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    Held Involuntarily in a Psychiatric Hospital

    More from our inbox:The Debate Over Taxing TipsNonpartisan ElectionsSitting Still in SchoolAcadia Healthcare’s Park Royal hospital in Fort Myers, Fla., and Florida is among those that wrongly held some patients against their will.Michael Adno for The New York TimesTo the Editor:Re “Patients Held Against Will by Hospitals” (front page, Sept. 2):Thank you for your hard-hitting exposé of Acadia Healthcare, a chain of psychiatric hospitals, which revealed Acadia’s corrupt financial practices. The authors report on the toxic effects — including but not limited to driving people away from treatment — of these unscrupulous procedures.But even when hospitals have pure motives, inpatient psychiatric care — especially when it is involuntary — can be traumatizing, and may lead to an increased risk of suicide: In one meta-analysis, “the postdischarge suicide rate was approximately 100 times the global suicide rate during the first 3 months after discharge.”The key to helping people is funding community-based, evidence-based programs. For example, “Peer-run respites provide a voluntary alternative to an emergency department visit or inpatient hospitalization for people experiencing a psychiatric crisis,” as was noted in a recent article in Psychiatry Online.With so much evidence to support the benefits of community-based mental health care, I believe that a paradigm shift in the mental health system — away from hospitalization and toward community-based treatment, including peer support — is long overdue.Susan RogersCherry Hill, N.J.The writer is the director of the National Mental Health Consumers’ Self-Help Clearinghouse.To the Editor:The motivation for this atrocious behavior is cited in the first paragraph of the article, where it is noted that Acadia Healthcare’s stock price has more than doubled. This is an example of the perverse results of the use of private equity to finance health care. There are other such examples.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Correction Officers Who Failed to Aid Dying Inmate Won’t Be Charged

    Correction Department rules “do not clearly require officers to provide immediate care to people with severely bleeding wounds,” the New York attorney general’s office said.Michael Nieves sliced his throat with a razor around 11:40 a.m. on Aug. 25, 2022. For the next 10 minutes, correction workers at the Rikers Island jail complex stood by his cell and watched him bleed without providing medical care.Mr. Nieves later died.The failure by three correction workers to offer aid was “an omission” that contributed to Mr. Nieves’s death, the New York attorney general’s office of special investigation found in a report published on Tuesday. But because Mr. Nieves might have died even had he received immediate medical help, the attorney general, Letitia James, said her office would not charge the workers criminally.In a surprising finding, the report also said that the workers had followed correction department rules by deciding not to render help.“The D.O.C.’s rules and regulations do not clearly require officers to provide immediate care to people with severely bleeding wounds,” the attorney general’s office said in a news release.The decision not to charge the corrections workers “is incredibly disappointing,” said Samuel Shapiro, a lawyer hired by members of Mr. Nieves’s family, who have filed a lawsuit against the city in federal court. Describing surveillance footage that captures Mr. Nieves’s suicide attempt and the workers’ response, Mr. Shapiro said, “It is incredibly disturbing to watch city employees stand there as Mr. Nieves is slowly bleeding to death from his neck and do nothing to help him.”The Department of Correction suspended all three workers for 30 days. When they returned to work, they were prohibited from having contact with detainees. In May 2023, two officers, Beethoven Joseph and Jeron Smith, were accused by the department of violating rules and a directive on suicide prevention and intervention. The disciplinary proceedings are still pending, the attorney general’s office said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Former Miss Teen USA Contestant Rebukes Vance for Using Her Flub to Attack Harris

    Caite Upton wrote on social media that “online bullying needs to stop,” after JD Vance posted a clip of her mangled answer from the 2007 Miss Teen USA pageant to mock Kamala Harris.Senator JD Vance of Ohio, who since becoming former President Donald J. Trump’s running mate in July has been criticized on several occasions for comments demeaning women, found himself again embroiled in controversy this week when he used a viral clip of a beauty pageant contestant’s meltdown to attack Vice President Kamala Harris.On Thursday, Mr. Vance shared a video clip from the 2007 Miss Teen USA competition in which Caite Upton, who was representing South Carolina, gave a mangled answer to a question about why many Americans could not locate the United States on a map.“BREAKING: I have gotten ahold of the full Kamala Harris CNN interview,” Mr. Vance wrote on X.That evening, CNN was set to broadcast the first major interview with Ms. Harris as the Democratic presidential nominee. Mr. Trump’s son Donald Trump Jr. quickly reposted Mr. Vance’s post, writing: “This is total Fake News from JD. We all know that Kamala isn’t that articulate.”In a social media post on Friday, Ms. Upton objected to Mr. Vance’s dredging up the 17-year-old clip of her pageant struggles, remarks that were reported by The Post and Courier of Charleston, S.C., and later deleted, after she appeared to have deactivated her account on X.“Regardless of political beliefs, one thing I do know is that social media and online bullying needs to stop,” she wrote, according to the newspaper.A representative for Ms. Upton, who competed in the pageant under the name Lauren Caitlin Upton, did not immediately respond to a request for comment on Saturday.In 2015, Ms. Upton told New York magazine that the embarrassment she felt over the viral video had led to depression and thoughts of suicide.When Mr. Vance was asked whether he had been aware of Ms. Upton’s mental health challenges during an appearance on CNN on Friday, he said that he had not at the time he posted the clip.“My heart goes out to her, and I hope that she’s doing well,” he said.When asked whether he wanted to apologize, Mr. Vance said that he did not have regrets.“Politics has gotten way too lame,” he said, adding, “I’m not going to apologize for posting a joke, but I wish the best for Caitlin.” More

