Canyon Manor Newsletter

Newsletter

VOLUME 5, NUMBER 8

August 2021 This Month’s Activities

CONTACT US Payphone numbers for clients 415-897-9752 415-897-1562 Canyon Manor 415-892-1628 Social Services Workers Virgil (Manager) – ext. 319 Rachel - ext. 317 Dennis - ext. 337 Courtney - ext. 318 CONREP Social Services Workers Michlene - ext. 321 Lisa- ext. 361 If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317.

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317.

August continued the summer spirit with two barbeques. One was a lunch barbeque with chicken and pasta salad. The other was dinner with the option of a porkchop or hotlink, pasta salad, pineapple, watermelon, corn on the cob, and bread. There was an activity with snow cones outdoors. Bread and Roses played a musical performance over Zoom for all to enjoy. We had an outing to McNear’s Beach for clients who had earned a level 6 or above on the level system and are currently demonstrating appropriate and safe behavior. Rotating activities involved bingo and a dance.

Getting to Know Our Staff

Jackie Aguilera is a new team member in the rehab department. She started working at Canyon Manor in May after graduating at Sonoma State University with her Bachelor’s degree in Sociology. She enjoys making a difference in individuals lives, and this draws her to the mental health field. She was also drawn to Canyon Manor when she learned there is a garden area. She is working on reinstating the

gardening group. Other groups that Jackie coleads include fitness, orientation, creative writing, art, and education group. Welcome Jackie! We look forward to your work in the garden!

Staying Covid Safe Group of the Month

This month a new group schedule was initiated doubling four of the core therapy groups to accommodate more clients. This schedule is extremely similar to the previous one with the primary difference being that four groups have been duplicated. Clients who attend these groups have been assigned to either blue groups or red groups. If a client has not been attending one of these four groups, they were not assigned a color. A list has been posted in the community area so clients know which group to attend. In the new group schedule art therapy and creative writing were added and a gardening group will begin soon.

Staff remains vigilant to keep everyone safe from Coronavirus and the Delta Variant. Staff continue to encourage mask wearing for clients inside the facility, reminding the residents that a few folks have chosen not to be vaccinated.

Nearly all staff are fully vaccinated and continue to wear masks. The few unvaccinated staff are tested twice weekly and wear N95 mask for extra protection. Most new residents have been vaccinated and all are tested prior to their arrival. Canyon Manor staff look to Marin County Public Health for guidance on how to remain a Covid free facility. Staff temperatures are checked at each shift and client temperatures and oxygen saturation are checked twice a day. Visitors remain outside and those who need to come inside are fully vaccinated.

N ewsletter

VOLUME 5, NUMBER 3

April 10, 2021

This month’s activities

CONTACT US Payphone numbers for clients 415-897-9752 415-897-1562 Canyon Manor 415-892-1628 Social Services Workers Jim (Manager) - ext. 319 Rachel - ext. 317 Dennis - ext. 337 Michlene - ext. 321 Courtney - ext. 318 If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317.

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317.

April activities include Easter festivities, a special Salad Day, and Bread and Roses Entertainment. For Easter, there was an egg hunt enjoyed by many.

Residents assisted in hiding the eggs filled with some chocolates while others participated in locating the eggs. The winner this year found a total of 11 eggs. A related movie “Hop” was played in the afternoon. The menu calls for a Salad Day in the middle of the month with a meal of Chinese chicken salad, wheat roll withmargarine, and a lemon snow bar. Bread and Roses is an organization that brings music to a diverse population asa way of healing and joy through music. They will be providing Canyon Manor a virtual concert.

Getting to know our staff

April is Occupational Therapy Month. This year the message is “Passion. Purpose. Possibility.” Janice Fujimoto is an Occupational Therapist that has been on our team since 1986. She enjoys the variety of ages and personalities of the residents served at Canyon Manor.

z

She is continuously assessing residents’ activities of daily living (ADLs) and skills while facilitating groups.

This inputcontributes to the overall treatment and rehabilitation of reintegrating our residents back into the community. Learn more about Occupational Therapists and their meaningful role in client treatment at https://www.aota.org/ConferenceEvents/OTMonth.asp

Group of the month

Discussion group occurstwice a week as one of the morning core groups. The room is set up so that clients and staff are in a circle. In the first meeting of the week, all individuals check in about how their week has gone and any pressing matters on their mind. The second meeting is a free discussion that is guided by the staff. Group members are encouraged to ask one another their question as well as share their experiences.

Topics can vary from favorite foods to managing difficult situations.

Food limitations

In the first year of the pandemic, clients were not allowed to use passes and strict rules were put in place about what could come into the facility for safety precautions. It was acknowledged by staff that often clients buy themselves meals, treats and snacks while on pass that they no longer had access to during that time. Loving families and friends began sending snacks in the mail which was allowed.

Now that the clients can earn passes and enjoy foods outside of Canyon Manor, food, such as snacks delivered in the mail or food broughtduring visits, will no longer be permitted. Meals brought that can be consumed during the family visit are allowed. Staff encourage providing other funitems that clients enjoy and need such as clothing and hygiene products, personalized masks, stamps, and stationery. Canyon Manor appreciates the support from families, case managers, and conservators during thistime of change.

N ewsletter

VOLUME 5, NUMBER 3

March 10 , 2021

COVID & Passes

CONTACT US Payphone numbers for clients 415-897-9752 415-897-1562 Canyon Manor 415-892-1628 Social Services Workers Jim (Manager) - ext. 319 Rachel - ext. 317 Dennis - ext. 337 Michlene - ext. 321 Courtney - ext. 318 If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317.

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317.

We are so excited and relieved that our clients had the opportunity to receive the second dose of the COVID vaccine in early March. Most clients elected to receive the vaccine through Marin Public Health.

Majority of staff are also fully vaccinated. Residents who received both doses of the vaccine can have visitors, passes and outings while maintaining social distancing and wearing a mask. Residents have been informed that wearing a mask properly in the facility demonstrates that they are able to wear one in the community which is an important factor considered when granting passes.

Residents are asked to do activities that require them to take their mask off, such as smoking and eating, on the patio before or after leaving the property. Canyon Manor staff are working closely with residents to keep this privilege by following the guidelines provided by public health. Masks are still worn within the facility along with residents’ temperatures and oxygen level taken twice a day.

Getting to know our staff

March is National Social Work Month. The Social Services team is composed of five social services workers that co-lead groups, maintain a caseload, and continuously work to improve the lives of the residents. They maintain communication with the client and their supports such as family, friends and conservators. Thank you Social Services for all your hard work!

Group of the month

Activities of Daily Living (ADL) group occurs once in the morning and once in the evening. This is a time when residents can get towels, hairbrushes, shampoo, lotion, and other hygiene products.

Residents are encouraged to make their beds and keep their room free of clutter.

Canyon Manor has three showers and tub rooms in the facility. Staff assist clients as needed to complete their hygiene tasks

Visiting Hours

Visiting is now open on Tuesdays from 4:30pm to 5:30pm and between 8am to 6pm on Sundays. Visits should be scheduled with Social Services to ensure there is enough room for guests and residents to stay six feet apart. Visits are an hour long and requires visitors to sign a contract stating they will follow the COVID precautions in place as well as have their temperature taken. Family can also take a resident into the community for shopping or to eat outside at a restaurant. These passes are up to three hours with the approval of the conservator. It is recommended for those who have not had a visit at Canyon Manor to visit at the facility before scheduling an outing. Residents and staff are happy to have this available.

Canyon Manor Newsletter November 2020

Volume 4, Number 11

Staying Healthy Through Group of the Month “Another Day” is the co-occurring disorders group provided at

2020 Canyon Manor continues to be COVID free. Staff are tested weekly to maintain awareness in case anyone

Canyon Manor. Residents who have a substance use history and demonstrate they can be in group

may be carrying the virus but are asymptomatic. Staff are required to wear a mask at all times. Residents are provided with masks

consistently are often asked to

regularly and are consistently encouraged to wear them when outside of their

join this group. Residents may be

room. Masks are a requirement for a resident to participate in a group. Chairs

asked to join Another Day when

remain six feet apart. Where furniture cannot be moved, every other chair is

they are approaching passes as well. Residents that are assigned to Another Day are required to attend every group in order to have passes for the following

taped off. Red lines are provided on the floor where there commonly are clients waiting in lines to maintain six feet. Passes are occurring, however, residents are to stay on the front patio and are not permitted to leave the premises. Everyone is awaiting the day that residents and staff are able to go

week. The holiday season is an

into the community but until then Canyon Manor will remain cautious,

especially difficult time and can

following the CDC guidelines.

lead to relapse. Canyon Manor staff appreciates the supports provided by family, friends, and professional staff.

Contact Us

Getting to Know Our Staf

Payphone numbers for clients Nicole Phillips has joined our administration team!

415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers

She started at Canyon Manor in July. Her tasks include assisting with admissions, tracking COVID and its effect on the facility, completing benefit applications, and more. She has a B.A. in both criminal justice and sociology from Elmhurst College in Chicago. When it is safe to do so, she enjoys camping, going to the beach, and trying new restaurants. Welcome Nicole!

Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337

November Activities

Michlene- ext. 321 Courtney- ext. 318

Canyon Manor celebrated Thanksgiving with a traditional holiday meal: roast turkey with cranberry sauce, old fashioned stuffing, mashed potatoes with

If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-8921628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

gravy, green bean casserole, dinner roll, and pumpkin pie. With the holiday comes a four-day relaxed schedule. On these days, marked as Modified Program Days, clients enjoy a walk, movies with refreshments, and bingo. Other activities such as Arts & Crafts on the weekly schedule also occur. Residents enjoy this break from the routine program schedule that includes discussion-based groups starting in the morning and activity-based groups in the evenings.

Canyon Manor Newsletter July 2020

Volume 4, Number 7

July Activities July started with the Annual Summer Barbeque. Clients enjoyed BBQ chicken, games, music and a water Group of the Month Symptom Management, also known as WRAP (Wellness Recovery Action Plan) is held weekly on Wednesdays. The group discusses how to maintain mental stability. Each client has the opportunity to

balloon fight. It was a fun afternoon for all, and whether watching or participating in clients and staff got soaked. The party ended with snow cones.

Three flavors were available to choose from; watermelon, lemon lime, and cherry. We also enjoyed a barbeque on Fourth of July; this time with hot dogs.

Daily walks continue to allow some exercise and get fresh air during the beautiful summer weather.

formulate a plan that is specific to themselves on how to stay well. Common topics are coping skills, daily maintenance such

Getting to Know Our Staff

as hygiene tasks, and supportive others to contact

Joanie Long and Marie Cole work hard behind the scenes of

when one is struggling. This

Canyon Manor. They ensure staff have the supplies they need,

group can overlap at times with concepts in Another Day group,

assist in improving our technology, and get necessary paperwork

our Dual Diagnosis. If

done. Although they do not work with the clients directly, they

substance abuse comes up, it is a welcomed conversation as many clients have struggled with using drugs although substance use is not a mandatory topic in this group.

are a cornerstone of the agency. They continue to work diligently during this pandemic to complete needed tasks in a timely manner. Processing important documents has become a slower operation with many working from home.

Thank you, Joanie and Marie! You are super appreciated!

Avoiding

Contact Us Payphone numbers for clients

Illness

415-897-9752 415-897-1562

Additional cleaning

Canyon Manor

measures have been

415-892-1628

implemented around the

Social Services Workers

facility. Social distancing is

Jim (Manager)- ext. 319

encouraged in groups and

Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321

community areas. Our large backyard, basketball court, labyrinth, and calming waterfall provide plenty of room outdoors to spread out. While the shelter in place is in effect, passes are limited to the front patio. For this same period, smoking is permitted on the patio for clients who have earned that privilege. For the most part clients and

If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

families have been understanding as the restrictions continue. Canyon Manor thanks the community for helping keep our residents safe and limiting contacts to telephone or other technology during this time.

Canyon Manor Newsletter April 2020

Group of the Month

Volume 4, Number 4

April Activities An Easter egg hunt was held on Easter Sunday which was much enjoyed. The

Education group covers a wide range of topics: current events, sex education, and cultural competency are a few. Topics suggested from the clients are stress management and nutrition among many others.

Currently, the group is watching a

staff assured that both the eggs and clients were six feet apart throughout the activity. The holiday meal was ham with raisin sauce, au gratin potatoes, asparagus, wheat roll, and carrot cake.

On Earth Day, those in women’s group will be able to put plants in pots. Gardening group continues to happen each week. Recently the group has been preparing the garden:

four-episode series called “The

pulling weeds, planting seeds in starting

Mind Explained” reviewing

pots, and transferring starting pots into

memory, dreams, anxiety, and

the ground.

mindfulness. Handouts, videos, and

Program Appreciation

visuals on the white board are used

In March, all staff were appreciated for the continued

as needed to better explore a

support during this pandemic; however, March is

subject. Some topics are continued

recognized nationally as the month of Social Work. Our

for several weeks. If a video is shown, time is allowed at the end of group to discuss the topic.

