Health Tab July 2020

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H E A L T H&W E L L N E S S

Safe & Healthy See page

A Special Section of the S u l l i v a n C o u n t y D e m o c r a t

July 2020

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

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COVID-19 creates ‘perfect storm’ for those with addiction

BY ISABEL BRAVERMAN

W

endy Brown, Deputy Director of Sullivan County Public Health Services, says the COVID-19 pandemic is negatively affecting those with substance use disorders.

The county has been struggling to combat the opioid epidemic, as is most of the country, for years.

But the coronavirus pandemic is bringing new challenges to those with opioid use and other substance use disorders.

“The stress related to COVID has been unbelievable,” Brown said. “And if we’re dealing with people that aren’t well equipped to deal with stress in the beginning it makes it a little harder.”

Stresses such as losing one’s job, isolating at home, not being allowed to socialize and having children at home can take a toll on those who use drugs or alcohol to cope with stress.

Brown says since the stay-athome order began on March 14, it has created the ‘perfect storm’

as overdoses have increased.

The Public Health Department uses a nation-wide tool called ODMAP to track instances of overdoses. It includes information like where the overdose happened, whether or not it was fatal and if Narcan was used.

Based on the ODMAP data, in Sullivan County, from January 1 to March 16 there was a total of 53 overdoses, three were fatal, and 37 treated with Narcan. From January 1 through July 7 the numbers have significantly increased with a total of 120 overdoses, 14 of which were fatal and 85 treated with Narcan.

Nationally, 61.84 percent of counties participating in ODMAP experienced an increase in overdose submissions after March 19.

There was a 17.59 percent increase in suspected overdose submissions when comparing the weeks prior to and following the commencement of state-mandated stay-at-home orders.

“Since the stay-at-home order went into effect detected overdose clusters have shifted from

the traditional centralized urban areas to much more suburban and rural areas, so that speaks to what we’re seeing here,” Brown remarked.

In the county, overdose clusters are usually found in the more densely populated areas, which are Monticello and Liberty. The ultimate goal of the ODMAP is to use the data to target areas that Public Health can go in with intervention treatment.

Sullivan County has been second to last in county health rankings in New York State, only recently moving up one slot to third. Some of the factors that contribute to its poor health are poverty and lack of access to healthcare.

The county’s Community Services Department has been offering telephone and video services since the beginning of the pandemic, and is now expanding byappointment hours to Monday through Thursday from 9 a.m. to 5 p.m.

PLEASE SEE ADDICTION, 5H

PHOTO BY METRO CREATIVE

Health & Wellness

‘Helping to keep Sullivan County feeling well’ Published by

Catskill-Delaware Publications, Inc. Publishers of the

(845) 887-5200 Callicoon, NY 12723 July 17, 2020 • Vol. CXXX, No. 11

Publisher: Co- Editors: Editorial Assistants: Production Manager: Design: Advertising Director: Assistant Advertising Director: Special Sections Coordinator: Advertising Coordinator: Business Manager: Assistant Business Manager: Telemarketing Coordinator: Monticello Office Manager: Classified Manager: Production Associates: Circulation & Distribution:

Fred W. Stabbert III Joseph Abraham and Matt Shortall Isabel Braverman, Margaret Bruetsch, Kathy Daley, Patricio Robayo, Richard Ross, Jeanne Sager, Ed Townsend Petra Duffy Rosalie Mycka Liz Tucker Barbara Matos Susan Panella Lillian Ferber Susan Owens Patricia Biedinger Michelle Reynolds Margaret Bruetsch Janet Will Elizabeth Finnegan, Nyssa Calkin, Katey Dnistrian, Jessica Roda Anthony Bertholf, John Fischer, Phil Grisafe

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

The Grand Healthcare System – before, during and after COVID-19 all across New York State While the Coronavirus pandemic ravaged through New York State Nursing Homes, The Grand Healthcare System facilities did all they could to ensure the safety and well-being of its residents and staff from Long Island to Buffalo and everywhere in between.

As a premier healthcare system with over 17 award-winning rehabilitation and nursing and assisted living facilities throughout the State of New York, The Grand cared for thousands of elderly and infirm residents through a devoted and dedicated team of professionals in its employ. At the outset of and during the COVID-19 pandemic, The Grand moved mountains and removed all barriers to purchase and secure sufficient PPE early on and continuously throughout the scarce and difficult times. “We tried to be ahead of the curve by purchasing hundreds of thousands of dollars’ worth of PPE early on and continued all the way through until today. We did whatever necessary to keep our staff and residents safe” says Jeremy B. Strauss, CEO of The Grand Healthcare System.

“It was the single most difficult and harrowing experiences of my professional life. Only due to the tireless hard work and heroic efforts of our most unbelievable team are we able to overcome this dreadful virus”, says Mr. Strauss.

We mourn and sympathize with all those who lost a loved one to this disease and their memory will never be forgotten.

The Grand is proud of its success stories and overall results. Over 81% of all COVID-19 infected residents have recovered under The Grand integrative care system. Furthermore, The Grand boasts a huge number of residents who have successfully been discharged and sent home in good health.

In addition, continues Mr. Strauss, “No one thinks the virus has been vanquished, but as long-term care leaders we are using the lull to evaluate what we have learned, further improve our practices, care plans and processes as well as to stock up on supplies we will need in case of G-d forbid a second wave”.

Best case scenario, of course, is keeping it out altogether, says Mr. Strauss. “We currently perform routine, COVID-19 testing in all our facilities and every employee is tested on a weekly basis and questioned daily per shift for symptoms, fever etc”.

We have also been installing tablet computers that can scan body temperature and proper mask placement at each front door that can alert the front desk if any symptom is detected. We are doing everything in our power- including stockpiling copious amounts of PPE into storage, and using technological tools, so we can focus on care.

Caring for the whole person means the mind-body effect can't be ignored either, says Ms. Vania Loppe, VP of Nursing Services. “As

we had to completely restrict all visitors from our facilities for the safety of our residents, we immediately set up our existing GrandTech iPad system so residents could easily communicate with family members and join special and familial events.

