T The CCMS Monthly Everything you need to know about CCMS happenings Bright Bulbs & Sharp Minds By Michael Murphy, Doctoral Extern CONTENTS Black History Month Event………2 Mourning & Miscarriages ……………..3 Nutrition & Mental Health……...4 What’s New at CCMS…..6 Welcome Aboard…….8 During our preparation for our Black History Month Event, I got the chance to read about many famous African-American inventors (check out blackinventors.com). As you'd imagine, these were some very bright, crafty and creative people. They were able to think outside the box. They were able to visualize things in their minds that didn't exist yet. Most of us are not inventors, but what could we do to keep our minds sharp like theirs? Let's take some advice from their lives: Read: Most inventor s nour ished their br ains on a daily basis by r eading. You've heard the phrase “you are what you eat?” Well, reading is like that for the mind. The more often we use our minds to grasp ideas in a book, the brighter we get. The problem is, there are real-life barriers to reading that make it difficult, just like there are barriers to eating well. It doesn't mean you need to give up your favorite pastime, or that you need to spend hours reading, but getting around these barriers for even twenty minutes a day can improve your thinking. Inventors focused on reading fiction stories when they were young, and eventually moved on to reading more technical/intellectual material. Fiction stories are still great, even for an adult to read, and expand our minds in ways that other activities can't. Consider your own area of invention: Inventor s gener ally tended to invent things in a particular domain. For example, George Washington Carver. This man was amazing. Born into slavery and with no last name, he eventually became the Director of Research and Experiments at Tuskegee University and discovered over 100 uses of the peanut plant. He had an area of expertise that he focused on and made many wonderful discoveries from it. What are we experts of? On what do we focus on a daily basis? For caregivers, it's their children, and they often invent uses for things on the fly every day to make their job easier. For students, it's studying. Consider your own domain, and consider how you can take ownership over it. What innovation is needed in your area of expertise/interest? You don't have to be a plant chemist like Dr. Carver to make innovation! Collaborate: A little known fact about inventions – the final product is often pretty different from an original idea the inventor had. Why is that? Because ideas change and develop through collaboration. We've all had moments when we suddenly have a great idea (Eureka!), but most of the time good ideas develop over time and have to go through fine tuning. Involving others in your thinking (even if you're not trying to invent something) is a great way to keep your mind lively. Consulting with others helps beef up our ideas, clear up our own thinking, and add considerations that we couldn't have thought of alone. Page 1 Vol. 26 With more room, we were able to really expand on last year’s celebration, packing in more displays & activities. Pics of the event (clockwise from the left): The trainees/hosts of the event; African/Caribbean contributions room; social activism room; Black athletes room; Black entertainment room. Not pictured were rooms dedicated to Black Founding Fathers & Mothers, contributions to education, & Black inventors. Posted along the hallways was an inspirational Langston Hughes poem and a timeline filled with moving images and interesting facts. We had a good turnout with attendees walking away informed and inspired. Poster Contest Winners!!! Page 2 Vol. 26 MOURNING & MISCARRIAGES By Tonya McFadden, Clinical Mental Health Counseling Extern - Trinity University It’s often difficult for people to understand what a profound loss a miscarriage can be for a woman and for a couple. When you get the confirmation that you are pregnant the excitement is intoxicating; then to discover that the pregnancy is no longer viable is devastating. “International studies using diagnostic tools have identified that some women suffer from anxiety, depression and grief after miscarriage. Psychological follow-up might detect those women who are at risk of psychological complications following miscarriages.” (Al-Thani, 2012). There is a huge misconception that if a woman experiences the loss early in their pregnancy that they will grieve less. “But new research suggests that some women may mourn for much longer than expected, even after the birth of a healthy child, although the range and severity of the symptoms may vary. That's also true for men, as new studies have found that men grieve over a miscarriage more than once thought.” ( Leis-Newman, 2012). In the medical field miscarriages before the 20th week of gestation is considered a spontaneous abortion. Subsequent to the loss, the medical management is regulated to etiology and clinical manifestations. Medical professionals, family and friends are often quick to purport that the grief will ease with time, as early pregnancy loss holds less significance. Unfortunately for many women - especially those that struggle with infertility - that is not the case. the pain and despair can be so overwhelming that it consumes the couple and results in an extensive mourning period. A better