Monthly Archives: June 2022

Alleviating Opioid Use Disorder With Cognitive Behavior Therapy and Medication-Assisted Treatment – Psychiatric Times

Posted: June 11, 2022 at 1:13 am

PSYCHIATRIC COMMUNITIES

Opiate usage and resulting overdoses continue to grow.1,2 Although, medications can help curb cravings and prevent the misuse of narcotics,3 treatment adherence is limited by the incentives for diversion and the lack of motivation to change.4,5 Individuals inaccurate and unhelpful thoughts about themselves and about substances often interfere with positive change.6 Research shows that cognitive behavior therapy (CBT) is helpful when used together with medication-assisted treatment (MAT).7-9

One of the problems individuals experience when misusing substances is the powerful immediate reinforcement they receive from taking the substance. Indeed, a primary reason individuals use substances is the immediate reinforcement that, in the moment, is much more compelling than the long-term negative consequences of continued use. By the time most individuals voluntarily talk to an addiction specialist, they have likely experienced negative consequences, including diminished pleasure, negative adverse effects, and negative social consequences.

Key Techniques in CBT for Substance Use

Individuals who come to treatment are often conflicted. On one hand, they have experienced negative consequences; on the other hand, they are unable to imagine that their lives could be different or better. In CBT, we work with individuals to help them change the trajectory of their lives by placing a renewed focus on the things they value. We help them imagine how their own lives could improve if they were to pursue aspirations that are aligned with their personal values. When individuals place a renewed focus on their values and personal aspirations, they can connect the short-term and long-term consequences of their actions. Individuals find motivation to change their old habits and participate in healthier activities.

With a newfound desire to make changes in their lives, individuals must make what are often difficult decisions. In CBT, we support individuals in making decisions by doing a cost-benefit analysis. The cost/benefit analysis helps elucidate the relative positive and negative elements of engaging and not engaging in a particular action. By conducting a cost-benefit analysis, individuals gain clarity about the things they value. Accordingly, individuals may make decisions about people with whom it is in their interests to associate, which places to frequent to further their goals, and what things they can do to help them move in a positive direction.

In the throes of addiction, individuals often lose their ability to manage their schedules. In CBT, we help individuals develop schedules with a focus on 2 types of activities. One type of activity increases their level of mastery of things they either need to do or want to do. These activities could include everything from basic hygiene to developing expertise in a profession. The second type of activity increases a persons experience of pleasure, without engaging in substance use. Individuals who suffer from addiction have often lost their ability to experience pleasure when not using drugs. A CBT therapist will help individuals select activities that match their interests and include them on a master schedule designed to include all the different activities they need to do. Having scheduled activities allows less time for the individual to seek out and use substances. The feelings of mastery and pleasure serve as positive reinforcement for engaging in the various activities.

When individuals are caught up in the dynamics of addiction, they often develop negative beliefs about themselves and their abilities. This can lead them to have negative expectations that become self-fulfilling prophesies when situations play out as they predicted. After a person engages in activities that increase their level of competence and pleasure, they gather evidence that contradicts their formerly held beliefs about themselves and about substances. The newly acquired evidence starts a cycle of reinforcement based upon positive assessment, statements, and feelings about themselves. Repeatedly engaging in activities that give them a sense of competence and/or pleasure, combined with positive experiences, lays the foundation for creating new beliefs about their capabilities and capacity for positive feelings.

The continuous use of substances over an extended period can cause a person to become numb to lifes events. Once an individual gives up using substances, the renewed experience of having feelings can be unnerving. Managing emotions can become an important target for therapy. Developing a routine sleep schedule, engaging in healthier eating, and moderating physical elements of emotions may all help an individual learn to better control their feelings. Relaxation techniques, mindfulness exercises, or other activities such as yoga, prayer, and meditation can be very effective ways of helping individuals tolerate and manage their experience of feeling emotions that they have not felt for a long time. These techniques can be used with individuals from all walks of life and with varying histories related to substance misuse.

An Illustrative Case Example

Maria was a 22-year-old college student when she was referred for treatment following her arrest for drug possession and distribution. Maria had excelled academically and in multiple sports during high school. She went to college on a softball scholarship and planned to become a physical therapist. Following her freshman year, Maria tore her rotator cuff. Initially, she thought it was a minor injury and continued to play and work out. The tear got worse and, despite surgery, ended her ability to play softball at the college level. The injury was devastating to Maria because not only could she no longer play sports, but she lost her scholarship, had continuous pain and disrupted sleep, and became depressed as a result. She struggled to keep up with her studies. Her greatest relief from the physical pain and emotional upset was the oxycodone she was given following surgery. Her depression made it difficult for her to fully engage in treatment, and although her doctor recommended ibuprofen and alternative treatments, she continued to request the medication. After several months, her doctors discontinued the opiate medication.

Maria, in the meantime, had connected with others who were able to provide street drugs to fill her increasingly greater need for relief. When she was cut off by her doctors, she turned immediately to her friends. Eventually, she expanded her network of people from whom she could acquire and with whom she would share drugs. This eventually led to her arrest. Marias relationship with her parents and her old friends suffered along the way, and her parents became very concerned about her. They expressed a desire to help her find solutions. Marias attorney referred her for CBT treatment after her arrest and before any court appearances.

Initially, Maria was friendly and expressed a desire to participate in treatment. However, she was quite clear that she did not know how to get along in life without opioids. Maria felt responsible for getting herself into her current predicament and felt helpless; she thought her future was hopeless and that she had lost any measure of worth. Rather than reminding Maria of what she had lost or lecturing her about the consequences of her continued drug use, we started therapy by focusing on the things that were important to her before the injury. Sports, academics, family, and friends were always important to Maria. They all seemed intricately linked to one another, and her injury seemed to take away everything she cared about.

