Aurora Offers Primary Care Physician Training on Behavioral Health

Identifying Mental Illness

  • Parents of a teenage son visit their primary care physician to find out why he is suddenly failing classes
  • A new mother sees her obstetrician because she has been sleeping all the time and has lost her appetite.
  • A man and his wife seek advice from the physician to find out why he is absent from work so frequently due to illness
  • A young woman makes a suicide attempt several days after seeing her physician for feeling lethargic and down

woman-in-crowdPeople with mental illness or addictions often seek help for physical symptoms. People with depression, anxiety, bipolar disorder or addictions typically are seen in primary care more than any other setting.  In a recent NAMI survey, 89 percent of families responded that they had discussed mental health concerns with their child’s primary care physician. Addiction, depression and other mental health problems can go undiagnosed  and untreated.  Primary care physicians can play a critical role in identifying a mental health or substance abuse issue and making appropriate treatment referrals.

Nearly one in 10 Americans 18 and older is depressed, according to a Centers for Disease Control and Prevention study in the Oct. 1 Morbidity and Mortality Weekly Report. One in four adults has a diagnosable mental disorder in any given year, according to the National Institute of Mental Health. Primary care providers have significant opportunities to identify behavioral health problems early and intervene in a manner that prevents further deterioration and avoids significant future costs. Screening and early intervention are priorities that may not only improve outcomes for individuals but also, over time, provide savings to the system.

In the primary care setting, physicians should look for signs of mental health problems, such as trouble sleeping and eating, experts say. In children, doctors should look for atypical behavior that begins suddenly, such as irritability or a drop in grades with a good student. Physicians should incorporate behavioral health screenings into wellness check ups for all patients, and routinely screen for depression, particularly with pregnant and perinatal women.

Mental Health America (MHA) believes that primary health care providers should be encouraged to identify signs of mental health or substance use issues at the earliest possible time. This position is also endorsed by the American Academy of Pediatrics and (for depression) the United States Preventive Services Task Force.

Training for Primary Care Providers

Aurora Behavioral Health Services, in partnership with Kubly Foundation, is offering on-line CME modules for primary care providers on the following behavioral health related topics:

If you or someone you know would benefit from addiction treatment or mental health services, please contact Aurora Behavioral Health Services at 877-666-7223 or visit our web site at Aurora Behavioral Health Services.

Aurora Behavioral Health Services offers complete mental health treatment options, provided by highly trained professionals in a caring, confidential manner to meet individual and family needs.  If you or someone you know needs help, contact us — online or by phone at 1-877-666-7223 — as soon as possible.

Can Eastern spiritual philosophies support recovery from addiction?

Spirituality has increasingly been recognized as a resource for treating addictions, ever since Alcoholics Anonymous introduced its 12-step program – with its recognition of a “higher power” – over 75 years ago. 

Join Dr. Ashok Bedi for a reading/signing/author event on Wednesday, July 17 at 7pm at Boswell Book Company, 2559 North Downer Avenue, Milwaukee, WI 53211

Join Dr. Ashok Bedi for a reading/signing/author event on Wednesday, July 17 at 7pm at Boswell Book Company, 2559 North Downer Avenue, Milwaukee, WI 53211.

The American Psychological Association confirms an association between spirituality and positive outcomes in substance abuse treatment. SAMSHA statesThe beneficial role that faith and spirituality play in the prevention of drug and alcohol abuse and in programs designed to treat and promote recovery from substance abuse and mental disorders has long been acknowledged.”

One study published in the October 2000 issue of Psychiatric Times showed that the measure of “importance of religion” was the best predictor in indicating lack of substance abuse.

The Residential Treatment Program at the Dewey Center of Aurora Psychiatric Hospital uses a holistic and evidence-based approach to drug and alcohol rehabilitation and recovery, including incorporating spirituality. The addictions program at Aurora Psychiatric Hospital includes group therapy provided by Dr. Ashok Bedi focusing on the benefits of Eastern spirituality philosophies in recovery.