Families are able to email their loved ones directly or through our staff to speak with their loved one face to face at their convenience. It alleviated a lot of the isolation brought on by the COVID-19 pandemic. Since March, we have facilitated thousands of ‘Virtual Visits’ that connected family members around the globe.”

The goal of The Grand Healthcare System is to provide the highest quality of clinical care and customer service to our residents through the most professional, devoted, talented and committed team of staff anywhere in the New York State Healthcare arena. Our mantra is “Get Better. Go Home” and we achieve it every day.

ABOUT THE GRAND HEALTHCARE SYSTEM Based in Rockville Centre, N.Y., The Grand Healthcare System offers customized rehabilitation and nursing services to patients who require either short- or long-term care. Its state-of-the-art facilities, which are located at 17 sites across New York, feature certified instructors who provide exceptional clinical care to help residents achieve their well-

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Greater Hudson Valley Health System changing name to Garnet Health MIDDLETOWN - On June 18, the Greater Hudson Valley Health System will change its name to Garnet Health.

“We are an organization that has led and embraced change over time and I hope you will join me in supporting another important milestone, the changing of our health system’s name to Garnet Health. The quality care we provide to our patients always comes first and Garnet Health will quickly become a name associated with excellence,” said Scott Batulis, President & CEO of Garnet Health.

Garnet Health is the corporate parent of the following entities that will also change names on June 18: · Catskill Regional Medical Center in Harris, and Grover M. Hermann Hospital in Callicoon will be renamed Garnet Health Medical Center – Catskills. · Orange Regional Medical Center in Middletown will be renamed Garnet Health Medical Center. · Catskill Regional Medical Group and Orange Regional Medical Group will be renamed Garnet Health Doctors. · Greater Hudson Valley Urgent Care in Middletown and Monticello will be renamed Garnet Health Urgent Care. · Catskill Regional Medical Center Foundation will be renamed Garnet Health Foundation – Catskills. · Orange Regional Medical Center Foundation will be renamed Garnet Health Foundation.

While the names of the system’s entities will change on June 18, the locations, phone numbers and services will remain the same. Garnet Health will still be the same independently-run, not-for-profit healthcare organization with the same management and voluntary board of directors comprised of community members.

For more information, visit garnethealth.org.

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

HEALTH

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ADDICTION Continued from page 3H much more about substance use disorder and that it’s a biological thing that happens to some people and doesn’t happen to others.”

Virtual Narcan training sessions are held the first Wednesday of each month at 7 p.m. Pre-registration is required, and you can register at https://forms.gle/5AitwLX4P pxsdEqG6.

Brown also commends the county’s new public transportation system, Move Sullivan, for helping people to get to medical appointments and to work so they are able to afford healthcare.

Community Services has been working on starting a Medication Assisted Treatment (MAT) program for some time, and it recently began on May 13. Patients with opioid addiction can receive medication such as

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buprenorphine (Suboxone) and Vivitrol, which block the receptors that get satisfaction from using an opiate, thus reducing cravings.

The MAT program is meant to be used in conjunction with other forms of substance use treatment, or as Stickle says, it’s another tool in the toolbox to recovery.

Stickle said her department is continuing their other programs, such as using mental health peers certified in addiction, working with the hospital and jail, and other community partners such as Catholic Charities.

“I want the community to know that we’re here, and we will continue to be here and do the best we can,” she said.

PHOTO BY METRO CREATIVE

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Director of Community Services, Melissa Stickle says it’s all about improving access to care and meeting people where they are.

“There’s a lot of people that are isolating; they aren’t seeking the help where necessary, even people who may have been doing well,” Stickle remarked. “The whole pandemic is making things very difficult.”

Brown said since the pandemic began, Public Health has been offering online Narcan training courses and delivering the medication to those who participated. She said that some people might feel a stigma to go to a class in person, so online training has been a success.

“Some people think Narcan is almost like saying it’s ok to use drugs, but that couldn’t be further from the truth,” she said. “We’ve learned so

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SULLIVAN COUNTY DEMOCRAT

JULY, 2020

‘We’re all in this together’

BY DR. PETER PANZARINO, MD SYNERGY OF MONTICELLO, INC.

T

he summer is usually a time to relax, enjoy time with friends and family, and to try and forget the stress and worries of our too busy lives.

Not this year.

This spring was ushered in with the global spread of a new virus that is deadly for many reasons. One, this is a highly contagious virus that has a long latency period. This means you can have the virus, be contagious to other people, and have no symptoms for up to two weeks. So a person may have infected dozens of others before he even knows he’s sick.

In addition, it is quite difficult to treat in high risk populations because of the complex immunological reaction it causes.

So we have greeted this spring with a plague that has killed hundreds of thousands, was extremely contagious, and very complicated to treat.

We have two groups that have needed and sought extra mental health care this summer. This includes the patients who already have problems and are usually close to the edge, being

CONTRIBUTED PHOTO

Dr. Peter Panzarino, MD

overwhelmed by stress, anxiety, and depression. For many this extra stress puts them over the edge. I usually hospitalized one or two patients a year, but in May I hospitalized four in one week.

And for many others the stress of unemployment, fear of illness, forced close quarters, extra burden of kids at home with really nothing to do, cause severe increases in substance abuse, anxiety, depression, suicidal ideation, family issues, and on occasion, domestic violence.

But we’ve had Flu scares before,

SARS, Legionnaires Disease, MAD Cow Disease, but nothing caused the amount of health, economic and mental health damage as this.

Why is that?

The virulence of the virus seems to be its long period of contagion which can be unknown, and some other unique biological factors we just didn’t know about.

No doubt the draconian measures helped stop the spread, but it remains unclear which were absolutely vital and which were overly harsh. But the psychological trauma is clearly caused

by the cumulative effect of both factors; the virus and our response to this virus.

There is the fear of illness and death, as well as financial ruin, but also one overpowering fear that causes this to be unique –– the fear of the unknown.

Hearing different messages, predictions and treatment from the experts has caused a tremendous uneasiness for all of us.