Social Services Staff come ready to assist our clients in connecting with those outside of Canyon Manor such as conservators, case managers, family and other

Contact Us

supports. April is also observed as National Occupational

Payphone numbers for clients

Therapy Month. Our Rehabilitation staff provide special

415-897-9752

activities throughout the month as well as our day to day

415-897-1562 Canyon Manor 415-892-1628

group programing schedule. These two departments, Social Services and Rehabilitation make up our Program Department.

Social Services Workers

Ongoing Precautions

Jim (Manager)- ext. 319

Canyon Manor is continuing to

Rachel- ext. 317

increase precautions to follow the

Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321

CDC guidelines around coronavirus.

Staff have their temperature taken when they start a shift. Staff are required to wear masks, which have been provided. No non-essential visitors are allowed, and no

If there are any topics you’d like to see addressed in the newsletter,

clients go into the community. The Director of Nursing

please let us know by calling

discourages residents using a mask as the clients have

Rachel at 415-892-1628 Ext 317

been successfully quarantined for over a month. We are

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

minimizing contact with staff and medical practitioners who might carry the virus yet have to enter the facility.

Client temperatures are recorded each day. Red tape has been placed on the floor to help the clients be aware of social distancing while standing in lines. Group leaders are encouraging social distancing by having group members sit in every other chair or having the chairs spread out around room. When there is lack of seating,

the

those who wished to join the activity are given credit and asked to join another group. We are thankful that no staff or client has tested positive for coronavirus. The residents have been very understanding with all the new precautions.

Canyon Manor Newsletter March 2020

Passes

Volume 4, Number 3

March Activities In March, St. Patrick’s Day was celebrated with a social distancing dance and root beer floats. Clients were able to make song requests during the activity. The kitchen served corned beef, boiled dill potatoes, cabbage and carrots with a wheat roll and ice cream. The spring menu’s Special Days will include Easter, Cinco de Mayo, Mother’s Day, and Memorial Day. A new

Canyon Manor is focused on keeping clients safe during the COVID-19 outbreak. To reduce the risk to clients, passes and other activities in the community

recipe will be added to the menu: Salsa Verde chicken, Spanish rice, Mexicali corn, confetti coleslaw, and pear crisp. Pi day was recognized with a meal of Salisbury steak with onions and pasta, with fruit pie.

are cancelled. Clients who had earned passes to leave the facility before the shelter-in-place order are now able to enjoy the front patio with their peers. Canyon

Staff Appreciation This month we would like to appreciate all staff as they continue

Manor has a large patio with

to come to support our clients during a stressful time. All

tables, rocking chairs, and shade.

departments have continued to make needed changes at a rapid

Canyon Manor also has a large backyard with a basketball court and labyrinth for all to use at their leisure.

pace as Canyon Manor develops safety measures according to the CDC guidelines in response to Covid-19.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562 Canyon Manor

Coronavirus Precautions at Canyon Manor Staff are working diligently to keep the residents safe and slowing the

415-892-1628

curve of the Coronavirus. Starting

Social Services Workers

the 13th, visitors were asked to stay in contact with their family

Jim (Manager)- ext. 319

members over the phone rather than coming to Canyon Manor

Rachel- ext. 317 Dennis- ext. 337

for in person visits. Mandatory visitors such as psychiatrists and medical staff are allowed into the facility with precautions such as having their temperature taken and wearing masks.

Mario- ext. 318

Housekeeping has increased their cleaning of doorknobs,

Michlene- ext. 321

railings, toilet handles, and other frequently touched surfaces to

If there are any topics you’d like

four times a day. When coming in, staff have their temperature

to see addressed in the newsletter,

taken to ensure they are well before seeing clients. Social

please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please

distancing is being practiced in groups as residents are asked to sit in every other chair. Hand washing is strongly encouraged, and an extra hand sanitizer station has been made available to residents. To maintain some normalcy in such a confusing time

call Rachel to be taken off the

the group schedule is being followed as closely as possible.

mailing list at 415-892-1628 Ext

Fitness and Movement group have been going on walks to allow

317

for residents to get out of the building while not entering the community. All supplies used in groups are being wiped with disinfectant at the end of group.

Canyon Manor Newsletter February 2020

Volume 4, Number 2

February Activities

Group of the Month

February had several activities for all to enjoy. Valentine’s Day was observed with a dance. There

Staff Escorted Outings are trips

were multiple opportunities to create any cards or loving art for

with staff and a few other

friends and family. Those who attend Women’s group made a

residents to get a bite to eat. This

heart shaped box to be filled with chocolate. Black History

outing gives staff a chance to

Information was posted in the community areas for all to read for

evaluate a client’s ability to

Black History Month. Presidents’ Day had a modified program

follow directions, socializing

that included a live band.

skills, and continued progression towards passes without staff supervision. Many clients continue to request the Staff

Getting to Know Our Staf We are welcoming Megan Floyd to the Rehabilitation department!

Escorted Outing (SEO) long after

Megan was initially working on-call and has become full time.

they have moved onto higher

Born and raised in Napa county, she received a Bachelor’s

pass privileges, as it is a much-

degree in Psychology from Sonoma State University in 2018. She

appreciated event.

also had the chance to study biopsychology in London during her undergrad years. She intends to achieve a Master’s degree in the

Contact Us

Payphone numbers for clients 415-897-9752 415-897-1562 Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317

future but currently is gaining experience in the field. She knew she wanted to be a Canyon Manor employee when she saw the level of engagement staff have with clients.

Understanding Conservatorship Most residents at Canyon Manor have a conservator, who is an integral person in the client’s team. They are the legal guardian

Dennis- ext. 337

for a client, ensuring they are receiving adequate food, clothing,

Mario- ext. 318

and shelter. Conservators are typically assigned by the court

Michlene- ext. 321

within the county a client was hospitalized in. Lanterman Petris

If there are any topics you’d like

Short (LPS) conservatorships come in two types- temporary (T-

to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this

Con) and full LPS. A temporary conservatorship can be extended, sometimes up to six months, to allow a client to stabilize. After that time, there is an assessment as to whether the person is

letter in error or are not interested

still in need of the support of conservatorship. If the client needs

in continuing to receive it, please

conservatorship services, a petition for full LPS conservatorship

call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

will be filed with the court. Some refer to the full LPS conservatorship as “permanent” conservatorship although it only lasts for a calendar year from the court date the conservatorship was established. After the year is over, it is again determined if the client continues to need the assistance. Some clients feel resentments towards the conservator, as the client often does not feel the need for the support; however, conservators have the same goal as the client and the rest of the treatment team at Canyon Manor: to assist the client in recovering and being able

to achieve independence.

Canyon Manor Newsletter January 2020

Volume 4, Number 1

January Activities January started with New Year’s Day and the

Group of the Month

holiday trend continued with Martin Luther King Jr. Day and Chinese New Year. On New

Veteran’s group has restarted in response to client request. The

Year’s Day, residents were able to watch the Rose Parade. In the afternoon, the Rose Bowl Game was

group meets weekly. All Veterans

watched, and snacks were available. The inspiring “I Had a

are invited. Veterans are proud of

Dream” speech was played on Martin Luther King Jr. Day. Chinese

their service to the country and

New Year is celebrated with a Chinese food luncheon, featuring

enjoy the support of one another.

Chow Mein and other classic Chinese dishes. Clients interested

Many share their stories and have

will be assisted in learning their Chinese Zodiac. An art activity

a real sense of camaraderie. For Veteran’s Day, a poster is made to

will be held with a focus on “The Year of the Rat”.

Getting to Know Our Staf

acknowledge all the clients who have served our country. We thank you for your service!

Welcome Seth Friedrich to the Canyon Manor team!

Seth started working at Canyon Manor in June 2019 and is a Team Leader in Nursing. Raised in the Bay Area, he completed an undergraduate degree in history at UC Santa Barbara. He returned to school at Samuel Merritt University and graduated with a Bachelor of Science in Nursing by 2017. He was licensed as a Registered Nurse by March 2019. He states he enjoys the diverse personalities of the clients and appreciates the various

disciplines that come together to help support our residents.

Monthly Special Outing

Seth’s hobbies are walking his dog, spending time with family, and skiing.

The Recovery Model The Special Outing this month was to the movies.

The Recovery model looks at the whole person

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562 Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If there are any topics you’d like

which includes their strengths, social supports, and goals. In the Recovery model the client guides their own recovery towards an individual goal. Professionals working with the client assist the client in achieving their goal through planned interventions which involve both staff and clients. As every client is different, their treatment plan will be individualized to meet the client’s needs and give them the

to see addressed in the newsletter, ability to use their strengths to attain their goal. Recovery is not please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please

the same as a cure. Many clients continue to live meaningful lives even with some psychiatric symptoms. Canyon Manor adheres to the Recovery model approach to treatment. We will be putting greater emphasis on the Recovery Model approach

call Rachel to be taken off the

this year which will include several trainings for staff. The

mailing list at 415-892-1628 Ext

Recovery model increases hope and independence for the client

317

and has proven to be a more effective approach to treatment than the medical model.

Source: Webb, L. (2012). The recovery model and complex health needs: What health psychology can learn from mental health and substance misuse service provision. Journal of Health Psychology, 17(5), 731–741. https://doi.org/10.1177/1359105311425276

Canyon Manor Newsletter December 2019

Volume 3, Number 12

December Activities The holiday season is an exciting time

Group of the Month Medication group occurs once a week in the evenings. A

of year with lots of fun festivities for the clients. Higher level clients go on a special outing to pick out a Christmas tree. There is a holiday party for all clients to decorate the tree and hot chocolate and cookies are served. This year we added two new holiday

Licensed Psych Tech talks

activities: a tour of the seasonal lights at night and a sing-along Christmas

with the clients about

concert. The Christmas meal is similar to Thanksgiving. It is served

medications that are

restaurant style and visitors are welcome to join their family members. It is served at lunch time. The menu is roast beef with gravy, twice baked

commonly prescribed for

mashed potatoes, brussel sprouts, caesar salad, wheat roll with butter, and

mental health. The group

fruit pie. If a visitor plans to join us for the Christmas meal, please notify

discusses the benefits, side

the Social Services Worker to ensure the kitchen can be prepared. Other holidays are also acknowledged this time of year. Information is posted in

effects, and can ask questions

the center of the milieu about Kwanzaa, Boxing Day, Christmas, Bodhi

about their medications.

Day, Hanukkah, and Winter Solstice. Each day in the week leading to

Medication adherence is emphasized at Canyon Manor in all groups, as discontinuing medication after discharge is the primary cause of rehospitalization. Clients are always encouraged to speak to their psychiatrist with any

Christmas there is a special activity. Jewish clients will have the opportunity to light the menorah each night of Hanukkah.

Getting to Know Our Staf Dr. Sharon Kay became Canyon Manor’s Program Director in June of 2016. She has a Ph.D. in Clinical Psychology and is licensed in two states. She has over 30 years’ experience in mental health treatment with 10 years’ experience in business management. Since accepting the position, she worked with the program

medication concerns.

staff to update and increase the group programming, remodel the level system, and is currently working on updating the treatment plans to be

Monthly Special Outing

more consistent with the recovery model. She oversees all admissions and discharges and leads the Rehabilitation Services and Social Services teams.

During a recent team-building retreat where all staff were recognized for their special strengths, her staff recently recognized her as a “Program

The Special Outing this month was to pick out the Christmas tree.

Contact Us Payphone numbers for clients

Visionary and Fearless Leader”. When not at work she loves to travel, sail, and scuba dive.

Save the Date Marin Health and Human Services is offering a free one-day training on mental health March 23rd, 2020 from 8:30am to 5:30pm. For a closer look

415-897-9752

go to https://www.marinhhs.org/form/mental-health-4rst-aid-

415-897-1562

training-adult-1

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter October 2019

Volume 3, Number 10

October Activities October will begin fall activities. Bar-be-que

Group of the Month

lunches will continue as weather permits. Clients

Community meeting is a group that allows clients talk about what is happening in the Canyon

will be able to celebrate Halloween with pumpkin carving, face paintings, and a Halloween Party. Clients will choose pumpkins on the

Manor community. Clients speak

special outing. These pumpkins will then be carved by residents under

about ideas they have to improve

staff supervision. They will be judged on Halloween after face

Canyon Manor and issues that

painting. Later there will be a Halloween party where candy will be

they need help resolving. Some topics have included etiquette of

passed out. Staff often dress in costume for the occasion. Bread and Roses will be coming to perform live for the facility as well.

knocking on a bedroom door before entering and ways to

Getting to Know Our Staf

promote cleanliness. The client feedback is relayed to staff and,

Joaquin Alejo is the supervisor of maintenance and

when able or needed, changes

housekeeping at Canyon Manor. He has been with

are made for the better. Canyon

Canyon Manor for 25 years, with 12 of them being a

Manor enjoys having a time for

supervisor. He takes care of any repairs and necessities for the facility.

the residents to tell us how staff

In his spare time, he enjoys reading and going on walks. It is great to

and peers can improve their daily lives while rehabilitating here!

have staff who have been with Canyon Manor for many years!

