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Doctors say a second wave of mental health devastation brought on by the pandemic is imminent and has the potential to overwhelm parts of the mental healthcare system.“This is going to be a long-haul situation,” said Chuck Ingoglia, president and CEO of The National Council of Behavioral Health, which offers services to 3,400 local mental health organizations around the country. “I’m certainly hearing from our members that they’re feeling a lot of tension right now.”In a survey of more than 5,000 people released by JAMA last week, 40.9 percent reported feeling at least one adverse mental health condition including depression, anxiety, and substance abuse, tripling to quadrupling rates from one year earlier. And remarkably, 10.7 percent reported seriously considering suicide within the last 30 days.“We are concerned that these [symptoms] could get worse,” said Dr. Vail Wright, senior director of healthcare innovation at the American Psychological Association. “We’re anticipating that we’ll continue to see mental health challenges including an increase in diagnostic categories as this continues if people don’t take active steps to manage their stress.”One of those major respites has been the outdoors during the summer months. Dr. Wright says as the days get shorter and the weather gets colder more people will stay indoors, losing a source of happiness as Vitamin D boosts energy and mood.This is all happening as COVID cases across the country increase drastically. This past week 500,000 positive COVID-19 cases were reported in the United States, the most since the pandemic started, which has prompted some states to tighten their restrictions on activities and capacities in restaurants.The increase also has the potential for hospitals to leave more beds open for patients, taking away psychiatric beds in the emergency room for those who come for treatment.The shift puts even more strain on the local organizations Ignoglia oversees that have been dealing with funding issues.“Our members are reporting about a 20 percent reduction in revenue,” said Ignoglia. “You deal with that by closing programs and laying off staff, which then means you serve fewer patients which then means your revenue stays low. So it’s kind of this self-perpetuating problem that we’re having.”Ignoglia says he has been focusing on the Trump administration and Congress as a source of relief in hopes more stimulus money comes to these programs so this concern does not evolve into something worse. 2510

EL CAJON, Calif. (KGTV) - An El Cajon police officer's encounter with a group spray-painting graffiti ended in remarkable fashion early Wednesday morning.Sgt. Mike Murphy was on patrol around 2 a.m. when he got a radio call reporting people in dark clothing tagging along Heart Drive."Saw three males with dark clothing. Hit them with a spotlight and told them to have a seat, which they all did," said Sgt. Murphy.Two other patrol officers were called to the scene. The three men in their late 20s had spray paint under their nails, with fresh paint on the sidewalk and the wall of a business. Sgt. Murphy decided to take a closer look."I saw messages, not of hate, but of peace and love ... the peace sign and 'BLM.' Just had a discussion. 'You're not trying to say anything mean or hateful. Why did you choose a wall?' I understand the frustration of everything going on. Talked about, if this happened to their house, would they be upset? They apologized, and all agreed the avenue they chose was a wrong one. And they came up with, 'What if we fix this?' I said, 'I'd like to help you with that,'" said Sgt. Murphy.Sgt. Murphy, who says he had enough to make an arrest, decided to let them go and asked them meet at the same location that same evening, where he would help them clean up."Having them arrested, how is that going to help the message they're trying to put out? The vandalism would still be on the wall," said Murphy.At 7 p.m. Wednesday, the three men showed up with paint and rollers. Together with Sgt. Murphy, they painted over the graffiti."These men were true to their word. What better way to show not just how the department treats its citizens, but how the citizens treat our city. We all make mistakes, and sometimes we have to be given the opportunity to come back from a mistake," said Sgt. Murphy.The three men have decided to they will create a plywood art installation. Sgt. Murphy has promised to help them find a venue. 1961

