heal
A publication of the Sheppard Pratt Health System • WINTER 2018
Finding His
Way
A unique program has given David Weiss the tools he needs to lead a full life.
PLUS MENTAL HEALTH FIRST AID DEALING WITH DEPRESSION AVOIDING CAREGIVER BURNOUT
In this issue.
WINTER 2018
13 14
8 4 Finding His Way Thanks to a unique program, David Weiss is managing his mental illness and leading a full life.
3 Mental Health First Aid
14 Bringing Sheppard Pratt Expertise to Your Primary Care Doctor’s Office
6
In the News
8
Dealing with Depression
11
Calendar of Events
15 Meet Our Community: Jamie Rockymore-Bess
13 Avoiding Caregiver Burnout On the cover. David Weiss, who says, “Way Station saved my life.” Photo by David Stuck
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heal. is published three times a year by the marketing department of the Sheppard Pratt Health System, the nation’s largest private, non-profit provider of mental health, substance use, special education, and social services. Information provided is general in nature and should not be substituted for the medical advice of a physician. Please consult your health care provider for recommendations specific to your personal health, medical treatment, and medical conditions.
Chief Marketing Officer
Jessica Kapustin
Content Manager
Kristina Schiller
Design, Production, & Editorial
Mid-Atlantic Custom Media
Cortney Geare, Jeni Mann,
Sue Musachio
Contributing Photographers
Deanna Miller, Camelia Montoy,
If you wish to have your name removed from the list of those receiving communications from Sheppard Pratt Health System, please email the marketing department at marketing@sheppardpratt.org or call 410.938.5010.
Jody Robinson, David Stuck
Contributing Writers/Editors
Kathleen Gallagher, Kate Joyce
MENTAL HEALTH FIRST AID
Making a Difference with Mental Health First Aid WHEN SOMEONE IS CHOKING on a
how to help a person experiencing
piece of food and can’t breathe, most of
a mental health crisis until a mental
us would know to perform the Heimlich
health professional is able to intervene.
maneuver. And if we came across
Considering that one in five Americans
the victim of a gunshot wound, we’d
will experience a mental health condition
instinctively try to stop the bleeding
at some point in their lives, and that
quickly with a tourniquet.
suicide is the tenth leading cause of death
But what if someone is suffering
among adults, and the third leading cause
from a panic attack, is beginning
of death among adolescents, Mental
to hear voices, or is depressed and
Health First Aid fills a void by providing a
contemplating suicide? Most people
necessary and lifesaving skill set.
don’t know what to do in these situations.
We are proud to offer Mental
It’s just as important to know how to
Health First Aid trainings through
help in a mental health crisis as it is in
Mosaic Community Services, part of the
a physical health crisis.
Sheppard Pratt Health System. Since the
That’s where Mental Health
training program’s inception at Mosaic in
First Aid comes in — a training course
early 2015, we have trained nearly 500
that teaches individuals the skills
people across Maryland communities in
necessary for responding to mental
both Adult and Youth Mental Health First
health emergencies. An eight-hour,
Aid. That’s 500 people who now know
evidence-based public education
how to save a life.
program, Mental Health First Aid is
In addition to learning to recognize
designed to equip laypeople with the
and respond to someone experiencing
knowledge they need to know how
a mental health crisis, including how to
best to respond in a mental health
connect that person with the appropriate
emergency and how to offer support for
help, participants in Mosaic’s Mental
someone who is in emotional distress.
Health First Aid trainings learn:
Just as traditional first aid training teaches us how to assist someone who is physically injured until professional medical treatment is available, Mental Health First Aid training teaches us
“When you take this course and gain this
• Risk factors and warning signs of mental health and substance use problems and how to recognize them • Information on mental health
at 410.453.9553, ext. 1186, to learn more and register for a Mental Health First Aid training class. It’s clear that Mental Health First Aid training works: Studies have shown that those who complete the training increase their knowledge of mental health diagnoses, are better able to identify professional and self-help resources appropriate for those in crisis, are more likely to help an individual in distress, and experience increased mental wellness themselves. “When you take this course and gain this knowledge and these skill sets, you have the ability to save lives,” says Sean McDonald, Mosaic’s Mental Health First Aid trainer. “It gives
trauma, psychosis, and substance
insight into the different types of mental
use disorders
illness youth and adults can experience,
• An action plan for helping someone who is developing
skill sets, you have the
a mental health problem or is
—Sean McDonald, Mental Health First Aid trainer
Contact Cindy Eikenberg
disorders such as depression, anxiety,
knowledge and these ability to save lives.”
