Home Care InSight Spring 2015 by SEIU 775 Benefits Group

INSIGHT HOME CARE

SPRING 2015

THE MAGAZINE FOR NORTHWEST HOME CARE AIDES

Home Care Aide Tamara on PTSD care. Page 12

中文指南 한국어 안내 РУКОВОДСТВО НА РУССКОМ ЯЗЫКЕ HAGE AF SOOMAALI AH GUÍA EN ESPAÑOL HƯỚNG DẪN BẰNG TIẾNG VIỆT

THE MENTAL HEALTH ISSUE

LIGHTEN YOUR LIFT HOW TO FIND MENTAL HEALTH SUPPORT AFTER THE TRAUMA

PLUS: REPORT YOUR INJURIES EL SALVADOR SPOTLIGHT CAREER PATH FOCUS & MORE

CAREGIVING FOR PTSD

WWW.MYSEIUBENEFITS.ORG INSIGHT MAGAZINE

SPRING 2015

Catholic Community Services (CCS) is the oldest provider of home care in the state and serves all of Western Washington. We are proud to partner with SEIU for over 20 years in our joint effort to increase caregiver wages and benefits and maintain the highest standards for service. CCS is excited about our long standing partnership with the Training Partnership that includes quality training as well as new innovations in home care.

SEEKING CAREGIVERS CCS is always seeking applications for caregivers, including caregivers who may want additional hours. If you are interested in becoming a CCS caregiver, please contact: www.ccsww.org or call 877-870-1582

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INSIGHT HOME CARE

STAFF

Executive Director’s Note

EDITOR Sara McCaslin EDITORIAL DIRECTOR Naomi Ishisaka PUBLISHER SEIU Healthcare NW Training Partnership

& SEIU Healthcare NW Health Benefits Trust GRAPHIC DESIGN Sara McCaslin

CONTRIBUTORS

PHOTOGRAPHER Paul Joseph Brown WRITERS Shaun Scott, Eva Looper Gantala, Niki Stojnic,

Anna Goren, Sara McCaslin, Naomi Ishisaka

BOARD OF DIRECTORS David Rolf, Chair TRAINING PARTNERSHIP President, SEIU 775

Nora Gibson, Secretary Executive Director, Full Life Care

Sterling Harders Vice President, SEIU 775

Seth Hemond Director of Member Programs and Participation, SEIU 775

Adam Glickman-Flora Secretary-Treasurer, SEIU 775

Silvia Liang Home Care Aide and Member, SEIU 775

Linda Lee

Welcome to the fifth issue of Home Care InSight, the magazine for Northwest Home Care Aides. The SEIU Healthcare NW Training Partnership and Health Benefits Trust care about your work and your health. As Home Care Aides, your work makes a

Home Care Aide and Member, SEIU 775

critical impact in the lives of others every day. And while you work to care for

Jesse Magana

others, you must also care for yourself, keeping you and your family healthy.

Home Care Consumer and Disability Advocate

Bill Moss Assistant Secretary, Washington State DSHS

Rich Nafziger Assistant Professor, Institute for Public Service – Seattle University,

Franklin Plaistowe

Through Home Care InSight, we want to provide you with skills to improve your health, share best practices from others in the profession, and give you the most updated information about your training and benefits. To this end, in this issue we explore caring for Consumers with PTSD, how to report your workplace injury, provide the latest updates to training and benefits information – and much more. We hope you will find this magazine useful in your work as a Home Care Aide.

Washington State Office of Financial Management, Labor Relations Division

Please let us know what you think – to share feedback and ideas, please contact

Flanna Perkins

InSight@MySEIUBenefits.org.

Regional Director, ResCare Homecare

Jan Yoshiwara Director Education Services, State Board for Community and Technical Colleges

Charissa Raynor Executive Director

HEALTH BENEFITS TRUST Misha Werschkul, Chair Legislative & Policy Director, SEIU 775

Bill Moss, Vice Chair Assistant Secretary, Washington State DSHS

Mark Robinson, Secretary Regional Director NW Region, Addus Healthcare

Eric Erickson Executive Director, CDM Services

Sterling Harders Vice President, SEIU 775

Seth Hemond Director of Member Programs and Participation, SEIU 775

Adam Glickman-Flora Secretary-Treasurer, SEIU 775

Diane Lutz Labor Relations, Office of Financial Management

MaryAnne Lindenblad Regional Director, Health Care Authority

Monique Taylor-Swan

COVER PHOTO AND PHOTO OF CHARISSA RAYNOR BY PAUL JOSEPH BROWN

Home Care InSight Magazine is a publication of the SEIU Healthcare NW Training Partnership and Health Benefits Trust to serve Home Care Aides in the Northwest. The existence of advertising in this publication is not an endorsement of the product, service or individual by anyone except the advertiser. Contact Home Care InSight at InSight@MySEIUBenefits.org for permission to reprint or republish content from Home Care InSight. 215 Columbia St., Suite 300, Seattle, WA 98104 © Copyright 2015 Home Care InSight Magazine. All rights reserved.

Home Care Aide

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Contents 3 EXECUTIVE DIRECTOR’S NOTE THE PULSE

5 ON YOUR MIND

6 SKILL SHARE: GLOVES + FREE RESOURCES 8 WHAT’S NEW? 10 ON THE CAREER TRACK MENTAL HEALTH SPECIAL

12 AFTER THE TRAUMA: PTSD CAREGIVING 16 LIGHTEN YOUR LIFT: A MENTAL HEALTH GUIDE HEALTH GUIDES

20 HURT AT HOME: L&I GUIDE 23 DODGE THE EMERGENCY ROOM BILL

$100

20 4

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WORKER VOICES

25 Q&A WITH HCA ISABEL PALMA 28 QUICK & EASY PUPUSA RECIPE 29 SPOTLIGHT ON EL SALVADOR 30 32 36 38 40 42 44 46

YOUR BENEFITS

HEALTH BENEFITS INCENTIVES GUIDE TO TRAINING STANDARDS 健康和培训指南 건강 및 교육 안내 «ЗДОРОВЬЕ И ОБУЧЕНИЕ» HAGAHA TABABARKA IYO CAAFIMAADKA GUÍA DE SALUD Y CAPACITACIÓN HƯỚNG DẪN SỨC KHỎE & ĐÀO TẠO

THE PULSE

ON YOUR

MIND

Word Choice: Clients & Consumers

I Con•su•mer 1. A term used instead of patient or client to show the right to an active role in the quality of care.

Our Response Thank you for your letter, Pat! At the Training Partnership, we are often asked about why we use the term “Consumer.” The word comes from scholars and advocates of people receiving care who prefer the term Consumer, rather than patient, client, customer, employer, or service-user. Their thinking is that “Consumer” emphasizes the Consumer’s self-determination: their conscious choice to receive services, as well as their control over them. However, we know the word also brings up images of “consumption” and department store checkout lines. We recommend always to ask those around you what they prefer to be called – but consider Consumer a safe default. We also do our best to reflect that choice in the stories in this magazine.

just read the latest InSight Magazine and appreciate the many and varied stories of other caregivers and their challenges. It has been the most fulfilling of all of my experiences (formerly an ESL teacher). People helping people with both professional and personal connections is, to me, what means the most in this life. My only concern is that of the changed terminology: “Recipients” (of care) became “clients” and are now to be referred to as “Consumer.” Where did we lose the human touch and personal dignity of the special people that we serve? Please reconsider and thank you for your consideration. Sincerely, Pat McInroy Home Care Aide - Long Beach, WA

What do you think? We want to hear from you! Do you prefer client, Consumer or something else? Do you have another question or issue you want to discuss with the larger Home Care Aide community? Join the conversation and share your thoughts by e-mailing Editor Sara McCaslin at InSight@MySEIUBenefits.org.

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THE PULSE

Did you know your Consumer can get free gloves? Wearing gloves on the job will decrease the risk of spreading infection. Medicaid Consumers can order a supply of 200 gloves per month and more can be

Skill Share

requested.

Apple Health (Medicaid) managed care program Consumers: Follow the instructions documented on the “How to obtain non-sterile gloves for your personal caregiver” flyer which will be included in the Consumer’s service packet.

Apple Health (Medicaid) non-managed care program Consumers: 1.

Find a Durable Medical Equipment Supplier at the Health Care Authority website: www.hca.wa.gov.

Call their primary care physician, OR

Call the number located on the back of his/her Medical Services Card.

State-only funded Consumers: 1.

Skills Refresh: Putting on/removing gloves

Check with their health insurance to see if gloves are offered as a benefit.

If gloves are not covered by their insurance, contact their case manager at the Home and Community Service, Area Agency on Aging or Developmental Disabilities Administration office.

STANDWITH - CAREGIVING APP

If you are a family caregiver, this free iPhone app can help you assign out tasks to your family network like picking up your Consumer from the doctor or groceries on the weekend. Look for it on the iPhone App Store

4 PUTTING GLOVES ON STEP 1 - Wash your

hands according to best practice. Do not touch anything except the gloves with your clean hands. STEP 2 - Check for

holes by filling the glove with air (do not blow into it). STEP 3 - Put a glove on

each hand, one at a time. STEP 4 - Clasp your 6

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5 fingers together to make sure the gloves are not too tight nor too lose. Make sure there are no tears or holes. REMOVAL STEP 5 - Pinch the

wrist and pull the glove down over your fingers. STEP 6 - Crumple the

glove into a small ball in your gloved hand.

6 Put two fingers under the cuff of the second glove and pull the glove down so that it comes off inside out. Twist the top of the glove as your remove it. Both gloves should be inside out after you remove them. CLEANUP - Place the

soiled glove in the trash and wash your hands.

FREE ASSISTANCE DOGS

Canine Companions can help pair your Consumer with an assistance dog trained to help with everyday tasks, independence, and improved quality of life. Apply for a dog at www.cci.org or call 1-800-572-BARK.

SUPPORT FOR CARE FACILITY ISSUES

The Washington State LongTerm Care Ombudsman Program provides free, confidential support for problems with care or violation of rights for residents in care facilities. There are 13 local offices across the state. Visit www.waombudsman.org or call 1-800-562-6028.

THE PULSE

Breathe In As a Home Care Aide, it can be difficult to carve out time for yourself. You spend your days caring for others, and the stress of the work can build up over time. Try taking a few minutes in the morning or at the top of your day to practice this simple breathing exercise. It can have a big impact on reducing stress and the exercise acts as a natural tranquilizer for your nervous system to ease tension. The best part is that it’s free, simple, and can be done anywhere.

4-7-8 BREATH RELAXATION EXERCISE

1. Exhale completely through your mouth, making a whoosh sound. 2. Close your mouth and inhale through your nose, mentally counting to 4. 3. Hold your breath for a count of 7. 4. Exhale completely through your mouth for a count of 8. 5. Repeat the cycle again for three more breaths.

Photo: Sunrise over Palouse, Eastern Washington. Photo by David C. Phillips.

Self care tips from Home Care Aides

“

For me, part of that self care is walking. It’s the best thing you can do. You have that time to release everything and interact with nature.”

Dana Beckwith Full Life Homecare Administrative Assistant, Home Care Aide

“

HOW DO YOU PRACTICE SELF CARE?

Share your tips with us for the next issue of Home Care InSight!

E-mail your tip to InSight@MySEIUBenefits.org.

I just make time for me. Even if it’s just 5 minutes.”

Danielle Aumoeualogo Full Life Field Supervisor, Home Care Aide Read about their career pathway next»

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THE PULSE COMING SOON!

WHAT’S NEW? A sneak peek at the new MySEIUBenefits.org

We have taken the same great information about your training and health benefits and made it easier to find on our new website, releasing this Spring. New features include: Easy to use Portal login box Training standards simplified & color-coded blue Health benefits library added & color-coded green Translated benefits information Easy to read on your phone And much more coming soon!

New basic training program launching After hearing feedback from students and our partners, we looked at ways to improve our Basic Training classes. Rolling out this year, new students will start to take the updated course that features more hands-on learning and skills practice. This new approach will better prepare Home Care Aides to pass the Department of Health exam! (See page 32 for DOH steps and FAQs.) In our test classroom in Seattle, we received great responses from students and instructors. SEIU Healthcare NW Training Partnership is excited to share it with students across the state.

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New mental health Online CEs available Two new Online Continuing Education courses are available on “Supporting Consumers with Anxiety Disorders” and “Understanding Depression’s Effects.” Log in to the Portal to take these courses. For more information on how to find support for your own Mental Health, see our story on page 16. And for information on how many CE hours you need, see our Training Standards on page 34.

Participate in our Health & Safety pilot The SEIU Healthcare NW Health Benefits Trust is conducting health and safety programs over the next year and you can help! Are you interested in losing weight, reducing workplace injuries, quitting smoking, or simply being interviewed about your work day? All participants will receive a gift card and an opportunity to improve the health and safety of Home Care Aides!

If you are interested in participating, please e-mail: healthy@MySEIUBenefits.org for more information.

Home Care Referral Registry for Southwest Washington 1-800-970-5456

Are you an IP in Southwest Washington? Do you need more hours or a new client? Are you on the Home Care Referral Registry? Being on the registry allows clients looking for an IP to match with your available hours, expertise, and location.

Serving Clark, Cowlitz, Wahkiakum, Skamania, and Klickitat counties. Home Care Referral Registry of SW Washington A program of CDM Caregiving Services 2409 Broadway St Vancouver, WA 98663 1-800-970-5456

CDMCAREGIVING.ORG HISTORY OF CDM: CDM Caregiving Services was founded in 1978 as a 501(c)(3) nonprofit organization by three community volunteers namely, Cahoon, Deckard, and Murray thus giving the company birth name “CDM.” Our agency was born in response to a need for safe, well-trained caregivers for the elderly and disabled in Southwest Washington. Today, in addition to being the area’s largest in-home care agency, CDM Services provides Adult Day Services, including for those with dementia, traumatic brain injury, and other brain conditions, in our Adult Day Center at 2409 Broadway St., as well as the Home Care Referral Registry for Southwest Washington and other supportive services designed to keep the elderly and people of all ages with disabilities in their own home as long as possible. INSIGHT MAGAZINE

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BY SARA MCCASLIN

On the career track

Home Care Aides and identical twin sisters Dana Beckwith and Danielle Aumoeualogo are building their careers through a passion for long-term caregiving

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PHOTO BY PAUL JOSEPH BROWN

Dana Beckwith, left, and her identical twin sister Danielle Aumoeualogo, right, use their home care experience to support other HCAs at Full Life Care.

hen the phone rings at Full Life Care, identical twin sisters Dana Beckwith and Danielle Aumoeualogo have to be ready to answer any number of questions from Home Care Aides in the field. Beckwith, an HCA and home care administrative assistant, does “telephone triage” and remembers a particularly intense call. “I had a Home Care Aide call and her client was responsive. But he was in a state where he needed medical attention and she didn’t know whether she should call (911) or not,” Beckwith says. “I was able to just talk her down, calm the situation, give her some practical advice and we got him to the hospital in time.” Beckwith said if she had not been in the field herself as an HCA, she might not have known how to handle the situation. Both Beckwith and Aumoeualogo began as Home Care Aides and now draw on that knowledge and expertise to provide administrative support to other HCAs. Aumoeualogo, a field supervisor, prepares new caregivers for what the job is really going to be like during the interview and orientation. After a new hire was upset about the state of the building her Consumer was living in, she turned to Aumoeualogo for advice. “I was able to sit down and tell her, ‘OK, you’re in home care. So you got to be on your guard, but you also got to expect the unexpected and be prepared for it,’” Aumoeualogo says. By the time they finished their conversation, she was able to encourage her to give it another shot and return the next day. “It is kind of scary when you start and you go out there on your own, into the client’s home,” she says. “I know that everything I’ve gone through as a

PHOTO BY PAUL JOSEPH BROWN

Danielle Aumoeualogo takes on new responsibilities as a field supervisor, supporting Home Care Aides and Consumers in the field.

Home Care Aide and the position that I’m in now, I can actually help. And the caregivers that I’m helping and that I’m speaking with, they know, ‘OK, I’m not out here by myself.’” It took some trial and error for the sisters to find their groove in home care. Coming from a family with multiple nurses, Beckwith and Aumoeualogo initially started down the path of nurse and medical assistant programs and worked at nursing home facilities. Beckwith says, “You don’t really get to find out about patients’ lives and who they are as people. You’re there for a couple of hours and then you’re gone.” Aumoeualogo added. “It was almost like a factory; people coming in, people coming out. After a year doing that, it just wasn’t satisfying.” Beckwith introduced her sister to Full Life, where working as Home Care Aides provided the connection with Consumers the sisters were looking for. Aumoeualogo still warmly remembers her first Consumer, Eileen. “I got to really learn about her and her family and her culture and traditions,” she says. “And she taught me how to make homemade tortillas.” Beckwith continues to work with a Consumer on the weekend on top of being a peer mentor to new HCAs. As for building on her career, she says, “I

could see myself moving further in the company. This is home care and every day you learn something new. That’s a plus in my book.” For Aumoeualogo, the experience of connecting HCAs with resources and helping problem solve has opened up a possible new career pathway. “Since I’ve been here in the office, it’s got me thinking about doing some social work. So I’m thinking about going back to school for social services.” It was news to Beckwith, who turned with surprise to her sister, “I had no clue! I’m so happy for you!” As the sisters laughed together over the news, Aumoeualogo said, “It’s been something I’ve been thinking about. With this field supervisor position, I get to go out and assess the home and the client. So I’m excited about that experience.” For new Home Care Aides, the sisters recommend patience and problem-solving above all. “You got to be able to do a lot of problem-solving and finding solutions,” Beckwith said. “And to realize that the clients have lives before we got there. And some are flexible and some it just depends on the level of care they need.” Aumoeualogo advises, “Even when it’s your hardest day, just remember

it’s the smallest things that you do. Even just saying hello to your client.” She added that taking time to build a relationship goes a long way in making the work easier. “When you do that, you guys can ACRS move together as a unit.” n Insight SEIU Magazine 2014 Ad [11.25.14].pdf

1 11/25/2014

CMY

Hope and Opportunity in 40 Languages & Dialects Asian Counseling and Referral Service (ACRS) has been a proud partner of SEIU Healthcare NW Training Partnership since 2010. Together we bring multilingual and multicultural training to home care aides in Washington State. www.acrs.org 3639 Martin Luther King Jr. Way S Seattle, WA 98144 P 206 695 7600 | F 206 695 7606 WA Relay 800 833 6384

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Home Care Aide Tamara takes her dogs on a walk.

