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PA, CUMBERLAND and
PERRY COUNTIES NEWS
P. 1 - School anxiety article P. 2 - Program schedules, Board
Roster & Membership solicita-tion
P. 3 - School anxiety article and no-tice of speaker for this month’s support meeting
P. 4 - Article abut Anger, directions to STAR; Notice of
OCD support meeting P. 5 - Article about shortage of
psychiatrists P. 6 - Comments on Hillary Clinton's
MH plan by TAC and Nat’l Mental Health Consumers Clearinghouse
P.7- Article about antibiotics and bipolar disorder
P.8—9 Bonus pages for email recipients
Sept. 6th—Family to Family starts
Sept. 8th—Support Mtg West Shore
Sept. 15th—Program about estate
planning and Support Mtg
in Carlisle
Sept 19th—Support Mtg in Dauphin
Cty.
Sept. 27th—NAMI PA C/P Board
Mtg.
Oct. 6th—Support Mtg West Shore
Oct. 20th—Support Mtg in Carlisle SEPTEMBER MEETING
NAMI PA of CUMBERLAND and PERRY COUNTIES
THURSDAY, SEPT. 15, 2016 at S.T.A.R.
253 Penrose Place, Carlisle, Pa. [See page 4 for directions]
7:00 —7:50 PM Taylor P. Andrews, Esq. re Estate Planning
8:00—9:00 Support Meeting
P.O. Box 527 Carlisle, PA 17013
http://www.namipacp.org
Message line number:
240-8715
Separation anxiety isn't just for toddlers. Children and adults can experience separa-
tion anxiety, too; indeed, statistics indicate that approximately four- to five percent of
kids and teens experience separation anxiety.
School is a common cause of separation anxiety in children, teens, and young adults
who are leaving home to attend college. Being away from home can be frightening,
cause excessive worry and fear, and lead to school refusal. This isn't about hating
school, however. Separation anxiety is about attachment to caregivers and the sense
of security that comes with it.
These suggestions might help ease school-related separation anxiety:
Create special rituals and routines for sending-off and welcoming home. Giving
children something predictable to rely on can reduce fear. For young adults
who've left home, text messages or phone calls at regular times each day can
bring a sense of closeness.
Give him/her a bracelet, necklace or ring to wear. Not only will it be a reminder of
home, but it will be something to physically manipulate and calm anxiety.
Help him/her identify positive things about school and find ways to be involved.
Focusing on the positive reduces separation anxiety.
As kids and young adults realize that school doesn't replace home and caregivers,
school-related separation anxiety will lessen.
Duplication and distribution of this Newsletter is made possible by the MH/IDD Board of Cumberland/Perry Counties
Inside this issue:
EASING SCHOOL RELATED SEPARATION ANXIETY
NAMI is the largest nationwide, grassroots membership organization devoted to improving the lives of those affected, directly and indirectly, by serious mental illness. NAMI is comprised of family members, friends and consumers.
Volume XIX, Issue 9 September 2016
Calendar:
Contact Us:
2
NAMI Pa. Cumberland/
Perry Counties
P.O. Box 527
Carlisle, PA 17013
http://www.namipacp.org
Message line number:
240-8715
Officers:
President:
Kelli Murphy-Godfrey 717-478-1021 (for messages)
Vice President:
Thom Fager
Treasurer: Stephen
Zwierzyna
Secretary: Kathleen
Zwierzyna
Board of Directors:
Laryssa Gaughen
Maureen Ross
Sarah Roley
Publisher:
NAMI Pa. Cumberland/ Perry
Counties
Editor: Taylor P. Andrews
243-0123 or 243-1645
Sept. 2016 Vol. XIX No. X
What: Support Group Meeting When: Meets 3rd Thursday of each month Location: STAR (253 Penrose Place Carlisle, PA 17013) Time: 7:00 pm up to 8:30 pm there will occasionally be an edu-
cational program. When there is an education program it shall run from 7:00 PM until 7:50 PM, and the support meeting shall follow at 8:00 until 9:00 PM
Sept. 15, 2016 7:00 up to 8:50 Taylor P. Andrews, Esq re Estate Planning
8:00 up to 9:00 PM—Support Meeting
WEST SHORE SUPPORT GROUP
Meets at 6:30 PM on the 1st Thursday of each month at St. Timothy’s Lutheran
Church, 4200 Carlisle Pike, Camp Hill, PA. There may be an education program 1x
per quarter. Call Hazel at 737-8864 for information.