WANT TO BE THE ONE TO MAKE A DIFFERENCE?
in crisis • How to reach mental health professionals • Evidence-supported treatment
educates you about symptoms, and gives you a toolkit that you can use to respond when you see someone having a mental health crisis.” Learn more about Mental Health First Aid and upcoming trainings at mosaicinc.org/mental-health-first-aid/.
and self-help strategies
sheppardpratt.org • heal.
3
FEATURE STORY
Finding His
Way
A UNIQUE PROGRAM THAT COMBINES HOUSING, TREATMENT, AND MENTAL HEALTH SUPPORT HAS GIVEN DAVID WEISS THE TOOLS HE NEEDS TO LEAD A FULL LIFE.
BY SHEPPARD PRATT EDITORIAL STAFF PHOTOGRAPHY BY DAVID STUCK
D
avid Weiss always dreamed of
to truly feel at home, he and his son
a support system, he did not seek
being a musician. It only took him
migrated from Virginia to Mississippi and
treatment. His depression hindered
about 60 years — and a number
eventually to the edge of the rainforest
his ability to work; he lost his job, and
of detours on his life’s path — to make
in Hawaii. During this time, David was
eventually his home. David felt stuck.
that dream a reality.
diagnosed with obsessive-compulsive disorder (OCD), but he was successfully
brother, who also had a mental illness, to
David’s life revolved around music: He
managing it with a combination of
move in with him, getting David off the
studied, played, and listened for hours
meditation, medication, and music. His
streets. But as the years passed, David’s
at a time. Although learning music came
love of music had always stayed with him
depression deepened: He wouldn’t move
easily to him, nothing else did; high
and helped him when things got difficult.
from the sofa for days at a time.
David wanted the best for his son, so
In 1999, all of that changed.
As a child growing up in the 1960s,
school was a struggle. In the early 1970s after high school, David embraced a
they returned to Virginia in the late 1980s
David’s sister, Faye, encouraged David
career in construction. Construction kept
in order for his son to attend a good high
and his brother to move to Frederick,
his mind busy and his body tired — an
school. David found a job, and he and his
Maryland, and join Way Station, part of
ideal career for a young man with too
son settled into a routine. Though David
the Sheppard Pratt Health System. Faye
much energy. He wanted to pursue a
was still dealing with his OCD, stable
was a volunteer at Way Station, and had
college degree, but after his struggles in
employment and the responsibility of
seen firsthand how the program worked.
high school, thought college wouldn’t
fatherhood kept him grounded.
She knew that the unique combination
be the right fit for him.
When David was in his early 40s,
of housing, treatment, and support that
his son graduated from high school
Way Station offered would help David
father of a son; when his relationship
and moved out, disrupting David’s
and his brother get back on their feet.
with his girlfriend ended, David was
sense of purpose. David developed
awarded full custody. Looking for a place
major depression and paranoia. Without
In 1974, David became the proud
4
David’s father allowed David and his
heal. • Sheppard Pratt Health System
The two packed up and moved to Frederick, leasing an apartment less than
FEATURE STORY a mile from Way Station. Way Station
degree in music from Frederick
provided David with a psychiatrist,
Community College. He’s now a
therapist, medication, and the skills he
regular performer at open mic nights
needed to manage his mental health.
in downtown Frederick, and loves to
Once he started attending the Way
discuss music theory.
Station programs daily, he began to
The support from Way Station over
feel responsibility and accountability to
the last 18 years empowered David to
other members there: He had his sense
pursue his passion and earn his degree.
of purpose back, and was on a path
While that degree was an important
towards healing.
milestone for David, it was not the end of
In 2000, a year after David joined Way Station, he moved in to the
his journey. Diagnosed with bipolar disorder
residential program and joined the
and psychosis two years ago, David still
employment program. “I worked in the
lives in a Way Station apartment with
greenhouse,” he explains. “I needed the
a ham radio and stacks of books on
responsibility of watering the plants as
a variety of subjects. After his latest
much as the plants needed the water.”
diagnosis, he’s had to learn about mania
His job in the greenhouse provided
and other symptoms, but he’s found the
more purpose and structure to his day,
key to staying healthy is remembering
improving his self-esteem. Way Station
to take his medication, even when
taught him that he had the ability to
he’s feeling well. He checks in with his
be successful, so David applied for,
counselor daily, and sees a therapist at
and accepted, a job at Target. Knowing
Behavioral Health Partners of Frederick,
he could do even more, David decided
a joint venture between Sheppard Pratt
to follow his passion and pursue
Health System and Frederick Regional
the college degree in music he’d
Health System.
