To Confront Effects of Trauma, Start with Self Care

A strategy for stopping widespread depression in developing countries should be as obvious as one for combatting epidemics. A new strategy aims to downshift jobs to local workers to act as peer therapists.

A unique program at Los Angeles County-USC Medical Center is combining prenatal care with psychiatric treatment for low-income women who might otherwise not seek help for mental health issues during pregnancy.

A overview of 2014's Fixes columns - connecting the dots between 60 or so ways that people are trying to change the world.

MoodGYM is an online program targeted to help those suffering from depression for whom it is a challenge to access therapy because of location or the stigma it carries. Essentially a therapy session in your pocket, the program allows users to access help at little to no cost, regardless of where they are or what time of day it is.

The highest hospital costs come from preventable emergency room visits. A doctor in Camden developed a home visit program which gives better and cheaper care.

Different programs in various nations are training ordinary people and creating community groups to effectively satisfy the mental health needs of their communities. In many of these regions, "treatment gaps" – where there are little to no mental health treatment plans or resources – exist, but this new informal infrastructure helps to fill that.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

Post-traumatic stress has dire consequences for U.S. veterans, including an increase in suicide, and not all therapeutic treatments for the disorder have succeeded. To treat and potentially cure the effects of PTSD, the Center for Mind-Body Awareness offers veterans Buddhist-inspired meditation, and mindfulness, as well as skills to develop creative expression.

A program in Philadelphia is pioneering new ways to treat the urban wounded. By seeing it as PTSD, and not pointing fingers, the city is using mental health tools to decrease violence and heal communities.

Science suggests that having a secure relationship with a caregiver can help protect a child’s brain and body from the effects of adversity. A Connecticut program for young children who have experienced trauma or other challenges has gotten results by focusing on that relationship – and the things that can interfere, including depression, family violence, and a parent’s own history of trauma.