How to fix the critical shortage of Mental Health professionals- 1 example within our own community

chrostowskiThe American Psychological Association reports alarming concerns about the critical shortage of mental health professionals.Access to mental health care is worse than other types of medical services. The Bureau of Labor Statistics estimated in 2010 that the country had 156,300 mental health counselors. Access to mental health professionals is worse than for other types of doctors: 89.3 million Americans live in federally-designated Mental Health Professional Shortage Areas, compared to 55.3 million Americans living in similarly-designated primary-care shortage areas and 44.6 million in dental health shortage areas. According to the National Institute on Health nearly one in five counties (18%) in the nation had unmet need for non-prescribers and nearly every county (96%) had unmet need for prescribers.  Learn what Aurora Behavioral Health Services is doing to help.

The Counseling Psychology program at Marquette University educates and trains Master’s level counseling psychologists and Doctoral level counseling psychologists. The College of Education at Marquette University annually recognizes a community partner who has had a significant impact on the training of their students. Aurora Behavioral Health Services (ABHS) was named as the Human Service Partner Award recipient for 2014 for the outstanding training provided to Marquette students in the Counseling Psychology program.

The Human Services/Foundation Partner Award recognizes collaborative community partners with whom we share the resources, rewards, and risks associated with serving the community and advancing the field of education and mental health.

Jay Chrostowski, PsyD, Director of the student placements at Aurora Behavioral Health Services describes the collaboration. “We are helping to develop the next generation of behavioral health providers. We have had students placed in the eating disorder program, mental health partial hospital program, mental health intensive outpatient program, and in the addictions programs at Aurora Psychiatric Hospital, and at the Neuropsychology Service at Aurora St. Lukes’s Medical Center. Our relationship with this program began over 10 years ago at the behavioral health outpatient health center at Aurora Sinai Medical Center, where we established an affiliation agreement with Marquette University’s Counseling Psychology program. Our first placements were with child/adolescent group therapy services at Aurora Sinai, and we expanded our training opportunities in following years. The relationship is especially successful for the substance abuse programs because the students obtain hours towards a State of WI certification in substance abuse.  It has been a very good relationship promoting workforce development.”

Aurora Behavioral Health is able to provide excellent real-life training/educational experiences for the students, and frequently Aurora Behavioral Health Services hires former students after they graduate.  This allows us to get to know the skills, work ethic, and values of each student prior to hiring, which is part of why ABHS has such an excellent staff.

The award was presented as part of a larger award ceremony honoring students, faculty, and community agencies on Tuesday, April 22nd.

Do you know a survivor of suicide?

“Before today, I didn’t realize that there are others out there who feel exactly the way I feel.”   – Survivor from Alberta, Canada

“If telling my story can comfort another survivor, then I will continue to tell it. – Laurell Reussow, survivor

International-Survivors-of-Suicide-DaySaturday, November 23, 2013 is the American Foundation for Suicide Prevention’s 15th Annual International Survivors of Suicide Day.

Thousands of survivors of suicide loss gather together around the world on this day for mutual support & practical guidance on coping with grief.  Survivor conferences will be held in cities throughout the U.S. and abroad, offering speakers, workshops, and sharing sessions.

Survivors of Suicide Day- Milwaukee Event

Individuals are encouraged to experience International Survivors of Suicide Day in person. It is a rare opportunity to be able to look around a room and know that every person there inherently understands part of what you are going through. A local event, sponsored by Mental Health American and Aurora Behavioral Health Services, will be held at Aurora St Luke’s Medical Center on November 23 from 9am – 1pm. Click here for details.

Watch Online at AFSP.org

You can visit the AFSP website on Saturday, November 23 to watch our program online from 1:00–2:30 p.m. Eastern Standard Time along with thousands of other survivors around the world.  Then connect with your fellow survivors of suicide loss and discuss issues brought up during the program by joining our live online chat starting at 2:30 P.M. EST on November 23rd. Karyl Chastain Beal will moderate the chat. Karyl is the long-time facilitator of the Parents of Suicide (POS) and Friends and Families of Suicide (FFOS) Internet support communities and a member of AFSP’s Survivor Council.

