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Ballot Measure to Change Mental Health in State Could Backfire, Cohen Says

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In a story about the potential impact of Proposition 1, UCLA Luskin’s David Cohen discussed the implications of an effort to reform California’s mental health system. The statewide ballot measure is backed by Gov. Gavin Newsom as a step in solving the state’s homelessness crisis. But opponents say it would siphon money away from preventative mental health to add psychiatric institutions and promote involuntary treatment. Researchers like Cohen see involuntary or coerced care as counterproductive. “Few who review the existing evidence conclude that on balance, involuntary treatment improves the lives of those who experience it,” said Cohen, a professor of social welfare and associate dean. People contending with mental health issues can be traumatized by enforced treatment. “Being deprived of freedom is maddening. Being robbed of credibility is humiliating.” Plus, studies show that suicidal people who are institutionalized may actually be at heightened risk of self-harm upon discharge.

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Astor Receives 2023 School Mental Health Research Award

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The National Center for School Mental Health has selected UCLA Luskin Social Welfare Professor Ron Avi Astor as the recipient of the 2023 School Mental Health Research Award. Launched in 2018, the award recognizes scholars who have made a significant contribution to advancing research and practice in school mental health. Astor received the award on Dec. 5 at the 2023 Annual Conference on Advancing School Mental Health, held in New Orleans. At a summit on the eve of the conference, Astor shared his scholarship on campus climate, social-emotional learning and social justice with leading school mental health researchers from across the country. In his decades of research, Astor has studied tens of thousands of schools and millions of students, teachers, parents and administrators, and his work has been published in more than 200 scholarly manuscripts. His latest research examines antisemitism in K-12 settings, and he is spearheading research exchanges focusing on schools that empower students in Arab, Jewish and other diverse communities in the Middle East and Los Angeles. Astor’s far-reaching impact on the field of school mental health was cited in three separate nominations he received for this year’s School Mental Health Research Award. “This interdisciplinary career award coming from such an important organization that does critical work for our schools means the world to me,” said Astor, who has a joint appointment at the UCLA School of Education and Information Studies. “I appreciate the recognition and hope to use it as a platform to spread peace and mental health support to our world’s children.” 

Cohen on Coerced Care That ‘Retraumatizes People Who Have Often Been Traumatized’

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UCLA Luskin Social Welfare Professor David Cohen spoke to PBS NewsHour about new laws and policies that would make it easier to detain or hospitalize the severely mentally ill against their will. In California, mental health emergencies combined with a rise in homelessness have set the stage for Senate Bill 42, which would allow the state to compel more mentally ill patients into care. However, said Cohen, there is not much data on the success of forced mental health treatment, which “retraumatizes people who have often been traumatized.” People suffering from serious mental illness may need a form of asylum, but one that’s voluntary, he added. “We do need a place for people who can’t take care of themselves,” Cohen said. “What is asylum? It’s shelter. It’s space. It’s books. It’s drugs, if they want them. Probably, 80% of it is just finding shelter for people.” The PBS NewsHour segment on coerced care begins at minute 30.

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Kaplan on Rising Rate of Suicide in Older Americans

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Mark Kaplan, professor emeritus of social welfare at UCLA Luskin, joined a KCBS Radio broadcast on the increase in suicides nationwide, especially for those ages 45 to 64. Last year, more people than ever died by suicide in the U.S., with a significant increase for that age group, according to new data from the U.S. Centers for Disease Control and Prevention. Kaplan noted that from 2000 to 2018 there was a 37% increase in national suicide rates for men and women of all ages. Despite a drop seen between 2018 and 2020, a reversal followed, said Kaplan, “so long-term trends don’t look very good.” He added, “The suicide rate increases especially for men. It goes up as you get older. … So perhaps the population that deserves to be looked at with a closer lens is the older adult group.”

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Kaplan on Men’s Mental Health and Suicide

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Mark Kaplan, professor of social welfare, spoke on WJCT News’ podcast “What’s Health Got to Do With It” in an episode dedicated to mental health care for men. The podcast focused specifically on suicide rates for men in the United States, a health care story that has been an “unspoken subject,” according to the show’s host. Suicide for men in the U.S. is an “underappreciated major public health crisis,” said Kaplan, whose work has focused on using population-wide data to understand suicide risk factors among veterans, seniors and other vulnerable populations. Kaplan noted that men die of suicide at a rate four times higher than women, but, he said, “When you look at age specific groups — once you get into older adulthood — the ratio is up, 12 to one.” Citing Centers for Disease Control data, Kaplan said that death by suicide is “strikingly a male phenomena” and that a distinguishing factor is their use of firearms around the world.

