Individuals with Depression Not Seeking Help from Mental Health Professionals, Study Finds

As the public conversation about mental health continues, new federal data released by the Centers for Disease Control and Prevention suggest that nearly two-thirds of individuals who have severe depression do not seek the assistance of mental health professionals. The report, by the National Center for Health Statistics within CDC, also found that people with mild depressive symptoms, as well as those with moderate or severe depressive symptoms, reported difficulties with work, home, and social activities related to their symptoms. For those with severe depression, nearly 90 percent reported such difficulties.  Nearly 3 in 4 with moderate depression also reported having difficulty in those everyday situations.

Studies have shown that the most effective treatment for depression, especially for severe depression, is a combination of medication and therapy. Although medication can be prescribed by a primary care physician, therapy is generally provided by a mental health professional.

The study, which covered 2009-2012, found:

• 7.6% of Americans (aged 12 and over) had depression (defined as moderate or severe depressive symptoms in the past 2 weeks). Depression was more prevalent among females and individuals age 40–59.
• About 3% of Americans (aged 12 and over) had severe depressive symptoms, while almost 78% had no symptoms.
• People living below the poverty level were nearly 2½ times more likely to have depression than those at or above the poverty level.
• Almost 43% of persons with severe depressive symptoms reported serious difficulties in work, home, and social activities. Of those with severe symptoms, 35% reported having contact with a mental health professional in the past year.

According to the National Institutes of Health, more than 20 million people in the United States have depression. Its symptoms go beyond feeling sad for a few days, and interfere with people's daily lives, causing energy loss, feelings of worthlessness, problems with sleeping, or thoughts of death or suicide.

A report by the Connecticut Department of Public Health (DPH) issued earlier this year found that 1 in 6 Connecticut adults (16.7 percent) reported having been told they had a depressive disorder. Women were significantly more likely to have been told they had a depressive disorder (19.0 percent) compared to men (14.2 percent).The likelihood of having been diagnosed with a depressive disorder decreased significantly for each increase in income range, the study found.  The DPH data is from 2012.

According to the CDC, depression is a serious medical illness with mood, cognitive, and physical symptoms. Depression is associated with higher rates of chronic disease, increased use of health care facilities, and impaired functioning.  Its causes may be genetic, environmental, psychological or biochemical.  Numerous studies have also shown that individuals with depression have more functional limitations than those without depression. The DPH study points out that “Depressive disorders may interfere with a person’s work and daily activities and prevent them from functioning normally. Some forms of depression develop under unique circumstances; others occur in episodes or may be longer-term.”

Concussion Education Plan Due to School Districts on January 1; Advisory Panel Meets Today

Three weeks from now, Connecticut should have in place a state concussion education plan to be used by local and regional boards of education.  That’s according to a law passed by state legislators earlier this year in response to growing concerns about the potential lifelong effects of concussions on students injured in school sports. Local school boards will be responsible for implementing the plan using written materials, online training or videos, or in-person training.

The Connecticut Youth Concussion Advisory Group, coordinating the state’s effort, has met four times this fall.  Minutes of the most recent meeting, on November 6, were posted to the group’s website more than a month later, just days ahead of the meeting scheduled for Thursday, December 11.  That meeting is to include an update on the Concussion Education Plan, according to the meeting agenda.

Although the law was approved in May, it was highlighted in public ceremonies in September in Westport, the hometown of three mothers who were instrumental in advocating for passage of the law. Each of their sons’ lives were changed by concussions. Ann Sherwood, Pippa Bell Ader and Diana Coyne came together to form the Parents Concussion Coalition, FOX Connecticut reported.