Oct. 6, 2016
6:30 to 8:00 PM—Support Meeting
support
DAUPHIN COUNTY SUPPORT GROUP [Assoc with NAMI PA Dauphin County]
Meets at 7:00 on the 3rd Monday of each month at the Epiphany Lutheran Church
at 1100 Colonial Rd., Harrisburg, PA. Contact Marge Chapman at 574-0055 for more
information.
Sept. 19, 2016
6:30 to 8:00 PM—Support Meeting
$35.00 For an individual
Membership includes membership in NAMI [national] and NAMI PA, and Subscriptions to The Advocate,
The Alliance, and NAMI PA C/P News.
$35.00 For a Family
Same price as an individual. A family consists of two people living at the same address. A family has one
vote, and will receive one copy of subscriptions.
$3 - $35.00 For “Open Door” membership
Anybody can opt to join as an open door member. Dues are any amount that can be afforded. This
option is available so that membership is not denied due to financial hardship. Open door members are
regular members with all the privileges and powers of membership including all subscriptions.
$50.00 For Professional Membership
A Professional member shows support for the mission and goals of the organization. Upon request, NAMI
PA C/P will provide multiple copies of our newsletter for the waiting room of Professional Members.
Make Payment to: NAMI PA C/P
Send Payment to: NAMI PA C/P , Box 527, Carlisle, Pa 17013
JOIN NOW TO BECOME PART OF THE NAMI FAMILY
Memberships submitted now will extend for a year
3
SCHOOL ANXIETY IN CHILDREN—SIGNS, CAUSES, TREATMENTS Written by Natasha Tracy
School anxiety in children is very common. School anxiety typi-
cally takes one of three forms:
School refusal –refusing to go to school
Test anxiety
Social anxiety – may be a precursor to agoraphobia The three types of school anxiety can come from a variety of
causes. When a child refuses to go to school, this is typically
caused by separation anxiety. Separation anxiety is only seen in
children and occurs in about 4.5% of children age 7-11. This
type of anxiety in school children stems from excessive worry
about unreasonable harm to important figures in their lives.
Test anxiety in children, on the other hand, is often related to
a fear of failure. Childhood test anxiety can continue into adult-
hood and take other forms of performance anxiety. Other
causes of test anxiety in school children include:
Lack of preparation
Poor test history
Social anxiety in children, also known as social phobia, can be
seen at school and in other parts of a child's life. Typical onset
of social anxiety is 13-years-old. It is thought severe social anxi-
ety in children may be caused due to altered serotonin path-
ways in the brain.3 Extreme overuse of caffeine can also pro-
duce anxiety symptoms.
Signs of School Anxiety in Children
The most obvious sign of school anxiety is a refusal to attend
school or other events such as sleepovers. This could be due to
any type of anxiety: Separation anxiety, social anxiety or test
anxiety. When a child refuses to go to school repeatedly, a
screening for an anxiety disorder should be conducted.
Other signs of anxiety in school children include:
Selective mutism – most occurs with social anxiety Low
birth weight and possible intellectual disability in children
under 3
Nightmares
Tantrums
Older children, those age 12-16, often experience physical anx-
iety symptoms such as:
Headaches
Dizziness
Lightheadedness
Sweatiness
Gastrointestinal symptoms such as stomach-ache, nausea,
cramps, vomiting
Muscle or body aches
Treatments for Anxiety in School Children
Many treatments can reduce anxiety in school children. Tech-
niques include:
Relaxation exercises
Cognitive therapy – often associated with the shortest du-
ration (on average, six months) and best outcome
Psychological therapy
Social therapy
Medication is also available for children with anxiety but is not
considered the preferred treatment in most situations. Medica-
tions should always be used alongside therapy for anxiety in
school children.
After an incident of anxiety, it's critical to be calm and under-
standing. However, returning to a normal routine as soon as
possible is important so as not to reinforce the anxiety symp-
toms. Putting an anxious child in home school is not recom-
mended as it may prolong and make the symptoms of anxiety
more severe.
