Contents
- Requirements
- Sleep as an indicator of Health
- New Roommate Adjustment
- MSG – Housing Solutions Bundle Product Line
- Development Stream
- Dedicated To & In Memory Of
- Repeating Theme Screener 14 Items (HSF)
- Sleep Studies Score 10 Items Screener (HSF)
- Table – Assessment and Related Elimination – SleepAbility III
- Sleep and Catastrophic Losses
- Ravinder to the Rescue
- Sleep – Content
- What is a mood disorder?
- Again, How do I know if it is anxiety or bi-polar?
- Sleep as an indicator of health II
- Introduction - 20190826-M: Table - Types of Bullies & Examples
- Key Events (2012-2026)– Partial – Rough Chronological
- Sleep & Ability
- Work Done
- The Landmark Boundary Assignment
- Work Done
- Reaching Vision - Define and Develop – Sleep Related Resources
- Cal Optima and Zolpidem – Prior Authorization
- Integrating About Technology
- Contexts - Integrated
- Cases - Newbie (Newbee) Adjustment Schedule
- 20260915-TU: Repeating Themes – Concepts
- 20260818-TU: Repeating Themes
- Tangent - Delusional People and Mirrors
- Figure – Chronicling the Big Guys – Assault and Battery
- Notes – Sleep Intervention Management (SIM)
- Right to sleep a fundamental right, says Supreme Court
- Staggering Costs
- SDS = Sleep Deprivation Statistics [Time Frames Unknown]
- Frequency of Sleep Problems in the USA
- Revisit Bullying
- Intentionally interfering with another’s sleep
- Episodic Time Line - Coarse
- Work Done
- FYI - Why retain a full link rather than create a hyperlink?
- Sleep Preparations
- Medical Model Timeline
- Medical Model of Treating Mental Illness
- New RASR Roommate – Mikel Roby
- Sleep Ability – Agent, Environment & Host
- We lost our OCHCA network!
- Table – Methods of Sociology – Methodology
- Reference - UC Irvine Child Development School (9/4/2014)
- Table – Sleep Ability Assessment Related Elimination
- Define Sleep Ability Brief
- Appendix - Valuable MSG & BHSA Terms and Concepts
- 06_OC_Beds_26032301_Acronyms
Sleep as an indicator of Health
Sleep serves as a vital indicator of overall physical and
mental health, reflecting how well the body repairs, regulates, and defends
itself.
Physical Health Indicators
Heart function:
Blood pressure and heart rate drop during
deep sleep, allowing the cardiovascular system to rest and recover.
Metabolic balance:
Rest regulates hormones like ghrelin and
leptin that control appetite, as well as insulin sensitivity for blood sugar
control.
Immune strength:
Adequate rest helps the body build immune
memory and fight off common infections like colds or the flu.
Mental and Brain Health Indicators
Toxin clearance:
The brain actively clears out accumulated daily toxins during
deep rest.
Memory and mood:
Rapid-eye-movement (REM) sleep supports
memory consolidation, learning, and emotional stability.
Psychological warning signs:
Chronic insomnia or disrupted sleep
patterns often act as early warning signs or triggers for anxiety and
depression.
Warning Signs of Poor Quality
Trouble falling asleep within 30 minutes.
Repeatedly waking up during the night.
Feeling tired or unrefreshed despite
spending enough hours in bed.
Increased risks for long-term conditions
like Type 2 diabetes and cardiovascular
disease [0.6.3, Sleep
is essential to health].
FYI – AI - Would you like tips on how to improve your sleep
hygiene or learn more about the specific stages of sleep?
New Roommate Adjustment
Adjusting to a new roommate
requires clear communication, setting early boundaries, and respecting shared
spaces. Talk openly about expectations regarding cleanliness, guests, and daily
routines right from the start to prevent small issues from turning into major
conflicts.
Setting Ground Rules
Talk early: Discuss schedules,
sleep times, and quiet hours during the first few days.
Define chores:
Decide how to
split cleaning duties and take out the trash.
Share boundaries:
Be clear about
food rules and whether items can be borrowed.
Guest policies:
Agree on a
rule for when visitors or overnight guests are allowed.
Managing Daily Living
Be considerate:
Clean up after
yourself in common areas immediately.
Respect privacy:
Give each
other personal space and time alone.
Compromise:
Find middle ground when habits
or preferences clash.
Aside
- Promises and Perks
Promises are essential for
building trust, integrity,
and long-term relationships, whereas perks are auxiliary, non-wage benefits
like snacks or lounge areas that enhance the work environment but do not
replace culture. Effective
leadership focuses on keeping promises rather than just offering perks,
ensuring equitable experiences that foster employee
retention.
In House > Metadata >
MHSA_INN_HAB_18091401_Products V2019
Development Stream
Classed as: Innovations
Dedicated To & In
Memory Of
Dedicated To
Doctors – David
Dobos, Ravinder P. Singh, Arnold P Deutsch, Clayton L Chau, Jeffery A Nagel,
Andrew Inglis, Bum Soo Lee, Dean Hansen, Galistan “Yan” Ghazikhanian, Ahnika S.
Kline, and Rimal B Bera
In Memory Of
Candace Dawn Torkelson-Brinsko,
Kevin George Torkelson, June Elizabeth Torkelson, George Gerald Torkelson,
Craig Edward Torkelson, Lisa Hunt
Results Up Front
Repeating Theme
Screener 14 Items (HSF)
20240310-TU: Table - Repeating Theme
This table had been substantially revised due to the fact in
hindsight things were worse than we perceived.
20240319-TU-I was admitted via ambulance to Global Hospital in Santa
Ana for inappropriate behavior. My
judgment had become impaired. On July 4,
2024 I resolved 34 of my mistaken beliefs.
The episode began in 2023 when I decided I needed to get off
CloZAPine. My shared roommate, Ted, was
also psychotic.
Context – Sleep Resources
Sleep Studies Score 10 Item Screener (HSF)
Establish and Utilize Sleep
Resources
RBB = Rimal B Bera MD | CCCHC = Central City | HSF = High
Scores are Favorable | RT = Real Time | SW = Share (d) With
Note: Neither the Doctor, the Clinic, nor the Program were
of much help 2019-2020.
Sleep Studies Score
10 Item Screener (HSF)
Context of Rimal B Bera, MD’s Help
Sleep Management Efforts below Average
Getting ready for a new Great Matching RASR
Fairness
In a manner it isn’t fair to assess a provider for requirements that
they do not consider in their practices.
For example developing or summarizing data and making it available to
their clients is a bit out of scope. We would consider testing for
the items above a promising practice.
Metadata > OC Beds >
SleepAbility_Assessment_21050602_Notes
Table – Assessment and
Related Elimination – SleepAbility III
For use with: 02_HAB_Market_18113006_Facebook V2019
HBE Services Tool> Metadata >
11_Assess_HBE_Sleep_17012802_Reference V2026 Transformation
Key Words = sleepdiary and sleep assessment tool
Sleep and Catastrophic Losses
Chronic sleep deprivation is a major risk factor for catastrophic
human, medical, and operational failures, with accidents most likely between 1
a.m. and 8 a.m. Lack of sleep causes severe cognitive decline, including poor judgment and slowed
reaction times, leading to disasters like the Exxon Valdez oil spill and
Chernobyl.
Situational Update – Sleep Ability
20210427-TU: Last night Keith “Buster’
Torkelson MS enjoyed a second night straight of un-interrupted SLEEP. We here at Mentalation Solutions Group (MSG)
recognized SLEEP as a thing greater than us.
We have been designing a product we call Sleep Ability. Our Sleep Ability product is assessment-driven.
For us and many others SLEEP has multiple dimensions being: Brain factors, mind factors, behavior factors,
bodily factors, spiritual aspects, and environmental factors. This makes SLEEP complicated.
Essential
We feel that great SLEEP is essential to health and wellbeing. Nearly everytime since 1989 when Buster was first
admitted to the Psych Ward SLEEP played a key role. From 2013-2023 Buster has not called “911” or
been admitted to the Psych Ward. In part
we owe this remarkable episode of remision on Buster putting SLEEP and SLEEP
concerns near the top of his list of daily priorities. For Buster on the same priority as SLEEP is Medication Management.
After writing this Buster was admitted twice and transferred twice in
2024. He now lives in a retirement
community.