Diana Farrell is the President and CEO of the JPMorgan Chase Institute, which publishes data analyses and insights that leverage the firm's proprietary transaction data. Previously, Diana was the Deputy Director of the National Economic Council, as well as Global Head of the McKinsey Center for Government and the McKinsey Global Institute. The opinions expressed are her own. The deadline to file your 2017 taxes is just a week away. But if you're one of the millions of Americans — roughly four in ten households — who filed back in February, you probably couldn't wait to get your hands on your expected refund.And there's a good chance you put that refund toward a visit to the doctor.That's according to new research by the JPMorgan Chase Institute, which evaluated when Americans in different income and demographic groups file their taxes.Americans who file their taxes early are more likely to receive a larger tax refund. Early filers were also more likely to spend a larger portion of their refund on health care.Related: How to save money on health care in retirementIn fact, American families increase their health care spending by 60% in the very week they receive a tax refund. And those who received their refunds in February increased their health care spending over the following 76 days by 38%, compared with a 22% increase for those who received refunds in March and an 11% increase in April or May.While some high-deductible health plans encourage early-year spending, JPMorgan found that deductibles aren't the motivating force behind this surge.Instead, among the earliest filers, 64% of their health care spending went to services they had been putting off, including dental visits, hospital visits and in-person doctor appointments.What does this mean? It's increasingly clear that families are treating their tax refunds as a zero-interest savings vehicle, the funds of which they're using for important and sometimes crucial expenses like health care.That's problematic for Americans' financial health, because the IRS does not currently give taxpayers control over the timing of their refund payments, outside of choosing when to file your annual refund between January and Tax Day in April. This means it can be challenging or unrealistic to only schedule payments or purchases around your tax refund every spring.It also poses problems for Americans' physical health, because those who rely on this cash infusion to afford health care are likely to delay care.Related: Americans spend more on health care, but have shorter livesGenerally speaking, young people under the age of 35 and those whose take-home pay is less than ,000 are more likely to be early filers because they have a greater need for this cash infusion.Another reason for filing early could be that low-income families are more likely to receive refundable tax credits, such as the Earned Income Tax Credit, money that is not available except through a tax refund. Across all income and age groups, though, people who are owed a larger refund are more likely to file early.Given the link between tax refunds and health care spending, policymakers and employers should consider making changes that would allow consumers to access funds throughout the year. Policymakers might consider offering periodic tax refund payments -- perhaps quarterly payments so that families wouldn't have to defer care until tax season.Another solution is to make the timing of these payments even more flexible and frequent for those who require urgent health care. This could include an option to apply for emergency funds taken out of your upcoming refund, or an option to file at a different time of year and receive a refund based on year-to-date income.Related: How to file your taxes for the first timeBy fixing one of the largest cash flow events to happen between mid-February and mid-May every year, we're virtually guaranteeing that some Americans will have to defer care.Finally, we should encourage employers to offer alternative savings vehicles, like an employer-based sidecar account. This account would share many of the same features of a tax refund, but give consumers more direct control over when they access funds.These could include built-in commitments and "set-it-and-forget-it" transparency, which would enable consumers the option of a one-time payroll election that recurs with every paycheck, locking them into an annual savings choice similar to other employer-sponsored benefits.By better understanding the connection between health care spending and tax season, we can help more families manage their finances to ensure they're getting health care when they need it, not just when they file to Uncle Sam.The-CNN-Wire 4734

