Behavioral Health
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Mental Health Matters. Here’s Where and When to Get Care
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Feeling down? Anxious? A little “off?” You’re not alone. The first year of the COVID-19 pandemic caused a 25% increase in anxiety and depression around the world, according to the World Health Organization (WHO). Now, as the threat of airborne illness remains, everyone — from seniors to teens — are feeling the effects.
Isolation, stress, and worry about our families and loved ones can take a toll on our physical and mental health. But knowing what resources are available and where you can access them can make a big difference. Whether you’re looking for talk therapy, a support group or any other kind of mental health care, these options can help you decide what you need and where to find it.
Counseling and Psychotherapy
Bad days are normal. But when feelings of anxiety, burn out, or “the blues” become constant, the help of a doctor may help you feel better. Counseling or psychotherapy (also known as “talk therapy”) is one of the most widely used treatments for mental health. A mental health professional will meet with you — either one-on-one or in a group setting — to discuss how you’re feeling and ways to make it better. Talk therapy can be a valuable resource for anyone experiencing:
A long-term mental health condition
Anxiety
Depression
Interpersonal issues
Life challenges
Talking to a licensed mental health professional may be a good place to start if your symptoms are causing distress or affecting your daily functioning. Or, if you’re seeking help for trauma or a mental illness.
Your doctor may be able to refer you to a specialist. Or you can search your provider directory for the counselor who is right for you. You may also be able to access mental health care for low- or no cost through a local community center, church or hospital.
Substance Abuse Prevention or Treatment Programs
If you or someone you love is struggling with addiction, don’t wait to get help. Reaching out right now could save a life.
Out-patient therapy, support groups and stays at in-patient facilities assist individuals managing substance dependence.
The Substance Abuse and Mental Health Services Administration (SAMHSA) offers resources to help people begin their recovery journeys. Use this anonymous treatment services locator to find services and facilities.
The SAMHSA National Helpline, available 24/7 at 1-800-662-HELP (4357), can connect you to even more treatment options, referrals and information.
Mental Health Crisis
The World Health Organization defines “mental health” as a state of being in which an individual can work, thrive, cope with life stressors and recognize their own value.
During a mental health crisis, coping becomes extremely difficult. Here are some signs that you or someone else might be experiencing a mental health crisis:
Extreme mood swings
Dissociation
Hallucinations
Paranoia
Poor hygiene
Self-harm or self-injury
Self-imposed isolation
Severe agitation
Significant despair
Feelings of helplessness
Hopelessness
If you suspect that someone is in crisis, call the SAMHSA National Helpline anytime at 1-800-662-HELP (4357), or dial 988. You can also visit a walk-in urgent care center or emergency room (ER) for immediate care.
In Case of Emergency
When a mental health crisis escalates, it can become an emergency. And a mental health emergency is a life-threatening situation. During this kind of emergency, a person may threaten to harm themselves or someone else. They may appear disoriented or “out of touch” with reality. Dangerous activities and out-of-control behavior may be signs of an emergency.
If you or your loved one is in danger or threatening to hurt themselves or someone else, call 9-1-1. That way, you or your loved one can get the help you need right away.
Learn more about Luminis Health’s behavioral health services. We offer comprehensive care across outpatient therapy and medication management, substance use programs, inpatient treatment and partial hospitalization.
Authors
Maria Winters is Licensed Clinical Professional Counselor for Luminis Health.
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Behavioral Health, News & Press Releases
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Groundbreaking for New Mental Health Facility at Luminis Health Doctors Community Medical Center
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Meeting the behavioral needs of residents in Prince George’s County is the motivation behind a new partnership between Luminis Health Doctors Community Medical Center (LHDCMC) and Prince George’s County. Victoria Bayless, chief executive officer for Luminis Health, and Deneen Richmond, president of LHDCMC, joined County Executive Angela Alsobrooks for the official groundbreaking for the Behavioral Health Services Building.
Located on the campus of Luminis Health Doctors Community Medical Center, the facility will offer a broad continuum of behavioral health services. “Today is a momentous occasion for Luminis Health as we break ground on this facility – to provide patient centered care and local access to community members suffering from mental health and substance use disorders,” said Victoria Bayless, CEO of Luminis Health. “We are committed to removing barriers to health care, and ensuring everyone has access to the care needed to live a healthy life.”
Right now, there are limited mental health resources in Prince George’s County. “We are here to serve the residents of Prince George’s County, and behavioral health care is one of the major needs,” said Deneen Richmond, president of LHDCMC. “In the last year, we have seen an incredible rise in the need for mental health services. I believe we all know that particularly during the pandemic, and even prior to COVID, there are a number of people suffering with mental health conditions and are unable to get the care and treatment they need and deserve.”
The two-story 31,200 square foot facility is made possible thanks to a $20 million grant from Prince George’s County. “We understand the strength of this partnership and look forward to growing the program with the County as we continue to meet this community’s behavioral health needs,” said Richmond. ”These programs bring us one step closer to eliminating health disparities in Prince George’s County.”