Public Act 14-66 requires the state Department of Education to consult with the state Department of Public Health, the governing authority for intramural and interscholastic athletics, an appropriate organization representing licensed athletic trainers, and an organization representing county medical associations to do the following:

• By January 1, 2015, develop a concussion education plan to be used by local and regional boards of education. Boards of education will be responsible for implementing such plan using written materials, online training or videos, or in person training.
• Develop a signed informed consent, which must include a summary of the concussion education plan, and a summary of the local board’s policies regarding concussions. For the school year beginning July 1, 2105, local boards of education must prohibit a student athlete from participating in intramural or interscholastic athletic activities unless the student athlete and a parent or guardian returns such form.
• Collect and report to DPH all occurrences of concussions, including the nature and extent of the concussion and the circumstances in which the student sustained the concussion.

The law also requires that a training course regarding concussions be developed or approved, and that “a refresher course regarding concussions, including current best practices, and, for football coaches, current best practices around the frequency of games and full contact practices and scrimmages.”  That provision was effective on October 1. 

At the November meeting of the Advisory Group, “there was discussion regarding the pros and cons of mandating a specific time frame between stages of recovery from a concussion versus considering each case individually and relying on the student’s physician,” the meeting minutes reported.  Among materials reviewed were a Concussion Web page, Concussion Education Initiative Course feedback, and an annual review and refresher course.

Regarding data collection, the Advisory Group “discussed what will work best for schools; what is an ideal versus realistic approach.”

The Connecticut Interscholastic Athletic Conference (CIAC) Board of Control is requiring all CIAC member schools (including private and parochial schools not covered by the law) to develop a plan and begin implementation in the 2014-15 school year.

Westport’s Staples High School is among the Connecticut school that now provide concussion protocols on their websites, so that students, parents, coaches and the community are aware of expected practices.  According to the Staples site, “links include concussion education, the concussion care plan that is to be filled out by your physician when a concussion occurs, our procedures for concussion management, and our Return to Play protocol that will be followed by all athletes before returning to competition after sustaining a concussion.”

Connecticut was one of the first states in the nation to adopt a concussion law, in 2010, following Oregon and Washington, which implemented similar statutes in 2009.  The law dealt primarily with training requirements for coaches.

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Postpartum Psychosis More Prevalent Than Most Realize

Listeners to the National Public Radio program “On Point” this week heard a Connecticut resident discussing the progress being made on a one-on-one basis, as well as through international efforts, to respond to the prevalence of postpartum psychosis. Teresa Twomey of Cheshire is co-coordinator in Connecticut for Postpartum Support International (PSI) the leading organization dedicated to helping women who experience perinatal mood disorders, working to increase awareness among public and professional communities.

Approximately 15 percent of all women (1 in 8) will experience postpartum depression following the birth of a child, according to the nonprofit organization. Up to 10 percent will experience depression or anxiety during pregnancy. When the mental health of the mother is compromised, PSI explains, it affects the entire family.

A woman with postpartum depression might experience feelings of anger, sadness, irritability, guilt, lack of interest in the baby, changes in eating and sleeping habits, trouble concentrating, thoughts of hopelessness and sometimes even thoughts of harming the baby or herself.

In a TEDx talk in Hartford a year ago, Twomey described her own postpartum psychosis, which was both unexpected and severe.  While initially reluctant to discuss her circumstances publically, the well-publicized deaths of children in the U.S. at the hands of their mothers while suffering from postpartum psychosis prompted her to action. 

Based on her personal experiences, Twomey is the author of “Understanding Postpartum Psychosis: A Temporary Madness.” In an interview with FOX Connecticut when the book was published five years ago, she said "while most women who suffer postpartum psychosis eventually recover without harming anyone, they most often do so in silence.” Paranoia is a common symptom, explained Twomey, and “that moves women to hide their symptoms from everyone around them. The woman can hence appear normal, but be putting both herself and her baby at risk. We can prevent and treat this, but we need to recognize it by better screening of women postpartum."

While many women experience some mild mood changes during or after the birth of a child, 15 to 20 percent of women experience more significant symptoms of depression or anxiety, according to the PSI website. Women of every culture, age, income level and race can develop perinatal mood and anxiety disorders. Symptoms can appear any time during pregnancy and the first 12 months after childbirth.