predictor of how an individual will respond would be the relevance of the pregnancy to the woman and not just the gestational age. As therapist, it’s imperative that we understand the feelings of loss and the mourning process that can accompany a miscarriage. Women will go through the same stages of grief that they would experience with the loss of any other loved one. It’s feasible that some women will experience all stages, while others will go through only some of them or will experience them in a different order: Understanding the Feelings of Loss Loss and feeling of being cheated of the joyful experience Loss of dreams for this child and future family Loss of being able to call yourself a mother Loss of trust in the body we feel betrayed us Loss of innocence for future pregnancies Loss of control of expectations of life Loss of achievement of a goal Stages of Grief Denial and Isolation: Anger: Bargaining: Depression: Acceptance: A refusal to believe what has happened and complete separation from others Blaming yourself or others for the loss Attempt to bargain with a higher being and promise specific good deeds Feelings of despair, being punished and hopelessness Realizing the need to move forward Page 3 Vol. 26 National Nutrition Month & Mental Health By Deidra M. Ramos, Clinical Mental Health Counseling Extern - Argosy University March has been designated as National Nutrition Month by the Academy of Nutrition and Dietetics. Every year during this month, a campaign for promoting nutrition education and information is designed to highlight the importance of making informed food choices and developing sound eating and physical activity habits. This year’s theme is “Bite into a Healthy Lifestyle.” Did you know what you eat can affect your mental health? In 2014 two cohort studies in adolescents linked consuming high volumes of unhealthy foods such as soft drinks sweetened with sugar, candy, fast food, flavorful snacks, and even chocolate, may increase the risk for behavioral problems and symptoms like anxiety, dizziness, and feelings of worthlessness. Moreover, indulging in high consumption of unhealthy foods, such as salty snacks & sweets, has been associated with violent behaviors in both boys and girls. In a study reported by the Journal of the Academy of Nutrition and Dietetics (2015), findings revealed individuals who actively received food assistance had notable associations between depression, poor dietary quality, and high body mass index (BMI). The study highlighted a specific target group of African Americans with low socioeconomic status. This particular target group represents a population with a high risk of obesity and poor nutrition. As a result of the association of depression with obesity and poor nutrition of this already high-risk target population, the study recommended an emphasis on mental health interventions as a plausible action (Flórez, as cited in http://www.eatrightpro.org/resource/media/press-releases/ new-in-food-nutrition-and-health/depression-puts-low-income-population-at-risk-for-obesityand-poor-nutrition (2015)). With dietary habits having such an influence on one’s mental health, it’s only fitting we take the time to recognize National Nutrition Month and begin by taking our first “Bite into a Healthy Lifestyle” as we define healthy lifestyle. According to registered dietitian nutritionist and Academy President Sonja Connor (2015), a healthy lifestyle incorporates regular physical activity and choosing eating habits to meet individual nutritional requirements without exceeding caloric limits; subsequently, leading to sustained optimal health and quality of life. In other words, regular exercise or movement, know your unique maximum daily caloric intake and not exceed it, and integrate it into your daily routine, just as you brush your teeth daily to maintain a healthy smile. Eating in a more healthful manner is more than just eating fruits, vegetables, and drinking water everyday. It’s about being in the know. With the help of a registered dietician or nutritionist, you can identify your specific nutritional needs, learn the different nutritional content of various foods, read nutritional food packaging labels to appropriately adjust serving size portions to properly monitor nutritional needs, in order to make informed food choices. For example, a serving size of toaster pastries has 210 calories. However, although the package has two pastries, the nutritional label states a serving size is one pastry. Therefore, if you eat both Pop-Tarts from the package, that’s 420 calories! Learn the facts to make informed healthy eating choices. Page 4 Vol. 26 As you begin to develop a healthy eating plan, learn about the nutritional content of your favorite foods. To illustrate, it’s common knowledge to many people that oranges are a good source of vitamin C. However, foods such as strawberries, potatoes, and tomatoes are also rich in vitamin C. Familiarize yourself with the U. S. Government’s primary food group symbol MyPlate, which replaced MyPyramid. For a holistic approach towards optimal mental health, interventions should include an assessment of dietary and exercise/physical lifestyle habits. Following the below suggested tips will help you and your clients towards a more healthful diet: Enjoy your food, but eat less. Make half your plate fruits and vegetables. Use fat-free or