heal. Summer 2018

heal

A publication of the Sheppard Pratt Health System • SUMMER 2018

Celebrating the Class of 2018

More than 65 students graduated from Sheppard Pratt schools this year.

PLUS PREVENTING BRAIN INJURY MAINTAINING STRUCTURE MEN AND EATING DISORDERS

In this issue.

SUMMER 2018

10 15

8 4

3 Talking to Your Child About

11 Calendar

Upsetting Events

12 Meet Our Team:

8 Tips for Preventing Brain

Celebrating the Class of 2018 More than 65 students graduated from Sheppard Pratt schools this year.

Sheppard Pratt Top Nurses

Injuries in Children

9

14 Maintaining Structure

News + Changes

When School is Out

10 Eating Disorders Are

15 Outsmarting Teen

a Men’s Health Issue, Too

Smartphone Use

On the cover.

Graduates from Sheppard Pratt Health System schools.

Photo by David Stuck

CMYK / .eps

CMYK / .eps

CMYK / .eps

Connect with us. facebook.com/SheppardPratt

CMYK / .eps

@SheppardPratt

youtube.com/user/SheppardPrattHealth

heal. is published three times a year by the marketing department of the Sheppard Pratt Health System, the nation’s largest private, non-profit provider of mental health, substance use, special education, and social services.

Information provided is general in nature and should not be substituted for the medical advice of a physician. Please consult your health care provider for recommendations specific to your personal health, medical treatment, and medical conditions.

If you wish to have your name removed from the list of those receiving communications from Sheppard Pratt Health System, please email the marketing department at marketing@sheppardpratt.org or call 410.938.5010.

@SheppardPrattHealthSystem

Chief Marketing Officer

Jessica Kapustin

Content Manager

Kristina Schiller

Design, Production, & Editorial

Mid-Atlantic Custom Media

Cortney Geare, Jeni Mann,

Liz Spikol

Contributing Photographer

David Stuck

Contributing Writers/Editors

Kate Clemmer, LCSW-C,

Davis Shingleton, M.D.,

Samantha Steinberg, LCSW-C

SHEPPARD PRATT

Talking to Your Child About Upsetting Events IT FEELS AS THOUGH YOU CAN’T AVOID IT. As if dealing with the stress of parenting and raising children isn’t enough, it seems that everywhere you turn, there’s a report of another tragedy, violent episode, terrorist attack, or threat to a community.

As a psychiatrist, I often get questions from parents about how to approach tough subjects with their children. Here are some things that I recommend: • Consider your child and what they know. You know your child best — you likely have a good sense of what they can, and cannot, handle. Determine what they already know about the

your child won’t be distracted and in

on their own. While it’s impossible

which they feel comfortable. Don’t have

to monitor every source your child is

the conversation while your child is

consulting, you should encourage them

in bed. The bed should be a place of

to think critically about the information

comfort and security, and it can already

they’re receiving and where it is coming

be a complicated situation, particularly

from. You can also try recommending

for younger children who may be

a news source that you trust to provide

your child, think through the situation

experiencing nightmares or nighttime

accurate information.

carefully. Determine what information

anxiety. Try talking while on a walk

they need to know, what information

through the neighborhood, or while

probably isn’t necessary, and what

having a picnic in the backyard.

situation, and use that as the starting point for your conversation. You can clarify misperceptions or confirm facts to ensure they have the right (and right amount of) information.

• Make a plan. Before you talk with

information may be more than they can digest. Then, figure out the message

•P lan for follow-up. Whatever plan

Ultimately, you cannot protect your child from everything. What you can do is prepare them for the difficult moments in life. Establish a secure,

you have made will not be perfect. No

comforting relationship with your child,

matter how well you have prepared or

and have those conversations that

• Be mindful of your own reactions. One

how well you know your child, there will

demonstrate that they can trust you.

of the best things that you can do as a

be questions to which you do not have

Have confidence that children can be

parent is to consider how your actions

the answers. Use this first conversation

very resilient and that you are doing your

impact your child. You can (and should!)

to gather information as to how your

best in raising your children in preparing

model reactions yourself, especially the

child is already handling the situation,

them for a future they can handle with

tolerance of uncertainty. It’s OK to say

and to get a sense of the kinds of

success, regardless of the challenges

“I don’t know,” and come back to

questions they have. End that first

inevitably encountered.

a discussion or a question later.

conversation with an open invitation

that you want to impart upon your child.