PSI stresses that there are effective and well-researched treatment options to help advance recovery. Every perinatal mood disorder, no matter how strong the symptoms are, is temporary and treatable, PSI points out.

PSI Coordinators are volunteers who offer caring and informed support and resources to moms and their families. They also provide information and resources for area providers who are caring for pregnant and postpartum families.  In Connecticut, the volunteer organization has support groups based in Middletown, New Britain and West Hartford.  Support services provided are free of charge.

The organization states that there is no one cause for perinatal mood and anxiety disorders. Women who develop depression or anxiety around childbearing have symptoms that are caused by a combination of psychological, social, and biological stressors, and there does not need to be a family history of depression.  “Developing a perinatal mood and anxiety disorder is not your fault,” the website emphasizes. “You did not do anything to ‘get’ this.”

PSI headquarters is located in Portland, Oregon and has members all over the world, including volunteer coordinators in every one of the United States and in more than 36 other countries. PSI disseminates information and resources through its volunteer coordinators, website and annual conference. Its goal is to provide current information, resources, education, and to advocate for further research and legislation to support perinatal mental health.

Twomey said that postpartum psychosis should be treated as a public health issue, so that greater attention could be focused on prevention.  Although retelling and reliving her story is difficult, she does so because “if this helps one family, saves one life, it is worth it.”

Adult Obesity Rate Reduced in Connecticut; Climbs in Neighboring States

Obesity, a common and costly health issue that increases risk for heart disease, type 2 diabetes, and cancer, affects more than one-third of adults and 17 percent of youth in the United States. A state-by-state review indicates that the adult obesity rate in Connecticut has dropped slightly in 2013 compared with 2012, and remains at about one-quarter of the population, mid-range among the states.  Nationwide, improvement remains elusive. By the numbers, 78 million adults and 12 million children are obese—figures many regard as an epidemic. Adults are considered obese when they are about 35 pounds overweight.

In Connecticut, the segment of the adult population considered to be obese dropped from 25.6 percent in 2012 to 25.0 percent in 2013.  It was the only state among those bordering Connecticut to see an improvement in the obesity rate.

In neighboring New York, the rate climbed from 23.6 percent in 2012 to 25.4 percent in 2013. In Massachusetts, the obesity rate was 23.6 in 2013, up from 22.9 in 2012.  In Rhode Island, the obesity rate increased from 25.7 percent of the adult population to 27.3 percent.

Data from the Behavioral Risk Factor Surveillance System, of the National Centers for Disease Control and Prevention was featured by the National Conference of State Legislatures.

In 2013, obesity rates among American adults remained high, and in numerous instances, was rising:

• No state has an obesity rate below 21 percent.
• In two states – Mississippi and West Virginia - obesity rates now exceed 35 percent for the first time, the highest in the nation.
• 20 states have obesity rates at or above 30 percent. (In 2012, 13 states had levels that exceeded 30 percent.)

Overweight and obese individuals are at increased risk for many diseases and health chronic conditions, including hypertension (high blood pressure), osteoarthritis (a degeneration of cartilage and its underlying bone within a joint), dyslipidemia (for example, high total cholesterol or high levels of triglycerides), type 2 diabetes, heart disease, stroke, gallbladder disease, sleep apnea and respiratory problems, and some cancers (pancreas, kidney, prostate, endometrial, breast, and colon).

The lowest obesity rates in the nation are in Colorado, at 21.3 percent and Hawaii at 21.8 percent.  In both states, the rate declined between 2012 and 2013.

