G1 > Pop & Arte
Justin Bieber é investigado após ferir fotógrafo em acidente

Cantor teria batido o carro em profissional na saída de clube.
Polícia de Los Angeles confirma acidente, mas não revela detalhes.
#transtorno





I’m conflicted about the announcement of Project ECHO’s expansion last week. The ECHO Institute was founded by the Robert Wood Johnson Foundation, the GE Foundation and the University of New Mexico Health Sciences Center to help primary care physicians do a better job with common, chronic condition diagnosis and treatment via Project ECHO.
On Friday, they announced a new initiative focusing on mental health treatment. The new effort will involve having academics train primary-care physicians to strengthen and better coordinate their mental health care.
It’s the right focus, because family doctors and general practitioners prescribe the majority of antidepressants in this country, and are often the first-line professional to see a patient who may have a mental health concern.
But then the director of Project ECHO, Sanjeev Arora, spoke.
According to Politico, this is what he said:
Primary-care providers “don’t have the expertise to make the right diagnoses” for mental disorders, said Sanjeev Arora, director of Project ECHO and professor at the UNM Health Sciences Center. “They see this enormous difficulty, but they don’t have access to any psychiatrists,1 so they don’t know how to get that expertise.”
While it’s partially true that many physicians don’t have the “expertise” to make the right diagnosis, they actually do a pretty good job of at least recognizing mental health concerns. Throw in easy-to-use and -score screening measures, and physicians have a pretty good set of tools already. Some use them, but most don’t.
The first problem isn’t making even more tools and resources available to primary care physicians. The problem is getting them to use them regularly, and incorporate them into their ordinary practice.
The second problem is one of followup. If, by and large, physicians already are making the appropriate referrals to mental health professionals when they see their patient may benefit from specialized mental health treatment, who’s doing the followup?
Unfortunately, it’s usually not the physician’s office. Patients often don’t followup with mental health treatment referrals.2 Unless that changes — someone is there to help a patient understand the benefits of getting care and treatment for their mental health concern and makes sure that they do — all the access to additional “expertise” isn’t going to help much.
So most physicians already have access to a multitude of quick screening tools that they can provide their patients. They also usually have access to a select list of trusted mental health professionals they refer to and trust, too.
What Project ECHO is essentially adding is a case conference — via videoconferencing — for physicians:
Primary-care doctors participating in the project will meet once a week with academic health specialists from UNM by video conference. The doctors will be able to discuss a range of issues that they’ve encountered from patients with complex mental health needs and draw from the academics’ expertise.
Which is a great idea, except for the use of academics instead of fellow clinicians.3 I assume they’re going to use academics who actually see real patients too, because otherwise this isn’t going to be very helpful in the long run. Researchers are really good at what they do — but usually dealing with the complexities and real world challenges of individuals isn’t among their expertise or usual skill-set.
I think it’s fantastic if a physician could have case conferences with mental health experts — which is something that, honestly, they should already be doing as a part of any modern, holistic, multi-disciplinary practice. The fact that many physicians (most?) don’t have a multi-disciplinary practice that incorporate and embrace mental health professionals is a shame — and where the real effort should be focused on expanding.
If Project ECHO can help physicians realize they should be doing this, then it’s a win-win for everyone.
Read more: New project addresses mental health care gap
Read more about Project ECHO: Project ECHO Launches National Institute to Spread Transformative Care Model; Embarks On Initiative With GE Foundation to Expand Mental Health Care Access
A few-cent rise in public transportation prices has led to protests across Brazil involving more than 100,000 people angered over heavy-handed policing, poor public services and high costs for the World Cup.
A few-cent rise in public transportation prices has led to protests across Brazil involving more than 100,000 people angered over heavy-handed policing, poor public services and high costs for the World Cup.

Demonstrators march during one of the many protests around Brazil's major cities in Belem, Para State on June 17, 2013.
Having adult attention deficit hyperactivity disorder (ADHD) can be frustrating.
Merely struggling with compensating for the challenges so they don’t interfere with daily functioning and learning new ways to do things can be taxing. There is a constant internal battle of symptom and strategy waging inside yourself when you are coping with ADHD.
In fact, a lot about ADHD is exhausting; however, putting up with or hearing from people who misunderstand or have misconceptions about ADHD has to top the list.
Recently I was on a social chat forum online when the question was asked: What is the most frustrating misconception about ADHD that you have heard?
Definitely for me, the top most frustrating comment I hear is when people say “I don’t believe in ADHD.”
It takes almost everything I have not to reach out and try to shake some sense into people who say this. I just want to start quoting the studies and statistics that support the reality of ADHD. Or simply let out a big dramatic sigh, remind them that not believing in something doesn’t make it not exist and walk away. To be honest, when I hear this statement, it takes everything in me not to do all these things.
But I have learned to channel my desire to shake or lecture or badger the facts into people who don’t understand what ADHD is — how it is real and different for everyone diagnosed with it. And how it can truly interfere with life, but also enhance it.
Instead, at least most of the time, I try to remain curious and ask questions to understand where this belief comes from. Because it’s possible they have never realized they know someone with ADHD or truly aren’t aware of all the aspects of ADHD. And the moment is a great opportunity to increase awareness of ADHD — my all-time passion!
Here are some other exasperating, erroneous beliefs you have probably heard at least once in your ADHD life that have tested your patience:
“Everyone is a little AD/HD.”
“That kid just needs some strong discipline.”
“You should never give medication to kids. They will just end up all drugged up or will abuse it.”
“You can’t have ADHD, you’re an adult.”
“No, she can’t have ADHD, she’s a girl.”
“Your child has ADHD? Oh, that must be so frustrating.”
“It seems like the whole world has been diagnosed with ADHD.”
“How do you have ADHD? You’re not bouncing off the walls.”
“He doesn’t have ADHD; he can sit and focus in front of that video game all day.”
What is the most frustrating misconception you have heard about ADHD?