Spirituality is part of the human experience in which we explore who we are and what our life is about. Some approaches to healing, such as mindfulness based therapies, incorporate Eastern spiritual practices, without a requirement to believe in a higher power or religion. This can be a good way to get in touch with your spirituality, without getting embroiled in ambivalence about your beliefs, or feelings of inconsistency between the therapy and your beliefs or lack of them. Eastern spiritual philosophies offer much wisdom for achieving health, happiness, and wholeness, including successful recovery from addiction.

“The goal is not to get patient feeling better for 1 month or 1 year” says Dr. Bedi. “The goal is to give them instruments that can make them feel better for the rest of their lives”.

If you or someone you know is struggling with addiction, Aurora Behavioral Health Services offers treatment programs that can help. For more information, call 1-877-666-7223 or visit the Aurora Psychiatric Hospital website.

How do you create and maintain structure for children?

Eight helpful hints for parents

Bucaro, Diane 02

Diane Bucaro, LCSW, is a therapist at Aurora Behavioral Health Center in Wauwatosa

Have you ever had a parent tell you that every morning they are 15 minutes late to work? Or that their child is  glued to their favorite cartoon and they need to do their homework, chores, and get ready for bed in the next 30 minutes?

Here are some general tips/guidelines I use with parents.

1. Most kids respond well to a routine. Whenever possible have consistent bed times, wake up times, and meal times. (Per Super Nanny 4:30-5:30pm is the best dinner time for children younger than age 5. Obviously, this will depend on work schedules, do the best you can given your family’s needs).

2. Sleep is essential. Children between the ages of three and six need 10 to 12 hours of sleep overall. By age four or five, children typically have outgrown a nap. Children ages seven to twelve need 10 to 11 hours of sleep a night, according to the American Academy of Pediatrics.

3. Have the parent do their best to offer nutritious foods. Parents can have a pad of paper in the kitchen to jot down meal ideas or if you are running low on an item. Preparing meals ahead of time to heat up when you get home, and researching crockpot recipes can be very helpful for busy parents. It is also wonderful to have at least 3 “go to meals” — something that can be made quickly and easily at home (pasta, sandwiches) that is not the drive thru at the nearest fast food chain. When it comes to new foods and specifically vegetables it is also helpful to remember that it may take several trials of a food before a child may say they “like it”.

4. Have house rules and established consequences for “broken rules”. If parents have established consequences they are less likely to become “heavy handed” or ignore them and regret this later. However, sometimes ignoring is an appropriate strategy. An example of appropriate ignoring maybe when the child burps loudly at the table and is looking directly at the parent for a reaction. In situations like that, any reaction plays into the child’s hands.

AUR_108443959 (1)When applicable, use positive reinforcement such as “good job, I’m so proud of you”. Make a behavioral chart or plan for things that may be more difficult for that child. The parent can develop a token system for a specific time frame of positive behavior.

Dr. Matthew A. Johnson, has developed a system called “Positive Parenting with a Plan” which has specific guidelines to use positive and negative reinforcements for behavior.  He has written a book for parents if they need more help to guide behavior for children ages 5 and up. Some kids respond well to time outs or having treasured objects taken away for a short period of time (1-7 days, the younger the child the shorter the time).

5. Organization: a place for everything. This can be essential to get out the door on time. Have a place for coats, shoes, backpacks and papers. Often we take off items off near the outside door or set down bags, unload items. This area can soon be cluttered and in disarray, especially if there are multiple children in the home. Have a system where kids stuff hats and mittens in their coat sleeves as soon as they take them off. Another option is to set out a basket for hats and mittens. Have a system for kids’ school papers after they have completed them. Have items ready the night before school/work.

6. Have adults be positive role-models by taking good care of themselves and overall showing displays of good citizen. Example, you find an iPhone at the library and you turn it into lost and found.

7. If possible, have a support network of relatives and friends that are positive or may understand what it is like to be raising children or may even be able to give you a break from time to time.

8. Screen time, less is more. If you think about it the more time in front of a screen is typically the less time for exercise, academics, creativity and social interaction. Some families decide to have regular TV times, computer or game times as a reward. I often recommend for the television to be off when getting ready for school in the morning, as well as during meal-times and homework times.

If a parent is really struggling with challenging behaviors or there is a concern that the child is often sad, angry, aggressive, inconsolable or having some other social/emotional distress it can be very helpful to have the child/family assessed for therapy services.

