Oregon Healthy Living | August 2019

AUGUST 2019 | VOL. 12 — ISSUE 8

Ready to leave the nest or not?

Adolescent Acne Not a requirement

OregonHealthyLiving.com

Frequent Family Fights?

Youth Cross-country

Tips for better connection

Learning more than running

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Ingredients • 2 cups blueberries • 2 cups raspberries • 1 mango, cubed • 1/2 pineapple, cubed • 1/2 seedless watermelon, cubed

• 1/4 cup honey • 1 lime, juiced • 1 orange, juiced • 1/2 cup shelled pistachios, coarsely chopped • Fresh mint leaves, torn, for garnish

Directions Add the blueberries, raspberries, mangos, pineapples and watermelon to a large bowl. In a separate small bowl, whisk together the honey, lime juice and orange juice. Drizzle the honey mixture over the fruit salad and top with the pistachios. Right before serving, top with freshly torn mint leaves to garnish.

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OREGON HEALTHY LIVING | AUGUST 2019

VOL. 12 — ISSUE 8

AUGUST 2019

Preparing for Independence Can your kid cook?

Hills and Dales Cross-country running teens

It's Not All Instinct Skills for parents

Behavioral Challenges:

Acne Woes?

Act early!

Going to plan B

Welcome

Dr. Bryan Clevenger Dr. James D. Savage and Dr. Rajiv Rajagopal are pleased to welcome to our team an individual who shares our commitment to high-quality patient care.

Dr. Clevenger’s clinical interests include dental implants, dentoalveolar surgery, cleft lip and palate repair, maxillofacial trauma, orthognathic surgery, and bone and soft tissue grafting. He is also certified in Advanced Cardiac Life Support and Pediatric Advanced Life Support. Dr. Clevenger is looking forward to providing excellent patient care in our community.

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AUGUST 2019 | OREGON HEALTHY LIVING

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from the EDITOR As a parent of a teen, I've begun to wonder if we've provided all those life skills for independence that are needed. Being able to feed yourself is just one area of skills, but an important one that I think we assume they've picked up, but maybe not! In this issue that focuses on teens and kids, there are several ideas for learning skills to positively interact with your kids and grandkids. There are great resources available once you start looking. Next month, we'll investigate POUND fitness and TMJ pain.

EDITOR Cheryl P. Rose CEO & PUBLISHER Steven Saslow

crose@rosebudmedia.com

ASSOCIATE PUBLISHER & VP OF SALES Gail Whiting

on the COVER

SALES SUPERVISOR Laura Perkins

Thanks to our three teen models (Alexander Bort of Phoenix, Emmalee Stevens of Eagle Point and Eric Parliament of White City) for hamming it up for our teen cooking article. For the record, their kitchen skills perhaps aren't as bad as made out, but they all report having a lot of fun pretending.

GRAPHIC DESIGN & PRODUCTION Jaren Hobson CONTRIBUTING WRITERS Aaron Cooper Micah Leigh Sarah Lemon Rebecca Scott Cindy Quick Wilson

Composite Image by Dustin Peters

Join the List...

CONTRIBUTING PHOTOGRAPHER Dustin Peters

Ashland Food Cooperative............... pg 11

Northridge Center............................ pg 7

Assoc. for Oral & Maxillofacial Surgery..... pg 3

Oregon Retina Center...................... pg 21

Compass Senior Living Communities...... pg 24

Oregon Healthy Living Magazine is published by the Rosebud Media Advertising Department, 111 N. Fir St., Medford, OR 97501.

General information: 541.776.4422 Submissions and feedback: crose@rosebudmedia.com

Grins4Kidz....................................... pg 4 Medford Food Cooperative............... pg 13

Retina Care Center........................... pg 15 Rosa Transformational Health........... pg 17

Medford Foot & Ankle...................... pg 19

Sherm's Food 4 Less......................... pg 2

Medicap Pharmacy.......................... pg 13

Wellspring Centre for Body Balance..... pg 9

...and reach your next customer with Oregon Healthy Living!

Contact Sales Supervisor Laura Perkins at 541.776.4447 or lperkins@rosebudmedia.com

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OREGON HEALTHY LIVING | AUGUST 2019

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A foundation for fitness, friendships and future

STORY BY AARON COOPER PHOTOS PROVIDED BY JUSTIN LOFTUS & TRAVIS DICK

G

reat runners aren’t born —they’re made. Or so say the cross-country coaches of two Southern Oregon schools.

Travis Dick, lead cross-country coach and math teacher at Hedrick Middle School in Medford, oversees a program that takes beginning runners in sixth through eighth grades and shapes them into athletes.