Ravinder to the Rescue
Years ago in 2007 after many years of
consenting to medical experimentation (trial and error) by psychiatists Buster
met Ravinder P. Singh MD (RPS). RPS saw
patients at what was then Western Med Anaheim (WMA). He had to come back twice to WMA to get the
right treatment. On the third try Dr. RPS initiated a CloZAPine chemotherapeutic regimen. We define chemotherapy in a broad sense
meaning: “the treatment of disease by the use of chemical substances”. A side
effect of CloZAPine is drowsiness. For
Buster drowsiness translated into
dose related quality of SLEEP. Up until 2024 Buster’s primary sleeper was CloZAPine. In 2024 Buster’s sleep issues worsened as
measured by the amount and nature of his prescribed sleep associated as needed
(PRN) medications.
Apprehension Moving
For the most part SLEEP is a daily
activity. For Buster sleep is a requirement.
So why is it from 2012-2024 that Buster suffered interrupted SLEEP. In 2023 his Rent A Shared Room (RASR)
roommate sufferering from COPD making congestion, choking and coughing noises
at bedtime, during the middle of the night, and in the morning. His RASR roommate’s pulmonologist prescribed
Oxygen. Yet for various reasons he
refused the presciption. We were
considering suffering a move (2023) yet we were exhausted and afriad. Buster was hoping that the landlady would
follow through and not renew the perpetrator’s lease. In 2024 a series of events propelled Buster
to move. Via the hospital he basically
moved from a Room & Board (RASR) to a Retirement Community (RASR). It took
his brother-in-law to help
Buster move. Now (2026) Buster after the
end of his 2024 episode Buster is highly dependent on SLEEP and what makes it possible every night.
Sleep
Health and the Quality of Sleep
Quality sleep is essential for physical and mental health,
serving as a pillar of wellness alongside diet and exercise. It strengthens the
immune system, balances hormones, and enhances cognitive function. Poor sleep
quality increases risks for chronic conditions like heart disease, diabetes,
obesity, and dementia, necessitating seven-plus hours of consistent,
restorative sleep nightly.
Several Studies link health to
quality of sleep
Extensive research confirms that
high-quality sleep is crucial
for physical and mental health, with poor sleep linked to chronic issues like
cardiovascular disease, obesity, and diabetes. Studies show that fewer than six
hours of sleep increases mortality risk and impacts cognitive function, while
good sleep supports immune health
Sleep and Health - Need Sleep
Adults need 7–9 hours of quality sleep nightly to maintain
physical and mental health, with deficiencies increasing risks of heart
disease, obesity, stroke, and cognitive decline. Proper sleep boosts immunity,
repairs cells, and improves cognitive functions like memory and focus. Key tips include maintaining a
consistent schedule and avoiding caffeine late in the day.
How is sleep related to health?
Sleep is precious, too. Numerous
studies have found that insufficient
sleep increases a person's risk of developing serious medical
conditions, including obesity, diabetes, and cardiovascular disease. Lack of
adequate sleep over time has been associated with a shortened lifespan.
Improving Sleep Quality: How Is
It Calculated? | Sleep Foundation
https://www.sleepfoundation.org/sleep-hygiene/how-is-sleep-quality-calculated
While it’s known that sleep
quality is important to overall health, there is no one definition of sleep
quality set by sleep experts. Instead, sleep
quality is often defined by sleepers themselves. There are many
consistent factors sleepers report when evaluating whether or not they get
quality sleep, including sleep
disturbances, bedroom environment, and daytime sleep habits. Daytime
experiences, such as feeling rested and restored after waking also influence
whether or not someone feels they have had quality sleep.
Sleep Hygiene
However, sleep quality and sleep
quantity are not directly associated. In other words, people may sleep for a
long period of time, but it may be disturbed sleep and therefore not considered
quality sleep. Although sleep quality
and quantity are different measures, both are affected by sleep
hygiene.
What Factors Affect Sleep Quality? (Sample)
Daily exercise
Diet
Drinking too much caffeine or alcohol
Drugs
Illnesses
Irregular sleep schedule
Lighting
Medication
Mental health disorders
Noise
Pains
Roommates
Sleep Apnea
Sleep disorders
Sleeping environment
Snoring
Sound
Travel
Other
https://www.sleepfoundation.org/sleep-hygiene/how-is-sleep-quality-calculated
Jan 7, 2021
Irregular Sleep Schedule
Going to bed and waking up at the
same time each day, even on
weekends, is one of the best ways to improve sleep and overall health. This
consistency regulates your body's
internal clock, known as the circadian rhythm, which can improve sleep
quality, reduce the time it takes to fall asleep, and strengthen your body's
ability to stay asleep. A consistent sleep schedule has also been linked to
better cardiovascular health, sharper cognition, and improved metabolic function.
Sleeping Environment - Basic
The bedroom should be quiet and
dark without excessive lights.
Blue light from electronics
such as TVs, computers, and phones enhances alertness and should be avoided
some hours before bedtime.
Drinking too much caffeine or
alcohol
Drinking too much caffeine or
alcohol can interfere with sleep by making it harder to fall asleep and reducing the quality of sleep.
Caffeine is a stimulant that reduces total sleep time, while alcohol may help
you fall asleep initially but leads to fragmented sleep and less REM sleep
later in the night. To minimize disruption, limit caffeine consumption in the
afternoon and avoid alcohol within a few hours of bedtime.
Drugs
Some prescription drugs, such as
diuretics, increase the need to go to
the bathroom, which can wake users up during the night. Sleep aids,
whether over-the-counter (OTC) or prescribed by a doctor, can cause daytime
sleepiness and other side effects.
Snoring
Excessive, loud, or chronic
snoring is often a key symptom of Obstructive Sleep Apnea (OSA), a serious
condition where throat tissues
vibrate and collapse, blocking the airway during sleep. Unlike simple
snoring, OSA involves dangerous breathing pauses, choking, or gasping, often
leading to severe daytime fatigue, cardiovascular issues, and poor sleep
quality. Mayo Clinic
Sleep disorders
Disorders like insomnia can cause difficulty in falling
or staying asleep and lead to poor sleep quality. Frightening dreams
and frequent arousals, which can affect sleep quality, are among the nighttime
symptoms of narcolepsy.
Mental health disorders
There is a strong link between mental health disorders like
depression and anxiety, and sleep disorders like insomnia. Insomnia is not only
a symptom of these conditions but can also worsen them, creating a cycle where
poor sleep exacerbates anxiety and depression, and these conditions make it
harder to sleep. Racing thoughts at
night are a common symptom of this link.
Other Factors
Diet, daytime exercise, travel,
and illness can all affect sleep quality, and other factors like caffeine,
alcohol, an irregular schedule, and mental health also play a role. These
factors can disrupt your sleep by influencing
your body's natural rhythms, causing physical discomfort, or creating stress and anxiety.
Behavioral Health
What is the difference between
behavioral health and mental health?
Mental health focuses on emotional and psychological
well-being (thoughts and feelings), while behavioral
health refers to how actions and habits (like diet, substance use, or
exercise) impact physical and mental wellness. While often used
interchangeably, behavioral health is
a broader term encompassing mental health, addressing both the biology
and behaviors influencing overall health.
How do I know if I suffer anxiety
or bipolar disorder?
Anxiety and bipolar disorder are
distinguished by their patterns: anxiety causes persistent, chronic worry, while bipolar disorder involves
distinct, cycling episodes of extreme moods (mania/hypomania and depression).
Bipolar disorder features high energy and "wired" feelings (mania)
alternating with depression, whereas anxiety
disorders focus on fear and tension.
Bipolar Disorder and Sleep
Sleep disturbances are a core feature of bipolar
disorder, acting as both a symptom and a trigger
for mood episodes. Mania/hypomania typically causes a reduced need for
sleep (38%–78%), while depression often brings hypersomnia or insomnia.
Managing sleep via strict routines and treatment is crucial, as disturbances often precede mood
swings. WebMD
How do I know if I suffer
bi-polar or a mood disorder?
Bipolar disorder is distinguished
from general moodiness or depression by distinct,
alternating episodes of mania (high energy, racing thoughts, little
sleep) and depression (low energy, sadness). Episodes typically last several days or weeks rather than
changing hourly. A professional evaluation is necessary for diagnosis.
What is a mood disorder?
A mood disorder is a mental
health condition primarily characterized by significant, long-lasting disturbances in emotional state,
such as extreme sadness (depression), excessive elation (mania), or both. These
disorders, including depression and bipolar disorder, go beyond daily mood
fluctuations and interfere
with daily functioning, work, and
relationships.
https://laopcenter.com/mental-health/disorder/mood/
Again, How do I know if it is anxiety or bi-polar?