Acknowledging the losses and the difficulties she had experienced, we talked about what her life could be like if she was able to reclaim the things she valued. Her family and academics were still important to her, and although she could not play softball, she was still capable of exercising. In session, we had her imagine that she finished school, renewed her relationship with her parents, and engaged in tolerable levels of exercise. She did not believe that she could be a physical therapist and switched her major to occupational therapy. Her vision of her aspiration served as a strong motivator to get her life back on track.

Still, Maria could not consistently resist her cravings for drugs. We taught her relaxation exercises that she found helpful for her emotional state and calming her urges, but they were not universally effective. We talked about the possibility of medication to help with her cravings. Both Maria and her parents had concerns about relying on medications to resolve medication issues, but after doing a cost-benefit analysis of the advantages and disadvantages of trying the medication versus the advantages and disadvantages of not trying the medication, Maria decided to give it a try. The medication had both agonist and antagonistic properties that worked well for controlling her urges and, to some extent, helped with her lingering pain. With those benefits, we then discussed other alternative treatments for pain that included ibuprofen and physical therapy. When Maria gained control of her urges with medication, she felt stronger.

After receiving relief from physical pain and urges to use, Maria was better able to concentrate on achieving her desired life. Initially, she found it challenging to manage her time. We worked together on an activity schedule to make time for her classes and homework. For Maria, it was important that she have a schedule that made time for her parents and other supportive friends, exercise, a routine sleep schedule, and healthy eating. As she followed her schedule and became more active, she felt more confident and competent. She changed the way she thought about herself. Rather than thinking of herself as being helpless and worthless, she recognized the power she had to do many good things with her life and felt increasing more worthwhile as a person.

It had been 3 to 4 years after Marias rotator cuff injury when she was referred for CBT treatment. Simply stated, for a variety of reasons, she had deviated from her previously successful path in life. With about 12 months of CBT and medication, she was able to get her life back on course. At that point, she had been accepted into an accelerated rehabilitation disposition program of the court, had completed her bachelors degree, and was accepted into a masters program in occupational therapy. She was still taking her medication, but did not want to have to take it forever. She exercised, but did not get the same level of pleasure as she did from playing high-level competitive sports and was working toward accepting that she could not do what she did before. She was making new, supportive friends whom she liked, although when she saw her old teammates, she experienced sadness that she could not be one of them. Maria maintained her values in life and took major steps toward achieving her aspirations. One thing she recognized was the need for her to continue using the tools she learned to stay on her path of recovery.

Concluding Thoughts

Cognitive and behavioral strategies can be useful in treating opioid use disorder, either on their own or in conjunction with medication. Alone, or with medication, CBT can improve motivation, aid in important decision-making, jumpstart behavioral activation, and facilitate the development of new beliefs about drugs, oneself, and the future. Medication can help patients control their urges so they can better focus on the work of therapy.

Dr Miller is an experienced clinician, trainer, and administrator who provides oversight to the training and clinical services at Beck Institute as the CBT program director. For more than 25 years, he held leadership positions in a large integrated health system, including roles as director of behavioral health at WellSpan Behavioral Health, as chair of psychology for a 580-bed acute care hospital, and as chief psychologist for an APA-approved internship in clinical psychology that he founded. As a clinician, Dr Miller has used CBT to help individuals of all ages with a myriad of presenting problems coming from forensic, community, educational, and medical settings. He has conducted workshops, written professional articles, and published several resource books for lay readers about personality, depression, anxiety, and stress.

References

1. Drug overdose deaths in the U.S. top 100,000 annually. Centers for Disease Control and Prevention. Press release. November 17, 2021. Accessed March 24, 2022. https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2021/20211117.htm

2. Substance abuse and addiction statistics. National Center for Drug Abuse Statistics. February 19, 2022. Accessed March 24, 2022. https://drugabusestatistics.org/

3. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Committee on Medication-Assisted Treatment for Opioid Use Disorder. The effectiveness of medication-based treatment for opioid use disorder. In: Medications for Opioid Use Disorder Save Lives. Mancher M, Leshner AI, eds. National Academies Press; 2019.

4. Alfonsson S, Johansson K, Uddling J, Hursti T. Differences in motivation and adherence to a prescribed assignment after face-to-face and online psychoeducation: an experimental study. BMC Psychol. 2017;5(1):3.

5. Brown MT, Bussell JK. Medication adherence: WHO cares?Mayo Clin Proc. 2011;86(4):304-314.

6. Rezaeisharif A, Karimi A, Naeim M. Effectiveness of the cognitive restructuring approach on irrational beliefs and hopelessness in individuals with a substance abuse disorder: a randomized controlled trial. Addict Disord Their Treat. 2021;20(4):326-335.

7. Ray LA, Meredith LR, Kiluk BD, et al. Combined pharmacotherapy and cognitive behavioral therapy for adults with alcohol or substance use disorders: a systematic review and meta-analysis.JAMA Netw Open. 2020;3(6):e208279.

8. Moore BA, Fiellin DA, Cutter CJ, et al. Cognitive behavioral therapy improves treatment outcomes for prescription opioid users in primary care buprenorphine treatment.J Subst Abuse Treat. 2016;71:54-57.

9. McHugh RK, Hearon BA, Otto MW. Cognitive behavioral therapy for substance use disorders.Psychiatr Clin North Am. 2010;33(3):511-525.

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Taking vitamin pills while fighting cancer could make you more ill – The Telegraph

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Cancer patients taking dietary supplements during treatment could be at risk of worse outcomes, experts have warned.

Britons spent 500 million a year on vitamins and supplements in 2020, according to market research.

A new study, carried out by Mayo Clinic in Rochester, Minnesota, found the majority - 91 per cent - of cancer patients take some form of supplement. Vitamin D, probiotics and multivitamins are the most popular.

Experts collected data from 100 cancer patients and cross-referenced the supplements with the latest data on natural medicine, to determine if they could be putting the patients at risk.

The experts recommended some 35 per cent of patients who were taking some form of supplement should stop.