The doctors, epidemiologists, and scientists are all well-meaning and doing their best, but in reality it has been hard for all of us to trust what they say, because it has changed so often. Using the plague as a political football hasn’t eased our worries much either. We just don’t know that much about this virus.

Our best minds are working on it but still don’t have a handle on it. So you add fear of the unknown and an inability to trust those we depend on to guide us, and that creates the potentially disastrous psychological stress on all of us, but especially those who are already suffering from emotional illness.

So what can we do? Keep close to family, friends, and the clergy emotionally if not physically. Reach out to social agencies for help, get proper medical and psychiatric care, and cooperate with the policies of social distancing and appropriate mask wearing and don’t demonize those who don’t see the way you do.

No one really has all the answers.

Have faith in our scientific and medical leaders; soon they will get this right. Be grateful that we have the best minds in the world doing the very best for us. And realize that we’re all in this together and will only get out of it the same way, together.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

Sullivan makes modest improvement in national health ranking T

he Robert Wood Johnson Foundation has consistently ranked Sullivan County second to last in terms of health outcomes. Data collected before the COVID-19 pandemic, however, shows signs that our area is on the right path toward a healthier future.

Sullivan County Public Health Services announced on June 10 that we’ve improved our overall level in the Robert Wood Johnson Foundation’s County Health Rankings and Roadmap report for 2020.

“The report was initially released in March, at almost the same time as COVID-19 exploded nationally and globally,” Public Health Director Nancy McGraw said. “The timing would have been awkward, and the messages would have conflicted at a time when so many people were becoming ill, so we chose to wait to share this very welcome news.”

On a practical note, McGraw added, “The pandemic has had serious economic impacts on everyone, and it is likely that the long-term social and health consequences may not be realized for some time to come for New York.

Nevertheless, it is an encouraging bit of news to know that the collective community’s hard work of improving the economy and the social determinants of health over the past few years has revealed an improvement in some of our health indicators.”

Sullivan moved up to #60 in overall NYS rankings. The #61 spot it previously held is now occupied by Chautauqua County, while Bronx County continues to remain at #62, the lowest of all counties in New York.

However, Sullivan moved down in Health Factors to #51 from 50 in 2019. This can be attributed partial-

MATT SHORTALL | DEMOCRAT

Sullivan County Public Health Director Nancy McGraw, seen here alongside State Senator Jen Metzger during a health initiative event back in early March, said Sullivan County’s health ranking by the Robert Wood Johnson Foundation shows some signs of progress.

ly to an increase in sexually transmitted infections and a slight increase in adult obesity. Still, prior to the pandemic, much progress was being made in communities collaboratively with a variety of initiatives.

“Those initiatives will continue as soon as we are all able to get back to normal,” said McGraw.

Areas of strength noted in the report included the then low unemployment rate, better flu vaccination rates, low number of uninsured, stable graduation rates and better health behaviors, notably declining adult smoking rates.

“While these figures represent data collected prior to coronavirus, they show we’ve been moving in

the right direction,” added Division of Health & Family Services Commissioner Stephanie Brown.

“We have worked diligently to raise these rankings and that’s beginning to show.”

Division of Planning Commissioner Freda Eisenberg agreed stating that, “This is a great sign that Sullivan can achieve change in the right direction. The health factor related to Physical Environment is where we made the largest gains, moving from a County ranking of #51 to #26, owing to improvements in water quality and housing.”

“This good news has been a long time in coming, and I thank our Public Health team and our part-

ners for literally raising us up,” affirmed District 2 Legislator Nadia Rajsz, chair of the Legislature’s Health & Family Services Committee. “However, these figures simply make it all the more important to keep working cooperatively with all of our partners to increase our upward movement.

This Legislature, this County and its partners are not giving up. We have work to do.”

“At Sullivan 180, we look at our County health rankings as both an individual and a collective call to action,” remarked Sandi Rowland, executive director of Sullivan 180, a local nonprofit focused on building a healthy and vibrant County.

“Collectively, we need to look for

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

ways we can ensure everyone in Sullivan County has access to healthy food, safe recreation opportunities, access to health care and education, and well-paying jobs with appropriate benefits.

There are many ways that we can work to make this happen through advocacy, awareness and support and through working with local government, schools and our local nonprofits. A simple action, such as volunteering to tutor a young person, can have tremendous benefits

in the long term towards building a healthier community.â&#x20AC;? â&#x20AC;&#x153;Cornell Cooperative Extension (CCE) Sullivan County is proud to work alongside the community and Sullivan Countyâ&#x20AC;&#x2122;s service agencies to cultivate a pathway to wellness by increasing access to fruit and veggies, and safe places to exercise,â&#x20AC;? stated CCE Executive Director Colleen Monaghan. â&#x20AC;&#x153;This announcement is proof that collaboration works, and that we need to sustain these efforts.â&#x20AC;?

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Sean McVeigh, MD, Thanked for Leadership he was pleased to find out that Dr. McVeigh is also a veteran of the U.S. Army. Thumann sees his donation as a way of â&#x20AC;&#x153;blessing those who deserve itâ&#x20AC;? for all theyâ&#x20AC;&#x2122;ve done during this health crisis.

Dr. McVeigh, surprised and thankful for the cross, reciprocated his gratitude for all who have stepped up during this difficult time, â&#x20AC;&#x153;I am appreciative of the ongoing community support. It makes a big impact with the staff, and we are all grateful to serve this community."

CONTRIBUTED PHOTO

Sean McVeigh, MD, holding American Flag Cross.

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After working alongside Boardcertified Pulmonologist Sean McVeigh, MD, for four years, but especially during the COVID-19 outbreak, Kelly Gregory, a medical assistant at the Honesdale Pulmonary office, jumped at the chance to nominate him as a â&#x20AC;&#x153;well deserving hero.â&#x20AC;? The nomination put him in line to receive a special hand-crafted wooden cross from Grain to Glory, a local business that prides itself on producing products â&#x20AC;&#x153;made in America.â&#x20AC;? â&#x20AC;&#x153;Doctor McVeigh has been a strong calming force throughout this crisis,â&#x20AC;? said Gregory, â&#x20AC;&#x153;I am so proud to work in his office, where I see his rapport with staff and patients. He keeps us going day after day.â&#x20AC;?