Taylor P. Andrews, Esq will discuss estate planning
at September and November Support Meetings
Many programs that support folks disabled by a mental
illness have a means test. An individual will not be eligi-
ble for the program if the individual owns assets above a
low threshold amount. Examples of such programs are
SSI benefits and Medical Assistance.
There is a special challenge presented to someone who
wants to plan the future distribution of their property by
their Will when one of the desired recipients relies on a
means-based program or benefit.
Taylor P. Andrews, Esq. will speak about this challenge
and estate planning strategies to deal with the challenge
at the 3rd Thursday meeting in Carlisle in September and
at the West Shore Support meeting in November.
Attorney Andrews will discuss Special Needs Trusts as
well as other strategies. He will also provide information
about Able Accounts which are a new tool in this plan-
ning.
4
Don’t Get Mad; How Anger Disrupts Mental Health
Anger is a normal human emotion that can disrupt mental
health. Anger, part of the fight-or-flight system, can serve a
protective function. Feeling angry fuels aggression and moti-
vates us to fight. Stressful situations; perceived embarrass-
ment, humiliation, or bullying; substance use; and some mental
illnesses (such as mood disorders, trauma- and stressor in-
duced disorders, and some personality disorders) cause people
to experience strong feelings of anger.
Anger, unfortunately, interferes in relationships, school, and
employment. It often leads to isolation and loneliness, which
can be frustrating and fuel more anger. Additionally, anger dis-
rupts mental health by diminishing the sense of happiness and
overall life satisfaction.
Controlling Anger: Think Before You Act
An effective way to prevent anger from interfering in life is to
think differently about situations and people that trigger anger
(how to control anger). You can't control how others act, but
you can control how you react. Determine what's important to
you in your relationships, and speak and act to enhance what's
important. When your instinct is to lash out in anger, stop for a
moment, breathe deeply, call to mind your values, and choose
your actions and reactions accordingly. You'll find yourself
acting on anger less and preserving what you love, including
your mental health, more.
Constructive Tips to Resolve Anger and Conflict
Written by Samantha Gluck During stressful times, individuals with anxiety and depression are prone to an intensification of symptoms and oftentimes find themselves in conflict with others. Here are some tips to deal with conflict:
Act honestly and directly toward others.
Face the problem openly, rather than avoiding or hiding from it.
Avoid personal attacks; stick to the issues.
Emphasize points of agreement as a foundation for discus-sion of points of argument.
Employ a "rephrasing" style of communication; to be sure you understand each other. ("Let me see if I understand you correctly. Do you mean??").
DIRECTIONS TO S.T.A.R.
From I-81:
Take Hanover St. Exit and turn towards town, [Rt. 34 North]:
At the major intersection at Noble Blvd, turn left on Noble
Blvd.
Proceed straight ahead at the first Stop sign at West St.;
Turn right after the gas station on Penrose Pl.;
The Penrose Plaza is immediately on your left;
STAR is the last store front on the right end of the
Plaza. From Downtown Carlisle:
Take Hanover St. out of town [Rt. 34 South].
At the major intersection at Noble Blvd, turn right on Noble
Blvd.
Proceed straight ahead at the first Stop sign at West St.
Turn right after the gas station on your right;
The Penrose Plaza is immediately on your left;
STAR is the last store front on the right end of the Plaza.
OCD SUPPORT GROUP
ENCOURAGING, INFORMATIVE, MEETINGS FOR PERSONS WITH OCD AND THEIR FAMILIES AND FRIENDS
Third Monday of each month - 6:30 p.m. ‘til 8:00 p.m.
Trinity Evangelical Lutheran Church, 2000 Chestnut St., Camp Hill, PA 17011
PROFESSIONALLY FACILITATED - FREE OF CHARGE
(this is not a NAMI group)
Accept responsibility for your own feelings ("I am angry!" not "You made me mad!").
Avoid a "win-lose" position. The attitude that "I am going to win, and you are going to lose" will more likely result in both losing. If you stay flexible, both can win - at least in part.
Gain the same information about the situation. Because perceptions so often differ, it helps to make everything ex-plicit.
Develop goals which are basically compatible. If we both want to preserve the relationship more than to win, we have a better chance!
Clarify the actual needs of both parties in the situation. I probably don't need to win. I do need to gain some specific outcome (behavior change by you, more money), and to retain my self-respect.
