What Syria’s war has to teach about mental health

Programming Note: We will be taking tomorrow and Friday off for Thanksgiving but will return to our normal schedule on Monday, November 28th.

as deputy coordinator At the State Department to combat violent extremism and terrorist detention, Ian Moss is working to repatriate foreign terrorist fighters and their family members, including providing them with social and mental health resources.

The work he does is complex and includes not only finding homes and jobs for people previously involved in terrorist organizations, but also providing the communities that are supporting them with the right tools. Moss says the lessons learned in dealing with the mental health problems of foreign combatants can inform efforts to combat violent extremism and gang violence in this country.

The Department of Homeland Security is starting to invest in domestic mental health programs, similar to what the State Department has done abroad.

Moss talks to Ruth about her work. The interview has been edited for length and clarity.

Can you talk a little bit about what you do?

One of the issues I focus a significant amount of my time on is related to the repatriation of foreign terrorist fighters and family members linked to Northeast Syria – so making sure that individuals have the proper educational opportunities, psychosocial support.

What is psychosocial support?

It’s access to mental health care. It is access to and support to identify appropriate job skills training is, in general, the support that will be needed to navigate a return to society. Access to medical care or social workers or people who can help children overcome trauma, say, is a serious issue for children coming out of northeast Syria who have seen family members die or who have experienced violence. Have been a part

We’ve been talking about repatriation and resettlement, but has your work given you any insight into how we can stop violent extremism in the first place?

Absolutely. One has to be vulnerable and susceptible to bigotry, and very often it results in marginalization or other forms of disconnection between groups in a particular place. It just feeds a cycle of extremism and division within a community.

One of our efforts is to work through international organizations such as the Global Community Engagement and Resilience Fund. It is an international, non-governmental body consisting of consultants from various governments and civil society that seeks to build greater resilience and understanding at the hyperlocal level in and among communities that may be vulnerable or are already at risk of conflict and conflict. Can experience division leading to radicalization and recruitment.

It is at the local level that the indicators are being observed first. And so it is at the local level that you have your first opportunity to intervene.

What is the role of internet in radicalism?

Racially or ethnically motivated, violent extremism is something that is transnational and affects us all. It demands that the steps we take to address this issue domestically must be matched by the steps we take to address this issue internationally.

There is no dearth of links. They learn from each other, they consult each other, they inspire each other, they try to recruit from the same pool. they learn from each other; They are inspired by manifestos that spread on the Internet.

This is where we unearth the ideas and innovators shaping healthcare.

From rancorous political debates to COVID-19, family Thanksgiving has been affected in recent years. To add to that whirlwind, the CDC has some depressing advice for this time of year’s meals: Explore Your Family History of cancer.

Share news, tips and feedback with Ben Leonard [email protected]Ruth Reeder at [email protected]carmen pon et [email protected] or on grace scallions [email protected]

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on us today pulse check podcast, Carmen Alice talks with Miranda Olstein about her report on abortion opponents’ new strategy – using environmental laws to stop abortion. The approach comes as mifepristone and misoprostol pills taken at home during the first 10 weeks of pregnancy have become the most common abortion method in the US.

the race is on Ebola vaccine trial in Uganda

The central African country got its first shot this week at combating a two-month-old outbreak of hemorrhagic fever, under the auspices of the World Health Organisation, that has killed at least 55 people.

A new vaccine will join the arsenal against one of the world’s most dreaded diseases. If the vaccine proves effective, the U.S. will probably store it protect against a possible outbreak Or bioterror attack.

Deadline Pressure: Human testing may not be fast enough. Vaccines can be tested for efficacy while the disease is still spreading, and the outbreak may subside too rapidly for human trials to be completed.

If the window closes, it may not open again anytime soon. The version in the works, the Sudan strain, had previously been inactive for a decade.

What will happen next: Public health officials will use a ring-vaccination strategy, in which contacts of those who test positive are vaccinated at staggered times.

Some will get the real shot initially, while others will get a placebo. If people who were previously vaccinated do not get Ebola, then the vaccine is working.

But the ring-vaccination approach depends on having a sufficient number of people to test it. Right now, it is believed that there are only 4,000 potential participants.

lean Startup: If public health officials missed their window, it may be because they were overcautious when the first cases were reported in September. The developers of the vaccine candidates did not have a sufficient number of doses to distribute immediately, and it took weeks for WHO and Ugandan officials to work out regulatory and logistical matters.

“We are unfortunately again in a position where we are racing against time when we could have been more prepared,” said Mark Feinberg, president and CEO of IAVI, a nonprofit research organization that is developing the most promising of the three vaccines. working on. Looking forward to testing.

Health care for the “dual eligible” Those who qualify for both Medicare and Medicaid — low-income people who are elderly or have a disability — are expensive, segregated and don’t serve patients well.

This is the case with the bipartisan group of senators described in an open letter Today 12.2 million people are asking for advice on how to improve their care.

Sen. Bill Cassidy (R-La.), the incoming Senate Health, Education, Labor and Pensions Committee ranking member, as well as Sens. Tim Scott (RSC), Tom Capper (D-Del.), Bob Menendez (DN.J.), John Cornyn (R-Texas) and Mark Warner (D-Va.) want your opinion:

  • Drawbacks of the Current System
  • Other care models that may work better
  • What a new integrated system might look like
  • How geography can play a role in coverage and care
  • How coverage can be improved to prevent disease severity

The senators noted that dual-eligibles were more likely to contract COVID-19 and three times more likely to be hospitalized than Medicare-only patients.

From a cost perspective, dual-eligibles make up 34 percent of Medicare spending, despite enrolling only 19 percent.

Part of what makes treating this population challenging is that they often suffer from multiple chronic conditions and physical and mental disabilities, the senators said.

The letter asked to send the responses [email protected] By January 13, 2023.

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