Gregory submitted Dr. McVeigh for the hero award via Facebook, where Grain to Glory had called for nominations. She cited Dr. McVeighâ&#x20AC;&#x2122;s leadership with Wayne Memorial Hospitalâ&#x20AC;&#x2122;s Incident Command Team, â&#x20AC;&#x153;where he has been a reassuring presence.â&#x20AC;? Her nomination was quickly seconded by Jessica Giannetti, a certified registered nurse practitioner with Highland Family Physicians, part of Wayne Memorial Community Health Centers.

After Dr. McVeighâ&#x20AC;&#x2122;s name was chosen to receive a cross, Grain to Glory owner Ryan Thumann said

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

HEALTH

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CONTRIBUTED GRAPHICS

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How to take off your mask once you

When you wear your mask, make sure it

A cloth mask can help stop the spread

Itâ&#x20AC;&#x2122;s a good idea to keep a few masks on you at

get home.

fits over your nose and mouth.

of the coronavirus by trapping particles

all times, so youâ&#x20AC;&#x2122;re always protected.

CONTRIBUTED PHOTO

inside the mask.

Stay safe, help others...wear a mask

BY PATRICIO ROBAYO

A

Many have a filter pocket, which can

wash them in your washing machine

increase the cloth mask's effectiveness

and they can be included with your

when a carbon-based filter is placed

regular laundry.

the Centers for Disease Con-

someone nearby and could possibly be

inside.

inhaled into the lungs.

warmest temperature and can use reg-

The CDC says that cloth facemasks

or on sites like Etsy and feature fun de-

ular laundry detergent when washing your face covering.

are not substitutes for PPE, such as N95

signs. You can have a mask for every

respirators or medical facemasks like

occasion now to match your outfit.

cases continue to decrease, but Sulli-

those worn by healthcare workers. The

van County Public Health Director,

CDC says those should be left for first

Nancy McGraw advises to stay with so-

responders and healthcare workers.

So how do you wear one and stay safe?

If you want to wash by hand, the CDC recommends you create a bleach solution by mixing five tablespoons or

The CDC recommends you wash

one third cup of household bleach per

According to the World Health Or-

your hands before putting on a face-

gallon of room temperature water. Or

ganization (WHO), if there is a wide-

covering to not contaminate the mask.

four teaspoons of household bleach

McGraw said that wearing a mask

spread community transmission of the

Holding the ear loops, fit the mask

prevents the transmission of the virus,

COVID-19 virus, and especially in

over your nose and mouth, and secure

mainly if someone is asymptomatic.

places where physical distancing can-

it under your chin.

Social distancing, washing hands

not be maintained, governments

It would be best if you tried to fit it

and wearing masks has caused the

should encourage the general public to

snugly against the side of your face and

virus infection rate to go down on av-

wear a fabric mask.

make sure you can breathe easily.

erage throughout the state.

The CDC says you should use the

Others are selling cloth masks locally

Sullivan County's positive COVID-19

masks when in public.

per quart of room temperature water.

Make sure the bleach used is for disinfection. Some bleach products, such as those that are for color-safe, might not be suitable for disinfection.

You should soak your mask for five

The WHO says this alone will not

When you get home or are ready to

According to the Governor's Execu-

prevent the disease, but a combination

take off your mask, the CDC recom-

tive order, No. 202.34, businesses in

of masks, social distancing, hand

mends grabbing the cover by the ear

After washing your mask, you can

New York State have the right not to let

washing, and not touching your face

loops and stretching it out as you re-

put them in your dryer at the highest

someone enter their store who does

(more importantly, not touching your

move the mask.

heat setting until it is thoroughly dried.

not wear a mask.

eyes, mouth, and nose) will help stop

If you go to a business now in Sullivan County, chances are you will see a sign that requires a mask before enter-

the COVID-19 virus.

their voice.

According to the CDC, those droplets

cial distancing guidelines and wear

PATRICIO ROBAYO | DEMOCRAT

After wearing your mask, it is best to

your hands.

can land in the mouths or noses of

spread of the virus.

Wearing a cloth facemask can help protect yourself and others from spreading

major department stores like Target.

see a rise in COVID-19 cases,

mends wearing a mask to help stop the

PATRICIO ROBAYO | DEMOCRAT

Cloth masks are now being sold at

son coughs, sneezes, talks, or raises

s more states in the country

trol and Prevention (CDC) recom-

Cloth masks don't have to be boring; many now come with fun designs.

ratory droplets when an infected per-

ing.

The COVID-19 virus spreads mainly from person to person through respi-

the spread.

WEARING & WASHING

People of a more vulnerable age are in need of a good mask and in need of those around them to wear masks.

minutes and then rinse thoroughly with cool or room temperature water.

You should then fold the outside cor-

Or you can let them air dry by laying

ners together and place the mask in

them flat and, if possible, place them

the washing machine.

in direct sunlight.

The CDC says you should be careful

So to stay safe yourself, and to pro-

If you have spent any time online,

when you remove your mask not to

tect others, it is recommended you

cloth facemask ads are popping up

touch your eyes, nose, and mouth,

wear a mask during the COVID-19

everywhere.

and you should immediately wash

pandemic.

CONTRIBUTED PHOTO

Remember to wear your mask when you head outdoors. Wearing a mask while shopping is a good idea as it is sometimes hard to practice social distancing in stores.

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

HEALTH

11H

CONTRIBUTED GRAPHICS

10H

How to take off your mask once you

When you wear your mask, make sure it

A cloth mask can help stop the spread

Itâ&#x20AC;&#x2122;s a good idea to keep a few masks on you at

get home.

fits over your nose and mouth.

of the coronavirus by trapping particles

all times, so youâ&#x20AC;&#x2122;re always protected.

CONTRIBUTED PHOTO

inside the mask.