Having coached for eight years, Dick says that while cross-country is a sport in which almost anyone can participate, middle schoolers present unique challenges.

“They usually aren’t used to adversity,” he says. “They haven’t learned about ‘mental toughness’ yet, so it’s easy for them to give up and stop running almost as soon as they’ve started.”

Dick particularly enjoys the challenge of motivating his runners, helping them develop the mental toughness needed to compete and persevere, and seeing them improve during the season.

continued on page 7

AUGUST 2019 | OREGON HEALTHY LIVING

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TOP-LEFT: HEDRICK STUDENT HADLEY DUNLEVY SLOGS THROUGH A MUD RUN HOSTED BY PONDEROSA MIDDLE SCHOOL IN KLAMATH FALLS TOP-RIGHT: CRATER CROSS COUNTRY TEAM TRIP TO CENTRAL OREGON INCLUDED A RUN OF 7.2 MILES ON THE SUMMIT LOOP BY SMITH ROCK. LEFT: CRATER TEAM STRETCHING BEFORE TACKLING SUMMIT LOOP IN BEND.

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Justin Loftus, head coach at Crater High School in Central Point, helps turn budding runners into elite racers, and often, college scholarship recipients. Having coached and taught P.E. for 19 years, Loftus agrees that cross-country is fairly unique among youth sports in that it’s approachable to a wide range of participants.

Everybody’s welcome to run “There’s really no qualifying criteria, except good attitude,” says Loftus.

“High school cross-country can be challenging and rewarding for runners of all skill levels. We love to take everybody on the team who wants to be here.”

Loftus’ teams at Crater, who won the Oregon 5A state championship in 2018, typically have about 40 runners, with close to even male/ female participation. “We’ve got both competitors and noncompetitive kids on our teams,” he says.

“There’s something to offer both.

Participation is open to everyone, and we don’t cut anyone.”

Each of the past three years, the Hedrick team has had more than 80 participants. At the middle-school level, the races are short—just 3 kilometers (1.8 miles)—so nearly everyone can compete. Dick says that young beginners don’t require much training to be able to cover the race distance, but some still don’t quite know what they’ve signed up for.

“I’m always blown away on the first day of fall training when some kids show up who’ve run 10-mile races or half-marathons, and there are others don’t really know anything at all about running,” says Dick. At those first practices he has everyone run a halfmile loop around the school; many will do lots of walking at first, and working with those kids in particular is one of Dick’s favorite challenges.

“Often I have to trick them into running further,” he says. “We play games while we run. I try to figure out what makes them tick, and it helps them run further without knowing it.”

It’s different from track Cross-country races are run on what’s known as "open courses." This means a course can take runners through fields, parks, forested trails, hills, over steeplechase (water jump) hurdles, and even through golf courses. Each school’s course offers a different set of racing challenges.

By high school, most runners have developed the mental and physical toughness needed for more intense training and racing. High school cross-country races are typically 5 kilometers—3.1 miles—and the competition is there for more than just athletic accomplishment.

“Each year we have multiple athletes who may go on to run in college,” says Loftus, speaking from Sunriver Resort, where he leads an annual training camp for high school runners.

Choosing running over other sports Future college runner and 2019 Crater graduate Andy Monroe played football, basketball and baseball in middle school, but during his freshman year he decided to focus on cross-country.

“Letting go of those other sports my freshman year was fairly easy, because I knew running was special,” says Monroe, who earned a track scholarship to Stanford. “It came down to what I saw myself doing in the future. Running is so simple compared to other sports, and it’s such a good escape from everything else in life.”

For another of Loftus’ 2019 graduates, deciding to focus on running wasn’t as easy. Jantz Tostenson played football, basketball, soccer and baseball. “For me it was the team aspect that attracted me to those sports,” says Tostenson. “Running has ups and downs and you gotta put in the effort every day, and that commitment is what builds a team.”

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Many middle-school cross-country runners play club soccer or volleyball during the fall and run track in the spring and Dick encourages that variety. “Cross-country develops that foundation of endurance and mental toughness that will be assets in any other sport they choose to pursue.”

Preparing for the season Now is the time to start preparing for the upcoming season. “I always tell runners to get some miles on their legs over summer,” says Dick.

“Not a ton, and it doesn’t have to be fast.” He also encourages all runners—even those who run yearround—to run some community races, like the annual Pear Blossom 10-mile or 5K runs.

At Sunriver, Loftus’ campers train twice each day, although he says the running is not really intense. “We’re just getting them back into the groove

before some harder summer training to come,” he says.