Seek solutions rather than deciding who is to blame.
Agree upon some means of negotiation or exchange.
Negotiate toward a mutually acceptable compromise, or simply agree to disagree.
Adapted from Your Perfect Right: Assertiveness and Equality in Your Life and Relationships, by Robert E. Alberti, Ph.D., and Mi-chael L. Emmons, Ph.D.
5
THE PERILOUS SHORTAGE OF PSYCHIATRISTS
Serious mental illness (SMI) is associated with a multitude of consequences that can shorten and reduce the quality of life for those who have it. Arrest, incarceration, homelessness, victimization, violence including suicide, and a host of similarly catastrophic impacts fall disproportionately on the barely 3% of the population with schizophrenia and severe bipolar disorder. In any given year, fewer than half the estimated 8.1 million of people with these psychiatric disorders in the United States receive treatment. Count among the many barriers to their treatment an acute and worsening shortage of psychiatrists, as a new report in Health Affairs details. The federal government identifies Health Professional Short-age Areas (HPSAs) based on the ratio of physicians to residents in specific geographic areas. Mental health HPSAs are based on the ratio of psychiatrists to residents. There are approximately 4,000 of these HPSAs in the country. The federal Health Re-sources and Services Administration estimates only half of them have enough psychiatrists to meet demand. Three Questions of Supply The title of the paper spells out the result: "Population of US practicing psychiatrists declined, 2003-13, which may help ex-plain poor access to mental health care." In the study, Tara F. Bishop and colleagues take on three questions:
Did the supply of psychiatrists change from 2003 to 2013 and, if so, how much compared with other specialties?
What regions of the country have the largest and smallest supplies of psychiatrists, per capita?
What population characteristics are associated with psychia-trist supply? The research team found that the average number of psychia-trists per 100,000 residents dropped by 9% during the 10-year period, after adjusting for population growth. By comparison, the average number of neurologists increased by 20% and the average number of primary care physicians - also considered a low-supply specialty - increased by nearly 2%. The population-adjusted number of total physicians in the United States grew by 4%, while the number of psychiatrists dropped 0.2%. The reduction "likely limits patients' access" to psychiatric ser-vices," the authors said.
Shortages were not geographically distributed. New England enjoyed the highest concentration of psychiatrists at 24.5 per 100,000 residents, while the Pacific region was served by barely half that many: 13.3 per 100,000 people. Of all physician spe-cialties analyzed, psychiatrists were the most unequally distrib-uted by region. Their distribution was influenced by regional education and income with greater psychiatrist supplies in areas with more high school graduates and higher household income. Areas of low population density also may be at "high risk" of
shortages, they said . Implications of Shortages "The concern is that if this trend continues, access will worsen over time," the authors conclude. Other mental health profes-sionals - psychologists, psychiatric nurses, social workers and others - are believed to make up 95% of the mental health workforce and also serve psychiatric patients, they said, "However, psychiatrists - because of their medical training and ability to prescribe medications - provide different care than these other providers do." Among the implications of psychiatrist shortages noted by the authors:
The supply of psychiatrists "likely limits" access to services by people with serious mental illness and threatens mental health parity as required by the Mental Health Parity and Addiction Equity Act of 2008. It is likely to grow worse un-less addressed.
Policymakers, payers and the community need to develop strategies to recruit and retain psychiatry specialists. Among these is addressing compensation for psychiatrists, among the lowest-paid specialties.
Because of how much time it would require for such strategies to begin filling the gap, alternative treatment models need to be explored for providing psychiatric care. These include coordinat-ed care practices, in which psychiatrists serve as consultants to primary care physicians or other mental health professionals, and new technologies such as telemedicine, mobile health and
computer-based interventions. References: Bishop, T.F. (July 2016). "Population of US practicing psychiatrists declined, 2003-13, which may help ex-plain poor access to mental health care." Health Affairs.
Doris A. Fuller
Chief of Research and Public Affairs
6
Hillary Clinton Releases Her Mental Health Agenda
On August 29, Hillary Clinton
released her "comprehensive
plan to support Americans living
with mental health problems
and illnesses-by integrating our
healthcare systems and finally
putting the treatment of mental
health on par with that of physical health." The plan includes
progressive statements about the importance of peer support to
recovery, and promises "a full range of housing and employment
support for individuals with mental health problems, to help
them lead independent and productive lives." It also includes
increasing crisis intervention training for police officers, and ex-
panding funding for the Protection and Advocacy for Individuals
with Mental Illness (PAIMI) program. (It is not perfect, and you
are invited to form your own judgment. However, as Voltaire
said, "The perfect is the enemy of the good.")