• Set the scene. Think through when and where the conversation will

to talk again. hink about media literacy. If your •T

take place. Ensure it’s a relatively

child is older, they are likely engaging

uncomplicated circumstance, where

with news sources and social media

DAVIS SHINGLETON, M.D. is Medical Director of Day School Programs at Sheppard Pratt Health System

sheppardpratt.org • heal.

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FEATURE STORY

Congratulations

to the Sheppard Pratt Class of 2018 It is with great pleasure and pride that we announce the graduation of more than 65 students from Sheppard Pratt Health System’s 14 special education schools throughout Maryland.

Our special education schools have a goal to help students leave their programs and live as independently as possible after graduation. We can’t wait to see what our graduates accomplish next.

MEET THE CLASS OF 2018.

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FEATURE STORY

“My favorite teacher was my math teacher — she has been there for me as a mother figure in my life.”

—Sean, The Jefferson School The Jefferson School and Residential Treatment Center

“I am most excited to become more independent after graduation.”

— Sam, The Jefferson School

“ I’m excited to get a job and go to college next year!”

—Mikayla, The Jefferson School at Finan Center

The Jefferson School at Finan Center

“My favorite memory from high school was going snow tubing.

I had lots of fun being with my classmates and laughing and speeding down the hills.”

—Rebekah, The Frost School

“I’m going to college to major in business management this fall.”­ —Casey, The Frost School The Frost School

sheppardpratt.org • heal.

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FEATURE STORY

“ Next year, I’m going to trade school for auto mechanics and carpentry.” ­ —Gregory, The Forbush School at Glyndon– Hannah More

The Forbush School at Glyndon – Hannah More

“Next year, I’m going to participate in the Target Work Program.”

—­Kenji, The Forbush School at Oakmont Upper School

“Thank you to the incredible, dedicated staff who helped our students succeed!”

—April Arford, education director, The Forbush School at Anne Arundel and The Forbush School at Anne Arundel – South

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The Forbush School at Prince George’s County

FEATURE STORY

“ My favorite memory from high school was participating in community-based instruction.”

—Alec, The Forbush School at Oakmont Upper School The Forbush School at Hunt Valley

“My favorite teacher? All of them, because they all worked together to help me reach my goals.” —Lynsie, The Forbush School at Glyndon – Hannah More

The Forbush School at Glyndon

sheppardpratt.org • heal.

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PREVENTING CONCUSSIONS

TIPS

for Preventing Brain Injuries in Children

IT’S IMPOSSIBLE to prevent your kids

monkey bars and on the slide, take

from getting injured, but there are ways

stock of which structures and toys on

to help lessen the risk of blows to the

the playground are appropriate for their

head. Here are four tips for ways you can

age and size. Only allow your child to

work to prevent brain injury.

play on a playground that has a soft

•E nsure your child always wears a helmet. Fortunately, helmets are available for most contact and high-risk

on, such as mulch or sand.

•C hildproof your home. As kids get

sports, including football, hockey,

older, they move faster (and give less

horseback riding, biking, and skiing.

thought to the potential consequences

Even if the sport your child is playing

of moving fast!). Make sure that any

doesn’t have a specific helmet, it’s

stairs have railings to promote better

always safest to use a basic helmet if

balance, consider installing stair gates

there’s the potential for your child to

at the top and bottom of the steps to

fall or get knocked around. Before

prevent a fall, and lower the crib

engaging in play, make sure you know

mattress when your small child is

what type of protection your helmet

starting to sit and pull up in the crib.

should provide. The Centers for Disease Control and Prevention has tips for fit and functionality for different types of helmets. lay safe on the playground. Before •P allowing your child free rein on the

8

material on the ground for them to land

heal. • Sheppard Pratt Health System

•M ake car rides as safe as

The sooner a concussion or head injury is diagnosed, the better the chance of recovery.