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AFTER THE

TRAUMA Home Care Aide Tamara shares her expertise in caring for a Consumer with post-traumatic stress disorder.

BY SHAUN SCOTT PHOTOS BY PAUL JOSEPH BROWN

ome Care Aide Tamara works with a Consumer who has never served a day in the military, but her experience with post-traumatic stress disorder (PTSD) is no less intense. Tamara knows all too well. For the last year, she’s worked as a caregiver for a survivor of domestic abuse (name withheld for privacy), who was diagnosed with a condition commonly associated with military veterans. “She used to be on heavy medication,” Tamara says on a sunny spring Friday. “But she’s growing, and she’s getting healthier.” The Mayo Clinic defines PTSD as “a mental health condition that’s triggered by either witnessing or experiencing a terrifying event.” The initial trauma can include anything from sexual assault to traffic accidents to experiences related to war. As relayed in countless movies and television shows, symptoms include nightmares, drastic mood swings, and flashbacks. A condition that affects the memory and psyche, long-term effects of PTSD can include personality disorders and identity alteration. For Tamara’s Consumer, it’s been years of “growing and getting healthier.” But it was only in 1987 that the official causes of PTSD were expanded to include a host of experienced, as well as witnessed traumas, such as domestic violence. “She acquired PTSD at a young age,” Tamara says. “Where is the help? How do you get out of a situation like that and never get back into it?” Tamara describes all the ways in which her Consumer’s condition has affected her life. She has difficulty trusting the people around her. Building a support system for Consumers like Tamara’s can be difficult, since every interaction is a potential trigger of their past. “People who talk about their own situations can trigger her in thinking about her own safety,” Tamara says. “She can be very paranoid and her senses are very heightened.” The eldest daughter in a family of nine, Tamara’s father passed away when she was just 10 years old. She credits her childhood—as well as her Oglala

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WHAT IS

PTSD?

Post-traumatic stress disorder can occur after you have been through a traumatic life event. A traumatic event is something terrifying that you see, hear about, or that happens to you.

80%

of Americans will experience a traumatic event in their lifetime.

“

I’ve just always seen how people have to take care of each other. -Home Care Aide Tamara Sioux ancestry and her background in livestock management—for her patience as a caregiver. Tamara says. “Through my life, I’ve always been a nutrition-conscious, healthy person. I worked 10 years as a machinist, another 20 years in construction, and I got my livestock master’s. I’ve just always seen how people have to take care of each other. Even in construction, you have health and safety concerns, and you need teamwork. You have to be

1 in 10 women will develop PTSD.

sensitive to who can’t deal with heights— with who might get motion sickness.” In Washington state, caregivers like Tamara are not alone in supporting Consumers with PTSD. The array of treatments for the condition are as diverse as the range of PTSD triggers; some of which are related to war-time experiences, while many aren’t. In Washington, traditional psychiatric treatment—often facilitated by mental health professionals—exists alongside novel methods such as medicinal marijuana. HelpGuide.org provides extensive online resources for caregivers supporting Consumers with PTSD. They recommend patience, self-education on the condition, and not pressuring your Consumer into seeking help or talking about their experiences. According to their guide, they recommend framing professional treatment in a positive light. “Emphasize the benefits. For example, therapy can help them become more independent and in control. Or it can help reduce the anxiety and avoidance that is keeping

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them from doing the things they want to do.” Located in Seattle’s Central District, The Samarya Center is pioneering a form of yoga treatment known as Integrated Movement Therapy. Molly Lannon Kenny is the center’s founder and director, and she advocates for a holistic method of healing for patients with conditions stemming from PTSD. “At Samarya Center, we provide a sense of wholeness, and we take judgment out of the equation,” Kenny says. “The most healing thing for people is to acknowledge that they’re valuable, and to let them know that nothing they’ve experienced or seen can take that away from them.” Kenny reasons that care is a two-way street, and insists that her instructors take an active, receptive attitude to caring for anyone who comes to The Samarya Center for treatment. “Our job as helpers,” she continues, “is to keep our minds open to complexity, and to keep our hearts free of judging others for situations that may’ve led them to acquire PTSD.” Kenny points out that,

Possible Causes & Events

Find Support

PTSD can occur after a traumatic event that you see, hear about or that happens to you, such as: • Sexual or physical violence • Serious accidents, such as car wrecks • Combat exposure • Natural disasters • Physical injury • Emotional Abuse

“Getting better” means different things for different people. But treatment such as counseling, and sometimes medication, can help you cope with symptoms from interfering with everyday life.

Common Symptoms

Take an online screening for PTSD through the Anxiety and Depression Association of America. www.myseiu.be/PTSDscreening

1. Reliving the event You may have bad memories, nightmares, or feel like you’re going through the event again. This is called a flashback. 2. Avoiding the situations that remind you of the event You may try to avoid situations or people that trigger memories of the trauma. You may avoid talking or thinking about the event. 3. Negative changes in beliefs and feelings You may feel fear, guilt or shame. Or you may not be interested in activities you once enjoyed. 4. Feeling keyed up (or hyperarousal) You may feel jittery, always alert and on the lookout for danger. Or you may have trouble sleeping or concentrating. “The thing about a PTSD diagnosis we often don’t talk about is that it isn’t just about something you’ve experienced, like war or sexual trauma. It can also be the result of something you witnessed.” Kenny believes that as a society and as individuals, our self-worth is constantly in danger. It is one reason why mental health is as important for Home Care Aides as it is for the Consumers they care for. Tamara recommends that HCAs caring for Consumers with PTSD look into resources for their own self-care. “Many Consumers with PTSD are on medication and not in good physical health,” she says. “When they’re stressed, you get stressed too.” The U.S. Department of Veteran Affairs has an extensive online PTSD Caregiver Support library at www.Caregiver.VA.gov. The VA also encourages HCAs to create space for themselves and acknowledge how caring for someone with PTSD can affect them. Their guide, “Creating Space for You,” says, “Your feelings are valuable sources of information about what you need, your

Talk to your Primary Care Provider about options available to you, like therapy and support groups.

The U.S. Department of Veteran Affairs has extensive resources for caregivers. Visit their site at www.Caregiver.VA.gov For in-depth articles on caring for a family member with PTSD, visit: www.HelpGuide.org Call the National Suicide Prevention Hotline for anyone in distress: 1-800-273-TALK. Sources U.S. Department of Veteran Affairs, National Center for PTSD Sidran Institute, “Myths and Facts about PTSD” HelpGuide.org, “Helping someone with PTSD”

own boundaries, and about what matters to you.” Taking time to pay attention to those feelings through journaling, meditation, talking to a friend, or therapy can help HCAs process their work as caregivers. With imaginations weaned on cinematic spectacles that celebrate the veterans’ valor, so much of our nation’s attention when discussing PTSD is focused on wartime experiences. And rightfully so. But trauma can also be tied to verbal abuse, sexual assault, and poverty, which are equally important causes of PTSD. Caregivers like Tamara are doing the work at home to make sure all citizens have a quality of life worth defending. Tamara says, “This isn’t just about PTSD. We all need taking care of.” Editor’s Note: The Consumer referenced in this story gave Home Care InSight permission to share information about her PTSD. Specifics about her past and identity are withheld for her privacy. n

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UR HEALTH

LIGHTEN YO UR LI FT PTSD

Addiction

Depression

Stress

Phobia

Anxiety

Fi nd suppo rt fo r yo u r o w n m e n t a l h ea lt h . Yo u a re n o t a lo n e .

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UR HEALTH

BY INSIGHT MAGAZINE STAFF

As a Home Care Aide, you know the importance of staying healthy. You know about preventive health visits, dental care and the importance of good nutrition and being active. But when you think about staying healthy, is your mental health part of the equation? Mental health is just as important to your overall health as physical health, although many people don’t think of it that way. In fact, according to the federal Office of Disease Prevention and Health Promotion, “Mental health plays a major role in people’s ability to maintain good physical health. Illnesses, such as depression and anxiety, affect people’s ability to participate in health-promoting behaviors. In turn, problems with physical health, such as chronic diseases, can have a serious impact on mental health and decrease a person’s ability to participate in treatment and recovery.” So why do so few of us take our mental health seriously? While stigma and lack of knowledge can be part of it, many people don’t know that help is available to them. Mental health support and treatment is now required by all insurance carriers, due to changes brought by the Affordable Care Act (ACA). For those receiving care through Apple Health or the Washington Health Benefit Exchange, Sound Mental Health is one of the largest mental health providers in the Puget Sound region. Steve McLean, director of communications, says, “Because of the ACA and Apple Health, many who could not afford quality mental health care previously, now have many resources available.” For members of the Health Benefits Trust, mental health care and treatment is a key part of the benefits that members receive.

For Health Benefits Trust members, mental health care and treatment can look like a number of things: • One-on-one therapy with a mental health counselor • Medication • Psychiatric care • Group therapy • Support from your Primary Care Provider Often, the first step to getting care is talking to your Primary Care Provider. Let them know you would like to access your mental health benefits and that you are aware of the different options available to you. With your input and preferences, they can help guide you to the care that is best for you. Sarah Stuckey, a Group Health behavioral health expert, says one of the biggest challenges for anyone seeking out mental health help is the stigma or stereotypes they perceive as being associated with it. “[People worry about] how people are going to see them, especially when the issues are around substance abuse.” The second biggest hurdle is trust – they are hesitant to share personal feelings with people they don’t know. “They say, ‘People don’t know me, they’re not going to understand,’” Stuckey says. Stuckey says that changes in how people behave and trouble sleeping are a couple of the most common signs that something might be amiss and that it may be time to seek a mental health expert to talk with. Other signs include increased irritability, more anger than usual, and decreased hunger or overeating.

Mental health is just as important to your overall health as physical health, although many people don’t think of it that way.

Writer Niki Stojnic contributed to this report.

Steps to Fi ndi ng H el p

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UR HEALTH

10 Common Signs of Depression and/or Anxiety More irritability. Example: The behavior of children, partners, or friends may be more annoying than usual. More frustration than usual and that lasts longer, like when you are stuck in traffic. More anger Difficulty sleeping, interrupted sleep, sleeping more than usual, or not being able to return to sleep after waking.

If you can check off two or more of these, you may have symptoms of depression, anxiety, or both. They may show up slowly or arrive suddenly. Thoughts that you would be better off dead. Trouble focusing on simple things. People in your life noticing you are very distracted. Feeling nervous, on edge, and/or unable to calm yourself down. Not being able to stop worrying.

Decreased hunger, maybe even missing meals.

Health Benefit Trust Members Steps to Finding Help: Your insurance includes mental health and chemical dependency services. Your copay for one-on-one mental health visits is $15.

STEP

Make an appointment with your Primary Care Provider (PCP) to talk about your concerns and hear options available to you. Or call Group Health Behavioral Services directly (1-888-287-2680) to get a personalized screening and determine the best next steps for you. Making this call can be the hardest step. But know that it is the first step on your road to a happier, healthy life.

STEP

Start meeting with your new mental health professional or support group. It is OK to feel nervous at your first session. A counselor, for example, is on your side, there to listen to your concerns, and suggest tools, ideas, and resources for your work and personal life.

M ake t he Ca ll To da y : Group Health members: • First time appointments: call 1-888-287-2680 or 206-901-6300 • Urgent or crisis care, call the Consulting Nurse Service: 1-800-297-6877

With a referral to Behavioral Health Services, make an appointment for a mental health visit. In this visit, you will discuss specific options from one-onone therapy, group therapy, medication, or a combination.

STEP

Kaiser Permanente members: • Call, e-mail, or schedule online with your doctor • Call for therapy and counseling services: • Vancouver: 360-571-3133 • Longview: 360-575-4821

Call 911 if you or a friend show any signs of self harm. You can also call the 24-hour Washington Recovery Help Line at 1-866-789-1511. 18

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Insured Through Medicaid or Affordable Care Act? Here are a few of the mental health organizations around the state. Many are Medicaid-eligible or covered by insurance. Visit their websites for more information.

NORTHWEST Compass Health: Island, San Juan, Skagit, Snohomish, Whatcom

WESTERN WA

KING COUNTY

Sea Mar Community Health Centers:

EASTERN WA

Sound Mental Health (206-302-2300) Consejo Counseling Seattle Counseling (LGBT) Asian Counseling & Referral Services Valley Cities (mental health services):

Clallam, Clark, Franklin, Grays Harbor, Island, King, Pierce, Skagit, Snohomish, Thurston, Whatcom Counties.

Kent, Auburn, Federal Way, Renton

Frontier Behavioral Health

CENTRAL

PIERCE COUNTY

Comprehensive (mental health services):

Comprehensive Life Resources

Cle Elum, Ellensburg, Sunnyside, Yakima, Goldendale, White Salmon

SOUTHWEST

TRI-CITIES

Columbia River Mental Health Southwest Washington Behavioral Health

Tri-City Mental Health Services

Online Resources:

We Need Talented and Dedicated Home Care Aides Addus HomeCare has provided a full range of in-home services since 1979. Today, Addus is one of the largest providers of home care services in America. We are looking for passionate individuals to join our team at Addus HomeCare.

HCA Voices: HCAs Ben and Lateena share their experiences seeking support for their depression and how it changed their lives. Watch it online at www.myseiu.be/mhstories

If you have caregiver experience or are interested in entering the field of home care, call Addus at:

888-233-8746 Looking for Home Care Aides for our offices in:

Free App - Smiling Mind Developed by psychologists, this mindfulness meditation app provides tools and exercises for anxiety, depression, stress, and more.

Colfax • Colville • Longview • Pasco • Seattle Spokane • Vancouver Walla Walla • Yakima

www.addus.com

Serving Families at Home Since 1979

INSIGHT MAGAZINE

SPRING 2015 19

UR HEALTH

HURT AT

WORK 7 common ways Home Care Aides are hurt on the job and how to file your claim BY SARA MCCASLIN & STAFF

id you know that agency-based Home Care Aides are 450 percent more likely to report a workplace injury than Individual Provider HCAs? When you provide care to a family member, friend, or Consumers, it can be difficult to know when an injury happens “at work.” A good rule to go by: If you are injured performing any tasks on your Consumer’s Care Plan, you can file for worker’s compensation through the Washington State Department of Labor & Industries (L&I). Here are the most common injuries HCAs reported in 2014. n

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Overexertion Back injuries or other types of muscle strains from lifting or transferring a Consumer are easily the most common HCA injuries. Practicing proper body mechanics learned in Basic Training will go a long way in preventing injuries. But when you do overexert yourself, an L&I claim can help you get the care you need to prevent further injury.

Assaults by Animals While a dog or pet can provide valuable companionship to a Consumer, he can also be an occupational hazard for many Home Care Aides. If you are on the clock in your Consumer’s home, a dog bite, tripping over a pet or other type of animal-related injury can be covered by an L&I claim.

UR HEALTH

The categories below are common types of injuries you can file on an L&I claim. However, even when you cannot name your injury, your doctor and L&I can help you file your claim.

Falls and Tripping Loose cords and rugs are common tripping hazards in a Consumer’s home. Discuss moving these items with your Consumer so they are out of the way or secured to prevent falls. Struck by Object Objects can often fall from a shelf or be bumped into accidentally. For regularly used items such as cooking oils, try moving them to a more accessible spot in the kitchen versus a high shelf above the stove. It is also common for HCAs to be hit by objects thrown or knocked over by Consumers. It is important to report your L&I claim so that your medical bills can be covered and you stay safe.

Repetitive Motion These are tissue injuries that occur from doing everyday tasks over and over, such as scrubbing floors and ironing, and reaching, lifting, and pulling objects. Symptoms can include pain, tightness, dull ache, and throbbing. Your doctor can help diagnose this type of injury and help you file the appropriate L&I claim.

Bodily Reaction Similar to overexertion, bodily reaction is an injury from bending, pinching a body part, reaching, or standing without necessarily falling. For example, an injury could occur when lifting a heavy laundry basket or trying to catch a Consumer mid-fall.

Car Accident If you are in a car accident while transporting your Consumer or if you are on your way to or from providing care, you can qualify for worker’s compensation. Even though you may not be on the clock, an injury during your commute can be covered by L&I.

Next Page: Steps to Report Your Claim You can receive worker’s compensation to cover your medical bills and a portion of lost wages when you know the steps for reporting.

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SPRING 2015 21

UR HEALTH

Steps to Reporting Your Injury When you are injured at your Consumer’s home or your own home as a family caregiver, report your injury to Washington State Department of Labor & Industries (L&I). If your claim is accepted, you will receive worker’s compensation to pay for medical care directly. If you are unable to work following your injury, you may be eligible for a portion of your lost wages.

Step 1: Injured at Work

Step 3B: Rejected Claim

•

Claims can be rejected if the doctor cannot certify your medical condition is related to something specific that happened at work or an occupational disease.

•

Get first aid. Many falls, cuts, and sprains can become serious injuries if they aren’t treated right away. If you are injured at work, go to your doctor, nearest Urgent Care center or, for severe injuries, the Emergency Room. Let them know you were injured on the job and they will assist you in filing the worker’s compensation claim. Let your employer know right away about your injury.

For IPs: Ask your doctor for the “Report of Injury or Occupational Disease” form. List your employer as: HCQA Negotiated Contract 601 Union St., Suite 3500, Seattle, WA 98101.

Step 2: File a Claim You can file an accident report for your injury at your doctor’s office, over the phone to the L&I office at 1-877-561-FILE (business hours only), or online at www.LNI.WA.gov. Remember to: • Complete all required paperwork and keep copies of everything for your records. • Read all paperwork carefully and respond promptly. • Put your claim number on your paperwork and have it ready when you call L&I and your employer. For IPs: A company called Sedwick CMS will manage your claim. Contact them toll free at 1-866-897-0386.

Step 3A: Approved Claim L&I will approve your claim if your doctor certifies that you were injured at a specific time and place at work, or if you have a disease or disorder caused by your work. Benefits cover medical bills. They also may include wage replacement, return-towork help, and disability for the severely injured.

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You and/or your doctor have the right to protest any decision made about your claim online at www.lni.wa.gov. Appeals can be made directly to the Board of Industrial Insurance Appeals.

Step 4: Get Back to Work Some injured workers miss days of work while they recover. However, many can return to work gradually, while still receiving medical benefits. Returning to work as quickly as possible is a team effort between you, your doctor, and your employer. Stay in touch with them. L&I will provide assistance when you need it.