Once the season begins Regardless of skill and fitness level, most runners will have their slowest times at the beginning of the season.

“But throughout the season, all runners will get stronger,” says Dick.

“They can see the improvement in their times, and they feel so much better, stronger and faster.”

In-season training consists of rotating the focus of each practice among speed, distance and recovery.

With meets on most Thursdays, each day’s practice takes on a special function to help runners improve and endure through the season.

Monroe, the incoming Stanford runner, says getting faster sets crosscountry apart from other sports.

“People enjoy the idea of selfimprovement,” he says. “You can see

your times go down, and that’s the most important aspect.”

For coaches, determining the right level of effort is key. “I’m always trying to find balance between how hard to push, versus letting them run at their own pace,” says Dick. Knowing that cross-country may be the only time many of them compete in any sport, he strives to keep it fun. “I hope to develop in them a love of running, of doing hard work, and the satisfaction that comes with persevering through difficult challenges.”

The joy of running with the pack Most runners will never reach elite status, yet still want to compete and improve their race times. Known as ‘mid-packers,’ they compete knowing they’re not necessarily going up against the front-runners, but instead, are motivated by racing against the clock.

LEFT: CRATER TEAMMATES ATTENDED THE INVITATIONAL NIKE PORTLAND XC. BELOW: COACH DICK (LEFT) AND THE THE STARTING LINE OF HEDRICK RUNNERS AT THE SOUTHERN OREGON MIDDLE SCHOOL DISTRICT MEET HOSTED BY EAGLE POINT MIDDLE SCHOOL AT EAGLE POINT GOLF COURSE. ABOVE: CRATER TEAM AT THE MIDWESTERN LEAGUE JV RACE AT TUGMAN STATE PARK NEAR THE OREGON COAST. RIGHT: CRATER TEAM PRACTICES (LEFT TO RIGHT) JANTZ TOSTENSON, J.C. HERRING, GAGE REED, RYLAND MCCULLOUGH.

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OREGON HEALTHY LIVING | AUGUST 2019

Levi Jackson, an assistant coach at Crater, describes the appeal. “There’s a contagious aspect of being a midpacker,” he says. “They see the elite runners and they look up to them, and just want to get better and improve.”

Tostenson appreciates the social aspect to mid-pack running. “They stick with it because they develop friendships that can last forever,” he says.

Another aspect of cross-country’s appeal is that, young or old, virtually anyone can start running at any point in their life. Runners can set their own personal record (PR) at almost any age, and keep setting new PRs year after year.

“You don’t have to have certain skills, talent or physique to start,” says Loftus. “You can develop those while you train. And unlike many other sports, running can be a lifestyle beyond school once you graduate.

You can do it your entire life.” 

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GETTING STARTED IN CROSS-COUNTRY The cross-country season typically kicks off with each new school year. In Medford, the 2019-20 year begins Monday, Aug. 26, and cross-country starts for seventh and eighth graders Tuesday, Aug. 27. Practices will be from 3:45 – 5 Aug. 27, 28 and 29. Sixth graders will start practicing daily Tuesday, Sept. 3.

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STORY BY SARAH LEMON

PHOTOS BY DUSTIN PETERS

Make meals that pass muster after moving out

THREE LOCAL TEENS SHOW HOW FUN COOKING CAN BE WITH A FEW SIMPLE TOOLS AND INGREDIENTS

EM M ALEE STEVE

L AL E X A N E R B O RT D

10 OREGON HEALTHY LIVING | AUGUST 2019

NS

E LIAM

E R I C PA R eaving the nest also means leaving the comforts of home, including the kitchen. Parents who want to help their kids make the leap should avoid adding flashy appliances and fancy gadgets to new living quarters. Basic tools, experts say, complement straightforward cooking techniques with simple ingredients that just about anyone can manage.

NT

“You don’t need to spend the money on the Instant Pot,” says Jake Taub, culinary arts and restaurant management instructor at Ashland High School. “You don’t need a full set of pot and pans.”

A large and small stockpot suffice, along with a nonstick pan and castiron skillet. Cutting boards and basic utensils, such as a cheese grater, ultimately make more impact than a pricy food processor.

“Clean your cutting boards and keep them oiled,” says Marilyn Moore, a longtime local instructor of basic cooking skills for 9- to 15-yearolds, as well as adults in the restaurant industry. She uses mineral oil on her cutting boards and recommends different cutting boards for different foods. “And you must have a knife sharpener,” she adds.

