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According to President Donald Trump, the tragic Texas church shooting that left 26 people dead was "a mental health problem at the highest level."If you ask mental health researchers, such mass shootings are much more complicated than that.On Sunday, 26-year-old Devin Kelley sprayed bullets across the sanctuary of First Baptist Church in Sutherland Springs, Texas, about 30 miles east of San Antonio. The youngest killed at the church was 17 months old; the oldest was 77 years old."We have a lot of mental health problems in our country, as do other countries, but this isn't a guns situation," Trump said during a joint news conference Monday in Tokyo."This is a mental health problem at the highest level," he said. "It's a very, very sad event."Trump's response to the Texas church shooting echoed previous comments he has made on gun violence. In 2015, Trump said he was opposed to tightening gun laws in the United States but was in favor of addressing mental health to prevent shootings.Yet various epidemiological studies over the past two decades show that the vast majority of people with severe mental illnesses, such as schizophrenia, bipolar disorder or severe depression, are no more likely to be violent than anyone else.Rather, people with severe mental illnesses are more than 10 times more likely to be victims of violent crime than the general population. And, only about 3% to 5% of violent acts can be attributed to individuals living with a serious mental illness, according to the US Department of Health and Human Services.But those statistics have "almost nothing to do with mass casualty shootings," said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University who specializes in gun violence and mental illness.So exactly how are mental health and gun violence intertwined, and what is needed to end the violence?Gun violence and mental illness are public health problems "that intersect at the edges" but have very little overlap, Swanson told CNN last year.There's no doubt that America's systems of care for mental health are overburdened, expensive and inaccessible for many who need them, he said. But when it comes to gun violence among this community, suicide tends to occur at higher rates than homicides, he said."If we back up and think about firearm-related injuries and mortality as a public health problem, it turns out there is a mental health-related story, and it's suicide," he said. "If we had better mental health care and could get people better access and break down barriers to care, then yes, we might reduce gun violence by a lot but it would be from reducing suicides."Otherwise, mental illness is just one "highly unspecific" factor that may contribute to gun violence, along with being young, white and male, or a history of violence, Swanson said.Instead of policies that restrict gun access based solely on mental illness diagnoses or because a person has made contact with the judicial system or health care agencies due to mental illness, the American Psychological Association, the National Alliance on Mental Illness and other advocacy groups have called for gun access criteria based on more subtle indicators of potentially dangerous behavior.Those indicators -- such as having past or pending violent misdemeanor convictions or charges, domestic violence restraining orders or multiple DUI convictions -- have been largely informed by the work of Swanson and others.Swanson supports intervention at the point of purchase through comprehensive background checks -- but to make background checks work, criteria for inclusion on the database should be based on other indicators of risk besides mental health history, such as those indicators of aggressive, impulsive or risky behavior."A history of violent behavior is a far better predictor of future violence than mental illness," he said.Calling gun violence a mental health issue is to scapegoat and stigmatize people with mental illness, he said."It's kind of a canard, a convenient explanation that exploits the tremendous fear people have with these horrifying mass shootings," he said. "If people fear those with mental illness they're going to treat them with scorn and support public policies that restrict their liberties."After all, mental illness affects millions of adults across the country.In 2015, there were an estimated 43.4 million adults in the United States with some form of mental illness within the past year, which represented 17.9% of adults nationwide, according to the National Institute of Mental Health.The American Psychological Association recommends prohibiting firearms for high-risk groups, such as domestic violence offenders or persons convicted of violent misdemeanor crimes."Reducing the incidence of gun violence will require interventions through multiple systems, including legal, public health, public safety, community, and health. Increasing the availability of data and funding will help inform and evaluate policies designed to reduce gun violence," according to the association's website.Swanson and his colleagues examined the proportion of people in the United States with impulsive angry behavior who own or carry guns and have a diagnosable mental illness in a paper published in the journal Behavioral Sciences & the Law in 2015.They conducted household surveys with 9,282 people from February 2001 to April 2003, excluding people who carried guns for work, resulting in a response rate of 70.9%.An analysis of the survey results estimated that nearly one in 10 adults has access to firearms and has a problem with anger and impulsive aggressive behavior.These people were more likely to be male, younger and married and to live in outlying areas around metropolitan centers rather than in central cities, Swanson and his colleagues wrote in their paper.They were significantly more likely to meet diagnostic criteria for a wide range of mental disorders, including depression, bipolar and anxiety disorders, PTSD, intermittent explosive disorder, pathological gambling, eating disorder, alcohol and illicit drug use disorders, and a range of personality disorders.What's more, despite evidence of "considerable psychopathology" in many of these respondents, only a very small proportion, 8% to 10%, were ever hospitalized for a mental health problem."Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment," Swanson and his colleagues wrote in the paper's abstract.As for Texas gunman Kelley, the state denied him a license to carry a gun, Gov. Greg Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott told CNN's Chris Cuomo. "So how did this happen?"On Monday, Trump said his "thoughts and prayers" were with the victims and their families but did not suggest plans to take any legislative or other policy action to address the shooting. 7228