Anxiety disorders involve persistent worry and fear, while
bipolar disorder is characterized by extreme mood swings between high-energy
mania/hypomania and low-energy depression. Key differences include episodic
mood shifts, reckless behavior, and decreased need for sleep during mania,
whereas anxiety involves continuous, irrational
worry.
Rational Worry
Rational worry is a
proportionate, reality-based response
to a genuine, immediate threat or risk, such as preparing for a hurricane or
avoiding a known danger. It is adaptive, fostering safety and problem-solving,
whereas irrational worry is disproportionate, persistent, and not based on present reality.
Sleep as an indicator of health II
Sleep is a vital vital sign and powerful indicator of overall
physical and mental health.
Why Sleep Matters
Heart Health:
Blood pressure
and heart rate drop during deep rest, giving the cardiovascular system a break.
Immune Defense:
Rest helps the
body fight off infections like the common cold and respond better to vaccines.
Metabolism:
Poor rest
alters hunger hormones and blood sugar control, raising the risk of diabetes
and obesity.
Brain Function:
Sleep clears
out toxins and helps form long-term memories.
Signs of Healthy Sleep
Getting 7
to 9 hours per night for most adults.
Falling asleep
within 30 minutes.
Waking up feeling refreshed and alert.
FYI - Good Sleep: An Indicator of
Good Health - ACSM American Fitness Index
https://americanfitnessindex.org/sleep-indicator
Feb 12, 2018
Why is sleep so important to
health?
Sleep influences processes in the
brain that allow it to remember and
learn new information. It can also influence brain linkages that
increase the ability to concentrate
and feel positive emotions. People who get more rest have more energy
for tackling difficult tasks. Getting enough sleep also helps to control weight
by increasing the body’s ability to burn carbohydrates.
Poor Quality Sleep and Health
Risks
On the other hand, having too
little or poor quality sleep turns on
hormones that affect appetite and promote carbohydrate storage that
leads to weight gain. Sleep
can also affect heart health: not getting enough sleep can increase the risk
for heart disease by increasing high blood pressure, stress hormones and
irregular heartbeats.
What is the solution?
Getting at least seven hours of sleep a day is possible by
practicing what sleep experts call good sleep
hygiene. These are different practices and habits that promote sleep
quality and daytime alertness. Here are a few hints:
- Limit daytime naps to 30 minutes so you are tired at night.
- Avoid stimulants such as caffeine and nicotine close to bedtime.
- Exercise to increase your physical energy and allow your tired muscles to relax for a good night’s rest.
- Avoid watching TV in the bedroom, as the artificial light can disrupt sleep rhythms.
- Avoid eating foods that may disrupt your digestive system right before bedtime.
- Check out the Fitness Rankings to see how well people in your city are sleeping!
How is it I don’t get tired at
night?
If you're not feeling tired at
night, it could be due to a few factors. A disrupted circadian rhythm, poor
sleep habits, or stress could
be contributing. You might also have a condition like delayed sleep-phase
syndrome or be experiencing insomnia. Adjusting your sleep schedule, practicing
good sleep hygiene, and managing
stress can help.
How do you know the genetics of your
sleep disorder?
Knowing the genetics of a sleep
disorder involves analyzing family
history for patterns, undergoing clinical diagnostic tests (like
polysomnography), or participating in specialized research studies using
genome-wide association studies (GWAS). Common sleep issues like apnea,
insomnia, and restless leg syndrome have strong
hereditary components, often involving genes related to circadian
rhythms and muscle control.
Overextended for helping others
Overextending happens when we
constantly focus on other people's
needs over our own and end up feeling burnt out, overwhelmed, and
anxious. It's essential to slow down and make time for self-care, but it can be
hard to break the cycle of overextending
Aside - Personal Parity - In all
our affairs
Based on the search results, "Personal Parity - In all
our affairs" can be understood as applying the concept of equality,
fairness, and mutual respect across all aspects of one's personal life and interactions.
Natural Sleep versus Augmented Sleep
Natural sleep and augmented
(drug-induced or technologically enhanced) sleep differ significantly in quality, purpose, and physiological
impact. While natural sleep is essential for full, restorative, and
properly cycled REM and NREM sleep, augmented sleep—particularly through
medications—is often less refreshing and may
disrupt natural sleep architecture.
Natural Sleep Architecture
Natural sleep architecture is the
structured, cyclic pattern of sleep
stages—comprising NREM (stages 1-3) and REM sleep—that the brain cycles
through every 90–110 minutes. A normal night includes 4–5 cycles, shifting from
deep, restorative sleep in the first half to longer REM (dreaming) sleep later.
It is crucial for physical repair,
memory consolidation, and emotional regulation.
Natural Sleep
If we could we would pick (natural) sleep not augmented by
medication. In recent times we have
stayed up more than 72 hours waiting to get tired and go to sleep. When we were first diagnosed two doctors
indicated that we would be on medication for the rest of our life. They also indicated that Buster would never
get better. As of 2026 we are dependent
on medication to sleep.
13_Righting_Tech_MSG_Digital_Appointment_21041404_Build
Bullying and Sleep Disturbances
Crude Associations between
Bullying and Sleep Disturbances
People who were exposed to bullying in the past
were also at a higher risk of having
sleep disturbances than were those who had never been exposed. The more
frequent the exposure to bullying, the higher the prevalence of sleep
disturbances.
Introduction - 20190826-M: Table - Types of Bullies & Examples
20210501-SA: For our Sleep Ability installment for our current Digital
Appointment Build (DAB) we chose to
address Bullying in the Rent a Share Room (RASR) environment. Bullying has to be addressed with Housemate
& Roommate Matching as well as intervention. Below are some features that can influence Sleep
and Sleep Ability. The notions below
come from Keith “Buster” Torkelson’s lived experience (LE) in a RASR environment. Even though Sleep is in the service
domain for both Buster’s Primary
Care Physician (PCP) and his Behavioral Health Doctor (BHD) they only help
remotely. Too much Bullying in a given day generates fatigue and
worry. If it happens in the middle of
the night it directly impairs sleep. At
Shank’s Truck Stop Buster has shared a room with all but: Wayne and Ted. Eventually, Buster shared with Ted a general bully
and sleep bully. Ted also had un-treated
Sleep Apnea. Circa 2024 Ted died in his
bed.
Aside - Ted Passes Away (Expires)
Since writing (2024) this Ted has passed away. The landlord indicates Ted died overnight in
his bed. We tried to help Ted on
numerous occasions. In November of 2023 we visited Ted in the
Psych Ward at Global Medical Center Santa Ana.
He was released with an ineffective treatment plan. Without the right meds his condition only
worsened.
Bully Typing
Bully Typing – With Concentration on Ted
For Year – 2023 (Else)
Key Events (2012-2026)– Partial – Rough Chronological
Note - Shared room with Ted - June 28, 2021 till March 19 of
2024
Associated Document(s) > In House Metadata >
- Roommate_Match_Historical_Inventory_17120703_Record V2026
- 05_Sleep_DORMIR_Cast_of_Characters_STR_23072003_Notes V2026
- TTS_Digital_Appointment_17122801_F2F_Bera_Sleep V2019
- MHSA_INN_HAB_18091401_Products V2019
- HAB_Product_Sleep_SleepAbility_20062501_Acronyms
Aside - Reference Material > Metadata >
How to Start a Peer Driven Room & Board Advisory Coalition
Cynthia White, MFT Chief Advocate, Patients’ Rights
County of San Bernardino
Peer
Driven Coalition
A peer-driven coalition is a community-led model where individuals with lived experience or shared interests, rather than outside experts, design and lead change initiatives. These coalitions prioritize direct, bottom-up action—such as peer-to-peer fundraising, support networks, or grassroots advocacy—to build social, economic, or health-related improvements.
Why
do we need peer driven coalitions?
Peer-driven coalitions are essential to amplify collective power, foster authentic community ownership, and achieve sustainable, grassroots-led change. By uniting individuals with shared lived experiences, these coalitions build trust, bridge diverse perspectives, and provide necessary support, ensuring solutions are effective, relevant, and not just imposed from the top.
Why
is oversight of Room and Boards needed?
Oversight of Room and Board (specifically in HOAs, student housing, or community settings) is essential to minimize liabilities, ensure safety, and maintain property value. Effective oversight ensures compliance with regulations, protects financial stability, and enforces structural maintenance. Without it, organizations risk legal hazards, mismanagement, and damaged public trust.
