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    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
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  • Orchid's A-Z Index
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    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Immunology & Mental Health
    • Alcoholism & the Immune System & Mental Health
    • Brain Injury, the Immune System & Mental Health
    • Celiac Disease & Sensitivities, the Immune System & Mental Illness
    • Mental Illness & The Immune System
    • Racial Discrimination & the Immune System & Mental Health
    • Trauma & the Immune System & Mental Health
    • ***Physical Health Issues, the Immune System & Mental Health Index
  • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



Translational Medicine Friday

Huntington's Breakthrough

9/26/2025

 
The amazing breakthrough on Huntington's does owe a lot to both individual researchers and major efforts across the globe.

If there is one thing we are about at Orchid it is that NEW UNDERSTANDINGS MATTER.

We know more and more about complicated processes in which genes get turned on and off.

Another important factor is DNA Copy Number which is mentioned in the Harvard video above.

DNA Copy Number can be relevant for neuro-developmental and psychiatric disorders --- although complicated.
Picture
​Association between blood mitochondrial DNA copy number and mental disorders: A bidirectional two-sample mendelian randomization study (2024)

*Chinese and British Researchers
​Conclusions:  Our study supports the potential causal association between mtDNA-CN [Mitochondrial DNA Copy Number] and the risk of ASD [Autism Spectrum Disorder], suggesting that mtDNA-CN could serve as a promising biomarker for early screening of ASD.
BBC Breaking News -
Sept. 24, 2025
Huntington's Breakthrough

Jan. 2025
Harvard:  A New Understanding of Huntington's
Worried Man Blues
Huntington's Disease, the Immune System, the Endocrine System & Mental Illness
Huntington's, Standing Out & the Biological Basis of Behavior

Sensory Processing, Bipolar Disorder, Autism and Carly Fleischmann

9/22/2025

 
Sensory Processing Difficulties as a Trans-Diagnostic Phenotype, Bipolar Disorder and More Reactive Cells, and Carly Fleischmann with Non-Verbal Autism and Extreme Sensory Processing Difficulties
​Val's Take/Conjecture:  I have posted this 2017 video from the University of Michigan School of Medicine several times.
​Critical Points: 
  1. Bipolar Disorder is DEVELOPMENTAL
  2. People with Bipolar Disorder have MORE REACTIVE CELLS
University of Michigan School of Medicine
Bipolar Disorder (2017)

Picture
​Sensory processing difficulties in psychiatric disorders: A meta-analysis (2022)

*Researchers from The Netherlands
​In conclusion, sensory processing difficulties can be considered as a non-specific transdiagnostic phenotype associated with a broad spectrum of psychiatric conditions.

Further research into the relevance and role of sensory processing difficulties in psychiatric disorders may improve long-term prognosis and treatment.
Picture
​See also:  Scientists uncover how cellular receptors trigger inflammation and sensory changes (Sept. 2025).

​*Oregon Health and Science University
​If Sensory Processing is ramped up with more reactive cells, the need for ATP is ramped up as well.

And Mitochondrial Dysfunction may be the result.
20/20
Carly Fleischmann with Non-Verbal Autism 
​The 20/20 video on Carly Fleischmann with non-verbal autism is so ground-breaking and transformative it is hard to overstate.  
Critical Points:
  1. Carly is intelligent
  2. She experiences extreme SENSORY OVERLOAD --- seeing over a thousand versions of someone's face, etc. and
  3. She has issues with EMOTIONAL DYSREGULATION, especially when she wasn't being understood
Picture
Extracellular ATP Is a Homeostatic Messenger That Mediates Cell-Cell Communication in Physiological Processes and Psychiatric Diseases (2025)

*Chinese Researchers
​We now have the TECHNOLOGY for a CELLULAR and MOLECULAR understanding of Neuro-Developmental and Psychiatric Disorders.

It's not that the PSYCHOLOGICAL LENS is wholly wrong, BUT . . .

Our understandings have gotten SKEWED in many cases without access to CELLULAR and MOLECULAR understandings.
HBO
Carly Fleischmann on Becoming the First Non-Verbal Talk Show Host

Keto -- Interviews

9/18/2025

 
​Val's Take:  This video discusses a "MEDICAL KETO DIET" as a mental health treatment.  This is a different way of looking at psychiatric disorders.
Therapy in a Nutshell
Therapist Emma McAdams Interviews Dr. Chris Palmer

​and Lauren Kennedy West -- Living Well After Schizophrenia


Keto
Added Oct. 24, 2025

BUT SEE:
Picture
University of Utah
KETO DIET
TAKES A HIT


Long-Term Keto Diet May Damage Your Body 

(October 21, 2025)

Emotional Dysregulation, Immune Dysregulation --- Or Both?