They warned taking such pills, or other natural therapies including extreme diets or IV drips, raised the risk of toxicity - having excess vitamins in the body.

Supplements also increased the risk of interacting with and decreasing the effectiveness of the cancer treatment.

All patients in the study were on active cancer treatment at the time, such as chemotherapy or radiotherapy.

Previous research, published in the Journal of Clinical Oncology, suggested patients who take antioxidant supplements before and during chemotherapy may have worse outcomes.

Some 1,134 people took part in the study and filled in questionnaires about their supplement use.

Researchers compared supplement use to relapse rates and death. They found people who took antioxidants before and after chemotherapy were 41 per cent more likely to have recurrence of breast cancer and 40 per cent more likely to die.

Dr Stacy DAndre, an oncologist and lead author of this latest research, said: I was surprised at how many patients take supplements and have used alternative therapies.

These can be dangerous in several ways they can be directly toxic, can interact with other medications and lead to increased side effects, they may decrease the effectiveness of cancer treatments, they are expensive and supplements are not regulated.

It is essential that care teams know what patients take to ensure safety. We need to do a better job of educating the public that supplements or natural therapies are not always safe.

She added the results are likely to be replicated in the UK. Literature from other countries shows that many cancer patients are taking supplements, she added.

Dr DAndre said patients may take supplements because they want to have more control over their situation and treatment. They may also take them after hearing stories of other patients doing well on alternative medicine, or because they have a preference for natural therapies instead of pharmaceuticals.

Cancer Research UK has warned patients to check with a doctor before taking any supplements, to ensure they will not interfere with their treatment.

Martin Ledwick, head information nurse at Cancer Research UK, said: "We would always recommend that patients check with their doctor first before taking any supplements or complementary therapies.

Some may have known interactions with cancer medicines which might make them less effective or even increase side effects.

But, in many cases, interactions with conventional treatments might not be known, so it is always sensible to be cautious about taking anything that has not been prescribed by your doctor when undergoing cancer treatment.

The findings were presented at the American Society of Clinical Oncology conference in Chicago.

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Dr. Ford’s New Release Will Be Displayed at the ALA Annual Conference and Exhibition 2022 – Benzinga – Benzinga

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They are going to kill us all: How the Corporate Elite Are Killing You by Dr. Ford explains that extreme weather, tainted food, increased use of pesticides and herbicides, newly developed chemicals, genetically engineered and chemically enhanced food sources, artificial foods, lethal medical treatments, as well as the rapid deployment of hazardous electromagnetic technology and wireless devices without adequate safety records are all contributing to an increasingly hostile and warlike world.

Why are these quiet weapons being deployed and who are behind them? Why is it that the traditional medical community is utterly ignorant about the many causes of disease and the myriad remedies available to combat them? Are they attempting to kill the populace on a hidden and deliberate basis?

A number of so-called conspiracy theories are exposed by Dr. Ford in his freshly revised book on health. In it, he provides insights to help readers fight back and aid them, such as augmenting well-being and deterring illnesses, reclaiming power over their own health and wellness, avoid and minimize exposure to potential health threats, benefit from natural dietary, detoxification and other therapies, extend the normal healthy lifespan, and avoid routine doctor's appointments.

Want to know more? If so, order a copy of Dr. Ford's They are going to kill us all: How the Corporate Elite Are Killing You, now available on Amazon.

This book will also be displayed at the American Library Association (ALA) Annual Conference and Exhibition on June 24-27, 2022, at the Walter E. Washington Convention Center, Washington DC, USA. So make sure to visit.

They are going to kill us all: How the Corporate Elite Are Killing YouAuthor | Kevin Kazakevich AKA Dr. FordGenre | Autobiography/Alternative MedicinePublisher | Book Vine PressPublished date | January 25, 2022Book Retail Price| $16.99

AuthorKevin Kazakevich, also known as Dr. Ford, is a specialist in Anti-Aging, Regenerative, and Functional Medicine with an Advanced Fellowship Certification from the American Academy of Anti-Aging Medicine. He is devoted to achieving the ultimate Anti-Aging Plan.

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Khairy: Medicine shortage not due to panic buying but to Covid-19 Omicron variant and HFMD spike | Malay Mail – Malay Mail

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Health Minister Khairy Jamaluddin said the situation is not nationwide as it only involved several locations and certain medicines and he assured the supply of medicines in the country is adequate. Bernama pic

Thursday, 09 Jun 2022 5:00 PM MYT

ALOR SETAR, June 9 The short supply of medicines especially at certain pharmacies and private health facilities is not due to panic buying by members of the public, said Health Minister Khairy Jamaluddin.

Instead, he clarified that this followed the high demand for certain medications following the spread of the Omicron variant of Covid-19 earlier and the rising cases of the hand, foot and mouth disease (HFMD) now.

However, Khairy said the situation is not nationwide as it only involved several locations and certain medicines and he assured the supply of medicines in the country is adequate.

Many of the medications were said to be in short supply but have not run out of stock and the medicines are for common illnesses such as flu, fever, headache and so on.

So maybe this is related to the time when many were infected with Covid-19 and after that HFMD spiked the demand for such medicines, he said in a media conference here today.

Commenting further, Khairy said his ministry is conducting a review with medicine manufacturers and importers to obtain detailed information on the supply of such medications apart from obtaining feedback from the Malaysian Medical Association as well as private clinics.

We will work with pharmaceutical manufacturing companies on whether to provide alternative medicines or to import medicines from other countries.

But now we are receiving several complaints daily and we will try to assist them to obtain stocks of the medicines. Government facilities do not have such problems, he said.

Earlier, he attended the presentation of medical equipment from the government of Japan through the Japan Grant Aid to the Health Ministry (MOH) which was attended by the Ambassador of Japan to Malaysia Takahashi Katsuhiko.

Commenting on the contribution, Khairy said the medical equipment worth RM19.3 million was donated by Japan to be distributed to all government hospitals throughout the country to improve the services of the facilities.