While these ideas for preventing concussions aren’t exhaustive, they’re a good start for keeping your child’s brain safe. And, if your child does sustain a head injury, get help ASAP. The sooner a concussion or head injury is diagnosed, the better the chances of recovery. Make sure

possible. Before taking your child for

your child takes the time needed to

a ride in the car, make sure you have

rest and recover and eases back into

properly installed an appropriately sized

everyday activity only when directed

car or booster seat. Then, buckle up for

to do so.

every trip, no matter how short.

NEWS + CHANGES

AWEsome Work FAMILY SERVICES, INC., part of the Sheppard Pratt Health System, is the proud recipient of the Workplace Excellence Seal of Approval for the fourth year in a row, awarded by the Alliance for Workplace Excellence (AWE). The 2018 award-winning organizations demonstrate an exceptional commitment to creating excellence in the workplace. Awards are based on a written submission in addition to staff surveys conducted by AWE. Congratulations to the team at FSI!

Getting Creative MOSAIC’S PSYCHIATRIC REHABILITATION PROGRAM has incorporated some new and creative approaches to client engagement including: • I nstruments of Healing: Instruments of Healing is an organization that uses musical programming to positively affect and inspire those experiencing mental health and/or substance use challenges. The organization has been working with Mosaic clients in our Belcamp, Catonsville, Rosedale, and Westminster locations. et therapy: Volunteer teams from Fidos for Freedom •P

psychiatric rehabilitation program clients with time in the

are working with clients in our Baltimore City and

woodworking shop. The clients are enjoying the hands-

Catonsville locations, providing unconditional love

on time and have built flower boxes.

through pet therapy. The pet therapy program will expand to the Timonium and Rosedale locations in July.

Two additional pet therapy volunteer groups, KPets and Pets on Wheels, will begin working with clients in our Westminster and Belcamp locations beginning in June.

•C oming soon: Mosaic is about to launch a partnership with Therapeutic Alternatives of Maryland (TALMAR), which offers innovative horticultural therapy for individuals with disabilities or chronic conditions.

•W oodworking: Mosaic has partnered with The Forbush School at Glyndon–Hannah More to provide our

sheppardpratt.org • heal.

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EATING DISORDERS

Eating Disorders Are a Men’s Health Issue, Too EATING DISORDERS have long been branded a women’s issue, from movies to media, within families, and even in textbooks. While attention to eating disorders in males has increased, it remains quite common for major warning signs like excessive exercise, binge eating, drastic weight loss, or sweeping changes to one’s diet to be overlooked, or even applauded, in boys and men.

his struggle with bulimia and his

dissatisfaction may begin in boys as early

experiences with recovery. The Seattle

flags in their male patients because of

as second grade, and among boys 12 to

Mariners’ catcher said he is speaking up

an assumption that boys and men don’t

18, 18 percent were “highly concerned”

now to encourage other men to get

have eating disorders.

about their physique. Up to 40 percent

the treatment they need.

Such assumptions are not only incorrect, they are also dangerous:

of adult men are unhappy with some aspect of their looks.

Talking openly about eating disorders can help minimize shame and

These illnesses take a toll on every

Why does this matter? Body

stigma for men. At Sheppard Pratt, we

organ and regulatory system in the

dissatisfaction is a major risk factor for

have been treating males with eating

body and also contribute to extreme

the development of eating disorders. In

disorders for nearly three decades,

emotional suffering. Eating disorders are

an effort to manage dissatisfaction with

and we are encouraged by the sea of

the most fatal of any mental illness and

weight or shape, men are more likely to

change in conversations recently, but

are associated with an increased risk for

engage in risky behaviors like extremely

we still have a long way to go. Now that

substance abuse and suicidality.

restrictive diets, cleanses, steroids,

more men are speaking up, we have to

or dangerous workouts that can quickly

ensure there is diversity in those voices

binge eating disorder, and all the eating

set the stage for eating disorders in

as well. It’s important for boys and men

disorders are complex illnesses with

at-risk individuals.

of color, all across the age spectrum and

Anorexia nervosa, bulimia nervosa,

genetic and biologic underpinnings.