Step 5: Close Claim Claims are closed when: • Your doctor certifies that further treatment won’t improve your condition. • L&I has no new information showing you need further assistance. • Your treatment was successful! (In these cases, L&I accepts and closes your claim at the same time in a “Notice of Decision.”) HBT Members: Your insurance coverage through the Health Benefits Trust will NOT be affected by reporting your injury to L&I. You can continue to use your current benefits while collecting additional benefits from L&I.

Learn more and file your claim at www.LNI.WA.gov

UR HEALTH

dodge the er bill find the right place for your care BY SHAUN SCOTT

headache. A sudden spat of soreness. Bronchitis. Pink eye. For those in need of immediate care for a health condition, the closest emergency room can seem like the first and best option. But healthcare professionals are starting to think twice about that and Home Care Aides (HCAs) should, too. New data show that the tendency to choose the ER over local Urgent Care centers costs patients and insurance networks millions of dollars. More importantly, many conditions may also be treated better and faster at your Primary Care Provider or Urgent Care. Less personal care and higher costs to patients are just some of the pitfalls of an unnecessary ER visit. Headaches, common colds, back pain, and urinary tract infections are the most common reasons patients go to the ER when an Urgent Care or doctor visit would be a better option, and less expensive. This wasteful cost is pushed on to patients. WHY WE GO TO THE ER Did you know more people visit the ER for a cold than for a broken leg? According to Group Health, 1 in 2

emergency room

re urgent ca doctor’s office

$200 copay

$15/30 copay* *Above copays are $15 for Group Health members and $30 for Kaiser Permanente.

HCAs who visit the ER do lagher remembers a recent not need to be there. painful injury where he had When a sudden injury or to decide where to go for illness happens, going to the care. ER is often our first instinct. “This past January, on a You might have a bad cough Saturday, I developed sciatithat won’t stop at 3 a.m. ca,” he says. “Horrible pain. or a back injury and the Unrelenting pain. I could’ve closest medical center is an gone to the ER, where they emergency room. For some would do some imaging, or in rural conduct parts of the some tests state, an that would emergency lead to room might more tests. be the Instead, only option I went to available. Urgent Care John and was Gallagher, diagnosed director of fairly Data via Group Health on HCA ER use communiquickly.” cations and Gallagher development for Washingnow wants to help others ton Health Alliance, uses make the best decision data from insurance claims for their own care. “I feel to take action on wasteful fortunate that I knew what trends in healthcare. Galwas happening to me, and

1 in 2

HCAs in the ER do not need to be there.

I knew that the ER probably wasn’t going to make it any better—just more expensive.” FINDING OTHER OPTIONS While the ER may be open late and the closest option, a little bit of planning can help you dodge that $200 copay bill when the need arises. Marissa Brooks, SEIU Healthcare NW Health Benefits Trust’s director of Engaged Sponsorship, sees the opportunity for how Home Care Aides use emergency rooms. Brooks and her colleagues are working to share this information with HCAs across the state. “E-mails. Postcards. Pretty much everywhere HCAs go to get information about healthcare, we engage them about the importance of making the right choice.” When a member visits the

INSIGHT MAGAZINE

SPRING 2015 23

INSIGHT MAGAZINE

ER = Emergency Room UC/PCP = Urgent Care/Primary Care Provider

1. BACK ACHE

2. MIGRAINE

3. CHEST PAIN

ER UC /PCP

4. SEIZURES

5. COLD OR FLU

H AHH ER UC /PCP 7. MINOR ASTHMA ATTACK

ER UC /PCP 8. Urinary Tract Infection: UC/PCP 9. Eat/Drink Poison: ER

SPRING 2015

Check whether you would go to the ER or to Urgent Care/Primary Care Provider for the following illnesses and injuries. Check your answers below.

6. SEVERE ASTHMA ATTACK

O CHO

ER UC /PCP 8. URINARY TRACT INFECTION

ER UC /PCP 5. Cold/Flu: UC/PCP 6. Severe Asthma Attack: ER 7. Minor Asthma Attack: UC/PCP

TAKE THE QUIZ: WHERE WOULD YOU GO?

ER UC /PCP 9. EAT/DRINK POISON

ER UC /PCP ANSWERS 1. Back Ache: UC/PCP 2. Migraine: UC/PCP 3. Chest Pain: ER 4. Seizures: ER

ER for something that could be better treated elsewhere, the Health Benefits Trust sends the member a postcard reminding them of other options. Brooks reminds us that people with threatening and debilitating issues such as compound fractures, severe burns, and uncontrollable bleeding are always advised to visit the ER. But Urgent Care or Primary Care Providers can best treat allergies, migraines, and sore throats, where the insurance copay will only be $15 (Group Health) or $30 (Kaiser Permanente), rather than $200 for the ER. There is also a 24-hour nurse consultant line that HCAs can call for advice about what action to take. “This is an issue that costs members millions of dollars in unnecessary claims,” Brooks says. “And it costs the HCA $200 outof-pocket to go to the ER, when the majority of the symptoms that lead people to go there can be treated elsewhere.” But if we find the best places to get care instead of the ER, it could result in a savings of at least $13 million annually in the Puget Sound region and bring costs down for all HCAs in our community. Find your nearest Urgent Care Center today: Group Health: visit myseiu.be/GHLocations 24-hour Advice Nurse: 1-800-297-6877 Kaiser Permanente: visit myseiu.be/KPLocations 24-hour Advice Nurse: 1-866-453-3932

Home Care Aide Isabel Palma assists her Consumer, Rebecca Shimko, with stretches.

ISABEL

Reclaiming Peace Home Care Aide Isabel Palma rebuilds life in Washington 30 years after escaping civil war in El Salvador.

BY EVA LOOPER GANTALA PHOTOGRAPHED BY PAUL JOSEPH BROWN

1984 was a frightening time for Home Care

when she knew her family would not be safe.

Aide Isabel Palma. Civil war had erupted

With the help and advice of her brother, she

in her country, El Salvador. She knew of

decided to bring her family to the U.S. where

people who had disappeared and no one

she hoped to get political asylum. Isabel fled

knew what happened to them. And while in

her country with her mother, two daughters

Guatemala, Isabelâ&#x20AC;&#x2122;s husband and brothers

and her 8-month-old son.

were assaulted.

Today Isabel and her familyâ&#x20AC;&#x2122;s lives look

One evening while waiting for a bus,

much different in Blaine, Wash., which sits

things got worse for Isabel. Men approached

right on the border of Canada. She now works

her about stealing antibiotics, painkillers,

as an Individual Provider Home Care Aide

and medical supplies from the government

for a Consumer with quadriplegia and as a

hospital where she was doing her practicum

Nursing Assistant in a 32-resident facility.

as an Auxiliary Nurse (similar to an LPN in the

Most of her life she has worked two jobs

United States). Isabel refused to cooperate,

and continued to go to school to support her

but she knew the men were still watching her

family.

and later tried to force her into a car. That is INSIGHT MAGAZINE

SPRING 2015 25

Left: Isabel and her husband, Jose, both Home Care Aides, at their home in Blaine, Wash. Isabel escaped El Salvador during a civil war in order to protect the lives of her family and young children. Above: A shift schedule at Isabel’s residential facility leaves little time for Isabel to create a more personal relationship with her Consumers. Right: Isabel checks patient charts on a shift at her residential facility, where she works as a Nursing Assistant. Far right: Isabel most enjoys her work as an Individual Provider Home Care Aide to Consumer Rebecca Shimko, where she can provide more personalized care. You said you had to sneak out of El Salvador when you left. How did you do that? Yes, I did sneak out. I hired a man to get us out. I paid him $3,000 for each person. My mom, my two daughters, my baby son, along with my sister-in-law and her children, and I left after dark. The man I hired drove us to Tijuana. We had to walk to the United States from there. We went through a tunnel and into the mountains where men with guns robbed us. They took $600 from us but thankfully they let us go and didn’t hurt my children or me. We made it across the border and into San Diego. But then we got caught by immigration officers. We were all arrested and spent the night in jail. We were so frightened we would be sent back to El Salvador. Because we asked for political asylum, they let my brother bail us out the next day, but it cost him a lot of money. We were so thankful they let us go. We got work visas and jobs in Texas. I took the Fundamentals of Care Giving course, but caregiving was such a low paid job in Texas I had to find another way to make a living. So I got a job in a dry cleaner. My grandmother had taught me to sew when I was young and I could do alterations for the dry cleaner. Were you granted asylum in the U.S. at that time? No. Immigration wanted more proof that I was in danger in El Salvador. I told my story

but I had no one to back it up. There was no one left in El Salvador for Immigration to contact about me. So political asylum was denied. When my immigration officer said my work visa was going to expire, I was afraid of being deported. That scared me but I kept this from my children. At that time the church had a program to help people from Central America apply for political asylum in Canada. So the church helped us fill out all the paperwork and Canada gave us permanent resident status. We lived in Canada for six years. What was Canada like for you? Canada was good. They had programs to help immigrants get established. For example, we could have gone to school in Canada to learn English and the government would support us for a year. But we thought since we were there and we were safe, we should provide for our family and not take support from Canada. So we worked very hard at two jobs and we didn’t have time to go to the English classes. I did take the Home Care Attendant course there. It was six months of training. But now we think we made a mistake. We should have taken the English classes too. Our grandchildren tease us now because we speak part Spanish and part English. We call that Spanglish. Do your children and grandchildren speak both languages?

My children do, and my younger grandchildren, too. But the older grandchildren, no. They only speak English. Their father was American and he thought the children should speak English. Now we realize that knowing both languages would be valuable to them. My granddaughter works as a manager and she is learning to speak Spanish now because it helps her in her job. It is good to be bilingual. How did you get started in healthcare and caregiving? I had three sisters-in-law who were nurses. When I was only 13, one of them took me to the hospital with her. She taught me how to give injections and how to draw blood, which you could do at that time without a license. I spent a lot of time in the hospital visiting my sister-in-law and learning from her about nursing. After I started nursing school, my father had five strokes and got sick. I had to take care of him and that is when I decided the kind of work I wanted to do was caring for others. How does your experience as an HCA compare to working in a residential facility? In the residential facility there are schedules for most things, like showers, time to get up, mealtime, and giving medication. We take them to the dining room and back to their rooms and help get them ready for bed. We do their laundry and help them

dress. I do those same things for my Consumer at home, but in the facility we have to do it according to the schedule. At home, they get to decide when they want to have a shower, get up in the morning, or eat. It is more flexible. At the facility we don’t take the residents shopping, to doctor appointments, or go out for walks. In home care, we do those things for our Consumer. We also cook and clean for them. I think there is more interaction with them at home. I can suggest things to do since I don’t have to keep a certain schedule. I can take my home client outside for a walk or to enjoy the beautiful day or take her to the mall if she wants to go. The HCA has a more personal relationship with their clients because of being in their home on a daily basis. What is the hardest job you have to do for your residents? The hardest thing I have to do is wake them up in the morning. Some of them don’t like to get up early but they have to get up even if they don’t want to. I have to help them get dressed, wash and do their teeth, and get them to breakfast. I have to keep their schedule. What techniques do you use to connect with your Consumers? When you open the door to the clients you have to leave all your personal prob-

lems outside and bring a big smile to them. All the worries in my life, they don’t need to know. They are expecting support from me. Sometimes they are depressed or sad and they don’t need to hear the problems I have with my husband or children. They have the same kind of feelings for us as we have for them. And our problems make them worry and sometimes they feel like they have to help. We are there to help them not the other way around. What do you miss most about El Salvador? A lot of things. Good things. Authentic food. Visiting family and celebrating with them and going to the beautiful beach we have. And I miss the weather. The weather is so beautiful there. We celebrated Christmas and New Year’s and Good Friday with a big party at the beach. What traditional recipes do you like to make? Pupusas! It is a very famous and traditional food and everybody likes them but it’s not so easy to make. It’s made with masa harina (corn flour) and it’s like tortillas but thicker and softer and filled with chicharron (pork). The chicharron is the hardest part but you can make them with cheese and beans. Or it can be made with different fillings, like bell peppers or even zucchini. We have a dessert called Arroz con Leche (rice and milk), and it’s

good and sweet. Yuca (cassava) is a salty dish. You can boil it or fry it and put it with coleslaw and salsa. The skin is hard to peel but you can buy it at a Mexican store already peeled. What is the most rewarding part of being a Home Care Aide? When I make someone laugh with my crazy sense of humor. I like to joke around with them. I say, “Hey, it is shower day and it is raining outside, so let’s go out and get your shower.” That makes them laugh. I have one tiny lady who is 98 and she has to take half a tiny pill, so I tease her. I say, “I have a tiny pill for a tiny lady. Who’s this tiny pill for?” She gets so excited and says, “Me, me!” and she laughs. What advice do you have for other HCAs? This job (home care or residential care) is to help us to survive but it is a job that requires feelings. If you don’t have the feelings (compassion), don’t do this job. I’ve seen both sides of good and bad in coworkers. I heard one coworker say that this elder lady is crazy. She is not crazy. She has dementia. Don’t get stressed if your client repeats the same story every day. Just enjoy them. I really love this job. I even recruited my husband. He is now a caregiver too. Think about someday it may happen to you and how you would want to be treated. n INSIGHT MAGAZINE

SPRING 2015 27

Pupusas are a delicious, traditional Salvadoran dish that are easy to make using affordable ingredients such as cheese and beans. Whether it reminds them of home or is a brand new experience, have fun trying this recipe with your Consumer. Special thanks to Salvadorean Bakery in Seattle for the recipe. Photo by Paul Joseph Brown.

Quick & Easy

Pupusas PUPUSAS DE QUESO CON ESPINACA (SPINACH & CHEESE PUPUSAS) Servings: 8 pupusas Total time: 30 min Cost: $3.50 (based on avg. food prices) Ingredients: • 2 cups masa harina (often in the Mexican food section of most grocery stores) • 1 cup warm water • 1/2 cup chopped spinach • 1/2 cup shredded white melty cheese (Monterey jack, mozzarella) • 1 tomato, diced • 1/4 cup onion, diced • 1/2 tsp salt • Olive or vegetable oil 28

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Directions: 1. In a large bowl, combine masa, water and salt. With lightly oiled hands, mix until dough comes together into a moist but firm ball. 2. Separate dough into 8 equal pieces. Roll each into a ball with your hands, adding water if cracks form. 3. Use your thumb to create a small pocket in the center of the ball. 4. Mix together spinach, cheese, tomato, onion and salt in a small bowl.

5. Fill about 1 1/2 tbsp of the mixture into each ball. Pinch the edges of the dough together to close the hole. 6. Flatten your ball of masa by gently shaping the ball with your thumbs and palms. 7. Heat about 1 tbsp of oil in a skillet over medium-high heat. Place a couple pupusas at a time in the skillet and cook both sides about 2-3 minutes each. You are looking for a nicely toasted, light-brown crispiness. 8. Serve pupusas warm with salsa, curtido (pickled cabbage), sour cream or your favorite toppings.

WHERE IN THE WORLD

SPOTLIGHT ON:

EL SALVADOR

BELIZE

MEXICO GUATEMALA

EL SALVADOR

HONDURAS

NICARAGUA

Above: A coffee farm in El Salvador produces one of the main exports in the country. Photo courtesy of Coffee Historian. Below: A farmer stands in his pepper field. Photo courtesy of Bread for the World. BY ANNA GOREN

hough Mexican-Americans are the largest and most visible immigrant community in the United States, nearby El Salvador has a unique and lesserknown history and culture. The country is the smallest and most densely populated in Central America – home to 6.3 million people. Imagine the entire Washington state population living just on the Olympic Peninsula. Salvadoran cuisine features rice, tropical fruits, coffee, sugarcane, and a Central American staple: maize, or corn. With these ingredients, El Salvador has become widely known for its signature dish, pupusas. (Try your hand with the delicious recipe on the left.) The majority of El Salvador’s population is Christian, largely divided between Evangelicals and Roman Catholics. Many of the country’s iconic figures have been beloved religious leaders, such as Archbishop Oscar Romero, who was assassinated after speaking out for farm workers and for justice. In the wake of a bloody civil war, a slew of natural disasters, and a recent exodus of unaccompanied minors, there are now over 2 million Salvadoran immigrants currently living in the United States. After independence from Spain in 1821, El Salvador built up an elite oligarchy that centered around the main agricultural exports: indigo and coffee. The Salvadoran Civil War in 1979 sparked a surge of refugees fleeing violence

and economic turmoil. The conflict began between the militaryled government of El Salvador and the guerilla groups of the Farabundo Martí National Liberation Front (FMLN). The war saw nearly 12 years of violence using tactics such as death squads, kidnappings, and child soldiers. Over 75,000 were killed, and thousands disappeared. By the end of the war, nearly 30 percent of Salvadorans had fled their country, nearly half of them to the United States. The United States played a large role in the conflict, seeing the war as an arm of the Cold War with Communism to defeat. As a result, U.S. presidents continued funneling aid to a Salvadoran army that kidnapped and murdered thousands and trained the army at the School of the Americas. At the end of the Cold War, the United States saw El Salvador as less of a strategic interest and began to cut military aid, and finally put pressure on the government to negotiate a treaty to end the war. Today, Salvadoran communities in the U.S., like Home Care Aide Isabel Palma and her family (page 25), come largely from this time period. The conflict left a generation of children marked by war, nearly 2,500 of who were sent to the U.S. as orphans. Many young men came as refugees, hoping to escape inevitable draft into the military or as guerilla fighters. Researchers are now looking at the psychological impacts this has had

on a generation of Salvadorans with posttraumatic stress disorder. (See our article on PTSD on page 13.) On Sept. 1, 2013, the Salvadoran Attorney General’s office announced it would open investigations into key wartime massacres. That same year, the University of Washington’s Center for Human Rights launched an ongoing project, Unfinished Sentences, to bring international awareness to the wartime crimes. Director Angelina Snodgrass Godoy is currently working with Salvadoran groups to reunite children of war who grew up in the United States, with their families in El Salvador. “Some of them have been searching for nearly 30 years,” Godoy says, who noted that though Americans adopted children out of blind faith, many were forcibly removed from families as agents of war. “It’s an honor to be just a small part of that.” n INSIGHT MAGAZINE

SPRING 2015 29

UR HEALTH MEMBER OFFER

$100

Earn 100 $

For Using Your Health Benefits Until July 31: Health Benefits Trust plan members can earn $100 simply for using three of your health benefits below!