low-fat (1%) milk and other dairy products. Compare sodium in food products such as soups, breads, and frozen meals. Select the one with the lower value. Drink water instead of sugary drinks and sodas. Lastly, a major aspect of developing a healthy eating plan is to incorporate sensible snacks, such as: Plan your snacks. "Keep a variety of tasty, nutrient-rich, ready-to-eat foods nearby, for when you need a bite to take the edge off hunger. Then, you won't be so tempted by lesshealthy options from vending machines, convenience stores or the contents of your own kitchen." Snack ideas include fresh fruit, air-popped popcorn, whole-wheat crackers, dried fruit and nut mixes, almonds and fat-free yogurt. Make snack calories count. "Snack on foods that fill the nutrient gaps in your day's eating plan. Think of snacks as mini-meals to help you eat more fruits, vegetables, whole grains and low-fat dairy – foods we often don’t eat enough." Go easy on high-calorie snacks such as chips, candy and soft drinks. "They often contain solid fats, and added sugars. Make these occasional choices that fit your day's plan." Snack when you're hungry – not because you’re bored, stressed or frustrated. "Exercise can actually be a great way to feed those emotional urges." Snack on sensible portions. "Choose single-serve containers, or put a small helping in a bowl rather than eating directly from the package." Quench your thirst. "Water, low-fat or fat-free milk and 100-percent juice are just a few options. Flavored waters might be high in added sugars, so check the label." Zahedi, H., Kelishadi, R., Heshmat, R., Motlagh, M. E., Ranjbar, S. H., Ardalan, G., . . . Qorbani, M. (2014). Association between junk food consumption and mental health in a national sample of iranian children and adolescents: The CASPIAN-IV study. Nutrition, 30(11-12), 1391-7. doi:http://dx.doi.org/10.1016/ j.nut.2014.04.014 Dog Low, M. (2010). THE ROLE OF NUTRITION IN MENTAL HEALTH. Alternative Therapies in Health and Medicine, 16(2), 42-6. Retrieved from http://search.proquest.com/docview/204840557?accountid=34899 http://www.eatrightpro.org/resource/media/press-releases/new-in-food-nutrition-and-health/depression-puts-lowincome-population-at-risk-for-obesity-and-poor-nutrition Dog Low, M. (2010). THE ROLE OF NUTRITION IN MENTAL HEALTH. Alternative Therapies in Health and Medicine, 16(2), 42-6. Retrieved from http://search.proquest.com/docview/204840557?accountid=34899 http://www.nationalnutritionmonth.org/NNM/content.aspx?id=6442483313#.VRJCZhDF-iQ http://www.eatrightpro.org/resource/media/press-releases/national-nutrition-month/during-nnm-make-sensiblesnacks-part-of-your-healthy-eating-planpro-press-release Page 5 Vol. 26 What’s New with CCMS? Outpatient Mental Health Clinic Our clinic was subjected to a full audit from the State’s Office of Health Care Quality. Thanks to the administrative support, leadership encouragement, & therapists’ conscientiousness… WE SCORED 100% on our clinical paperwork. School Based Program The school-based program has continued to grow, leading us to bring another clinician onto the team, Hiram Jennings (see his profile below). There have also been some changes made to the structure of the program in order to promote more efficient and effective service delivery. While this has meant an adjustment in workloads, the team has taken all of the changes in stride, showing their continued commitment to the program and it's success. We look forward to continually collaborating with the Prince George's County Public Schools to provide these essential school-based services! The Friendly Fox is back and currently being facilitated by Angela Obeng, Deondra Jacobs, Deidra Ramos and Anya Malcom and demonstrated at local area schools. The project uses animation and role play and offers a great way to teach children social-emotional skills. Multisystemic Therapy (MST) Program Our MST therapists are committed and have worked diligently with our families to ensure success. During the month of February 2015, we have had 5 successful discharges that include families with whom therapists have helped to develop and maintain effective parenting skills, relational skills, social skills, and increased access to resources. Andre Brooks (Program Coordinator), Dr. Nichole Harris (MST Clinical Supervisor) and Ashley Botts (LCPC Intern) participated in the Department of Juvenile Services’ Metro Region Resource Fair at the Upper Marlboro Courthouse. They were able to share information about MST and CCMS programs to families and other providers. After School Enrichment Program We are excited to offer this opportunity, and it’s one of the main reasons we moved to a bigger office! The After School Enrichment Program offers to pick-up youth from their schools & bring them to the CCMS office for various psychosocial & educational activities. It starts April 6th and is 3:30p-6:30p, Monday through Thursday. It’s FREE through Maryland Medicaid, and otherwise is Self-pay. To date approximately 8 to 10 students will participate in the program. This initial group will serve as a pilot test to ensure that we’re providing the most conducive learning environment and we anticipate expanding the program to accommodate a larger number of students. Strengthening Families Starting in March, every Tuesday and Thursday evening from 6-8:30PM CCMS will be hosting the Strengthening Families