The project has two phases. The first phase, which is slated to be completed by Winter 2021, will include first floor ambulatory services:
Walk-in/urgent care behavioral health services
Outpatient transitional behavioral health clinic
Substance use disorder intensive outpatient treatment program
Mental health partial hospitalization programs for adults and adolescents
8-bed residential crisis program
The second phase is a 16-bed adult inpatient psychiatric unit. A Certificate of Need was recently submitted to the Maryland Health Care Commission for approval for the second floor unit.
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News & Press Releases
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Luminis Health Receives $1.6 M State Grant to Address Teenage Mental Health Crisis
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Health System will partner with Prince George’s County Public Schools to Offer Services and Training at High Schools
(Lanham, Maryland) February 20, 2024- In response to the increasing demand for mental health services among young people, Luminis Health has been awarded a $1.6 million grant from the Maryland Community Health Resources Commission. The non-profit regional health system will collaborate with Prince George’s County Public Schools by implementing comprehensive support services at six high schools.
As part of the grant, Luminis Health will hire and deploy mental health providers directly to the schools, collaborating with school counselors to offer vital support to students and parents. These embedded providers will rotate through the schools, providing education and training to students, parents, and teachers, ensuring access to evidence-based screening tools for identifying individual needs and strengths on an ongoing basis.
“Our mental health matters, and today’s teenagers are grappling with a mental health crisis of unprecedented proportions,” said Dr. Aliya Jones, executive medical director of Behavioral Health at Luminis Health. “By partnering with school counselors, teachers, parents and students, we can build strong bonds and connect with teenagers, fostering an environment of support for their mental health well-being and facilitating their growth.”
In addition to placing mental health providers with expertise in adolescents within the schools, Luminis Health plans to implement a multifaceted approach to support students’ mental well-being. This includes training teachers to recognize warning signs of mental health issues and equipping them with the tools to provide appropriate support and referrals. Furthermore, students themselves will receive training on how to identify signs of distress in their classmates and provide effective peer support.
Luminis Health has forged a strategic partnership with Prince George’s County Public Schools to ensure equitable access to care where it’s needed most. Through close collaboration with administrators, six high schools have been identified as priority locations for this initiative:
Parkdale High School in Riverdale Park
DuVal High School in Lanham
Eleanor Roosevelt High School in Greenbelt
Northwestern High School in Hyattsville
Bowie High School in Bowie
Chesapeake Math and IT Academy North High School in Laurel
Over the next few months, Luminis Health will recruit team members to support the services funded by the grant, including clinicians, therapists, addiction counselors, nurse practitioners, and registered nurses. The health system will begin working directly with school personnel in June, with plans to roll out the comprehensive services for students in the upcoming school year.
“Over the past 4 years, Luminis Health has invested $110 million at Luminis Health Doctors Community Medical Center (LHDCMC) in Lanham, including opening a new Behavioral Health Pavilion to provide comprehensive mental health services,” said Tori Bayless, CEO of Luminis Health. “We extend our sincere appreciation to the State and County for their support in advancing our mission of enhancing the health of people we serve. These communities will benefit directly from this grant by expanding mental health options in Prince George’s County and enhancing accessibility by bringing programs directly into our schools.”
The grant will additionally cover extended hours at the Behavioral Health Urgent Care walk-in clinic at LHDCMC, offering treatment for non-life-threatening mental health needs for individuals of all ages.
The Maryland Community Health Resources Commission approved 129 grant awards totaling $111 million to expand access to comprehensive behavioral use services for children, kindergarten through high school, in every jurisdiction in Maryland. Funding to support these new programs was made available by the Maryland General Assembly under the Blueprint for Maryland’s Future.
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Behavioral Health, Pediatrics
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Why talking to your child about drugs is important
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A child’s brain is like a sponge. From the moment they are born to approximately age six, a child’s brain can soak up infinite amounts of information. During adolescence, the brain is still developing, making young children susceptible to the information they receive. In fact, the teenage years are a critical time of vulnerability to substance use disorders due to the brain’s malleability, according to research by the National Institute on Drug Abuse.
Adolescents have creative and innovative minds, but unless you teach them about things they need to protect their mind, it is easy for them to fall into a trap of destructive decision-making behavior. The young people I know are curious, eager and ambitious. They are drawn by things that can give them instant gratification and are eager to invent new things. This is not a negative, and as parents, we can use this energy to help our children grow and make better choices.
Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March.
Communication and education are two of the most important keys in the fight against adolescent drug misuse and abuse. Parents are going to have to boost their efforts and get more comfortable with talking to their children about drugs. Here are some steps you can start with:
Be in the know. Take time to educate yourself on the drug trends in the community and on the internet. Learn about drugs on the market and where they are sold. If you understand the effects of drug use and know the facts, you can give your child helpful information and clarify any doubts or questions.
Know their social circles. Know the people your child is hanging out with and where they live. Kids who hang out with friends who use drugs are likely to want to try it out themselves, especially those who feel socially isolated and are trying to fit in. Show interest in knowing your child’s friends and their parents.
Talk to your kids daily. Engage in conversations and pay attention to how your child is feeling. Create an environment of trust where your child does not feel judged. Make it clear that you’re available and willing to sit down to have an open conversation and listen.