Sleep & Ability
Sleep
Sleep is a naturally recurring state of mind and body, characterized by altered consciousness, relatively inhibited sensory activity, reduced muscle activity and inhibition of nearly all voluntary muscles during rapid eye movement sleep, and reduced interactions with surroundings. Wikipedia
Ability
Possession
of the means or skill to do something."The manager had lost his ability to
motivate the players". Talent,
skill, or proficiency in a particular area.
Similar to Ability
Opposite of Ability: Inability
Work Done
Associated Document > In
House > Metadata >
15_Delivered_Sleep_SleepAbility_21050103_Publications
Online > Query for Work
Done >
“keithtorkelsonsleepability”
20260331-TU- Author: Keith Torkelson - Views: 68
“Writhing Day and Night” disrupting Peace and Calm
New Old Man John (NOMJ) - He died soon after this
https://www.youtube.com/watch?v=1mx95-AqQr0
Aside - Pinterest Account Status
Pinterest mistakenly took our
account away. As of 2026 we have been
reinstated.
https://www.pinterest.com/pin/844002786397229204/
Mar 7, 2019 – SleepAbility - Lead Image (Rochester)
Keith Torkelson's SleepAbility Study 2019 Number I
A Right to Sleep
“Snort – Cough – Hack”
https://ktork46.blogspot.com/2019/03/keith-torkelsons-sleepability-study.html
Our
Wounded Warrior eventually died in June of 2021
Promote - Pinterest
Pinterest is a visual search engine and discovery
platform used to find, save, and curate ideas—such as recipes, home
inspiration, and fashion—using images and videos called "Pins". Users
create themed boards to organize these Pins, acting as a digital vision board
or, as some users on Reddit describe it, a virtual scrapbook for planning projects and discovering
inspiration. Pinterest
Aside - Assignment – Proscribing
Boundaries
To proscribe boundaries is to
officially forbid, prohibit, or condemn certain limits, behaviors, or actions. It means setting strict,
negative constraints—declaring something "out of bounds" or
unacceptable, often by law or authority. It is the opposite of prescribing
(recommending/ordering). Vocabulary.com
The Landmark Boundary Assignment
Back in 2012 Dr. Ravinder Singh gave us the assignment “Pt needs
boundaries to be set, especially with females”.
Ever since we have been studying boundaries. We created a Pinterest Board call Psychiatry
for Dummies (now for Geniuses) to compare our online boundaries with those of
others. Yet it appears that our Board
has been lost for supposedly crossing boundaries. We finally brought it to Pinterest’s
attention that we were wrongfully terminated.
As of 2026 Pinterest has given us our account back.
Our online boundaries are conservative.
Desktop Publishing > Work Done
http://brandnewdayhmo.blogspot.com/2019/09/2018-2019-copd-season-by-and-for-keith.html
Sep 10, 2019
Information about Keith “Buster” Torkelson Patient of Chester D Mojica MD.
http://brandnewdayhmo.blogspot.com/2019/09/medication-management-change-request.html
Includes roommate Mikel Baseline Suffering.
https://the-torkel-saga-2059.blogspot.com/2020/09/
Sep 15, 2020
Friends Photo Album for Fall Quarter 2020 by Keith Torkelson MS. Pre-sales for Housing Help Line Fix. Addresses SLEEP and SleepAbility.
Keith Torkelson’s SleepAbility Study 2019 Number I – A Right to Sleep (MSG, 201903) & Crisis Intervention – Health & Human Services Advisory
http://ktork46.blogspot.com/2019/03/keith-torkelsons-sleepability-study.html
Mar 6, 2019
We called the summary scores: Percent Sleep Able.
Matrix – SleepAbility Assessment Tool Results (25 Item)
We scored 74.0%. Our two roommates scored 60.0% and 62.0%. Obviously we share a room.
Housing Advisory Board Orange County Division (HAB-OCD)
https://housingadvisoryboard.blogspot.com/
Housing Advisory – Rent a Shared Room – Bully Management – By Keith Torkelson MS – Housing Advisory Board – Sleep Bullies - SleepAbility
https://housingadvisoryboard.blogspot.com/2019/08/housing-advisory-rent-shared-room-bully.html?m=1
Aug 28, 2019
Feature Image - Wayne the Bully beating up Jessie the Kid.
SleepAbility Study 2019-II Considering Role of Exogenous Factors including Behavioral Health Doctor’s By Keith E Torkelson, MS (20190529)
https://ktork46.blogspot.com/2019/05/sleepability-study-2019-ii-considering.html
Date Chartered - 5/29/19
20190529-W: Page Views = 0
20260428-TU: Page Views = 63
FYI - 20190225-M: Steering
Committee Meeting (SCM)
Stealing from the Be Well Orange
County Blueprint
The Be Well Orange County (OC)
Blueprint is a strategic framework aimed at transforming the region’s mental
health care system into a world-class,
collaborative ecosystem by 2030. It leverages public-private
partnerships to "flip the triangle," prioritizing prevention and
community-based care, anchored by regional Wellness Hubs and mobile crisis
response teams.
Reaching Vision - Define and Develop – Sleep Related Resources
Our overarching goal is to place or re-place consumers of behavioral health services into Good Beds. A good bed requires that the environment permits sleep (Sleep Able) and the individual has the resources to get a good night’s sleep (Sleep Ability). We had formally suggested to the OC Health Care Agency for the need for a solution to Housing and Bed Finding. The solution included a Housing Help Line, Housing Work Group, and Housing Advisory Board. We have been pushing our solution since 2018 or even before. As of 2026 we have failed to sell the county and therefore we “Kill” the project. We are transferring our effort to working on Advanced Planning.
Brand New Day (BND)
BND was our insurer and psychosocial program for 2012-2022. In all those years they did little to help us
with Buster’s sleep issues. We needed to find me a better bed yet none of
the coordinators could seem to find the time to help.
FYI - Promotion - Inaturalist
20190820-TU: CBC Day – Brand New Day initiated a Rewards Program
We have been with Dr. RB Bera our psychiatrist since January of
2019. We have been with our Primary Care
Physician (PCP) Dr. Chester D Mojica (CDM) since 2012. We talked to CDM about the rewards
program. He was not happy about it because
it meant more work for him. We requested
that he perform on our behalf a routine Health Information Transfer (HIT) to
BND so we could get our reward. We
called BND Phone Customer Service who said the doctor had not provided the necessary documentation.
20260126-M: Cal Optima Perks
As of 2024 Cal Optima is Buster’s new health insurer. Cal Optima offers Rewards, an OTC Allowance
and a meager Food Benefit. As of 2026 we
are happy with Cal Optima giving
them 4.8 Quick Star Equivalents.
Cal Optima and Zolpidem – Prior Authorization
Cal Optima loses 0.2 Stars because of the prior authorization process for Zolpidem. We pushed it through in 2024 and at the start of 2025. You would figure they would be pro-active for 2026. When we needed our prescription there was no prior authorization by the middle of January. We got to pay out-of-pocket for our Zolpidem. The pharmacy, Gilbert Drugs, say the money is non-refundable. For February (2026) we and the pharmacy had received prior authorization.
Integrating About
Technology
Table - Associated Papers
Contexts - Integrated
Cases - Newbie (Newbee) Adjustment
Schedule
Finalized:
20260818-TU:
RASR History
What
is a Newbie?
A newbie (often
spelled newbee) is an informal slang term for a beginner, newcomer, or someone who is
inexperienced in a specific activity, job, or online community.
Meaning and Usage
Core Definition:
A person who
has just started doing something and still
has a lot to learn.
Common Contexts:
Frequently
used in online gaming, computing, internet forums, and workplaces to describe a
new participant.
Tone:
Generally neutral or mildly informal, unlike its related internet slang term noob, which is often used as an insult to imply incompetence.
20260915-TU: Repeating Themes – Concepts
20260818-TU:
Repeating Themes
Tangent - Delusional People and Mirrors
When delusional people look into
mirrors, they can experience specific psychological and neurological
conditions. The most prominent of these is mirrored-self misidentification, a rare disorder where a
person firmly believes their
reflection is a stranger, a relative, or an intruder rather than themselves.
Mirrored-Self
Misidentification
The Core Belief:
The person
looks in the mirror and does not recognize their own face. They often think the
reflection is a stranger
following them or living in the house.
Brain Connection:
This issue
usually links to damage in the right side of the brain. It happens often in
patients with dementia, stroke, or a head injury.
Behavior:
Patients may talk to the mirror, yell at the
reflection, or try to chase the "stranger" away.