Monthly Special Outing

Power Outages

The Special Outing this month was going to the pumpkin patch.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor was not affected by the Public Safety Power Shutdown performed by PG&E in the Bay Area. If there were a power outage, Canyon Manor is equipped with a back up generator that will automatically turn on. The facility continues to have power provided by the generator. Staff are trained in what to do in the event of losing power. Flashlights and safety equipment are located throughout the facility if needed for use. Most times when power is out, clients respond appropriately and can remain calm, continuing to go about their day until the power returns without issue.

Canyon Manor Newsletter September 2019

Volume 3, Number 9

September Activities Group of the Month Buttkickers group helps clients who wish to quit smoking cigarettes commit to the task.

This group was eliminated after Canyon Manor became a

September had several fun activities. Labor Day was a relaxed modified program schedule with activities such as watching a movie and going on a walk. The weekly barbeques continue this month, weather permitting.

The Ice Cream Social Fundraiser was held, where clients can purchase scoops of ice cream for a dollar a piece. This includes toppings such as chocolate syrup and sprinkles. The money goes to the snacks served

smoke free facility, however,

during Friday activities. Clients look forward to these fun and yummy

staff found there is still a need

fundraisers.

for the group. Clients who are able to quit for 30 days receive

Results of the Client Satisfaction Survey completed last month were

a $15 reward. After 60 days

overwhelmingly positive with 96% of the 25 questions endorsed by the

smoke free, a client receives an

majority of clients in the positive. Clients responded that they enjoy the

additional $25, and then $30

activities, groups, and food the most. Nearly all clients feel they receive

after 90 days. That is a total of

the care they need, know who to go to for help, staff address problems

$70 over a 90-day smoke free

promptly and they are treated with respect. There were some concerns

time period. It is expected that clients will stay smoke free for a minimum of six months.

around knowing how to make a complaint and understanding their medications. These issues will be addressed at the next Resident Council

Many clients are interested and

and passed on to the medical providers. It’s wonderful to hear our team

attend the groups but have a

is doing a great job, and it’s important to know how we can improve!

hard time committing to a quitting date. All staff are

Getting to Know Our Staf

available to provide support when a client chooses to quit

Chelsea Prado is the Rehabilitation Services Supervisor

smoking.

on the evening & weekend shifts. She started at Canyon Manor in 2013 as an intern from Dominican University while getting her

Monthly Special Outing

Master’s Degree in Occupational Therapy. Afterwards, she was hired oncall into the Rehab department, and later become the Evening Supervisor. She co-leads several of the groups such as Discharge Planning, Art, Bingo, and Community Meeting. In her spare time, she likes to spend time with her dogs and family as well as go to concerts.

The Special Outing this month was going to the movie theater.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If there are any topics you’d like to

Shopping!

If a client finds they need clothes, they should notify their Social Services Worker. The Social Services Worker contacts the appropriate person to see what funds are available and requests extra funds if necessary. When the funds reach Canyon Manor, there are a few ways shopping can occur. The client’s Social Services Worker can go to the store for the client after understanding what needs to be bought. The client can go with their Social Services Worker to the store, or they can go on a shopping outing if their behavior is appropriate. Every week staff take up to five clients on a shopping outing. Residents can sign up for the outing on their pass request. Stores that are frequently visited include Dollar Tree, Target, and Ross. A trip to Wal-Mart is scheduled every other week. Wal-Mart is a popular destination as the prices for clothing

see addressed in the newsletter,

and other items are more within the residents’ budget. Clients enjoy

please let us know by calling

these outings and often enjoy a drive thru fast food restaurant. These

Rachel at 415-892-1628 Ext 317

shopping outings can either be used as a reward for improved behavior

If you feel you have received this

and group attendance, or when a client genuinely needs to acquire new

letter in error or are not interested in

clothing. Regardless of the reason, spaces fill quickly!

continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter August 2019

Volume 3, Number 8

August Activities There was a wide variety of activities this month.

Barbeques were held weekly and included fun summer food options like pork ribs, chicken-apple sausage, corn on the

Group of the Month

cob, coleslaw and watermelon. Andrew Bosscher performed live from

Therapeutic Drumming group

Bread and Roses this month. Our Occupational Therapy interns helped

has been added to the Sunday

clients show off some of their many skills with a talent show. Clients

schedule. Group members use

performed their various talents, which proved to be fun for everyone! Our

African drums and other

annual Client Survey was completed this month as well. The anonymous

instruments. The group leader sets the rhythm and the group follows. Drumming provides a therapeutic atmosphere, which allows clients to share a

survey has yes or no questions regarding how clients feel about their care while at Canyon Manor. There is room for comments at the end of the survey. Results will be shared with the resident community early next month.

relaxing, communal and fun experience. Drumming has been used in various cultures all around the world dating back to ancient times. The residents enjoy it and the

Getting to Know Our Staff Ashley Heimann is an RN that works on our nursing team.

She has worked for Canyon Manor for 13 years. She started as a Mental

several benefits that come

Health Worker, went on to the Rehabilitation department, was on-call for

with the group.

Social Services, and began in nursing as an RN in 2011. In June 2019 she was promoted to Team Leader. She has a bachelor s degree in Ps cholog from Chico State and completed nursing school at the Santa Rosa Junior College. She is a mother of two and enjoys spending time with her family.

Monthly Special Outing

C l

al C m e enc

Canyon Manor strives to make all clients feel safe and welcome regardless of race, gender, sexuality, etc. Our clientele are quite diverse with variations in how they identify themselves. Each year a cultural competence training is provided by Dr. Kay, our Program Director.

Topics included ethnicity, identity, race, gender, and respect for diversity.

The Special Outing this month

Those who attended this year were challenged to consider how they

may be McNear s Beach with a

identify themselves and how the world views them, At admission, staff

barbeque, weather permitting.

addressed. Staff explain and emphasize the importance of the residents

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If here are an

ask clients about their preferences including how they would like to be

opics o d like o

see addressed in the newsletter,

respecting one another. Most understand that others may have views different from their own and are able to accept that. Groups frequently incorporate these ideas and encourage respect for everyone.

Gardening Group Clients and staff have had a great time in the garden since the start of Gardening Group. We are growing corn, green beans, squash, tomatoes, cucumbers, peppers, lettuce and herbs. Every week six clients, two staff and often a few volunteers go out

please let us know by calling

to the garden to plant, water, harvest, taste

Rachel at 415-892-1628 Ext 317

and learn. All the veggies are organically

If you feel you have received this

grown. Some of the produce goes to

letter in error or are not interested

Cooking Group and the rest of offered for sale to the staff. The money

in continuing to receive it, please

contributed goes directly into the Client Garden Program. We have earned

call Rachel to be taken off the

close to $30 thus far. All staff are welcome to sign up on the Garden

mailing list at 415-892-1628 Ext 317

Watering Calendar to help our garden grow!

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Canyon Manor Newsletter June 2019

Volume 3, Number 6

June Activities June has several events including Flag Day, Father’s Day, and the start of summer. One Flag

Group of the Month

Day activity is to draw or color a flag the client

Recently Canyon Manor has

feels represents them while in art group. On

started a pet therapy group

Father’s Day, a special father related movie was played, and snacks were

once a week. Pet therapy

offered. Also, there was an extraordinary meal of roast beef with

brings physical, emotional, and psychological benefits.

Scout, a labradoodle, has gone to series of classes with his owner for both to become

scalloped potatoes, spinach, bread roll, and fruit pie. Summer menus have started, and an outdoor barbeque was held early in the month. Bread and Roses came this month to perform live for the clients. Along with the beginning of summer, there are many activities for the month of June.

certified to do pet therapy.

Now he comes to see the clients at Canyon Manor.

Clients can pet him and enjoy

Getting to Know Our Staff Bimal Kumar is one of our chefs. She has

his presence. The group

been with Canyon Manor for 25 years! She

discusses the responsibilities

started in the kitchen on call and was made

of a pet, animals they have

full time in 2001. Being in the kitchen, she maintains a positive

had in the past, training a

relationship with the residents. Her favorite dishes to cook are chicken

dog, and performing tricks with Scout. Many have Scout ‘shake’ his paw. Scout is a pleasure to have around and enjoys many treats given throughout the group.

curry and vegetarian plates. At home she has a large garden with chili, eggplant, kale, onion, tomato, and zucchini which she uses in her recipes.

Other than tending to her garden, Bimal spends time sewing. Canyon Manor is grateful to have such a loyal long-term employee.

Monthly Special Outing

Avoiding Heat Exhaustion and Heat Stroke As temperatures rise, Canyon Manor educates clients on avoiding heat related illness. Heat exhaustion is

The Special Outing this month

exhibited by dizziness, sweating, nausea, and muscle cramps and is a

may be McNear’s Beach with a

precursor of heat stroke. Symptoms of heat stroke include headache, lack

barbeque weather permitting.

of sweat, nausea, and the possible loss of consciousness. Staff encourage Contact Us

all clients to drink plenty of water, wear a hat and sunscreen, and stay

Payphone numbers for clients

indoors to avoid these illnesses. Throughout the summer cups and water

415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

are provided on the patio for clients who choose to go on pass. When temperatures are severe, passes may be cancelled, and outdoor activities replaced with an indoor alternative.

Canyon Manor Newsletter May 2019

Volume 3, Number 5

Earth Day 2019 Group of the Month

Canyon

Music group is a time where

celebrated

clients can enjoy listening to

Earth Day

various artists. Each week a different genre is played. This is appreciated as many like different types of music.

Clients may request favored

Manor

with a special staff gardening party. The purpose was to prepare the garden for the new Gardening Group. Many staff, retired and new, came to help prep the planters, pull weeds, push wheelbarrows, and spread new soil. Now gardening group can begin with the prep work already done. Up to six clients will be able to go to the garden to start new plants and nurture them. The group will be once a week on Mondays.

ong . Name Thi Song i played by the residents. A

Getting to Know Our Staff

point is given to clients for the

Rasy Soeur is the evening medication nurse. He is a

correct track name, another

Licensed Psychiatric Technician, and graduate of

for knowing the artist. A five dollar gift card is granted once a week to the client who can

Delta College. He was born and raised in California.

He moved to the Bay Area after graduating from Delta College and started working at Canyon Manor shortly after. He initially aspired to be a teacher but decided to use those skills with our clientele. He is great with

name the title of the most

medication education for the clients such as what a medication is for. In

tracks and artists.

his spare time, he enjoys going to the gym and gardening. He greatly appreciates the start of the new gardening group for the residents.

Monthly Special Outing

Ma Ac i i ies The Special Outing this month ma be McNea

Beach if the

weather permits.

There are three holidays celebrated in May. The first was Cinco de Mayo.

Clients enjoyed soft tacos at dinner for this holiday. In May we also had the first Barbeque of the season. Clients get a kick out of the staff cooking outdoors and joining them at the picnic tables. O M he

Contact Us Payphone numbers for clients 415-897-9752

Da , all

female residents and especially those who are mothers received a flower.

Throughout the month, art and crafts material were provided for clients to

415-897-1562

make cards for their mothers. Memorial Day is the last holiday. It will be

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321

a modified schedule with a walk and movies with snacks. Holiday and

If there are an

opics o d like o

see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

weekend pass hours will start in the morning instead of the afternoon, which is usual on weekdays. This is always enjoyed. Canyon Manor staff does their best to make holidays enjoyable for all.

Canyon Manor Newsletter April 2019

Volume 3, Number 4

April Activites In early April, there was an Ice Cream Social, fund-raising event. The clients and staff were

Resident Council Resident council gives a voice to the client community.

During Resident Council Group, residents may address topics of concern. Following parliamentary procedure, a president, vice-president, etc. are elected. Minutes are taken and later reviewed by our Administrator. During the once a week Community Planning group, the Resident council and the other residents vote on the Community Activity that occurs later in the day.

Options may include a dance, basketball, ping-pong, bingo, a movie or some other activity. There are announcements of upcoming events such as the Ice Cream Social. The community votes to replace council members as vacancies arise. It can be exciting for a client to be voted into office and is an opportunity to learn to serve as a leader.

able to buy a scoop of ice cream for a dollar.

Other toppings were provided such as chocolate syrup and sprinkles. This is always a joyful event. The funds collected are used to buy snacks for the Friday Community Activity. For Easter, clients will be able to dye eggs. There will be an Easter Egg hunt with first, second, and third prizes to those who find the most eggs. A Bread and Roses band called Coastal Wreckage will be coming to play live music for the clients.

Getting to Know Our Staff Boriana Grigorova, Bonny for short, has joined our Rehabilitation team! Originally from Bulgaria, she has been in the Bay Area since she was a teenager. She has previously worked with survivors of Traumatic Brain Injury. Currently, she is completing her last few classes to earn her degree in Psychology at Dominican University. She plans to go onto a PhD program for Clinical Psychology. She gets along well with the residents and staff at Canyon Manor. She is leading several groups such as Orientation, Movement, Dual Diagnosis, and DBT Skills. She enjoys reading about spirituality and philosophy as well as working out and exercising. Welcome to the team Bonny!