9/9/2025

 
Val's Take/Conjecture
  • It is becoming more and more apparent that Emotional Dysregulation is often evidence of Immune Dysregulation.
​
  • The Chinese researchers in the study on PTSD acknowledge the "psychological lens" while arguing for the importance of an immunological perspective.
Picture
Immune dysregulation in bipolar disorder (2025)
​

​*Researchers at the University of Iowa, University of Ottawa and University of Minnesota
Picture
NLRP3 inflammasome mediates astroglial dysregulation of innate and adaptive immune responses in schizophrenia (2025)

*Norwegian Researchers
The Importance of the Immune System in Mental & Brain Disorders
Picture
​Research Progress on Inflammation and Immune Dysregulation in PTSD (2025)

*Chinese Researchers
​Results: The research indicates that PTSD is marked by significant imbalances in pro-inflammatory and anti-inflammatory cytokines across various biological fluids, including blood, saliva, and cerebrospinal fluid.

Abnormal immune cell activation and elevated levels of soluble adhesion molecules, chemokines, and markers of inflammation were frequently observed in PTSD patients.

These inflammatory responses are accompanied by aberrant activity in central immune cells, suggesting that inflammation may play a key role in the pathogenesis of PTSD.

​In addition, neuroinflammatory processes were linked to cognitive and emotional disturbances commonly seen in individuals with PTSD.
Picture
​Immune Dysregulation in Depression and Anxiety: A Review of the Immune Response in Disease and Treatment (2025)
​
*College of Osteopathic Medicine & Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
Picture
Dissecting depression symptoms: Multi-omics clustering uncovers immune-related subgroups and cell-type specific dysregulation (2025)

*German Researchers

Addiction as a neuro-immune disorder

9/6/2025

 
​Val's Take/Conjecture
  • It was in the early to mid-1980s that DUAL DIAGNOSIS was recognized --- co-occurrence of a Substance Use Disorder and a Mental Health Disorder.
  • A Substance Disorder is common in Neuro-Developmental Disorders such as ADHD.
  • Further, Substance Disorders are higher in people with Autism than previously thought.
New Science is Amazing --- It has Huge Moral & Ethical Implications Now
Picture
​Potential roles for microglia in drug addiction: Adolescent neurodevelopment and beyond  (2025)

*Microglia are immune cells in the brain
Picture
​Special issue on Neuroimmunology of Addiction  (2024)

Cytokines as NEuro-Modulators ---- The Pace of research continues to quicken

9/5/2025

 

It's not just "Neuro-Developmental" and "Psychiatric" Disorders --- it's also "Addiction"

​Val's Take/Conjecture
  • What is the significance of Cytokines as Neuro-Modulators?
  • "Cytokines are proteins that function as chemical messengers in your immune system." --- Cleveland Clinic
Picture
​A Brief History of Neuromodulation
Picture
Current Advances in Behavioral Addictions: From Fundamental Research to Clinical Practice (2025)
​Given that behavioral addictions are prevalent, frequently co-occur with psychiatric disorders, may often go undiagnosed and untreated, and have been linked to poorer treatment outcomes, active screening and treatment are indicated.

Public health considerations should be expanded, and impacts of modern technologies should be investigated more intensively.

Treatment optimization involving pharmacotherapy, psychotherapy, neuromodulation, and their combination warrants additional investigation
Picture
Unveiling causal relationships between addiction phenotypes and inflammatory cytokines: insights from bidirectional mendelian randomization and bibliometric analysis (2025)
​This study provides genetic proof supporting a causal relationship between various inflammatory factors and addiction phenotypes.
Picture
​Cytokines as neuromodulators: insights from experimental studies in humans and non-human primates  (2025)
Abstract

​Beyond their role in immune signalling, cytokines have emerged as key neuromodulators influencing processes including neurotransmitter function, neuronal excitability, synaptic plasticity, neurogenesis, myelination, and cortical sleep-state.

These roles are observed in both the healthy brain and during infections when they reorient motivational, cognitive, and emotional responses.

Experimental evidence from human and non-human primate immune challenge studies has been pivotal to understanding these effects.

By showing that elevated cytokines readily induce transdiagnostic symptoms, including anhedonia, social withdrawal, psychomotor slowing, and cognitive impairment, they have also helped demonstrate that inflammation contributes to the shared neural dysfunction observed across psychiatric and neurological disorders.

Cytokines modulate glutamatergic and GABAergic neurotransmission, impair dopaminergic and serotonergic signalling, and regulate homeostatic synaptic scaling, leading to altered network connectivity and behavioural deficits.

While research has often focused on single cytokines in isolation, neuroimmune signalling occurs through combinatorial cytokine codes, requiring systems-level approaches to understand their interactive effects.

Advances in neuroimaging, molecular neuroscience, and biophysical modelling offer opportunities to link cellular cytokine action with macroscale network dysfunction, enabling mechanistic insights into cytokine-mediated neuromodulation.