Other Mirror-Related Delusions
and Disorders
Body Dysmorphic Disorder
(BDD):
People with
severe BDD look in the mirror and see a distorted
body part. Their brain exaggerates flaws. This causes extreme distress
or long hours spent checking the
mirror.
Psychosis and
Schizophrenia:
People with
persecutory beliefs may think mirrors hide hidden cameras or recording devices. They might cover mirrors or
avoid looking into them out of fear.
Mirror Agnosia:
A separate
brain-based issue where a person understands a mirror is a reflective surface,
but they cannot use spatial cues correctly in the mirror world.
Figure – Chronicling the Big Guys – Assault and Battery
It all started with Jessie the Kid (JTK) wanting to hurt Ted. Ted has a way of getting under your skin. The
two Bullies Wayne and Carl take down and pile on restraining JTK. From our
perspective the bullies were wrong. Wayne
on top punched JTK in the nose twice. In
the struggle JTK kicked out the window and cut his leg. Jessie the Kid needed an ambulance whereas the police took him away. Sad!
Lived Experience
Notes – Sleep Intervention Management (SIM)
Major William Challenge: 20190112-SA: Notes
When William started acting out, I heard Mel one of our landlords downstairs
dealing with William and decided not to interfere with him. Earlier, I had mentioned to William how mean
and abusive he was to Gloria our other
live in landlord.
20190113-SUN: Notes
We plan to give William another night.
Last night William thrashed until 2 am.
He also said he has one of the best beds in the house. William has said over-and-over that he cannot
control himself. I suspect he has Tourette
Syndrome. William wastes his time in bed not
sleeping. He just coughs, twitches, and
shakes. William’s mattress is located on
the bunk above mine. My bed is doubles as my workspace. Ted at 4pm finally came for William. William has been restless since 10am. Before leaving William said he would not
sleep tonight. Aside – In addition
William has rubbery skin.
20190113- SUN (Hand Delivered) - Dear Gloria the live in landlord
Before he left for dinner William said he would not sleep tonight. He said he could not control himself. Today he spent his time in bed coughing from
10am to 4pm. Last night William thrashed
violently shaking our bunkbed until 2 am.
William says over-and-over that he cannot control himself. Please be ready to help me if you can. Thank You, Keith.
Aside
- Rubbery Skin
Ehlers-Danlos Syndromes
(EDS):
A group of inherited disorders
that directly affect connective tissues, often causing hyper-extensible (very
stretchy) skin, velvety skin texture, and extremely flexible joints.
Analogy - Herd Health
Herd
health management is a comprehensive, preventive
strategy focused on optimizing the overall welfare, biological
function, and productivity of a livestock group
rather than treating single animals. It involves systematic data tracking, proper
nutrition, targeted vaccinations, biosecurity measures, and stress reduction.
Unmet Need
We need to focus on groups of mentally
ill and how to improve them as a population.
Right to sleep a fundamental right, says
Supreme Court | India News
Feb 24, 2012
NEW DELHI: The Supreme Court has broadened the ambit of right of life to bring in a citizen's right to sleep peacefully under it. A citizen has a right to sound sleep because it is fundamental to life, the Supreme Court said on Thursday while ruling that the police action on a sleeping crowd at Baba Ramdev's rally at RamlilaMaidan amounted to violation of their crucial right.
Fundamental and Basic Requirement
"Sleep is essential for a human being to maintain the delicate balance of health necessary for its very existence and survival. Sleep is, therefore, a fundamental and basic requirement without which the existence of life itself would be in peril," the court said, terming it as a basic human right.
Inviolable Right
Authorities have taken steps to protect citizens from being Disturbed while they are asleep, like placing curbs on the playing of music late at night. But Tuesday's order elevates right to sleep in the hierarchy of rights and may goad the authorities to protect it. A bench of Justices B S Chauhan and Swatanter Kumar was unanimous that the police erred gravely by clamping prohibitory orders under Section 144 of Criminal Procedure Code on the night of June 4 when the gathering at Ramdev's yoga camp was sleeping peacefully. Though Justice Kumar wrote the lead judgment, Justice Chauhan elaborated on sleep as a fundamental right crucial to life and put it on the same plane as right to privacy and right to food, consistently held by the Supreme Court as an inviolable right which was part of right to life under Article 21 of the Constitution.
Right of Privacy
"Right of privacy and the right to sleep have always been treated to be a fundamental right like a right to breathe, to eat, to drink, to blink etc," he said while slamming Delhi Police for using unwarranted force on the sleeping crowd, thereby breaching fundamental right to privacy.
Supreme Court
But no citizen could claim sleeping to be his fundamental right. "Undoubtedly, reasonable regulation of time, place and manner of the act of sleeping would not violate any constitutional guarantee, for the reason that a person may not claim that sleeping is his fundamental right, and therefore, he has a right to sleep in the premises of the Supreme Court itself or within the precincts of Parliament," Justice Chauhan said.
Health
He said sleep for a human being was a basic necessity and not a luxury. "If this sleep is disturbed, the mind gets disoriented and it disrupts the health cycle. If this disruption is brought about in odd hours preventing an individual from getting normal sleep, it also causes energy misbalance, indigestion and also affects cardiovascular health," the judge said.
Metabolic Adverse Effects
"Sleep, therefore, is a self-rejuvenating element of our life cycle and is, therefore, part and parcel of human life. The disruption of sleep is to deprive a person of a basic priority, resulting in adverse metabolic effects," he said.
Aside - Public Peace
…"to arouse a person suddenly brings about a feeling of shock and numbness. The pressure of a sudden awakening results in almost a void of sensation. Such an action, therefore, does affect the basic life of an individual," Justice Chauhan said. Rejecting the justification given by the police that the crowd was planning to disrupt peace, the judge said, "To presume that a person was scheming to disrupt public peace while asleep would be unjust and would be entering into the dreams of that person."
FYI - Fundamental Right
Quoting a US court judgment, Justice Chauhan said, "The citizens/persons have a right to leisure; to sleep; not to hear and to remain silent. The knock at the door, whether by day or by night, as a prelude to a search without authority of law amounts to be police incursion into privacy and violation of fundamental right of a citizen."
Constitution - India
…he said because of this, many
countries have clamped complete night curfews at airports (that is, ban on
landing and take-off at late night hours), for the reason that the concept of sound sleep had been
associated with sound health which is an inseparable
facet of Article 21 (right to life) of the Indian Constitution.
05_Sleep_SleepAbility_21050606_Statistics
Staggering Costs
Based on data from the Sleep Association and Datacenter we
calculate that 23.6% of adults in
the United States suffer from some form of sleep problem. So far we have found no literature addressing
Sleep Bullies. The Sleep Association
indicates that: “The public health consequences from sleep disorders…are staggering”. Sleep issues affect both the
disabled and the abled alike.
Sleep Banking
Sleep banking is the proactive practice of getting extra
sleep (1–2 hours beyond the recommended 7–9 hours) for several nights
before an anticipated period of sleep
deprivation, such as long shifts, travel, or intense projects. It acts
as a temporary buffer to boost alertness, improve cognitive performance, and reduce the impact of fatigue,
rather than a long-term cure for chronic debt.
FYI > Metadata >
https://www.census.gov/data/tables/time-series/demo/popest/2020s-national-detail.html
05_Sleep_SleepAbility_21050606_Statistics
Sleep and Health
Approximately 50–70 million U.S.
adults have chronic sleep disorders, with 1 in 3 adults not regularly achieving
the recommended 7–9 hours of
sleep. Over 35% of adults report poor or fair sleep quality, leading to
increased risks of obesity, diabetes, and cardiovascular disease, while insomnia affects 10%–30% of
adults.
FYI - Sleep Facts and Stats
Centers for Disease Control and
Prevention | CDC (.gov)
https://www.cdc.gov/sleep/data-research/facts-stats/index.html
May 15, 2024
Several national surveys are used
to study insufficient sleep
(or short sleep duration) in U.S. children, high school students, and adults.
Sleep Disorder Statistics – Sleep Deprivation Statistics (SDS)
https://www.cdc.gov/sleep/data-research/facts-stats/adults-sleep-facts-and-stats.html
Preventable Medical Errors
Preventable medical errors are a major cause of death in U.S.
hospitals, with estimates ranging from roughly 100,000 to over 250,000 deaths
annually. Sleep deprivation among medical professionals, particularly residents
and nurses, is a well-documented
contributor to these errors, leading to significant cognitive performance lapses
SDS = Sleep Deprivation Statistics [Time Frames Unknown]
100,000 deaths occur each year in
US hospitals due to medical errors
and sleep deprivation have been shown to make a significant
contribution.