What is a Behavioral Plan?

Monthly Special Outing

Many clients display inappropriate behaviors or need motivation to work on their treatment. Passes are part of the motivation for clients and are provided for all clients as they progress. Some clients need special help to progress. Behavioral plans can help encourage clients to stop a problem behavior or motivate them to try more healthy or adaptive behaviors.

The Special Outing this month is going to the movie theater.

These special plans provide clients with a specific task or goal to achieve, with a positive reinforcer given when successful. Clients may need help with tasks such as showering regularly or going to groups. An example is,

Contact Us

if the client showers a specified amount of times in a week, they can order

Payphone numbers for clients

take-out food, or go on a shopping outing at the end of the week.

415-897-9752

Recently, a client complained he couldn t manage going to more than a

415-897-1562

few groups a week. With a behavior plan, he increased his group

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321 If here are an

opics o d like o

see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

attendance to 50 groups, the highest group attendance at Canyon Manor!

This success motivated him to work even harder on his treatment and he quickly progressed toward discharge. Other plans include negative consequences such as losing passes when displaying out-of-control behavior however, positive reinforcers are typically a better and more effective. Behavioral plans are individualized to a client and their preferences. These plans are made by the treatment team at Canyon Manor and include input from the client, case managers and conservators.

Canyon Manor Newsletter January 2019

Volume 3, Number 2

February Activites There were several holidays in the month of February at Canyon Manor. For Chinese New Year, clients had a Chow Mein buffet and

Group of the Month Men’s group is held once a week and is well attended by

watched the movie The Karate Kid. On Valentine’s Day clients enjoyed a dance. President’s Day was a modified program day and included some down-time and movies. The clients also enjoyed a trio called “Tangled Root” who came to entertain them through playing musical instruments.

many clients. This group gives male clients a safe space to discuss issues without the presence of women. Any topic is allowed in the group; however, a common theme seems to be acceptance. The group has discussed taking responsibility for oneself,

Getting to Know Our Staff Elvin Prasad has been with Canyon Manor since July 1998. He has worked in many positions including Dietary Aide, on-call

relationships, accepting oneself, and reasons to

Mental Health Worker, taking clients to medical appointments and working with the

change or not to change.

laboratory technicians. He is a fitness and health fanatic, speaking with clients

During the elections, politics

at times about exercise and healthy eating. In his spare time, he plays soccer,

were discussed in detail. The group has also discredited

goes fishing, and travels. Elvin is one of the many examples of staff loyalty to Canyon Manor as he has been here over 20 years! We appreciate Elvin as he is skilled in many departments. He understands several departments and

stereotypes about men,

positions, assisting clients in their treatment process from what is served at

masculinity, feminism,

lunch to taking a client to a doctor’s appointment.

women, and gender fluidity.

Monthly Special Outing

A New Level System The current system can be frustrating

Due to the rain, the Special Outing this month was going to the movie theater.

for clients as it only has four levels.

Although staff acknowledges progress, with so few levels many clients spend a lot of time working on one level. With the new level system there will be eight levels. Residents

Contact Us

who are making an effort to attend groups, take care of their cleanliness,

Payphone numbers for clients

and cooperate with medications will be able to move up to the next level

415-897-9752

more quickly. This will reward the progress they are making. The new

415-897-1562

system is designed to motivate clients to continue to work the program as

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Michlene- ext. 321

their successes will be tied to new privileges. This is a work in progress and will not go into effect until at least mid-March. The staff have asked for the clients’ input several times and will continue to ask for their feedback. The hope is that the new system will be encouraging and clients will feel validated in their progress as they see themselves move up the levels and obtain passes and privileges that go with the higher levels.

If there are any topics you’d like to see addressed in the newsletter, please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317 Have you missed one of the 2018 newsletters? You can access all the newsletters at https://canyonmanor.com/newsletters/

Canyon Manor Newsletter January 2019

Volume 3, Number 1

Martin Luther King Jr. Day Martin Luther King Jr. Day was celebrated at Canyon Manor as a modified program day.

C ie

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a ch hi

eech I Ha e

Group of the Month

A D ea

Discharge Planning is held

on being culturally competent, being sensitive

once a week. All clientele are able to attend regardless of where one is in the discharge process. The group focuses on skills that are necessary when living in the community such as moving to a board and care home. These skills can be practiced while one is at Canyon Manor to take with

. Ca

Ma

continually works

to race, gender, and sexuality of all clients. In the afternoon there was a walk enjoyed after a long two weeks of rain. The day continued with movies chosen by the clients and bingo.

Getting to Know Our Staff In the October 2018 newsletter it was announced that Marcy Allen, the Rehabilitation Manager had retired. Heidi Landgraf was hired

them when they discharge.

in her place, but to a slightly altered position of

Examples of these skills

Assistant Program Director. Heidi worked with

include but are not limited to

Canyon Manor previously in the Rehab department as well as Social Services.

hygiene, sobriety, continuing

She left to focus on completing her state licensure as a Licensed Professional

medication, making

Clinical Counselor as well as building her private practice. Heidi returned to

appointments, and following a

Canyon Manor due to her love of the agency and the clientele. She bonds with

daily routine. Group leaders teach clients that any transition can be stressful even if it is in a positive direction.

the clients well and enjoys spreading her knowledge of movement and expressive arts. She co-leads many groups including the Dual Diagnosis group also known as Another Day Group. Canyon Manor is grateful to have Heidi back as we are excited to work with her again. Many clients who knew her previously still remember her with positivity. Welcome Back Heidi!

Monthly Special Outing

S a i g Hea h With the cold weather brings the common cold and flu. Canyon Manor Due to the rain, the Special Outing this month was going to the movie theater.

offers flu shots to all clients and employees. Maintenance does extra sanitizing around the building, especially door handles. Clients are provided with tissues and excused from groups when sick. Staff encourage all to wash their hands frequently, cough or sneeze into their

Contact Us Payphone numbers for clients

elbow, ask for cold medicine when needed, and dress appropriately for the weather. Walks are cancelled when it is raining to help prevent sickness.

415-897-9752

Clients with passes are encouraged to stay indoors while out on pass or

415-897-1562

consider going out when the weather is clear. If the weather is extreme

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318

passes may be cancelled for the day as well.

Darius is no longer at Canyon Manor. If you need to know who the new Social Services Worker is for a client, please call Jim. If there are an topics o d like to see addressed in the newsletter, please let us know by calling

Have you missed one of the 2018 newsletters? You can access all the

Rachel at 415-892-1628 Ext 317

newsletters at https://canyonmanor.com/newsletters/

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter November 2018

Volume 2, Number 11

Thanksgiving at Canyon Manor

Group of the Month Symptom Management, also known as WRAP group, is a place where clients talk about how to stay well while managing their mental health

Thanksgiving is a special day at Canyon Manor.

Clients are served a traditional meal during lunch enjoying turkey, stuffing, potatoes, green beans and pumpkin pie. Clients and visitors are seated, and staff serve them restaurant style. Family members and friends are welcome to come to Canyon Manor for the occasion. If one intends on coming for the holiday meal, they should notify the client s Social Services Worker to ensure enough food has been prepared. Clients are able to have a second serving during this meal, which is a treat. In addition to the special meal staff will assist clients with getting dressed up for the occasion by doing nail painting and hair styling, a walk, and a movie with snacks.

symptoms. Clients use the Wellness Recovery Action Plan model by Mary Ellen Copland.

In this group clients identify their wellness tools (coping skills), daily maintenance needs such as hygiene, warning signs that things are not going well, and supportive people to call when help is needed. All clients are welcome to this group.

Client Satisfaction Survey Every year, in September our residents are asked to let us know how we are doing. The results of this year s survey are in. All clients are invited to participate; this year 27 completed all or part of the three page survey. Responses overall were very positive, 92% of clients who completed the survey are satisfied with their experience at Canyon Manor. Most clients reported feeling respected by staff and felt they were part of their treatment team (25 of 27). The food, feeling safe here and groups were also very favorably rated. Several clients asked to know more about their medication and possible side effects. Suggestions for improvement included: more pizza; more groups on weekends; new movies and more room for visits with families.

Monthly Special Outing

Halloween Party Every year Canyon Manor prepares a fun Halloween party for the clients. We offer face painting, games and special treats. There is an outing to a pumpkin patch and a pumpkin carving contest. This year the Rehabilitation Department chose Dr. Seuss as their theme. Other staff dressed as superheroes, animals, and sports fans. Clients

The Special Outing this month

de

will be to the movie theatre!

a fun day for everyone.

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Clients will pick out the movie based on what is showing at the time of the outing.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Darius- ext. 321

If there are an topics ou d like to see addressed in the newsletter, please let us know by calling Rachel at 415-8921628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

From left to right: 3rd place, 2nd place, 1st place in the carving contest.

e . I

a

Canyon Manor Newsletter October 2018

Volume 2, Number 10

Halloween at Canyon Manor Halloween festivities begin with clients separating into teams for the jack-o-lantern decorating contest.

The pumpkins will be placed around the facility for Group of the Month

others to view and enjoy and the winning team will receive a prize. On the

Resident’s Rights is a group led

morning of Halloween, staff will do make-up and face painting for the clients

by the Patient’s Rights

who request this. Masks are also available. In the afternoon a party will be held

Advocate of Marin, Esmeralda

Garcia. She comes weekly to answer any questions the clients have regarding their rights and conservatorship.

She can speak to clients after the group if they want to talk to her confidentially. This group does a great job of reminding clients of their rights

with Halloween games, relay races and of course, candy! Canyon Manor focuses on having fun without being spooky. Staff are also invited to dress in costume. Last year’s theme was emojis.

Getting to Know Our Staff Marcy Allen, Manager of Rehabilitation Services, will be retiring in November after 38 years of service! Marcy graduated from Lesley University in Cambridge,

and informing clients about

Massachussetts with her Master’s Degree in Expressive Art Therapies. She

how being on conservatorship

then moved to Marin County and was hired in 1980. Expressive therapies are

may or may not restrict them.

the use of creative arts as a form of therapy. It shares the belief that through

For instance, some clients are

creative expression and use of imagination, clients can begin to examine their

still able to vote or make

thoughts, feelings, and body sensations. Verbal communication is often a

medical (not psychiatric) decisions for themselves depending on the details of their conservatorship.

challenge for clients at Canyon Manor, so this approach has been a vital aspect of many services she provided. Canyon Manor is a unique and special community and Marcy expressed that she continues to learn from our clientele.

Monthly Special Outing

Although she is excited to start a new chapter in her life, she stated the people she has met at Canyon Manor have been amazing and helped her grow into the person she is today.

The Special Outing this month will be to the pumpkin patch!

Clients will pick out pumpkins for the jack-o-lantern contest.

Contact Us

Expressive Art Therapies

Payphone numbers for clients

Expressive art therapy started with the Egyptians but became more popular in

415-897-9752

the late 1800s and early 1900s with the rise in psychiatry. It is now used in

415-897-1562

facilities with children and adults worldwide. In the last century this practice

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Darius- ext. 321

has become widely accepted and embraced. Art therapy provides a mechanism for a person to relieve themselves of emotional stress. Preliminary research os showing this practice is helpful for many populations such as veterans who may have Post-traumatic Stress Disorder. They can release the emotions of traumatic experiences through art therapy without being re-traumatized by recalling specific events and verbalizing them. Art therapy can also be useful

If there are any topics you’d like to see addressed in the

for people with cognitive disorders such as dementia or expressive disability.

Art therapies can be used to create a safe place rather than recalling traumatic

newsletter, please let us know

experiences.

by calling Rachel at 415-892-

-- as cited in Lesley University, The Rise of Expressive Therapies. Retrieved from

1628 Ext 317

https://lesley.edu/article/the-rise-of-expressive-therapies

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter September 2018

Volume 2, Number 9

Group of the Month

Monthly Special

Food is an essential pillar of life. Our goal at Canyon Manor is

Outing

to provide groups that emphasize skills for independent living.

Cooking group is both popular and has several benefits. We have a fully equipped kitchen. In the group six members select the recipe, prepare the food, eat, and complete the necessary clean

The Special Outing this month will be to McNear’s Beach for games and a barbeque. With the change in weather, this may be the last beach outing of the year.

up tasks. When appropriate, the cooking group will shop for the ingredients to practice selecting nutritional and fresh items within the allotted budget.

Members of this group are required to be at level two or three in the Canyon Manor program. Jana, a full time Hall Charge staff, has the distinction of being our “Guest of Honor”. She joins us for the dining pleasure and socialization as we eat. She includes a critique on our client prepared cuisine. Our clients take pride in their cooking accomplishments.