always wanted. David took guitar lessons, learned
Today, David is in the middle of his second term as a Way Station
to play the ukulele, and studied music
board member. He believes strongly
theory. In 2010, some 40 years after
in Way Station’s mission: to help those
he had shelved his dream to become
experiencing mental illness, substance
a musician, he earned his associate’s
abuse, or developmental disabilities
i
ABOUT WAY STATION Way Station, Inc., part of the Sheppard Pratt Health System, provides compassionate and quality behavioral health care, housing, and employment services to adults with mental illness, developmental disabilities, and substance use addictions; children and adolescents with emotional and behavioral challenges; and veterans with service needs. Learn more at waystationinc.org
pursue their dreams. David shares his story by talking to high school groups and churches, helping to raise awareness about the life-changing services Way Station provides to the community. Now 65, with a mop of gray hair and a wardrobe full of Hawaiian shirts, he drives to Washington, D.C., every week to help a homeless friend run errands. David embraces his role as a mentor to new members of Way Station, where he encourages everyone to pursue an education. “You know that the selfstarters will go to college, even with their mental illness. I want the regular people to go — the people who didn’t like high school. College gives you so many choices,” he says. Reflecting on an adulthood rattled by mental illness but blessed by employment, responsibility, family, friends, and music, David says, “Way Station saved my life. And now I tell the new members to get help, don’t give up, and to work hard. Taking medication every day is hard, but stick with it. Get up every day, look at yourself in the mirror every day, and make yourself presentable every day. That’s how you manage mental illness.”
sheppardpratt.org • heal.
5
IN THE NEWS
Sheppard Pratt Health System Receives Honors from U.S. News & World Report FOR THE 27th CONSECUTIVE YEAR, Sheppard Pratt Health System has been ranked among the top hospitals in the country for psychiatry by U.S. News & World Report.
Baltimore Business Journal Recognizes Sheppard Pratt Among Largest Employers in Baltimore SHEPPARD PRATT HEALTH SYSTEM has been ranked among the largest privatesector employers in the area by Baltimore Business Journal for employing 4,647 people in the Baltimore region.
New Faces at Sheppard Pratt Health System Karen Robertson-Keck,
Donna joins us from the Stanford-affiliated Lucille
SPHR, SHRM-SCP,
Packard Foundation for Children’s Health in Palo Alto,
vice president of
CA, where she served as senior vice president of
human resources,
major and principal gifts. She brings more than
Sheppard Pratt Health System
20 years of extensive experience fundraising for
We are pleased to welcome
healthcare organizations.
Karen Robertson-Keck, SPHR, SHRM-SCP, to Sheppard Pratt as
Avi Burstein, LCPC,
our vice president of human resources. Prior to joining
executive director,
Sheppard Pratt, Karen spent more than 15 years leading
Behavioral Partners of
human resources efforts at MedStar Franklin Square
Frederick, Inc.
Medical Center in Baltimore. Under her leadership, the
We are excited to welcome
organization was honored as a “Best Place to Work” by
Avi Burstein, LCPC, to Sheppard
Baltimore Business Journal for five consecutive years.
Pratt as the new executive director of Behavioral Health
Donna Richardson, MBA,
Partners of Frederick. Avi joins us from Chase Brexton
vice president and chief
Health Services, a community-based health service
development officer,
in Baltimore City, where he served as the director of
Sheppard Pratt Health System
Psychosocial Services.
After a nationwide search, we are thrilled to welcome Donna Richardson, MBA, as vice president and chief development officer.
6
heal. • Sheppard Pratt Health System
IN THE NEWS
Program Anniversaries MANY OF OUR PROGRAMS AND SCHOOLS celebrate milestone anniversaries this year. Congratulations to the following programs and schools:
50 YEARS 25 YEARS
25 YEARS 20 YEARS
10 YEARS
The Forbush
The Trauma Disorders
Sullivan Day Hospital
The Neuropsychiatry
The Forbush
School at Glyndon,
Program, led by
celebrates 25 years
Program, led by
School at Hunt
one of our 14 special
Richard Loewenstein,
of providing
Vassilis Koliatsos,
Valley, one of our
education residential
M.D., celebrates 25
compassionate care
M.D., celebrates
14 special education
and day schools,
years of renowned
to address the needs
its 20 anniversary
residential and day
celebrates its 50th
trauma disorders
of adults with
this year.
schools, celebrates
anniversary this year.
treatment.
psychotic disorders.
th
its 10th anniversary this year.