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AUGUST 2019 | OREGON HEALTHY LIVING

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Just as chipped and dull knives can be among the most hazardous items in a kitchen, other tools in poor condition aren’t worth inheriting from family or buying secondhand, even for cash-strapped college students. Avoid cutting boards crisscrossed with deep knife marks, which can harbor bacteria. Scratched nonstick skillets can shed particles into food, and chipped enamelware, such as vintage Le Creuset, can leach chemicals into food, says Moore.

A solid cast-iron pan, however, can be reconditioned fairly easily, while new cast-iron is among the most affordable cookware on the market.

An inexpensive Microplane is both Moore’s and Taub’s top pick for gadgets the make the biggest difference in the hands of a novice cook.

Fresh citrus zest grated on a Microplane brightens any food it touches. Similarly, fresh herbs enhance simple ingredients. Add each to mayonnaise, and it’s an aioli that transforms a basic turkey sandwich into a restaurant-quality meal, says Taub.

Another simple sauce, vinaigrette, costs pennies to prepare and infuses salads with global flavors just by swapping oils and vinegars. Use rice vinegar and sesame oil for Asian salads, apple-cider vinegar and avocado oil for salads with fruit and balsamic vinegar and olive oil for a quintessential Italian flavor, says Moore. “I love that BLT salad for dinner,” she says of cooked bacon and tomato on greens with homemade ranch dressing.

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continued on page 14

EAT . BUY . LOVE

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INGREDIENTS 2 cups chicken or vegetable broth 1/2 cup frozen peas (no need to defrost) 2 tablespoons olive oil, divided

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1 (6-ounce) box couscous Zest and juice of 1 lemon 1/2 cup grated carrot

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3/4 cup diced red onion 1/4 cup diced zucchini 1/4 cup diced tomato 1/2 cup crumbled feta cheese 1/4 cup torn mint leaves Salt and pepper to taste Toasted, slivered almonds, for garnish

DIRECTIONS In a saucepan, combine the broth, peas and 2 teaspoons of the oil; bring to a boil. Stir in the couscous, lemon zest and carrot; remove from heat. Cover and let stand for 5 minutes.

In a skillet, heat remaining oil and saute the onion and zucchini until crisp-tender. Fluff couscous with a fork and add to skillet. Stir gently to combine. Add the tomato, cheese, mint, lemon juice and salt and pepper to taste. Stir again and transfer to a serving dish or plates.

Top each portion with some of the toasted nuts.

SERVINGS: 4

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Vinegar, oil, salt and sugar are the only pantry staples needed to make vinaigrette. Rather than stocking a spice cabinet with myriad bottles that quickly eat into a grocery budget, keep a pot of fresh herbs on the kitchen windowsill or on a patio, say Taub and Moore. Herbs are easy to grow, maintain and harvest as needed for maximum flavor.

Keep basic vegetables on hand to use in a variety of dishes. Onions, carrots and celery are the foundation of any soup recipe, says Taub. Use all three, plus frozen peas, for an easy rice pilaf.

Choose stock or soup base to punch up the flavor of any recipe that calls for simmering water, he says. He reaches for Better Than Bouillon brand.

“Obviously, Top Ramen is always going to be a college-student thing,” says Taub, adding that only half the seasoning packet is needed.

In just a few more minutes than instant noodles, a pilaf made with any whole grain likely costs just a few more cents, says Taub. It’s a dish that every student in his classes must master, and it doesn’t require a recipe. “You don’t need a recipe to cook most things.”

And cookbooks are less essential for today’s college-bound, given all the YouTube videos, many produced by celebrity chefs demonstrating countless recipes and culinary techniques, says Taub. Internet searches also yield numerous ways to produce the same dish, a frittata on the stovetop or in the oven, for example.

Less prominent in popular media are foodsafety and sanitation measures, say Taub and Moore. In addition to keeping raw meats from touching ready-to-eat foods, beginning cooks should adhere to the adage “hot foods HOT, cold foods COLD.” That means keep food temperatures at 140 F or higher and 40 F or lower to prevent bacterial growth that can cause illness. The in-between range is aptly known as the “danger zone,” easily avoided by employing an instant-read, digital thermometer.

“Never leave food sitting on the counter,” says Moore of misguided attempts to thaw frozen meats.

And consult packaging to verify which foods should be refrigerated after opening, says Taub, who says he is continually shocked to find perishable items returned to the pantry in his culinary classes. “It’s insane how teenagers have no idea what goes in a fridge.”

And please, please, he implores teens: No matter how late you’ve been up studying and how ferocious your appetite, just skip the “pizza sitting on a dorm room floor for four days.”