Stay safe, help others...wear a mask

BY PATRICIO ROBAYO

A

Many have a filter pocket, which can

wash them in your washing machine

increase the cloth mask's effectiveness

and they can be included with your

when a carbon-based filter is placed

regular laundry.

the Centers for Disease Con-

someone nearby and could possibly be

inside.

inhaled into the lungs.

warmest temperature and can use reg-

The CDC says that cloth facemasks

or on sites like Etsy and feature fun de-

ular laundry detergent when washing your face covering.

are not substitutes for PPE, such as N95

signs. You can have a mask for every

respirators or medical facemasks like

occasion now to match your outfit.

cases continue to decrease, but Sulli-

those worn by healthcare workers. The

van County Public Health Director,

CDC says those should be left for first

Nancy McGraw advises to stay with so-

responders and healthcare workers.

So how do you wear one and stay safe?

If you want to wash by hand, the CDC recommends you create a bleach solution by mixing five tablespoons or

The CDC recommends you wash

one third cup of household bleach per

According to the World Health Or-

your hands before putting on a face-

gallon of room temperature water. Or

ganization (WHO), if there is a wide-

covering to not contaminate the mask.

four teaspoons of household bleach

McGraw said that wearing a mask

spread community transmission of the

Holding the ear loops, fit the mask

prevents the transmission of the virus,

COVID-19 virus, and especially in

over your nose and mouth, and secure

mainly if someone is asymptomatic.

places where physical distancing can-

it under your chin.

Social distancing, washing hands

not be maintained, governments

It would be best if you tried to fit it

and wearing masks has caused the

should encourage the general public to

snugly against the side of your face and

virus infection rate to go down on av-

wear a fabric mask.

make sure you can breathe easily.

erage throughout the state.

The CDC says you should use the

Others are selling cloth masks locally

Sullivan County's positive COVID-19

masks when in public.

per quart of room temperature water.

Make sure the bleach used is for disinfection. Some bleach products, such as those that are for color-safe, might not be suitable for disinfection.

You should soak your mask for five

The WHO says this alone will not

When you get home or are ready to

According to the Governor's Execu-

prevent the disease, but a combination

take off your mask, the CDC recom-

tive order, No. 202.34, businesses in

of masks, social distancing, hand

mends grabbing the cover by the ear

After washing your mask, you can

New York State have the right not to let

washing, and not touching your face

loops and stretching it out as you re-

put them in your dryer at the highest

someone enter their store who does

(more importantly, not touching your

move the mask.

heat setting until it is thoroughly dried.

not wear a mask.

eyes, mouth, and nose) will help stop

If you go to a business now in Sullivan County, chances are you will see a sign that requires a mask before enter-

the COVID-19 virus.

their voice.

According to the CDC, those droplets

cial distancing guidelines and wear

PATRICIO ROBAYO | DEMOCRAT

After wearing your mask, it is best to

your hands.

can land in the mouths or noses of

spread of the virus.

Wearing a cloth facemask can help protect yourself and others from spreading

major department stores like Target.

see a rise in COVID-19 cases,

mends wearing a mask to help stop the

PATRICIO ROBAYO | DEMOCRAT

Cloth masks are now being sold at

son coughs, sneezes, talks, or raises

s more states in the country

trol and Prevention (CDC) recom-

Cloth masks don't have to be boring; many now come with fun designs.

ratory droplets when an infected per-

ing.

The COVID-19 virus spreads mainly from person to person through respi-

the spread.

WEARING & WASHING

People of a more vulnerable age are in need of a good mask and in need of those around them to wear masks.

minutes and then rinse thoroughly with cool or room temperature water.

You should then fold the outside cor-

Or you can let them air dry by laying

ners together and place the mask in

them flat and, if possible, place them

the washing machine.

in direct sunlight.

The CDC says you should be careful

So to stay safe yourself, and to pro-

If you have spent any time online,

when you remove your mask not to

tect others, it is recommended you

cloth facemask ads are popping up

touch your eyes, nose, and mouth,

wear a mask during the COVID-19

everywhere.

and you should immediately wash

pandemic.

CONTRIBUTED PHOTO

Remember to wear your mask when you head outdoors. Wearing a mask while shopping is a good idea as it is sometimes hard to practice social distancing in stores.

12H

HEALTH

SULLIVAN COUNTY DEMOCRAT

TRI-COUNTY EAR, NOSE & THROAT P.C.

JULY, 2020

#ERH ReadySafeOpen

PHILIP G. LIU, M.D.

AMERICAN BOARD OF OTOLARYNGOLOGY HEAD & NECK SURGERY

570-253-0202

Our Outpatient Services Are Open for Immediate Scheduling

Rt. 209, Westfall, Pa (beside Milford Landing)

www.tricountyent.org

Medical Specialist Appointments

Ambulatory Procedures and Surgeries

Gastroenterology X Neurological Surgery X Orthopedics X Pain Management X Specialties X General Surgery

845.647.6400 x 271

State of the Art Same-Day Procedures X Minimally Invasive Procedures such as: Laporoscopy, Arthroscopic and Pain Management Procedures X Colonoscopy

#ERH ReadySafeOpen

www.ERHNY.org

845.647.6400 x 314

79812

Dr. Robert Haray, D.D.S. Damascus Dental Center 1731 Cochecton Turnpike Damascus, PA 570.224.6700

47213

Family Dentistry

New Hope Community is proud to be a resource for the health of Sullivan County CRVI Celebrates Our Heroes We salute our Direct Support Professionals, our nurses and all of our frontline workers for caring for the people we support each and ever day, and especially now.

www.newhopecommunity.org

420 Schutt Road Extension Middletown, NY 10940 845-692-4444 | crvi.org 48671

10207

650-2 Park St., Honesdale, PA 18431

570-491-5255

CRVI provides services for the empowerment of people with disabilities

83283

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

13H

Now more than ever, the supports you need are here for you

PHOTO BY METRO CREATIVE

COVID-19 has impacted everybody in some way, including people who have a psychiatric diagnosis.