Discharge Coordinator Wins Carroll Conquest Outstanding Leadership Award from BHA
Sheppard Pratt Pharmacist Named to Lamy Champions Coalition
CONGRATULATIONS TO KENDALL PRYOR,
CONGRATULATIONS TO Joshana K. Goga,
certified peer recovery specialist and
PharmD, BCPP, clinical pharmacy program
discharge coordinator at Sheppard Pratt,
manager, who was named to the University of
for being honored by the Behavioral Health
Maryland School of Pharmacy’s inaugural Lamy
Administration of Maryland with its Carroll
Champions coalition. The Lamy Champions are
Conquest Outstanding Leadership Award.
recognized for their contributions to the field
This award recognizes peer recovery
of geriatric care.
specialist leaders for their achievements and contributions to the behavioral health field.
Kendall Pryor
Sheppard Pratt Health System Wins SAMHSA Award SHEPPARD PRATT HEALTH SYSTEM was the recipient of the Substance Abuse and Mental Health Services Administration’s 2017 Recognition of Excellence in Wellness award for our smoking
Kendall Pryor accepts BHA Leadership Award
cessation program.
sheppardpratt.org • heal.
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DEPRESSION
Dealing with Depression IT’S IMPORTANT TO PAY PARTICULAR ATTENTION TO SIGNS AND SYMPTOMS DURING SEVERAL KEY LIFE STAGES.
T
here are times throughout our lives when many of us find ourselves
not me’ from young people experiencing
coping with sadness, melancholy, or mood swings. It’s quite normal to
their first episode of depression,” says
feel sad sometimes. But if sadness or feelings of helplessness and
Dr. Jason Addison, service chief of the
hopelessness last for more than two weeks, you or a loved one may be suffering
Young Adult Unit at Sheppard Pratt’s
from depression.
Towson hospital.
Depression is a common, but serious, mood disorder. Symptoms often include loss of interest in things you once enjoyed, changes in sleeping or eating
As a parent or friend, be on the lookout for:
patterns, general sadness, and suicidal thoughts. Although mood disorders and
• Low energy
depression can develop at any age, there are particular stages in life when these
• Difficulty concentrating in school
mental health problems are more common. It’s important to pay special attention to signs and symptoms.
• Poor school attendance • Major changes in sleep patterns
DEPRESSION IN TEENS Puberty to early adulthood is an
away, use drugs or alcohol, engage
health. During puberty, the body
in reckless or risky behavior, or turn to
experiences drastic changes in
social media as a way to withdraw from
hormones and the brain. At the same
face-to-face relationships. While talking with your teen
stress, peer pressure, self-esteem issues,
about his or her symptoms might be
increased social media use, and new
intimidating, it is an important discussion
transitions. This combination of factors
to have: The symptoms you’re noticing
can create, or exacerbate, risk factors for
can often be cries for help, and if
depression. According to the National
depression is left untreated, it can
Institute of Mental Health, 12.5 percent of
potentially become life-threatening. If
adolescents ages 12 to 17 in the United
you’re unsure about how to approach
States had at least one major depressive episode in the past year. Because teens are expected to act moody, and because adolescents
heal. • Sheppard Pratt Health System
Teens with depression may run
especially vulnerable time for mental
time, teens are experiencing academic
8
• A drop in grades
the subject, talking to your teen’s pediatrician is a good first step. DEPRESSION IN WOMEN
don’t always understand or express
The average person has a 15 percent
their feelings well, it can be difficult to
chance of developing depression over
recognize teen depression. “We often
the course of his or her lifetime. However,
hear, ‘I know something is going on,
women are diagnosed with depression at
but I don’t know what it is’ and ‘I am
twice the rate as men. There are several
DEPRESSION
factors that contribute to this disparity, including differences in symptoms between genders, and the fact that women seek treatment more frequently than men. Women are also more susceptible to hormonal fluctuations that accompany menstruation, pregnancy, and menopause.
Postpartum Depression Up to 80 percent of mothers experience the “baby blues,” a one- or two-week period of sadness, mood swings, anxiety, impatience, and weepiness (among other symptoms) that often starts days after giving birth. The “baby blues” are thought to be brought on by hormonal changes after childbirth. For the most part, these feelings go away on their own after about
in maintaining mental health during and
two weeks. But for about 15 percent
after pregnancy.
of mothers, the “baby blues” linger
Women with a history of
In addition to the symptoms generally associated with depression, postpartum depression may
and become major depression with
depression or anxiety may be more
postpartum onset, commonly called
prone to developing postpartum
postpartum depression. This condition
depression. So if you were taking
emotional attachment with
is more extreme than the “baby blues”
medication to manage depression
your baby
and lasts much longer.
before or during your pregnancy,
also include: • Inability to form a bond or
• Persistent doubts about your ability to care for your baby
To help lessen the risk of the development of postpartum depression, “pregnant women should maximize self-care,” explains Dr. Catherine Harrison-Restelli.