So many hospitals would be receiving the equipment and they include Kuala Lipis Hospital, Kuala Krai Hospital, Orang Asli Gombak Hospital and Jempol Hospital, he said.

The government of Japan in December 2020 offered to assist Malaysia to combat Covid-19 in the form of Japan Grant Aid to supply critical medical equipment for the treatment of Covid-19 patients.

To date, 174 of the 248 units of equipment have been distributed to Health Ministry hospitals nationwide and the equipment including syringe pumps, emergency carts, blood gas analysers, portable ultrasound scanners and defibrillators will continue to be used to treat non-Covid-19 patients when the outbreak is declared over. Bernama

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Khairy: Medicine shortage not due to panic buying but to Covid-19 Omicron variant and HFMD spike | Malay Mail - Malay Mail

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The Fixxs Cy Curnin On The Bands New LP Every Five Seconds And Their 40-Year Recording Legacy – Forbes

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The Fixx.

Forty years ago, the British New Wave rock band the Fixx released their debut album Shuttered Room. That record, which contains the now-classic songs Red Skies and Stand or Fall, would set the template for the Fixx's future recordings: sleek, modern-sounding music with lyrics influenced by the current political and social times. Shuttered Room was followed by more hit songs for the Fixx throughout the 1980s such as One Thing Leads to Another, Saved by Zero, Secret Separation and Deeper and Deeper.

It does feel like we've gone through a whole cycle, says Cy Curnin, the band's lead singer, acknowledging the milestone anniversary of Shuttered Room. Unfortunately, maybe some of the subject matter on the first album seem scarily relevant to today, which is also a testament to that cycle. I wouldn't go so far as to say that it's a prophecy, but I've often felt like we're messengers... and the message that we're trying to bring forth is from some quantum field of looking at our behavior from another perspective.

That musical and lyrical tradition set forth by Shuttered Room remains alive today as the Fixxwhose members consist of Curnin, drummer Adam Woods, bassist Dan K. Brown, guitarist Jamie West-Oram and keyboardist Rupert Greenalljust released their 11th studio album, Every Five Seconds, the bands first new studio LP in 10 years. Amid the backdrop of the pandemic and political divisiveness, the themes of Every Five Seconds really encapsulate today's mood of uncertainty and frustration, as reflected on tracks like Closer and Take What You Want From Me, whose lyric goes: Fanatics rule in duplicity/These minor men in the majority.

According to Curnin, the new album was completed by the time the pandemic hit. I think in terms of the way that we write, there's a substance to what we choose to reflect of humanitythat there's a constant underwhelming and overwhelming. It's not about eureka moments or natural disasters. It's that constant ebb and flow of the underwhelming nature of humanity. We just never seem to realize that we create pain to make love from, love comes from pain, eventually, it's supposed to be that journey. We're stuck in the pain part, and I seem to write from that aspect, too.

Even the album's title, Every Five Seconds, which is taken from the song Lonely as a Lighthouse, seems like a barometer of our current information overload. You're struggling to retain staying mindfulness, which has become a mantra of the age we live, Curnin says, and everyone is obsessed with trying to be mindful. What that's always said to me is that we're so distracted by so many things and we never really get a chance to get into the deep well of knowledge, so we're constantly bombarded with headlines and no text underneath it. We've been bombarded with this left and right divisive dogfight. We wanted to put something that was kind of a balm to the anxiety of the times.

The sweeping and moody rocker Wake Up from Every Five Seconds seems to advocate action and self-empowerment than inaction from the sidelines: We're suffocating and can't breathe/If only we stood up. Curnin characterizes the track as descriptive of life today in a sort of dystopian way. There's a personal responsibility to itit's not just watching it on a screen. I think in that song, I was dipping into the idea of waking up myself as a kid or waking up the innocent in me and grabbing some personal responsibility and really joining in with the rush for the barricades and trying and speak up, act out my fears rather than just 'take it, take it, take it, sit quiet and hope nobody notices that I'm not doing anything.'

Not just featuring observational songs, but Every Five Seconds delves into the personalsuch as on A Life Survived. Says Curnin: I think that that song kind of shows all my walls falling down in one moment. I was going through a big period of change in my life, so you kind of have to accept things [and] realize that the thing that is constant to your mistakes is you and it's not the causality of a mistake. It's not outside of you quite often, you bring them on yourself. So I was talking about having been numbed through periods of my life where you wake up and you go, 'I should have been a bit more alive rather than just survive that period.' I didn't really live it enough. So that's the autobiographical part of that.

The dreamy and Gothic-sounding Woman of Flesh and Blood marks a unique moment in the Fixx's recorded history in that it features a rare lead vocal by the band's guitarist West-Oram, who initially came up with the song. Normally, he was thinking I would be singing the vocal, recalls Curnin, but I said, No, you really have to sing that. The vulnerability that he was portraying and then this dreamlike state was so Jamie that it had to stay him [on lead vocals]. And then the second half of the songthe angry other partI went, 'Oh, I got to do that bit.' He wrote the first set of words that I sing. And then he was like, 'Well, you write the second verse that you're gonna sing.' And so I was able to sort of encapsulate where he was coming from lyrically in that last verse, and we kind of told the tale together there.

Amid the turmoil presented throughout its songs, Every Five Seconds concludes on an optimistic note with the acoustic-flavored Neverending. There's a kind of aI wouldn't say flamencobut that hopeful craziness that gypsies put on when they're playing their acoustics with the sweat coming off their brows. I definitely wanted to get that energy in it. When I wrote that song, that was what I was channeling. You have your heartbeat and you have your passion, and off you go. That's neverending, that's what's gonna drive the spirit of mankind forward, is keep believing in the things that really matter to you as your first impulses beyond hate, and then you find this neverending quality to it, we keep going around and around in the gene pool. So it was very celebratory and full of hope.