1. YOUR HEALTH PROFILE

2. PREVENTIVE CARE VISIT

3. DENTAL CLEANING/CHECKUP

Fill out your Health Profile online so you can identify possible health issues with your doctor. Your Health Profile can also help you track your health progress over time.

Use the online provider directory to choose a Primary Care Provider who’s a good match for you. Then make a preventive care appointment to discuss your health needs with your new provider!

Your oral health is an important part of your overall health. Choose a dentist, complete a cleaning – smile!

Find a provider today: Group Health www.MyGroupHealth.org 1-888-901-4636 Kaiser Permanente www.KP.org 1-800-813-2000

Call to find a dentist: Delta Dental 1-800-554-1907 Willamette Dental 1-855-433-6825

JULY

WHAT HAPPENS NEXT? Complete all three before July 31, 2015. If you are with Group Health, you will receive a check from the Health Benefits Trust for $100 within 6-8 weeks. If you are with Kaiser, contact the Health Benefits Trust at 1-866-771-7359 after completing all incentive activities.

If you are currently on a Health Benefits Trust Point of Service, or “POS” insurance plan, you can earn $75 by switching to an HMO plan.

$75

Earn $75 for switching to our HMO Plan 30

SPRING 2015

INSIGHT MAGAZINE

Switching your plan helps us provide you with high-quality insurance and saves costs so that we can increase access to quality, affordable care. And it allows you to continue your current doctor-patient relationship with your Group Health provider.

What will change when I switch to the HMO plan? • You will have no deductibles. • If you currently see a doctor outside the Group Health network, you will have to switch to a Group Health doctor on the HMO plan. • The HMO plan does not cover any services outside of the Group Health network. • This is a one-time change. Once you change your plan, you cannot switch back to your original plan.

For full information visit: www.myseiubenefits.org/make-the-switch-hmo Or call the MRC at 1-866-371-3200

UR HEALTH

HEALTH BENEFITS QUICK START Check Your Eligibility for Health Benefits

Apply

Look for Your ID Card

Individual Providers: You can apply by logging in to www.myseiubenefits.org and filling out the application form. Agency Providers: Talk with your employer about applying.

After you are found eligible and pay your $25 premium, you will receive an ID card in the mail. You will need the ID card number to access your benefits. If you do not receive the card by the 15th of the month that your coverage starts, call the MRC at 1-866-371-3200.

Complete a Preventive Care Visit*

Complete a Dental Cleaning/Checkup*

Locate Your Nearest Urgent Care Center

Manage Your Prescriptions

Use the online provider directory at www.ghc.org or www.kp.org to choose a Primary Care Provider who’s a good match for you. Then make a preventive care appointment or call to schedule. Group Health 1-800-901-4636 or Kaiser Permanente 1-800-8132000.

Your oral health is an important part of your overall health. Choose a dentist, complete a cleaning – smile! Delta Dental 1-800-554-1907 or Willamette Dental 1-800359-6019.

As soon as possible, you should identify the closest Urgent Care center to you for when you need Urgent Care treatment. You can find Urgent Care centers online at www.ghc.org or www.kp.org.

If you have existing prescriptions, have them transferred to Group Health or Kaiser Permanente. Next, set up mail-order prescription refills online or through customer service to save money and time.

You must work at least 86 hours per month for three consecutive months to be eligible to apply for Health Benefits Trust benefits. You do not need to wait until you are eligible to apply, you can complete the application form after you’re hired.

BRAND NEW!

Combine your hours to qualify for health insurance SEIU Healthcare NW Health Benefits Trust has started a new pilot program, called Combined Hours. This program allows us to combine all of your service hours worked during a month for all of your employers. We will then use this information to determine your eligibility to receive healthcare coverage through the HBT.

Complete Your Health Profile* Complete the online Health Profile after registering online at www.MyGroupHealth.org or www.KP.org.

*Earn $100 for using these benefits! See details to the left.

The Combined Hours Provider program applies to both Agency Providers and Individual Providers.

How much is the premium? $25 per month.

What does it mean to combine hours? If you work at least 86 hours between two different employers, we will combine those hours and you will be eligible for HBT coverage.

How is the premium paid? Self-payment. You will need to submit payment by the 10th of each month. No payment will be auto deducted from your paycheck.

Ex.: You work 43 hours as an IP and 43 hours as an AP, and separately you do not qualify for coverage. However, by combining the hours, you qualify because you work 86 hours for the month.

For more information, call the MRC at 1-866-371-3200

How do I enroll? If you qualify for the Combined Hours program, you will receive an enrollment form in the mail to complete and return.

INSIGHT MAGAZINE

SPRING 2015 31

YOUR TRAINING

Dept. of Health Certification Follow the Steps for Success

In an effort to help workers be successful through the process, partner organizations such as the Department of Social and Health Services and the Training Partnership are working to help share information about the DOH exam with workers. If you are required to become certified, the Training Partnership is currently recommending the following timeline to allow ample time to work through the certification steps. The steps below outline the SUGGESTED timeline for the process.

ONLY FOR WORKERS WHO REQUIRE CERTIFICATION

Prior to Providing Care: Take Safety & Orientation

STEP 2: Register for Training Individual Providers:

•

Watch the Safety & Orientation DVD that was provided to you at time of hire. Call to confirm completion 1-866483-1397. You will need your confirmation number and the last 4 digits of your Social Security number. Complete prior to providing care. All workers are required to complete a name and date of birth background check before you can begin work. You will work with the contracting staff to complete this. After the name and date of birth background check is complete, you are required to schedule a fingerprint appointment. Talk with your employer for directions on how to complete this.

STEP 1: Submit DOH Certification Application DOH requires that you submit your application to become a Home Care Aide within 14 days of hire.

NOTE: If you are limited English proficient (LEP) you must indicate this on your initial application. This means if your ability to read, write or speak English is limited you may be issued a provisional certification allowing up to 60 additional days to become a certified HCA.

The Department of Health (DOH) is responsible for the certification process. This is the WA state agency responsible for issuing the Home Care Aide credential (HCA). DOH contracts with a testing company named Prometric to implement the HCA written and skills test.

SPRING 2015

INSIGHT MAGAZINE

•

Create your username and password to log in to the portal at www.myseiubenefits.org. Go to the website www.myseiubenefits.org to register for training or call the Member Resource Center at 1-866-371-3200.

Agency Providers: •

Check with your employer on the best way to register.

STEP 3: Submit Candidate Exam Application Immediately upon registering for training, download and read the Candidate Information Booklet and the Sample Candidate Application Form. • Download the Candidate Application Form and submit the application form and fee to Prometric to be scheduled for a Home Care Aide Exam. • On the application form you will attest that you are in training and to the estimated date you will complete the required 75 hours. You should allow four weeks for your application to be processed. Download the forms at www.prometric.com/WADOH.

STEP 4: Target Completion of Basic Training Take your training as soon as possible to ensure best access to classes in your area and your preferred language.

STEP 5: Self Study and Prepare for Exam To prepare for the exam, review “Exam Preparation Materials” found on the Prometric website for the HCA Exam. • There you will find practice questions, skills checklists, and instructions that will help you be successful in the exam. • In addition, review the Practice Exam. www.prometric.com/WADOH

STEP 6: Take Exam Report to test location prepared to follow testing guidelines in the Candidate Information Booklet and General Instructions. www.prometric.com/WADOH

STEP 7: Get Certified Your results are reported to DOH and they will send you a letter confirming you are officially certified. • You can check the DOH website listed in Step 2 to see if your certification is Active. • If you are Pending it means that DOH does not have all the information they need to complete certification. • Make sure you have fully completed the application, completed the background check, fully explained any personal history that could affect your ability to get certified and you have successfully passed your written and skills examination through Prometric.

YOUR TRAINING

DOH/PROMETRIC EXAM

Frequently Asked Questions Q: What happens if I don’t apply to the Department of Health (DOH) / What happens if I don’t send in my application to DOH? A: You must submit applications to the Department of Health (DOH) within 14 days of the date approved. This is important because the Department of Health issues the candidate ID number or HM # needed to apply to Prometric. If there is no application with DOH, there is no data to match and payment cannot be confirmed between the Training Partnership and DOH. Q: When can I send my application to Prometric? A: Send your application to Prometric as soon as you know your training completion date. This is important because sending applications through the mail can take a couple of weeks to reach Prometric. (Applications submitted online are preferred.) If there is no application with Prometric, there is no data for the automated systems to match between DOH and Prometric.

Q: Does my information need to be the same on the DOH application and the Prometric application? A: You must give the exact same first name, last name, birthdate, and Social Security number on both the DOH and Prometric application. Make sure you use the exact HM number given to you by the Department of Health to put on the Prometric application.

date to reach Prometric. Prometric assigns an exam date and sends the notice out the day they receive verification of your payment. If you submit an e-mail address on your application, you will receive that notice the same day Prometric receives verification of payment. There are some cases where Prometric is working to obtain an interpreter or testing site date. However, if you don’t receive notice of a testing date within two weeks of training completion it may be because there is an error in your data and payment verification did not reach Prometric. If this is the case, call Prometric at 1-800-324-4689.

For example, you cannot use Robert on one application and Bob on another application. Do not include hypens in your name. Also, your birthdate must match exactly in all applications. If any of your data doesn’t match, Prometric will not get confirmation of payment and you will not be able to schedule your examination (until the data is corrected).

Q: What should I do if Prometric tells me they have not received payment for the exam? A: If Prometric tells you that they did not receive your payment (and it’s two weeks after the training completion date), contact the Department of Health at 360-236-2700 immediately. DOH staff will then research the issue and get it corrected as soon as possible. If you do not need an interpreter, you will receive a testing date the day your issue is resolved.

Q: What happens if I don’t get an examination date within two weeks of completing basic training? A: If you do not receive notification of an examination date within two weeks from the training completion date, you need to contact Prometric at 1-800-324-4689. Verification of payment should not take longer than two weeks from the training completion

SUGGESTED TIMELINE FOR TRAINING AND CERTIFICATION 1

120

200

PRIOR TO PROVIDING CARE TAKE SAFETY & ORIENTATION STEP 1. SUBMIT DOH CERTIFICATION APPLICATION STEP 2. REGISTER FOR TRAINING STEP 3. SUBMIT CANDIDATE EXAM APPLICATION STEP 4. TARGET COMPLETION OF BASIC TRAINING

DEADLINE FOR COMPLETION

STEP 5. SELF STUDY; PREPARE FOR EXAM

**If you are a limited English speaker, you may have additional days to receive certification.

STEP 6. TAKE EXAM STEP 7. GET CERTIFIED INSIGHT MAGAZINE

DAY 200: STANDARD HOME CARE AIDES ARE REQUIRED TO RECEIVE CERTIFICATION

DAYS

SPRING 2015 33

YOUR TRAINING

TRAINING STANDARDS ORIENTATION AND SAFETY Orientation 2 Hours

Safety Training 3 Hours

CREDENTIAL

BASIC TRAINING Accelerated Basic Training 30 Hours

Basic Training 70 Hours

Parent Provider (DDD Only) Class 7 Hours

INITIAL CONTINUING EDUCATION (CE)

ONGOING CE

HCA Credential Required?

Continuing Education 12 Hours

Not required

Yes

If your first renewal period is less than a full year from the date of certification, no CE will be due for the first renewal period.**

By your birthday

Standard HCA Individual Provider (IP) & Agency Provider (AP) hired after 1/7/2012 in process or Newly Issued HCA credential

Completed prior to providing care

Not required

Within 120 days of starting to provide care

Standard HCA IP or AP hired after 1/7/2012 renewed certification

Not applicable

Yes

By your birthday following your last HCA credential renewal date

By your birthday

Standard HCA IP or AP hired before 1/7/2012

Not applicable

By your birthday in next calendar year after completing Basic Training

By your birthday

Parent Individual Provider (HCS/AAA)*

Completed prior to providing care

Within 120 days of Not required starting to provide care

Not required

Not required, unless you voluntarily obtain your HCA credential

Parent DD Individual Provider (DDD)*

Completed prior to providing care

Not required

Within 120 days of starting to provide care

Not required, unless you voluntarily obtain your HCA credential

Limited Service Provider*

Completed prior to providing care

Within 120 days of Not required starting to provide care

Not required

Not required, unless you voluntarily obtain your HCA credential

Adult Child Individual Provider*

Completed prior to providing care

Within 120 days of Not required starting to provide care

Not required

By your birthday in next calendar year after completing Accelerated Basic Training

By your birthday

Respite

Completed prior to providing care

Within 120 days of Not required starting to provide care

Not required

*NOTE: If you work for multiple employers, have multiple roles, or multiple Consumers, you may have different training standards than the chart indicates below. ** If you are credentialed on your birthday then your CE is due on your first birthday following your Current NAC Credential issuance date.

For Workers Who Have a Current NAC Credential, the Chart Below Applies (Not LPN or RN)*** Providers with a renewed NAC or Special Education Endorsements Providers with a new NAC or Special Education Endorsements

Not required

If CE is required in table above, then your CE is due by your first birthday after you start working as an HCA IP or AP.

By your birthday

If CE is required in the table above, then your CE is due by your second birthday following you NAC Credential issuance date.**

By your birthday

***If you are currently certified as an LPN or RN, CE is not required for your role as an Individual Provider (IP) or Agency Provider (AP). You must maintain your LPN or RN credential and be in good standing with the state of Washington. Note: A provider may fall into more than one of these definitions. They must meet the higher requirements for training and certification.

SPRING 2015

INSIGHT MAGAZINE

YOUR TRAINING

HOME CARE AIDE DEFINITIONS Home Care Aide (HCA)

Provides care to a Consumer living in his or her home. Employed by a private, Medicaid homecare agency or DSHS.

HCA Credentialed

A worker who has successfully passed a test and been credentialed by the Department of Health as a Home Care Aide.

Agency Provider (AP)

Home Care Aide (HCA) employed by a private, Medicaid homecare agency.

Individual Provider (IP)

Home Care Aide (HCA) whose employer of record is DSHS.

Standard HCA

Home Care Aide who does not work with their own parent or child. Works more than 20 hours a month or has more than one Consumer.

Parent Individual Provider (HCS/ AAA)

This is an IP who provides care to his/her own adult child and is contracted through Home and Community Services (HCS) and/or an Area Agency on Aging (AAA). This is often referred to as a non-DDD Parent Provider.

Parent DD Individual Provider (DDA)

This is an IP who provides care to his/her own adult child with a developmental disability and is contracted through the Developmental Disability Administration.

Limited Service Provider

This is any IP who provides care 20 hours a month or less for one Consumer.

Adult Child Individual Provider

An adult child providing care for his/her biological, step, or adoptive parent.

Respite

This is an IP that provides DDA Respite services at 300 hours or less in a calendar year.

Non-HCA Credentialed

This is an HCA with a current healthcare credential, such as a Registered Nurse (RN), Licensed Practical Nurse (LPN) or Nursing Assistant Certified (NAC).

HELP IS AVAILABLE

CONTACT THE MEMBER RESOURCE CENTER AT 1-866-371-3200 The Member Resource Center can help you register for classes, provide you with all the training requirements, answers questions around health insurance coverage and much more. The MRC is available to support you Monday through Friday from 8 a.m. to 6 p.m. Call 1-866-371-3200 or use the contact form at MySEIUBenefits.org/contact

សូ មទាក់ទងមកមជ្ឈមណ្ឌលធនធានសមាជិក តាមលេខ 1-866-371 3200 ប�ើលោកអ្ន កត្រូវ ការជំនួយការចុះឈ្មោះសម្រាប់ការបណ្តុះបណ្ តា ល របស់លោកអ្ន ក ឬដ�ើម្បីឱ្យដឹងថា លោកអ្ន កមា នសិទ្ធិស្របច្បាប់ចំពោះអត្ថ ប្រយោជន៍នៃការ ថែទា ំសុខភាពឬទេ។ 如需在安排培训日程或了解您是否有资格获取保健福利方面获取协助，请致电 1-866371-3200 联系会员资源中心。 훈련일정을 잡거나 건강혜택 자격 확인을 위해 도움이 필요하시면 회원지원센터 1-866-371-3200 로 전화주세요. ຕິດຕ່ໍ ຫາສູ ນຊ່ ວຍເຫື ຼ ອສະມາຊິກ (Member Resource Center) ທ່ີ ເບີ 1-866-371-3200 ຖ້ າ ທ່ ານຕ້ ອງການຄວາມຊ່ ວຍເຫື ຼ ອໃນການລົ ງທະບ ຽນສໍາລັ ບການຝຶກອົ ບຮົ ມຂອງທ່ ານ ຫື ຼ ເພ່ື ອຊອ ກຮູ້ ວ່ າທ່ ານມີສິດໄດ້ ຮັ ບເງິນຊ່ ວຍເຫື ຼ ອສ�ຳລັ ບກາ ນດູ ແລສຸ ຂະພາບຫື ຼ ບ່ໍ . Если у Вас есть вопросы, связанные с определением расписания занятий, или относительно получения Вами пособия по нетрудоспособности, обращайтесь в Учебно-методический центр по телефону 1-866-371-3200.

Faafesootai le Member Resource Center ile 1-866371-3200 pe afai ete manaomia le fesoasoani mole resitaraina mo lau toleniga pe fia iloa pe ete agavaa mo faamanuiaga mo togafitiga tau soifua maloloina. Comuníquese con el Centro de Recursos para Miembros al 1-866-371-3200 si necesita asistencia para registrarse en su entrenameinto o para saber cuál es su elegibilidad para los beneficios de salud. Kala xiriir Xarunta Macluumaadka Xubinka 1-866371-3200 haddii aad u baahan tahay caawimaadda diiwaangelinta tababarkaaga ama si aad u oggaatid haddii aad u qalantid dheefaha daryeelka caafimaad. Makipag-ugnayan sa Member Resource Center sa 1-866-371-3200 kung kailangan ninyo ng tulong sa pagpaparehistro ng inyong pagsasanay o para malaman kung kayo ay karapat-dapat sa mga benepisyo sa pangangalaga ng kalusugan. Зверніться до Учбово-методичного центру за тел. 1-866-371-3200, якщо Вам буде потрібна допомога з реєстрацією для проходження навчання або якщо Вам буде необхідно з’ясувати, чи маєте Ви право на пільги з медичного забезпечення. Hãy gọi Trung Tâm Nguồn Lực Thành Viên theo số 1-866-371-3200 nếu quý vị cần được trợ giúp trong việc lên lịch đào tạo hoặc tìm hiểu về điều kiện để nhận phúc lợi y tế.

