CCMS Monthly Newsletter – February & March 2015

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.
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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!!!
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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
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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.
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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
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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!
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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.
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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.
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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.
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