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1 of 5 | Dallas Cowboys running back Rico Dowdle (L) is a fantasy football RB2 play in Week 14. File Photo by Ian Halperin/UPI | License Photo MIAMI, Dec. 5 (UPI) -- Rico Dowdle and Issac Guerendo are among my four must-start fantasy football running backs for Week 14. Saquon Barkley leads my weekly running back rankings. Alvin Kamara, Bucky Irving, De'Von Achane and James Cook are my other Top-5 options. Advertisement Chase Brown, Bijan Robinson, Tony Pollard, Kyren Williams and Tyrone Tracy Jr. also should be considered Top-10 plays for Week 14. D'Andre Swift joins Dowdle, Guerendo and Cook as my must-start plays. My rankings were compiled based on several factors, including likely workload, strength of opponent, previous matchup history, expected red zone opportunities and predicted game script. Players from the Baltimore Ravens, Denver Broncos, Houston Texans, Indianapolis Colts, New England Patriots and Washington Commanders, who are on bye, should be benched or potentially dropped. Players from Thursday's Detroit Lions-Green Bay Packers game were removed from my rankings. Advertisement Those with stock in Breece Hall and other injured running backs should continue to monitor their status leading into their respective kickoffs. My top free agent targets for Week 14 are available here. My Week 14 quarterback and wide receiver rankings also are available. All positional rankings will be updated throughout the week, based on injuries and other factors. James Cook Cook totaled the eighth-most fantasy points among running backs in Week 13, when he produced 120 yards from scrimmage and a score in a Buffalo Bills win over the San Francisco 49ers. He averaged the seventh-most points per game among running backs over the last four weeks and also ranks seventh in points per game this season. Cook scored in each of his last three games, finding the end zone a total of four times. He also scored in eight of his last 10 appearances. Cook received at least 14... Alex Butler
SEATTLE (AP) — The Seattle Seahawks rode their dominant defense to a big win over a division rival to vault into first place in the NFC West. No, it isn’t 2013. These are the 2024 Seahawks, who, after struggling mightily against the run earlier this season, held the visiting Arizona Cardinals to 49 rushing yards in Sunday's 16-6 victory . The defensive line kept Kyler Murray under consistent pressure thanks to a dominant performance from Leonard Williams, the secondary flew around to smack away passes, and safety Coby Bryant scored on a 69-yard pick-6. Sunday's defensive performance was reminiscent of the Seahawks of a decade ago and a promising sign that first-year coach Mike Macdonald’s system is starting to click. Macdonald, who coordinated Baltimore's NFL-best defense last year, was leading one of the worst rush defenses in the league earlier this season. But Seattle consistently stuffed the Cardinals, who came in as the fifth-best running team in the league at 149.4 yards per game. “Three games in a row now we played pretty decent on defense,” Macdonald said. “There is an expectation and standard here throughout the course of our Seahawks history that we’re trying to live up to and build on. So that’s the idea.” At 6-5, the Seahawks drew even with the Cardinals in the tightly bunched division. The teams play each other again in two weeks at Arizona. What’s working Last month's trade for linebacker Ernest Jones IV has clearly paid off. Seattle hasn't allowed a running back to rush for more than 79 yards since its Week 8 loss to Buffalo, which was Jones' first game in a Seahawks uniform. He has led the team in tackles in every game he's played and has helped resurrect the run defense. What needs help The Seahawks' run game continues to underperform. Seattle got 65 yards on the ground Sunday, with the Cardinals holding Kenneth Walker III to 41 yards on 16 attempts. Zach Charbonnet had 22 yards on six carries. Walker hasn’t topped 100 yards since Week 1. Offensive coordinator Ryan Grubb needs to think of something different to get the running backs involved. Stock up Williams single-handedly disrupted the Cardinals with 2 1/2 sacks, four quarterback hits, three tackles for loss and one pass defensed. “I thought he was dominant,” Macdonald said. “I knew he played great and then I looked at the stat line and he played out of his mind.” The Seahawks finished with five sacks, seven quarterback hits, five tackles for loss and six pass deflections against the Cardinals, shutting down a team that had averaged 29.3 points over its previous three games. Stock down Geno Smith finished with 254 yards passing and a touchdown, but he threw another momentum-stalling interception. Smith was picked off on a third-and-6 play on the Arizona 18-yard line at the start of the fourth quarter, ending an 11-play, 73-yard drive. Smith has an NFL-most 12 interceptions this season, more than in either of his previous two seasons as the Seahawks' full-time starter. “That was a huge drive for us. ... Obviously made a terrible mistake down there, something I got to clean up,” Smith said. “But it was a big drive. We wanted to put the game ahead at least two scores.” The offensive line has contributed to the problem. Guard Anthony Bradford left with an ankle injury, and the line struggled to protect Smith, who was sacked five times. Injuries Macdonald said Bradford is expected to miss next week's game. Key number 77 — Jaxon Smith-Njigba led the team with six catches for 77 yards and a touchdown, marking the fourth consecutive game that Smith-Njigba has led the team in receptions. He topped 100 yards receiving in the previous two games. “He’s getting open,” Smith said. “He’s catching the ball. He’s doing a great job in the screen game. All-around great player. I just think the way that teams are playing us coverage-wise, I feel like it’s the ultimate sign of respect.” Up next The Seahawks play at the struggling New York Jets on Sunday. AP NFL: https://apnews.com/hub/nfl