健康福利信托基金 (HEALTH BENEFITS TRUST)：入门核查您领取健康福利的资格

请填写健康评估表

您必须在连续三个月内并且每月至少工作86小时后，方有资格申请健

登陆www.MyGroupHealth.org或www.KP.org，注册后请在

康福利信托基金的福利。您无需等至具有申请资格时再申请，您在受

线填写健康评估表。

雇之后即可填写申请表。

请填写预防护理检查表

申请 n 个人提供者：您可登陆

登陆www.ghc.org或

www.myseiubenefits.org 并填写申请表以进行申请。

www.kp.org，利用在线护理提供者名册，选择适合您的初

n 机构提供者：与您的雇主讨论申请事宜。

级护理人员。然后，预约预防护理或打电话安排日期。拨打1-800-901-4636，联系Group Health或

找出您的ID卡。在您提出申请、被确认符合申请资格且支付保险费用之后，您应通过邮件收到一张ID卡。您将需要ID卡号以获取

拨打1-800-813-2000联系Kaiser Permanente。

完成口腔清洁/检查口腔健康是整体健康的重要部分。选择牙医，完成清洁，尽情欢笑吧！请拨打1-800-554-1907联系Delta Dental ，或拨打1-800-359-6019联系Willamette Dental。

您的福利。若保险生效后，当月的第15天内您仍未收到ID 卡，请拨打电话1-866-371-3200以联系MRC。找出并记下距离您最近的紧急护理中心，并将该记录与您的ID卡保存在一起以供参考。

寻找最近的紧急护理中心当您需要进行紧急护理时，请尽快确定出距离您最近的紧

完成三项星级活动即可领取100美元！

急护理中心。您可登录www.ghc.org或www.kp.org，在线

若您已1）填写健康评估表；2）完成预防护理检查；且3）

查找紧急护理中心。

完成口腔清洁/检查，您将收到价值100美元的支票。

最新更新：现在您可以将在多个雇主处的工作时间累积，以满足86 小时的资格要求。如需获取更多信息，请致电医疗后备队： 1-866-371-3200。

管理您的处方若您已有处方，请将处方转至Group Health或Kaiser Permanente。然后，在线或通过客户服务设置邮购续配方药，以节约金钱与时间。

培训：如何从培训中获益最多理解DOH认证要求

态、福利资格等综合资源。首先请登录门户网站，以便获取您所需的

如果您需要获得认证，请勿拖延，应尽快开始流程。敬请致电会员资

答案。

源中心，与代表讨论您的要求。

请更新您的联系信息

尽早注册参加培训如果您需要基础培训，我们建议您在受雇后两周内注册课程，以便获得最佳课程选择方案。如果您希望参加讲师指导式继续教育课程，请在截止日期（您的生日）前尽早注册，以便获得最佳课程选择方案。

参加在线学习，获取继续教育学分通过参加在线继续教育课程，您可简单、方便地获取家庭护工继续教育学时。您可以随时在电脑上查看可选课程、参加课程、查阅学分。

在网上获取便利服务和支持 www.myseiubenefits.org门户网站为您提供可选课程、当前培训状

SPRING 2015

INSIGHT MAGAZINE

通过向您的雇主更新您的联系信息，确保您获得近期的培训信息。

需要语言支持以获得培训或健康福利吗？敬请致电会员资源中心（联系电话1-866-371-3200）或发送电子邮件至 www.myseiubenefits.org/contact-us，服务代表将以您所用语言回答您的问题。除英语外，培训、认证测试所用的其他12种语言阿拉伯语广东话柬埔寨语

韩语老挝语萨摩亚语

索马里语西班牙语俄语

此外，学生们可致电MRC，按先到先得的原则获取其他语言的口译译员协助。

菲律宾语乌克兰语越南语

如何报告您的工伤当您作为家庭陪护员时在客户家中或者您自己家中受伤，请向华盛顿州劳工和产业部报告（L&I）您的伤势。如果您的索赔被接受，您将会直接收到用于支付医疗保健费用的工伤赔偿。如果您受伤后无法工作，您可能符合获得部分损失工资的条件。

第一步：在工作时受伤

第三步：被拒索赔

•

请采取急救措施。很多跌倒、割伤和扭伤如果没有及时治疗可能

如果医生无法证明劳动者的健康状况与工作中发生的特殊事宜或职业

成为严重的伤病。

病有关，索赔可能会被拒绝。您和/或您的医生有权在线抗议对您的索

如果需要，请就医。如果您在工作中受伤（如重伤、断肢等），

赔作出的任何决定。您可直接向工伤保险上诉委员会上诉。

•

请尽快找您的医生、最近的急救中心或急诊室问诊。他们将协助 •

您提交工伤赔偿申请。

第四步：重返工作

请立即告知您的中介或社会和健康服务部（DSHS）联系人。雇主

有些受伤的劳动者在康复阶段没有工作。然而，很多劳动者在接受医

需要了解您的伤病，以便他们收到华盛顿州劳工和产业部的文书

疗补助时就可以逐步返回工作。尽快重返工作需要您、您的医生和雇

时，可以帮助您规划如何重返工作。

主之间的共同努力。请与他们保持联系。当您需要时，华盛顿州劳工和产业部将会为您提供协助。

第二步：提出索赔您可以在您的医生办公室，拨打1-877-561-FILE 致电华盛顿州劳工和产

第五步：结束索赔

业部办公室（仅限办公时间），或登陆 www.LNI.WA.gov 提交关于伤病的

符合以下条件时，索赔结束：

事故报告。

•

您的医生证明继续治疗将不会改善您的身体状况。

请记住：

•

华盛顿州劳工和产业部没有收到显示您需要进一步援助的新信息。

•

您的治疗已经成功了！（在这些情况下，华盛顿州劳工和产业部

• 完成所有必需的文件，并保留所有文件的副本作为记录。 • 仔细阅读所有的文件，并及时回复。

在《决定通知书》中同时接受和结束您的索赔。

• 把您的申请号记录在文件上，并在致电华盛顿州劳工和产业部以及您的雇主前准备好。

第三步：批准索赔如果您的医生证明您是在特定的工作时间和地点受伤，或因为工作生

如需了解更多信息并提出索赔，请登录 www.LNI.WA.gov

病或失调，华盛顿州劳工和产业部可以批准您的索赔。赔偿涵盖医疗费用。还可能包括补发的工资、重返工作的帮助和重伤导致的伤残补偿金。

什么是创伤后应激障碍？

常见症状 1. 创伤性再体验

寻求帮助 “好转”对不同的人有不同的意

您可能有惨痛的记忆、梦

义。但是诸如咨询、亦或药物治

魇，甚至感觉像是再次经历

疗等，可以帮您应对那些干扰日

了创伤性事件。这被称为闪

常生活的症状。

回。

可能的诱因经历过创伤性生活事件后，您可能会产生创伤后应激障碍。创伤性事件是指您目睹、听闻或者自身经历的可怕事件。

请与您的家庭医生讨论适合您的

创伤后应激障碍可能会在您目

情境

治疗方案。

睹、听闻或者自身经历创伤性事

您可能会试图回避触动创伤

通过美国焦虑症和抑郁症协会在

件后发生，比如：

性事件记忆的情境或人。也

线筛查创伤后应激障碍

• 性暴力或身体暴力

可能会避免谈论或回忆创伤

• 严重事故，如车祸

性事件。

• 战争爆发

80%

2. 回避触动创伤性事件记忆的

3. 信仰和情感的消极转变

• 精神虐待

您可能会感到恐惧、内疚或

• 人身伤害

者羞愧。或对曾经很喜欢的活动不再感兴趣。 4. 感到紧张（或者反应过度）

www.myseiu.be/PTSDscreening

美国退伍军人事务部拥有护理人员相关的大量资源。

www.Caregiver.VA.gov

获取关于如何照料患有创伤后应激障碍的家庭成员的深入文章，

的美国人在他们的

您可能会感到紧张不安，总

请访问：

一生中会经历创伤

是处于警觉中，并会密切关

性事件。

10 个妇女中会有1人患上创伤后

注危险。也可能会失眠或注

应激障碍。

意力不集中。

www.HelpGuide.org

如果有人极度痛苦，可拨打国家预防自杀热线：1-800-273-TALK

资料来源：创伤后应激障碍国家中心；西德兰研究所，《创伤后应激障碍的谬误和事实》；HelpGuide.org，《帮助创伤后应激障碍患者》 INSIGHT MAGAZINE

SPRING 2015 37

의료보험혜택신탁 (HEALTH BENEFITS TRUST): 시작하기 건강 프로필 작성

의료보험 혜택 자격 확인

www.MyGroupHealth.org 또는 www.KP.org에서 온라인으 로 등록한 다음 온라인 건강 프로필을 작성합니다.

3개월 연속으로 월당 86시간 이상 근무해야 의료보험혜택신탁 혜택 을 신청할 자격이 있습니다. 신청 자격이 될 때까지 기다릴 필요 없이 취직 후 바로 신청 양식을 작성할 수 있습니다.

신청 절차

n 개인병원 의사:

예방진료를 위한 의사방문 www.ghc.org 또는 www.kp.org 에서 온라인 주치의 명부를 참고하여 귀하에 게 적합한 주치의를 선택하십시오. 이후 예방진료를 예 약하거나 또는 전화 문의하십시오. Group Health 1-800901-4636 또는 Kaiser Permanente 1-800-813-2000.

www.myseiubenefits.org에 로그인한 다음 신청서를작 성하면 신청이 가능합니다.

n 에이전시 의료공급자: 신청에 대해서는 고용주 와상의하십시오.

ID 카드 찾기 신청 후 자격에 부합하여 보험료를 납부하면 ID 카드 를 우편으로 수령하게 됩니다. 혜택 이용 시 ID 카드 번호가 필요합니다. 보험 기간이 시작되는 달의 15 일까지 카드를 수령하지 못한 경우 MRC(1-866-3713200)로 전화해 주십시오. 가장 가까운 응급 의료 기 관을 찾아 기록한 다음 급할 때 참조할 수 있도록 카 드와 함께 보관해 두십시오.

치과 세정/검진 구강 건강은 귀하의 전반적인 건강에서 매우 중요한 부 분을 차지합니다. 치과 의사를 선택하고 치아 세정을 받 은 후 마음껏 미소를 뽐내세요! Delta Dental 1-800-5541907 또는 Willamette Dental 1-800-359-6019.

가장 가까운 응급 의료 기관 찾기

3개의 별표가 있는 활동을 완료하면 $100 를 받으세요!

1) 건강 프로필을 작성하고 2) 예방 진료 방문을완료하고 3) 치과 세정/진료를 완료하면 100 달러 수표를받으실 수 있습니다.

새로운 사항: 지금부터는 86시간의 자격 요구 사항을 충족하 기 위해 여러 고용주로부터의 근무 시간을 한데 묶을 수 있습 니다. 자세한 내용은 MRC, 1-866-371-3200으로 문의해 주십시오.

위급 상황 발생 시 이용할 가장 가까운 응급 의료 기관 을 조속히 알아 두어야 합니다. www.ghc.org 또는 www. kp.org에서 온라인으로 응급 의료 기관을 찾을 수 있습니 다.

처방전 관리하기 기존 처방전이 있으면 Group Health 또는 Kaiser Permanente에 전달하십시오. 그 후 우편 주문 처방전 리필을 온라인이나 고객 서비스를 통해 작성하면 시간과 비용을 절약할 수 있습니다.

교육: 교육 프로그램을 효과적으로 활용하는 방법 DOH 인증 요건 이해하기 의무적으로 인증을 취득해야 하는 경우라면 미루지 말고 가능한 빨리 과정을 시작하십시오. 회원지원센터로 전화해서 담당 직원과 필요한 자격 요건에 대하여 상담하십시오.

교육 프로그램 조기 등록하기 초급 교육 과정을 이수하는 경우라면 입사 후 처음 2주 안에 등록 하여 가장 적합한 수업 일정을 선택할 수 있도록 합니다. 강사 주 도 CE(평생 교육) 수업을 수강하는 경우 원하는 수업을 수강하려 면 귀하의 신청 마감일(출생일) 전에 최대한 빨리 등록하는 것이 좋습니다.

온라인 과정으로 평생 교육 학점 취득하기 온라인 평생 교육 과정을 이용하면 간병인 자격 취득에 필요한 CE 시간을 쉽고 편리하게 이수할 수 있습니다. 1년 365일 언제든지 집에 있는 컴퓨터로 접속해 개설된 과정을 열람하고 수업을 들을 수 있으며 학점을 조회할 수 있습니다.

온라인으로 편리하게 서비스 및 지원 받기 38

SPRING 2015

INSIGHT MAGAZINE

www.myseiubenefits.org 웹 포탈에는 참여 가능한 수업, 귀하의 현재 교육 상태, 지원 혜택 신청 요건 등이 종합적으로 마련되어 있습니다. 궁금한 점이 있을 때는 먼저 홈페이지를 확인해 보십시 오.

연락처 정보 갱신 고용주가 가지고 있는 귀하의 연락처 정보를 갱신하면 교육에 관 한 최신 정보를 받고 있는지 확인할 수 있습니다.

교육 또는 의료보험혜택에 대한 언어 지원 이 필요하십니까? 1-866-371-3200으로 회원지원센터에 전화하거나 www.myseiubenefits.org/contact-us의 이메일을 이용하시면담당 자가 귀하의 언어로 질문에 답변해 드립니다. 12개국 언어 및 영어로 제공되는 교육, 인증 시험 타갈로그어 소말리아어 아랍어 한국어 중국어(광동어)

라오스어

스페인어

우크라이나어

캄보디아어

사모아어

러시아어

베트남어

또한 학생들은 MRC에 연락하여 다른 국가의 통역사를 선착순 으로 요청할 수 있습니다.

업무상 재해 보고 방법 가족 간병인으로서 일하다 환자의 주택이나 자신의 주택에서 다친 경우 워싱턴주의 L&I(노동 및 산업) 부서에 귀하의 부상을 보고합니다. 귀하의 청구 사항이 수락되면 의료비에 대한 직접적인 근로자 보상을 받을 수 있습니다. 부상을 당한 이후 일을 할 수 없는 경우에는 급여 손실 중 일정 부분에 대한 보상을 받을 수 있습니다.

1단계: 근무 중 부상을 당한 경우

• 응급 처치를 받으십시오. 낙상, 창상, 염좌의 부상 중 상당수는 올바른 처치를 바로 받지 않아 중상으로 발전할 수 있습니다. • 필요한 경우 의사의 진찰을 받으십시오. 근무 중 심각한 부상이나 손발 이 절단되는 부상을 당한 경우 가장 가까운 응급 처치 센터 또는 응급 실을 방문하여 의사의 진찰을 받으십시오. 해당 기관에서는 근로자가 보상 청구를 진행할 수 있도록 도움을 제공할 것입니다. • 귀하의 대리인이나 DSHS 에서 바로 인지할 수 있게 하십시오. 고용주는 부상에 대해 알아야 합니다. 그래야 L&I 관련 서류 도착 시 귀하가 업 무에 복귀할 계획을 세울 수 있도록 지원해 줄 수 있습니다.

2단계: 청구 진행

• 주치의의 병원에서 L&I 사무소 전화, 1-877-561-FILE(업무 시간에 만 가능) 또는 온라인 www.LNI.WA.gov 로 사고 보고서를 제출할 수 있습 니다. 유의 사항: • 필요한 모든 문서를 작성하고 귀하의 기록에 관한 모든 사본을 보관합 니다. • 모든 문서를 주의하여 읽고 정확히 답변합니다. • 문서에 청구 번호를 기입한 다음 L&I 및 고용주에게 전화할 때 사용할 수 있도록 준비해 둡니다.

3단계: 청구 승인

L&I는 귀하가 근무 장소에서 특정 순간에 부상을 입었거나 업무로 인해 질 병이나 장애가 발생했다고 주치의가 소명하는 경우 귀하의 청구를 승인할 수 있습니다. L&I에서는 의료 비용을 부담합니다. 또한 대체 급여, 직장 복 귀 지원 및 중상으로 인한 장애를 보상해 드립니다.

PTSD 란?

가능한 원인

외상후 스트레스 장애는 일생일대의 큰 충격적인 사건을 겪은 후 발생합니다. 충격적인 큰 사건이란 보거나 듣거나 겪기에 두렵고 끔찍한 것을 말합니다.

PTSD는 다음과 같이 귀하가 보거나 듣거나 겪은 충격적인 큰 사건 이후에 발생합니다. • 성폭행 또는 물리적 폭행 • 자동차 사고와 같은 심각한 사고 • 전쟁 노출 • 정서적 학대 • 물리적 부상

80%

의 미국인이 일생 중 충격적인 큰 사건을 겪게 됩니다.

여성 10명 중 1명은 PTSD를 겪게 됩니다.

출처: National Center for PTSD, Sidran Institute - “Myths and Facts about PTSD”, HelpGuide.org - “Helping someone with PTSD”

3단계: 청구 거부

근로 또는 직업병으로 인해 발생했다는 특정 사항과 근로자의 의학적 상태의 연관성을 의사가 소명할 수 없는 경우 청구가 거부될 수 있습니다. 귀하 또는 주치의는 청구 사항에 대해 내려진 모든 결정에 대해 온라인으로 이의를 제기할 수 있습니다. 항소는 BIIA(산업 보험 항소 위원회)에 직접 제기할 수 있습니다.

4단계: 업무 복귀

부상에서 회복하는 동안 직장 근무를 할 수 없는 근로자도 있습니다. 그러나 대다수는 의료 혜택을 계속 받으면서 점진적으로 업무에 복귀하게 됩니다. 가능한 빨리 업무에 복귀하려면 귀하, 주치의 및 고용주 간에 협조가 필요합 니다. 관련자들과 계속 연락을 주고받아야 합니다. L&I는 필요한 경우 지원 을 제공합니다.

5단계: 청구 종료

다음의 경우 청구가 종료됩니다. • 추가 치료를 받아도 귀하의 상태가 호전되지 않는다는 주치의의 소명 이 있는 경우. • 귀하를 위한 추가 지원이 필요하다고 보여 주는 새로운 정보가 L&I에 없는 경우. • 치료가 성공적인 경우. (이 경우 L&I는 “결정 고시”와 동일한 순간 에 귀하의 청구를 수락 및 종료합니다.)

자세한 내용 및 청구 진행에 대해서는 www.LNI.WA.gov를 참조하십시오.