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Honors Project Takes a Deep Dive Into Pandemic Anxieties

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Members of UCLA’s class of 2023 will be the first to graduate having spent most, if not all, of their academic years living through a pandemic — and all the uncertainties, anxieties, and physical and mental health challenges that has entailed. Among those graduates will be psychology major and public affairs minor Leah Likin, who mined these experiences for her highly original and deeply personal honors capstone project, which won a Dean’s Prize for Excellence in Research and Creativity as part of UCLA’s 10th annual Undergraduate Research Week. Likin’s struggles with mental health during the pandemic — which at their worst necessitated inpatient psychiatric treatment — served as a springboard for the ambitious project. In addition to more traditional research and data collection, Likin incorporated poetry, personal writing and an art installation created at UCLA’s high-tech MakerSpace workshop. Her project included interviews with 15 people, ranging in age from 20 to 86, about a number of topics, including COVID-19, mental health, climate change, perception of time and the use of smartphones. Likin said these conversations helped her unpack her own mental health burdens. “It was interesting to explore my sense of loss and my sense of belonging during that time, and also my growth and sense of identity,” she said. Her advisor was Ron Avi Astor, UCLA Luskin professor of social welfare. Likin said she was inspired by how Astor would often read his poetry about his family’s mental health struggles during the multidisciplinary undergraduate course “Creating Safe and Welcoming Schools.” — Madeline Adamo

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Cohen on the Rising Rate of Forced Psychiatric Detentions

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David Cohen, UCLA Luskin professor of social welfare, was cited in a Los Angeles Times op-ed about a California bill that would expand the state’s ability to impose psychiatric care on people. Research on involuntary psychiatric detention has shed light on the harsh realities of policies that claim to help those struggling with mental illnesses. Forced detentions have been found to have negative outcomes, with people experiencing severe trauma and distress from brutal methods such as stripping, restraints and heavy tranquilization. A landmark 2020 study by Cohen and Gi Lee found that detentions in the U.S. increased at a rate three times faster than the country’s population growth. It is estimated that the U.S. has about 1.2 million forced detentions under civil law every year. This rate is drastically higher than for countries in Europe, which have two or three times fewer forced detentions.

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Astor on Reimagining School Safety

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Ron Avi Astor, professor of social welfare, co-authored an article on reimagining school safety for the American Federation of Teachers. Adapted from a chapter in the book “Our Children Can’t Wait: The Urgency of Reimagining Education Policy in America,” the article focuses on the aftereffects of the COVID-19 pandemic and recent forms of racial activism within the K-12 education spectrum. Astor and co-author Heather Reynolds promote creating sustainable systems and infrastructure to combat inequities within higher education. Through implementing mental health and student outreach resources, schools can address ongoing issues with victimization across campuses. For change to happen, there must be “a shift of funding and support from policing, punishment and surveillance to long-term investments in holistic prevention and empowerment of schools and communities,” the authors write.

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$3 Million Grant Will Help Expand Social Welfare Workforce Award will enable UCLA Luskin to grow its master of social welfare program to help meet statewide needs for behavioral health care

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A $3 million state grant will fund the expansion of social welfare education at UCLA, part of a broader effort to better serve Californians with behavioral health needs.

illustration of diamond with textThe grant from the California Department of Health Care Access and Information will allow the UCLA Luskin School of Public Affairs to add 25 additional students to its master of social welfare program each year, beginning in the fall of 2024.

Total enrollment in the program will eventually reach 250, and the funds will be used to provide stipends to students and hire faculty, lecturers and staff to accommodate the growing numbers, according to Laura Abrams, chair of Social Welfare.

“This grant will surely strengthen our program and, more importantly, our ability to better serve our communities,” Abrams said.

UCLA is one of 23 California campuses to receive an award through the $59.4 million program, which was launched to grow the ranks of social workers who play a crucial role in the emotional well-being of the state’s residents.

The program aims to increase access to services for mental health, substance abuse and other behavioral health concerns. Training social welfare students to serve children and youth is a priority, according to a statement from the Health Care Access and Information Department.

“Thanks to this new grant program, we are able to help grow this vitally important sector in the health workforce and get children, youth and adults the care they need, when they need it,” said department director Elizabeth Landsberg.

Yaroslavsky on Concern Over Angelenos’ Mental Health

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A Los Angeles Times article on rising concern about Angelenos’ mental health cited the work of Zev Yaroslavsky, director of the Los Angeles Initiative at UCLA Luskin. In the last few years, residents have endured skyrocketing inflation, extreme heat and drought, an alarming rise in hate crimes and the lingering effects of a devastating global pandemic. This year’s UCLA Quality of Life Index, which measures Los Angeles County residents’ satisfaction with their lives, found the lowest score since the survey was launched in 2016. “What it said to us is that county residents aren’t happy. There is an anxiety level here that is unprecedented in my lifetime,” said Yaroslavsky, director of the survey and a longtime public servant in Los Angeles. He noted that one-quarter of respondents said they go to bed each night worrying they will end up living on the street — all part of a “perfect storm” of mental health stressors afflicting Angelenos today.

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