Contact Us

Getting to Know Our Staff

Payphone numbers for clients

Jana Soto-Reeves is a Hall Charge who has been with Canyon

415-897-9752

Manor for 17 years. She started in 2001 as an on-call employee and

415-897-1562

was able to go full time after two years. She spent her first eight years on Hall 1 and then moved to Hall 3, the largest hall at Canyon

Canyon Manor 415-892-1628

Manor, with the largest number of clients. She provides them with laundry services, hygiene reminders, and assists when clients are having difficulty. She has a love for tie dye and rock music which gives her some common interests with our clients. She also co-leads the walk for exercise group twice a week and is the “Guest of Honor” for cooking group (see picture in “Group of the Month”)

Continuing Medication Even When Feeling Well Well-designed controlled research with prospective follow up finds that taking antipsychotic medications after the first year of treatment leads to better outcomes than discontinuing them, at least for persons with first-episode psychosis. Many people have Social Services Workers Jim (Manager)- ext.

319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Darius- ext. 321 If there are any topics you’d like to see addressed in the newsletter please let us know by calling Rachel at 415-8921628 Ext 317

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

wondered if stopping antipsychotic medication after the first year of good response is a reasonable thing to do, especially with concern over long-term side effects. A study published in Lancet Psychiatry this year by Christy Hu, PhD at the University of Hong Kong found that 178 patients studied over an 11-year period had half the rate of suicide when maintained on medication. They also had fewer symptoms of psychosis, more success with independent living, and a higher quality of life.

-- as cited in Savannah Demko, Lancet Psychiatry March 23, 2018 You can read the full article at: https://www.healio.com/psychiatry/schizophrenia/news/online/%7B1587d486-24414251-9cd8-d32037545e53%7D/early-medication-discontinuation-may-worsenoutcomes-in-first-episode-psychosis

Canyon Manor Newsletter August 2018

Month Coping Skills Group is an opportunity for clients to learn and use different coping techniques. Some skills include “Activities to Take My Mind Off My Problems”, Selfsoothing, and “Getting My Feelings Out”. This group is open to all and meets twice a week.

Monthly Special Outing

What are the results of treatment at Canyon Manor?

Canyon Manor has been tracking treatment outcome for the last 18 months and the results are dramatic. Below is a bar graph representing client’s improvement over time. Clients stability was rated at discharge on a 1 to 4 scale indicated along the vertical axis. 1 was no improvement or became less stable, 2 was stayed about the same as when admitted, 3 is clear progress in stability, and 4 is dramatic improvement. The horizontal axis is the length of time at Canyon Manor at discharge with the left side starting at a few days and going to over a year on the far right. This chart is able to visually display longer treatment time at Canyon Manor is associated with better outcomes. Over time clients tend to improve, becoming increasingly stable. Very few clients who discharged after 6 months showed little or no improvement. Nearly all clients made a clear improvement and several were dramatically more stable by one year. In general, the longer a client is treated at Canyon Manor prior to discharge the greater their level of rehabilitation. This level of improvement is likely to result in their ability to function successfully in a less restricted environment, such as a board and care home or independent living. Greater improvement and increased stability may also result in a decreased need to return to psychiatric hospitalization or require police involvement.

5 4 3 2 1 0

Level of Improvement

4 3 2

4 7 15 21 32 36 44 50 54 57 75 85 92 106 119 132 139 158 162 170 188 214 232 242 259 286 336 348 394

Group of the

Volume 2, Number 8

1

Days in Treatment

The Special Outing this month will be to McNear’s Beach for games and a barbeque.

Getting to Know Our Staff Congratulations to Rosa Maravilla on becoming our new full time Mental Health Worker on AM shift. Rosa has been with Canyon Manor since May 2016 and has been working for other staff while out on leave. Before that, she was working primarily on PM shift.

Rosa is a CNA and has many years of expeirence including working at both general and acute psychiatric hospitals. Rosa has a great work ethic and her dedication shows in her work!

Protect Yourself from Damaging Stress (Health.harvard.edu) To better cope with stress, consider how you might minimize factors that make it worse. Here are some tips that can help you better manage stress and hopefully prevent some of the damaging effects it could have on your brain.

Establish some control over your situation. If stress isn't predictable, focus on controlling the things that are. "Having a routine is good for development and health," says Dr. Kerry Ressler, professor of psychiatry at Harvard Medical School. Predictability combats stress.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext.

319 Rachel- ext. 317 Dennis- ext. 337 Mario- ext. 318 Darius- ext. 321 If there are any topics you’d like to see addressed in the newsletter please let us know by calling Rachel at 415-8921628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

Get a good night's sleep. Stress can result in sleep difficulties, and the resulting lack of sleep can make stress worse. "Sleep deprivation makes parts of the brain that handle higher-order functions work less well," says Dr. Ressler. Having healthy sleep habits can help. This includes going to bed and waking up at the same time each day, avoiding caffeine after noon, and creating a relaxing sleep environment.

Get organized. Using strategies to help manage your workload can also reduce stress. For example, each day, create a list of tasks you need to accomplish. This way, your duties won't seem overwhelming. "Laying tasks out like this helps reduce the feeling that the brain is being bombarded. It can also help you predict when you are likely to be stressed.

Get help if you need it. Reaching out can help you become more resilient and better able to manage stress, which may ultimately protect your brain health. Earlier intervention may reduce disability caused by stress-related complications later on.

Change your attitude toward stress. "A life without stress is not only impossible, but also would likely be pretty uninteresting — in fact, a certain degree of stress is helpful for growth," says Dr. Ressler. So, rather than striving for no stress, strive for healthier responses to stress.

Is all stress created equal?

While the effect of stress on the brain is well documented, it's less clear exactly what type of stress will prove more damaging. Do brain problems occur when you are under a small amount of stress or only when you experience long-term stress? "That's a tough question, because stress is a broad term that is used to describe a lot of different things," says Dr. Ressler. The stress you might experience before you take a test is likely very different from the stress of being involved in a car accident or from a prolonged illness. There are additional factors that make stress more harmful. In particular: The stress is unpredictable. Animal research shows that animals that could anticipate a stressor — for example, they received a shock after a light turned on — were less stressed than animals that received the same number of shocks randomly. The same is true in humans, says Dr. Ressler.

If a person can anticipate stress, it is less damaging than stress that appears to be more random.

There is no time limit on the stress. If you are stressed about a presentation at work or an upcoming exam, the stress you are experiencing has an end point when you know you will get relief. If the stress has no end point — for example, you are chronically stressed about finances — it may be more challenging to cope with.

You lack support. If you feel supported during your stress, you are likely to weather it more successfully than if you don't.

Canyon Manor Newsletter July 2018

Group of the Month Work group is an opportunity to learn critical work skills. It occurs in four week

Volume 2, Number 7

July Events at Canyon Manor On Fourth of July, there was a modified program schedule with an exercise activity in the morning followed by a walk. There was a dance until lunch which was an outside barbeque. The clients enjoyed hot dogs with mustard and relish, country baked beans, corn on the cob, and watermelon. After lunch there was a movie with a snack and bingo in the

intervals. Clients are

afternoon. Our second annual summer party was held this month. It will start

required to come to

with an outside barbeque with chicken, corn, beans, and watermelon. Then a

each group on time and stay the entire time, similar to a job.

They are required to

live band will play a Rock and Blues Fusion. There will be many outdoor games such as corn hole, basketball, and badminton. The party will end with ice cream sandwiches. There will be water available throughout the party.

Later in the month Bread and Roses will also be coming to perform live.

be dressed appropriately and be clean. During the

Getting to Know Our Staff

group they practice

Rachel Lindsey is one of the Social Services Workers. Born and

interviewing skills,

raised in the Bay Area, she started her Canyon Manor

budgeting skills, and may do a work project. At the end of

experience while in college as an intern late 2014. After the internship was over she was able to continue as a mental health worker. She

the four weeks they

graduated from Sonoma State University with a Bachelor’s Degree in Psychology

receive a special meal

and was hired as Social Service Staff when the opportunity arose in April 2016.

as a form of “pay”. A

She is the primary contact for over twenty clients and provides case management

client must attend

for them. She co-leads groups such as Discussion Group, Dual Diagnosis, and

each week in order to

DBT. She is a great asset to Canyon Manor.

receive their reward dinner. Those who miss one group are encouraged to join

A portion of an article from Goodtherapy.org What Is Dialectical Behavior Therapy?

when the group starts

DBT can be used to treat people with chronic or severe mental illness. DBT

over.

focuses on self-harm, eating and food issues, addiction, posttraumatic stress, and borderline personality. DBT was originally designed to treat people who had

chronic suicidal thoughts and self-harm behaviors as a symptom of borderline personality. DBT can be used in a variety of mental health settings. It incorporates the following five components: 1. Enhance Clients Capability. DBT provides opportunities for the development of existing skills. In treatment, four basic skill sets are taught.

Monthly Special

These are emotion regulation, mindfulness, interpersonal effectiveness, and

Outing

distress tolerance.

Special Outing this month will be going to McNear’s Beach for games and a barbeque.

2. Generalization to the Clients Natural Environment. DBT therapists use various techniques to encourage the transfer of learned skills across all settings. People in therapy may learn to apply what they have learned at home, at school, at work, and in the community. For example, a therapist

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-8921628 Social Services Workers Jim (Manager)- ext. 319

might ask the person in treatment to talk with a partner about a conflict. The person may use emotion regulation skills before and after the discussion.

3. Enhance Clients Motivation. DBT uses individualized behavioral treatment plans to reduce problematic behaviors that might negatively affect quality of life. For example, therapists might use self-monitoring tracking sheets so sessions can be adapted to address the most severe issues first.

4. Structuring the Environment with Case Management Case management strategies help the client manage his or her own life, such as their physical and social environments. The therapist applies the same dialectical, validation, and problem-solving strategies in order to teach the client to be his or her own case manager. This lets the therapist consult

Rachel- ext. 317

to the patient about what to do, and the therapist will only intervene on the

Dennis- ext. 337

client’s behalf when absolutely necessary.

Mario- ext. 318

5. Capability and motivational enhancement of therapists. Because DBT is often provided to people who experience chronic, severe, and intense mental health issues, therapists receive a great deal of supervision and

If there are any topics you’d like to see addressed in the newsletter please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

support to prevent things like vicarious traumatization or burnout. For example, treatment-team meetings are held frequently to give therapists a space to provide and receive support, training, and clinical guidance.

Canyon Manor Newsletter June 2018

Group of the Month Exercise group is offered three times each week. Each group begins with music selected for its slow tempo as clients start with stretches. The musical pace picks up as group moves on to exercises such as jogging in place and torso rotations.

Typically one minute of exercise is followed by a minute break.

Water and towels are provided. This group, along with other exercise and movement groups encourage a healthy level of activity.

Volume 2, Number 6

June Events at Canyon Manor Canyon Manor had Bread and Roses perform live for the clients. On Father’s Day, the clients voted to watch Fast and Furious 6 and Grown Ups while enjoying donuts for a treat. The holiday meal was Roast Beef with Scalloped Potatoes, Spinach, and Pie. Happy Father’s Day from Canyon Manor!

Getting to Know Our Staff Jeffrey Berlant M.D., is our Medical Director. He studied internal medicine at UC San Diego and psychiatry at UC San Francisco. He taught at Langley Porter Psychiatric Institute. He initially joined the Canyon Manor team in 1980 and left in 1984 only to return recently to the same position. His duties include improving quality and access of patient services and consulting with our treating psychiatrists at Canyon Manor.

He attends the quarterly case conferences where he works with the treatment team in reviewing each client’s individual treatment plan. He manages his own case load of patients, and collaborates with Dr. Kay our Clinical Program Director to address clinical policy and best practice.

An article from Mindtools.com Emotional Intelligence Developing Strong "People Skills" We probably all know people, either at work or in our personal lives, who are really good listeners. No matter what kind of situation we're in, they always seem to know just what to say – and how to say it – so that we're not offended or upset. They're caring and considerate, and even if we don't find a solution to our problem, we usually leave feeling more hopeful and optimistic.

We probably also know people who are masters at managing their emotions. They don't get angry in stressful situations. Instead, they have the ability to look at a problem and calmly find a solution. They're excellent decision makers, and they know when to trust their intuition. Regardless of their strengths, however, they're usually willing to look at themselves honestly. They take criticism well, and they know when to use it to improve their performance. People like this have a high degree of emotional intelligence. They know themselves very well, and they're also able to sense the emotional needs of others.

Monthly Special Outing With the weather warming up the Special Outing this month will be going to McNear’s Beach.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers

As more and more people accept that emotional intelligence is just as important to professional success as technical ability, organizations are increasingly using it when they hire and promote. For example, one large cosmetics company recently revised their hiring process for salespeople to choose candidates based on their emotional intelligence. The result? People hired with the new system have sold, on average, $91,000 more than salespeople selected under the old system. There has also been significantly lower staff turnover among the group chosen for their emotional intelligence. So, what exactly is emotional intelligence, and what can you do to improve yours?

What Is Emotional Intelligence?