As evident on the new record, the Fixx are one of the few bands from the 1980s MTV era whose sound remains virtually intact, just like their classic longtime lineup. I guess that's what happens when you get a bunch of like-minded fellows that see no reason to divorce each other, Curnin explains about the group's timeless sound. We've grown up together and know our own strengths and the things that attract us musically.

As the Fixx are currently on tour in the States through the end of June, Curnin considers Every Five Seconds a worthwhile addition to the band's legacy. If I look at it as like an audio gallery of our work, I can see the progression of our life together, he says. We still feel really honored to be together. I'm super excited not only to be playing on stage, but hanging around with these guys because they bring my better angels outand my best self really takes center stage when they're there. It's like a marriage but better. We have so much that so much unlived potential still that we're looking forward to keeping it going. A record from the Fixxthe relevance to us now is we do it for us and the audience.

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Big changes in the world of business have given new authority to this – Fast Company

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Cultural anthropologist Margaret Mead once said, Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, its the only thing that ever has. This feels increasingly more true in the current post-pandemic world.

The collision of the four drivers of changethe Fourth Industrial Revolution, COVID-19, climate change, and misinformationoffer unprecedented opportunity to the individual. Thats because, from a global standpoint, much of the enormous change that has already occurred, as well as change that has yet to come, has focused on empowering the individual and making him or her better informed, more engaged, and hopefully happier, healthier, and more fulfilled.

Individuals have more opportunity than ever to direct the course of their own lives, be it in a professional or career setting, education, health care, or many other areas. We are all becoming leaders in our own right, empowered to make decisions, adapt to the changing environment around us, and serve as catalysts for pervasive change for the better.

If theres a single word that encapsulates the opportunity afforded to these individual leaders, it might well be consumer. The individual has been moved to the powerful role of consumerthe end user who wields the capacity and influence to impact and transformin multiple sectors, most notably: work, health care, and varied forms of collective, community involvement.

While companies may deem the pandemic a hard pill to swallow because theyre used to closely monitoring employees in-house, in reality it has given employees the opportunity to potentially become more productive. According to the consulting firm Great Place to Work, 5% of American employees worked from home pre-pandemic, but by May 2020, more than 60% were working remotely. And that group working in varied alternate settings has made the most of their time, according to a study by Stanford University and published in The Quarterly Journal of Economics of about 16,000 workers whose productivity when working from home increased by 13%. The study attributed the boost to a quieter work environment and fewer breaks and days lost to illness

If a company doesnt value its employees and/or is pressuring them to work in-house even if they fear possible exposure to the pandemic or do not wish to spend hours commuting every day, there are companies ready and willing to hire those employees as remote workers, especially with their newfound skills. The employee, rather than the company, has the upper hand in deciding when and how they wish to work.

Another component of remote work is the discovery and understanding that not every worker produces best in a standard nine-to-five environment. Some people are night owls; others are morning people. As a result, perfectly capable employees who thrive at night might be incorrectly classified as slow, lazy, or incapable of doing a job that just so happens to fall into their nonproductive times of the day. Writers, for example, generally thrive in quiet surroundings and less so in chaotic or typical office environments with noise, interruptions, and meetings.

Remote work affords the scheduling autonomy that allows employees to work at a time of day when their skills are at their optimal. No matter if its early in the morning, in the middle of the night, or at intermittent points throughout the day, workers are gaining the independence necessary to use the day to their advantage rather than adhering to a needlessly unproductive schedule.

Additionally, individuals will have the opportunity to develop what can be referred to as greater self-management skills. With greater autonomy from traditional, hierarchical management styles and structure, individual workers (particularly the growing population of freelancers) will have the chance and the impetus to develop such softer skills as active learning, resilience, stress tolerance, and flexibility. Theyll assume that much more control as leaders of their own careers.

Individual empowerment goes well beyond professional development and productivity. Individuals will also have the opportunity to approach work-life balance in a completely different contextincorporating a much more blended and interactive perspective. In particular, remote work opportunities will afford social and familial benefits that often were limited in traditional workplace logistics.

As technology is increasingly incorporated into education at all levels, remote learning and other options will afford the opportunity to offer valuable education to more people. Greater access to education might also serve to mitigate the stigma of higher education only being available to the wealthy and other forms of perceived education inequality.

According to a 2021 study by Bay View Analytics titled The Digital Learning Pulse Survey, students enrolled at colleges and universities in the United States overwhelmingly supported the continuation or increase in the use of online learning options. The majority of students, 73%, somewhat or strongly (46%) agreed that they would like to take some fully online courses in the future. A slightly smaller number of students68%indicated they would be interested in taking courses offering a combination of in-person and online instruction.

In addition, technology will make lifelong learning that much more viable and adaptable to personalization. Rather than being force-fed rote material over the first 20 years of their lives, students will be given the chance not only to continue to learn over a greater time span but also to have greater input in developing a learning program thats consistent with their interests and the needs of both themselves and society as a wholea more fluid, flexible approach to learning.

The future of health care will be centered on the consumer/patient. 24/7 access to data and information, including data regarding cost of care, will place consumers at the very heart of their health care, potentially lowering costs significantly.

Likewise, a growing shift in health care, telehealth, and personal accountability for wellness has been driven by both the pandemic and the technological explosion of the Fourth Industrial Revolution. Interactive devices such as wearable health trackers are only one of many emerging such tools that are all geared to current and active patient monitoring and care.

While electronic medical records have been readily available to patients for a decade or more, health-care facilities now further engage with their patients via online portals where patients can check on their health statistics, check their diagnoses, and send messages to their caregivers without having to meet in person unless an emergency dictates it. This trend extends medical outreach to patients who are either unfit or unable to travel to their primary care physicians, as well as those who live ruraly and cannot easily reach adequate medical care.

As is the case with other areas of society, governments now serve a citizenry that has unprecedented access to news, information, and data. Given the rise of a more informed community, governments will be challenged to approach these connected citizens as empowered consumersconsumers whose level of satisfaction and constructive engagement will hinge on confidence that theyre receiving genuine returns on their investments in government.