일반 증상

지원 찾기

“호전”이란 의미는 사람들마다 1. 사건 재현 다릅니다. 상담 치료 및 약물 치료는 나쁜 기억을 갖거나 악몽을 일상을 괴롭히는 증상을 치료하는 데 꾸거나 사건을 다시 경험하는 것처럼 느낄 수 있습니다. 이러한 도움이 될 수 있습니다. 것을 플래시백(회상)이라고 귀하가 받을 수 있는 치료 옵션에 합니다. 대해 1차 의료 서비스 제공업체와 2. 사건을 떠올르게 하는 상황 회피 상담하십시오. 트라우마의 기억을 유발하는 ADAA(미국 불안증 및 우울증 협회) 상황이나 사람을 회피하려고 에서 PTSD(심적 외상후 스트레스 합니다. 해당 사건에 대해 장애)에 대한 온라인 심사를 말하거나 생각하는 것을 받으십시오. 피하려고 합니다. www.myseiu.be/PTSDscreening 3. 생각 및 기분의 부정적인 변화 미국 재향군인부에서는 광범위한 두려움, 죄책감 또는 수치심을 간병인 명단을 보유하고 있습니다. 느낄 수 있습니다. 또는 이전에 www.Caregiver.VA.gov 좋아했던 활동에 대한 관심을 잃을 수 있습니다. 4. 과민 반응(또는 각성과민) 초조함을 느끼면서 위험에 대해 항상 경계할 수 있습니다. 또는 수면 장애 또는 집중 장애를 겪을 수 있습니다.

PTSD가 있는 가족 구성원의 간병에 관한 자세한 내용은 다음 사이트를 참조하십시오. www.HelpGuide.org 고민이 있는 분은 다음 번호의 국립 자살 예방 핫라인으로 전화해 주십시오. 1-800-273-TALK

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SPRING 2015 39

ОРГАНИЗАЦИЯ «HEALTH BENEFITS TRUST»: ПЕРВЫЕ ШАГИ Проверьте, имеет ли Вы право на получение медицинской страховки Для подачи заявки на предоставление страховки Health Benefits Trust Вы должны работать по меньшей мере 86 часов в месяц в течение трех месяцев подряд. Если Вы не хотите ждать, пока Вы получите право на подачу заявки, Вы можете заполнить форму заявки после поступления на работу.

Подайте заявку n Индивидуальные поставщики услуг: Вы можете подать заявку, зарегистрировавшись в системе www.myseiubenefits.org и заполнив форму заявки. n Агентства: Поговорите со своим работодателем о подаче заявки.

Найдите свою карточку идентификации После подачи заявки, предоставления Вам соответствующего права и внесения Вами страхового взноса Вы должны по почте получить карточку идентификации. Номер данной карточки понадобится Вам для получения льгот по страховке. Если Вы не получили карточку по состоянию на 15 число месяца, в котором начинает действовать Ваша страховка, обратитесь в Учебнометодический центр по телефону 1-866-371-3200. Найдите и запишите координаты ближайшего центра неотложной помощи и носите свою карточку при себе.

Выполните три отмеченных звездочкой действия и получите $100 Если Вы 1) заполнили свой профиль пациента; 2) прошли процедуру профилактического ухода; 3) прошли чистку зубов / стоматологический осмотр, Вы получите чек на $100.

Заполните свой профиль пациента

Заполните онлайн-профиль пациента, зарегистрировавшись на сайте www.MyGroupHealth.org или www.KP.org.

Пройдите процедуру профилактического ухода Воспользуйтесь онлайн-списком врачей на сайте www. ghc.org или www.kp.org , чтобы подобрать подходящего поставщика услуг в сфере первичного медицинского обслуживания. Затем запишитесь на процедуру профилактического ухода или ознакомьтесь с графиком работы. Group Health 1-800-901-4636 или Kaiser Permanente 1-800-813-2000.

Пройдите чистку зубов / стоматологический осмотр Здоровая ротовая полость для нас так же важна, как и общее состояние Вашего здоровья. Выберите стоматолога, пройдите чистку зубов и улыбнитесь! Delta Dental 1-800554-1907 или Willamette Dental 1-800-359-6019.

Установите местонахождение ближайшего центра неотложной помощи Вы должны знать, где находится ближайший центр неотложной помощи на случай, если Вам понадобится срочное медицинское вмешательство. Вы можете найти список центров неотложной помощи на сайте www.ghc. org или www.kp.org.

Управляйте рецептами Если у Вас имеются текущие рецепты, отправьте их Group Health или Kaiser Permanente. Далее для экономии времени и денег заказывайте препараты на основании рецепта по почте, установив соответствующую опцию в онлайн-режиме или через службу поддержки клиентов.

ОБУЧЕНИЕ: КАК СДЕЛАТЬ ТАК, ЧТОБЫ ОБУЧЕНИЕ ДАЛО МАКСИМАЛЬНЫЕ РЕЗУЛЬТАТЫ Разберитесь с требованиями к сертификации, установленными Министерством здравоохранения Если Вам необходимо пройти сертификацию, не откладывайте – начните этот процесс как можно скорее. Позвоните в Учебнометодический центр, чтобы поговорить о том, что Вам нужно.

Зарегистрируйтесь на участие в обучении заранее

Если Вам необходимо пройти Базовое обучение, мы порекомендовали бы Вам зарегистрироваться на прохождение учебных курсов в течение первых двух недель с момента найма на работу, чтобы иметь возможность выбрать лучшие варианты. Если Вам нужны курсы повышения квалификации, проводимые преподавателем, зарегистрируйтесь как можно скорее, чтобы иметь возможность выбрать лучшие варианты до наступления конечного срока (Вашего дня рождения).

Пройдите дистанционное обучение для получения кредитов в рамках системы повышения квалификации

Курсы дистанционного повышения квалификации – это простой и удобный способ заработать часы в рамках системы повышения квалификации, которые необходимы Вам как специалисту по уходу на дому. Вы можете просматривать доступные курсы, выбирать предметы и видеть заработанные Вами кредиты непосредственно со своего компьютера – 24 часа в день, семь дней в неделю.

SPRING 2015

INSIGHT MAGAZINE

Зайдите в Интернет для получения услуг и помощи в удобной для Вас форме

Веб-портал www.myseiubenefits.org – это ресурс с исчерпывающей информацией о доступных предметах, Вашем текущем статусе в рамках прохождения обучения, возможности получения Вами каких-либо льгот, а также о многом другом. Чтобы получить ответы на волнующие Вас вопросы, необходимо войти на портал.

Обновите свои контактные данные

Обновите свои контактные данные, предоставленные работодателю, для получения самой актуальной информации о ходе Вашего обучения.

Требуется языковая поддержка для прохождения обучения или получения медицинской страховки?

Обратитесь в Учебно-методический центр по телефону 1-866-371-3200 или отправьте электронное сообщение через форму на сайте www.myseiubenefits. org/contact-us, и наш представитель ответит на Ваш вопрос на Вашем языке. 12 языков и английский язык для прохождения обучения, сдачи сертификационного экзамена Арабский язык Корейский язык Сомалийский язык Тагальский язык Кантонский диалект Лаосский язык Испанский язык Украинский язык китайского языка Вьетнамский язык Камбоджийский язык Самоанский язык Русский язык Кроме того, учащиес я могут обратитьс я в Учебно-методический центр, чтобы воспользоваться услугами переводчика с/на другие языки. Заявки обрабатываются в порядке живой очереди.

Как сообщить о травме на работе Если Вы получили травму дома у своего клиента или у себя дома при осуществлении ухода за членом семьи, сообщите о своей травме в Департамент труда и промышленности штата Вашингтон (L&I). Если Ваше заявление принято, Вы получите компенсацию, выплачиваемую работникам, получившим травму на работе, непосредственно для оплаты медицинских услуг. Если вследствие травмы Вы не можете работать, возможно, Вы сможете претендовать на часть своей утраченной зарплаты.

Шаг 1: Производственные травмы • •

•

Получение первой помощи Часто падения, порезы, растяжения и вывихи могут привести к серьезным травмам, если их немедленно не обработать. При необходимости обратитесь к врачу. Если Вы получили травму на работе, обратитесь к врачу, в ближайший центр скорой или неотложной помощи (при серьезных травмах, потере конечностей и т.д.). Вам помогут заполнить заявление на получение компенсации, выплачиваемой работникам, получившим травму на работе. Сообщите безотлагательно в агентство или Департамент социальных услуг и здравоохранения (DSHS). Паботодатель должен знать о травмах, чтобы при получении документов от L&I помочь Вам спланировать возвращение на работу.

Шаг 2: Подача заявления Вы можете сообщить о несчастном случае в кабинете своего врача, обратившись в L&I по телефону1-877-561-FILE (исключительно в часы работы) или в онлайн-режиме www.LNI.WA.gov. Важно: • Оформить все необходимые документы и сохранить копии всех своих записей. • Внимательно прочитать и своевременно оформить все документы. • Указать в документах номер своего заявления и держать его под рукой при звонке в L&I и работодателю.

Шаг 3: Одобренное заявление L&I может одобрить Ваше заявление, если обслуживающий Вас врач подтвердит получение Вами травмы в определенное время и в определенном месте на работе, или заболевание или нарушение, вызванные Вашей работой. Выплаты покрывают расходы на медицинское обслуживание. Кроме того, они могут включать в себя компенсацию заработной платы, помощь при возвращении на работу и пособие по инвалидности при серьезных травмах.

ЧТО ТАКОЕ

ПТСР?

Возможные причины

Посттравматическое стрессовое расстройство может возникнуть после травмирующего жизненного события. Травмирующее событие – это что-то ужасное или пугающее, услышанное, увиденное или пережитое Вами.

80% американцев в течение жизни сталкиваются с травмирующим событием.

ПТСР может возникать после травмирующего события, услышанного, увиденного или пережитого Вами, например: • Сексуальное или физическое насилие • Серьезные несчастные случаи, такие как автомобильная авария • Вооруженный конфликт • Моральное унижение • Физическое повреждение

1 из 10 женщин переживает ПТСР.

Шаг 3: Отклонение заявления Заявления могут быть отклонены, если врач не может подтвердить связь медицинского состояния пациента с конкретной ситуацией, имевшей место на работе, или с профессиональным заболеванием. Вы или Ваш врач имеете право опротестовать любое решение, принятое в отношении Вашей претензии, в онлайн-режиме. Апелляции можно направлять непосредственно в Апелляционную комиссию по производственному страхованию.

Шаг 4: Возвращение на работу Некоторые получившие травму работники в период выздоравливания скучают по работе. При этом многие могут постепенно возвращаться к работе, в то же время, продолжая получать пособие по болезни. Скорейшее возвращение к работе достигается совместными усилиями работника, его врача и его работодателя. Поддерживайте контакт с врачом и работодателем. L&I предоставит необходимую помощь.

Шаг 5: Закрытие заявления Заявление считается закрытым, если: • Обслуживающий Вас врач подтвердит, что дальнейшее лечение не улучшит Вашего состояния. • У L&I отсутствует новая информация, указывающая на то, что Вам нужна дальнейшая помощь. • Ваше лечение было успешным! (В этих случаях L&I принимает и закрывает Ваше заявление одновременно в «Уведомлении о решении».)

Узнать больше и отправить свое заявление можно на сайте: www.LNI.WA.gov Общие симптомы 1. Переживание событие У Вас могут быть неприятные воспоминания, ночные кошмары или ощущения повторного переживания события. Это называется «ретроспекция». 2. Избегание ситуаций, напоминающих о событии Вы можете избегать ситуаций или людей, которые стимулируют Ваши воспомнинания о травмировании. Вы можете избегать разговоров или мыслей об этом событии. 3. Негативные изменения в убеждениях и ощущениях Вы можете испытвать страх, вину или стыд. Вы можете потерять интерес к деятельности, которая Вас раньше интересовала. 4. Взвинченность (или перевозбуждение) Вы можете испытывать нервозность и постоянную тревогу, и Вас все время может преследовать ощущение опасности. У Вас могут быть проблемы со сном или концентрацией.

Поддержка Люди понимают слово «выздоравливание» по-разному. Однако такая помощь, как психологичекое консультирование и, возможно, прием медикаментов, может помочь Вам справляться с симптомами, влияющими на Вашу ежедневную жизнь. Обсудите с медработниками первичной помощи подходящую Вам терапию. Пройдите онлайн-тестирование на ПТСР (на сайте Американской ассоциации лиц, страдающих от беспокойства и депресси www.myseiu.be/PTSDscreening Министерство США по делам ветеранов имеет обширные ресурсы для ухаживающих за больными и ранеными. www.Caregiver.VA.gov Статьи, содержащие подробную информацию об уходе за членом семьи с ПТСР, можно найти здесь: www.HelpGuide.org О проблемах человека, переживающего сильный психологический стресс, можно сообщить, позвонив на государственную горячую линию предотвращения суицида: 1-800-273-TALK

Источники: Национальный центр ПТСР; Sidran Institute, «Myths and Facts about PTSD» (Институт Сидран, «Мифы и факты о ПТСР»); HelpGuide.org, «Helping someone with PTSD» («Помощь лицам с ПТСР») INSIGHT MAGAZINE

SPRING 2015 41

HEALTH BENEFITS TRUST: BILAABISTA Eeg U-qalmitaankaaga ee loogu talogalay Health Benefits

Waa in aad shaqeysid ugu yaraan 86 saacadood bil kasta seddax bilood oo isku xiga si aad ugu qalantid in aad codsatid dheefaha Health Benefits Trust. Uma baahnid in aad sugtid ilaa aad uga qalantid in aad codsatid, waxaad dhammeystiri kartaa foomka codsiga kadib marka lagu shaqaaleysiiyo.

Codso

n Bixiyeyaasha Shakhsiga Gaarka ah: Waxaad codsan kartaa adiga oo galaya www.myseiubenefits.org kadibna buuxinaya foomka codsiga. n Bixiyeyaasha Hay’adda: Kala hadal loo shaqeeyahaaga wixii ku saabsan codsashada.

Raadso Kaarkaaga Aqoonsiga Kadib marka aad codsatid, laguuna arko in aad u qalantid oo aadna bixisid lacagta joogtada ah ee caymiskaaga, waa in aad ku heshid Kaar Aqoonsi boostada. Waxaad u baahanaysaa lambarka kaarka Aqoonsiga si aad u heshid dheefahaaga. Haddii aadan helin kaarka marka ay tahay 15ka ee bisha caynsanaantaada ay bilaabanayso, ka wac MRC 1-866-371-3200. Raadi kadibna waxaad qortaa Xurunta Daryeelka Degdega ah ee kuugu dhow waxaadna la haysaa kaarkaaga tixraac ahaan.

Dhammeystir Seddax Waxqabadyo oo Xiddigo Saaran kadina Hel $100! Haddii aad 1) Dhammeystirtay Haybsashada Caafimaadkaaga; 2) Dhammeystirtay booqashada Daryeelka Ka Hortaga ah; ama 3) Dhammeystirtay nadiifinta/baarista ilkaha, waxaad helaysaa jeeg ah $100.

Cusub: Waxaad hadda isku dari kartaa saacadahaaga ee loo-shaqeeyayaaal baddan si aad uga soo baxdo shuruudda u-qalmitaanka 86-saac. Ka wac MRC si aad u hesho macluumaad baddan lambarkaan 1-866-371-3200.

Dhammeystir Haybsashada Caafimaadkaaga Dhammeystir Haybsashada Caafimaadka ee online-ka ah kadib marka aad online-ka iska diiwaangelisid www. MyGroupHealth. org ama www.KP.org.

Dhammeystir Booqashada Daryeelka Ka Hortaga Ka adeegso tusiyaha bixiyaha online-ka ah www.ghc. org ama www.kp.org si aad u xulatid bixiyaha daryeelka aasaasiga ah ee sida wanaagsan kuugu habboon. Kadibna samee ballanta daryeelka ka hortaga ama wac si aad waqti u qabsatid. Caafimaadka Kooxda 1-800-901-4636 ama Kaiser Permanente 1-800-813-2000.

Dhammeystir Nadiifinta/Baarista Ilkaha Caafimaadkaaga afka waa qayb muhiim ah oo kamid ah caafimaadkaaga guud. Xulo takhtarka ilkaha, dhammeystir nadiifin – dhoolla-cadday! Ilkaha Delta 1-800-554-1907 ama Ilkaha Willamette 1-800-359-6019.

Baro Meesha Ay Ku Taalo Xarunta Daryeelka Degdega ah ee Kuugu Dhow Sida ugu dhaqsiyaha badan ee suurtagalka ah, waa in aad u aqoonsatid Xarunta Daryeelka Degdega ah ee kuugu dhow marka aad u baahan tahay Daaweynta Daryeel Degdeg ah. Waxaad ka heli kartaa Xarumaha Daryeelka Degdega ah online-ka www.ghc.org ama www.kp.org.

Maarey Rijeetooyinkaaga Daawada Haddii aad haysatid rijeetooyin daawo oo hore u jiray, ha laguugu wareejiyo Caafimaadka Kooxda ama Kaiser Permanente. Kadibna, ka aasaas online-ka dib-u buuxinada rijeetada ee dalabka-boostada ah ama iyada oo loo marayo adeegga macmiilka si aad u badbaadisid lacag iyo waqti.

TABABAR: SIDA LOOGA HELO FAA’IIDADA UGU BADAN Ka raadso Online-ka Adeeg iyo Taageero Kugu Habboon TABABARKAAGA Fahan shuruudaha Shahaado Qaadashada DOH

Haddii lagaa doonayo in aad qaadatid shahaado, haka daahin – waxaad u bilaawdaa hanaanka sida ugu dhakhsiyaha badan ee suurtagalka ah. Wac Xarunta Macluumaadka Xubinka si aad ugala hadasho wakiil wixii ku saabsan shuruudahaaga.

Isugu diiwaangeli Xili Hore Tababarka

Haddii aad u baahantahay Tababar Aasaasi ah, waxaan kugu dhiirigelinay-naa in aad isku diiwaangelisid fasaladaada labada toddobaad ee ugu horreeya ee shaqaalaynta saad u heshid doorashooyinka ugu fiican ee ikhtiyaaraadka fasalka. Haddii aad doonaysid in aad qaadatid fasallo Wax-barasho Sii-wadasho ee Macalinka-Horkaca (CE) , isku diiwaangeli xili hore ee suurtagalka ah si aad u heshid doorashada ugu fiican ee ikhtiyaaraadka fasalka kahor wakhtiga kama dambayska (maalintaada dhalashada).