• Thoughts of harming yourself or your baby Most women with postpartum depression will fully recover, especially if diagnosed and treated early. Dr. Harrison-Restelli says that a combination of therapy and medication
To help lessen the risk of the
“talk to your doctor because staying
has been shown to improve symptoms of depression and to help mothers feel
development of postpartum depression,
on medication may be the healthiest
“pregnant women should maximize self-
step you can take for you and your
care,” explains Dr. Catherine Harrison-
baby,” says Dr. Harrison-Restelli.
Restelli, Sheppard Pratt psychiatrist and
Studies show that the risk of medication
chair of the Department of Psychiatry at
being transferred via breast milk from
GBMC. Eating healthy foods, doing yoga,
a nursing mother to the baby is very
meditating, avoiding drugs and alcohol,
low. Forgoing medication and remaining
treatable — and that experiencing
getting adequate sleep, and quitting
depressed holds risks for both
postpartum depression doesn’t
smoking are strategies that can help
mothers and babies.
make you a bad parent.
better and stay healthy. It’s important to be observant for the signs of postpartum depression in someone you love, and to let new moms know that it is common and
sheppardpratt.org • heal.
9
DEPRESSION
Perimenopausal Depression
i
Perimenopause is the period of
RECOGNIZING DEPRESSION
time in a woman’s life leading up
Here are some of the symptoms that indicate you may have depression,
to menopause: The body is slowly
particularly when they last more than two weeks.
decreasing the amount of hormones it produces, which can lead to a variety of common symptoms like hot flashes and
Common symptoms of depression
headaches. Depression, however, is not
• Sadness and hopelessness
• Restlessness
• Lack of enthusiasm
• Agitation
• Anger and rage
• Changes in eating or
• Overreaction to criticism • Poor self-esteem or guilt • Indecision, lack of concentration, or forgetfulness
sleeping patterns
in school • Withdrawal from friends and activities • Feeling that “something is wrong” or “I am not me”
As with postpartum depression, there is not one single cause for perimenopausal depression. However, there are signs to watch for that indicate
• Substance abuse
that a woman is more susceptible to
• Suicidal thoughts
developing perimenopausal depression:
or actions
• History of severe premenstrual disorder (PMS) • Premature or surgical menopause
Symptoms to look out for in teens • Unusually poor performance
a normal symptom of perimenopause.
• Problems with authority • Running away
• Long perimenopausal stage • Persistent and severe vasomotor symptoms, like hot flashes,
• Reckless behavior
sweating, vaginal dryness, and
• Unexplained aches
headaches
and pains
Studies show that women in perimenopause are twice as likely to be diagnosed with depression and four times as likely to develop depressive symptoms
Symptoms to look out for in new moms • Difficulty bonding with the baby • Feeling overwhelmed and confused • Feelings of guilt
• Feelings of numbness • Lack of interest in everyday tasks • Trouble making decisions
as those who haven’t yet entered perimenopause. So if you or a loved one is experiencing depressive symptoms for more than two weeks, it’s important to seek treatment from a doctor or therapist. Regardless of when you develop depression, it’s important to remember that it is treatable. Whatever your stage
Symptoms to look out for in perimenopausal women
of life, be observant of your feelings
• New mood swings
• Increased anxiety
and behaviors — and the feelings and
• Sudden irritability
• Sleep problems due
• Crying or tearfulness for no reason
to night sweats or hot flashes
behaviors of the people closest to you — so that depression can be identified and treated early.. HAVE YOU OR A LOVED ONE BEEN EXPERIENCING SYMPTOMS OF DEPRESSION? Call Sheppard Pratt’s Therapy Referral Services Line at 410.938.5000, Monday–Friday, 8 a.m.–4:30 p.m., for help with finding a treatment provider.
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heal. • Sheppard Pratt Health System
Mark Your Calendar! For a complete listing of events, continuing education classes, and lectures, visit sheppardpratt.org/calendar-events.
PHILANTHROPIC EVENTS
“Integrating Medical Care and Addiction Treatment”
26th Annual Care for Kids Gala
February 28, 2018
Saturday, March 24, 2018 Four Seasons Hotel, Baltimore
Richard S. Schottenfeld, M.D.