Evidence of the greater role of the individual in government is already appearing in many parts of the world. For instance, at the national level, Denmarks MindLab was established in 2002 as one of the first government policy laboratories. The lab was tasked with developing creative, citizen-focused approaches to the ways in which policies are designed. (The lab has since been supplanted by the Disruption Task Force to further explore varied benefits of new technologies, data, and business models.)

Armed with new technology, a different mindset, and greatly enlarged expectations, the individual has and will continue to exert a growing influence across any number of the elements of daily life. But the individual isnt alone in the opportunity created by a climate of disruption and change. Business and industry are also positioned to capture enormous opportunityexciting prospects that are by no means limited to a profit and loss statement.

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Secretary Haaland Launches New Indian Youth Service Corps Program – US Department of the Interior

Posted: at 1:13 am

Date: Friday, June 10, 2022Contact: Interior_Press@ios.doi.gov

ALBUQUERQUE Secretary of the Interior Deb Haaland today joined Tribal leaders, community partners and Indigenous youth to celebrate the launch of the Indian Youth Service Corps (IYSC) and unveil the programs guidelines. The IYSC is a new partnership-based program that will provide meaningful education, employment and training opportunities to Indigenous youth through conservation projects on public and Indian lands, and Hawaiian homelands putting young people on a path to good-paying jobs while working to tackle the climate crisis.

Building on the decade-long success of the Ancestral Lands Conservation Corps, the IYSC will provide opportunities for Native Americans and Alaska Natives to support the conservation and protection of natural and cultural resources through construction, restoration or rehabilitation of natural, cultural, historic, archaeological, recreational or scenic resources. Participants will receive a mix of work experience, basic and life skills, education, training and mentoring.

Indigenous people have a strong and abiding connection to the Earth increasing their access to nature early and often will help lift up the next generation of stewards for this Earth, said Secretary Haaland. In addition to completing much-need conservation projects that will enhance landscapes and ecosystems on Tribal and public lands, the Indian Youth Service Corps will have considerable focus on vocational skills training, economic empowerment and career development for Indigenous youth.

Authorized in 2019 by the John D. Dingell, Jr. Conservation, Management, and Recreation Act, the John S. McCain III 21st Century Conservation Service Corps Act amended and expanded the Public Lands Corps Act to establish the IYSC.

The National Park Foundation (NPF) today announced a new commitment to fund $1 million in IYSC projects, in addition to its ongoing support of Tribal youth service corps projects. NPF is currently funding more than 10 projects from Maine to New Mexico that engage Tribal youth in a wide range of conservation and preservation activities, providing invaluable skills development, personal and professional mentoring and career preparation. Projects also protect Indigenous cultural practices, languages and traditional ecological knowledge used for land management practices.

The imprint of Tribal history and culture is visible across our national park landscapes, said National Park Foundation President and CEO Will Shafroth. Supporting the Indian Youth Service Corps engages and connects Tribal youth to the care and preservation of sacred places across the nation's public lands.

Tribal leaders, community partners and several current and former Indigenous members of the Conservation Legacy Ancestral Lands Conservation Corps and Rocky Mountain Youth Corps joined a virtual roundtable with Secretary Haaland and Shafroth to share their experiences in conservation.

The IYSC guidelines provide a framework for Tribal and partner organizations participation in the program. Goals of the program include creating awareness of Indigenous culture and history, and conserving and protecting their landscapes, stories and shared experiences for current and future generations. The program guidelines were established in consultation with Indian Tribes, the Bureau of Indian Affairs and other stakeholders. They authorize the Departments of the Interior, Agriculture and Commerce to implement the new program.

IYSC activities can include research projects, oral histories, habitat surveys, climate mitigation, trail restoration, invasive species removal, fire fuels reduction, watershed restoration, recreational expansion and the development of educational, informational or communication materials for the public.

The projects will promote Indian self-determination and economic development and can take place on Tribal lands, or on federal lands where Tribes have ancestral connections. All projects on Indian lands will be designed and managed in a collaborative fashion, including consultation with the Tribal government prior to the start of any project.

The Interior Department is committed to strengthening Tribal sovereignty and governance, fulfilling the federal governments trust and treaty responsibilities, and engaging in robust consultation with Tribal Nations. This year, the Department is providing $2 million to the Bureau of Indian Affairs, $700,000 to the National Park Service and $600,000 to the Bureau of Reclamation to establish the IYSC.

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Amsterdam’s Lalaland bags 2.1 million to empower inclusion and diversity in the fashion industry – EU-Startups

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Disrupting the status-quo of the fashion industry to make it more inclusive, diverse and sustainable, Amsterdam-based Lalaland has just raised 2.1 million for its AI-driven fashion model generator.

The fashion industry has long been criticised for its tendency to leave people feeling discriminated against and excluded. Its a sector that has generally promoted one specific body type to the detriment of many. Shaking this up, Lalaland is using AI to enable brands and retailers to use hyper-realistic models of every body type, size and skin tone. Gone are the days of the generic mannequin that represents a very small proportion of the population.

Founder and CEO, Michael Musandu, explained: Our product is centred around solving the issues of consumers who feel underrepresented in terms of ethnicity, gender identity, and body representation. So we want to work with people who can relate to these issues, in order to facilitate positive change in co-creation.

The Amsterdam-based startup has just picked up 2.1 million in new funding, led by Orange Wings, Unknown Group, and angel investors (including former Nike General Manager Bart de Wilde, Googles Amhar Ford and Thorsten Koch, and Christina Calj from Autheos). The vision is to create a more inclusive, personal, and sustainable shopping experience for fashion brands, retailers, and customers.

Founded in 2019, using tech to drive inclusivity and diversity within digital fashion is the core vision of Lalaland and the company centres itself around two objectives social empowerment and sustainable impact.