Qaado Barashada Online-ka ee loogu talogalay Darajooyinka Aqoon Qaadashada ee Waxbarasho Sii-wadasho Qaado Barashada Online-ka ee loogu talogalay Darajooy-inka Aqoon Qaadashada ee Waxbarasho Sii-wadasho

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Cinwaanka mareegtada www.myseiubenefits.org waa macluumaadkaaga dhammeystiran ee fasallada la heli karo, xaalkaaga tababarka ee hadda la joogo, u-qalmitaanka dheefaha iyo wax badan. Soo gal mareegtada marka hore si aad u heshid jawaabaha aad u baahan tahay.

Cusboonaysii Macluumaadkaaga Xiriirka

Hubso in aad helaysid macluumaadka hadda la jooga ugu dambeeya ee ku saabsan tababarkaaga adiga oo ka cusboonaysiinaya macluumaad-kaaga xiriirka cidda aad u shaqeysid.

Ma u Baahan Tahay Taageero Luuqadeed ee Loogu Talogalay Tababar ama Dheefo Caafimaad (Health Benefits)?

Ka Wac Xarunta Macluumaadka Xubinka 1-866-371-3200 ama iimeyn ugu dir www.myseiubenefits.org/contact-us waxaana su’aalahaaga kaaga jawaabaya wakiil ku hadlaya luuqadaada. 12 Luuqadood Oo Lagu Darey Ingiriis oo loogu talogalay Tababar, Imtixaan Sha-haado Qaadashada Carabi Kuuriyaan Soomaali Tagalog Kantoniis Laoshiyaan Isbaanish Yukreeniyaan Kamboodhiyan Samoan Ruushiya Fiitnaamees Waxaa intaa siidheer, in ardayda ay waci karaan MRC si ay turjumaan ugu helaan Luuqadaha ku saleysan imaanshaha-koowaad.

Sida Loo Sheego Dhaawacaaga Shaqada Marka aad ku dhaawacanto guriga Macmiilkaaga ama gurigaaga sida daryeele qoys ahaan, u soo sheeg dhaawacaaga Waaxda Shaqaalaha iyo Warshadaha ee Gobolka Washington (L&I). Haddii xaq sheegashadaada la aqbalo, waxaad helaysaa magdhowga shaqaalaha si aad toos ugu bixiso daryeelka caafimaadka. Haddii aadan awoodin in aad shaqeyso kadib dhaawacaaga, waxaad u qalmi kartaa qayb ka mid ah mushaarkaaga la waayay.

Tallaabada 1aad: Ku dhaawacmay shaqada • •

•

Hel gargaar degdeg ah. Dhicis, dillaac, iyo murgacasho baddan waxay noqon karaan dhaawacyo halis ah haddii isla markiiba aan la daaweyn. Arag dhakhtar haddii loo baahanyahay. Haddii aad ku dhaawacantay shaqada, u tag dhakhtarkaaga, xarunta Daryeelka Degdega ah ee kuugu dhow ama Qolka Xaaladaha Degdega ah (dhaawacyada daran, addin waayid, iwm.) Waxay kugu caawin doonaan xaraysashada xaq sheegashada magdhowga shaqaalaha. Isla markiiba u sheeg wakaaladaada ama xiriirkaaga Waaxda Adeegaha Bulshada iyo Caafimaadka. Loo-shaqeeyayaasha waxay u baahanyihiin in ay oggaadaan dhaawacyada sidaas awgeed marka warqada shaqada ee L&I ay timaado waxay kugu caawin karaan in aad qorshayso shaqo kunoqoshadaada.

Tallaabada 2aad: Xarayso Xaq sheegasho

Waxaad xarayn kartaa warbixin shil ee loogu talogalay dhaawacaaga xafiiska dhakhtarkaaga, taleefoonka ayaad ugu gudbin kartaa xafiiska L&I 1-877-561-FILE (saacadaha shaqada kaliya), ama online-ka www.LNI.WA.gov. Xasuusnow in aad: • Dhammeystirto dhammaan shaqada warqada loo baahan yahay waxaadna meel u dhigataa nuqulada wax kasta oo diiwaanadaada ah. • Si taxadar baddan u akhri dhammaan waraaqadaha kadibna si dhaqso ah uga jawaab • Kuqor lambarka xaq sheegaaga waraaqdaada waxaadna u akhrisaa marka aad wacdo L&I iyo loo-shaqeeyahaaga.

Tallaabada 3aad: Xaq sheegasho la Ansixiyey

L&I waxay ansixin kartaa xaq sheegashadaada haddii dhakhtarkaaga uu xaqiijiyo in aad dhaawacantay waqti gaar ah iyo goob shaqada ah, ama haddii aad cudur qabto ama xanuun sabab u ah shaqadaada. Dheefaha waxay ceymiyaan biilasha caafimaadka. Waxaa sidoo kale ka mid ah bedelka mushaarka, caawimaad shaqo-kunoqosho iyo naafonimo loogu talogalay kuwa sida xun u dhaawacmay.

WAA MAXAY

XANUUNKA WALAACA ARGAGAXA-HORE? Sababaha Suurtagalka ah

Xanuunka walaaca argagaxa-hore wuxuu dhici karaa kadib marka aad soo martay dhacdo nololeed oo argagax leh. Dhacdada argagaxa leh waa wax xun oo cabsi leh ee aad aragto, maqasho, ama ay kugu dhacaan adiga.

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ee dadka mareykanka ahi waxay dareemaan dhacdo argagax noloshooda.

Xanuunka Walaaca Argagaxa-hore wuxuu dhici karaa kadib dhacdo argagax leh ee aad aragto, maqasho ama ay kugu dhacdo, sida: • Xad gudub jireed ama galmo ah • Shilal halis ah, sida burburka gaari • Dagaal galidda • Xadgudub Dareen • Dhaawac Jireed

1 marka la eego 10 dumarba waxay yeelanayaan Xanuunka Walaaca Argagaxa-hore.

Ilaha: Xarunta Qaranka ee Xanuunka Walaaca Argagaxa-hore; Machadka Sidran, “Khuraafaadka iyo Xaqiiqooyinka ku saabsan Xanuunka Walaaca Argagaxa-hore”; HelpGuide.org, “Caawinta qof qabba Xanuunka Walaaca Argagaxa-hore”

Tallaabada 3aad: Xaq sheegashada La Diiday

Xaq sheegashada waa la diidi karaa haddii dhakhtarka uusan caddayn karin in xaaladda caafimaad ee shaqaalaha ay la xiriirto wax gaar ah ee ka dhacay shaqada ama cudur shaqo. Adiga iyo/ama dhakhtarkaaga waxaad xaq u leedihiin in aad diidaan go’aan kasta ee lagu gaaray online-ka ee ku saabsan xaq sheegashadaada. Rafcaanada waxaa si toos ah looga sameyn karaa Guddiga Rafcaanada Caymiska Warshadaha.

Tallaabada 4aad: Shaqada Dib Ugu Noqo

Qaar kamid ah shaqaalaha dhaawacma waxay seegaan maalmo shaqo inta ay bogsanayaan. Si kastaba kuwo baddan waxay ugu noqon karaan si tartiib ah shaqada, ayaga oo wali qaadanaya dheefaha caafimaadka. Dib ugu noqoshada shaqada sida ugu dhaqsiyaha baddan ee suurtagalka ahi waa dadaal kooxeed oo u dhaxeeya adiga, dhakhtarkaaga iyo qofka aad u shaqaysid. Laxiriir ayaga. L&I waxay bixinaysaa gargaar marka aad u baahantahay.

Tallaabada 5aad: Xir Xaq sheegashada

Xaq sheegashooyinka waxaa la xiraa marka: • Dhakhtarkaaga uu xaqiijiyo in daaweyn dheeraad ah aysan wanaajinayn xaaladaada. • L&I aysan hayn macluumaad cusub oo muujinaysa in aad u baahantahay gargaar dheeraad ah • Daawayntaada waa lagu guulaystay! (Xaaladahan, L&I waxay ku oggolaanaysaa oo ay ku xiraysaa xaq sheegashadaada isla waqtigaasi “Ogeysiiska Go’aanka.”)

Wax baddan ka baro oo ka soo xarayso xaq sheegaaga boggaan internetka www.LNI.WA.gov

Calaamadaha Caadiga ah 1. Ka bogsashada dhacdada Waxaad yeelan kartaa xasuus xun, qarow ama waxaad dareemi kartaa sida in aad mar kale marayso dhacdada. Tani waxaa lagu magacaabaa dib-u milicsiga dhacdo hore. 2. Ka fogaanshaha xaaladaha ku xasuusiya dhacdada Waxaad isku dayi kartaa in aad ka fogaato xaaladaha ama dadka kiciya xasuusaha dhaawaca. Waxaad ka fogaan kartaa in aad ka hadasho ama ka fikirto dhacdada. 3. Isbeddelada xun ee aaminsanaanta iyo dareenka Waxaad dareemi kartaa cabsi, dambi ama ceeb. Ama waxaa laga yaabaa in aadan xiisaynayn hawlaha aad mar ku raaxaysan jirtay. 4. Dareemidda kacsanaan (ama feejignaan daran) Waxaad dareemi kartaa walaac, mar walba waad feejigantahay waxaadna iska fiirinaysaa khatar. Waxaa laga yaabaa in aad dhibaato ku qabto hurdada ama xoog-saarida fahanka ah.

Hel Taageero “Wanaagsanaanta” waxay ula macno tahay waxyaabo kala duwan dadka kala duwan. Balse daawaynta sida la-talinta, iyo mararka qaar daaweynta, waxay kugu caawin kartaa in aad la qabsato calaamadaha faragelinta nolosha maalin kasta. Kala hadal Bixiyaha Daryeelkaaga Aasaasiga ah doorashooyinka aad ka heli karto daaweynta Qaado baaritaan online-ka ah ee aad kubaartid Xanuunka Walaaca Argagaxa-hore iyada oo loo marayo Ururka Walaaca iyo Niyad jabka ee Mareykanka www.myseiu.be/PTSDscreening Waaxda Mareykanka ee Arrimaha Khabiirdagaaleedka waxay leedahay khayraad ballaaran ee loogu talogalay daryeelayaasha. www.Caregiver.VA.gov Hadaad rabto maqaallo qoto-dheer oo ku saabsan daryeelidda xubinka qoyska ee qabba Xanuunka Walaaca Argagaxa-hore, booqo: www.HelpGuide.org Wac Khadka Tooska ah ee Ka hortagga Isdilista Qaranka ee loogu talogalay qof kasta oo dhibban: 1-800-273-TALK INSIGHT MAGAZINE

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HEALTH BENEFITS TRUST: INTRODUCCIÓN Verifique su elegibilidad para Health Benefits Trust Debe trabajar por lo menos 86 horas por mes durante tres meses consecutivos a fin de ser elegible para solicitar los beneficios de Health Benefits Trust. Para solicitar los beneficios, no necesita esperar hasta ser elegible. Puede completar el formulario de solicitud luego de ser contratado.

Solicitar

n Proveedores individuales: Puede hacer la solicitud ingresando a www.myseiubenefits.org y llenando el formulario de solicitud. n Agencias: Consulte a su empleador sobre cómo hacer la solicitud.

Busque su tarjeta de identificación Luego de hacer su solicitud, ser encontrado elegible y haber pagado su prima, recibirá una tarjeta de identificación por correo. Necesitará el número de su tarjeta de identificación para acceder a sus beneficios. Si no recibe la tarjeta antes del día 15 del mes en que comienza su cobertura, llame al Centro de Recursos para Miembros al 1-866-371-3200. Busque y anote el centro de atención de urgencias más cercano y conserve la anotación junto con su tarjeta de identificación para referencia.

¡Complete tres actividades marcadas con estrellas y reciba $100! Si ha completado 1) su perfil de salud; 2) una visita de atención preventiva; y 3) un chequeo/limpieza dental, recibirá un cheque de $100.

Totalmente nuevo: Ahora puede combinar sus horas de múltiples empleadores para cumplir con el requisito de elegibilidad de 86 horas. Llame al MRC (Centro de Recursos para Miembros) para más información al 1-866-371-3200.

Complete su perfil de salud Complete su perfil de salud en línea luego de registrarse en www. MyGroupHealth.org o www.KP.org.

Realice una visita de atención preventiva Use el directorio en línea de proveedoreswww.ghc.org o www.kp.org para elegir un médico de atención primaria adecuado para usted. Luego coordine una cita de atención preventiva o llame para programarla. Group Health 1-800-901-4636 o Kaiser Permanente 1-800-813-2000.

Realice un chequeo/limpieza dental Su salud oral es una parte importante de su salud en general. ¡Elija un dentista, complete una limpieza, sonría! Delta Dental 1-800-554-1907 o Willamette Dental 1-800-359-6019.

Ubique su centro de atención de urgencias más cercano Tan pronto como sea posible, identifique el centro de atención de urgencias más cercano a usted para cuando necesite atención de urgencia. Puede encontrar los centros de atención de urgencia en internet en www.ghc.org o www. kp.org.

Administre sus recetas Si tiene recetas, haga que se las transfieran a Group Health o Kaiser Permanente. Luego, establezca, por internet o a través del servicio al cliente, que sus recetas sean reabastecidas mediante el servicio de pedidos por correo.

CAPACITACIÓN: CÓMO OBTENER EL MÁXIMO DE SU TA Vaya al sitio web para Servicio y soporte convenientes CAPACITACIÓN

Entender los requisitos de certificación del Departamento de Salud

Si usted tiene la obligación de recibir la certificación, no se demore, inicie el proceso tan pronto como sea posible. Llame al Centro de recursos para miembros para hablar con un representante acerca de sus requisitos.

El portal web www.myseiubenefits.org es su recurso completo para las clases disponibles, su nivel de capacitación actual, los beneficios de elegibilidad y mucho más. Inicie sesión en el portal primero para obtener las respuestas que necesita.

Actualice su información de contacto

Regístrese temprano para la capacitación

Actualice su información de contacto con su empleador, para continuar recibiendo la última información sobre su capacitación.

Tome sesiones de aprendizaje en línea para obtener créditos de Educación continua

Llame al Centro de Recursos para Miembros al 1-866-371-3200 o vaya a www. myseiubenefits.org/contact-us y un representante contestará su pregunta en su idioma. 12 idiomas adicionales, además del inglés, para la capacitación y el examen de certificación

Si usted necesita Capacitación básica, lo invitamos a inscribirse en sus clases dentro de las primeras dos semanas de contratación para obtener la mejor oferta de opciones de clases. Si usted quiere tomar clases de Educación continua dirigida por un instructor (EC), inscríbase lo antes posible para obtener la mejor selección de las opciones de clase antes de la fecha límite (su cumpleaños).

Los cursos de Educación continua en línea son una manera fácil y conve-niente de obtener las horas de Educación continua (CE, por sus siglas en inglés) que usted necesita como ayudante de atención domiciliaria. Usted puede ver los cursos disponibles, tomar clases y ver los créditos, todo desde su computadora, 24 horas al día, siete días a la semana.

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¿Necesita apoyo de idioma para la capacitación o los beneficios de Health Benefits?

Árabe Coreano Somalí Tagalog Cantonés Laosiano Español Ucranio Camboyano Samoano Ruso Vietnamita Además, los estudiantes pueden llamar al Centro de Recursos para Miembros para solicitar los servicios de un intérprete de otros idiomas. Este servicio se otorgará en orden de solicitud.

Cómo reportar su lesión

Cuando se lesiona en el hogar de su cliente o en su propio hogar como cuidador familiar, reporte su lesión al Departamento de Labor e Industrias (L&I) del Estado de Washington. Si su reclamo es aceptado, recibirá compensación laboral para pagar su cuidado médico directamente. Si usted no puede trabajar debido a su lesión, es posible que sea elegible para recibir una porción de sus sueldos perdidos.

Paso 1: Lesionado en el trabajo

Paso 3b: Reclamo rechazado

•

Los reclamos pueden ser rechazados si el médico no puede certificar que la condición médica del trabajador se relaciona con algo específico que sucedió en su trabajo o con una enfermedad ocupacional. Usted y su médico tienen el derecho de objetar cualquier decisión tomada sobre su reclamo en línea. Las apelaciones pueden hacerse directamente al Consejo de Apelaciones al Seguro Industrial.

•

Consiga primeros auxilios. Muchas caídas, cortaduras y esguinces pueden convertirse en lesiones serias si no son tratadas inmediatamente. Vea a un médico si es necesario. Si se lesiona en el trabajo, vaya a ver a su médico, centro de cuidados urgentes, o sala de emergencias más cercano (lesiones severas, pérdida de extremidades, etc.) Ellos lo ayudarán a llenar el reclamo de compensación del trabajador. Informe al contacto en su agencia o DSHS (Departamento de Servicios Sociales y de Salud) de inmediato. Los empleadores deben estar al tanto de su lesión cuando llegue el papeleo L&I y para que puedan ayudar a planificar su regreso al trabajo.

Paso 2: Presente un reclamo Usted puede presentar un informe de accidente por su lesión en el consultorio de su médico, vía telefónica con la oficina L&I al 1-877-561-FILE (solo horario de oficina), o en línea en www.LNI.WA.gov. Recuerde: • Complete todo el papeleo requerido y retenga copias de todo para sus registros. • Lea los formularios cuidadosamente y envía sus respuestas puntualmente. • Coloque su número de reclamo en su papeleo y téngalo a la mano cuando llame a L&I y a su empleador.

Paso 3a: Reclamo aprobado L&I puede aprobar su reclamo si su médico certifica que usted se lesionó específicamente en su lugar de trabajo, o si tiene una enfermedad o desorden ocasionado por su trabajo. Los beneficios cubren las facturas médicas. También pueden incluir reemplazo de sueldo, ayuda para volver a trabajar e incapacidad para quienes se lesionan severamente.

¿QUÉ ES EL TEPT

(TRASTORNO DE ESTRÉS POSTRAUMÁTICO, PTSD)? Causas posibles El Trastorno de estrés postraumático puede ocurrir cuando ha vivido un evento traumático. Un evento traumático es algo terrible y aterrador que usted ve, escucha o experimenta.

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El TEPT puede ocurrir después de un evento traumático que usted ve, escucha o experimenta, como: • Violencia física o sexual • Accidentes graves, como accidente automovilístico • Exposición al combate • Abuso emocional • Lesiones físicas

de los americanos

experimentan un evento traumático en su vida.