Instead, keep a batch of this easy couscous pilaf with fresh lemon zest and herbs ready in the refrigerator. 

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OREGON HEALTHY LIVING | AUGUST 2019

STOCK A KITCHEN WITH THESE ESSENTIALS

Chef's knife

Silicone steaming basket

Paring knife

Fine-mesh sieve

Serrated knife

Sheet pan with rack

Cutting boards

Digital thermometer

Nonstick pan

Microplane

Cast-iron pan

Rubber spatula

6-quart pot

Wooden spoons

2-quart pot

Dish towels

(1 each for meat and produce)

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AUGUST 2019 | OREGON HEALTHY LIVING

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STORY BY CINDY QUICK WILSON

PHOTOS PROVIDED BY LISA FARLIN

It ain't easy, but free classes can help

A

ny parent will tell you that raising a child can feel like the toughest job in the world. Add to that the challenges of special needs kids, parents in recovery or single parenting and the frustration level can explode.

Medford mom Jonnie Cox works fulltime and raises her two young children as a single parent. “I recognized that I didn’t automatically have all the answers when it came to disciplining my children and some of the more traditional methods like spanking and time outs just didn’t feel right to me. As parents, we’re all just kind of winging it, so anything we can learn about how to do it better is a good thing.”

That desire to be a better parent is what motivated Cox to sign up for a free local parenting class she saw offered through her son’s Head Start program. “I wanted to improve my overall parenting skills,” Cox says, “but I was especially interested in learning about positive discipline, since they are finding out that what we may have learned from our parents doesn’t always get the best results.”

Forging a community connection The Oregon Parent Education Collaboration, or OPEC, provides regional parent education hubs around the state. One of those is the Family Connection, based in Central Point, which partners with local organizations to provide a variety of free parenting classes and workshops throughout Jackson and Josephine counties. They join with businesses, schools, day care centers and churches in an effort to provide classes not just locally, but also in some of the region’s more rural areas.

“The Family Connection has grown immensely in the past several years,” explains Lisa Farlin, director of parent, family and community engagement. “We have about 100 trained educators as part

16 OREGON HEALTHY LIVING | AUGUST 2019

of OPEC’s goal, which is to have parent education as a ‘community norm.’

Meaning that, similar to when you’re pregnant, you prepare for it by going to birthing classes, so when you have a child, you go to parenting classes.”

In general, the parenting education programs emphasize positive parenting techniques, but, adds Farlin, “Our classes also address more specialized topics, for instance, grandparents who are parenting again, teen or very young parents, and parents who are dealing with recovery or special needs children.”

Most of the classes are eight weeks or 12 weeks in length, and there are also workshops which can last from a couple of hours to a couple of days.

No excuses “These are all free classes,” Farlin stresses. “They are OPEC and grantfunded, so there is no charge.” In addition, she says, child care and meals are provided in an effort to eliminate all the barriers, so more people can take advantage of these classes.

“It really helped me to understand the stages of development and how a child’s brain functions,” says Cox, “and to know that at certain ages, there are disruptive behaviors that are ‘normal’ for how their little brains work. It was also helpful for me to hear that one of the reasons we as parents react so negatively to our child having a tantrum, especially in public, is because we think we are being judged as a bad parent, and that causes a lot of stress.

What we learned is that a tantrum has nothing to do with us as parents and we shouldn’t be embarrassed. It’s all part of the development process.”

Farlin adds, “Not only do the parents learn new ideas about how to parent, one of the most important things they get out of this is the networking. Being able to share with other parents who are having a similar experience is a connection that strengthens them and their families greatly.”

When you know better, you do better “What I learned has been very useful to me,” says Cox. “It helps to learn that when your 2-year-old is having a meltdown, they are not being terrible, they are just learning how to be a human. We learned how to not lose our cool with them when they are losing theirs. The classes also taught us how to take care of ourselves so as parents, we are better able to take care of our kids.”

Cox admits, “It’s a learning process and like any new skill, these techniques do require some practice, and you have to hold yourself accountable. They provide us with little cards and magnets that have positive reminders about how to be a better parent and that helps us to remember to use what we’ve learned.”

Making parent education more available “The governor has put a lot of money in her budget for parent education,” Farlin says, “so I think there’s a huge momentum building for this. We recently completed a community health assessment, and parent education and life skills were identified as a major need.

We’ve also been collaborating with our medical community and some local pediatricians, so we can get referrals right from the pediatrician’s office.”