We all have different personalities, different wants and needs, and different ways of showing our emotions. Navigating through this all takes tact and cleverness – especially if we hope to succeed in life.

This is where emotional intelligence becomes important. Emotional intelligence is the ability to recognize your emotions, understand what they're telling you, and realize how your emotions affect people around you. It also involves your perception of others: when you understand how they feel, this allows you to manage relationships more effectively.

People with high emotional intelligence are usually successful in most things they do. Why? Because they're the ones that others want on their team. When people with high emotional intelligence send an email, it gets answered. When they need help, they get it. Because they make others feel good, they go through life much more easily than people who are easily angered or upset.

Characteristics of Emotional Intelligence

In his book titled "Emotional Intelligence - Why It Can Matter More Than IQ" 1995, Daniel Goleman, Jim (Manager)- ext. an American Psychologist, developed a framework of five elements that define emotional intelligence: 1. Self-Awareness – People with high emotional intelligence are usually very self-aware . They 319 understand their emotions, they don't let their feelings rule them. They're confident – because they trust their intuition. They're also willing to take an honest look at themselves. They know their Rachel- ext. 317 strengths and weaknesses, and they work on these areas so they can perform better. Many people Dennis- ext. 337 believe that self-awareness is the most important part of emotional intelligence.

2. Self-Regulation – This is the ability to control emotions and impulses. People who self-regulate Mario- ext. 318 don't allow themselves to become too angry or jealous, and don't make impulsive, careless decisions.

They think before they act. Characteristics of self-regulation are thoughtfulness, comfort with change, integrity , and the ability to say no.

3. Motivation – People with a high degree of emotional intelligence are usually motivated . They're If there are any willing to defer immediate results for long-term success. They're highly productive, love a challenge, topics you’d like to see addressed in and are effective in whatever they do. the newsletter 4. Empathy – This is perhaps the second-most important element of emotional intelligence. please let us know Empathy is the ability to identify with and understand the wants, needs, and viewpoints of those by calling Rachel at around you. People with empathy are good at recognizing the feelings of others, even when those 415-892-1628 Ext feelings may not be obvious. As a result, empathetic people are usually excellent at managing 317 relationships , listening , and relating to others. They avoid stereotyping and judging too quickly, and they live their lives in a very open, honest way.

5.

Social Skills – It's usually easy to talk to and like people with good social skills, another sign of high If you feel you emotional intelligence. Those with strong social skills are typically team players. Rather than focus have received this on their own success first, they help others develop and shine. They can manage disputes, are letter in error or excellent communicators, and are masters at building and maintaining relationships. are not interested As you've probably determined, emotional intelligence can be a key to greater success in life. The good in continuing to receive it, please thing is that it can be learned and improved upon with effort and practice by examining and practicing call Rachel to be the 5 principles above, Self-Awareness, Self-Regulation, Motivation, Empathy and Social Skills. taken off the mailing list at 415892-1628 Ext 317

Canyon Manor Newsletter May 2018

Group of the Month

Open Dialogue is a group for clients who are oriented to

Volume 2, Number 5

May Holidays at Canyon Manor In May we celebrated Cinco De Mayo with a Fiesta which included Mexican music and chips with nacho sauce and salsa. On Mother’s Day clients were served ice cream while watching Mother’s Day related movies. All the women in the facility were given a single flower to honor Mother’s Day. Clients were also given an opportunity to make a Mother’s Day card in an Art group. Memorial Day dinner will include hamburgers and potato salad.

Also on the 9th, Bread and Roses came to the facility and played live music for the clients.

Canyon Manor’s program but are not able to participate in a higher functioning discussion group. In this group, clients are able to discuss their experiences

New Staff Member The Rehabilitation Department has a new staff member. Tia completed a Master’s Degree at California Institute of Integral Studies in San Francisco for Marriage and Family Therapy with a specialty in Drama Therapy. Since then she has worked in child abuse treatment, family trauma and co-led healing retreats. At Canyon Manor she is co-leading multiple groups

and hot topics,

including Orientation Group, Music Group, Movement Group and the

which frequently is

Community Activity. Tia is a great team player and brings a lot of positive

an event in the

energy and new ideas to our treatment program. She was originally from

news. This helps

Florida but has been in the Bay Area for seven years. Welcome Tia!

clients stay engaged

The Nature of Anger

in current events and gives them an opportunity to participate in a discussion group at their level. This group meets twice a week at 10:30am.

Anger is "an emotional state that varies in intensity from mild irritation to intense fury and rage," according to Charles Spielberger, PhD, a psychologist who specializes in the study of anger. Like other emotions, it is accompanied by physiological and biological changes; when you get angry, your heart rate and blood pressure go up, as do the levels of your energy hormones, adrenaline, and noradrenaline.

Anger can be caused by both external and internal events. You could be angry at a specific person (such as a coworker or supervisor) or event (a traffic jam, a canceled flight), or your anger could be caused by worrying

Monthly Special Outing For the Special Outing the clients will be going to the movie theater to a movie of their choice.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers Jim (Manager)- ext.

319 Rachel- ext. 317 Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318 If there are any topics you’d like to see addressed in the newsletter please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

or brooding about your personal problems. Memories of traumatic or enraging events can also trigger angry feelings.

Expressing Anger The instinctive, natural way to express anger is to respond aggressively.

Anger is a natural, adaptive response to threats; it inspires powerful, often aggressive, feelings and behaviors, which allow us to fight and to defend ourselves when we are attacked. A certain amount of anger, therefore, is necessary to our survival.

On the other hand, we can't physically lash out at every person or object that irritates or annoys us; laws, social norms, and common sense place limits on how far our anger can take us.

People use a variety of both conscious and unconscious processes to deal with their angry feelings. The three main approaches are expressing, suppressing, and calming. Expressing your angry feelings in an assertive— not aggressive—manner is the healthiest way to express anger. To do this, you have to learn how to make clear what your needs are, and how to get them met, without hurting others. Being assertive doesn't mean being pushy or demanding; it means being respectful of yourself and others.

Anger can be suppressed, and then converted or redirected. This happens when you hold in your anger, stop thinking about it, and focus on something positive. The aim is to inhibit or suppress your anger and convert it into more constructive behavior. The danger in this type of response is that if it isn't allowed outward expression, your anger can turn inward—on yourself. Anger turned inward may cause hypertension, high blood pressure, or depression.

Unexpressed anger can create other problems. It can lead to pathological expressions of anger, such as passive-aggressive behavior (getting back at people indirectly, without telling them why, rather than confronting them head-on) or a personality that seems perpetually cynical and hostile.

People who are constantly putting others down, criticizing everything, and making cynical comments haven't learned how to constructively express their anger. Not surprisingly, they aren't likely to have many successful relationships.

Finally, you can calm down inside. This means not just controlling your outward behavior, but also controlling your internal responses, taking steps to lower your heart rate, calm yourself down, and let the feelings subside.

As Dr. Spielberger notes, "when none of these three techniques work, that's when someone—or something—is going to get hurt." (from the American Psychological Association’s website). Anger Management is addressed at Canyon Manor in several groups including coping skills group.

May is Mental Health Awareness Month

Canyon Manor Newsletter April 2018

Group of the Month Basketball group is a very popular group and occurs twice a week.

Many clients enjoy playing while some prefer watching.

Sometimes there is a lively competition

Volume 2, Number 4

Easter at Canyon Manor Easter festivities this year started off in late March with egg coloring.

Easter decorations could be found throughout the facility. Easter Sunday began with a morning non-denominational service followed by an Easter egg hunt. Clients searched for the recently dyed eggs as well as a few surprise eggs. The top three collectors received a chocolate rabbit as prizes. The Holiday dinner included Ham with Raisin Sauce, Au Gratin Potatoes, Asparagus, a wheat roll and Strawberry Pie

How Does a Client Get to an Appointment?

between staff

Many medical concerns are addressed at Canyon Manor within

members. The clients

nursing staff. The Nurse Practitioner and the Primary Care Physician

are often very animated

are here several times each week. Podiatry and Optometry services are

as they cheer for their

also provided at Canyon Manor. Appointments to outside agencies are

team. Water is

required when our staff determine that a problem needs to be

available during the

addressed by a specialist. When this happens the Unit Coordinator is notified and an

group and there’s a

appointment is scheduled. Our Unit Coordinator provides transportation for the client to

shaded area with

the appointment and ensures medical records from the appointment are given to our

benches for resting.

medical team to follow-up. On occasion a client is taken to a medical appointment by

This group allows

their county Case Manager. Rarely, a family member is able to take a client to an

clients to participate in

appointment if it has been arranged with the client’s conservator.

vigorous exercise.

What is New in the Kitchen?

Exercise groups are

The Kitchen is now serving the Spring cycle of the

available daily. There

menu. This includes more hamburgers and

also are several walks

occasionally the opportunity to dine outside. There are

throughout the week.

new recipes such as Dutch Split Pea Soup and Baked

When it’s raining the

Chicken in Wine Sauce. Some holiday meals will include Tacos for

group is held inside and

Cinco de Mayo and Brown Sugar Pork Chops with Strawberry

a different physical

Shortcake for dessert on Mother’s Day. The summer cycle will start

activity is chosen.

June 11th.

Monthly Special Outing Music at Canyon Manor Due to April’s unpredictable weather, the outing will be a trip to the movie theatre.

Music has been shown to be soothing to many people and a healthy coping skill. When Canyon Manor went smoke free in July of 2017 we purchased and implemented the use of headsets with music to assist clients with stress management. Clients who go out on patio passes or those who are having a difficult time managing their symptoms

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628 Social Services Workers

are able to use wireless headsets. These headsets have a memory card that contains 2,450 songs. The song list is updated regularly when there is new music available. The headsets play the songs randomly and have a skip option the client can use if they do not like that particular song. These are popular for those who go out on the patio as well as for clients that are struggling in the facility. Other options for music include music group, karaoke and dances. There are three music groups a week that provide a variety of musical options. One of the most popular evening activities is Karaoke which is held regularly and weekly dances. Music is also played in the background during many group activities for all to enjoy.

Jim (Manager)- ext. 319 Rachel- ext. 317

What is Mindfullness? (from the American Psychological Association)

Marina- ext. 321

Generally speaking, mindfulness is an open awareness

Dennis- ext. 337

of the present moment, accepting thoughts, feelings

Mario- ext. 318

and situations that arise without resistance or judgment.

There are a large number of practices that can be used

If there are any topics you’d like to see addressed in the newsletter please let us know by calling Rachel at 415-892-1628 Ext 317 If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

to cultivate a mindful state, including meditation, yoga, breathing exercises and muscle relaxation techniques. Rhonda Rosen, who has led mindfulness groups with students at the University of Pittsburgh for many years, has observed that when students make a regular practice of mindfulness and meditation, they are less likely to become depleted, tend to have more positive outlooks and are better able to concentrate on and efficiently complete their tasks. Increasingly, research has demonstrated the benefits of mindfulness for both emotional and physical health (Davis & Hayes, 2012).

Canyon Manor includes a Mindfullness group

Canyon Manor Newsletter March 2018

Group of the Month Computer Skills is one of the groups that is included in the new program that began in February. In this group clients will be able to learn the basics of a computer, make an email account, use maps, learn about search engines and explore other tasks on the computer. Although many clients can use a computer some don’t have an e-mail they can access. Staff will teach basic computer skills and help clients set up an email. This group is limited to eight clients due to the amount of computers available and is timelimited. The curriculum takes two months to complete. This limit also allows other clients to attend in the next time period. Clients have internet access in the Arts and Crafts group three times a week for their leisure computer use.

Volume 2, Number 3

March Special Activities This month there will be a St. Patrick’s Day Party. It will be a dance party with lime sherbet. A favorite local band, Bread and Roses, will be coming to play live music in the middle of the month. Other activities will include spa group, dances, Wii games, and Bingo. The special outing this month will be going to a movie in the theatre due to the unpredictable weather.

What are the visiting rules?

Canyon Manor supports family visits and the importance of a client’s support system outside of the facility. The visiting hours are Monday thru Friday 3pm to 7:30pm and 9am to 9pm Saturday and Sunday.

The visiting hours are based on the program so that clients will not be missing important core groups that occur earlier in the day.

Family members who are driving long distances can contact the Social Services Worker and come outside of visiting hours if needed. The first time family or friends come we ask that they visit the client inside the facility. Afterwards, arrangements to take the client outside of the facility can be made through Social Services. Sometimes clients like to see their dogs and this is possible if the family informs their Social Services Worker and brings the dogs before the 3:30pm pass time. This is to avoid having dogs on the patio when other clients are also out on the front patio. Unfortunately, no one under the age of 16 years old is allowed in the facility. However, if the client is approved to go out with someone over the age of 16 then the under aged person can accompany on the visit outside of the facility. Tobacco products, caffeinated beverages, glass or aluminum containers and weapons of any kind are not allowed in the facility. Cameras and any devices with a camera cannot be brought in to protect resident privacy. Perishable food must be limited to what will be consumed that day.

How Are Medications Prescribed?

