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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. (CNS) - As the San Diego Unified School District prepares to begin its school year remotely next month, other school districts in the region are taking a different tack or waiting to see what unfolds with the ongoing COVID-19 pandemic.The Cajon Valley Union School District in East County reopened Monday for in-person teaching for the first time since schools were ordered to close by public health orders. Every elementary and middle school is open in Cajon Valley.Using money from the federal Coronavirus Aid, Relief, and Economic Security Act allocated for safety supplies, distance learning tools and learning loss recovery, Cajon Valley principals and their teams prepared a free summer learning program for interested families. While finalizing the district reopening plan early last month, the Cajon Valley management team along with union leaders discussed the practicality of starting small with the most conservative safety measures in place during summer.RELATED: Parents explore other options as school districts start school year online"It's such a blessing both to have our kids back on campus and also to start small and learn how to best implement the new safety guidelines ahead of all students coming back in August," said Mike Kuhfal, principal at Flying Hills K-8 School of the Arts.When all San Diego school districts were forced to shut down on March 13, Cajon Valley staff and trustees immediately began weekly meetings via Zoom with employee groups and parents, which included virtual town hall meetings with every school community. These meetings led to the formation of its school reopening plan in the first week of June.Those plans include four options: home school, complete distance learning with no physical school, a hybrid model that combines some physical school with some distance learning and five-day-a-week regular school, space permitting.Justin Goodrich, Cajon Valley Middle School principal, said "by simulating what school is going to look like in the fall our teachers are fine- tuning our safety protocols and instructional plans. Cajon Valley Middle School is so excited to have our staff and students back on campus. Everyone is adhering to the social distance guidelines and showing a great deal of appreciation and respect for one another."RELATED: San Diego Unified School District to start new year onlineDistrict administrators claim that with proper protocols, spread of the illness can be prevented. They cite the district's Extended Day Program, which for the last four months has provided free distance learning support and care for parents working in essential jobs. According to the district, in serving more than 130 families, Cajon Valley hasn't had any staff or students test positive for COVID-19.The San Diego Unified School District, the second-largest school district in the state, released a joint statement with the Los Angeles Unified School District on Monday stating the two districts would begin the school year remotely until going back to school is deemed a low-risk environment for students.Chula Vista Elementary School District -- the largest elementary district in the state -- announced Tuesday it would follow SDUSD's lead and wait to open classrooms.RELATED: Fauci: Schools should try to open in fall, but schools in hot spots should be cautious"We will continue to work towards transitioning to in-person instruction but will only do so when guidance from local health officials supports a safe transition back to learning on site in classrooms," Superintendent Francisco Escobedo wrote in a message to parents.Poway Unified, Escondido Union and San Dieguito Union school districts are all waiting for additional information, but each have developed or are developing hybrid learning plans to split students between in-person home and remote learning. 3857

Due to the coronavirus, President Donald Trump and Joe Biden will not shake hands before or after Tuesday’s first presidential debate.Peter Eyre, a senior adviser for the Commission on Presidential Debates, said that the candidates and moderator Chris Wallace will not be wearing a mask during the debate.Eyre said that an audience will still be invited to the debate, but in order to gain access to the debate hall, attendees will have to pass a health screening, which will include on-site coronavirus testing. The debate hall, which is being held in Cleveland, had roughly 100 seats installed in front of the stage.Wallace announced last week that a discussion on the coronavirus will be one of six topics discussed during Tuesday’s debate.Tuesday's debate is the first of three between Trump and Biden. There will also be a vice presidential debate between Mike Pence and Kamala Harris next month. 909

Don't go to BrettKavanaugh.com looking for information about the nation's new Supreme Court Justice.Someone bought the domain and has turned it into a site dedicated to help survivors of sexual assault.Instead of a Kavanaugh bio or pearls of judicial wisdom, visitors to the site encounter a black-and-white photo of the Supreme Court building along with a simple message: "We Believe Survivors." Below are links to the National Sexual Violence Resource Center, End Rape On Campus and the Rape, Abuse & Incest National Network -- all resources for survivors who are seeking assistance.The URL is hosted by?Fix the Court, a nonpartisan judicial reform organization whose main goal is to fight for honesty and transparency on the US Supreme Court.Even though the site launched this week, the domain was actually purchased three years ago along with a handful of other names of potential Supreme Court nominees."In 2015, as the presidential races were going on, I decided to buy domains of possible candidates for the Supreme Court," Fix the Court Executive Director Gabe Roth told CNN. Fix the Court owns about two dozen domain names, including MerrickGarland.net and JudgeGorsuch.com."I knew that justices that were 75 years old or older could retire, and the upcoming president would need to pick new ones. So I thought of people who could be in line for the job," Roth said.Kavanaugh was narrowly confirmed by the Senate on Saturday after a contentious process that was delayed when Christine Blasey Ford and several other women came forward with allegations of sexual assault and misconduct against him. Kavanaugh vehemently denied all the accusations and endured an FBI investigation requested by the Senate.During Kavanaugh's ceremonial swearing-in at the White House on Monday, President Donald Trump apologized for "the terrible pain and suffering" he and his family were "forced to endure" during his confirmation process.Frustrated by Trump's comments, Roth decided to launch the site Tuesday as a way to put "a national focus on the issue of sexual assault.""Watching the White House ceremony last night and listening to the President again cast doubt on the veracity of Dr. Ford's claims, while not hearing a word of contrition from the newest justice, was difficult for many Americans who have experienced sexual misconduct firsthand," Roth said in a statement.CNN has reached out to the Supreme Court for comment.Roth hopes his website can help survivors while starting a conversation about making the Supreme Court confirmation process more transparent."The entire process was not 100% open to the public. There was information that was not disclosed, and the FBI report was mostly hidden," he said. "This shows that there needs to be more done to make court more open and transparent, and I want to lead that conversation."Roth added that he's not looking to make any enemies and if the Supreme Court asked him, he'd take the Kavanaugh website down or just replace it with original Fix the Court site -- something he plans to do eventually anyway. 3083

Dr. Anthony Fauci warned Sunday that even if a COVID-19 vaccine becomes available, it still may not yield herd immunity.In an interview with the Aspen Institute on Sunday, Fauci — the U.S.'s top infectious disease expert — said he would settle for a vaccine that is between 70 and 75% effective."I doubt seriously that any vaccine will ever be a hundred percent protective. The best we've ever done is measles, which is 97 to 98% effective. That would be wonderful if we get there. I don't think we will," Fauci said. "I would settle for 70, 75% effective vaccine because that would bring you to that level of would-be herd immunity level."But a CNN poll says one-third of Americans do not plan to get a vaccine if it becomes available. Fauci said Sunday that if those figures hold true and a potential COVID-19 vaccine is only 75% effective, the U.S. population would not reach the herd immunity threshold that would kill the virus."That's one of the reasons why we have to make sure we engage the community as we're doing now to get community people, to help us for people to understand that we are doing everything we can to show that it's safe and that it's effective," Fauci said. "And it's for the good of them as individuals and in society to take the vaccine."Three coronavirus vaccines are expected to be studied in large-scale clinical trials in the next three months.Herd immunity comes when a sufficient portion of a population is immune to an infectious disease. That can come either come through prior illness or vaccination, making the disease unlikely to spread further. 1594