Orchid Advocacy
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    • 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
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  • 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

Hey Mental Health ---- Integrating Physical & mental Health

11/3/2025

 
​Val's Take:  Integrating Physical and Mental Health Care has been on the Agenda for the US and other countries for awhile.

I think what has happened with Neuro-Developmental and Psychiatric Disorders --- one can't understand them without understanding the IMMUNE SYSTEM.

Further, there appear to be at least 2 bi-directional relationships that may be going on --- because of my cognitive impairment I'm having a hard time taking care of my physical health, BUT ALSO --- my physical health problems involving dysregulation of my immune system are not unrelated to my mental health problems involving dysregulation of the immune system.

Ironically, I'm really saying MENTAL HEALTH NEEDS SOMEONE TO PERFORM WITH --- BUT SO DID THE BEATLES.
​
I actually view Mental Health Professionals as extremely COLLABORATIVE --- BUT I'm not necessarily seeing them get this organized by themselves without some OFFICIAL AUTHORITY leading it.
​The Beatles
Hey Jude
Oxford Brookes Health & Life Sciences
Integrating Physical & Mental Health Care

(2017)

Mental Health Conditions as immune responses throughout the body ---- Implications for medicine, criminal justice & the Society

10/24/2025

 
Picture
Val's Take/Conjecture:

​
  Gun Rights Activists are right that many of these shootings are driven by Mental Illness (or Neuro-Developmental Disorders, Brain Injury, etc.)  The problem has been Mental Health Professionals do not currently possess the knowledge to effectively prevent these tragedies in many cases.

This isn't about Civil Commitment --- this about the State of Knowledge within a Profession.

These new paradigms have the potential to transform society.

In the meantime, there are SERIOUS IMPLICATIONS within medicine, criminal justice and the society generally to understanding Neuro-Developmental and Psychiatric Disorders as profoundly driven by the IMMUNE SYSTEM and affecting multiple systems of the body.
​Neuroscience News
Overactive Immune System May Drive Mental Illness (2025)

"I JUST MIGHT PASS THIS WAY AGAIN"

10/16/2025

 
Val's Take/Conjecture:  I don't know that I'll pass this way again --- but someone else likely will --- "Those people keep comin.' "

Our understandings haven't been good enough.  Let me say that again, our understandings haven't been good enough.

Further, these issues are TRANS-GENERATIONAL in complicated ways that go beyond simple genomics.

It is CRITICAL that we get better understandings to people living now and build on that for future generations. 
Doobie Brothers
Toulouse Street
​The Grapes of Wrath
The Final Scene

it's a mystery

10/14/2025

 
​Val's Take/Conjecture:  I'm referencing here the DETECTIVE STORY/MYSTERY of the Underlying Causes and Treatments of Neuro-Developmental and Psychiatric Disorders.

Certainly by 2013, Researchers knew the DSM was "INVALID" as a diagnostic manual.

In 2025, Neuro-Developmental and Psychiatric Disorders appear DEVELOPMENTAL, MULTI-SYSTEM and NEURO-IMMUNE.  Immunological Dysregulation is a KEY FACTOR.

One of the great mysteries of Neuro-Developmental and Psychiatric Disorders is this association between Intelligence and or Talent and Executive Function Issues, including Emotional Dysregulation.

Sometimes it is obvious ---- other times, bias of many types can get in our way of picking it up.  Further, if we're equating executive functioning with intelligence or talent --- we're going to miss it.

The Mitochondrial Bioenergetics of Synapses and Synapses of Greater Number are another KEY FACTOR in Neuro-Developmental and Psychiatric Disorders.
PBS
Professor T Trailer
​Lorraine
Ben Miller Reveals How He Uses His OCD to Play Professor T

tinkerbell --- "Therapy Dog"

10/1/2025

 
Tinkerbell​ 
Val's Take:  Our 14-year-old dog Tinkerbell died at home Sunday.

We adopted her from Pet Smart with the idea that she could be an unofficial therapy dog and companion for our other Black Lab Buddy.

Most of that did not work out.  We might have guessed when one of the workers at Pet Smart said, "Someone finally bought that crazy puppy."

There were training programs and some progress --- sort of.  She was the most affectionate dog in the world and protective and aggressive.  She was unlikely to bite anyone, but she probably would loudly bark, circle and lunge.

For those 14 years it was never easy.  The neighbors said we must be saints [read idiots], but we loved Tinkerbell and she loved us.

On a bright September Colorado morning, Tinkerbell flew away.
​
SciShow
Pet Therapy

Robert Redford, a river runs through it and Mental Health

9/19/2025

 
Picture
Val's Take:  I'm going to riff off Robert Redford's sentiment that sadness and contradictions are a part of life.