(Note: We will share Donald Trump's mental health platform as
soon as it is available.)
Following is an internet link to Hillary Clinton’s Plan - https://
www.hillaryclinton.com/briefing/factsheets/2016/08/29/hillary-
clintons-comprehensive-agenda-on-mental-health/
Treatment Advocacy Center’s statement
on Secretary Clinton's Comprehensive Mental Health Plan.
Highlighting the crisis that faces our national mental health
system, Democratic presidential candidate Hillary Clinton an-
nounced her mental health policy platform yesterday.
"We welcome the focus that Secretary Clinton brings to the
failures of our mental health system," said John Snook, execu-
tive director of the Treatment Advocacy Center. "As the work
of Congress and now Clinton make clear, our mental health
system is lacking - especially for the most seriously ill. There
are simply too many Americans suffering and dying unneces-
sarily. Families deserve to know that this important discussion
will continue throughout this election season."
Clinton's agenda points out that 40 percent of those with se-
vere mental illness go untreated, resulting in devastating con-
sequences for those with a mental illness, their families and
our entire nation. "We applaud Secretary Clinton's focus on
preventing the dire outcomes of untreated serious mental
illness and her recognition that care must happen before
someone is in crisis" Snook continued, "Suicide, homelessness
and victimization are all too common consequences of our
current system's failures. Clinton's agenda would serve as a
powerful addition to the mental health reform currently being
considered in Congress."
Clinton's agenda also devotes significant attention to the de-
criminalization of mental illness, highlighting the Treatment
Advocacy Center's work showing that there are more individu-
als with a mental illness in county jails today than in our state
and local psychiatric hospitals. "Decriminalizing mental illness
has long been a priority for the Treatment Advocacy Center,"
Snook said. "Secretary Clinton wisely recognizes that jails and
prisons are the worst possible places to treat mental illness
and that our mental health system's failures have placed law
enforcement in the terrible position of serving as our front-
line mental health response."
Among the plan's other highlights:
A focus on early intervention efforts, long supported by the Treatment Advocacy Center.
A pledge to enforce the Mental Health Parity and Addic-tion Equity Act of 2008, which requires insurers to offer coverage for psychiatric illnesses on par with other illness-es.
The creation of a national initiative to address suicide pre-vention. The Treatment Advocacy Center family knows
too well that suicide is an all-too-common outcome that must receive greater attention.
A White House Conference on Mental Health within her first year of office to focus greater attention on mental health is-sues, promote successful interventions, and identify barriers and solutions. We expect this program will build on the new work by SAMHSA, DOJ and others to explore successful solu-tions such as assisted outpatient treatment (AOT) and new strategies to address the needs of high-utilizers.
"We cannot commend Secretary Clinton enough for continuing to raise the visibility of the need for national mental health reform," continued Snook. "Such a focus would have been un-imaginable even a few years ago. This agenda gives families additional confirmation that they no longer need to suffer in the shadows."
7
talized at Sheppard Pratt Health Sys-
tem in Baltimore to explore the pos-
sible role of bacterial infection in
activating the immune system in pa-
tients with acute mania, bipolar de-
pression, unipolar depression and
schizophrenia.
In the study population, 7.7% of the patients with acute mania
were found to be prescribed antibiotics. This compared with
1.3% of the non-psychiatric control group. Patients hospitalized
with the other three psychiatric conditions also were more likely
than the controls to be given antibiotics such as tetracycline or
penicillin for infections but at much lower rates than those with
acute mania.
The research team identified three possible theories for the
association between infection and acute mania:
Underlying bacterial infection that activates the immune system, which then triggers the onset of mania
Decreased immunity to infection in bipolar disorder Acute mania as a response to the antibiotics themselves The third theory was considered less likely because many indi-
viduals in the study developed mania and were hospitalized
before they were diagnosed with infections and given antibi-
otics.