{ "@context": "https://schema.org", "@type": "NewsArticle", "dateCreated": "2024-11-25T21:48:18+02:00", "datePublished": "2024-11-25T21:48:18+02:00", "dateModified": "2024-11-25T21:49:13+02:00", "url": "https://www.newtimes.co.rw/article/22113/opinions/resilience-oriented-therapy-a-promising-approach-to-addressing-mental-health", "headline": "Resilience-oriented therapy, a promising approach to addressing mental health", "description": "On November 21, I attended the National Policy Dialogue on Mental Health that brought together experts, policymakers, and practitioners in mental health...", "keywords": "", "inLanguage": "en", "mainEntityOfPage":{ "@type": "WebPage", "@id": "https://www.newtimes.co.rw/article/22113/opinions/resilience-oriented-therapy-a-promising-approach-to-addressing-mental-health" }, "thumbnailUrl": "https://www.newtimes.co.rw/thenewtimes/uploads/images/2024/11/25/64839.jpg", "image": { "@type": "ImageObject", "url": "https://www.newtimes.co.rw/thenewtimes/uploads/images/2024/11/25/64839.jpg" }, "articleBody": "On November 21, I attended the National Policy Dialogue on Mental Health that brought together experts, policymakers, and practitioners in mental health to explore strategies for advancing mental health care in Rwanda. The discussions were engaging and promising. A standout topic was Resilience-oriented Therapy, a group-based psychological intervention designed to address mental health challenges and foster resilience. Jointly tested by the Rwanda Biomedical Centre (RBC) and Interpeace through Randomized Control Trials (RCT), the therapy has proven highly effective in treating Post-Traumatic Stress Disorder (PTSD), depression, anxiety, and borderline personality disorders. It equips individuals with resilience-enhancing socioemotional competencies, self-management, and collaboration skills, promoting emotional well-being and capacity to adapt to changes, and effectively navigate life challenges. Considering Rwanda’s significant mental health needs, this therapy offers a promising solution. It is currently being implemented in 32 health centers and seven district hospitals across five districts: Nyagatare, Ngoma, Musanze, Nyabihu, and Nyamagabe, where its positive community impact is notable. On October 15, I witnessed this therapy in practice at Rukira Health Centre in Ngoma District. After getting their permission, I briefly attended a session where 10 participants engaged in healing dialogues, facilitated by a psychologist. Their stories reflect remarkable journeys of recovery and resilience. Mugeni (not real name), a survivor of the 1994 Genocide against the Tutsi, suffered from PTSD for 29 years. Although the genocide ended three decades ago, in her mind, it was still ongoing. She continuously relived the terrifying scenes of screaming, running, hiding, and killings she had witnessed during the 100 days of horror. Before attending Resilience-oriented therapy sessions, she was unable to sleep, terrified of being alone. She stayed awake, hyper-alert throughout the night, running to hide at the slightest sound or whenever she heard people walking near her house, believing the perpetrators were coming for her and her children. The therapy has since helped her overcome her trauma, allowing her to sleep peacefully after years of fear and hypervigilance. Another participant, Uwimana (not real name), attempted suicide twice due to depression following mistreatment by her husband who later abandoned her with a four-month pregnancy and three other children. Alcohol had been her coping mechanism. Now, she has quit alcohol and testifies to have found inner peace. She has healed and is proudly caring for her four children. All group members agree that being part of a group has been tremendously beneficial, allowing them to share their life stories, experiences, and daily challenges while finding collective strength to overcome their distress. The group-based approach has empowered participants with a renewed sense of purpose, leading to transformed lives. Given its effectiveness to enhance psychological well-being and being a culturally adapted therapy, it is well-suited to addressing many of the mental health challenges Rwanda has been facing. Allow me to mention a few but most pressing ones. High prevalence vs one-on-one therapy approach - the 2018 Rwanda Mental Health Survey revealed a mental disorder prevalence of 20.49%, far exceeding the global average. Major depression is the most prevalent, affecting 12% of the population. In 2023, the Rwanda Biomedical Centre (RBC) reported that one in five Rwandans face mental health challenges, with 2,879 suicide attempts recorded by the Health Management Information System (HMIS). As of June 2024, HMIS identified schizophrenia and other psychotic disorders (18%), depression (10%), bipolar disorder (2%), and PTSD (2%) as common diagnoses. Globally, it is projected that by 2030, mental health disorders—particularly depression—will ranknumber one in the global burden of disease. Furthermore, intergenerational trauma from the genocide threatens the mental well-being of future generations. Despite this high prevalence, one-on-one therapy remains the predominant treatment approach. This individualized model limits the number of people that mental health professionals can reach. In Rwanda's collectivist society, group-based activities resonate more culturally and are