s0kr8s

5 ms·

1.
by s0kr8s 8mo ago
...and now the plan is "never mind"? https://rollcall.com/2026/01/14/hhs-cuts-2-billion-in-mental... Damage still done, people.
2.
by s0kr8s 8mo ago
I received word from several long-established recovery programs today that they expect to be out of business within days, weeks, or months as a result of these funds being pulled. The damage being done here will be long lasting, not only du
3.
by s0kr8s 1y ago
The argument in the paper is about clinical efficacy, but many of the comments here argue that even lower clinical efficacy at a greatly reduced cost might be beneficial. As someone in the industry, I agree there are too many therapists and
4.
by s0kr8s 2y ago
Excellent point. Comment updated for accuracy.
5.
by s0kr8s 2y ago
The author's thesis is that the rise in home-schooling is driven by a desire to "opt out of being around average people," and he implies that he is not home-schooling his own children in part because he himself was home-schoo
6.
by s0kr8s 2y ago
Agreed. Titles and credentials do not mean what they used to, in education and a lot of other fields. Sufficient erosion in the meaning and value of 3rd party teaching credentials then diminishes the relative value of outsourcing the proces
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by s0kr8s 2y ago
Digital surveillance is often marketed as a form of harm reduction, with a focus on some metric that is easy to measure. What is more often ignored is the potential for harm creation imposed by the measurement process itself: after all, suc
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by s0kr8s 2y ago
The restructuring is not complete, though: a concession was granted to allow borderline personality disorder to remain for the time being due to industry concerns related to reimbursement, but the plan remains to ditch it eventually.
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by s0kr8s 2y ago
On an international level, there is a grand plan to ditch old Freudian categories like narcisissm, borderline, etc. in the upcoming ICD11. There was never much evidence for such diagnostic categories, and I was told that if you look at note
10.
by s0kr8s 2y ago
I never suggested that there are good employers who don't pay their workers competitively. I instead suggested that there are bad employers who pay above market rates as a way to compensate for problems with employee retention. Sure, t
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by s0kr8s 2y ago
Caution: you might get paid 50% more to work at a company that is 500% worse managed, and therefore is hemorrhaging employees so fast that the only way they can maintain staffing levels is to offer a hefty premium above normal market wages
12.
by s0kr8s 2y ago
Having worked in a position where it was part of the job description to periodically report parents to CPS, my experience was that it was actually quite challenging to get CPS to take up a case, even when there was lots of evidence suggesti
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by s0kr8s 3y ago
I agree that it could certainly be both. However, most professional boards are created with an explicit mandate to promote efficacy and competency, which makes a hypothesis like "benefits of (DEI) > benefits of (efficacy &&
14.
by s0kr8s 3y ago
A lot of recent "ditch the exam" efforts across a wide variety of professions seem to be centered around post-2020 diversity, equity, and inclusion (DEI) initiatives (evidence: https://www.opb.org/article/2022
15.
by s0kr8s 3y ago
In a service business, sweat equity is an awesome tool, not just for paying yourself, but also for paying your early employees. One of the biggest obstacles you face when bootstrapping is that you need employees to grow your revenue, but yo
16.
by s0kr8s 3y ago
I would argue that all businesses are lifestyle businesses. Dreaming of a lifestyle that involves 10 houses and a yacht? Become a VC, or join a company backed by one and hope it becomes a unicorn. Astronomical wealth and power are a LIFESTY
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by s0kr8s 3y ago
On the other hand, if someone has a child who is aggressively attacking anything and everything in site, no matter how they might have heard about PANDAS, I would argue that antibiotics might still be the lowest risk intervention and most p
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by s0kr8s 3y ago
These cases aren't nearly as rare as the medical system would have you believe. Go to a residential psych hospital for kids, or a day treatment program for level 3 or 4 EBD children, and you'll see a bunch of them, many of whom ha
19.
by s0kr8s 3y ago
I have been told that kids with PANS / PANDAS often get better spontaneously when they hit puberty as well, which some speculate is due to changes in the immune system that occur at that phase of development (the body stops producing T
20.
by s0kr8s 3y ago
Recent research suggests that schizophrenia may also be immune-mediated or at least immune-system involved. See: https://www.frontiersin.org/articles/10.3389/fpsyt.2022.8805... I was at a psychiatric conference on
21.
by s0kr8s 3y ago
According to the conventional PANDAS theory, due to biological mimickry antibodies against Step A bind to neurons and attack them, so there are antibody tests that focus on Strep A that are used as diagnostic tools in PANDAS, such as antist
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by s0kr8s 3y ago
The central epistemological question with regard to PANS / PANDAS is not free will, but rather: how do you study or measure a phenomenon that violently fights back and is possibly even willing to die in order to prevent your attempts t
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by s0kr8s 3y ago
Long-time HN lurker here, and I think it's finally time to finally create a profile and post my first comment. I'm the CEO of an outpatient mental health organization with 50+ employees (mostly just run the tech in the background