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    Cellphone Bans in Schools? NYC Is ‘Not There Yet,’ Mayor Says

    Districts and states across the United States have supported restrictions on student usage, but New York City’s leaders are backing away from the idea because of logistical concerns.Los Angeles became the largest school district in the United States to ban cellphones in June. Entire states, such as Virginia, Ohio and Minnesota, have moved to institute broad crackdowns on phones in schools. But not New York City.At least not yet, Mayor Eric Adams said on Tuesday.Mr. Adams said at a news conference that New York City was a “unique animal” and that while there would be “some action,” the city was not yet ready for a full ban.“We’re not there yet,” he said. “We have to get it right.”Earlier in the summer, David C. Banks, the schools chancellor, suggested that new cellphone restrictions would be unveiled before the fall semester. So the mayor’s announcement — a week before the city’s first day of school — came as a surprise to many families.Mr. Adams’s comments will likely placate some parents and educators concerned about the logistics of a ban, while worrying others who argue that the devices harm students.A growing list of states, cities and school districts have curbed students’ cellphone use as concerns rise over their mental health. Officials point to the potential damage that access to social media and an “always online” culture may do to children.Mr. Adams said that while he did not want any distractions in city schools, he also wanted to be careful about the implementation of any eventual ban, so that the city wouldn’t have to backtrack on its plans.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    The New York Times Presents: ‘Lie to Fly,’ the Story of Pilot Joseph Emerson

    ‘Lie to Fly’Producer/Director Carmen García DurazoCo-Producer Leah HarariProducer/Reporter Mike BakerWatch our new documentary on FX and Hulu starting Friday, Aug. 23, at 10 p.m. Eastern.Minutes before boarding an Alaska Airlines flight home in 2023, Joseph Emerson, a pilot, sent a text to his wife, eager to reunite with their two young children and longing to be by her side.The flight was full, and Emerson, who was off duty, took the cockpit jump seat. What should have been a routine trip quickly turned dramatic and dangerous. During the two-hour journey from Everett, Wash., to San Francisco, Emerson reached up and pulled the plane’s two fire-suppression handles, designed to cut the fuel supply and shut down both engines. Two days earlier, Emerson had consumed psychedelic mushrooms. He had long harbored fears that seeking mental health treatment could jeopardize his career.With 83 other passengers and crew members on board, he was initially arrested on charges of attempted murder for each of them. Now, he’s charged with one count of endangering an aircraft and 83 counts of recklessly endangering another person.“Lie to Fly” explores the story of Emerson, and the reasons he and many other pilots fear seeking mental health treatment. The film follows a growing movement calling for reform of the Federal Aviation Administration’s strict rules around pilot mental health, which some insiders say leaves the public at risk. “Lie to Fly” also documents the consequences that Emerson faces both personally and professionally since his shocking actions in the jump seat.“There was never a question in my mind that this is what I want to do for my career,” Emerson said about becoming a pilot.Left Right Productions/The New York Times/Hulu Originals/FX NetworksEmerson recalled his experience using mushrooms: “One of the things that was said to me several times was, ‘It’s all going to be OK when the sun comes up.’ And then the sun started rising and it wasn’t all OK.”Left Right Productions/The New York Times/Hulu Originals/FX NetworksSupervising Producer Liz HodesDirector Of Photography Jaron BermanVideo Editor Geoff O’Brien“The New York Times Presents” is a series of documentaries representing the unparalleled journalism and insight of The New York Times, bringing viewers close to the essential stories of our time. More

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    FDA Declines to Approve MDMA Therapy, and Seeks Further Study