When a client is admitted to Canyon Manor, they are already on a medication regimen from the acute hospital. The psychiatrist assigned to the client at admission reviews the

March is Women’s History

medications and may continue or alter them. The

Month. This will be

psychiatrists speak with the staff regularly about

discussed in the new

how the client is doing. Based on staff report and

Women’s group that started with our new program.

the psychiatrist’s own observations, the medication may be changed if it does not appear to be effective in helping the client. The psychiatrist also takes into consideration the client’s perspective. It can be extremely helpful to have past medication knowledge such as what has

Contact Us

worked in the past and what has not. Family members or conservators may

Payphone numbers for clients

have access to this critical historical information and should pass this on to

415-897-9752

multiple members of the treatment team including the social service worker,

415-897-1562

the rehabilitation staff, nursing staff, the medical director and the program

Canyon Manor 415-892-1628 Social Services Workers

the Social Services Worker. Quarterly case conferences bring together

director. Conservators are always invited and family members are invited if the client is open to this. Case conferences allow for an in-depth review of the clients progress including a review of medications. Medication may be changed after a case conference in response to this discussion.

Jim (Manager)- ext. 319

Change From Last Issue

Rachel- ext. 317

office phone at 10am to 10:30pm on Monday, Wednesday, and Friday. As the

Marina- ext. 321

In the February 2018 issue it was stated that clients will be able to use the program evolved this changed to Monday, Thursday, Friday at 3pm to 3:30pm

Dennis- ext. 337 Mario- ext. 318

If there are any topics you’d like to see addressed in the newsletter please let us know by calling Rachel at 415-892-1628 Ext 317

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

Canyon Manor Newsletter Newsletter Date

Group of the Month DBT Skills and Mindfulness is a new group that meets twice a week. DBT stands for Dialectical Behavior Therapy. This is a skill based group. Clients will be learning how to deal with overwhelming emotions using mindfulness, emotional regulation, interpersonal effectiveness, and distress tolerance. The group will work on how to separate themselves from their emotions and be present in the moment. Another important tool staff will teach and model is supporting clients in their efforts to change and acceptance of themselves. Clients are assigned to this group based on their ability to participate in this higher level group and their need for these advanced coping skills.

Volume 2, Number 2

February Activities This month clients enjoyed watching the Super bowl with snacks and refreshments. Regardless of which team a client was rooting for, it was an exciting game. There will be a Valentine’s Day Dance as well as a new chocolate dessert from the kitchen to celebrate Valentine’s Day. The Lunar New Year will be celebrated Friday the 16th with Chinese food and an Asian Movie. President’s Day is a holiday and will be a modified program. On modified program days, there is a more relaxed group schedule that includes recreational activities.

Clients who have passes are able to go out throughout the day for up to four hours. Other activities this month will include Wii games, Karaoke, and Bingo.

Do Clients Get To Go Shopping?

Many clients like to run errands and get things for themselves such as shampoo and snacks.

Clients are able to sign up to go shopping when they request their weekly passes. The team evaluates whether that client has been doing well managing their behavior and either approves or denies the shopping outing. The client gets their answer on Thursday morning at Hall Meeting along with their other pass requests. The Consumer Skills group helps prepare the client for their shopping through reviewing their budget and making a shopping list. A client granted shopping one week will usually not be allowed to go the next week, so that more clients have an opportunity to go.

If a client wants to shop for clothing and their finances allow it, a Social Services Worker can take the client shopping. This is different and is generally done with only one client and one staff.

Our new group schedule started on Monday February 5th. Some

Activity of the month

new groups include DBT skills and The special activity this month will be going to the movies. Last month the clients voted to watch “Jumanji”.

Mindfulness,

Skills,

Women’s Group, Men’s Group, Art,

Music,

Exercise

Spa

group,

groups,

more

Improving

Relationships, Living Skills and

Contact Us Payphone numbers for clients

Coping

Computer Skills. There are many

415-897-9752

The New Program

415-897-1562

Has Started!

more groups happening at the same

time

enabling

clients

greater choice and the ability to

Canyon Manor

actively participate at the level

415-892-1628

they are comfortable. Increasing

Social Services Workers

exercise

Jim (Manager)- ext. 319

and

adding

art

and

music is designed to increase mood. Another change is that

Rachel- ext. 317

clients will no longer be making

Marina- ext. 321

phone calls at 1pm in the Social

Dennis- ext. 337

Services Office. Clients will sign

Mario- ext. 318

up to utilize a specific phone call time. Monday, Wednesday, and Friday from 10am to 10:30am.

This should reduce chaos and provide

for

higher

personal

phone

quality

conversations.

Clients have expressed that they really

have

enjoyed

the

new

program thus far.

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter January 2018

Volume 2, Number 1

Group of the Month Arts and crafts group is offered in the

Happy New Year!

evening times several

It is time to start the New Year of 2018. New Year’s Eve and Day were celebrated

times a week. During

with special activities at Canyon Manor. On New Year’s Eve, clients were able to

this group clients can

watch the NFL football games, enjoy a movie in the evening, play bingo, and a

work on any ongoing

New Year’s dance with refreshments. On New Year’s Day, clients were able to

projects, sew, or

watch the Rose Parade; go on a walk, watch college football throughout the day,

access a computer for

and end with a movie and refreshments later in the evening. This time of year

their personal use.

many reflect on the past and what they would like in the future. This can be

There are art materials

difficult for our clients. We try to embrace this struggle and help clients think of

provided as well as

how they can have a better year this year than the previous.

preprinted art work.

During this time clients

New Items Hitting the Menu

are able to use the

Starting January there will be three new additions to the

computer for twenty

menu. First will be pork stew simmered with sweet

minutes. Many use this

potatoes, onion, and carrots. This was served January 2nd.

time to listen to music

The following day there was Salmon with Dill Sauce, a

on YouTube, use

fillet of salmon and a sauce made with dill and sour

Facebook, and search

cream. Lastly, a Chicken Florentine Casserole that takes

the internet.

bow-tie pasta, spinach, chicken and cheese mixing it together with a creamy sauce was served January 4th. For New Year’s Day, the kitchen served Baked Ham, black

Activities for the month January 15th was Martin Luther King Jr. Day and was celebrated by listening to his speech “I Have A Dream”.

eyed peas, creole green beans, corn bread, and an apple crisp desert for dinner.

How To Support A Client You Know At Canyon Manor Most clients would rather be residing somewhere less restrictive than Canyon Manor. The staff understands and sympathizes with this struggle. We keep this in mind on a daily basis and do our best to make their stay as comfortable and enjoyable as possible. Despite this, clients may call their outside supports to vent about their day to day life. Expressing these feelings is a valuable tool and can be a part of recovery. We encourage clients to talk to staff or a peer while they are

experiencing any symptoms or distress. When they are not satisfied with their medication regimen they are encouraged to speak with their psychiatrist. It can be helpful to discuss with them the costs and benefits of medication which is done

Contact Us Payphone numbers for clients 415-897-9752

here in groups. It is important that clients use the level system to earn passes to demonstrate their ability to be in the community unsupervised. This is crucial to moving into a lower level of care where they typically are allowed to come and go throughout the day. If a client is experiencing issues with another resident we ask

415-897-1562

that they notify staff right away so that appropriate actions can be taken. We all

Canyon Manor

wish to see the clients learn and develop skills as well as maintain stability that will

415-892-1628

lead to discharge. This information can be useful if a client is asking for outside support while living at Canyon Manor. Clients often speak with staff however;

Social Services Workers

sometimes it is beneficial to hear suggestions from loved ones.

Jim (Manager)- ext. 319

From Last Issue

Rachel- ext. 317 Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318 Above: Kwanzaa display Left: Christmas tree decorated by clients Below: Menorah for Hanukkah

Canyon Manor clients and staff had a wonderful holiday season!

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter December 2017

Group of the Month Another Day Group is a Dual Diagnosis Group. Clients are assigned based on their level of participation in the program and their history of substance use. This group focuses on the importance of sobriety, skills to remain stable with a mental illness, and how to continue their recovery while out in the community.

Clients do a “check in” of how they are progressing. This group gives clients an opportunity to discuss concerns they have regarding their illness and abstaining from use with each other and staff.

Activities for the month During the Rehab groups this month there will be Wii games, Current Events, Arts and Crafts, Decorating the Birthday Banner, the Birthday Party, and Board Games.

Volume 1, Number 7

Holidays at Canyon Manor Once again the Holiday season is upon us. Canyon Manor recognizes that there are many holidays during this time of year and attempts to make it enjoyable for all. Information about the different holidays is posted in a community area for all to read. A menorah candle is lit in the foyer to recognize Hanukkah. This month’s special outing is to choose the Christmas tree at a local tree farm. Everyone is welcome to decorate the tree while enjoying cookies and hot chocolate.

Christmas day begins with a nondenominational religious service. Soon after Santa comes and gifts are given to all the residents. The Holiday meal is served at lunch “restaurant style”. Staff serves clients and guests after they have been seated. If you plan to come for the Christmas meal, please notify the Social Services Worker ahead of time. Later in the month there will be a New Year’s Eve party.

Sending Items in the Mail

During the gift giving season it is good to remember not to send any cash in the mail to clients. If you wish to send funds send it as a money order, cashier’s check, or personal check addressed to the client. Please note it takes ten days for a personal check to clear before a client can use it whereas a cashier’s check or money order can be used immeadiately. If you would like to send a package send it to the building address: 655 Canyon Rd Novato, CA 94947. If you would like to send an envelope it is best to send to: P.O. Box 678 Novato, CA 94948.

Please do not send anything with a camera, glass, caffiene, or perishable food items.

New Year, New Program With the New Year, a new program will soon follow. The staff of Canyon Manor

have been working on new groups and improving the groups that will remain

Changes in the menu Starting December 11th the kitchen will begin the Winter menu which will include items such as Pumpkin Soup, Tamale Pie, Sweet Dijon Chicken, and Pozole. For Christmas there will be Roast Beef, Mashed Potatoes, Brussel Sprouts, Caesar Salad and Fruit Pie.

from the current program. During the revision of the program, staff took into consideration the clients’ requests as well as adding groups that increase skills that foster independence. The new program schedule will begin February 1st, but it will continue to be modified to the clients’ needs as necessary.

When Does A Client Get Discharged?

At Canyon Manor, we recommend that clients reach level three before going to a lower level of care such as a board and care home. Reaching and maintaining level three helps the client demonstrate that they have the capability of being more independent in taking care of themselves. Although level 3 is recommended it is not required. Discharge planning is discussed with the team which consists of the Social Services Worker, Hall Staff, Case

Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628

Manager, Conservator, and Psychiatrist. If appropriate, family members may be asked for their opinion as well. There is no time limit to treatment at Canyon Manor. Regardless of how long a client has been at Canyon Manor, the team looks at the progress they have made in the program and their ability to succeed in a less restricted environment. Once it has been decided that a client is ready for discharge, the Social Services Worker provides information to the county contact and sets up the transition from Canyon

Social Services Workers Manor to the next placement.

Jim (Manager)- ext. 319 Rachel- ext. 317 Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

C

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No ember 2017

Go

of he Mon h

When clients demonstrate an understanding of our program in Orientation Group (see last ne sletter) the are usuall referred to Discussion Group.

There clients have the opportunit to share their concerns and feelings. Peer feedback is an important aspect of group. For man , having the chance to be heard and kno others e perience the same s mptoms can bring relief. Group members are encouraged to dra on their collective isdom.

Volume 1, Number 6

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Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 41 - 2-1 2 Ext 31

Canyon Manor Newsletter October 2017

Group of the month Orientation group is

Volume 1, Number 5

Halloween at Canyon Manor October brings a number of fun events. This includes a special outing to pick pumpkins. Clients will transform these pumpkins into jack-o-lanterns at another special activity. These are displayed around the facility and clients will

one of the first

vote to award first, second, and third place prizes. Costumes for clients and

groups on a new

staff are encouraged on Halloween. Some staff plans to dress as their favorite

client’s schedule.

emoji.

This group educates clients on important aspects of our program.

This includes “House Rules”, our level system, the weekly schedule, and how to achieve passes. As clients demonstrate an

The Holidays Are Coming!

With Holidays come overnight passes. This is expected as it is a special time to enjoy family and friends. Please plan ahead and let the Social Services

ability to attend and

Worker know in advance. The conservator must approve of the pass. At

participate in

Canyon Manor clients have been working very hard to remain on their

groups they are

medication regimen. Those who have a history of substance use are making

referred to the next level of groups.

efforts to stay clean and sober as well. Please be considerate of this while enjoying your pass with your family member. Refraining from having alcohol or any substance around when a client is on a pass with you, especially during the holiday season is highly appreciated and recommended by our staff.

Remind them to take their medication while out on pass if needed. Most of all have fun together!

What Can I Do To Help?