It really is about making connections, Cox says. “It was helpful to talk with other parents during class and learn that we all struggle with some of the same issues. This is such a great resource for us to have, I would really encourage parents to take advantage of it.” 

PARENT EDUCATION CLASSES I N T H E ROG U E VA L L E Y The Family Connection is where parents can come together to learn effective parenting skills, be introduced to community resources and find support from other parents. Check the Family Connection calendar at thefamilyconnect.org for specific information about classes, workshops and events. Here are some examples: Nurturing Teen Parents and Their Children (12 weeks) Focuses on preparing new teen or young parents on the importance of positive parent-child interactions starting at infancy. Attention is also focused on parent self-care, local resources and community partners on health, nutrition and mental health awareness.

"As parents, we're all just kind of winging it, so anything we can learn about how to do it better is a good thing."

Grandparents as Parents: Parenting a Second Time Around (8 weeks) Specific to grandparent/caregiver relatives that are guardians of children or teens. Topics include child development of all ages and stages (ages 0-18), discipline and guidance, caring for yourself as a caregiver/guardian, rebuilding a family, living with teens, legal issues and advocacy.

Jonnie Cox TOP-LEFT: A PARENTING NOW CLASS AT RIVERSIDE HEAD START IN GRANTS PASS. ABOVE: FACILITATOR CALI HALE LEADS A CLASS AT THE ALAN BERLIN HEAD START CENTER IN MEDFORD.

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Nurturing Hope: Parenting with Hope (12 weeks) For parents and their children experiencing educational disability and health challenges; dysregulation, developmental delays and health disabilities. This series focuses on positive parenting, community involvement and learning about local resources. For parents of children ages 0-10.

17

STORY BY REBECCA SCOTT

SHIFTING MINDSETS TO When traditional behavior motivators are ineffective

Y

our child needs to clean his or her room, but you know from experience there will likely be an argument.

Your child often becomes angry and uncooperative when asked to do this task.

Previously, you've “put your foot down” by sending them to bed without dinner, but this never works. It's time for a Plan B. The CPS model The Collaborative Problem-Solving (CPS) model is effective in helping children and teens who exhibit different behavioral, emotional and social problems, according to local professionals.

“Collaborative Problem-Solving is a nontraditional approach to working with children who have challenging behaviors,” says Lauren Ramirez, a licensed professional counselor in Medford and Grants Pass. CPS focuses on building skills and communicating with children in a different way, she explains,

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OREGON HEALTHY LIVING | AUGUST 2019

rather than using traditional systems like rewards and punishments to motivate compliant behavior. “Conventional wisdom tells us that kids do well if they want to, whereas CPS believes kids do well if they can.”

Understanding why challenging behavior occurs in the first place is key to implementing this model, according to Jennifer Henderson, a licensed professional counselor in Medford. She says we know children communicate their needs through different behaviors, and challenging children have lagging skills that need to be developed.

CPS focuses on solving the chronic unmet expectations and triggers that children with challenging behaviors struggle with, says Ramirez. “There are three options for responding to problems to be solved; Plans A, B and C. Each has a different focus and intent, but Plan B is where we have a conversation with the child and help them build skills and solve problems.

The goal of these talks is to help kids build thinking skills and relationships and reduce challenging behaviors.”

Benefits of the CPS model There’s little evidence to show rewards and punishments

are effective with most challenging children, says Henderson. “Rewards and punishments increase feelings of stress and defeat in challenging kids,” she explains, but CPS shifts the brain to decrease challenging behaviors and build relationships.

Henderson says research shows CPS is effective for children 3 years old and up. “But really, there’s no age limit to empathy. CPS looks at how we can wire the brain and help these kids as early as possible. Instead of saying what’s wrong, we must ask why this child is having a hard time.”

Fortunately, with education and training, the CPS model can be implemented by parents, teachers, caregivers and other adults involved in the child’s life. There are several trainings offered, explains Ramirez, as well as books and social media groups.

Changing our interactions

Children with challenging behaviors lack skill, not will, explains Ramirez, adding that lagging thinking skills are often a product of genetics, environmental factors and trauma.

“The good news is "Instead of saying that thinking skills what's wrong, we must can be developed ask why this child is and strengthened having a hard time." with the CPS model,” she says. 

Jennifer Henderson

Licensed Professional Counselor

TH E

OF R ED IR ECT IN G CH A LLEN G IN G B EH AV IO R

When choosing how to respond to challenging behaviors from children, we have three options, explains Jennifer Henderson, a licensed professional counselor in Medford.