The study was funded in part by the Stanley Medical Research
Institute, a supporting organization of the Treatment Advocacy
Center, whose mission includes promoting the development of
innovative treatments for and research into the caus-
es of severe and persistent psychiatric diseases.
Doris A. Fuller
Chief of Research and Public Affairs
Antibiotics and Mania in Bipolar Disorder
Common respiratory, urinary tract and other infections may
play a role in triggering acute mania in bipolar disorder, accord-
ing to a newly released study.
Based on a sample of 602 individuals hospitalized for symp-
toms of bipolar disorder and selected other psychiatric condi-
tions, Robert Yolken, MD,* and colleagues found that the pa-
tients with acute mania were substantially more likely to be
taking antibiotics for infection than patients with schizophrenia
or depression and than non-psychiatric patients.
The authors conclude that patients with a history of mania
should be monitored closely for bacterial infections by their
healthcare providers and promptly treated with antimicrobial
medications when infections develop.
"The control of bacterial infections in individuals with suscepti-
bility to mania and other acute psychiatric conditions might
result in the prevention of acute episodes and a marked im-
provement in their health and well-being," the researchers
said.
Infection and Mania, Depression, Schizophrenia
Over the past two years, a growing body of research has exam-
ined the possible role of infection and inflammation in causing
schizophrenia, bipolar disorder and depression. Previous stud-
ies have found the immune system to be activated during
acute mania, but the cause of immune activation was not iden-
tified.
In "Antimicrobial medications and mania," researchers used
the records of antibiotic prescriptions for 1,157 patients hospi-
8
NAMI ANALYZES THE REPUBLICAN AND DEMOCRATIC PARTY PLATFORMS
REGARDING MENTAL HEALTH
Curious what the 2016 Republican and Democratic Party
platforms say about mental health? We’ve done the work for
you. Read below to see where each party stands on treat-
ment, funding, addiction and other issues related to mental
health.
What they say about mental health treatment:
Democratic Platform
We must treat mental health issues
with the same care and seriousness
that we treat issues of physical
health, support a robust mental
health workforce, and promote better
integration of the behavioral and gen-
eral health care systems. Recognizing
that maintaining good mental health is critical to all people,
including young people’s health and development, we will
work with health professionals to ensure that all children have
access to mental health care. We must also expand communi-
ty-based treatment for substance abuse disorders and mental
health conditions and fully enforce our parity law. And we
should create a national initiative around suicide prevention
across the lifespan—to move toward the HHS-promoted Zero
Suicide commitment.
Republican Platform
In [the Affordable Care Act’s] place we
must combine what worked best in the
past with changes needed for the fu-
ture. We must recover the traditional
patient-physician relationship based on
mutual trust, informed consent, and
confidentiality. To simplify the system for both patients and
providers, we will reduce mandates and enable insurers and
providers of care to increase healthcare options and contain
costs. Our goal is to ensure that all Americans have improved
access to affordable, high-quality healthcare, including those
who struggle with mental illness. –
What they say about mental health and Medicaid:
Democratic Platform
Democrats have been fighting to secure universal health care
for the American people for generations, and we are proud to
be the party that passed Medicare, Medicaid, and the Afforda-
ble Care Act (ACA). Being stronger together means finally
achieving that goal. We are going to fight to make sure very
American has access to quality, affordable health care. We will
tackle the problems that remain in our health care system, in-
cluding cracking down on runaway prescription drug prices and
addressing mental health with the same seriousness that we
treat physical health.
Republican Platform
Medicaid presents related, but somewhat different challenges.
As the dominant force in the health market with regard to long-
term care, births, and persons with mental illness, it is the next
frontier of welfare reform. It is simply too big and too flawed to
be administered from Washington. Most of the vaunted expan-
sion of health insurance coverage under Obamacare actually
has been an unprecedented expansion of the Medicaid rolls in
many states. We applaud the Republican governors and state
legislators who have undertaken the hard work of modernizing
Medicaid. We will give them a free hand to do so by block-
granting the program without strings. Their initiatives – wheth-
er premium supports for purchasing insurance, refundable tax
credits, alternatives to hospitalization for chronic patients, dis-
ease prevention activities, and other innovations – are the best
strategy for preserving Medicaid for those who need it the
most. Block granting Medicaid is particularly needed to address
mental health care. Mental illness affects people from all walks
of life, but there has been little success in developing effective
system-wide medical models for addressing mental health. For
a variety of unique reasons, government is often the first fron-
tier for people experiencing mental health problems – from first
responders who deal with crises to publicly funded mental
health facilities and prisons where large numbers of inmates
suffer from mental illnesses. Using block grants would allow
states to experiment with different systems to address mental
health and develop successful models to be replicated in states
across the nation. The current federally dictated mental health
care regime is wasteful and ineffective, and moving to a block
grant approach would allow for state and local governments to
create solutions for individuals and families in desperate need
of help in addressing mental illness.