Jewel Mullen: Public Health Commissioner At Center of State's Ebola Response

Described on the Yale School of Public Health website as “a leader in building effective community-based chronic disease prevention programs,” Connecticut’s Commissioner of Public Health, Dr. Jewel Mullen, has a long academic association with Yale, even as both were catapulted into the breaking news spotlight with a possible case of the Ebola virus in a patient under care at Yale-New Haven Hospital. Mullen is also well-acquainted with the U.S. Centers for Disease Control and Prevention, having served on public health advisory committees, appointed by the CDC and the U.S. Department of Health and Human Services.  Little known by state residents outside of the public health community, she is well regarded within those circles.

She is the New England regional representative to the Association of State and Territorial Health Officials (ASTHO) Board of Directors and chairs ASTHO’s Prevention Policy Committee. In 2013, she was appointed to the Institute of Medicine’s Committee on Quality Measures for the Healthy People Leading Health Indicators.

Appointed as Commissioner by Governor Dannel Malloy at the start of his administration in 2011, Dr. Mullen has combined clinical work, research, teaching and administration throughout a career focused on improving the health of all people, especially the under served. Board certified in internal medicine, Dr. Mullen received her Bachelor (1977) and Master (1996) of Public Health degrees from Yale University where she also completed a post-doctoral fellowship in psychosocial epidemiology.

Earlier this month, Malloy declared a public health emergency in Connecticut, issuing a precautionary and preparatory order that allows state public health officials to coordinate a targeted quarantine in case Ebola arrives in the state, with decision-making authority residing in Commission Mullen.  Without the Governor’s declaration, there would not be a statewide ability to isolate or quarantine – instead, the authority would have remained with individual local public health directors.

Prior to joining the Department of Public Health, Dr. Mullen was director of the Bureau of Community Health and Prevention at the Massachusetts Department of Public Health. In 2012 the CDC appointed Dr. Mullen to its advisory committee on health disparities, a subcommittee of the Advisory Committee to the Director.  Earlier in her career, she was the medical director of Baystate Mason Square Neighborhood Health Center in Springfield, Massachusetts. She graduated from the Mount Sinai School of Medicine where she was elected to AOA, the National Medical Honor Society, after which she completed her residency at the Hospital of the University of Pennsylvania.

In addition to being a physician, Mullen is also an educator, who has taught medicine at several different universities including New York University, the University of Virginia, Yale and Tufts University. . She also holds a Master in Public Administration degree from Harvard University’s John F. Kennedy School of Government. She is currently listed as a lecturer in epidemiology (chronic diseases) and in public health by the Yale School of Public Health and is an ex-officio member of the state Board of Regents for Higher Education.

Her priorities at the Connecticut Department of Public Health, according to the Department website, include chronic disease and injury prevention, health care quality and safety, health equity, and supporting local efforts to create healthy communities.  She has lived in Connecticut since 1992.

CT’s 40 Fastest Growing Tech Companies Achieve Statewide Recognition

Connecticut’s fasted growing technology companies will be the center of attention Thursday evening as the Connecticut Technology Council (CTC) and Marcum LLP spotlight the 2014 Marcum Tech Top 40. Now in its 7^th year, the annual list features privately and publicly held companies, including some newcomers to the top 40. The 2014 winners are predominantly privately held companies, but 12 public companies also made the list, including Rogers Corporation, Gartner Inc. and Alexion Pharmaceuticals. That’s a slight drop from a year ago, when 14 public companies made the list.

Geographically, Fairfield County is home to 16 winning companies this year, followed by Hartford County and New Haven County, both with ten companies. For Fairfield and New Haven counties, the count increased by two businesses from a year ago; for Hartford County, the number was unchanged from last year. 

The selected companies have at least $3 million in annual revenue and a demonstrated record of growth in each of the preceding four years.  Four of the businesses have over $1 billion in revenue.

The Marcum Tech Top 40 recognizes technology leaders in six industry sectors, including Advanced Manufacturing, Energy/Environmental, Life Sciences, New Media/Internet/Telecom, IT Services, and Software. This year’s winners range from newcomer VRSim, Inc., a creator of virtual reality training tools for industrial and manufacturing applications, to Priceline.com, a leader in mobile travel.