If you or someone you know is experiencing anxiety, feelings of hopelessness, or thoughts of suicide visit the web site for Aurora Psychiatric Hospital or contact us at 414-454-6777.

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.

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.

Athletes and Eating Disorders; what parents and coaches need to know…

Elizabeth Hunkins is a therapist at Aurora Behavioral Health Center in Summit

Elizabeth Hunkins is a therapist at Aurora Behavioral Health Center in Summit

Sport activities offer such an array of benefits for individuals from improved confidence, self-esteem, social skills and healthy activity.  But when does having “fun” cross the line that places an individual at risk for possible eating disorder?

Competition in athletics can be a factor that leads to psychological stress, which increases risk factors for disordered eating patterns in males and females.  A study in 1992 found that 62 percent of females in sports suffered from eating disorders (mirror-mirror.org).  It is believed that since that study was completed that eating disorders among athletes continue to be on the rise.  Many parents, coaches and even physicians fail to recognize the signs of eating disorders in these individuals.  Athletes are at a greater risk of medical complication due to the demands they place on their body.

There are too many stories of athletes that have suffered from this disease. In July of 1994, top US gymnast, Christy Henrich died of multiple organ failure after a US judge told her she was “too fat and needed to lose weight to make the team”, and subsequently dropped to 47 pounds. She resorted to anorexia and bulimia, which eventually took her life.  Cathy Rigby, another Olympian suffered with this disease for 12 years and went into cardiac arrest two different times (mirror-mirror.org).  Not only is this happening on the elite level, it is happening on every level of competition in sports.

What are some early warning signs of an eating disorder in an athlete?

  • Rapid weight loss
  • Going to bathroom after meals
  • No breaks in weekly training (should have 1-2 days off per week)
  • Increased concern about body fat/calorie intake
  • Rigid behavior around food (refuses food groups, eating fat free/eating in isolation)
  • Social withdrawal from family and peers
  • Preoccupied with training/exercise and becomes upset if unable to workout
  • Will continue to workout even when ill/sick
  • Other areas in life becomes unmanageable (relationships, work, school)
  • Loss or irregular menses

Coaches need to educate themselves on the dangers of eating disorders and recognize early warning signs and intervene.  Education needs to be provided on healthy nutrition, and proper refueling.  Coaches need to be positive, encouraging and motivating; not harsh, negative and critical to athletes.  Parents should attend a training session to observe their child and the coach’s training.  A parent should not witness a coach pressuring their child to “WIN at any cost”.

Coaches should encourage athletes to develop a healthy routine with adequate emphasis on eating, hydration and life balance. Coaches should praise their efforts and their achievements.  If there are negative comments about an athlete’s appearance/weight and performance, then it is time to change coaches/programs for the well-being of the individual and seek assistance from a professional.

Liz Hunkins, LCSW is a therapist at Aurora Behavioral Health Center in Summit

If you or someone you know may be struggling with an eating disorder, please contact Aurora Behavioral Health Services at 877-666-7223 or visit our web site at Aurora Behavioral Health Services

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.

 

 

Overcoming barriers: May is Mental Health Month

Mental Health America continues its tradition of celebrating “May is Mental Health Month,” which began in 1949 to raise awareness of mental health conditions and mental wellness for all.
Mental health month 2014 Mind Your Health
Mental illnesses are medical illnesses. One in four adults experiences a mental health problem in any given year. One in 17 lives with serious, chronic illness.

On average, people living with serious mental illness live 25 years less than the rest of the population. One reason is that less than one-third of adults and less than one-half of children with a diagnosed illness receive treatment.

The U.S. Surgeon General has reported that stigma is a major barrier to people seeking help when they need it. That’s why awareness is so important. We want people to understand mental illness and join a dialogue in our community. The more people know, the better they can help themselves or help their loved ones get the help and support they need.

When mental health care isn’t available in a community, the results often are lost jobs and careers, broken families, more homelessness, more welfare and much more expensive costs for hospital emergency rooms, nursing homes, schools, police and even courts, jails and prisons.

To access free screenings for depression, anxiety and other mental health concerns visit our screening center

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.

mental health month 2013

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.