9
Ask The Doctor with Ken Duckworth Returns
NAMI’s popular "Ask The Doctor" series returns as a webinar! Tune in on September 15th from 5:00 – 6:00 p.m., ET to
learn from NAMI’s Medical Director, Ken Duckworth, M.D. and Lisa Dixon, M.D., M.P.H NIMH’s Recovery After Initial Schiz-
ophrenia Episode-Implementation and Evaluation (RAISE-IES) study and new advancements in the treatment of early psy-
chosis.
Dr. Dixon is the principle investigator on the RAISE study and is leading the innovative program, OnTrackNY, a statewide
program designed to improve outcomes and reduce disability for people experiencing their first episode of psychosis.
In the early stages or the first-episode of psychosis, specialized treatment provides the best hope for recovery by slowing, stop-
ping and possibly reversing the effects of psychosis. Learn more about new research into the identification of early psychosis and
how treatment using coordinated specialty care is changing the outlook for young people experiencing psychosis.
In this webinar, participants learn more about:
Why research into treating early psychosis is important? Poorly managing or not treating early psychosis can have life-long consequences including uncertain chances for long-term recovery and some potentially devastating outcomes like homelessness, incarceration, victimization or suicide. However, early, effective treatment can be life-changing and radically alter a young person's future. Learn more about NIMH's Recovery After Initial Schizophrenia Episode (RAISE) Study and the two key findings:
Longer duration of untreated psychosis produces poorer outcomes.
Early treatment using coordinated specialty care is linked to significantly improved outcomes and quality of life.
What is Coordinated Specialty Care (CSC) and why does it matter?
CSC uses a team-based approach with shared decision-making that focuses on working with individuals to reach their recovery goals. You'll learn about the 6 key components, what programs are available and how access is spreading.
How do we move forward from RAISE? Positive outcomes with early psychosis treatment and advocacy and public policy support have been key to leveraging support. The expansion of services is now possible.
Host: Ken Duckworth, M.D., Guest: Lisa Dixon, M.D., M.P.H. Dr. Duckworth serves as the medical director for NAMI. He is double board certified in adult and child and adolescent psychiatry. Dr. Dixon is an internationally recognized health services researcher working with NIMH, the VA and various foundations for over 25 years. She is the principle investigator on the NIMH Recovery After Initial Schizophre-nia Episode-Implementation and Evaluation (RAISE-IES) Study.
Event: Ask The Doctor Webinar! Early Psychosis Treatment– Why, What and How? When: Thursday 15 September 2016, 05:00 PM - 06:00 PM Time Zone: (GMT-05:00) Eastern Time (US and Canada) (Please note that Daylight Saving Time (+01:00 hr) is in effect during this time) Audio Conference Details: Conference Number:1-888-858-6021 Conference Code: 309918
Don't forget to register! Internet registration at https://events-na8.adobeconnect.com/content/connect/c1/1126042437/en/events/event/shared/default_template/event_registration.html?sco-id=1966263885&_charset_=utf-8
10
Place
Stamp
Here
NAMI PA
CUMBERLAND and PERRY COUNTIES Enclosed is my membership or my tax deductible donation (check or money order)
Payable to NAMI PA C/P - mail to PO Box 527, Carlisle, Pa. 17013
___Individual membership [$35] ___Family membership [$35] ___Open Door [3$] ___Professional membership [$50]
___ New member or ____Renewal
NAME:_____________________________________________________________________________________ Date__________
STREET:__________________________________________________________________email:___________________________
CITY:____________________________________________STATE_____________ZIP_________________
PA, CUMBERLAND and
PERRY COUNTIES NEWS
P.O. Box 527, Carlisle, PA 17013