Treatment for eating disorders is

in all types of bodies, to see themselves

There are also many cultural and

available, but enduring stereotypes about

environmental triggers, such as

eating disorders being a “girl thing” can

unrealistic body ideals portrayed by

make it difficult for boys and men to get

Concerned about yourself or a loved

the media. These pressures have been

help. Approximately 25 to 40 percent of

one? Call 410.938.5252 for a free phone

intensifying for males. You may have

people with eating disorders are male,

assessment or visit eatingdisorder.org

noticed products previously peddled

yet they make up only about 7 to 10

for an online self-assessment.

exclusively toward women — hair

percent of people seeking treatment.

removal items, weight loss plans,

10

Research shows that body

Health care providers frequently miss red

Fortunately, more men have

extreme diets, tanning products, and

been vocal about having and seeking

plastic surgery — have expanded to

treatment for eating disorders, including

male markets, causing many men to

singer Zayn Malik and Penn State football

take a longer and more critical look at

player Joey Julius. Most recently,

their own appearance.

MLB player Mike Marjama shared

heal. • Sheppard Pratt Health System

represented.

KATE CLEMMER, LCSW-C is the Community Outreach Coordinator at The Center for Eating Disorders at Sheppard Pratt.

Mark Your Calendar!

For a complete listing of events, continuing education classes, and lectures, visit sheppardpratt.org/calendar-events.

EDUCATIONAL CLASSES

“Being a Mental HEALTH Professional: The Role of Wellness in Psychiatry”

Dick Prodey Lecture Series

September 12, 2018

“Gender Differences in Addiction: Implications for Women’s Addiction Treatment”

Sponsored jointly by The Kolmac Clinic,

David C. Rettew, M.D.

November 14, 2018

Sheppard Pratt Health System, and the

Director & Associate Professor of

Shelly F. Greenfield, M.D.

National Council on Alcoholism and Drug

Psychiatry & Pediatrics, University of

Director, Clinical & Health Services,

Dependence of Maryland.

Vermont College of Medicine,

Research & Education, Division of Alcohol

A FREE, eight-class series held Wednesday

Burlington, VT

and Drug Abuse, McLean Hospital,

evenings at The Conference Center at Sheppard Pratt from 7 p.m. to 9 p.m.

Call 410.938.3000 for information.

Belmont, MA “Applying a Public Health Model to Managing Depression” September 26, 2018

CONTINUING EDUCATION Wednesdays @ Sheppard Pratt A lecture series at The Conference Center at Sheppard Pratt most Wednesdays from 12 p.m. to 1 p.m. to support continuing education of medical and mental health professionals. Visit sheppardpratt.org/ education-training for more information.

UPCOMING WEDNESDAY LECTURES: “In for the Long(itudinal) Haul: Insights into the Lifetime Course of ADHD” July 11, 2018 Philip Shaw, Ph.D. Head, Neurobehavioral Clinical Research Section, National Institutes of Health, Bethesda, MD “Changing the Paradigm for Treatment-Resistant Depression: Neurostimulation Update” July 25, 2018 Scott T. Aaronson, M.D. Director, Clinical Research Program,

CONFERENCE EXHIBITING

Bradley N. Gaynes, M.D.

Southern Psychiatric Association Annual Meeting

Associate Chair of Research,

September 5 – 8, 2018 — Nashville, TN

Training and Education, Department of Psychiatry, University of North Carolina, Chapel Hill, NC

Maryland’s 30th Annual Suicide Prevention Conference October 3, 2018 — Baltimore, MD

“Developmental Social Neuroscience Meets Public Health Challenge: A New System of Health Care Delivery for Infants & Toddlers with Autism Spectrum Disorder” October 10, 2018 Ami Klin, Ph.D. Chief, Division of Autism & Related

NAMI Maryland Annual Conference October 19 – 20, 2018 — Location TBA American Association of Child & Adolescent Psychiatry Annual Meeting October 22 – 27, 2018 — ­Seattle, WA

Disorders, Emory University School of Medicine, Atlanta, GA WOLFE ADLER LECTURE “Child and Adolescent Anxiety Disorders: Advances in Treatment and Research” October 24, 2018, 11:30 a.m. – 1 p.m.

