discouraging secret foes from slipping something into your drink. Another legend claims that the sound of two glasses clinking together wards off evil spirits. As to the word “toast,” the origins are a bit clearer. Starting in the 17th century, it became common to add a small piece of spiced toast to wine to sop up the dregs and to add more flavor… keep reading.

Curio No. 1054 | Why humans have chins
Chins: everybody has one. That is, every human has one. Look closer at our animal relatives and you’ll notice that we’re the only species with a protruding u-shaped thing at the bottom of the face. To some scientists, this poses an evolutionary problem. What, exactly, caused humans to develop chins? The most common hypothesis is that the chin helps us chew more efficiently because the additional bone displaces stress. But analysis shows that the chin is ineffective in this regard–particularly compared to our non-chinned hominid relatives. Another theory is that the chin has something to do with sexual selection and mating…. keep reading.

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Baby Steps

There are many defining moments in life for everyone. They can range from getting married to having children to getting a job or losing a loved one. One of the first and most pivotal changes in life is the transition from high school to college. It’s a huge step for most people; you can no longer be careless and be dependent on others all the time. You must now exit the safe haven where you have resided in for most of your life and go to a higher level institution where responsibility is essential. It’s an exciting notion; the idea of going to a place where you have the freedom to explore the world and prepare yourself for whatever the world throws at you.

The concept of attending college is depicted in such a positive manner, but do we ever stop and think about the tedious journey that leads up to this moment; the 13 years of effort invested into something that will help us secure a brighter future. As a rising senior that is currently going through this process, I know exactly how it feels.

And let me tell you, it’s not easy.

At first, the thought of going to college was exciting, and don’t get me wrong, it still is. College is an amazing opportunity to learn more about yourself and the world around you. But as I get closer and closer to applying to colleges, it is becoming more stressful and even unappealing. It is undeniable that the college admissions process has become increasingly competitive throughout the years, and these days, it seems as if it is now a process that begins well before your senior year. Kids have always worried about getting into a good school and getting a quality education, but now, it’s going too far. The amount of stress that students are facing has exponentially increased, and in turn it’s affecting their sleeping habits and lifestyles. They are unable to get enough sleep because they are too busy writing an essay or cramming for the ACT they have tomorrow. I’m not against all of these different things that strain people and push them to their limits, but when these tests, and essays, and applications start affecting the health of me and my fellow peers, I get frustrated.

Another huge issue that pesters me is how so many people get caught up with the numbers. They let a select few numbers determine who they are, and if they are unhappy with these numbers, they will do anything to change them. They will buy every single practice for a certain standardized test, or spend hundreds of dollars on a test prep class, or take certain classes that they don’t even enjoy just to boost their GPA. It is truly sad, because these numbers don’t define you; at the end of the day they mean nothing.

Furthermore, I’m also noticing that people are not doing things that they enjoy. They are simply doing things to slap onto their resumés. They try to get involved with so many clubs or activities that they are not passionate about and ultimately can’t handle them, which leads to more unwanted stress. In addition, it’s a commonly held misconception that a college diploma ensures success. This couldn’t be further from the truth! A college diploma is literally a piece of paper, and it doesn’t determine how successful you will be in your life; what matters is your perseverance and passion for what you pursue in life. Gates, Jobs, Zuckerberg; all college dropouts that went on to pursue what they loved and ended up leaving a huge impact on the world.

Going to college is a huge step in life and applying is far from relaxing. It can be overwhelming and the thought of it will probably consume you at some point, but remember, nothing is more important than your health. So sleep in, go to the beach, hangout with friends, play outside, just enjoy your youth, because it’ll be over before you know it.

And when the time comes for you to step into the real world, remember this; love what you do, but more importantly, do what you love.

— This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

This Discounted Charger is So Small, It'll Look Like It Came With Your Car

Your favorite
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Good Morning America Thinks This Frog's Name Is ‘Tea Lizard’

All morning, folks on the internet have been chuckling heartily over this faceplant of a tweet from Good Morning America:

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