Clinically, cytokine-targeting therapies hold promise for treating inflammation-driven cognitive and mood disorders, but their long-term impact on neuroplasticity remains uncertain.

Future research should characterize:
* immune signatures predictive of neuropsychiatric symptoms,
*identify cell-type-specific cytokine effects, and
*integrate multiscale modelling to refine understanding of neuroimmune interactions.

Reconceptualising cytokines as fundamental regulators of neural function rather than merely inflammatory mediators is crucial for developing precision medicine to mitigate immune-driven brain dysfunction and improve mental health outcomes.
​Bullets added.

Regulatory t Cells​ (a type of immune cell) --- Are playing roles in Neuro-developmental & Psychiatric Disorders

9/4/2025

 
Val's Take/Conjecture
  • Different Types of T Cells and Their Function

  • There's a lot of NUANCE to T Cells and how they play out in Neuro-Developmental and Psychiatric Disorders.

  • ​15 years ago, if we were educated --- we probably wanted people to understand that Neuro-Developmental and Psychiatric Disorders were BRAIN DISORDERS.

  • In 2025, we want people to understand that Neuro-Developmental and Psychiatric Disarders are MULTI-SYSTEM DISORDERS and the IMMUNE SYSTEM is playing a huge role
Picture
​One cell to rule them all: Immune regulation of the brain in autism spectrum disorder (2025)
Abstract
​

For 80 years there has been a link between autism and immune activation.

Studies point to dysfunction in immune responses in peripheral blood, gut mucosa, and brain.

Human postmortem brain studies in autism show increased differential expression of inflammatory immune genes, increased pro-inflammatory cytokine levels, and glial activation.

Immune cells in the brain are comprised of both tissue-resident cells and those recruited from the blood.

This includes regulatory T cells (Tregs) that foster immune tolerance and tissue repair.

Tregs reduce microglial reactivity, assist in regenerative and reparative processes, and promote differentiation of myelin-producing oligodendrocytes in the brain, thus modulating white matter development.

Neuroinflammation may be a universal autism phenotype independent of the underlying etiology that can be controlled by Tregs promoting homeostasis, microglia and oligodendrocyte function, and white matter development.
Picture
TH17/Treg lymphocyte balance is regulated by beta adrenergic and cAMP signaling  (2025)
​Background:  Post-traumatic stress disorder (PTSD) is a debilitating psychological disorder that also presents with neuroimmune irregularities.

Patients display elevated sympathetic tone and are at an increased risk of developing secondary autoimmune diseases.

​Conclusions: Our data depict a novel role for β1/2 adrenergic and cAMP signaling in the balance of TH17/Treg lymphocytes.

​These findings provide a new target for pharmacological therapy in both psychiatric and autoimmune diseases associated with IL-17A-related pathology.
Picture
Psychoneuroimmunology of Mood Disorders (2025)
Abstract

Recent research has shed light on the intricate relationship between mood disorders, such as major depressive disorder (MDD) and bipolar disorder (BD), and inflammation.


This chapter explores the complex interplay involving immune and metabolic dysfunction in the pathophysiology of these disorders, emphasizing their association with:
* autoimmunity/inflammatory conditions,
* chronic low-grade systemic inflammation,
*T cell overactivation, and
*immunosenescence [the Aging  of the Immune System]

This perspective underscores the notion that MDD [Major Depressive Disorder]and BD [Bipolar Disorder] are not solely brain disorders, highlighting their nature as multi-system conditions.
Picture
Fetal Treg cell reprogramming links maternal immunity to neurodevelopment (2025)
Picture
​Low-dose interleukin-2 in patients with bipolar depression: A phase 2 randomised double-blind placebo-controlled trial  (2025)
​Immune abnormalities including an insufficiency of regulatory T cells (Treg) and increased blood-based inflammatory markers have been observed in bipolar disorders (BD), particularly during depression.

​As Tregs are pivotal to control inflammation, Treg stimulation by low-dose IL-2 (IL-2LD) could have a therapeutic impact on bipolar depression.
Picture
​Pan T cells, Helper T cells, and Regulatory T cells are Associated with Negative Symptoms in Persons with Anti-Gliadin Antibody Positive Schizophrenia and Related Disorders  (2025)
​Conclusions: These hypothesis-generating findings highlight T cell dysfunction in AGA+ positive SRD  [Schizophrenia Related Disorders], suggesting Tregs protecting against negative symptom severity but also an unidentified other T cell population to possibly be driving negative symptom severity.
Picture
​Identification of immune cells and circulating inflammatory factors associated with neurodevelopmental disorders by bidirectional Mendelian randomization and mediation analysis (2025)
​Strong causal relationships existed between immune cells, circulating inflammatory factors, and NDDs. Inflammatory factors mediated the pathways between immune cells and NDDs [Neurodevelopmental Disorders].
Picture
​Emerging Mechanisms and Biomarkers Associated with T-Cells and B-Cells in Autoimmune Disorders  (2025)
​A case study of a 9-year-old girl diagnosed with seronegative autoimmune encephalitis, who displayed severe obsessive-compulsive disorder (OCD) and aggressive behavior, exemplifies the complexities involved in treatment.