“In the CPS model, Plan A is what we would consider conventional parenting by imposing a consequence for noncompliance, such as since you didn’t clean your room, you lose your video game time. Often, for children with behavior challenges, these standoffs worsen the behavior instead of providing motivation for future compliance.”

Plan B dives deeper than traditional parenting responses by recognizing that if the child had the skills to meet the expectation they would, Henderson explains. “We respond to the challenging behaviors understanding there are

skills to be developed, so the expectations can be met. In this example, the skills to successfully clean the room are organization, managing frustration and staying on task.”

Plan B contains three key components: empathy of child's concern, adult sharing of their concerns, and collaboration between the parent and child about how to get the expectation met. “These conversations can uncover helpful information to avoid future conflict. In the clean room example, the child may feel overwhelmed by the task of organizing and need a checklist to follow.”

In Plan C, the adult strategically focuses solely on the child's concerns by removing a trigger or unmet expectation to prevent the child's challenging behavior. “It is important to understand that while this can be a valuable option for problem-solving, it is clearly only for short-term situations. We need kids to meet expectations. In this example, it would be removing the expectation such as not having the child put away laundry when cleaning the room or making the bed. We always have three options at our disposal to choose when responding to challenging behaviors. Plan B will by far be the most durable.”

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BY MICAH LEIGH

Troubled skin can leave physical and emotional scars

A

cne is often considered a normal rite of passage for adolescents. Some cases resolve on their own. However, severe cases can lead to scarring that lasts a lifetime.

Before it gets to that point, medical intervention can help.

“Acne is a real disease,” says Dr. Peter Teichman, family physician at Asante Family Medicine in Ashland.

“It probably causes more suffering than any other disease because it comes at adolescence when kids are already self-conscience about their appearance. Acne can cause them to withdraw socially. It can cause a sense of shame. I think the psychological damage is underrated.”

Teichman stresses that acne is an inherited condition and is not caused by bad hygiene.

“Acne is caused by a combination of hormones and increased production of oil during puberty,” he says. “The sebum glands get clogged. This obstruction can lead to infection, which produces blackheads and

20 OREGON HEALTHY LIVING | AUGUST 2019

whiteheads. It’s not dirt. In fact, many of my patients actually overclean which can lead to irritation.”

Joe Gatti, physician assistant at the Clinic for Dermatology and Wellness in Medford, says that the most severe type of acne is inflammatory acne which causes nodules and cysts.

“These cysts can be big, red and painful,” he says. “This is the type of acne that causes disfiguring scars. The goal is to get the patient on products quickly to lessen the lesions and prevent scarring.”

Teichman says the first thing to do is dry up the oil.

“I tell my patients that we want to turn the body jungle into a body desert,” he says. “Topical medicines like benzoyl peroxide are relatively

"The most important thing is to get treatment early to prevent scars."

Dr. Peter Teichman Asante Family Medicine, Ashland

inexpensive and are available in over-the-counter products. This may be all that is needed for mild acne.

For moderate acne, Retin A can be used alone or in conjunction with oral antibiotics.”

Isotretinoin is the medicine of choice for severe cases, according to Gatti.

“Most of the people I see have tried many different therapies before they see a doctor. For inflammatory acne where nothing has worked, we prescribe isotretinoin. This is the medicine that most people know as Accutane,” he says. “It has to be prescribed by a doctor and must be closely monitored.”

Teichman says that isotretinoin, a vitamin A derivative, substantially reduces oil production.

“It turns off the faucet. It is incredibly effective for cystic scarring and resistant acne,” he says.

Doctors and patients must agree to regulations established by the I Pledge program, Teichman explains. After a lengthy consent process, the patient starts with a blood test. Female patients also get a pregnancy test. The treatment lasts for six months. Each month, the blood and pregnancy tests are repeated. Girls can also use hormone therapy in the form of oral contraceptives or the vaginal ring.

Both do a fairly good job of reducing acne, he says. In fact, girls are required to use two forms of contraception during the time they are on isotretinoin because isotretinoin is known to cause birth defects during pregnancy.

“Some say that these treatments can cause depression, but I have found it to be an antidepressant,” Teichman says. “The psychological toll and sense of shame are removed. By improving their skin, it improves their outlook in general. Their heads are held high for the first time in years. Those who are motivated do very well. We tell them to take heart. Their expectations are always exceeded. The most important thing is to get treatment early to prevent scars. Although there is no cure for acne, we have products that substantially reduce acne.” 

DO PERSONAL HABITS AFFECT ACNE? According to Dr. Peter Teichman, family physician at Asante Family Medicine in Ashland, patients should avoid oil-based makeup. Other than that, he says there is no evidence that any one facial cleanser is better than another.