Enjoy the newsletter online and in color at Canyonmanor.com

Clients value contact with their family and supportive people in their lives outside of Canyon Manor. Clients very much enjoy phone contact and passes with their loved ones. When speaking with clients who are struggling, one can always tell them to speak with their Social Services Worker. Most clients’ goal is to be discharged as soon as possible. This is also the goal of the staff however; one would not want to

Payphone numbers for clients 415-897-9752 415-897-1562

discharge a client prematurely. It can cause harm to a client’s treatment rather than a successful discharge. If relevant to a conversation one is having with a client emphasize the importance of working the program at Canyon Manor. The four main areas include hygiene, behavior, medication, and group participation. Maintaining and working on sobriety as well as acknowledging the need to continue their

Canyon Manor 415-892-1628

medications after discharge should also be encouraged. Passes are a way to demonstrate their ability to be in the community without using illegal or dangerous substances and without causing difficulties to other community members. Problematic behaviors include loitering, panhandling, approaching

Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317

strangers, touching others, not staying with their pass partners, or not returning on time. Purchasing items not allowed at Canyon Manor and bringing these items back into the building is also against the rules and will result in their passes being cancelled for a period of time. Such items include but are not limited to caffeine pills or drinks, cigarettes and lighters.

Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318

Sonoma County Fires Many are concerned about the effects of the fires on Canyon Manor. The fires are not in Novato and there is no concern of them reaching Canyon Manor.

However, there is an abundance of smoke in the air. This caused passes into the community to be cancelled for a few days due to health concerns. Staff recommended clients stay inside as much as possible to avoid breathing in the smoky air. Our thoughts are with those who are in the affected areas.

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

Canyon Manor Newsletter September 2017

What is a Case Conference?

Case conferences are scheduled quarterly for every client. The treatment team which includes the Social Services Worker, Rehabilitation staff, Mental Health Worker, Medical Director, Program Director, and often the Nurse Practioner meet to review the client’s progress in treatment and addresses any obstacles.

The team makes suggestions on how we can better serve each client. Adjustments are made to the individual care plan, medications are reviewed, and behavioral health plans to motivate client’s growth are addressed.

Conservators, Case Managers, and when appropriate, clients and family members attend these meetings.

Conferences are usually twenty minutes long and take place between 9 and 10 on Wednesdays and Thursdays.

Unfortunately, meeting

Volume 1, Number 4

Our First Quarter Smoke Free September 28th marks the end of the first quarter of Canyon Manor being a smoke free campus. Clients have managed this well and have continued to use now smoke free patio passes. Wireless headphones are a new feature available when using a patio pass. These headphones have over 800 songs of various genres. Headsets have become very popular and a motivator for clients to use patio passes. Aside from the headsets, there are also board games and a basketball arcade game. Many are still enjoying the patio passes, using these items when they are out with their peer partner.

How Does Canyon Manor Celebrate Birthdays?

Early in the month, staff outlines a themed birthday banner. Clients add to the birthday banner which has the names of those who had a birthday within the month and their birth date. This banner is hung up in the dining room throughout the month. The last Wednesday of every month there is a birthday party for all clients born in the month.

There are fun games and activities in the beginning of the party. Then those who had a birthday come in to the dining room to cut themselves a piece of cake and ice cream. After their peers come in to sing happy birthday and enjoy cake and ice cream with them.

times cannot be rescheduled outside of the hour window already available.

September Special Outing This month the special outing will be an excursion to the movie theatre. Two movies are chosen by staff after reviewing for appropriate content. Clients vote on which one they prefer. At times, the movie show times do not allow for this and the staff has to pick the movie.

The Fall Menu Has Begun!

The menu has changed to Fall from September 11th to December 12th. This menu brings more comfort foods and soups opposed to grilled food during the Summer menus. There will be a special meal on October 5th for Oktoberfest with bratwursts, cabbage, and potatoes. There was also a Scandinavian breakfast of pancakes with strawberries in late September.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor 415-892-1628

Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415892-1628 Ext 317

Canyon Manor Newsletter August 2017

Welcome Mario Thomas!

Mario is our newest addition to the Social Services Staff!

He has been with Canyon Manor in nursing department for ten months. He graduated from Sacramento State with a Bachelor’s degree in Communications.

His hobbies include collecting sneakers and following sports.

He works well with the clientele and is a valuable addition to the team!

Volume 1, Number 3

A Thousand Days with No Lost Time!

Left to right: Richard Evatz (Administrator), Marcy Allen (Rehab Services Manager), Paul Heil (Director of Ancillary Services), Dr. Berlant (Medical Director), Dr. Kay (Program Director), Theresa Soule (Health Information Manager), and David Bachelder (Food Service Manager).

Canyon Manor has not lost any employee time due to work related injuries for a thousand days, which is close to three years. Above are managers from different departments holding the plaque received for this outstanding accomplishment. Congrats Canyon Manor staff!

What Tremendous Talent!

Early in the month, a special activity group was a talent show. Twenty-seven clients went before the audience to read, sing, dance, and display artwork to their peers. The crowd went wild at the end of every performance. Those who bravely participated were given a small prize of their choosing as well as a balloon in the shape of a star. It was a great opportunity for fun, laughter, and confidence building. (art done by client)

Special Outing This Month There is a trip to the beach this month. Those who stay at the facility will enjoy a movie and snacks.

How do I take a client out for a pass?

Clients enjoy going out with family for lunch or overnight to their homes. In order to take somebody on pass it must be approved by the conservator. Every county has different requirements. To speed this process, it is important to tell the client’s Social Services Worker as soon as possible of any outing needing approval. If one comes to Canyon Manor and does not have a pass already approved the client will not be able to leave the facility, even if the client has gone on pass with the person before.

The 2017 Eclipse Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor

A special event was planned for the day of the Eclipse August 21, 2017.

Morning groups were cancelled and clients gathered in the large group room. A news station providing information and pictures from land and space was chosen for clients to watch while waiting to view the eclipse outside. Safe viewing devices, made from cereal boxes, were provided for clients to view the eclipse. Unfortunately, it was so overcast that the eclipse was not visible from our area. Clients seemed to enjoy the news coverage and active discussion with staff and were provided donuts to make the event more enjoyable.

415-892-1628

Social Services Workers Jim (Manager)- ext. 319 Rachel- ext. 317 Marina- ext. 321 Dennis- ext. 337 Mario- ext. 318

For more information regarding supporting those with mental illness visit: http://www.mentalhealthamerica.net/ This website provides locations of groups, articles, and videos for those who have a friend or family member with mental illness.

If you feel you have received this letter in error or are not interested in continuing to receive it, please call Rachel to be taken off the mailing list at 415-892-1628 Ext 317

Canyon Manor Newsletter July 2017

How do clients “work the program” at Canyon Manor?

At Canyon Manor, there is a level system that starts at level 1 and goes up to level 4.

Everyone starts at level 1 (not level 0).

There are four areas in the level system: ADLs (Activities of Daily Living, in other words, hygiene), Behavior and Mental Status, Treatment Adherence, and Participation. The more independently a client performs these tasks the higher they can be on the level system.

There are passes for each level. Level one clients can use patio passes. Level two can use Progress passes into the community.

Level three can use peer passes which is progress passes but they get 9 a week rather than 4. Level four gets alone passes.

Volume 1, Number 2

Events this month Each month there is a special outing done by the rehab staff. They post a signup sheet for clients to express interest in going and the staff chooses which 10 clients are eligible to go based on how well they are doing in the program. For this month on July 19th there will be a special outing to a beach with a BBQ! Also on July 12th an organization called Bread and Roses has scheduled a performance in the evening time to play live music for the clients. This typically occurs every other month.

Some routine events include haircuts every 2 weeks, the special monthly outing, A.A. on Sundays, staff escorted outings to grab a bite to eat Thursdays and Saturdays, and the walks Monday, Wednesday, Friday, and one over the weekend.

How do people sign up for these outings/passes?

As stated above, for the special monthly outing, there is a signup sheet posted in an area where all clients can access it. The outings change from month to month including movies, bowling, and beach trips.

Walks are done throughout the week and a client can ask the day of the walk if they are eligible to go. A person must have been at Canyon Manor for at least 2 weeks, with appropriate behavior and participation in the program before they go on their first walk. In order to help all clients have a chance to go on the walk there are two types of walks – the fast walk and the slow walk. The fast walk is longer in length and can be a little speedier in pace. The slow walks are about half the length and slower in pace.

After clients have gone on at least two walks they can sign up for a staff escorted outing, where staff take a few clients for a bite to eat paid for by the facility. In order for this to be granted the client has to sign up for it before a group called Hall Meeting and attend this group to ask for the pass. Once a client has gone on two staff escorted outings, they can start asking for patio passes.

A.A. comes on Sundays and has a group in the facility for the clients. Everyone can attend this group.

Haircuts are done every other week. Clients can request to be put on the haircut list through staff. On the day of the haircut, a barber comes to the facility and cuts the hair of those who signed up. There is a limit of 5 to 6 clients per haircut day.

How do the clients know what level they are?

Every month clients are given and review a level assessment with a staff member. Each area has its own level (1-4).

Whatever the lowest area is on the level assessment is the clients’ overall level.

For example, if a client is level 2 in all areas except their participation is a level 1 then the client remains a level 1 overall. All areas must be a level 2 or higher in order to be a level 2. Refer to the example on the right.

The Labyrinth

One of our additions to Canyon Manor is a labyrinth in the back yard. It is a maze and can be used to help calm someone for a mediating like state or just to occupy some time. As we went smoke free, one of the activities was walking the labyrinth with music playing. The clients enjoyed it and are able to use it at their convenience.

Level Assessment example Client name: John Doe

2 ADLs: Your hygiene has been improving. Keep up the good work. Remember to keep your room organized

2 Behavior: You have been able to get along with peers and staff. When you feel agitated let a staff member know so they can help you.

2 Treatment: You are taking your medications with few reminders. It is important that you cooperate with any lab work needed as well when needed.

1 Participation: This area can use some work. Try to attend the morning groups and make a comment or two on the topic while you are there.

1 Overall Level

Canyon Manor Newsletter June 2017

What is there to eat?

Volume 1, Number 1

Welcome to the Newsletter!

In an effort to keep family, conservators and case managers informed, a newsletter is being developed that will have what is currently happening at Canyon Manor! It will be sent out monthly with new information and general information about The kitchen staff works very Canyon Manor to help keep everyone up to date. hard to make good meals.

The menu for Going smoke free the following Our biggest focus lately has been tapering off cigarettes. This has been a long two weeks is process that started many years ago. It used to be that clients had eight smoke posted for breaks and more recently there have been four. At this time there are no smoke everyone to view. We will be starting the summer menu cycle on June 12th which means lighter foods and barbeques! On 4th of July they will be serving breaks but if a client grilled has passes they may smoke on their pass. Starting June 28th, there will be no sausages, smoking on the patio passes which will make the facility completely smoke baked beans, free. However, if a client has progress, peer, or alone passes they are allowed and corn on the to take their cigarettes with them when they go into the community and smoke cobb. We off Canyon Manor property. To celebrate there will be a barbeque and band on welcome people June 29th. One may think that there would be a large uproar from the clientele to come and about this yet most of the clients have taken it very well and understand it is a have meals healthier choice. with their loved ones from our kitchen! Vegan options are also available.

How do I send my family member funds?

Family support is appreciated by all Canyon Manor staff and it is not uncommon for family to ask how to send money to their family member. A personal check can be sent but it is important to note that it takes 10 business days for it to clear and

When Can I Visit a Family Member?

Visiting hours are Monday thru Friday from 3pm to 730pm and 9am to 9pm on the weekends. We ask that visiting happens after 3 on the weekdays to allow clients to work the program and go to groups. If a family member is far away and cannot come during those times they are welcome to set up a visit with the person’s social services worker.

Contact Us Payphone numbers for clients 415-897-9752 415-897-1562

Canyon Manor Staff 415-892-1628 Social Services Workers Jim- ext. 319 Rachel- ext. 317 Marina- ext. 321 Dennis- ext. 337

become available for use. If you would like to make the funds available immediately, please send a cashier’s check. DO NOT SEND CASH IN THE MAIL. We make this request because occasionally mail gets lost between you and Canyon Manor. It is best to send a money order to the P.O. box address which is Canyon Manor P.O. Box 678 Novato, CA 94948

WHAT CAN I BRING OR SEND MY FAMILY MEMBER? Clients are not allowed to have cameras, glass, caffeine, perishable food, and metal such as aluminum cans. If you do bring clothing to a client please let staff know so that the items can be inventoried into their belongings list. Any type of hygiene products containing alcohol such as perfume or cologne are allowed but are put in a locked area for supervision purposes. If you are unsure whether an item is allowed in the facility, ask staff before mailing or bringing it to the client.

WE VERY MUCH APPRECIATE FAMILY AND OTHER SUPPORTS. WE UNDERSTAND IT IS NOT EASY TO HAVE A FAMILY MEMBER OR CLOSE FRIEND IN THIS SETTING. FOR MORE SUPPORT VISIT https://www.nami.org/Local-NAMI?state=CA TO FIND A NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) LOCATION NEAR YOU.