MENTAL HEALTH FLAG TOUR STOPS IN NEW HAMPSHIRE
April 14, 2004


Mental Health Advocate speaks at flag ceremony

Representative from NAMI-New Hampshire
speaks at ceremony

Physician speaks at mental health
flag ceremony

Senator speaks at mental health flag ceremony

The crowd looks on as speeches are given at the flag ceremony.

Participants in the Mental Health Flag Ceremony

David Anderson, AstraZeneca, talks to participants in the flag ceremony.

The Mental Health Flag is about to be flown.

Mary Worthen holds up the flag so the crowd can see the signatures.

Mary Worthen is interviewed by a local WNDS TV station.

Mary Worthen is interviewed by a local TV station channel 9.

Executive Director of NAMI-New Hampshire holds up the Mental Health Flag

Drake Makaishi with AstraZeneca,Mary Worthen, David Anderson with AstraZeneca, Executive Director of NAMI-New Hampshire


Mary Worthen displays the certificate received for the flag ceremony.


The following article is from Eagle Tribune Publishing at: http://www.eagletribune.com/news/stories/20040414/NH_003.htm

Wednesday, April 14, 2004

Talking past the pain

By Andy Smith
Staff Writer

DERRY -- When Mary Worthen's 14-year-old son underwent surgery for cancer, the family was flooded with flowers, balloons and friends offering any kind of assistance that might be needed.

But there were no flowers or balloons when Worthen's 21-year-old daughter Kristy attempted suicide during the darkest days of her prediagnosed battle with bipolar disorder. When doctors figured out Kristy had suffered from the disease since she was 14, no one called to ask Worthen how she was feeling.


CHERYL SENTER/Staff photo Looking at a banner made by Kristy Worthen, who is bipolar, are, from left, Mary Worthen, Kristy's mother, of Arkansas; Derry resident Linda Paton, board president of Circle of Life; Londonderry resident Kathy Chambers, assistant director of Circle of Life; and Salem resident Linda Wilde, executive director of Circle of Life.
"Maybe someone at church would whisper, 'How's Kristy holding up?' But that was it," Worthen said yesterday. "People always told me they just didn't know what to say. I'd tell them to say the same things you said when my son was sick."

Worthen and her daughter, who is now 26, have spent the last year traveling the country to dispel myths about mental illness and provide hope to those living with it.

Yesterday, the Salem, Ark., native met with members of the Derry-based Circle of L.I.F.E. -- also known as Living, Independence, Freedom and Empowerment. The nonprofit group is dedicated to supporting the recovery and wellness of those with mental illness. Today, she will meet with state legislators and raise a flag at the Statehouse in Concord to promote awareness of mental illness.

Kristy Worthen was unable to make the trip because of minor surgery last weekend to remove a cyst. But her mother said that aside from being diagnosed and medicated, support groups such as Circle of L.I.F.E. are the most important component to living a stable and healthy life with mental illness.

The group has made a world of difference to Kathy Chambers of Londonderry. Diagnosed with a mental illness at 28, Chambers was one of the 13 founding members who created Circle of L.I.F.E. in 1997. Less than a decade later, the group has expanded to 352 members.

"When I first got sick, I thought it was the end of the world," Chambers said. "I thought I'd never have control of my mind again, and I'd never work or have a relationship again.

"But I realized there's life after mental illness. It was an opportunity for me to think about relationships, religion and soul searching. I think I'm a better person now," she said.

The group's executive director, Linda Wilde of Salem, said Chambers' reaction is common and Circle of L.I.F.E.'s toughest obstacle is convincing people that they can, in fact, get better. Wilde has also lived her life with mental illness.

"They think it's a life sentence," Wilde said. "The biggest thing that keeps them from getting better is just not knowing that they can."

Circle of L.I.F.E. is part of a network that includes 18 support groups in New Hampshire. Its goal is to provide an understanding haven for those who have been told their entire lives that all they have to do is simply "pull themselves up by the bootstraps." That cliche is a source of mild amusement for members of the group, who say the stigma of mental illness still exists, if not as strong as it was in the past.

"If somebody with high blood pressure commits a crime, no one says, 'Oh, they had high blood pressure!"' Chambers said. "But if somebody with bipolar disorder commits a crime, they did it because of their bipolar disorder, and it's front-page news."

Members of Circle of L.I.F.E. focus on the future, and rarely discuss the details of their illnesses, diagnoses or medications. Wilde said labels such as schizophrenic, bipolar and agoraphobic only perpetuate self-fulfilling prophecies and do little to foster recovery.

Worthen said her daughter, who is now a freelance artist, was reluctant to seek help because of the stigma of mental illness. In addition to dramatic mood swings from manic behavior to clinical depression, she suffered from migraine headaches, ulcers, severe weight loss and hallucinations.

"She had so many thoughts racing around in her head, she couldn't just pull one down," Worthen said. "She was being told she was a problem child, but I knew she was a child with a problem."

Today, like Chambers and Wilde, Kristy Worthen is living a productive and healthy lifestyle. Though she continues with medication and support groups, her art career is thriving and she has written a book about her experience titled "Journey Not Chosen, Destination Not Known."