I'm an emotional person, I cry easily.  On the other hand, I'm a logical person.  If "Catch-22s" in life are Red Flags, so are "Pain" and "Contradictions."

There are "INACCURATE UNDERSTANDINGS" --- but there aren't any "TRUE CONTRADICTIONS."


One of the things that is slowly happening is the recognition that "INTELLIGENCE," "SENSORY PROCESSING," and "MATERNAL IMMUNE ACTIVATION" are more complicated than we thought. (High IQ and Psycho-Neuro-Immunology).

The ancient Greek myth of ICARUS --- and the Aristotelian Golden Mean come to mind.

Life is often not either or --- but some Goldie Locks "Just Right Range."


For many people with Neuro-Developmental, Psychiatric and/or Addiction Disorders --- they are absolutely coming with some GIFTS --- but it is quite a MIXED BAG.

And strangely, IMMUNOLOGICAL DYSREGULATION is a more significant factor than we previously knew.
​Oftentimes Bi-Directional Relationships will be referenced in these dysregulations --- and that is important.  BUT the University of Texas has made the point that INFLAMMATION occurring IN UTERO --- is generally a more significant factor than post-natal inflammation.
"A River Runs Through It" (1992)
Picture
​This is going to the Developmental Origins of Health & Disease.  The ramifications of IN UTERO INFLAMMATION and even transient IL-6 spikes are HUGE for the LIFESPAN.  

This isn't the way most of us look at things right now, but the research is becoming more and more compelling.

In-Groups, Out-Groups and Horror

8/25/2025

 
Val's Take:  After World War II --- there was a lot of soul-searching --- not just about how Germans could commit such atrocities --- but how could Human Beings commit such atrocities.

There was talk of the problem of "Following Orders" in a hierarchy, and the need for a SUPRA NORM.
​Neuroscientist David Eagleman brings a different dimension to the problem of genocide and our split second defaults to in-groups and out-groups.  He sees genocide as a neural phenomenon.
Big Think --- David Eagleman 
How to Unbias Your Brain

​PBS NewsHour
A Glimpse of Life in Gaza
PBS -- David Eagleman & the Brain
Massacre at Srebrenica
​Tim Minchin
Not Perfect

Why is it so important to get a new label or at least an additional label?

8/23/2025

 
​Val's Take/Conjecture
  • We've come a long way in reducing mental health stigma.  
  • When we talk about why we aren't fully funding a Mental Health Continuum of Care, there are many reasons.
    • Policymakers would say --- we are spending a lot on Mental Health.
  • Many people view "MENTAL HEALTH TREATMENT" as "SUBJECTIVE" and a "FINANCIAL BOTTOMLESS PIT."
  • There is a big need to lean into PRECISION PSYCHIATRY and understanding Neuro-Developmental and Psychiatric Disorders as Complex Neuro-Immune Disorders.
PBS
The Brain with David Eagleman
​

A single one-word label is enough to change your brain's basic pre-conscious response to someone in pain.

Roger daltrey & the Chieftains -- Behind Blue Eyes

8/10/2025

 
Val's Take:  Who's the BAD MAN?

The moral issues when you have perfect understandings and perfect treatments are relatively simple.

It's when you have legitimate questions about current understandings and treatments that much energy is required for PARSING a tangled mess.  It also requires MORAL HEAVY-LIFTING.

Our society has done some of that.  Since beginning Orchid in 2013, the pace of research involving Neuro-Developmental, Psychiatric and Addiction Disorders has greatly quickened.

Arguably, the Moral Lift required in 2025 is less than it was in 2013.  This is the result in part of new understandings among researchers around the world.  

The society has done much.  We need to bring to SCALE that Public Health Approach to Criminal Justice in time for people living now.

​Roger Daltrey &
The Chieftains
Behind Blue Eyes
See also riffs on Irish writer Oscar Wilde --- No Good Deed Goes Unpunished and "The Picture of Dorian Gray" and Recalibrating Morality.

Tradition, integration & new understandings

7/30/2025

 
Picture
The neurobiology of antisocial personality disorder (2024)
Picture
​A neuroimmunological model of antisocial and borderline personality disorders (1999)
Faith, Criminal Justice and Bringing Religion in from the Cold
Conversation & Dialogue: Integrating Science, Reason & Faith/Religion
The Definitional Argument in Mental Health & Criminal Justice Policy


​​Fiddler on the Roof (1971)
Tradition!
​John McCutcheon 
Water from Another Time
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    VAL'S BLOG 2
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    Val Corzine

    Executive Director of Orchid Mental Health Legal Advocacy of Colorado, Inc.

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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