Encourage good decision-making skills. Let your child know his or her opinions are important and interesting. Praise all efforts and guide your child through things that he or she doesn’t know about but believe to fully understand.
Be supportive. Recognize when your child is going through a hard time and show him or her that you have their back. An accepting environment, where your child feels like he or she can talk without fear of punishment or reprisal, increases the chances of your child turning to you for help and advice.
Knowing this information will prepare you to start a conversation with your child. Parents are often surprised how comfortable a child is talking about drugs. Many kids are actually bothered by friends using drugs and have questions for their parents but they just don’t know how to approach parents or are too scared to do so.
READ MORE: The power of parents in preventing substance abuse
Make talking and communicating with your child a regular part of your day. The earlier we can teach our children about the dangers of drugs, the better the chances we have of them not wanting to try them. At least by the time they can choose for themselves, they will be able to make an informed decision.
Author
Keshia Brooks, BSPH, MBA, is supervisor of Prevention Education and Family Wellness at Pathways, Anne Arundel Medical Center’s substance abuse and mental health treatment facility. You can reach her office at 410-573-5422.
Ask questions, find resources and learn more at askAAMC.org/HealthyMinds.
Originally published May 8, 2018. Last updated Jan. 21, 2020.
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Behavioral Health, Senior Care
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Older Adults Should Treat Insomnia Without Drugs
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Nearly one third of older people in the U.S. take sleeping pills. These drugs are called “sedative hypnotics” or “tranquilizers.” They affect the brain and spinal cord.
“Doctors prescribe the drugs for sleep problems,” says Ira Weinstein, MD, a pulmonologist who specializes in sleep disorders. “The drugs are also used to treat other conditions, such as anxiety or alcohol withdrawal.”
Usually older adults should try non-drug treatments first. According to the American Geriatrics Society, there are safer and better ways to improve sleep or reduce anxiety. Here’s why:
Sleeping pills may not help much.
Many ads say that sleeping pills help people get a full, restful night’s sleep. But studies show that this is not exactly true in real life. On average, people who take one of these drugs sleep only a little longer and better than those who don’t take a drug.
Sleeping pills can have serious or even deadly side effects.
All sedative-hypnotic drugs have special risks for older adults. Seniors are likely to be more sensitive to the drugs’ effects than younger adults. And these drugs may stay in their bodies longer.
“The drugs can cause confusion and memory problems that more than double the risk of falls and hip fractures,” says Dr. Weinstein. These are common causes of hospitalization and death in older people. They also can increase the risk of car accidents.
The new “Z” drugs also have risks.
Most ads are for these new drugs. At first, they were thought to be safer. But recent studies suggest they have as much or more risk than the older sleep drugs.
Try nondrug treatments first.
Get a thorough medical exam. Sleep problems can be caused by depression or anxiety, pain, restless leg syndrome, and many other conditions. Even if an exam does not turn up an underlying cause, you should try other solutions before you try drugs.
Over-the-counter drugs may not be a good choice.
Side effects of some drugs can be especially bothersome for seniors: next-day drowsiness, confusion, constipation, dry mouth, and difficulty urinating. Avoid these over-the-counter sleep drugs:
Diphenhydramine (Benadryl Allergy, Nytol, Sominex, and generic)
Doxylamine (Unisom and generic)
Advil PM
Tylenol PM
When to try sedative hypnotic drugs
“Consider these drugs if the sleep problems are affecting your quality of life and nothing else has helped,” says Dr. Weinstein. “But your healthcare provider should watch you carefully to make sure that the drug is helping and not causing bad side effects.”
Kinds of sleeping pills (sedative-hypnotics)
All of these pills have risks, especially for older adults:
Barbiturates
Secobarbital (Seconal and generic)
Phenobarbital (Luminal and generic)
Benzodiazepines for anxiety
Alprazolam (Xanax and generic)
Diazepam (Valium and generic)
Lorazepam (Ativan and generic)
Benzodiazepines for insomnia
Estazolam (generic only)
Flurazepam (Dalmane and generic)
Quazepam (Doral)
Temazepam (Restoril and generic)
Triazolam (Halcion and generic)
“Z” drugs
Zolpidem (Ambien and generic)
Eszopiclone (Lunesta)
Zaleplon (Sonata and generic)
Tips for better sleep
Exercise. Physical activity helps people sleep better. But avoid vigorous activity for several hours before bedtime.
Keep a routine. Try to go to bed and wake up at about the same time every day, even on weekends.
Try not to eat right before bedtime. Eat three hours or more before going to bed.
Avoid caffeine after 3 p.m. Some people need to avoid caffeine even earlier.
Limit alcohol. Alcohol causes sleepiness at first, followed by wakefulness.
Create the right environment. Keep the bedroom peaceful. And avoid mental excitement before bedtime.
Avoid bright lights. Watching a bright screen can make you stay awake.
Control pets. Pets disrupt sleep if they are on and off the bed, taking up space, or wanting to be let out.
If you don’t fall asleep soon, get out of bed and do something that will make you sleepy, such as reading. Return to bed after you start to feel drowsy.
Source: ChoosingWisely.org.
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