Proceeds from the Care for Kids Gala are directed to youth in residential, inpatient, outpatient, and educational programs across our health system. To purchase tickets, contact Paula Waters at 410.938.4017.
Professor and Chair, Department of Psychiatry and Behavioral Sciences, Howard University College of Medicine, Washington, D.C. “Being a Mental HEALTH Professional: The Role of Wellness in Psychiatry” March 14, 2018
EDUCATIONAL CLASSES Dick Prodey Lecture Series Sponsored jointly by The Kolmac Clinic, Sheppard Pratt Health System, and the National Council on Alcoholism and Drug
Throughout the year, we exhibit at a number of conferences and community events. Make sure to stop by our booth if you plan to be at any of the below.
CONFERENCE EXHIBITING
David C. Rettew, M.D.
American Psychoanalytic Association 2018 National Meeting
Associate Professor of Psychiatry and
February 14-18, 2018 — New York, NY
Pediatrics, University of Vermont College of Medicine, Burlington, VT
Psychotherapy Networker Symposium March 22-25, 2018 — Washington, D.C.
Dependence of Maryland.
“Can Healthcare Be Made Safe for Suicidal People?”
A FREE, eight-class series held Wednesday
March 28, 2018
International Society for the Study of Trauma and Dissociation
evenings at The Conference Center at
Michael F. Hogan, Ph.D.
Sheppard Pratt from 7 p.m. to 9 p.m.
March 24-26, 2018 — Chicago, IL
Consultant & Advisor, Hogan Health
Call 410.938.3000 for information.
Solutions, Delmar, NY
Anxiety and Depression Association of America Conference
CONTINUING EDUCATION
April 5-8, 2018 — Washington, D.C.
A lecture series at The Conference Center
HARRY STACK SULLIVAN LECTURE “Antipsychotic Drug Discovery: Current State of Affairs and Looking into the Future”*
at Sheppard Pratt most Wednesdays from
April 11, 2018
May 5-9, 2018 — New York, NY
12 p.m. to 1 p.m. to support continuing
Dost Öngür, M.D., Ph.D.
education of medical and mental health
Associate Professor of Psychiatry, Harvard
professionals. Visit sheppardpratt.org/
Medical School, Belmont, MA
education-training for more information.
*Begins at 11:30 a.m.
UPCOMING WEDNESDAY LECTURES:
CZARINA SANTOS-BORJA, M.D. MEMORIAL LECTURE “Including the Caregiver in Patient-Centered Care”
Wednesdays @ Sheppard Pratt
“Pediatric Bipolar Disorder: Treating the Irrational with the Rationale” February 14, 2018 Pablo H. Goldberg, M.D. Associate Professor of Clinical Psychiatry Columbia University College of Physicians & Surgeons, New York, NY
April 25, 2018 Donovan T. Maust, M.D., M.S. Assistant Professor of Psychiatry, Geriatric Psychiatry, University of Michigan Medical School, Ann Arbor, MI
American Psychiatric Association Annual Meeting
COMMUNITY EVENTS Discussing Devices and Social Media With Your Kids April 3, 2018, 6 p.m. — Pinewood Elementary School, Timonium, MD Join us for a presentation on how to tackle social media and smartphones with your children. NAMI Walks June 2, 2018 — Rash Field, Baltimore, MD Join us and NAMI Maryland as we walk to raise awareness and fight stigma. sheppardpratt.org • heal.
11
We want to hear your story. The 4th Annual Sheppard Pratt 1 in 5 Americans lives with a mental illness, yet less than half receive the treatment they need.
Health System
Too often, stigma prevents people with mental illness from seeking help.
on Saturday,
At Sheppard Pratt Health System, we want to change that — by sharing real stories of mental health and healing.
nearly $69,000 to support
Sharing your personal mental health story can: • Let others know that they are not alone • Raise awareness that healing is possible
Stride, held October 14, raised Sheppard Pratt’s programs and initiatives. Thank you to our sponsors, volunteers, participants, and the Stride committee members. Your support positively impacts the lives of those we serve. PRESENTING SPONSOR
• Provide encouragement and support to others • Fight against stigma PLATINUM SPONSOR W.B. Mason
There are many ways to share your story. Interested in learning more? Please contact Kristina Schiller at kschiller@sheppardpratt.org or 410.938.5010.