Bruce Carlson, CTC’s President and CEO added, “Connecticut is proud of its remarkable heritage of innovation and invention. Job growth in Connecticut is going to come from the technology sector and these Tech Top 40 companies are a great example of the range of technology companies that are growing substantially in Connecticut.”

Among the names on this year’s list:  Frontier Communications, based in Stamford, providing communications services to residential and business customers across the country (in the news this year for the proposed purchase of AT&T’s business in Connecticut); and Bolt Technology Corporation, based in Norwalk, the leading worldwide developer and manufacturer of seismic energy sources, synchronizers and underwater connectors used in offshore seismic exploration for oil and gas; and Fitlinxx, based in Shelton,  an industry leading provider of wellness applications, wireless activity monitors, and health tracking devices that motivate people to live active and healthy lifestyles.

The city with the largest number of companies on the Top 40 list this year is Stamford, with six, followed by Norwalk with four, Shelton with three, and Wallingford, South Windsor, Simsbury and New Haven, each with two businesses on the list.  Other towns with a top 40 high tech business are Torrington, Danbury, West Hartford, Cheshire, Guilford, Greenwich, Plainville, Middlebury, New London, Killingly, Middletown, Fairfield, Madison, Branford, Farmington, Glastonbury, Windsor, Orange and East Hartford.

“Technology companies have a set of shared challenges that range from capital-raising and complex revenue reporting to intellectual property management and international expansion.  Whether they are private enterprises or Fortune 500 companies, this year’s Marcum Tech Top 40 winners all demonstrate management excellence and market foresight,” said Alex Discepolo, a Tax Partner in Marcum’s New Haven office and Practice Leader of the Firm’s High Technology Services Group.

The October 2 awards program, being held at the Oakdale Theater in Wallingford, will include an exhibition featuring the Marcum Tech Top 40 companies. Six category winners will be announced, and one company will be named overall winner for demonstrating the greatest percentage growth in revenue across all the technology verticals.

The Connecticut Technology Council is a statewide association of technology oriented companies and institutions, providing leadership in areas of policy advocacy, community building and assistance for growing companies. Speaking for 2,500 companies that employ some 200,000 residents, the Connecticut Technology Council seeks to provide a strong and urgent voice in support of the creation of a culture of innovation.

 The Tech Top 40:

Advanced Manufacturing

• APS Technology Inc – Wallingford
• Bolt Technology Corporation – Norwalk
• Dymax Corporation – Torrington
• Revolution Lighting Technologies Inc. – Stamford
• Rogers Corporation – Rogers 

Energy/Environmental/Green Technology

• FuelCell Energy, Inc – Danbury
• Proton OnSite – Wallingford

 IT Services

• Cervalis LLC – Shelton
• Datto Inc. – Norwalk
• Gartner Inc. – Stamford
• Information Services Group Inc. – Stamford
• IT direct, LLC. – West Hartford
• VLink Inc. – South Windsor

Life Sciences

• Alexion Pharmaceuticals, Inc. – Cheshire
• Bio-Med Devices, Inc. – Guilford
• Metrum Research Group LLC. – Tariffville

 New Media/Internet/Telecom

• Chief Executive Group – Greenwich
• EasySeat, LLC – Plainville
• Frontier Communications – Stamford
• HealthPlanOne LLC – Shelton
• iSend, LLC – Middlebury
• Job Target, LLC – New London
• M2 Media Group – Stamford
• Priceline.com, Inc. – Norwalk
• Reality Interactive, LLC. – Middletown
• TVEyes Inc. – Fairfield