For more information, contact Aurora Psychiatric Hospital at 1-877-666-7223 or visit the Aurora Psychiatric Hospital website.

 

 

What is group therapy?

Group therapy is a type of psychological therapy that is conducted with a group of people, rather than in a one-on-one session. This approach is sometimes used alone, but it is also commonly integrated into a comprehensive treatment plan that also includes individual therapy and medication.

vlcsnap-2013-05-16-13h41m36s249Group therapy can help anyone who is in need of mental health care. Like individual therapy, group therapy can benefit people with such conditions as anxiety, panic, depression, family problems, addictions, etc.

Groups can be as small as three or four people, but group therapy sessions generally involve around seven to twelve individuals (although it is possible to have more participants). The group typically meets once or twice each week for an hour or two. Group therapy sessions vary, but the basic format is a small group of patients meet on a regular basis to discuss their feelings and problems and provide mutual support.

The session is guided by a professional therapist who is specially trained in group therapy. The therapist acts as moderator and may suggest a “theme” or topic for the group’s discussion. Sometimes, the therapist will allow the group members to pick the topic for the session.

In a typical session, which lasts about 75-90 minutes, members work to express their own problems, feelings, ideas and reactions as freely and honestly as possible. Such exploration gives the group the important information needed to understand and help one another. Members learn not only to understand themselves and their own issues but also become “therapeutic helpers” for other members.

It’s not unusual to feel uneasy or embarrassed when first joining a group, but soon you begin to develop feelings of interest and trust. Most clients find that group therapy provides a great deal of relief because it allows them a chance to talk with others who are experiencing similar problems — in a private, confidential setting. Unlike individual therapy sessions, group therapy offers participants the opportunity to interact with others with similar issues in a safe, supportive environment.

sb10061547br-001People in group therapy improve not only from the interventions of the therapist, but also from observing others in the group and receiving feedback from group members. The group format, while not providing the one-on-one attention of individual formats, has several advantages.

Probably the biggest advantage of group therapy for mental health issues is in helping a patient realize that he or she is not alone — that there are other people who have similar problems. This is often a revelation, and a huge relief, to the person.

Additional benefits include:

  • Increased feedback Group therapy can provide the patient with feedback from other people. Getting different perspectives is often helpful in promoting growth and change.
  • Modeling By seeing how others handle similar problems, the patient can rapidly add new coping methods to his or her behaviors. This is beneficial in that it can Participants can try out new behaviors, role play, and engage with others give the patient a variety of perspectives on what seem to work and when.
  • Less expensive By treating several patients simultaneously, the therapist can reduce the usual fee. In most cases the cost of group therapy is about one-third that of individual therapy.
  • Improve social skills Since so much of our daily interaction is with other people, many people learn to improve their social skills in group therapy (even though such an issue may not be the focus of the group). The group leader, a therapist, often helps people to learn to communicate more clearly and effectively with one another in the group context. This is inevitably leads to people learning new social skills which they can generalize and use in all of their relationships with others.

There are clinicians and researchers who also claim that the group psychotherapy process produces stronger and longer-lasting results for many people, as compared to individual psychotherapy.

Aurora Behavioral Health Services offer a wide variety of group therapy. If you or someone you know would benefit from group therapy, please contact Aurora Behavioral Health Services at 1-877-666-7223 or visit our web site at Aurora Behavioral Health Services. 

April is Alcohol Awareness Month

NCADD (National Council on Alcoholism and  Drug Dependence) has sponsored Alcohol Awareness Month since 1987. It is an opportunity to raise awareness of alcohol abuse and encourage people to make healthy, safe choices.

ncadd%20alcohol%20awareness%20month%202013-%20logoDrinking too much alcohol can lead to health problems, including alcohol poisoning, hangovers, and an increased risk of heart disease. If you are drinking too much, you can improve your health by cutting back or quitting. Keep track of how much you drink, avoid places where overdrinking occurs, and find new ways to deal with stress. If you are concerned about someone else’s drinking, offer to help.

If you or someone you know is struggling with a drinking problem, Aurora Behavioral Health Services offers treatment programs that can help.