sheppardpratt.org
GOLD SPONSORS American Office East Coast Ambulance MagellanRx Management Prime, Buchholz & Associates, Inc. SILVER SPONSORS Aramark Baltimore County Employees Federal Credit Union MobilexUSA Quest Diagnostics United Building Services, Inc. Wegmans
Legal Notice: SHEPPARD PRATT HEALTH SYSTEM The services and facilities of Sheppard Pratt and its affiliates are operated on a non-discriminatory basis. This policy prohibits discrimination on the basis of race, color, religion, gender, sexual orientation, age, national origin, disability or any other basis proscribed by law. It applies to the provision of services, use of facilities, granting of accommodations and opportunity to participate in programs or activities. Sheppard and Enoch Pratt Hospital; Sheppard Pratt at Ellicott City; Jefferson School and RTC; Sheppard Pratt affiliated programs
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heal. • Sheppard Pratt Health System
CAREGIVER BURNOUT
Avoiding Caregiver Burnout • Request and accept help. Most offers of help are genuine — accept them, whether it’s money to help pay for care, or someone to cook meals once a week. Caregiving should not be a burden you shoulder alone. You and your loved one have spent a lifetime building friendships; let those friends participate. • Practice relaxation techniques. Even when you don’t have time to carve out for self-care every day, make some time to relax. Learn relaxation techniques: Whether counting your breaths or picturing the beach, small periods of relaxation can make a big difference. THE RATE OF ALZHEIMER’S DISEASE
Signs you may be experiencing
and related dementias has been rising
caregiver burnout include:
• Join a support group. Caring for someone with dementia can be
for years, and today, more than one
• Lower energy
extremely isolating. Support groups
in three older adults acquires some
• You get sick easily and
are comprised of people who are
form of dementia. For the 15 million Americans who provide care to those
frequently • Constant exhaustion,
experiencing the same things you are; join a group to discuss
suffering from dementia or Alzheimer’s,
even after sleeping or taking
frustrations and learn how others are
a form of dementia, the work can be
a break
managing their situations. Call
emotionally draining and physically
• Neglecting your own needs
1-800-272-3900 to find a support
exhausting. Many loved ones with
• Impatience and irritability
group near you.
dementia require nearly round-the-clock
• Feeling helpless and hopeless
care, and the illness can stretch on for
• Feeling that your life revolves
years: About one-third of caregivers end
around caregiving
up providing care for five years or more. If you’re a caregiver, you may often find that you are so focused on the
Here are ways to manage the stress of being a caregiver:
• Change the situation where possible. Write down everything that needs to be done and everything you are doing. Where can things change? There may be ways to combine tasks, eliminate steps,
needs of your loved ones that self-care
• Make time to take care of yourself.
becomes low on the priority list. Studies
If you’re running yourself ragged,
show that family caregivers of people
you’re not giving your body the rest
with dementia are at greater risk of
and nutrition it needs to stay healthy.
with dementia is more like a marathon
anxiety, depression, and overall poorer
Ask a friend to sit with your loved one
than a short sprint. It’s vital to take care of
quality of life than caregivers for people
for a few hours so that you can get
yourself — paying attention to your own
with other conditions.
some time to yourself, whether it’s to
physical, mental, and emotional needs
or share responsibilities. The act of caregiving for someone
attend a yoga class or take a nap.
— so that you can maintain good health
common. It’s important to recognize the
Taking time for yourself is a necessity,
for the long haul and ultimately provide
signs so that you (or a loved one who is
not a luxury.
better care for your loved one..
Caregiver stress, or “burnout,” is
providing care) can take steps to avoid it.
sheppardpratt.org • heal.
13
INTEGRATED BEHAVIORAL HEALTH
Bringing Sheppard Pratt Expertise to Your Primary Care Doctor’s Office TWENTY-NINE PERCENT of all patients with medical issues also have mental health issues. For many people, it is difficult to find mental health resources in the community, and often, an appointment may not be available for four to six weeks. It makes more sense for a primary care practice to partner with a national resource such as Sheppard Pratt to provide behavioral health services, rather than relying on patients to make the call to a referred practice or avoiding making the appointment altogether due to stigma or fear of judgment. Research shows people are more open to receiving treatment when offered in a familiar setting, and results
and out of the hospital as much as
indicate this is an effective way to
possible. More than counseling,
address behavioral health disorders
a patient who is already working with a
occurring for certain patients.
primary care physician is able to receive
In November 2016, we began
approach, as we’re doing with Sheppard Pratt Integrated Behavioral Health, can we get
earnestly rolling out Sheppard Pratt
a pre-existing issue. Collaboration
Integrated Behavioral Health,
enables providers to better coordinate
the best outcomes.”
a program that integrates behavioral
care and to work together to develop
health services into Greater Baltimore
ways to treat patients based on utilizing
—Dr. Catherine Harrison-Restelli
Medical Center’s patient-centered
the other’s skill set.
medical home primary care practices.