Software

• Clarity Software Solutions, Inc. – Madison
• Core Informatics, LLC – Branford
• Evariant, Inc. – Farmington
• Evolution1, Inc. – Simsbury
• Fitlinxx, Inc. – Shelton
• Higher One, Inc. – New Haven
• KenCast, Inc. – Norwalk
• Link Systems Inc. – Stamford
• Shoptech Corporation – Glastonbury
• Square 9 Softworks Inc. – New Haven
• SS&C Technologies Holdings Inc. – Windsor
• Tangoe Inc. – Orange
• TicketNetwork - South Windsor
• VRSim, Inc. – East Hartford

CT Ranked #1 in Exceeding Goal in Year One of Affordable Care Act

An analysis of how states fared in the inaugural year of the Affordable Care Act, based on targets for enrollment developed by the Obama Administration, shows that Connecticut leads the list. According to the analysis published by the Wall Street Journal using data from the Department of Health and Human Services, Connecticut ranked #1, attaining 140 percent of the sign-up goal.  The only other states that did better than expected were Rhode Island (137%), New Hampshire (112%) and Florida (106%).

Rounding out the top dozen states, based on their performance compared with expectations, were Maine (92%), Idaho (90%), North Carolina (87%), Wisconsin (77%), Delaware (76%), New York (70%), Virginia (70%), New Jersey (69%), Michigan (69%).

The Journal reported that the lessons learned in the first roll-out of the health care program will be utilized when the next enrollment period begins on November 15.  The newspaper noted that more than eight million people got private insurance for 2014 through the law's insurance exchanges, which were plagued with technical problems when they opened in October 2013 but stabilized toward the end of the six-month sign-up period.

The next enrollment period runs through February 2015, and it is expected that marketing campaigns will stress testimonials from real people, more emphasis on deadlines, and an increased focus on in-person help.  Individuals can sign up at the federal website, healthcare.gov, to receive updates, focused by individual states.

Connecticut’s official health insurance marketplace, Access Health CT, is reminding state residents that Enrollment in Medicaid (HUSKY) and the Children's Health Insurance Plan (CHIP) is open year round for eligible persons and families.

The website points out that individuals may also still be eligible to enroll in coverage throughout the year “if you or a member of your household has experienced a Special Enrollment Qualifying Life Event in the past 60 days or you will in the next 60 days.” Qualifying Life Events may include: child birth, adoption, death of a member of the household, marriage, loss of current health care coverage, loss or reduction in employer insurance contributions, new legal CT or U.S. residency, or U.S. lawful presence. Individuals that qualify may not need to wait until November to enroll, and can call 855-805-4325 for additional information.

Earlier this month, Access Health CT CEO Kevin Counihan took his Connecticut experience to Washington, accepting a position overseeing the federal health exchange.  Counihan joined the federal Centers for Medicare & Medicaid Services team as Marketplace Chief Executive Officer, where he will lead the federal Marketplace, manage relationships with state marketplaces and run the Center for Consumer Information and Insurance Oversight, which regulates health insurance at the federal level.  He'll be in position when the next enrollment period gets underway later this fall.

“We are proud of what we’ve accomplished here—we’re a national leader with more than 280,000 people enrolled in affordable health insurance,” said Lieutenant Governor Nancy Wyman, Chair of the Access Health CT Board.

At the other end of the spectrum, according to the analysis, the states that fared well below expectations were Massachusetts (-87%), Oregon (-71%), Kentucky (-62%), Nevada (-61%) and New Mexico (-61%).

In-Person Explanations of New Health Insurance Program Outperform Web, Phone

In an era increasingly dominated by technology, a new study has underscored the importance of person-to-person assistance in a critical realm:  health insurance for chronically underserved populations. Consumers found it easier to get and use information from in-person assistance, and rated information from in-person assistance significantly better compared to information from a telephone helpline or the website of Access Health CT, Connecticut’s health insurance marketplace. In-person assisters played a crucial role in enrolling hard-to-reach, underserved populations, according to a study conducted by the Community Alliance for Research and Engagement at the Yale School of Public Health for the Universal Health Care Foundation of Connecticut.

