URMC artist in residence fights stigmas with portraits

The health problems of millions of Americans are directly related to patients' failure to follow doctors’ orders. Community health workers are increasingly successful in New York and other American cities – not to substitute for doctors, but to help patients stick to their treatment plans.

Two columns on how Iran averted a major AIDS epidemic through needle exchange programs; a conservative theocracy is successfully treating drug abuse as if it were Amsterdam.

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.

One-pill-a-day generic AIDS drugs for poor countries are hard to make because each ingredient is patented by a different pharmaceutical company. The Patent Pool provides a way for companies to donate their intellectual property safely.

There is a mental-health capacity crisis gripping Washington state. The area’s response approach, crafted over two decades, centers on a set of intensive outpatient and early-intervention programs aimed at preventing hospitalizations.

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.

For decades, AIDS has taken the lives of millions of people and infected millions more worldwide. The key to reducing the effect of AIDS, and even potentially curing it, involves treating patients as early as possible after being diagnosed with HIV, before the disease damages organs. San Francisco General Hospital developed the RAPID program for this purpose, with the goal of “Getting to Zero” the number of new infections and deaths.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

Milwaukee County’s mental health system put more resources in expensive emergency care rather than invest in programs that offer continual care. As a result, Milwaukee County identifies nine solutions from other cities that have had success in repairing mental health systems. Solutions include the ending of reliance on emergency care, expand community support programs, change laws, and supportive housing.

In a mountainous region of Lesotho, a man named Tsepo Kotelo visits 20 villages every week on his new motorcycle to provide health care to local villagers. The Elton John AIDS Foundation gifted the motorcycles to Kotelo and his colleagues, allowing them to increase the number of patients they visit by 600 percent. An organization called Riders for Health helps maintain the bikes, ensuring that remote villages will continue to receive medical care.