BY M. LORI SCHNEIDER, MS EXECUTIVE DIRECTOR NAMI SULLIVAN COUNTY NY

D

resources on Self-Care and Resilience https://www.ahna.org/Resources Nurses Together (Zoom Support Group) https://www.signupgenius.com/go/nursestogether American Holistic Nurses Credentialing Corporation has additional Self-care Resources https://www.ahncc.org/resources-/covid-19response/self-care-corner/ Compassion Caravan has virtual support groups for Nurses and Health Care Providers (3 times/week) https://www.compassioncaravan.com/ American Nurses Association has a resource page that includes links to online support groups https://www.nursingworld.org/practice-policy/work-environment/health-safety/disasterpreparedness/coronavirus/what-you-need-toknow/the-well-being-initiative/

While NAMI doesn’t provide clinical services, we can put you in touch with local resources and arm you with knowledge and support with Family Support and Education and Peer Support groups.

The Mobile Mental Health Team in Sullivan County is also available in the event of a Psychiatric Emergency and can be reached at (845) 790-0911.

For information about mental illness or the services provided by NAMI Sullivan County, phone (845) 794-1029.

American Holistic Nursing Association has

Marie K. Devore, D.M.D. GENERAL DENTISTRY Evening Appointments Available

• We Welcome New Patients • 3411 SR 97 Barryville, NY 12719

(845) 557-8500

10265

o you or someone you love have a psychiatric diagnosis? Are you a mental health care provider or other health care provider? During the past several months, the world as we knew it has been turned upside down. In this time of world-wide crisis, now more than ever, if you or someone you love has a psychiatric illness (Depression, Anxiety, Bipolar Disorder, Schizophrenia, Schizoaffective Disorder, Borderline Personality Disorder, Obsessive-Compulsive Disorder, PTSD, Dual Diagnosis, etc.), you may be feeling the need to reach out for support.

Providers of mental health services and other health care may also be feeling overwhelmed by life as we now know it during COVID-19 and be looking for a means of support for themselves.

NAMI Sullivan County, NY is the local affiliate of the National Alliance on Mental Illness. Primarily a family support and advocacy organization, NAMI Sullivan has been providing services in our area

since 1983. Among many other services the organization provides, NAMI Sullivan holds bi-monthly Family Support Groups for families and friends of individuals diagnosed with mental illness, bimonthly Peer Support Groups (NAMI Connection) for adults (18 and over) who themselves have a diagnosis of a mental illness and monthly Suicide Bereavement Groups for anyone who has lost a loved one to Suicide.

Our support groups are currently held virtually, via ZOOM (or just via telephone for those who cannot access ZOOM) since the onset of COVID-19. Our Family Support Groups are held the third and fourth Tuesday of each month from 6:30 – 8 pm, The Peer-Led, NAMI Connection is held every other Monday from 7– 8 pm and the Suicide Bereavement Group is held the first Wednesday of every month from 6:30 – 8:00 pm. If you would like to be included, please contact NAMI Sullivan at (845) 794-1029 for the ZOOM Link and access information.

If you are a health provider and find yourself in need of a Support Group, we can point you in the direction of some online Support Groups.

Here is a list of links that will be helpful:

14H

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

Sullivan180.0rg

Joseph N. Garlick

Building a Heealthy Communitty, One Degrree at a Time.

Funeral Home

(845) 647-7747 186 Canal St., Ellenville

56978

(845) 794-7474 388 Broadway, Monticello

www.josephngarlickfuneralhome.com 79658

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83943

ϴϰϱ-ϱϲϭ-ϲϭϭϭͬŚŽƐƉŝĐĞŽĨŽƌĂŶŐĞ͘ĐŽŵ

81545

JULY, 2020

HEALTH

SULLIVAN COUNTY DEMOCRAT

15H

Telehealth: A Fast-Growing, Convenient Way to Receive Healthcare Y ou’re in the comfort of your home. You reach for your smartphone or boot up your computer.

Maybe you’re calling in, or connecting via live video. Either way, you’re taking part in a fast-growing national healthcare trend: You’re having a “virtual” doctor’s visit via Telehealth – and, in this case, it’s offered by the trusted physicians and providers of Garnet Health Doctors.

Years ago, doctors visited homes to provide care. Telehealth is the modern, new-age equivalent of the house call, made possible by advanced technology. It’s an important advancement that safely extends attentive care, traditionally provided in a doctor’s office, right into the community.

Patients are embracing Tele-

Nature’s Grace

NATU-100172

10184

health, in part due to the coronavirus pandemic and because they have smartphones with video capability and high-speed internet. For example, 75% of respondents to a survey said they would receive care through Telehealth, according to Software Advice, which provides technology-related research.

Nationally, from April 2019 to April 2020, Telehealth visits increased more than 8,000%, FAIR Health, a national, independent nonprofit that tracks health-insurance data, reported.

Many primary, specialty and urgent care services are available via Telehealth. Providers can manage new, known and chronic conditions, evaluate for acute illnesses and provide direct treatment remotely.

Cardiologists, for example, can

You’re going to like what you see!

HEALTH FOODS & DELI • Full Line of Natural & Special Diet Foods • Wheat-Free and Dairy-Free Products • Freshly Prepared Foods • Full line of Vitamins & Supplements

Glasses Made Onsite Get your new glasses faster than ever with our custom craftsmanship from the onsite optical lab. Glasses are made right in our office for quality assurance and quick turn around.

Mon.-Thurs. 10-6; Fri. 10-7; Sat. 10-5 Closed Sundays 947 Main St., Honesdale

Comprehensive Eye Examinations Diabetic Eye Exams Testing for Glaucoma, Cataracts and Macular Degeneration Eye Emergencies • Foreign Body Removal Dry Eye Treatment

(570) 253-3469 www.naturesgrace.net

Fashion Optical • Contact Lenses Dr. Maegan Sauer-Erlwein, OD (845) 482-2425

Tues. - Fri. - 9 am - 5 pm Sat. - 9 am - 1 pm Sun. & Mon. - Closed

79511

4895 St. Rt. 52, Jeffersonville, NY 12748 www.EyesOnMainSt.com

HEALTH

SULLIVAN COUNTY DEMOCRAT

66222

May - October – Saturdays & Sundays: 9:30 am - 10:45 am and private practices by reservation

Rehabilitation for: SPORTS, ORTHOPEDIC, POST SURGICAL & VESTIBULAR

Physical Therapy & Wellness

~ Functional Capacity Evaluation Dr. Joseph Lazaro, PT Dr. Jessica Lazaro, PT DOCTORS of PHYSICAL THERAPY We can help you return to optimal health & wellness!