If you or someone you know is battling addiction, contact Aurora Behavioral Health Services us — online or by phone at 1-877-666-7223 — as soon as possible

April 10 is National Alcohol Screening Day. How do you score?

ncadd%20alcohol%20awareness%20month%202013-%20logoNational Alcohol Screening Day is an outreach, education, and screening program that raises awareness about alcohol misuse and refers individuals with alcohol problems for further treatment.

Thousands of colleges, community-based organizations, and military installations provide the program to the public each year.

What are the warning signs?

If you answer “yes” to any of the following questions, you may have a problem with alcohol:

  • Do you drink alone when you feel angry or sad?
  • Does your drinking ever make you late for work?
  • Does your drinking worry your family?
  • Do you ever drink after telling yourself you won’t?
  • Do you ever forget what you did while drinking?
  • Do you get headaches or have a hangover after drinking?

If you or someone you know is struggling with a drinking problem, Aurora Behavioral Health Services offers treatment programs that can help.

If you or someone you know is battling addiction, contact Aurora Behavioral Health Services us — online or by phone at 1-877-666-7223 — as soon as possible.

 

Celebrating our caregivers: March is Social Worker Month

The National Association of Social Workers (NASW) recognizes March as Social Worker Month. This year’s theme, “Weaving Threads of Resilience and Advocacy,” emphasizes the value of using personal strengths and self-advocacy to manage serious life challenges.

Social work is currently one of the fastest growing professions in the United States;

social work month 2013They are employed in many different organizations and industries, including private and public agencies, hospices, hospitals, and health care organizations, schools and universities, businesses and foundations, military branches and veterans centers, as well as national and local public elected offices.

There are currently more than 650,000 professionally trained social workers in the United States, and the Bureau of Labor Statistics predicts job growth to 800,000 by the year 2020.

Social workers help millions of people function better in their environments. The primary mission of Social Work is to enhance human well-being and help meet the basic needs of all people, especially the most vulnerable. As therapists, social workers accomplish this mission in many ways:

  • Social Workers help patients develop treatment plans that use their strengths, resilience, and self-advocacy to navigate life challenges.
  • Social Workers help patients function better in their environments, improve their relationships with others, and solve personal and family problems through a wide range of interventions.
  • Social Workers assist patients in every stage of life, from all communities, through individual, group and family therapy.
Pete Carlson is the president of Aurora Behavioral Health Services.

Pete Carlson is the president of Aurora Behavioral Health Services.

“ABHS utilizes social workers at all levels of care. They are invaluable in delivering effective, quality behavioral health and substance abuse treatment.” says Pete Carlson, President of Aurora Behavioral Health Services. “Social workers play a vital role in our inpatient, residential, partial hospital, intensive outpatient and outpatient treatment programs. I extend a warm and sincere “Thank You” to all our clinical social workers.”

For a list of social workers at Aurora Behavioral Health Services, or to search for a social worker visit our web site.

Aurora Behavioral Health Services offers complete mental health treatment options, provided by highly trained professionals in a caring, confidential manner to meet individual and family needs.  If you or someone you know needs help, contact us — online or by phone at 1-877-666-7223 — as soon as possible.

 

Are you a “heavy drinker?”

A recent story published by the Milwaukee Journal/Sentinel indicates Wisconsin was the state with the nation’s highest percentage of heavy drinkers — well above the U.S. median of 6.6%.

Aurora offers a full continuum of substance abuse treatment and related services for children, youth, adults and families.

Aurora offers a full continuum of substance abuse treatment and related services for children, youth, adults and families.

Wisconsin ranked number one, with 9.8% of residents considered heavy drinkers. Just what is a “heavy drinker”?

According to the Centers for Disease Control, men having more than 14 drinks per week, and women having more than 7 drinks per week fall into the heavy drinking category.

Binge drinkers are those who have more than 5 drinks in a day for men, or 4 drinks in a day for women.

“Heavy or binge alcohol consumption can negatively affect an individual’s health in many ways” according to David Smith, MD, vice president of Patient Experience and Care Management at Aurora Health Care.