program. This opportunity will run for 14 weeks, and will help bring families closer together by providing a meal (as well as cooking tips), and psychosocial groups on different topics. It also includes pick-up and return for the families, so transportation is not an issue. So far retention has been strong, parents have been very receptive, and provided great feedback on weekly evaluations. Currently the program is at capacity, but stay tuned for similar opportunities as CCMS continues to find ways to serve the community! Page 6 Vol. 26 SEFEL Training The Center on the Social and Emotional Foundations for Early Learning is a project designed to strengthen the capacity of Head Start and child care programs to improve the social and emotional outcomes of young children and address the challenging behavior and mental health needs of children through trainings, tools, and practical strategies. We are currently conducting the Parent SEFEL Training at the Judy Hoyer Family Learning Center in Adelphi Md from 6pm-8pm for the Head Start Parents. The Parent training is a 4 week training that is held on Wednesday evenings. Summer Wellness Program Although it’s too cold to feel very close, we are thinking ahead to the summer, and are offering a new and improved Summer Wellness Camp for youth. Last year was our first Wellness Program, and our 38 participants taught us a lot about how to make it even better! It starts after school lets out, but we are asking that people sign up now if possible so that the interview process can start. Two groups - A younger and an older (12-17) group. 5-6 weeks in length. Program begins at 8:30AM and pick-up will between 5 & 6pm. More details to come as the date gets closer. Page 7 Vol. 26 Deidra M. Ramos, MS LCPC Extern Deidra M. Ramos retired as a Lieutenant Commander (LCDR), United States Navy, after proudly serving over 26 years of honorable active service. She served as a Hospital Corpsman for ten years and was subsequently selected for a commission in the Medical Service Corps. Throughout her commissioned service, Ms. Ramos served as a Comptroller, several other pivotal leadership positions, and was deployed for 18 consecutive months to Iraq & Afghanistan. She earned a Bachelor of Science Degree in Business Administration with a concentration in Human Resource Management from Southern New Hampshire University and later completed a Master of Science degree in Administration (Health Services) at Central Michigan University. She is currently pursuing a Master of Arts degree in Clinical Mental Health Counseling at Argosy University, Washington, D. C. LCDR Ramos is also a Certified Defense Financial Manager. Her personal awards include the Defense Meritorious Service Medal, Meritorious Service Medal, Navy and Marine Corps Commendation Medal (4), Navy and Marine Corps Achievement Medal (3), Navy Good Conduct Medal (2) and numerous unit and campaign awards. LCDR Ramos is married to LCDR Johnny Ramos, Medical Service Corps (Ret). They have two adult children, Johnathan and Damaris. Tonya McFadden, MSA LCPC Intern Tonya McFadden received her Masters Degree in Organizational Management with a concentration in Public Health from Trinity University, prior to that she earned her BS in Psychology from Howard University. She has worked in the non-profit profession for several years. She is currently the Manager of Accreditation & Practice Improvement at the Endocrine Society located in Washington, DC. In this role she directs and develops medical education training modules for Endocrinologist. Previous to her time at the Society, she worked as the Manager of Graduate Medical Education for MedStar Health and managed the Department of Obstetrics & Gynecology Clerkship, Residency & Fellowship Programs. She is currently pursing her second Masters in Clinical Mental Health Counseling at Trinity University. Page 8 Vol. 26 Hiram Jennings, LCPC School Based Program Hiram was born and reared in Washington, DC. He attended and graduated from the District of Columbia Public Schools. He received his Bachelors of Social Welfare degree in May 1976, from Livingstone College located in Salisbury, N.C. During the early 1980’s he received additional graduate Social Work training while attending Howard University, School of Social Work. He received his Master’s of Arts degree in May 2004, from Regent University, School of Psychology, and Counseling located in Virginia Beach, VA. He is a fully licensed clinical counselor in the state of Maryland. Hiram has worked in the Human Services profession for over 37 years. During that span his career began as a Recreation Aide in the teaching hospital setting of Howard University Hospital Children’s Unit to providing case management support to individuals who have been diagnosed as having an intellectual disability as a Service Coordinator with the Department on Disabilities Services (DDS) in the District of Columbia. Additionally, he has worked as a Community Resource Coordinator in the DC Public School system (DCPS), an Eligibility Worker in Public Assistance program during the initial stages of welfare reform, and he has provided Counseling / Clinical services combined with Spiritual growth support to homeless and chronically addicted male substance abusers in a Christ-centered residential treatment facility. Page 9 Vol. 26
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