111 Sullivan Ave., Ferndale, NY

Medicare, NYSHIP, Workers Comp., No Fault & Most Insurances Accepted

84169

845-292-0890 www.excelphysicaltherapy.com

JULY, 2020

review symptoms, determine if a patient is in distress and check patients’ breathing and medications. If a surgical procedure had been performed, live video enables the cardiologist to check an incision’s healing. Primary care doctors can, via video, see and treat summertime conditions such as sunburns, tick bites and rashes, for instance, or provide allergy care and other services. Specialists such as behavioral health doctors can provide counseling with the same confidentiality as if a patient were in that doctor’s office. Urgent-care providers can recommend treatment for injury or illness, and determine the need for advanced care if required.

Many reasons are driving Telehealth’s growth. Most insurers now cover these visits, which usually have brief wait times and are done via secure, encrypted software that protects patients’ privacy. Other advantages: • Save time, no driving: A virtual visit avoids the need to travel and limits potential exposure to coronavirus.

• Care from anywhere: Distance and geography are no longer barriers to care.

• No child care or elder-care issues: Because you’re not leaving home, there’s no need to arrange alternate care for children or elderly relatives who may rely on you.

• Maintain your health: See your doctor as often as needed. This results in consistent care for ongoing conditions, which is particularly important during the pandemic.

Also, there’s no reason to ignore new symptoms; get care quickly and conveniently.

Some medical situations require an in-person visit. Garnet Health Doctors has created safe and secure environments during the pandemic, and we are highly trained on how to protect our patients, families and each other. Precautions, for instance, include extensive and frequent cleaning regimens and social distancing measures at all of our locations.

New and established patients can set up Telehealth or in-person appointments by calling (845) 3337575. Current patients also can

Caring for someone with dementia?

We’re here to help The Alzheimer’s Association Hudson Valley Chapter offers free programs and services:

A Senior Living Community

• Consultations with professional social workers to help your family find community resources and make plans.

“For Peace of Mind And Quality of Life”

• Groups where you can share experiences and find emotional support.

150 Noble Lane, Bethany, Pa. 18431 (570) 251-3463 www.bethanyseniorliving.com Call for more information or Stop in for a tour anytime.

• Online and in-person classes with tips on how to handle challenges at every stage of the disease.

•

Information on legal and financial issues to consider following a diagnosis.

•

Social programs to help people with the disease and loved ones get out and interact.

•

Financial aid to pay for respite care.

Some Ammenities & Services Include: • Private

& Semi-Private Rooms • Private Bath • Medications Management • Nutritious Meals & Desserts • Housekeeping Service • Daily Laundry Service • WheelchairAccessible • Bus Planned • Social Outings & Events.

This advertisement is supported in part by a grant from the New York State Department of Health.

70722

800.272.3900 • www.alz.org/hudsonvalley

10266

16H

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

schedule appointments and have questions answered through MyChart, Garnet Health’s online patient portal. Learn more about Garnet Health Doctors at garnethealth.org/doctors. We have eight locations to serve you: SULLIVAN COUNTY HARRIS Garnet Health Medical Center - Catskills 68 Harris Bushville Road * (845) 794-0996

CALLICOON 8881 State Route 97 * (845) 887-5693

LIBERTY 39 Old Monticello Road * (845) 292-6684

LIVINGSTON MANOR 36 Pearl Street * (845) 439-3579

MONTICELLO 38 Concord Road (also an urgent care location) (845) 333-6500

BETHEL 1522 Route 17B * (845) 583-5620

ORANGE COUNTY MIDDLETOWN Garnet Health Medical Center Outpatient Building (also an urgent care location) 707 East Main Street * (845) 333-7575

MONROE Stop & Shop Plaza * 475 Route 17M (845) 333-7830

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H E A LT H C A R E

SUNY Sullivan partners with Empire State College LOCH SHELDRAKE — SUNY Sullivan and SUNY Empire State College have embarked on a new partnership providing guaranteed admission to graduates from three of SUNY Sullivan associate’s degree programs: the Medical Assistant program, the Nursing program, and the Respiratory Care program.

SUNY Empire State College President, Jim Malatras and SUNY Sullivan President, Jay Quaintance finalized the agreements. In addition to the general pathway, which ensures admission to SUNY Empire for all qualified SUNY Sullivan graduates who have completed any associatelevel program, SUNY Sullivan and SUNY Empire established three new program-to-program specific pathways. They are: - Associate of Applied Science Degree (A.A.S.) in Respiratory Care to a Bachelor of Science Degree (B.S.) in Allied Health; - Associate of Applied Science Degree (A.A.S.) in Medical Assistant

to a Bachelor of Science Degree (B.S.) in Allied Health; - Associate of Applied Science Degree (A.A.S.) or Associate Degree (A.S.) Nursing to a Bachelor of Science Degree (B.S.) Nursing.

According to the Bureau of Labor Statistics’ Employment Projections (2016-2026), registered nursing (RN) is listed among the top occupations in terms of job growth through 2026.

The pathways ease the transition process for SUNY Sullivan graduates to an educational model comprised of online courses, independent study and small group seminars, ensuring a smooth transfer for SUNY Sullivan graduates to Empire State College.

SUNY Empire State College (ESC) will provide SUNY Sullivan students with a one-time $100 transfer scholarship and also waive their traditional $50 orientation fee. Students in SUNY Sullivan’s Medical Assistant program, Nursing program,

and Respiratory Care program will all be able to seamlessly transfer to ESC in order to complete their bachelor’s degrees in ESC’s Allied Health Pathways program (for students in the Medical Assistant and Respiratory Care programs) and Pathways in Nursing program (for students in the Nursing program).