She also designed the flag to promote awareness about mental illness, which has flown above the capitals of each of the 22 states she and her mother have visited. During their stays, the Worthens discuss mental illness with local politicians and even met with President Bush in Washington, D.C.

Mary Worthen said that in each state, she is approached by politicians and public officials who are hesitant to speak about the topic publicly, but claim they have been closely touched by someone with a mental illness. Providing a voice for these people and countless others is a tremendous honor, Worthen said.

"When you've stood in the living room and watched your daughter try to kill herself with a dagger, you never want to see it happen again to anyone," Worthen said. "And it doesn't have to. People can overcome these illnesses. We want to erase the stigmas one state at a time. When we leave each state, we want to leave the general public a little more educated than they were."


Lobbying Effort Impacts Bill Regarding Preferred Drug List For Treating Mental Illness

While in New Hampshire on Wednesday, April 14, 2004, Mary Worthen testified against Bill 383 at a hearing in the House. Lawmakers are considering a bill that promises to cut Medicaid prescription drug costs for mental health patients. The bill would establish a preferred drug list to incorporate more generic medication, to save money. But the National Alliance for Mental Illness (NAMI) said the bill would force people to take medication that may do more harm than good. Michael Cohen, who heads up NAMI-NH, said a preferred drug list is not appropriate when it comes to treating mental illness. "Treating persons with a complex, severe mental illness is not the same as treating someone with something like diabetes or high cholesterol," he said. Drugs that appear similar can have vastly different effects depending on the patient, he said. Doctors need the widest possible range o f options, he added. Experimenting with a lower-cost drug that turns out not to work can have drastic consequences, costing people their jobs, stressing their families and leading to hospitalization or worse. "You don't want to play around with this," he said.

See video from The Champlain Channel: http://www.thechamplainchannel.com/wnne/3006099/detail.html

Transcript of video...Mary Worthen is on a quest. The Arkansas mom is touring every state displaying her special flag to raise awareness of mental illness. She says her daughter can not live without her daily treatment for her bipolar illness. Mary said, "Thanks to medication and a correct diagnosis, my daughter has regained the knowledge of who she is, what she's doing, not only that, she has always dreamed of being an artist..." Worthen is leading the charge against the bill to cut Medicaid prescription drug costs for mental health patients. It would establish a preferred drug lists and incorporate more generic drugs to save money. The National Alliance for Mental Illness says this will force people to take medication that may do more harm than good. "The same drug will not work in the same way for two different people even if those two people have exactly the same symptoms," said Ken Braiterman, of NAMI. The group has some powerful alies in the shadows. Vertually every major pharmaceutical company also belongs to the Alliance raising eyebrows throughout the statehouse. Some say this fight is about profits not patients. "We're not talking about whether or not these drugs are really necessary from a doctor's standpoint as much as they are necessary from a corporate standpoint," said Senator Bob Clegg. Others who support the plan insist doctors will have a final say over patients. "If there is some cost savings, that's great. If there are not cost savings, we can live with that. We haven't done anything to hard the relationship between the doctor and the patient. The doctor will continue to make all the decisions," said Representative Mike Whalley . Preferred drug lists are being used in at least 21 states, which is why AARP has signed on along with Governor Craig Benson and House and Senate Leaders. "People will get the medication they need, and certainly we need to believe this is a way to provide affordable drugs and expand the amount that is available for more people, because you who can negotiate lower prices," said Bill Hamilton of AARP New Hampshire. The House will vote on the mental health prescription drug bill tomorrow.

The bill passed the House on Thursday, but an amendment was added that is favorable to interests of persons with mental illness. It states that if the prescriber believes a preferred drug presents a clinically unacceptable risk, he/she can prescribe a non preferred product and it will receive automatic approval from the PBM.

The bill now goes back to the Senate for concurrence or more likely a conference committee since the Governor and Department do not like the House version as amended.

"Both NAMI and PhRMA credit Mary Worthen with having a favorable impact on their lobbying efforts this week," says David Anderson of AstraZeneca.

Other articles and links related to this subject can be found at:

http://www.theunionleader.com/articles_showa.html?article=36122 "Drug money: Plan to reduce state costs should pass" from the Union Leader New Hampshire Sunday News.

Senate Bill 383 http://www.gencourt.state.nh.us/legislation/2004/sb0383.html

Using a Clinical and Evidence-Based Strategy to Preserve Access to Psychiatric Medications http://www.naminh.org/evidence_based.htm

House supports preferred drug list for treating mental illness
By Anne Saunders, Associated Press Writer | April 16, 2004
http://www.boston.com/news/local/new_hampshire/articles/2004/04/16/
house_supports_preferred_drug_list_for_treating_mental_illness/

FREQUENT QUESTIONS ABOUT THE NH MEDICAID PREFERRED DRUG LIST
http://www.dhhs.state.nh.us/DHHS/MEDICAIDPROGRAM/pdl-faq.htm

House mulls drugs for mental illness - By The Associated Press
http://www.reformer.com/Stories/0,1413,102~29953~2085019,00.html

Next Stop on the Flag Tour


Copyright 2003 Kristy Worthen

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