Moira A. Rynn, M.D. Consulting Professor, Department of Psychiatry, Duke University Medical Center, Durham, NC

Throughout the year, we exhibit at a number of conferences and community events. Make sure to stop by our booth if you plan to be at any of the above.

Sheppard Pratt Health System, Baltimore, MD

sheppardpratt.org • heal.

11

‘‘

MEET OUR TEAM

MY SOURCE of inspiration for returning day after day? The patients.

THE

Every day is an opportunity for me to

make a positive impact on another

TOP NURSES

person’s life. I hope they’ll pass the

’’

positivity I’ve brought them on to

in Baltimore MEET SOME OF THE AMAZING NURSES AT SHEPPARD

someone else.

PRATT WHO HAVE BEEN RECOGNIZED BY BALTIMORE MAGAZINE FOR THEIR INCREDIBLE HARD WORK, COMPASSION, AND DEDICATION.

E

ach year, Baltimore Magazine receives thousands of community

submissions and names the 50 top nurses in the area.

Jessica De Los Santos Staff nurse, Adult Co-Occurring Disorders Unit

We are proud to showcase three of our incredible nurses who won that honor this year. Being a nurse at Sheppard Pratt is no easy task — it takes compassion, empathy, and heart.

Jessica, Erin, and Sheila encompass these values every day.

Meet our Top Nurses.

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heal. • Sheppard Pratt Health System

Jessica has been a nurse at Sheppard Pratt for two and a half years.

MEET OUR TEAM

‘‘

I LOVE the opportunity

to see patients learn new coping strategies and improve to the point that

’’

they are able to go home.

Erin LaMartin Patient care coordinator, The Center for Eating Disorders at Sheppard Pratt

‘‘

MY BEST MEMORIES are hearing heartfelt ‘thank yous’ from families we serve, especially when they say, ‘I don’t know how you and your staff do what you do every day.’ It’s easy — we

’’

love our patients and want to make a difference.

Sheila Harvey Unit manager, Geriatric Neuropsychiatry Unit

Erin has been a nurse at Sheppard Pratt for two years; prior to that, she was a mental health worker for four years.

Sheila has been a nurse at Sheppard Pratt for more than 10 years.

sheppardpratt.org • heal.

13

SUMMER ROUTINE

Maintaining Structure When School is Out SUMMER. For many kids, it’s a time for

looking for free options, many county

lying by the pool, staying up late, and

governments and public libraries

sleeping even later. Most people love

offer free camp programs for children

summertime. However, the “lazy days

during the summer — check with your

of summer” can be chaotic and

local county government to see what’s

anxiety-producing for some.

available in your area. Some children

Kids need structure and thrive when

may even be entitled to school during

they maintain a routine. Here are a few

the summer. If your child has an IEP,

ways to introduce consistency during the

they may be eligible for Extended

summer months:

School Year services. Talk with your

1. Maintain a routine. Once school ends, kids want to stay up late and sleep in, especially older kids and teens.

child’s school or service providers on how to get these services.

3. Plan field trips. Full days of camp

As a parent, you want to give them

are not for everyone. You can plan your

some freedom, but it may be best to

own “camp” by having field trips or

minimize disruptions. Try and keep

activities each day, or just a few days

bedtimes, meal schedules, and other

out of the week. Having an activity or

daily tasks the same year-round. Make

at least one thing to do each day can

sure children take their medications at

really help. It breaks up the downtime

the same time each day.

and allows for something the child

onsider camp or classes. If your child 2. C is willing, you can always send them to camp, where they will have some structure. There are so many choices, and there are camps for everyone and everything. We know that it can be scary, but many camp directors are equipped to handle even the most challenging behaviors. If you’re

can look forward to. Encourage your child to help find activities by researching what you will be doing.

You can also extend the outing by planning add-on activities that complement the trips, such as crafts

the local library, or online parenting magazines in your area for ideas. Most communities have activities for kids and teens during the summer that you can find online.

4. Make visual guides. Children that thrive on routine like to see what is coming and what to expect. Having a calendar detailing what events are coming up each day that they can rely on is helpful. Once you have a schedule and activities planned, create a calendar or daily schedule and post it where everyone can see it. You can try using pictures or symbols to make it fun and creative. In fact, you can even make “Creating the Summer Calendar” one of your activities.