less hindered by stigma. One-on-one therapy can be less effective due to these cultural and social barriers. Group therapy such as ROT, which can be implemented in communities and health centers, offers a more scalable and culturally attuned solution. It allows mental health professionals to serve 10–12 individuals at a time with the possibility to facilitate two to three groups a week. Limited number of available mental health professionals Rwanda has made significant investments in training mental health professionals, but the current demand far exceeds the available resources. The country has only 16 psychiatrics (1 for 862,400 persons), 441 certified clinical psychologists (1 for 31,289 persons) and 202 mental health nurses (1 for 68,400 persons) working in public facilities. Additionally, there are just seven private clinics or hospitals offering mental health services. These facilities often face challenges, including inadequate infrastructure, lack of appropriate context-informed tools, and limited understanding of mental health systems among the heads of health centers and hospitals. Limited funding As a low-income country, Rwanda faces financial constraints in addressing various development needs, including health. The budget allocated to mental health remains disproportionately low compared to the scale of the problem. The annual spending on mental health makes up 7% of the total budget allocated to the health sector in 2024, according to the fourth Health Sector Strategic Plan 2018-2024. However, there is a very significant increase as in 2018 the same budget represented only 1.4%. Given these limitations, Resilience-oriented Therapy offers a more cost-effective solution than traditional one-on-one therapy, which is time-consuming and less efficient. This group-based approach can be implemented in both community settings and health centers, enabling broader access to mental health support without significantly increasing costs. Medication vs psychotherapy In absence of a well-established mental health healthcare system and workforce, hospitals and health centers in Rwanda often prioritise medication over psychotherapy for mental health conditions. However, psychiatric medications are costly and require a substantial budget. Research suggests that while medication can provide short-term stabilisation, psychotherapy—especially group-based approaches—offers more effective long-term recovery and resilience-building. Integrating group-based psychotherapies, such as Resilience-oriented Therapy, can alleviate the financial burden by reducing dependency on expensive medications. For this integration to be successful, all stakeholders must collaborate to create conducive conditions by ensuring the following: Institutionalise Resilience-oriented Therapy: full integration of Resilience-oriented Therapy into policies and practices by relevant institutions, professionals, and practitioners is essential. This therapy should be included among the approved mental health interventions in Rwanda and should be integrated into university and higher education curricula to promote its understanding and application within academic circles. Prioritise mental health services and increase funding Mental health care is often overlooked in health centers and hospitals, where mental health professionals are frequently redirected to support other services, hence reducing their time and attention dedicated to clients. For better service delivery, responsibilities of mental health professionals should be clearly defined, and they should be provided with necessary logistics and support to exercise their duties. Though the government has made commendable efforts, there is a pressing need for increased financial support at all levels to adequately address mental health challenges in Rwanda. Enhanced funding will also support training, research, infrastructure, and Resilience-oriented therapy implementation. Expand training for mental health professionals More professionals need to be trained to implement Resilience-oriented Therapy at the community, health center, and hospital levels. Additionally, roles and responsibilities of mental health professionals must be clearly defined to address misunderstandings of their functions, thereby enhancing service delivery. Mental health awareness campaigns Mental health care uptake remains low (5.3%) due to limited awareness, stigma, and barriers to accessing services. Nationwide campaigns are necessary to improve understanding, reduce stigma, and encourage more people to seek mental health support. Establish a Strong Coordination and Referral System: a robust coordination and referral system between health centers, hospitals, and other community-based actors is vital. This will facilitate the smooth transfer of cases that require specialised care and ensure that individuals receive the appropriate support at every level of care. A referral and coordination system will also help to ensure the provision of a comprehensive service package in a more holistic and multisectoral system. The Author is a Communications Professional and Peacebuilder.", "author": { "@type": "Person", "name": "Emmanuel Nyandwi" }, "publisher": { "@type": "Organization", "name": "The New Times", "url": "https://www.newtimes.co.rw/", "sameAs": ["https://www.facebook.com/TheNewTimesRwanda/","https://twitter.com/NewTimesRwanda","https://www.youtube.com/channel/UCuZbZj6DF9zWXpdZVceDZkg"], "logo": { "@type": "ImageObject", "url": "/theme_newtimes/images/logo.png", "width": 270, "height": 57 } }, "copyrightHolder": { "@type": "Organization", "name": "The New Times", "url": "https://www.newtimes.co.rw/" } }
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