In taking an impact-first approach, the startup is also well primed to enter a gap in a lucrative market. The world of fashion ecommerce is reported to be worth around 380 billion and its constantly expanding. According to Lalaland, 7.5% of annual revenue is spent on photography, production, and models for product pages. Lalaland taps into that market with a cost-effective model-generating tool that replaces time-consuming and costly photoshoots.

The self-service platform allows anyone to recreate high-quality photoshoots with great ease. Models can be tailored to customer profiles or customized to specific body types, allowing for hyper-personalization. This helps boost sales, reduces return rates and costs, increases conversion, cuts waste, and contributes to a more inclusive shopping and brand experience.

Orange Wings founder and CEO Shawn Harris said: This is a unique opportunity to help retailers and brands truly create positive change in the fashion industry and to reduce returns and ultimately waste.

Angel investor Bart de Wilde added: I have been at the heart of this problem in sports, footwear, and apparel, so I cant stress enough how valuable this will be for our industry.

With the new funding in the bag, the young innovators plan to continue their commercial expansion and attract a diverse group of talent. Already the team has onboarded some of the largest fashion retailers, such as Zalando, Wehkamp, and Otto.

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Todd Fjelsted On the Empowerment Through Production Design For ‘Roar’ and ‘The First Lady’ – Awards Daily

Posted: at 1:12 am

We need more surreal series on television. Apple TV+s Roar is the limited series that you arent watching, and the way it blends humor and social commentary together is nothing short of astonishing. Carly Mensch and Liz Flahives series tells eight different stories of female empowerment, and those unique points of view are imprinted into the detailed, accomplished production design. Since we jump around from romance to tragedy to absurdism, we need to believe the spaces are truly inhabited by these characters. Emmy-winning production designer, Todd Fjelsted, brings wit and intelligence to every scene.

I cant imagine how Fjelsted created so many spaces, especially since every episode is so cinematic. None of the characters interact within the worlds of the other episodes, Fjelsted described every episode like a film.

Because it is an anthology, every episode is like a mini movie. When you normally do a television series, you have a home base set. With GLOW, it was the gym, and you can always go back and shoot stuff. Every day on Roar was a brand new world, and we would go from an episode of horror to a Western to a romantic comedy. Its very jarring creatively, but its so exciting to challenge myself and my crew to create a throughline.

In The Woman Who Was Kept On a Shelf, Betty Gilpins Amelia agrees to sit atop an elegant pedestal to be admired by her husband, played by Daniel Dae Kim. At first, Amelia regards this gesture as romantic and sweet, but she soon realizes that she is an object in her husbands eyes. Belongings on a shelf do not share their thoughts or desires or opinionsthey are merely collected. Fjelsted was inspired by the stories we were told as children, but he gives them an sophisticated, mature twist. The pink paint on the walls is feminine and French-inspired. The room is a confection that slowly turns poisonous.

The first time I read that, it was disturbing on the page, and all the themes really startled me a bit. We had to make it palatable for the audience and agreeable visually. Betty is such a hilarious actress, and she can make anything funny. We brought in this dollhouse flavor that was a little bit Barbie but added in some Rapunzel and Belle from Beauty and the Beast. We wanted to create the modern day fairytale without losing the corniness of it. With something like Barbie, things can be ridiculously pink and feminine and expensive, and we wanted to elaborate on a life that she thinks she wants. We wanted to bring in some sparkle and some bling from that world in order to make some of it her own. A lot of what we see in the end is what she likes about her captivity which is being on display and being glamorous. Amelia starts as a child star and then she ends up with her own beauty line. She never loses sense of what she wants to do, but, in the end, she has ownership of it.

The Woman Who Found Bite Marks On Her Skin is one of the darkest episodes of the season, and Fjelsted revealed that it was a personal story for the creative team. Cynthia Erivos Ambia is eager to return to work after giving birth to her second child, but the more time she spends away from her family, the more she finds bloody, mysterious bite marks all over her. Is it stress? Perhaps her eldest child is jealous of her new sibling and taking it out on her mother? Ambias home is warm and bright, but Fjelsted gives her work environment some darker qualities to hit home the guilt mothers can sometimes feel about leaving their children at home.

Liz Flahive and Carly Mensch have said that it is the most personal episode to them since they are both such hard-working moms. When I read it, I could feel how personal it was to them. The key ingredient to that episode was this Cronenberg style body horror where you are trying to move through the world while hiding something from the world. Everything for that episode fed into the joy and darkness of being a mother. The struggle that each mother goes through day-to-day like allowing someone to pick them up from school or leaving them at home to go to work is something we wanted to focus on in the design. It literally eats women up alive. The kitchen is designed to be big and bright and filled with toys, and the little girls bedroom had a jungle mural on the wall. We wanted to play on the red herrings like maybe the daughter is biting her mom. Maybe its the baby during breast feeing. Everything we did visually fed into that so by the time it got to the hospital, it allowed the DP, Quyen Tran, to go a bit more surreal. For instance, you can walk down the hallway and you see the nursery, but then the lights flick on and there is a blue hue that lends to a totally different tone. We worked really closely with Quyen on that episode.

If you were given the chance to return your spouse or partnerwould you do it? Couples spar all the time, but in The Woman Who Returned Her Husband, Meera Syal literally takes him back to the store for an exchange. The Costco-like store is fun with its graphic signs (The markdowns! The savings!), but Fjelsted kicks into high-gear camp when we see Anus neighborhood.

We wanted to play on the mundane and the ordinary and how this character, who has fallen into a routine, has lost her joy. The store represents the consumer thing that we all deal with, and we wanted to make it as close to reality as possiblebut you can buy husbands. We came up with some surreal ideas, but they ended up being a little too big. What worked best for this characters journey was to keep it as real as possible in the real world but then reverse it when we get to their home. We leaned into this Edward Scissorhands vibe. We wanted to reverse that surrealism so when she realizes that she and her husband just need to work on some things that it makes sense. She already has it, but they needed to see it for what it was.