5. Plan for emergencies. We try to plan

or discussions after your trip. Check

for everything, but something may go

community calendars,

wrong. It could rain, an activity you planned for may be full, or it could be canceled. It is always a good idea to have a backup plan — it can be as simple as seeing a movie, going to the library, or getting a Slurpee at 7-Eleven. Make that part of the schedule so that if you have to do the backup plan, it’s not a surprise, but it is part of the plan.

6. E xplore the great outdoors. Kids thrive when they get to play outside.

Use the nice summer weather as an opportunity to explore local parks, go on bike rides, or hit the playground.

14

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TEENS AND TECHNOLOGY

Outsmarting Teen Smartphone Use AS A PARENT, YOU’VE PROBABLY HEARD IT ALL: “Stay out of my business,” “that’s not fair,” “it’s my phone (or computer or tablet) and you can’t look at it,” and “you don’t trust me?”

But here’s the truth: You shouldn’t stay out of your teen’s business, sometimes life is not fair, you may or may not fully trust your teen (you definitely don’t trust the people they encounter on the internet), and that phone/tablet/ computer? It belongs to you, the parent, and you are very kind to let your child use one.

But along with that kindness comes risks. Read on for some tips to help keep your teenager safe when it comes to internet and smartphone use: Parents and/or guardians should have all usernames and passwords to all devices (phones, computers, tablets, etc.), and to all email and social media accounts. Yes, this will be difficult and may feel daunting, as there are new apps and social media options popping up every day. What if my kid changes the passwords? Of course, this will happen — remember, they are teenagers and they will test the limits. React calmly and attach appropriate outcomes to these actions. For example, you might

up with that phone that seems to be

•S et rules and limits. These can

permanently buzzing. Keeping the

include (but definitely don’t need to

conversation going may help your

be limited to) the amount of screen

teenagers feel more comfortable coming

time allowed, what time the phone

to you if they need help or to ask you

gets turned off or turned in each

questions. And don’t be afraid to also

night, and sites or apps allowed.

ask the tough questions and be open to hearing their answers.

Talk with your teen about your concerns regarding talking to or meeting people that they don’t know on the internet. Online, people aren’t always who they say they are. Teach the laws and rules when it comes to

•C onsider getting it in writing.

Try creating a contract with your child before giving them the device.

That way, expectations are set, and consequences are known if the rules you establish are not followed.

Remember that not every strategy

communication. For example, did you

will be effective with every teen. It will

of time. When you give them back,

know that children can be charged with

take some trial and error to determine

make sure you have all of the up-to-date

the distribution of child pornography if

what works best for you and your family.

usernames and passwords.

they send nude pictures of themselves?

Parents, you can do this! Yes, it will be

Help them to be aware of and

difficult at times, especially when your

use them! You can do this with your

understand the consequences of their

child tries to push the limits and thinks

teen or in private, but check up. You

actions. Here are some ways to make

they know better than you. Hold strong;

may find that your teen is less likely to

the conversation easier:

consistency is key.

try taking away the devices for a period

Now that you have the logins,

engage in internet use that you don’t

•S tart young. Address issues as

approve of when you have usernames

soon as you give your children the

and passwords.

opportunity to have a phone or

Keep the lines of communication

electronic device that links to the

SAMANTHA STEINBERG, LCSW-C is a social worker on the Adolescent Female Unit

open. Check in with your teen daily.

internet. If you didn’t do this already,

at Sheppard Pratt’s

Ask about school, friends, and what‘s

it’s not too late. Start now!

Towson hospital.

sheppardpratt.org • heal.

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NON-PROFIT ORG U.S. Postage PAID Mechanicsburg, PA Permit No. 63 6501 N. Charles Street Baltimore, MD 21204 410.938.3000

Sheppard Pratt Health System: Providing the Most Comprehensive Continuum of Psychiatric and Community Services in the Nation Sheppard Pratt Health System: Providing the Most Comprehensive Continuum of Psychiatric and Community Services in the Nation

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