Estimates from the landmark Institute of Medicine report show that medical errors cause
between 44,000 and 98,000 deaths each year in U.S. hospitals, while newer
studies suggest the total may be even higher, and doctor fatigue makes a major contribution.
The Death Toll
The 1999 Estimate:
A famous
report titled To Err is Human stated that up
to 98,000 people die annually from preventable mistakes in hospitals.
Newer Research:
Recent
analyses, such as a Johns Hopkins study, suggest that medical errors may cause over 250,000 deaths each year,
making them a leading cause of death in the United States.
How Sleep Deprivation
Contributes
Exhausted Workers:
Doctors and
nurses often work very long shifts,
sometimes lasting 24 to 30 hours straight.
Impaired Brain Function:
A lack of
sleep slows down reaction times, lowers attention spans, and causes poor
decision-making.
Higher Error Rates:
Exhausted
medical staff are more likely to make dangerous
medication mistakes, surgical missteps, or diagnostic failures.
Research on sleep deprivation in resident physicians
links extreme fatigue to a direct drop in patient safety.
Ways to Prevent Errors
Shorter Shifts:
Limiting
consecutive work hours for medical interns and residents helps reduce severe
fatigue.
Better Handoffs:
Clear
communication when shifting patient care between different doctors prevents
missed information.
Digital Checklists:
Using
electronic prescribing and safety timeouts helps catch human mistakes before they
harm patients.
FYI – AI - Would you like to
explore how work hour limits for resident doctors have changed
in recent years?
FYI - Number of people in the USA
2025 total population = 341,784,857
= 100%
2025 less than age 18 = 72,021,348 = 21%
Frequency of Sleep Problems in the USA
Thirty percent (30%) of adult
U.S. population suffer from Insomnia
and 10% from chronic Insomnia,
making it the most common sleep disorder. Feb 13, 2019
FYI > On Line > Metadata
>
54 Shocking Sleep Statistics,
Data and Trends Revealed for 2019
https://www.sleepadvisor.org/sleep-statistics/
One sleepless night, nothing to worry about, they said. This
is what many Americans and people around the world say right before they are in
a car crash or make a fatal mistake at work.
Establishing a Need for Sleep - Sleep – Those with Un-met Needs
Based on data from the Sleep
Association and Datacenter we calculate that 23.6% of adults in the United States suffer from some form
of sleep problem. So far we have found
no literature addressing Sleep Bullies.
The Sleep Association indicates that: “The public health consequences from sleep disorders…are
staggering”. Sleep issues affect both the disabled and the abled alike.
As of 2006
https://www.ncbi.nlm.nih.gov/books/NBK19961/
An estimated 50 to 70 million
adults in the United States suffer from chronic sleep disorders or ongoing
sleep problems. Over 30% of American
adults sleep less than the recommended minimum of seven hours per
night, with roughly 15% reporting trouble falling asleep and 18% reporting
trouble staying asleep on a regular basis.
Revisit Bullying
Bullying
There is significant research and
popular interest regarding factors that "bully" (negatively impact) our sleep and the relationship between
sleep-deprived individuals who exhibit bullying behaviors.
Sleep Bullying
"Sleep bullying" usually refers to how being bullied (at school, online, or at work) ruins a person's sleep usually refers to how being bullied (at school, online, or at work) ruins a person's sleep. Stress, anxiety, and rumination (replaying bad events over and over) make it hard to fall asleep, stay asleep, or get deep rest. Lack of sleep can also make kids more cranky or impulsive, which sometimes leads to bad behavior.
Intentionally interfering with another’s sleep
Intentionally interfering
with another person's sleep is a behavior that can range from a minor
personal conflict to a severe form of psychological abuse or a criminal
offense, depending on the context and intent.
Common Contexts and
Legal/Psychological Implications
Relationship Abuse and Domestic
Violence:
In intimate
partner violence, sleep deprivation
is frequently used as a tactic of psychological abuse and coercive control.
Perpetrators may intentionally wake their partners, keep them up with forced
arguments, or create loud noises to weaken their cognitive function, emotional resilience, and
independence.
Workplace or
Institutional Harassment:
Deliberately
disrupting someone's sleep in a workplace, military setting, or residential
institution can constitute harassment, hazing, or bullying.
Criminal Actions and Tort
Law:
Depending on
the jurisdiction and severity, intentionally interfering with someone's sleep
can lead to legal consequences:
Assault or Harassment
Charges:
If the
behavior is persistent and intended to cause distress.
Intentional Infliction of
Emotional Distress (IIED):
A civil tort
if the conduct is extreme, outrageous, and causes severe emotional or physical harm.
Nuisance Violations:
Deliberately
disrupting a neighbor's sleep with noise can violate local noise ordinances or
constitute a private nuisance.
Torture:
On a systemic
level, forced sleep deprivation is recognized internationally as a form of cruel,
inhuman, or degrading treatment and torture.
Health Impacts of Forced Sleep
Deprivation
Sleep is vital for basic human
functioning. Deliberate interference can cause:
Cognitive decline:
Memory lapses,
poor decision-making, and
severe disorientation.
Mental health strain:
Extreme anxiety, depression,
paranoia, and emotional volatility.
Physical health risks:
Weakened
immune system, cardiovascular stress, and chronic
fatigue.
FYI - AI - If you are dealing
with a specific situation, could you share a bit more context? Is this happening in a relationship, a workplace, or with
a neighbor? Are you looking for legal
definitions, health impacts, or resources for support? Knowing your goal will help me provide the most relevant
information or safety resources.
Episodic Time Line - Coarse
Aside – Promotion - United
Against Rabies (WHO) - 2018
The United Against Rabies
collaboration launched a global strategic plan, "Zero by 30", aiming
to eliminate human deaths from
dog-mediated rabies by 2030. This plan was developed by the World
Health Organization (WHO), the World Organization for Animal Health (OIE), the
Food and Agriculture Organization of the United Nations (FAO), and the Global
Alliance for Rabies Control (GARC). The plan emphasizes a One Health approach,
recognizing the interconnectedness of human, animal, and environmental health. It unites the WHO, FAO, WOAH, and GARC to boost dog vaccinations, improve human access to rabies treatment,
and raise awareness to stop the 59,000 annual human deaths
Aside - Human Deaths from Rabies
for 2025
Globally, rabies is estimated by
the World
Health Organization (WHO) to cause approximately 59,000 human
deaths each year. Exact and comprehensive global totals for a single
calendar year like 2025 are not officially compiled in real-time due to underreporting in rural
and impoverished regions.
Regional Distribution and Key
Facts
Africa and Asia:
Account for
more than 95% of all human rabies deaths worldwide.
High-Risk Groups:
Roughly half
of all fatalities occur in children under the age of 15 living in rural areas.
Primary Source: Infected dogs cause up to 99% of all human rabies transmissions
globally outside the United States.
The Americas:
Recorded just
10 human cases of dog-transmitted rabies during 2025 as regional programs continue
pushbacks.
United States: Tracks very few cases annually, with preliminary figures noting a
small handful of human deaths (fewer than 5) tied mostly to bat exposures.
FYI – AI - If you are looking for
data on a specific country or region for 2025, let me know and
I can check those localized public health reports.
Work Done > Metadata
Keith Torkelson’s SleepAbility Study 2019 Number I – A Right
to Sleep (MSG, 201903) & Crisis Intervention – Health & Human Services
Advisory
https://ktork46.blogspot.com/2019/03/keith-torkelsons-sleepability-study.html
20190306-W: Page Views = 0 – Date Chartered 3/6/19
20260323-M: Page Views = 67
FYI - Out of Context (Scope) External Quality Review (EQR)
For Bruce Speer – Service Director – Theodore Robins Ford -
Ford Quality Assurance – External Quality Review – The Door Mechanism Incident
– Costa Mesa California
20190305-TU: Page Views = 4: Chartered 2/21/19
20250716-W: Page Views = 45
FYI - Why retain a full link rather than create a hyperlink?
Retaining a full URL instead of a
descriptive hyperlink provides immediate transparency
and works best for printed materials.
Benefits of Full URLs
Print Readiness:
Users can read
and manually type the exact address when digital hovering or clicking is
impossible.
Absolute Transparency:
Readers see
the exact domain and path without needing to inspect or hover over hidden
anchor text.
Fallback Safety:
If a
rich-media link preview or rich text editor fails to render on a forum, blog
comment, or plain-text email, the destination remains fully readable.