1 de cada 10 mujeres desarrolla TEPT.

Fuentes: Centro Nacional para el TEPT; Instituto Sidran, “Mitos y verdades sobre el TEPT”, Helpguide.org, “Ayudando a alguien con TEPT”.

Paso 4: Volver al trabajo Algunos trabajadores lesionados dejan de trabajar mientras se recuperan. Sin embargo, algunos pueden volver a trabajar gradualmente, mientras reciben beneficios médicos. El que usted vuelva a trabajar tan pronto como sea posible, es un esfuerzo en equipo entre usted, su médico y su empleador. Permanezca en contacto con ellos. L&I le proporcionará asistencia cuando la necesite.

Paso 5: Reclamo cerrado Los reclamos se cierran cuando: • Su médico certifica que el tratamiento adicional no mejorará su condición. • L&I no tiene nueva información que muestre que usted necesita asistencia adicional. • ¡Su tratamiento fue exitoso! (En estos casos, L&I acepta y cierra su reclamo al mismo tiempo en una “Nota de decisión”).

Conozca más y complete su reclamo en www.LNI.WA.gov

Síntomas comunes 1. Volver a vivir el evento Usted puede tener malos recuerdos, pesadillas o sentir que está viviendo el evento una vez más. Esto se llama escena retrospectiva. 2. Evite situaciones que le recuerden el evento Usted puede tratar de evitar situaciones o personas que desencadenen recuerdos sobre el trauma. Usted puede evitar hablar o pensar sobre el evento. 3. Cambios negativos en sus creencias y sentimientos Usted puede sentir miedo, culpa o vergüenza. O puede dejar de ser interesado en actividades que solía disfrutar. 4. Sentirse exaltado (o hiperactivo) Usted puede sentirse nervioso, siempre alerta o atento al peligro. O puede tener problemas para dormir o concentrarse.

Encontrar apoyo “Sentirse mejor” tiene significados diferentes para diferentes personas. Pero tratamientos como la consejería, y algunas veces la medicación, pueden ayudarlo a hacer frente a los síntomas y evitar que interfieran con su vida diaria. Hable con su proveedor de atención primaria sobre las opciones disponibles de terapia Haga evaluaciones en línea para el TEPT por medio de la Asociación de Ansiedad y Depresión de América www.myseiu.be/PTSDscreening El Departamento de Asuntos de los Veteranos de los EE.UU. tiene extensos recursos para cuidadores. www.Caregiver.VA.gov Para leer artículos en detalle sobre cómo cuidar a un miembro familiar con TEPT, visite: www.HelpGuide.org Llame a la Línea Nacional Directa de Prevención del Suicidio en caso de que alguien necesite ayuda: 1-800-273-TALK INSIGHT MAGAZINE

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HEALTH BENEFITS TRUST: BẮT ĐẦU Kiểm Tra Tư Cách nhận các Phúc Lợi Y Tế của Quý Vị Quý vị phải làm việc ít nhất là 86 giờ mỗi tháng trong 3 tháng liên tiếp để đủ điều kiện nộp đơn đăng ký các phúc lợi của Health Benefits Trust. Quý vị không cần đợi cho đến khi quý vị đủ điều kiện để nộp đơn đăng ký, quý vị có thể điền mẫu đơn đăng ký sau khi quý vị đã được tuyển dụng.

Nộp đơn đăng ký

n Nhà Cung Cấp Dịch Vụ Cá Nhân: Quý vị có thể nộp đơn đăng ký bằng cách đăng nhập www.myseiubenefits.org và điền vào mẫu đơn đăng ký. n Nhà Cung Cấp Dịch Vụ Cơ Quan: Thảo luận với nhà tuyển dụng của quý vị về việc nộp đơn đăng ký.

Tìm Kiếm Thẻ Căn Cước của Quý Vị Sau khi quý vị nộp đơn đăng ký, được phát hiện đủ điều kiện và nộp phí bảo hiểm của mình, quý vị sẽ nhận được một thẻ căn cước qua đường bưu điện. Quý vị sẽ cần số thẻ căn cước để tiếp cận được các phúc lợi của mình. Nếu quý vị không nhận được thẻ trước ngày 15 của tháng mà khoản bao trả của quý vị bắt đầu, vui lòng gọi đến MRC theo số 1-866-371-3200. Tìm kiếm và viết ra Trung Tâm Chăm Sóc Khẩn Cấp gần quý vị nhất và mang theo cùng thẻ của quý vị để tham khảo.

Hoàn Thành Ba Hoạt Động Được Đánh Dấu Sao và Nhận $100! Nếu quý vị đã 1) Hoàn Thành Hồ Sơ Y Tế của quý vị; 2) Hoàn thành lần thăm khám Chăm Sóc Phòng Ngừa; và 3) Hoàn thành vệ sinh/khám răng miệng, quý vị sẽ nhận được một ngân phiếu trị giá $100. Hoàn toàn mới: Giờ đây quý vị có thể kết hợp số giờ công của quý vị từ nhiều chủ sử dụng lao động để đáp ứng yêu cầu đủ điều kiện 86 giờ công. Vui lòng gọi MRC để biết thêm thông tin theo số 1-866-371-3200.

Hoàn Thành Hồ Sơ Y Tế của Quý Vị Hoàn thành Hồ Sơ Y Tế trực tuyến sau khi đăng ký trực tuyến tại www.MyGroupHealth.org hoặc www.KP.org.

Hoàn thành Lần Thăm Khám Chăm Sóc Phòng Ngừa Sử dụng danh bạ nhà cung cấp trực tuyến tại www.ghc.org hoặc www.kp.org để chọn nhà cung cấp dịch vụ chăm sóc chính phù hợp với quý vị. Sau đó lập cuộc hẹn chăm sóc phòng ngừa. Group Health 1-800-901-4636 hoặc Kaiser Permanente 1-800-813-2000.

Hoàn thành Khám/Vệ Sinh Răng Miệng Sức khỏe răng miệng là một phần quan trọng của sức khỏe tổng quát của quý vị. Chọn một nha sĩ, hoàn thành vệ sinh răng – mỉm cười! Delta Dental 1-800-554-1907 hoặc Willamette Dental 1-800-359-6019.

Tìm Địa Điểm của Trung Tâm Chăm Sóc Khẩn Cấp Gần Nhất Ngay khi có thể, quý vị cần xác định Trung Chăm Sóc Khẩn Cấp gần nhất phòng trường hợp quý vị cần điều trị Chăm Sóc Khẩn Cấp. Quý vị có thể tìm thấy các Trung Tâm Chăm Sóc Khẩn Cấp trực tuyến tại www.ghc.org hoặc www.kp.org.

Quản Lý Toa Thuốc của Quý Vị Nếu hiện quý vị đã có toa thuốc, chuyển các toa thuốc này đến Group Health hoặc Kaiser Permanente. Tiếp theo, đặt mua theo toa thêm qua đường bưu điện trực tuyến hoặc tại bộ phận dịch vụ khách hàng để tiết kiệm thời gian và tiền bạc.

ĐÀO TẠO: CÁCH TẬN DỤNG TỐT NHẤT KHÓA HUẤN LUYỆN CỦA QUÝ VỊ Truy Cập Trực Tuyến để nhận Dịch Vụ và Hỗ Trợ Thuận Tiện Hiểu Được các Yêu Cầu về Chứng Nhận DOH

Nếu quý vị bắt buộc phải nhận được chứng nhận, đừng trì hoãn – bắt đầu quy trình càng sớm càng tốt. Gọi đến Trung Tâm Nguồn Lực Thành Viên để thảo luận với đại diện về các yêu cầu của quý vị.

Đăng Ký Sớm để Tham Gia Khóa Huấn Luyện

Nếu quý vị cần Huấn Luyện Cơ Bản, chúng tôi khuyến khích quý vị đăng ký tham gia lớp học của mình trong vòng hai tuần đầu tiên kể từ khi được tuyển dụng để chọn lựa tốt nhất các tùy chọn lớp học. Nếu quý vị muốn tham gia các lớp học Giáo Dục Thường Xuyên (CE) có Giảng Viên Hướng Dẫn, hãy đăng ký càng sớm càng tốt để chọn lựa tốt nhất các tùy chọn của lớp học trước thời hạn của quý vị (ngày sinh nhật của quý vị).

Tham Gia các Khóa Học Trực Tuyến để Nhận Tín Chỉ Giáo Dục Thường Xuyên

Các khóa học Giáo Dục Thường Xuyên trực tuyến là cách thức dễ dàng và thuận tiện để đạt được số giờ CE mà quý vị cần khi là Hộ Lý Chăm Sóc Tại Nhà. Quý vị có thể xem các khóa học sẵn có, tham gia các lớp học và xem các tín chỉ của quý vị, tất cả từ máy tính của quý vị – 24 giờ một ngày, bảy ngày một tuần.

Cổng thông tin web www.myseiubenefits.org là nguồn lực toàn diện dành cho quý vị về các lớp học sẵn có, trạng thái huấn luyện hiện tại của quý vị, tình trạng đủ điều kiện nhận các phúc lợi và nhiều hơn nữa. Đăng nhập cổng thông tin trước tiên để nhận được câu trả lời mà quý vị cần.

Cập Nhật Thông Tin Liên Lạc của Quý Vị

Bảo đảm quý vị đang nhận được thông tin mới nhất về khóa huấn luyện đào tạo mình bằng cách cập nhật thông tin liên lạc của quý vị với nhà tuyển dụng của quý vị.

Cần Hỗ Trợ Ngôn Ngữ cho Huấn Luyện hoặc các Phúc Lợi Y Tế?

Gọi đến Trung Tâm Nguồn Lực Thành Viên theo số 1-866-371-3200 hoặc gửi email www.myseiubenefits.org/contact-us và đại diện sẽ trả lời câu hỏi của quý vị bằng tiếng Việt. 12 Ngôn Ngữ Ngoài Tiếng Anh cho Huấn Luyện và Kiểm Tra Chứng Nhận Tiếng Ả Rập Tiếng Quảng Đông Tiếng Campuchia

Tiếng Hàn Quốc Tiếng Lào Tiếng Samoa Tiếng Somali

Tiếng Tây Ban Nha Tiếng Nga Tiếng Tagalog

Tiếng Ukraina Tiếng Việt

Ngoài ra, các học viên có thể gọi đến MRC để có được thông dịch viên các ngôn ngữ khác, người nào gọi trước thì được phục vụ trước. 46

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Cách Thức Báo Cáo Chấn Thương Tại Nơi Làm Việc của Quý Vị Khi quý vị bị thương tại nhà Khách Hàng của quý vị hoặc nhà của chính quý vị trong vai trò là người chăm sóc gia đình, vui lòng báo cáo chấn thương của quý vị cho Sở Lao Động & Công Nghiệp Tiểu Bang Washington (L&I). Nếu yêu cầu bồi thường của quý vị được chấp nhận, quý vị sẽ nhận được bồi thường cho người lao động để thanh toán trực tiếp dịch vụ chăm sóc y tế. Nếu quý vị không thể làm việc sau khi bị chấn thương, quý vị có thể đủ điều kiện nhận được một phần tiền lương đã mất của quý vị.

Bước 1: Bị thương tại nơi làm việc • •

•

Được sơ cứu. Nhiều trường hợp bị ngã, đứt và bong gân có thể trở thành các chấn thương nghiêm trọng nếu không được điều trị ngay lập tức. Thăm khám bác sĩ nếu cần. Nếu quý vị bị thương tại nơi làm việc, hãy đến thăm khám bác sĩ của quý vị, đến trung tâm Chăm Sóc Khẩn Cấp hoặc Phòng Cấp Cứu gần nhất (các chấn thương nghiêm trọng, mất tay chân, v.v.) Họ sẽ giúp quý vị điền vào yêu cầu bồi thường cho người lao động. Báo ngay cho người liên lạc của cơ quan của quý vị hoặc DSHS. Chủ sử dụng lao động cần biết về các chấn thương để khi giấy tờ L&I đến, họ có thể giúp quý vị lên kế hoạch trở lại làm việc.

Bước 2: Nộp yêu cầu bồi thường

Quý vị có thể nộp báo cáo tai nạn về chấn thương của quý vị tại văn phòng của bác sĩ quý vị, qua điện thoại gọi đến văn phòng L&I theo số 1-877-561-FILE (chỉ trong giờ hành chính), hoặc trực tuyến tại www.LNI.WA.gov. Cần nhớ: • Hoàn thành tất cả giấy tờ cần thiết và lưu giữ bản sao mọi thứ cho hồ sơ của quý vị. • Đọc kỹ tất cả giấy tờ và trả lời ngay, • Điền số yêu cầu bồi thường của quý vị vào giấy tờ của quý vị và chuẩn bị sẵn số yêu cầu bồi thường khi quý vị gọi đến L&I và chủ sử dụng lao động của quý vị.

Bước 3: Yêu Cầu Bồi Thường Được Phê Duyệt

L&I có thể phê duyệt yêu cầu bồi thường của quý vị nếu bác sĩ của quý vị chứng nhận rằng quý vị bị thương tại một thời điểm cụ thể và tại nơi làm việc, hoặc nếu quý vị mắc bệnh hoặc tình trạng rối loạn gây ra do công việc của quý vị. Các phúc lợi bao trả hóa đơn y tế. Các phúc lợi cũng bao gồm khoản thay thế tiền lương, trợ giúp quay trở lại làm việc và bao trả tình trạng khuyết tật cho người bị thương nặng.

PTSD LÀ GÌ?

Các Nguyên Nhân Tiềm Ẩn

Rối loạn căng thẳng sau sang chấn có thể xảy ra nếu quý vị đã trải qua biến cố gây tổn thương trong cuộc sống. Biến cố gây tổn thương là điều gì đó khủng khiếp và đáng sợ mà quý vị thấy, nghe nói về hoặc xảy ra với chính quy vị.

PTSD có thể xảy ra sau biến cố gây tổn thương mà quý vị thấy, nghe nói về hoặc xảy ra với chính quý vị như: • Bạo lực tình dục hoặc thể chất • Các tai nạn nghiêm trọng như tai nạn xe hơi • Tiếp xúc với trận chiến • Lạm Dụng Cảm Xúc • Chấn Thương Thể Chất

80%

người Mỹ sẽ trải qua một biến cố gây tổn thương trong đời.

Bước 3: Yêu Cầu Bồi Thường Bị Từ Chối

Các yêu cầu bồi thường có thể bị từ chối nếu bác sĩ không thể chứng nhận bệnh trạng của người lao động liên quan đến một điều gì đó cụ thể đã xảy ra tại nơi làm việc hoặc một bệnh nghề nghiệp. Quý vị và/hoặc bác sĩ của quý vị có quyền phản đối trực tuyến bất kỳ quyết định nào được đưa ra về yêu cầu bồi thường của quý vị. Có thể kháng cáo trực tiếp lên Hội Đồng Kháng Cáo Bảo Hiểm Nghề Nghiệp.

Bước 4: Quay Trở Lại Làm Việc

Một số người lao động bị thương phải nghỉ làm việc trong khi họ đang hồi phục. Tuy nhiên, nhiều người có thể trở lại làm việc dần dần trong khi vẫn nhận các phúc lợi y tế. Quay trở lại làm việc càng sớm càng tốt là một nỗ lực nhóm giữa quý vị, bác sĩ của quý vị và chủ sử dụng lao động của quý vị. Hãy giữ liên lạc với họ. L&I sẽ trợ giúp khi quý vị cần.

Bước 5: Đóng Yêu Cầu Bồi Thường

Các yêu cầu bồi thường được đóng khi: • Bác sĩ của quý vị chứng nhận rằng điều trị thêm sẽ không cải thiện tình trạng của quý vị. • L&I không có thông tin mới cho thấy quý vị cần thêm trợ giúp • Điều trị của quý vị đã thành công! (Trong những trường hợp này, L&I chấp nhận và đóng yêu cầu bồi thường của quý vị tại cùng thời điểm trong “Thông Báo Quyết Định.”)

Tìm hiểu thêm và nộp yêu cầu bồi thường của quý vị tại www.LNI.WA.gov

Các Triệu Chứng Thường Gặp 1. Hồi tưởng lại biến cố Quý vị có thể có những kỷ niệm đau buồn, ác mộng hoặc cảm giác như đang trải qua biến cố này lại lần nữa. Đây được gọi là hồi tưởng. 2. Tránh các tình huống nhắc quý vị nhớ lại biến cố Bạn có thể cố gắng tránh các tình huống hoặc người gợi nhớ tổn thương. Quý vị có thể tránh nói chuyện hoặc nghĩ về biến cố. 3. Những thay đổi tiêu cực về niềm tin và cảm giác Quý vị có thể cảm thấy sợ hãi, tội lỗi hoặc xấu hổ. Hoặc quý vị có thể không hứng thú với các hoạt động quý vị đã từng yêu thích. 4. Cảm thấy căng thẳng (hoặc kích thích quá mức) Quý vị có thể cảm thấy bồn chồn, luôn cảnh giác hoặc đề phòng nguy hiểm. Hoặc quý vị có thể khó ngủ hoặc khó tập trung.

1 trong số 10 phụ nữ sẽ bị PTSD.

Nguồn: Trung Tâm Quốc Gia về PTSD; Viện Sidran, “Lầm Tưởng và Sự Thật về PTSD”; HelpGuide.org, “Giúp đỡ người bị PTSD”

Tìm Kiếm Sự Hỗ Trợ “Trở nên tốt hơn” có ý nghĩa khác nhau đối với những người khác nhau. Nhưng điều trị như tư vấn và đôi khi là dược phẩm có thể giúp quý vị đối phó với các triệu chứng cản trở sinh hoạt thường ngày. Trao đổi với Nhà Cung Cấp Dịch Vụ Chăm Sóc Chính của quý vị về các tùy chọn sẵn có về liệu pháp cho quý vị Thực hiện sàng lọc trực tuyến về PTSD qua Hiệp Hội Lo Âu và Trầm Cảm Mỹ www.myseiu.be/PTSDscreening Bộ Cựu Chiến Binh Hoa Kỳ có nguồn lực phong phú cho người chăm sóc. www.Caregiver.VA.gov Để xem các bài viết chuyên sâu về chăm sóc thành viên gia đình bị PTSD, vui lòng truy cập: www.HelpGuide.org Gọi Đường Dây Nóng Ngăn Ngừa Tự Tử Quốc Gia dành cho bất kỳ ai đang gặp nguy hiểm: 1-800-273-TALK INSIGHT MAGAZINE

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