Students must meet a few requirements to be eligible for this transfer program. To be eligible for admission to ESC, SUNY Sullivan transfer students must have completed an associate’s degree within the last 3 years, or be in (or entering) their final semester of completing an associate’s degree. Each student will be able to carry over credits earned as part of their associate’s degree to ESC, as long as they fit into the student’s designed bachelor’s degree program.

To learn more about ESC’s bachelor’s degree programs, please refer to www.esc.edu/degrees-programs/.

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Find the Perfect Fit Licensed NYS Licens Liv Assisted Living

Da Program Senior Day icaid Assisted Med Medicaid Living Program

845 341 1888 845.341.1888

Visit Visit us on the web web

www.PromenadeSenior.com www.PromenadeSenior.com

30857

Comprehensive continuum of programs to help establish and support recovery from addiction. ~ Detox Services, Residential Services, Day Rehab, Outpatient Services.

Group, Individual, and Family Counseling. Medication-Assisted Treatment. ~ Utilizing a trauma-informed care model and evidence-based practices. ~ Providing help. Creating Hope.

Residents Ingrid and Thomas with their daughter Carol, Business Manager of Promenade at Middletown

HEALTH

SULLIVAN COUNTY DEMOCRAT

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Hospice receives Top Performer Award second year in a row

SUNY Sullivan announces new degree program in alcoholism and drug abuse counseling

LOCH SHELDRAKE - SUNY Sullivan announces a new Associate of Applied Science Degree program in alcoholism and drug abuse counseling designed to introduce students to a career working with individuals struggling with addiction.

The program also offers students an opportunity to pursue their New York State Credentialed Alcoholism and Substance Abuse Counselor certification (CASAC). SUNY Sullivan is an approved training provider of the New York State Office of Addiction Services and Support (OASAS).

“We are very excited to offer this important program here in Sullivan County,” said SUNY Sullivan President Jay Quaintance. “Our graduates will play an important role in combating the ongoing substance abuse crisis that limits residents’ ability to live healthy, productive lives. By their education and professional efforts, they will make a positive impact on

individuals, families and communities in Sullivan County and our region.”

The AAS program provides the opportunity for students to complete the required 350-hour educational training and begin field placement hours as a first step to becoming CASAC certified. In New York State, OASAS oversees treatment for substance use disorders. In addition to major-specific coursework this program offers a Liberal Arts base to help prepare students for advanced degrees.

In addition to helping students qualify for the NYS CASAC, upon completion of this Associate in Applied Science degree graduates will: · Understand fundamental concepts specific to chemical dependency that encompass historical, political, social and legal factors · Examine the nature of addiction

H E A LT H C A R E

as it pertains to the biological, psychological and social aspects of individuals, families, communities, and societies · Understand the importance of attitudes, values, and the ethical and legal aspects of clinical practice · Utilize best practice and evidence-based practices to provide assessments, treatment modalities, and theoretical approaches · Develop competency-based counseling and cultural competency skills in working with individuals, families and special populations with substance use disorders · Demonstrate the ability to fulfill all core functions of a counselor through course work and successful field experiences For more information about this program and guidance on how to register, please send an email to: admissions@sunysulivan.edu, or go to https://sunysullivan.edu/ join-us.

NEWBURGH - For the second year in a row, Hospice of Orange and Sullivan has received the “SHP Best 2019 Superior Performer Award,” recognizing our staff as being in the top 20% of overall caregiver and family satisfaction nationwide.

“To receive this acknowledgement is a prestigious honor and demonstrates the compassion, dignity and care shown to our patients and families from our highly dedicated staff”, said Dan Grady. “It is a proud moment for all of us at Hospice, as this award reflects how well our caregivers and families recognize the dedication and level of care that is given daily.”

Hospice of Orange and Sullivan Counties is the leading community resource for over thirty years, providing patients and families with compassionate physical, emotional and spiritual end of life care with comfort, dignity and respect.

48957 31868

SHORT-TERM REHAB. LONG-TERM CARE.

www.yellowcabmonticello.com

Private Rehab Suites • Excellent Quality Care Lake Street, NY •• Facebook: 845-292-4200 170 Lake170Street, Liberty, NY •Liberty, 845-292-4200 Achieve Rehab

www.AchieveRehabNY.com

70266 29498

18H

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2020

Help Keep Sulliv ivan County Health hy y During Re-Opening and Beyond.

Help reduce the spread of COVID-19 by rememberiin ng the follo ow wing:

19H

Back to School!!

Are You Ready?

Sullivan County Public Health Services is here to help!

Stay Home If Sick When sick, stay home and leave only ffo or medical care or other essential trips.

We off fer a routine vaccination clinic the second Wednesday of ea ach month from 5:00-7:00 pm for underinsured or uninsured children!

Keep Ph hy ysical Distance Stay 6 ffeeet way ffrrom other people.

Wear a Face Co We ov vering

Pre-registration is required

You can be contagious even without symptoms. Protect others by wearing a face covering when in public. fa

Call Sullivan County Public Health S H Services a at 845-2925910, Ext. o for more information or to make an appointment.

Keep Hands Clean Wash your hands o offtten with soap and water. Use hand sanitizer if soap and water are not available.

Sulliiv van County Public Health Services 50 Community Lane Liberty y,, NY 12754 845-292-5910

Now is the tiime to find out what vaccines your child needs for school!

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20H

HEALTH

SULLIVAN COUNTY DEMOCRAT

SYNERGY SERVES SULLIVAN Although the world is full of suffering, it is also full of the overcoming of it.

Our mission at Synergy of Monticello Inc is to foster, promote, support, and improve the mental health of friends, families and love ones. Psychotherapy, or talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties by helping to eliminate or control troubling symptoms to function better and can increase wellbeing and coping with daily life.

JULY, 2020

What we have to offer to you today: COVID-19 Support Psychotherapy-Individual COVID-19 Support Group Transcranial Magnetic Stimulation (TMS) for Depression Substance Abuse o Suboxone Maintenance o Vivitrol Maintenance Psychotherapy o Individual • Adults • Children o Family Therapy o Marriage Counseling

SYNERGY OF MONTICELLO, INC. 64 JEFFERSON ST., MONTICELLO, NY 12701 845-791-8800 • FAX 845-791-7051 83163