Why Hyperlinks Are Generally
Preferred Online
Accessibility:
Screen readers
spell out every single character of a raw URL, which creates a frustrating
experience for visually impaired users.
Clean Aesthetics:
Descriptive
anchor text reduces visual clutter and fits naturally into the flow of a
sentence.
Search Engine
Optimization (SEO):
Keyword-rich
anchor text gives search engines valuable context about the destination page.
FYI – AI - Would you like to
explore best practices for accessibility or guidelines on when
to use URL shorteners instead?
Sleep Preparations
Hypnotic Drugs
Hypnotic drugs, also known as
sleeping pills, are a class of medications primarily used to induce and maintain sleep,
particularly for those experiencing
insomnia. They are closely related to sedatives, which are used to
relieve anxiety and promote relaxation. Both sedatives and hypnotics can affect
the central nervous system, slowing down brain activity and inducing
drowsiness.
Non-narcotic Sleep Preparations
Non-narcotic sleep preparations include
over-the-counter antihistamines, natural hormones, and prescription medications
that do not cause chemical dependency
or addiction.
Over-the-Counter (OTC) Options
Diphenhydramine:
Found in Benadryl and night-time pain relievers,
this sedating antihistamine helps induce drowsiness. It is only meant for short-term use (up to 14 days)
because tolerance builds quickly and side effects include dry mouth and daytime
grogginess.
Doxylamine Succinate:
The active
ingredient in Unisom, another sedating antihistamine
that stays active in the body longer than diphenhydramine.
Melatonin:
A natural
hormone that supports your sleep-wake cycle, helpful for mild issues like jet
lag. Quality can vary because supplements lack strict regulation.
Natural Supplements:
Options like Passionflower, valerian root, and
magnesium help promote relaxation with a low risk of dependence.
Prescription Non-Habit-Forming
Options
Melatonin Receptor
Agonists:
Drugs like
ramelteon mimic natural melatonin to help you fall asleep without withdrawal
risks.
Orexin Receptor
Antagonists:
Medications
like suvorexant block wakefulness chemicals in the brain to help you fall and
stay asleep.
Sedating Antidepressants:
Low-dose
doxepin or trazodone are often prescribed off-label to improve sleep
maintenance safely under a doctor's care.
FYI – AI - If you'd like, tell me: Are you having trouble falling asleep or staying asleep? How long has this sleep issue been happening? I can help you narrow down which non-narcotic option fits your needs best.
Sedative versus Hypnotic
The main difference is the degree
of central nervous system depression
and the intended goal. Sedatives calm anxiety and reduce
excitement while keeping a person awake. Hypnotics are
stronger or given at higher doses to cause drowsiness and actively induce sleep.
3 Places – Over 1 year each - On
Pseudo-stability
Pseudo-stability, in various
contexts, refers to a state that appears stable but is not truly so, often due
to underlying instability or a deceptive
appearance of equilibrium. It can describe a state where a system
resists change but eventually succumbs, or a situation where a temporary balance masks underlying issues.
FYI - Agent versus Environment
In artificial intelligence, an
agent is a decision-making entity that interacts with an environment. The agent
perceives its surroundings (the
environment) through sensors, processes this information, and takes
actions to influence the environment through actuators. The environment, in
turn, responds to the agent's actions, providing feedback and new states for the agent to
process.
Medical Model Timeline
The Medical Model, which views illness as a physical condition with specific biological causes, has evolved significantly over time. Early forms of this model existed before 400 BC, with figures like Hippocrates suggesting physical explanations for illness. However, the model didn't dominate until the 19th century during the Scientific Revolution. Key milestones include the discovery of germ theory in the 19th century, the development of vaccines and antibiotics, and the understanding of disease transmission. More recently, there's been a shift towards a more psychosocial understanding of health and illness, recognizing the interplay of biological, psychological, and social factors.
Medical Model of Treating Mental Illness
The medical model of treating
mental illness views psychological disorders as physical diseases with biological origins that require
clinical diagnosis and medical intervention.
Core Assumptions and Methods
Biological Cause:
Assumes
symptoms stem from genetics, neuroanatomy, and biochemical or neurotransmitter
imbalances in the brain.
Diagnosis:
Uses
standardized classification systems (like the DSM) to categorize observable symptom clusters into specific
syndromes, similar to diagnosing physical conditions like diabetes.
Treatment:
Relies heavily
on prescription medications—such as selective serotonin reuptake inhibitors
(SSRIs)—to alter brain chemistry and manage symptoms.
Strengths and Benefits
Standardization:
Provides clear
diagnostic criteria and measurable outcomes backed by empirical research.
Destigmatization:
Helps frame
mental illness as a medical health condition rather than a personal or moral failing.
Symptom Relief:
Offers
effective pharmacological tools that can stabilize severe or acute psychiatric
distress.
Criticisms and Limitations
Oversimplification:
May reduce
complex human experiences and social
distress (such as poverty or trauma) to mere biological defects.
Neglect of Environment:
Often
overlooks environmental, relational, and societal factors that influence
well-being.
Paternalism:
Can foster a
one-directional doctor-patient relationship with less focus on active patient-led coping strategies.
20190606-TH: Current Event – Presenting Problem
New RASR Roommate – Mikel Roby
Our new roommate smokes Spice and stays up in the night smoking it.
This is an incidence where having an environmental sampler like a Tricorder (MyCorder) to prove to
the landlords that this was not a good match.
We have published elsewhere on this affair. In the process we re-united Mikel
with his family.
Addressing a Long-Term sleep Debt
Recovering from long-term sleep
debt requires a consistent, gradual
approach rather than instant fixes. Repay debt by adding 1–2 hours of
sleep nightly or through weekend naps, prioritizing a cool, dark [QUIET] environment,
and avoiding late caffeine or screens. It may take several weeks of consistent,
quality rest to fully recover
How and when did our sleep disorder become irreversible?
The shift toward a modern
"sleep disorder" became profoundly established over the past two
centuries, accelerating with the Industrial Revolution and finalizing with the
24/7 digital era. While often treated as reversible through lifestyle changes, chronic sleep loss can create
lasting injuries, including neuron
loss, persistent cognitive
impairment, and increased risks of chronic disease.
FYI - OCHCA’s Dr. Nagel Interest
– Housing Advocacy
20190225-M: Steering Committee
Meeting
Handed off an agenda for our
meeting with Doctor Nagel
20190308-F @ 11AM set to meet
with Doctor Nagel to go over progress with a Housing Advisory Board
Sleep Ability: Sleep a Currency
for Health
Sleep is the foundational currency for health, acting as a crucial, free
investment that repairs the body, consolidates memory, and clears brain toxins.
Consistently getting 7–9 hours of quality sleep reduces risks of chronic diseases (heart disease, diabetes),
boosts immunity, and enhances productivity, making it essential for both physical and mental well-being.
Keith Torkelson’s SleepAbility Study 2019 Number I
A Right to Sleep (MSG, 201903) & Crisis Intervention
Health & Human Services Advisory
https://ktork46.blogspot.com/2019/03/keith-torkelsons-sleepability-study.html
20190306-W: Page Views = 0 – Date
Chartered 3/6/19
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Sleep Ability – Agent, Environment & Host
Sleep ability is the personal (host) aspects of sleep. It takes into consideration Sleep Factor Analysis (SFA) such as time in bed to get to sleep and duration of one’s rejuvenating sleep. The host is highly dependent on the environment and who they share with in the same room with (agent). The overall process Roommate Matching is trial and error. Rating the physical quality of the bed, especially if it is provided, is important also. For example, based on 12 years of lived experience a provided bed with Bed Bugs is deplorable and intolerable.
Assess_Factor_Analysis_Applied_Sleep_19052601_Working - 11 Item Screener
Link to study > Online > Metadata >
https://clozapinerx4ecstasy.blogspot.com/2025/09/factor-analysis-and-problem-solving.html
Aside - Loss of Google Plus –
Marketing Penetration
Google plus Information (Option
not viable as of 2019)
Google Plus, Google's social networking service, was shut down for personal use on April 2, 2019. The service was later transitioned to Google Currents for G-Suite users, but Currents itself was also shut down on July 5, 2023. The shutdown of Google+ marked the end of Google's attempt to compete in the social media landscape with platforms like Facebook and Twitter. We now use Twitter to market our Blogs (Posts).