As for diet, Teichman says the relationship between diet and acne is highly contentious.

“The impact of diet on the course of acne remains unclear,” he says. “Therefore, I don’t emphasize diet changes specific to acne. I do give general nutrition advice. A concern I have about food and acne is that patients or their parents may blame the patient for having acne, including ‘causing’ acne by eating the ‘wrong’ foods. My professional approach is to do what we have proof works.”

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AUGUST 2019 | OREGON HEALTHY LIVING

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GUIDED RANGER WALKS NATURAL MEDICINE FOR THE MODERN TEEN

AUGUST 12 | 6-8:30 P.M. ASHLAND FOOD CO-OP CLASSROOM 300 PIONEER ST., ASHLAND A free, interactive lecture by Eleyah Knight for parents and children about treatment/care techniques from Chinese medicine.

CONTACT INFO: ashlandfood.coop/events | 541.482.2237

ARE YOU

AUGUST 17 | 9:30 A.M. - NOON CASCADE-SISKIYOU NATIONAL MONUMENT Every Saturday and Sunday through Labor Day, free guided ranger hikes will be offered on various natural and cultural history topics.

All hikes meet at the Information Center (next to Green Springs Inn & Cabins). Registration is encouraged, but not required.

CONTACT INFO: cascadesiskiyou.eventbrite.com

EAT THE RAINBOW

AUGUST 22 | 5:30 - 7:30 P.M. ASHLAND FOOD CO-OP CLASSROOM 300 PIONEER ST., ASHLAND Parents and kids are invited to learn about the nutritional importance of having a colorful diet. Kids will make a colorful stir fry, smoothie bowl and an avocado "fudgecicle." Space limited. Fee is $35 for members, $40 for general public.

CONTACT INFO: ashlandfood.coop/events | 541.482.2237

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PLANT POWER

NATURE MEDITATION

AUGUST 22 | 5 - 5:30 P.M. NORTH MOUNTAIN NATURE PARK 620 N. MOUNTAIN AVE., ASHLAND A free, short, outdoor meditation led by registered yoga teacher Jen Aguayo. Group will meet in the shade of a giant oak tree in the park. Some benches available but bring a mat or pillow to sit on too. Tune into nature with this guided meditation.

CONTACT INFO: ashland.or.us/register | 541.488.6606

AUGUST 27 | 6 - 7 P.M. ROGUE VALLEY FAMILY YMCA 522 WEST SIXTH STREET, MEDFORD A free nutrition class to learn about lowering your risk of chronic disease and obesity. The YMCA provides a healthy snack for participants.

CONTACT INFO: wellness@rvymca.org | 541.772.6295 x106

BOOT CAMP FOR NEW DADS WORKSHOP

SOUTHERN OREGON RELAY FOR LIFE 2019

AUGUST 24-25 | 10 A.M. HARRY & DAVID FIELD 2929 S. PACIFIC HIGHWAY, MEDFORD The Josephine County and Jackson County Relay for Life teams have joined forces this year to come together to support and celebrate cancer survivors and caregivers.

CONTACT INFO: relay.acsevents.org | 541.660.8104

SEPTEMBER 14 | 9 A.M. - NOON WOMEN'S HEALTH CENTER OF SOUTHERN OREGON 1075 SW GRANDVIEW AVE., GRANTS PASS A unique father-to-father, community-based workshop that inspires and equips men of different parenting levels, ages and cultures to become confidently engaged with their infants, support their mates, and personally navigate their transformation into dads. Held the second Saturday of every month.

CONTACT INFO: gpbootcampfornewdads.com

MOVIE SCREENING: "THE GAME CHANGERS"

SEPTEMBER 16 | 7:30 P.M. CINEMARK TINSELTOWN 651 MEDFORD CENTER, MEDFORD One night only locally! "The Game Changers" is a groundbreaking documentary about the explosive rise of plant-based eating in professional sports. Top plant-based athletes, including Arnold Schwarzenegger and Jackie Chan, tell their stories in this film from award-winning executive producer James Cameron. The film mixes science with cinematic stories of struggle and triumph. Tickets are $12.50 online.

CONTACT INFO: cinemark.com/the-game-changers

GET YOUR EVENT LISTED! Email crose@rosebudmedia.com with the following information: Event title, date, time, location, contact information, and a brief description including any required fees.

Please note: Event information must be received at least 60 days in advance to be considered for publication in Oregon Healthy Living.

AUGUST 2019 | OREGON HEALTHY LIVING

23

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