Dr. Deborah Birx, the White House coronavirus response coordinator, said on Wednesday that several states should consider moving back to Phase 1 in reopening due to increased coronavirus activity.Dr. Birx pointed to Arizona, Texas, California and Florida as states that are seeing a high prevalence of the coronavirus. This comes as intensive care units in Arizona and Florida are reaching capacity.Amid her pleas to the American people, she encouraged everyone to avoid participating in indoor gatherings, and dine outside rather than inside.“I think the work that these governors have done to — and ask the American people is it’s stop going to bars, to close the bars, to move to outdoor dining, to decrease indoor — any kind of indoor gatherings again,” Dr. Birx said. “To all of the Americans out there that are in these four states and the states that have — in the report, were in the red zone — because there’s a series of other states that we have in that zone — is really asking the American people in those counties and in those states — in those states to not only use the face coverings — not going to bars, not going to indoor dining — but really not gathering in homes either and decreasing those gatherings back down to our phase one recommendation, which was 10 or less.”During Thursday’s news conference with the White House’s coronavirus task force, Vice President Mike Pence said he believes the virus could be reaching its peak in hard-hit Arizona and Florida.“We’re actually seeing early indications of a percent of positive testing flattening in Arizona and Florida and Texas,” Pence said. “Governors in each of those states have taken strong steps to flatten the curve.”But data from Johns Hopkins University suggests the positivity rate is still going up. In Florida, the seven-day average of positive COVID-19 tests is at 18.7%, compared to just 4% a month ago. The rate of positive tests in Arizona is also up to 26.8%, up from around 11% this time a month ago.Given the spread, hospital officials in both states are preparing for “surge capacity” to make more ICU beds available to handle a possible influx of patients.Nationally, the rate of positive tests have increased in recent weeks, showing that the jump in the number of confirmed COVID-19 cases is not just due to increased testing. Nearly 8% of COVID-19 tests are coming back positive, according to Johns Hopkins University data, up from 4.4% four weeks ago.Notably missing at Wednesday’s briefing was Dr. Anthony Fauci, who has vocalized concerns over US states reopening too quickly. 2581

Editor's note: There are no triggering images embedded in this story. However, to explain to those without trypophobia what the disorder is like, we have had to use a few descriptive phrases of common triggers. Please be cautious while reading.It was supposed to be a fun lunch outing in the Big Apple with her mother and grandmother. But when Jennifer Andresen saw an advertisement for this season's "American Horror Story" on the side of a New York taxi, she had to pull her car over, and fast."I was having a full-blown panic attack," said Andresen, who lives in Norwalk, Connecticut. "My pulse was racing. I was so nauseous. I thought I would throw up. My mother and grandmother were like, 'What is wrong with you?' I didn't want to ruin my family's day, but I couldn't help myself."What Andresen has is trypophobia, an intense, irrational fear of small holes and clusters of circles and bumps, such as those in a honeycomb, lotus flower or bubble bath. The phobia is a key part of this season's "American Horror Story: Cult," as the main character, Ally Mayfair Richards (played by Sarah Paulson), is overwhelmed in the first episode by some holes in her soufflé and a coral in her therapist's office that she feels is staring at her."My husband and I were watching 'American Horror Story,' and I didn't have any idea what the show would be about," Andresen said, her voice rising nervously. "The piece of coral she saw freaked me out so badly that I had to tell my husband. Up to now, I've kept it to myself because it seemed so silly, so odd."Andresen has general anxiety and "a bit" of obsessive-compulsive disorder, so her family was comforting. But that's not the reaction she gets from others. Other people say, 'What is wrong with you?' They don't understand," Andresen said. "But it's like anything else people can get upset about. People are scared of spiders, heights, clowns, and I'm scared of this. It's an actual phobia. It's real. It's definitely not a joke.""American Horror Story" is promoting its new season widely, with bizarre images of body parts and clowns photo-edited full of holes. (The main character is also scared of clowns.) It was one of those large posters -- an image of a woman's face licking upward with a tongue riddled with holes -- that triggered Andresen."With the media exposure from 'American Horror Story,' it's going to get worse, and people are going to try to trigger us," said Sue M. of Hampshire, England. Sue, who has suffered from trypophobia since she was 5, did not want her last name to be used."I've seen an exponential increase of trigger images on Facebook and across the Internet," Sue said. "We'd had people join our Facebook support group, be welcomed into the community and then post a trigger picture and do harm to the group."Why do people do that? I suppose they enjoy seeing the reaction," she mused. "They are not only bullies but cowards as well, hiding behind their false name and the anonymity of the Internet." 2994