Fjelstead also wanted to make sure that Anus home differed from her neighbors.

We wanted her home to feel more traditional like mom and dad style from 1970s or 1980s. With the neighbor across the street, we wanted it to be the newer version of that to feel it more pregnant with meaning. The neighbors house was modeled after the nosy neighbors that you see in Edward Scissorhands. Those busybodies who want to know everyones business.

As if Fjelstead wasnt busy enough, he was also part of the production design team behind the mammoth Showtime limited series, The First Lady. After Fjelsted allowed me to gush over my love of Michelle Pfeiffer, he revealed how exciting it was to show the journey of Betty Fords personal space (White House aficionado, Tony Fanning, worked on the other two chapters). Before the Ford enter The White House, their Virginia home features a lot of wood accents and time period prints on their furniture. Fjelsted was eager to give Betty Ford the space she always longed to live in in Palm Springs.

The exciting thing about the Betty Ford chapter is that she is looking towards what she could have. When she marries Gerald, she has a very normal life with four kids, and thats a very specific kind of home. We did find as many picture of their home in Alexandria, Virginia, and we matched it as much as we could even right down to the brick. My set decorator, Cynthia Sleiter, is a genius. We brought this Americana, 1950s and 1960s flavor to their home, but by the time they were in The White House and shes been through disappointment to disappointment, she was ready to retire. Then Gerry becomes Vice President, and then he becomes President. She had to become a host very quickly, and she came out on top. By the time they got to Palm Springs, I always saw her as a woman finally settling down how she wanted. Shes allowed to be the life of the party and just enjoy her time. That got the best of her, of course, but those environments had to be such polar opposites to show how she achieved her goals. Betty was out of Americana and now shes a glamorous person. Everyone goes to Palm Springs to retire, and seeing her get to enjoy herself was fun.

Roar is streaming on Apple+. The First Lady finishes its first season on June 19 on Showtime.

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TransUnion and Epsilon Collaborate to Bring ID-Agnostic Audiences to Connected TV and Streaming Audio Campaigns – GlobeNewswire

Posted: at 1:12 am

CHICAGO, June 07, 2022 (GLOBE NEWSWIRE) -- TransUnion (NYSE: TRU) announced today a partnership to make data from Epsilon, a global advertising and marketing technology company, available via the TruAudience Data Marketplace.

The relationship marks one of the largest audience targeting partnerships across Connected TV, smart speakers and gaming consoles. Brands and agencies can now access audience insights from Epsilons top-ranked consumer database of 250 million U.S. consumers mapped across TransUnions household identity graph covering more than 80 million U.S. connected homes. Through this partnership, brands and agencies can create custom audiences based on thousands of attributes, thereby allowing them to reach each person with personalized messages across channels.

Approximately 80% of OTT viewing time occurs on home-based devices like connected TVsi and 100 million Americans own at least one smart speakerii, neither of which generate cookies and often do not have device IDs.

TransUnions patented method combines many digital signals and identifiers from these connected devices as well as personal devices to create a view of each connected household. This makes the audience-verified integration of Epsilon data into the TruAudience Data Marketplace ID-agnostic and able to withstand the deprecation of cookies and other identifiers across streaming media.

"As mobile IDs and cookies continue to deprecate, having the ability to leverage audiences from Epsilon in an ID-agnostic way across our leading activation partners will enable greater scale and reach, said Michelle Swanston, VP of Media and Entertainment and Head of Data Marketplace at TransUnion. This relationship will help meet the ever-increasing demand for advanced audience targeting across streaming media.

The TruAudience Data Marketplace is a privacy-conscious, end-to-end solution for executing high-fidelity streaming and omnichannel campaigns with consistency and scale. The marketplace is the most leveraged audience targeting solution across leading streaming publishers, demand-side platforms (DSPs) and supply-side platforms (SSPs). Clients can create custom audiences and reach consumers with the right message across multiple channels.

Epsilon has developed the most complete set of transactional data assets to be used across all marketing channels. Epsilon also hosts one of the largest cooperative transactional database in the U.S. with more than 3,000 contributing brands in key B2C and B2B categories. Epsilon data covers demographics, lifestyles, financials, market indicators, healthcare, automotive, propensity models/market trends, and opted-in survey data.

"Marketers must have data thats protected, relevant and actionable. Most importantly, it has to be connectable across devices and channels, said Kyle Antoian, Managing Director of Data at Epsilon. Our partnership with TransUnion gives marketers the ability to tap into high-fidelity audiences and reach people across connected TV and streaming audio in the moments they are most receptive.

About TransUnion (NYSE:TRU)TransUnion is a global information and insights company that makes trust possible in the modern economy. We do this by providing an actionable picture of each person so they can be reliably represented in the marketplace. As a result, businesses and consumers can transact with confidence and achieve great things. We call this Information for Good. A leading presence in more than 30 countries across five continents, TransUnion provides solutions that help create economic opportunity, great experiences and personal empowerment for hundreds of millions of people.

About TruAudience by TransUnionPowered by a three-dimensional view of people, households and devices, TruAudience solutions provide scalable identity to enable audience targeting and consumer engagement across offline, digital and streaming environments. To learn more visit:www.truaudience.com

About EpsilonEpsilon is a global advertising and marketing technology company positioned at the center of Publicis Groupe. We connect advertisers with consumers to drive performance while respecting and protecting consumer privacy and client data. Epsilon accelerates clients ability to harness the power of their first-party data in order to enhance, activate and measure campaigns with confidence. We believe in an open, privacy-first advertising ecosystem. Over decades, weve built the industrys most comprehensive identity graph to give brands, agencies and publishers the ability to reach real consumers across all channels and the open web. For more information, visit epsilon.com.

David BlumbergTransUnion312-972-6646David.Blumberg@transunion.com

i Convivas State of Streaming Q4 2021, Conviva, 2021

ii Edison Research, The Infinite Dial 2022

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