Airport security checkpoints can be among the worst things about air travel. Most of us would like to have the TSA Pre-Check so we can skip the long lines and the wait, but the cost to have it processed steers us away from this travel perk.If you have a trip coming up this year, there is some good news. There's a way to get a free TSA Pre-Check membership.Right now, there are at least 12 credit cards and 5 loyalty programs that will let you get a TSA Pre-Check membership for free.The credit cards include certain American Express cards, Bank of America premium rewards, Chase Sapphire and Expedia Voyager card from Citi.The loyalty programs include Marriott rewards, United Mileage Plus and Club Carlson. We found, while many of the credit cards cover the TSA Pre-Check fee outright, the loyalty programs pay for it with points.You also need to consider if there's an annual fee for the credit card and if the tradeoff is worth it.Of course anytime you sign up for a credit card and or loyalty program you'll want to read the fine print, but it could be worth your while to check out your options to save some cash, and some time, when you travel.  1199

About 60 percent of restaurants that had to close during the pandemic are now permanently closed, according to review site Yelp.Across industries, Yelp reports that 132,580 businesses that were listed as “open” on March 1 are now marked “closed”, and roughly 55 percent of those closures are permanent. Those percentages translate to 72,842 businesses permanently closed as of July 10 that were open in March, and more than 15,700 of those are restaurants.Las Vegas is suffering from the highest rate of closed businesses, with 861 that are now permanently closed. Las Vegas has seen a huge decrease in tourism, and according to Yelp, this accounts for the spike in closures.The rate of permanent closures has increased since April as the coronavirus pandemic spreads and businesses of all kinds are forced to close or adjust how they interact with customers, sometimes resulting in fewer sales. Yelp reports that the number of total closures, though, has fluctuated as states reopen and close down again based on outbreaks.However, some businesses are seeing far fewer permanent closures. These include professional services like lawyers, accountants, web design and tutors or educators. Health services like physicians, mental health services, and health coaches are also seeing fewer permanent closures during the pandemic.“With nearly every state (and even county) taking a tailored approach to reopening local economies we expect these shifts in consumer interest and business closures to continue to move at an unpredictable pace,” the report stated.As businesses opened up in June, Yelp reports that people are searching for alcohol-related experiences, with an increase in searches for wineries (up 51 percent since May), cideries (up 39 percent) and breweries (up 24 percent). Searches for outdoors activities has also increased since May, like ziplining (up 44%) and ATV rentals (up 37%). 1906

After Hurricane Laura hammered parts of the Gulf Coast, communities are coming together with people helping people.“The battle cry is out there,” said Curtis Drafton, who is gearing up for a private rescue mission. “The bell is tolling. Let’s go get it!”This United States Army veteran, who spent his life helping others, is now spending his own money to do the same as a civilian.“Last year we spent around ,533,” he said.Drafton is leading the Veteran Emergency Response Unit, a nonprofit providing relief during natural disasters.“It’s not really about the money,” he said. “It’s like, Americans are suffering, Americans are dying and at the end of the day, somebody has got to pick up the slack.”About an hour outside of Baton Rouge in Gator Country, neighbors gathered to help remove a fallen tree off Paige Fontenote’s brand new outdoor carport that was crushed during the storm.“It touches my heart; it makes me want to cry,” she said.Overcome with emotions, Fontone almost broke down from the support from people in the area where she wants to retire.“This is what it’s all about,” she said. “This is why we want to move here.”In Lafayette, Louisiana, homeowners took matters into their own hands, chopping down a fallen tree between a home and an apartment complex.“You cook a gumbo, you hope nothing doesn’t happen to your house and then you get out and help your friends,” said one local man.Helping friends in this time of need as people continue to help other people.“If 2020 hasn’t taught us anything that would be it,” the man said. “Turn the TV off, spend time with your neighbors and do it for them.” 1628

Although Democratic presidential nominee Joe Biden slightly leads President Donald Trump in Nevada, the state did not declare a winner on Election Day.According to the Nevada Department of Elections, they would not be releasing any new vote totals until 9 a.m. Thursday.Officials said they have already counted all mail-in ballots through Nov. 2 and all early in-person votes and Election Day votes.But in a tweet early Wednesday morning, the department explained that they still had more ballots to count before they could declare a winner in their state. They also have not counted any mail-in votes that were received on Election Day. They still have to count mail-in ballots that will be received over the next week, as well as provisional ballots."Ballots outstanding is difficult to estimate in Nevada because every voter was sent a mail ballot," officials said in the tweet.As of 9:30 a.m. CT Wednesday, Biden has 588,252 votes, and Trump has 580,605, according to the AP.According to the Associated Press, no Republican presidential candidate has carried Nevada since 2004. 1089

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