Promising interventions, including CAR-T-cell therapy and nanomedicine, are under development for various autoimmune diseases, such as vitiligo and refractory autoimmune rheumatic diseases (ARDs).

​Furthermore, emerging therapies, including CAR-T-cell therapy, mRNA-based strategies, and microbiome modulation, are being explored alongside advancements in personalized medicine and early diagnostic techniques to improve patient outcomes for individuals affected by autoimmune diseases.

"DEVELOPMENTAL PATHOLOGIES"

9/3/2025

 
​Val's Take/Conjecture
  • The INFLAMMATION received by offspring IN UTERO may, in some cases, be QUALITATIVELY DIFFERENT than inflammation received subsequently.
  • It matters WHEN one gets the inflammation.
  • The article to the right from the University of Texas is about "Autism," but ADHD, Bipolar Disorder, Depression and Schizophrenia are also associated with Maternal Immune Activation.
WHY IS THIS IMPORTANT?
  • Most people know that Autism and ADHD are  "Neuro-Developmental Disorders."
    • ​​Bipolar Disorder, Depression and Schizophrenia are also "Neuro-Developmental Disorders."
  • There is controversy regarding the effects of inflammation acquired after birth over the lifespan.

On the other hand . . .
Picture
​Modifiable lifestyle factors influencing neurological and psychiatric disorders mediated by structural brain reserve: An observational and Mendelian randomization study (2025)

* Chinese Researchers
​This issue of "Lifestyle Choices" is a Public Policy Battleground.   The Chinese researchers identified why.
Picture
​Since most brain diseases are either incurable or irreversible, they place a considerable burden on both society and the economy, highlighting the essential role of primary prevention in preserving brain health (Lazar et al., 2021).

​Modifiable lifestyle factors—behaviors that can be changed without professional intervention, such as smoking, alcohol consumption, and physical activity—are important targets for these prevention efforts.
Picture
​Neuroimmune and behavioral changes elicited by maternal immune activation in mice are ameliorated by early postnatal immune stimulation  (2025)

*Researchers at the University of Texas at Austin
​Our results demonstrate that changes in repetitive-like and social behaviors that are induced by MIA [Maternal Immune Activation] in male mice are not exacerbated by subsequent inflammatory challenge and highlights the importance of considering the timing of stressors in the appearance of developmental pathology.
Highlights

  • Maternal immune activation (MIA) may act as a disease primer for neurodevelopmental pathology.

  • Here we investigated if MIA synergized with postnatal inflammation to exacerbate pathology.

  • MIA decreases sociability and increases repetitive-like behaviors in males.

  • CD8 + T cells are impacted by MIA in a sex-dependent manner.

  • Postnatal immune inflammation did not exacerbate ASD-like pathology in either sex.
Chinese researchers are aware of Maternal Immune Activation --- but you wouldn't know it from the paper to the left.

This fudging is common in the US as well, and that is why the Texas paper is so important ---
  • ​It is making clear that INFLAMMATION acquired IN UTERO is generally more significant.
Now --- that doesn't mean that "LIFESTYLE FACTORS" during the lifespan are irrelevant ---
  • but they are exceedingly complicated with many bi-directional relationships.
Picture
If we want to prevent Neuro-Developmental and Psychiatric Disorders, we're focusing  on:
  • potential mothers,
  • potential fathers,
  • immunology and
  • obstetrics. ​

    Translational Medicine Friday

    We're riffing off NPR's Science Friday to create Translational Medicine Friday.

    We'll be collecting Research Article recommendations for Clinicians with regard to Cognitive Disability.

    ​There is much in the RESEARCH JOURNALS and we'll just be SKIMMING THE SURFACE.

    The POINT is to INCREASE FUNDING for TRANSLATIONAL RESEARCH at the Federal Level for the National Institutes of Health, the Centers for Disease Control, the Nation's Research & Teaching Hospitals and possible collaborations with Medicare and Medicaid providers.

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Immunology & Mental Health
    • Alcoholism & the Immune System & Mental Health
    • Brain Injury, the Immune System & Mental Health
    • Celiac Disease & Sensitivities, the Immune System & Mental Illness
    • Mental Illness & The Immune System
    • Racial Discrimination & the Immune System & Mental Health
    • Trauma & the Immune System & Mental Health
    • ***Physical Health Issues, the Immune System & Mental Health Index
  • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System