The evaluation examined the enrollment experiences of people from underserved urban areas of Connecticut, and sought to evaluate the outreach and enrollment process from the perspective of consumers and the in-person assisters and navigators who worked with them.  In-person assistance provided a critical service for consumers who were unable to navigate the helpline and website, the study found.

As trusted resources in the communities where they worked, assisters were clearly valued by their customers.  The study shows high rates of satisfaction overall with the enrollment process and emphasizes that in-person assistance was preferred by customers when they were asked to compare it to their interactions with the website or helpline.

Consumers mostly heard about AHCT through ‘word of mouth’ and ‘family and friends’.  Other sources of initial awareness, cited less frequently, were news programs, tv commercials, newspaper ads, library, internet and radio commercials. 

Satisfaction with the application and enrollment processes was high among survey participants. Ninety-five percent of respondents reported that the application and enrollment process was "definitely" or "somewhat" easy.  Twenty-nine percent reported some dissatisfaction with the amount of time required to enroll in a health plan.

The study found thta 90 percent would "definitely" recommend Access Health CT (AHCT), and an additional 9 percent would "probably" recommend AHCT.

During the open enrollment period of October 1, 2013, to March 31, 2014, the federal government was the major funder of in-person assistance, providing over $2.5 million in funding to the program.  The reported noted that “This level of funding is no longer available, yet, the need for assistance, both for the upcoming open enrollment period (November 15, 2014, to February 15, 2015) and beyond, is great.”  Plans for continuing in-person assistance, offered at store-front facilities, are under consideration according to published reports, with specifics uncertain.

Consumers most often wanted to learn about the cost of plans and the availability of financial assistance for insurance premiums. Of consumers who did not enroll, the most common reason was the need for more information, according to the study.

The report also noted that "because Connecticut is a national leader in the implementation of the US health insurance marketplace, the Connecticut experience may inform policy in other states and at the federal level."

CT One of 4 States to Require RN 24/7 in Nursing Homes; Study Finds Care Diminishes with Private Equity Ownership

In Tennessee, Rhode Island, Hawaii and Connecticut, nursing homes must have a registered nurse on duty 24/7.  A total of only thirteen states require 24-hour registered nurse coverage in some cases, but their statutes vary, and are somewhat less stringent than the four 24/7 states. As for the rest of the country, a registered nurse may be on premises for as few as 8 hours each day.

When U.S. News & World Report rated Connecticut’s nursing homes, one-third received the publication’s top rating.  About 32 percent of all nursing homes in Connecticut earned an overall five-star rating.  Areas of measurement included health inspections, nurse staffing, and quality measures.

That’s the good news.

Another recent study found that nursing homes under private equity ownership are cited for more deficiencies and have fewer registered nurses on staff than other for-profit facilities.

Findings published in the Journal of Health Care Finance earlier this year indicated that “Results suggest troubling shifts in nurse staffing patterns of private equity nursing homes particularly in the case of Registered Nurses.”

Investigators analyzed quality indicators for about 350 nursing homes in Florida for each year between 2000 and 2007. These facilities had a 9 percent higher pressure ulcer risk prevalence and reported 21 percent higher deficiencies compared with a control group of Medicare/Medicaid-certified, for-profit, chain-affiliated, non-hospital nursing homes.

The private equity nursing homes also had 29 percent lower registered nurse hours per-patient-day, the study authors determined.

The findings bore out the investigators' hypothesis that private equity ownership would correlate with diminished care quality. Previous research also has come to this conclusion, the authors noted.

The researchers recommended “transparency and accountability” to address concerns, concluding that “to ensure that nursing homes deliver high quality care and in instances where this expectation is belied, effective tools are available to punish the guilty and to compensate the victims.”

The study was done by researchers affiliated with academic institutions including the University of Arkansas for Medical Sciences, the University of Alabama at Birmingham and the University of Florida. Findings appear in the Journal of Health Care Finance.