“Our consultants are integral
As of today, we have a full-time
team members who attend to all the
Sheppard Pratt behavioral health
patient’s needs,” says Dr. Robert P. Roca,
take a whole patient-centered approach,
consultant at nine of 10 primary care
Vice President and Chief Medical
as we’re doing with Sheppard Pratt
practices to provide mental health
Officer at Sheppard Pratt. “It’s a very
Integrated Behavioral Health, can we
evaluations and treatments. Now, when
collaborative approach; together we
get the best outcomes.”
a primary care physician notices a patient
arrive at a plan to make sure no one
has symptoms of a behavioral health
slips through the cracks.”
issue, instead of making a referral in the
“Patients only succeed when
In the little over a year this partnership has been running, it works. Based on 2,000 assessments since
community, the patient has access to
artificial silos are broken down and
January 2017, we have reduced anxiety
a high-quality Sheppard Pratt provider
you examine the physical, medical,
scores by 52 percent and depression
right down the hall.
biological, and social aspects,” says
scores by 36 percent. Eighty-six percent
Dr. Catherine Harrison-Restelli,
of behavioral health appointments
consultants in primary care practices is
a psychiatrist with Sheppard Pratt Health
have been completed in these
the answer to a number of problems: first
System and Chair of the Department
primary care practices, compared to
and foremost, keeping patients healthy
of Psychiatry at GBMC. “Only when we
50 percent nationally..
Having behavioral health
14
more comprehensive care if they have
“Only when we take a whole patient-centered
heal. • Sheppard Pratt Health System
MEET OUR COMMUNITY
Get to Know Jamie Rockymore-Bess Meet Jamie Rockymore-Bess, discharge coordinator for the general adult unit at our Ellicott City hospital. Jamie began her career at Sheppard Pratt as a mental health worker in 2009. She quickly came to embrace Sheppard Pratt’s mission, and transitioned to her current role as a discharge coordinator in 2011. She’s been helping patients thrive and has been fighting stigma ever since.
Q. Tell us about what you do at
way people can get better and seek treatment
Sheppard Pratt.
is to talk about it. There’s so much help
A. As a discharge coordinator, I work with the social workers, charge nurse, psychiatrist, and patient care coordinator to make sure each person has somewhere to go and has the aftercare appointments and referrals they need. The treatment here is so important,
available that people don’t seek because they’re afraid.
Q. What advice do you have for someone with a loved one with a mental health diagnosis?
and after discharge it’s important to have
A. Don’t be afraid of your loved one.
close, tightknit aftercare. I make sure our
Be a support system. It’s one thing to have
patients have the right follow-up care to
treatment, but it’s another to have support,
help them thrive.
and they go hand in hand. Be their biggest support and try your best to understand
Q. What do you love most about your
and have patience. Some things you can’t
role as a discharge coordinator?
snap out of — don’t make them feel guilty for
A. I love seeing the patients progress. Some people come in with really tough situations, and there’s so much satisfaction in seeing someone turn things around. That’s so fulfilling to me — especially when we have successful
not being able to do that. The whole family is affected by mental illness.
Q. What can we do to destigmatize mental health?
aftercare placements, such as for someone
A. Mental health needs to be discussed —
who is homeless or doesn’t have anywhere to
it needs to be part of common conversation
go. Hearing that someone’s doing well in a
at school, in churches, at home. I want my
program and so much better off because of
blog [jamierockymore.com] to start that
what Sheppard Pratt did — it’s just so fulfilling.
conversation for people, to have them realize, “Maybe I should talk to somebody.”
Q. You are so passionate about fighting
We need people to know that seeking
mental health stigma. Tell us more about that.
help or talking to a therapist isn’t a bad
A. We’re here to help; we’re all in this profession because there’s a need. The fact that there is a need, and that need isn’t always recognized by society — that’s what makes me want to spark change, to get us to a point where it’s comfortable to talk about depression and anxiety, because the only
thing — I think everyone needs a therapist! Therapists help you think in a different way and see things in a new light. Be open-minded and start a conversation. And, therapy doesn’t always mean medication — therapy is about what’s best for the individual. We work to find the best fit for each person.
6501 N. Charles Street Baltimore, MD 21204 410.938.3000
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