Establishing the Be Well OC Ecosystem - A Mental Health
System of Care
Fragmentation within the current
health and mental health care systems, and a lack of coordination with other vital systems, such as
public health, education, housing,
and social services, is one of the greatest
threats to the mental health and wellness of Orange County residents.
State of Being – Mental Health
Mental health is “a state of
well-being in which every individual
realizes his or her own potential, can
cope with normal stresses of
life, can work productively and fruitfully, and is able to make a contribution to his or
her community.”
FYI - 20190329-F: Key Event: We met with OCHCA’s Jeff A. Nagel to discuss our Housing Advisory Board idea. He seemed interested yet we went our separate
ways.
FYI – Time Sensitive - OCHCA Red Tape (Example – Mind OC) –
May Evolve over Time
https://bewelloc.org/red-tape/
Aside - [Example of Braided Funding]
Be Well OC Launches “Red Tape”
Campaign Calling for Full Access to Behavioral Health Campuses
Be Well OC - March 15, 2026 5 min
read
https://finance.yahoo.com/news/well-oc-launches-red-tape-142800605.html
Zero Orange County General Fund
(local discretionary tax dollars) dollars were used to build the Be Well
campuses:
Orange Campus — $40M project
CalOptima Health — $11.4M
California Mental Health Services Act (MHSA) and California Senate Bill 82 funding — $16.6M
Irvine Campus — $114M project
Federal funding — $4M
American Rescue Plan Act (ARPA) funds — $20M
Mental Health Services Act (MHSA) funding — $20M
CalOptima Health — $15M
Hospitals — $5M
We lost our OCHCA network!
We started growing our OC Health Care Agency Network back before
2009. We had a network of consumers,
providers (including psychiatrists), public health officers, friends, family,
agencies, classmates, etc. Due to
retirement, reassignment, layoffs, deaths and the fact that we cannot get out
like we could: As of 2026 our network is very small. It
is primarily our family and a friend or two.
Like 100 people down to 10.
Source UC Irvine Child Development School (9/4/2014)
https://www.ochealthinfo.com/sites/hca/files/import/data/files/38465.pdf
Table – Methods of
Sociology – Methodology
Reference - UC Irvine Child Development School (9/4/2014)
Define Methodology in Sociology
Methodology in sociology refers to the scientific way that a researcher chooses to test a social theory or concept. Sociological methods include the same methods used in other social science disciplines, such as experimentation, observation, surveys, quasi-experiments, content analysis and focus groups.
Quasi-experiment
A quasi-experiment is an empirical interventional study used to estimate the causal impact of an intervention on target population without random assignment. ... Quasi-experiments are subject to concerns regarding internal validity, because the treatment and control groups may not be comparable at baseline.
Focus Group
A demographically diverse group of people assembled to participate in a guided discussion about a particular product before it is launched, or to provide ongoing feedback on a political campaign, television series, etc.
Content Analysis
Content analysis is a systematic
research method used by sociologists to analyze social life by interpreting,
coding, and quantifying words,
images, and messages from documents, media, and cultural artifacts. It converts
qualitative data (e.g., films, newspapers,, art) into quantitative data to
identify patterns, trends, and
societal meanings.
Appendix -Was Bed Busters
Assessment – Now OC Beds
Table – Sleep Ability Assessment Related Elimination
For use with: 02_HAB_Market_18113006_Facebook V2019
As If - Health Benefits Employee (HBE) Services Tool (8
pages) - Sleep Assessment
“Thank you for taking the time to
complete this extensive form. Sleep
disturbances and/or fatigue are most often the result of many factors.
In order to best treat your condition
we need to understand your symptoms and history. Please bring your completed assessment form
to your appointment.”
11_Assess_HBE_Sleep_17012802_Reference V2026 Transformation
Sleep Factor Analysis
Sleep factor analysis involves evaluating key components like duration, efficiency, regularity, and timing to measure sleep health, typically resulting in a 0–100 score (80+ is good). It uses metrics like sleep onset time, Wake After Sleep Onset (WASO), and total sleep time (TST) to determine restorative quality.
Transparent Incident Capture
Transparent incident capture is the practice of systematically recording, documenting, and sharing details about unexpected events—such as security breaches, safety accidents, or near-misses—in a clear, open, and timely manner. This approach fosters trust among stakeholders, allows for accurate root cause analysis, and ensures compliance with regulatory requirements.
FYI - A Mishap
A mishap is an unfortunate, unplanned, or unlucky accident, ranging from minor mistakes to serious incidents causing injury or damage. Often characterized as a "small accident" or, in military terms, a major event with high costs ($2M+ for Class A), they often stem from poor planning, human error, or bad luck.
Root Cause Analysis – Sleep
Issues
Root Cause Analysis (RCA) is a structured, systematic process used to identify the underlying, foundational causes of problems or incidents rather than just addressing symptoms. By finding the "why" behind an event, organizations can implement permanent solutions, prevent recurrence, and reduce risks. Key methods include 5-Whys, Fishbone diagrams, and Pareto analysis. Root Cause Analysis (RCA) in behavioral health is a structured, team-based, and proactive process used to identify the underlying system failures, environmental factors, or processes that lead to adverse incidents (e.g., suicide, severe behavioral outbursts) or poor outcomes, rather than focusing on blame. It involves identifying causal factors through methods like the "Five Whys" or Fishbone diagrams, aimed at redesigning systems to prevent recurrence.
Build it and they will come
Excerpts for Facebook
https://www.facebook.com/groups/280644065934964
Housing Advisory
Board (HAB) & Sleep
First Shared in:
02_HAB_Market_18113006_Facebook V2019
Our overall Sleep
related solution (product) was BedBusters. Now we are leaning towards OC
Beds a Housing Solutions Bundle.
Define Sleep Ability Brief
Sleep Ability is a Mentalation Solutions Group (MSG) Product. We began formally defining Sleep Ability on January 7, 2019 in conjunction with our Housing Advisory Board (HAB) idea. In our document: LA_Room_SleepAbility_Derived_23073103_Notes V2025 we list items that for us and others promote Sleep. Sleep Management is big business. Sleep issues do not discriminate. We find that as Keith “Buster” Torkelson (B. 1959) grows older his sleep requirement has become more absolute. This means he must continue to sleep on a daily basis.
Sleep Management is big business [Circa
2026]
The sleep management industry is experiencing substantial growth, transforming into a massive, multi-faceted market driven by increasing consumer and clinical awareness of sleep’s critical impact on overall health. The global sleep economy, which encompasses technology, healthcare, and consumer goods, is projected to surpass $1 trillion by 2033
Market size and growth [Circa
2026]
Overall Sleep Economy: Estimates
for the global sleep economy vary, but some sources suggest a market size of
nearly $600 billion, potentially
expanding to trillions if daytime and nighttime factors influencing
sleep are considered.
Appendix - Valuable MSG & BHSA Terms and Concepts
06_BedBusters_Structure_21050601_Notes
Table - MSG – Acronym Associated with HSB Product Line
MHSA_INN_HAB_18091401_Products V2019
Valuable MSG Terms and Concepts
- Accountability
- Advanced Planned
- Advocate
- Innovation
- Pilots & Projects
- Sleep Ability
- Sleep Able
- Transparency
Appendix - Parts to the BHSA
California's Behavioral Health Services Act (BHSA)—which updates the
older Mental Health Services Act—splits county funding allocations into three main
programmatic components:
Main Funding Categories
Behavioral Health
Services and Supports (35%):
Funds general
system care, early intervention, outreach, and treatment services for mental
health and substance use disorders.
Full-Service Partnerships
[FSPs] (35%):
Provides
intensive, community-based "whatever it takes" services for people
with severe mental illnesses or co-occurring needs.
Housing Interventions
(30%):
Dedicates
resources to supportive housing, rental and operating subsidies, and
specialized housing for chronically homeless individuals.
Core Service Elements
Substance Use Disorder
(SUD) Treatment:
Newly
integrated care combining addiction and mental health services under one
system.
Workforce Education and
Training (WET):
Programs to
build up and support the state's behavioral health personnel.
Capital Facilities and
Technological Needs:
Investments in
physical treatment sites and data/IT infrastructure.
FYI – AI - Would you like details
on county implementation timelines or specific information on eligibility
criteria for these services?
Promotion - OASIS Full Service Partnership (FSP) – For Older
Adults
https://www.clarvida.com/locations/orange-county-older-adult-oasis-fsp/
Associated with>
06_OC_Beds_26032301_Acronyms
Appendix - Was BedBusters Structure – Now OCBeds a Housing
Solutions Bundle
July 2026 – For the most part Abandoned Effort