MetroHartford, Connecticut Have Strong Linguistic Diversity; Plus for Global Marketplace

The number of languages spoken in Connecticut is considerably larger than most people expect.  That fact was highlighted in the recent MetroHartford Progress Points Report, prepared for the MetroHartford Alliance.  The linguistic diversity and global connections of the region are reflected in schools and employers, with more than 100 different languages spoken in homes of students attending schools throughout the region, according to the report. The “number of students with non-English home language” according to data on the website of the State Department of Education include Avon, 185; Bloomfield, 59; East Hartford, 1,124; Farmington, 474; Hartford, 8,371; Manchester, 335; Newington, 653; Simsbury, 228; South Windsor, 328; Tolland, 14; West Hartford, 1,876; and Windsor, 280.  The report indicated that 75 percent of English language learner (ELL) students are Spanish-speaking, 25 percent speak other languages at home.

Some of the languages spoken in the homes of students attending schools in the region may be unexpected.  In Manchester, for example, the lead languages are Spanish, Bengali, and Urdu, and the list also includes Twi/Fante, Telugu, and Gujarati.

The Hartford region consists of 750,000 people living in the city of Hartford, its surrounding inner-ring suburbs, and outer-ring and rural towns that have historical, economic or social ties with the city.

In 2013, the Hartford Foundation for Public Giving gathered a group of regional stakeholders to develop a unique community partnership that came together to collect, analyze and disseminate a broad range of data, to place a spotlight on some of the central challenges and opportunities for the region. The goal was to share critical information “with residents and policymakers that will result in meaningful dialogue and propel action in our communities.”  Among the report’s areas of research is “increasing globalization through immigration,” using data from the state Department of Education (SDE).

Sponsoring organizations of Metro Hartford Progress Points include Capital Workforce Partners, Trinity College’s Center for Urban and Cultural Studies, the Capitol Region Council of Governments, the Hartford Foundation for Public Giving, Hispanic Health Council, MetroHartford Alliance, United Way of Central and Northeastern Connecticut, Urban League of Greater Hartford and the City of Hartford.

Data on English-language learners and languages spoken in schools is based on reports retrieved from the SDE CEDAR Data Tables on English Language Learners, for both Number of English Language Learners (ELL) and Languages Spoken by Connecticut Students for the 2010-11 school year, the most recent data available.

Statewide, the variety of languages spoken by Connecticut students is considerable.  Nearly 73,000 students live in homes with a “non-English home language,” according to the State Department of Education. The leaders include:

• Spanish                        47,190
• Portuguese                  2,846
• Polish                          2,279
• Albanian                      1,263
• Chinese                       2,215
• Creole-Haitian             1,714
• Arabic                         1,159
• Vietnamese                 1,157
• Urdu                            1,131
• Russian                        811
• French                         762
• Gujarati                       738
• Serbo-Croatian            705

For the uninitiated, Gujarātī is an Indo-Aryan language spoken by about 46 million people in the Indian states of Gujarat, Maharashtra, Rajasthan, Karnataka and Madhya Pradesh, and also in Bangladesh, Fiji, Kenya, Malawi, Mauritius, Oman, Pakistan, Réunion, Singapore, South Africa, Tanzania, Uganda, United Kingdom, USA, Zambia and Zimbabwe.  And, apparently, Connecticut - in the homes of 738 students.

Close to 100 million people around the world speak Urdu. It is the official language of Pakistan, a status and is also spoken and understood in parts of India, Bangladesh, Nepal, the Middle East.

The Progress Points partners include: Capital Workforce Partners, Capitol Region Council of Governments, City of Hartford, Hartford Foundation for Public Giving, Hispanic Health Council, MetroHartford Alliance, Trinity College Center for Urban and Global Studies, United Way of Central and Northeastern Connecticut , and the Urban League of Greater Hartford.

https://www.youtube.com/watch?feature=player_embedded&v=0zTQjsbNlw0