    The agency said there was insufficient data to allow the use of a treatment for PTSD that involves the drug known as Ecstasy.The Food and Drug Administration on Friday declined to approve MDMA-assisted therapy for the treatment of post-traumatic stress disorder, dealing a serious blow to the nascent field of psychedelic medicine and dashing the hopes of many Americans who are desperate for new treatments.The F.D.A. said there was insufficient data to allow its use, and it asked the company seeking approval for the treatment, Lykos Therapeutics, to conduct an additional clinical trial to assess whether the drug, commonly known as Ecstasy or molly, would be safe and effective.An additional clinical trial could add years, and millions of dollars, to the approval process.If approved, MDMA would have become the first psychedelic compound to be regulated by federal health authorities. Supporters of psychedelic medicine were deeply disappointed, and some said they were stunned, having assumed the therapy’s promising data would overcome flaws in the company’s clinical trials, which had been designed in consultation with F.D.A. scientists.“This is an earthquake for those in the field who thought F.D.A. approval would be a cinch,” said Michael Pollan, the best-selling author and co-founder of the UC Berkeley Center for the Science of Psychedelics. His book, “How to Change Your Mind,” helped catalyze public interest in the therapeutic potential of psychoactive compounds, demonized during the nation’s long war on drugs.But the agency’s decision had not been entirely unexpected, after a group of independent experts convened by the F.D.A. to evaluate Lykos’s data met in June and did not recommend the treatment. On two central questions, the experts voted overwhelmingly that the company had not proven the treatment was effective, and that the drug therapy’s benefits did not outweigh the risks.The agency generally follows the recommendations of its outside panels. Critics, however, have questioned the panel’s expertise, noting that only one of its 11 members had experience in psychedelic medicine.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Sadness Among Teen Girls May Be Improving, C.D.C. Finds

    A national survey found promising signs that key mental health measures for teens, especially girls, have improved since the depths of the pandemic.In 2021, a survey by the Centers for Disease Control and Prevention on teen mental health focused on a stark crisis: Nearly three in five teenage girls reported feeling persistent sadness, the highest rate in a decade.But the newest iteration of the survey, distributed in 2023 to more than 20,000 high school students across the country, suggests that some of the despair seen at the height of the pandemic may be lessening.Fifty-three percent of girls reported extreme depressive symptoms in 2023, down from 57 percent in 2021. For comparison, just 28 percent of teenage boys felt persistent sadness, about the same as in 2021.Suicide risk among girls stayed roughly the same as the last survey. But Black students, who reported troubling increases in suicide attempts in 2021, reported significantly fewer attempts in 2023.Still, the number of teens reporting persistent sadness in 2023 remained higher than at any point in the last decade aside from 2021. And around 65 percent of lesbian, gay, bisexual and transgender high school students reported persistent hopelessness, compared with 31 percent of their cisgender or heterosexual peers. One in five L.G.B.T.Q. students reported attempting suicide in the past year.“For young people, there is still a crisis in mental health,” said Kathleen Ethier, head of the C.D.C.’s adolescent and school health program. “But we’re also seeing some really important glimmers of hope.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Veteran Homelessness Was Cut by Half. Is a Broader Solution Possible?

    After two years in the Air Force and decades on Skid Row, Steve Allen was spending his senior years living in his car. John Sullivan, who joined the Army after seeing the film “Patton,” slept on his son’s couch. Home for Babs Ludikhuize, an Air Force veteran recovering from domestic violence, was in psychiatric care.Now all three have comfortable apartments with subsidized rents, and they embody what many analysts call the greatest success in homelessness policy — the decline in homeless veterans.Since 2008, Congress, with bipartisan support, has spent billions on rental aid for unhoused veterans and cut their numbers by more than half, as overall homelessness has grown. Celebrated by experts and managed by the Department of Veterans Affairs and the Department of Housing and Urban Development, the achievement has gained oddly little public notice in a country in need of broader solutions.Progress in the veterans program has slowed as rising rents displace more tenants and make it harder to help them regain housing. But while homelessness among veterans rose last year, the increase was smaller than other groups faced. Admirers say the program’s superior performance, even in a punishing rental market, offers a blueprint for helping others and an answer to the pessimism in the debate over reducing homelessness.“It is the best initiative on homelessness that the federal government has ever developed,” said Philip F. Mangano, who helped launch the program under President George W. Bush. “The best. By far. If we can do it for veterans, we can do it for others.”No place illustrates the hard-fought progress more than Los Angeles, which serves more homeless veterans than any other city and has gravity-defying rents.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More