“The impact on families, communities, and workplace are well known. The brain, nervous system, heart, liver, stomach, gastrointestinal tract, and pancreas can all be damaged by alcoholism. In addition, accidents and injuries related to alcohol use are much higher. We are placing a lot of emphasis on encouraging our caregivers to live healthy lifestyles, and limiting alcohol consumption is key to good health”

For more information on the impact of heavy alcohol consumption, visit these resources.

If you or someone you know is battling addiction, contact Aurora Behavioral Health Services us — online or by phone at 1-877-666-7223 — as soon as possible.

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Do you always need to be hospitalized for mental health care?

Partial Hospitalization Program offers alternative to inpatient mental health care

For people who do not need to be hospitalized for behavioral health issues like anxiety, depression, bipolar or post traumatic stress disorder, but who have serious symptoms that are impacting their ability to cope with a daily routine, we offer Partial Hospitalization.

Partial Hospitalization is a great alternative to inpatient care, with a more flexible schedule, and is also more cost-effective. Yet, many people are still unaware that this program exists. It’s a fairly new concept in mental health care, having become available within the last 10-15 years.

mother daughters kids children family outdoors summer heroPartial Hospitalization provides clinically equivalent mental healthcare at a much lower cost than inpatient treatment. According to the Association for Ambulatory Behavioral Healthcare, direct cost savings over inpatient benefits are usually 40 to 60 percent — and more than 60 percent in some instances.

There are additional benefits because an employee involved in partial hospitalization treatment may be able to work on at least a limited basis, thus maintaining productivity.

Partial hospitalization dates back to the 1960s, when a small group of clinicians believed that individuals with acute mental illness would have a better chance of recovery and healthy functioning if they were allowed to pursue their treatment in the same communities where they worked, went to school, or maintained their family relationships.

“Our program provides the resources available to an inpatient without being completely isolated from your life” explains Marlyene Pfeiffer, LCSW, CSAC, and program psychotherapist at Aurora Psychiatric Hospital. “It’s an alternative to inpatient care, or a nice transition toward home for those ready to be discharged from the hospital.”

Partial Hospital programs help individuals develop and strengthen coping and healthy living skills – from healthy eating and regular exercise, to better sleep habits. Patients come in during the day and go home to their families in the evening. This allows them to practice the new skills they’ve learned, while also promoting their new-found confidence and independence.

Aurora Behavioral Health Services offers several Partial Hospitalization Programs.

Aurora Behavioral Health Services offers complete mental health treatment options, provided by highly trained professionals in a caring, confidential manner to meet individual and family needs.  If you or someone you know needs help, contact us — online or by phone at 1-877-666-7223 — as soon as possible.

6 Tips to help your children cope with trauma

The media is full of stories that can cause your child to become anxious, stressed or fearful.  Shootings, school violence, and natural disasters are all events that may trigger trauma.

AUR-0545Events such as this can cause post-traumatic stress reactions, which can range from mild to severe. Reaction to trauma can overwhelm a child’s ability to cope.

Munther Barakat, PsyD is a psychologist in the Child & Adolescent Day treatment program at Aurora Psychiatric Hospital. Here are his suggestions for minimizing the impact of post-traumatic stress reactions.

    • Early intervention in childhood psychic trauma is important. Families that offer support, understanding, and a sense of safety as close to the time of the traumatic event as possible can effectively limit the effects of trauma on a child.
    • Try to keep normal routines. Kids gain security from the predictability of routine.
    • It is important to limit the amount of time spent watching the news because constant exposure may actually heighten their anxiety and fears.
    • Talk about the events with your child to the level your child is developmentally able to handle. It is unlikely they have not heard about the event from peers, social media or news and television. Not talking about it can make the event even more threatening. PBS Parents offers help on how to talk with children about news events.
    • Assure children that they are safe and so are their schools.

Munther Barakat is a doctor of psychology at Aurora Psychiatric Hospital in Wauwatosa.

  • Watch for signs of stress, fear or anxiety. It may also a good idea to consult a child and adolescent psychiatrist or other mental health professional for evaluation and treatment if behaviors are severe.

If your child, or a child you know has experienced trauma, contact us at 1-877-666-7223 or visit the Aurora Psychiatric Hospital website.

For more information on trauma, visit these resources: