heal. Winter 2018

heal

A publication of the Sheppard Pratt Health System • WINTER 2018

Finding His

Way

A unique program has given David Weiss the tools he needs to lead a full life.

PLUS MENTAL HEALTH FIRST AID DEALING WITH DEPRESSION AVOIDING CAREGIVER BURNOUT

In this issue.

WINTER 2018

13 14

8 4 Finding His Way Thanks to a unique program, David Weiss is managing his mental illness and leading a full life.

3 Mental Health First Aid

14 Bringing Sheppard Pratt Expertise to Your Primary Care Doctor’s Office

6

In the News

8

Dealing with Depression

11

Calendar of Events

15 Meet Our Community: Jamie Rockymore-Bess

13 Avoiding Caregiver Burnout On the cover.

David Weiss, who says, “Way Station saved my life.”

Photo by David Stuck

CMYK / .eps

CMYK / .eps

CMYK / .eps

Connect with us. facebook.com/SheppardPratt

CMYK / .eps

@SheppardPratt

youtube.com/user/SheppardPrattHealth

@SheppardPrattHealthSystem

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.

Chief Marketing Officer

Jessica Kapustin

Content Manager

Kristina Schiller

Design, Production, & Editorial

Mid-Atlantic Custom Media

Cortney Geare, Jeni Mann,

Sue Musachio

Contributing Photographers

Deanna Miller, Camelia Montoy,

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.

Jody Robinson, David Stuck

Contributing Writers/Editors

Kathleen Gallagher, Kate Joyce

MENTAL HEALTH FIRST AID

Making a Difference with Mental Health First Aid WHEN SOMEONE IS CHOKING on a

how to help a person experiencing

piece of food and can’t breathe, most of

a mental health crisis until a mental

us would know to perform the Heimlich

health professional is able to intervene.

maneuver. And if we came across

Considering that one in five Americans

the victim of a gunshot wound, we’d

will experience a mental health condition

instinctively try to stop the bleeding

at some point in their lives, and that

quickly with a tourniquet.

suicide is the tenth leading cause of death

But what if someone is suffering

among adults, and the third leading cause

from a panic attack, is beginning

of death among adolescents, Mental

to hear voices, or is depressed and

Health First Aid fills a void by providing a

contemplating suicide? Most people

necessary and lifesaving skill set.

don’t know what to do in these situations.

We are proud to offer Mental

It’s just as important to know how to

Health First Aid trainings through

help in a mental health crisis as it is in

Mosaic Community Services, part of the

a physical health crisis.

Sheppard Pratt Health System. Since the

That’s where Mental Health

training program’s inception at Mosaic in

First Aid comes in — a training course

early 2015, we have trained nearly 500

that teaches individuals the skills

people across Maryland communities in

necessary for responding to mental

both Adult and Youth Mental Health First

health emergencies. An eight-hour,

Aid. That’s 500 people who now know

evidence-based public education

how to save a life.

program, Mental Health First Aid is

In addition to learning to recognize

designed to equip laypeople with the

and respond to someone experiencing

knowledge they need to know how

a mental health crisis, including how to

best to respond in a mental health

connect that person with the appropriate

emergency and how to offer support for

help, participants in Mosaic’s Mental

someone who is in emotional distress.

Health First Aid trainings learn:

Just as traditional first aid training teaches us how to assist someone who is physically injured until professional medical treatment is available, Mental Health First Aid training teaches us

“When you take this course and gain this

• Risk factors and warning signs of mental health and substance use problems and how to recognize them • Information on mental health

at 410.453.9553, ext. 1186, to learn more and register for a Mental Health First Aid training class.

It’s clear that Mental Health First Aid training works: Studies have shown that those who complete the training increase their knowledge of mental health diagnoses, are better able to identify professional and self-help resources appropriate for those in crisis, are more likely to help an individual in distress, and experience increased mental wellness themselves.

“When you take this course and gain this knowledge and these skill sets, you have the ability to save lives,” says Sean McDonald, Mosaic’s Mental Health First Aid trainer. “It gives

trauma, psychosis, and substance

insight into the different types of mental

use disorders

illness youth and adults can experience,

• An action plan for helping someone who is developing

skill sets, you have the

a mental health problem or is

—Sean McDonald, Mental Health First Aid trainer

Contact Cindy Eikenberg

disorders such as depression, anxiety,

knowledge and these ability to save lives.”

WANT TO BE THE ONE TO MAKE A DIFFERENCE?

in crisis • How to reach mental health professionals • Evidence-supported treatment

educates you about symptoms, and gives you a toolkit that you can use to respond when you see someone having a mental health crisis.”

Learn more about Mental Health First Aid and upcoming trainings at mosaicinc.org/mental-health-first-aid/.

and self-help strategies

sheppardpratt.org • heal.

3

FEATURE STORY

Finding His

Way

A UNIQUE PROGRAM THAT COMBINES HOUSING, TREATMENT, AND MENTAL HEALTH SUPPORT HAS GIVEN DAVID WEISS THE TOOLS HE NEEDS TO LEAD A FULL LIFE.

BY SHEPPARD PRATT EDITORIAL STAFF PHOTOGRAPHY BY DAVID STUCK

D

avid Weiss always dreamed of

to truly feel at home, he and his son

a support system, he did not seek

being a musician. It only took him

migrated from Virginia to Mississippi and

treatment. His depression hindered

about 60 years — and a number

eventually to the edge of the rainforest

his ability to work; he lost his job, and

of detours on his life’s path — to make

in Hawaii. During this time, David was

eventually his home. David felt stuck.

that dream a reality.

diagnosed with obsessive-compulsive disorder (OCD), but he was successfully

brother, who also had a mental illness, to

David’s life revolved around music: He

managing it with a combination of

move in with him, getting David off the

studied, played, and listened for hours

meditation, medication, and music. His

streets. But as the years passed, David’s

at a time. Although learning music came

love of music had always stayed with him

depression deepened: He wouldn’t move

easily to him, nothing else did; high

and helped him when things got difficult.

from the sofa for days at a time.

David wanted the best for his son, so

In 1999, all of that changed.

As a child growing up in the 1960s,

school was a struggle. In the early 1970s after high school, David embraced a

they returned to Virginia in the late 1980s

David’s sister, Faye, encouraged David

career in construction. Construction kept

in order for his son to attend a good high

and his brother to move to Frederick,

his mind busy and his body tired — an

school. David found a job, and he and his

Maryland, and join Way Station, part of

ideal career for a young man with too

son settled into a routine. Though David

the Sheppard Pratt Health System. Faye

much energy. He wanted to pursue a

was still dealing with his OCD, stable

was a volunteer at Way Station, and had

college degree, but after his struggles in

employment and the responsibility of

seen firsthand how the program worked.

high school, thought college wouldn’t

fatherhood kept him grounded.

She knew that the unique combination

be the right fit for him.

When David was in his early 40s,

of housing, treatment, and support that

his son graduated from high school

Way Station offered would help David

father of a son; when his relationship

and moved out, disrupting David’s

and his brother get back on their feet.

with his girlfriend ended, David was

sense of purpose. David developed

awarded full custody. Looking for a place

major depression and paranoia. Without

In 1974, David became the proud

4

David’s father allowed David and his

heal. • Sheppard Pratt Health System

The two packed up and moved to Frederick, leasing an apartment less than

FEATURE STORY a mile from Way Station. Way Station

degree in music from Frederick

provided David with a psychiatrist,

Community College. He’s now a

therapist, medication, and the skills he

regular performer at open mic nights

needed to manage his mental health.

in downtown Frederick, and loves to

Once he started attending the Way

discuss music theory.

Station programs daily, he began to

The support from Way Station over

feel responsibility and accountability to

the last 18 years empowered David to

other members there: He had his sense

pursue his passion and earn his degree.

of purpose back, and was on a path

While that degree was an important

towards healing.

milestone for David, it was not the end of

In 2000, a year after David joined Way Station, he moved in to the

his journey.

Diagnosed with bipolar disorder

residential program and joined the

and psychosis two years ago, David still

employment program. “I worked in the

lives in a Way Station apartment with

greenhouse,” he explains. “I needed the

a ham radio and stacks of books on

responsibility of watering the plants as

a variety of subjects. After his latest

much as the plants needed the water.”

diagnosis, he’s had to learn about mania

His job in the greenhouse provided

and other symptoms, but he’s found the

more purpose and structure to his day,

key to staying healthy is remembering

improving his self-esteem. Way Station

to take his medication, even when

taught him that he had the ability to

he’s feeling well. He checks in with his

be successful, so David applied for,

counselor daily, and sees a therapist at

and accepted, a job at Target. Knowing

Behavioral Health Partners of Frederick,

he could do even more, David decided

a joint venture between Sheppard Pratt

to follow his passion and pursue

Health System and Frederick Regional

the college degree in music he’d

Health System.

always wanted.

David took guitar lessons, learned

Today, David is in the middle of his second term as a Way Station

to play the ukulele, and studied music

board member. He believes strongly

theory. In 2010, some 40 years after

in Way Station’s mission: to help those

he had shelved his dream to become

experiencing mental illness, substance

a musician, he earned his associate’s

abuse, or developmental disabilities

i

ABOUT WAY STATION Way Station, Inc., part of the Sheppard Pratt Health System, provides compassionate and quality behavioral health care, housing, and employment services to adults with mental illness, developmental disabilities, and substance use addictions; children and adolescents with emotional and behavioral challenges; and veterans with service needs.

Learn more at waystationinc.org

pursue their dreams. David shares his story by talking to high school groups and churches, helping to raise awareness about the life-changing services Way Station provides to the community.

Now 65, with a mop of gray hair and a wardrobe full of Hawaiian shirts, he drives to Washington, D.C., every week to help a homeless friend run errands.

David embraces his role as a mentor to new members of Way Station, where he encourages everyone to pursue an education. “You know that the selfstarters will go to college, even with their mental illness. I want the regular people to go — the people who didn’t like high school. College gives you so many choices,” he says.

Reflecting on an adulthood rattled by mental illness but blessed by employment, responsibility, family, friends, and music, David says, “Way Station saved my life. And now I tell the new members to get help, don’t give up, and to work hard. Taking medication every day is hard, but stick with it. Get up every day, look at yourself in the mirror every day, and make yourself presentable every day. That’s how you manage mental illness.”

sheppardpratt.org • heal.

5

IN THE NEWS

Sheppard Pratt Health System Receives Honors from U.S. News & World Report FOR THE 27th CONSECUTIVE YEAR, Sheppard Pratt Health System has been ranked among the top hospitals in the country for psychiatry by U.S. News & World Report.

Baltimore Business Journal Recognizes Sheppard Pratt Among Largest Employers in Baltimore SHEPPARD PRATT HEALTH SYSTEM has been ranked among the largest privatesector employers in the area by Baltimore Business Journal for employing 4,647 people in the Baltimore region.

New Faces at Sheppard Pratt Health System Karen Robertson-Keck,

Donna joins us from the Stanford-affiliated Lucille

SPHR, SHRM-SCP,

Packard Foundation for Children’s Health in Palo Alto,

vice president of

CA, where she served as senior vice president of

human resources,

major and principal gifts. She brings more than

Sheppard Pratt Health System

20 years of extensive experience fundraising for

We are pleased to welcome

healthcare organizations.

Karen Robertson-Keck, SPHR, SHRM-SCP, to Sheppard Pratt as

Avi Burstein, LCPC,

our vice president of human resources. Prior to joining

executive director,

Sheppard Pratt, Karen spent more than 15 years leading

Behavioral Partners of

human resources efforts at MedStar Franklin Square

Frederick, Inc.

Medical Center in Baltimore. Under her leadership, the

We are excited to welcome

organization was honored as a “Best Place to Work” by

Avi Burstein, LCPC, to Sheppard

Baltimore Business Journal for five consecutive years.

Pratt as the new executive director of Behavioral Health

Donna Richardson, MBA,

Partners of Frederick. Avi joins us from Chase Brexton

vice president and chief

Health Services, a community-based health service

development officer,

in Baltimore City, where he served as the director of

Sheppard Pratt Health System

Psychosocial Services.

After a nationwide search, we are thrilled to welcome Donna Richardson, MBA, as vice president and chief development officer.

6

heal. • Sheppard Pratt Health System

IN THE NEWS

Program Anniversaries MANY OF OUR PROGRAMS AND SCHOOLS celebrate milestone anniversaries this year.

Congratulations to the following programs and schools:

50 YEARS 25 YEARS

25 YEARS 20 YEARS

10 YEARS

The Forbush

The Trauma Disorders

Sullivan Day Hospital

The Neuropsychiatry

The Forbush

School at Glyndon,

Program, led by

celebrates 25 years

Program, led by

School at Hunt

one of our 14 special

Richard Loewenstein,

of providing

Vassilis Koliatsos,

Valley, one of our

education residential

M.D., celebrates 25

compassionate care

M.D., celebrates

14 special education

and day schools,

years of renowned

to address the needs

its 20 anniversary

residential and day

celebrates its 50th

trauma disorders

of adults with

this year.

schools, celebrates

anniversary this year.

treatment.

psychotic disorders.

th

its 10th anniversary this year.

Discharge Coordinator Wins Carroll Conquest Outstanding Leadership Award from BHA

Sheppard Pratt Pharmacist Named to Lamy Champions Coalition

CONGRATULATIONS TO KENDALL PRYOR,

CONGRATULATIONS TO Joshana K. Goga,

certified peer recovery specialist and

PharmD, BCPP, clinical pharmacy program

discharge coordinator at Sheppard Pratt,

manager, who was named to the University of

for being honored by the Behavioral Health

Maryland School of Pharmacy’s inaugural Lamy

Administration of Maryland with its Carroll

Champions coalition. The Lamy Champions are

Conquest Outstanding Leadership Award.

recognized for their contributions to the field

This award recognizes peer recovery

of geriatric care.

specialist leaders for their achievements and contributions to the behavioral health field.

Kendall Pryor

Sheppard Pratt Health System Wins SAMHSA Award SHEPPARD PRATT HEALTH SYSTEM was the recipient of the Substance Abuse and Mental Health Services Administration’s 2017 Recognition of Excellence in Wellness award for our smoking

Kendall Pryor accepts BHA Leadership Award

cessation program.

sheppardpratt.org • heal.

7

DEPRESSION

Dealing with Depression IT’S IMPORTANT TO PAY PARTICULAR ATTENTION TO SIGNS AND SYMPTOMS DURING SEVERAL KEY LIFE STAGES.

T

here are times throughout our lives when many of us find ourselves

not me’ from young people experiencing

coping with sadness, melancholy, or mood swings. It’s quite normal to

their first episode of depression,” says

feel sad sometimes. But if sadness or feelings of helplessness and

Dr. Jason Addison, service chief of the

hopelessness last for more than two weeks, you or a loved one may be suffering

Young Adult Unit at Sheppard Pratt’s

from depression.

Towson hospital.

Depression is a common, but serious, mood disorder. Symptoms often include loss of interest in things you once enjoyed, changes in sleeping or eating

As a parent or friend, be on the lookout for:

patterns, general sadness, and suicidal thoughts. Although mood disorders and

• Low energy

depression can develop at any age, there are particular stages in life when these

• Difficulty concentrating in school

mental health problems are more common. It’s important to pay special attention to signs and symptoms.

• Poor school attendance • Major changes in sleep patterns

DEPRESSION IN TEENS Puberty to early adulthood is an

away, use drugs or alcohol, engage

health. During puberty, the body

in reckless or risky behavior, or turn to

experiences drastic changes in

social media as a way to withdraw from

hormones and the brain. At the same

face-to-face relationships.

While talking with your teen

stress, peer pressure, self-esteem issues,

about his or her symptoms might be

increased social media use, and new

intimidating, it is an important discussion

transitions. This combination of factors

to have: The symptoms you’re noticing

can create, or exacerbate, risk factors for

can often be cries for help, and if

depression. According to the National

depression is left untreated, it can

Institute of Mental Health, 12.5 percent of

potentially become life-threatening. If

adolescents ages 12 to 17 in the United

you’re unsure about how to approach

States had at least one major depressive episode in the past year.

Because teens are expected to act moody, and because adolescents

heal. • Sheppard Pratt Health System

Teens with depression may run

especially vulnerable time for mental

time, teens are experiencing academic

8

• A drop in grades

the subject, talking to your teen’s pediatrician is a good first step.

DEPRESSION IN WOMEN

don’t always understand or express

The average person has a 15 percent

their feelings well, it can be difficult to

chance of developing depression over

recognize teen depression. “We often

the course of his or her lifetime. However,

hear, ‘I know something is going on,

women are diagnosed with depression at

but I don’t know what it is’ and ‘I am

twice the rate as men. There are several

DEPRESSION

factors that contribute to this disparity, including differences in symptoms between genders, and the fact that women seek treatment more frequently than men. Women are also more susceptible to hormonal fluctuations that accompany menstruation, pregnancy, and menopause.

Postpartum Depression Up to 80 percent of mothers experience the “baby blues,” a one- or two-week period of sadness, mood swings, anxiety, impatience, and weepiness (among other symptoms) that often starts days after giving birth. The “baby blues” are thought to be brought on by hormonal changes after childbirth.

For the most part, these feelings go away on their own after about

in maintaining mental health during and

two weeks. But for about 15 percent

after pregnancy.

of mothers, the “baby blues” linger

Women with a history of

In addition to the symptoms generally associated with depression, postpartum depression may

and become major depression with

depression or anxiety may be more

postpartum onset, commonly called

prone to developing postpartum

postpartum depression. This condition

depression. So if you were taking

emotional attachment with

is more extreme than the “baby blues”

medication to manage depression

your baby

and lasts much longer.

before or during your pregnancy,

also include: • Inability to form a bond or

• Persistent doubts about your ability to care for your baby

To help lessen the risk of the development of postpartum depression, “pregnant women should maximize self-care,” explains Dr. Catherine Harrison-Restelli.

• Thoughts of harming yourself or your baby Most women with postpartum depression will fully recover, especially if diagnosed and treated early. Dr. Harrison-Restelli says that a combination of therapy and medication

To help lessen the risk of the

“talk to your doctor because staying

has been shown to improve symptoms of depression and to help mothers feel

development of postpartum depression,

on medication may be the healthiest

“pregnant women should maximize self-

step you can take for you and your

care,” explains Dr. Catherine Harrison-

baby,” says Dr. Harrison-Restelli.

Restelli, Sheppard Pratt psychiatrist and

Studies show that the risk of medication

chair of the Department of Psychiatry at

being transferred via breast milk from

GBMC. Eating healthy foods, doing yoga,

a nursing mother to the baby is very

meditating, avoiding drugs and alcohol,

low. Forgoing medication and remaining

treatable — and that experiencing

getting adequate sleep, and quitting

depressed holds risks for both

postpartum depression doesn’t

smoking are strategies that can help

mothers and babies.

make you a bad parent.

better and stay healthy.

It’s important to be observant for the signs of postpartum depression in someone you love, and to let new moms know that it is common and

sheppardpratt.org • heal.

9

DEPRESSION

Perimenopausal Depression

i

Perimenopause is the period of

RECOGNIZING DEPRESSION

time in a woman’s life leading up

Here are some of the symptoms that indicate you may have depression,

to menopause: The body is slowly

particularly when they last more than two weeks.

decreasing the amount of hormones it produces, which can lead to a variety of common symptoms like hot flashes and

Common symptoms of depression

headaches. Depression, however, is not

• Sadness and hopelessness

• Restlessness

• Lack of enthusiasm

• Agitation

• Anger and rage

• Changes in eating or

• Overreaction to criticism • Poor self-esteem or guilt • Indecision, lack of concentration, or forgetfulness

sleeping patterns

in school • Withdrawal from friends and activities • Feeling that “something is wrong” or “I am not me”

As with postpartum depression, there is not one single cause for perimenopausal depression. However, there are signs to watch for that indicate

• Substance abuse

that a woman is more susceptible to

• Suicidal thoughts

developing perimenopausal depression:

or actions

• History of severe premenstrual disorder (PMS) • Premature or surgical menopause

Symptoms to look out for in teens • Unusually poor performance

a normal symptom of perimenopause.

• Problems with authority • Running away

• Long perimenopausal stage • Persistent and severe vasomotor symptoms, like hot flashes,

• Reckless behavior

sweating, vaginal dryness, and

• Unexplained aches

headaches

and pains

Studies show that women in perimenopause are twice as likely to be diagnosed with depression and four times as likely to develop depressive symptoms

Symptoms to look out for in new moms • Difficulty bonding with the baby • Feeling overwhelmed and confused • Feelings of guilt

• Feelings of numbness • Lack of interest in everyday tasks • Trouble making decisions

as those who haven’t yet entered perimenopause. So if you or a loved one is experiencing depressive symptoms for more than two weeks, it’s important to seek treatment from a doctor or therapist.

Regardless of when you develop depression, it’s important to remember that it is treatable. Whatever your stage

Symptoms to look out for in perimenopausal women

of life, be observant of your feelings

• New mood swings

• Increased anxiety

and behaviors — and the feelings and

• Sudden irritability

• Sleep problems due

• Crying or tearfulness for no reason

to night sweats or hot flashes

behaviors of the people closest to you — so that depression can be identified and treated early..

HAVE YOU OR A LOVED ONE BEEN EXPERIENCING SYMPTOMS OF DEPRESSION? Call Sheppard Pratt’s Therapy Referral Services Line at 410.938.5000, Monday–Friday, 8 a.m.–4:30 p.m., for help with finding a treatment provider.

10

heal. • Sheppard Pratt Health System

Mark Your Calendar!

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

PHILANTHROPIC EVENTS

“Integrating Medical Care and Addiction Treatment”

26th Annual Care for Kids Gala

February 28, 2018

Saturday, March 24, 2018 Four Seasons Hotel, Baltimore

Richard S. Schottenfeld, M.D.

Proceeds from the Care for Kids Gala are directed to youth in residential, inpatient, outpatient, and educational programs across our health system.

To purchase tickets, contact Paula Waters at 410.938.4017.

Professor and Chair, Department of Psychiatry and Behavioral Sciences, Howard University College of Medicine, Washington, D.C. “Being a Mental HEALTH Professional: The Role of Wellness in Psychiatry” March 14, 2018

EDUCATIONAL CLASSES Dick Prodey Lecture Series Sponsored jointly by The Kolmac Clinic, Sheppard Pratt Health System, and the National Council on Alcoholism and Drug

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 below.

CONFERENCE EXHIBITING

David C. Rettew, M.D.

American Psychoanalytic Association 2018 National Meeting

Associate Professor of Psychiatry and

February 14-18, 2018 — New York, NY

Pediatrics, University of Vermont College of Medicine, Burlington, VT

Psychotherapy Networker Symposium March 22-25, 2018 — Washington, D.C.

Dependence of Maryland.

“Can Healthcare Be Made Safe for Suicidal People?”

A FREE, eight-class series held Wednesday

March 28, 2018

International Society for the Study of Trauma and Dissociation

evenings at The Conference Center at

Michael F. Hogan, Ph.D.

Sheppard Pratt from 7 p.m. to 9 p.m.

March 24-26, 2018 — Chicago, IL

Consultant & Advisor, Hogan Health

Call 410.938.3000 for information.

Solutions, Delmar, NY

Anxiety and Depression Association of America Conference

CONTINUING EDUCATION

April 5-8, 2018 — Washington, D.C.

A lecture series at The Conference Center

HARRY STACK SULLIVAN LECTURE “Antipsychotic Drug Discovery: Current State of Affairs and Looking into the Future”*

at Sheppard Pratt most Wednesdays from

April 11, 2018

May 5-9, 2018 — New York, NY

12 p.m. to 1 p.m. to support continuing

Dost Öngür, M.D., Ph.D.

education of medical and mental health

Associate Professor of Psychiatry, Harvard

professionals. Visit sheppardpratt.org/

Medical School, Belmont, MA

education-training for more information.

*Begins at 11:30 a.m.

UPCOMING WEDNESDAY LECTURES:

CZARINA SANTOS-BORJA, M.D. MEMORIAL LECTURE “Including the Caregiver in Patient-Centered Care”

Wednesdays @ Sheppard Pratt

“Pediatric Bipolar Disorder: Treating the Irrational with the Rationale” February 14, 2018 Pablo H. Goldberg, M.D. Associate Professor of Clinical Psychiatry Columbia University College of Physicians & Surgeons, New York, NY

April 25, 2018 Donovan T. Maust, M.D., M.S. Assistant Professor of Psychiatry, Geriatric Psychiatry, University of Michigan Medical School, Ann Arbor, MI

American Psychiatric Association Annual Meeting

COMMUNITY EVENTS Discussing Devices and Social Media With Your Kids April 3, 2018, 6 p.m. — Pinewood Elementary School, Timonium, MD Join us for a presentation on how to tackle social media and smartphones with your children.

NAMI Walks June 2, 2018 — Rash Field, Baltimore, MD Join us and NAMI Maryland as we walk to raise awareness and fight stigma. sheppardpratt.org • heal.

11

We want to hear your story.

The 4th Annual Sheppard Pratt 1 in 5 Americans lives with a mental illness, yet less than half receive the treatment they need.

Health System

Too often, stigma prevents people with mental illness from seeking help.

on Saturday,

At Sheppard Pratt Health System, we want to change that — by sharing real stories of mental health and healing.

nearly $69,000 to support

Sharing your personal mental health story can: • Let others know that they are not alone • Raise awareness that healing is possible

Stride, held October 14, raised Sheppard Pratt’s programs and initiatives.

Thank you to our sponsors, volunteers, participants, and the Stride committee members. Your support positively impacts the lives of those we serve.

PRESENTING SPONSOR

• Provide encouragement and support to others • Fight against stigma PLATINUM SPONSOR W.B. Mason

There are many ways to share your story.

Interested in learning more?

Please contact Kristina Schiller at kschiller@sheppardpratt.org or 410.938.5010.

sheppardpratt.org

GOLD SPONSORS American Office East Coast Ambulance MagellanRx Management Prime, Buchholz & Associates, Inc. SILVER SPONSORS Aramark Baltimore County Employees Federal Credit Union MobilexUSA Quest Diagnostics United Building Services, Inc. Wegmans

Legal Notice: SHEPPARD PRATT HEALTH SYSTEM The services and facilities of Sheppard Pratt and its affiliates are operated on a non-discriminatory basis.

This policy prohibits discrimination on the basis of race, color, religion, gender, sexual orientation, age, national origin, disability or any other basis proscribed by law. It applies to the provision of services, use of facilities, granting of accommodations and opportunity to participate in programs or activities.

Sheppard and Enoch Pratt Hospital; Sheppard Pratt at Ellicott City; Jefferson School and RTC; Sheppard Pratt affiliated programs

12

heal. • Sheppard Pratt Health System

CAREGIVER BURNOUT

Avoiding Caregiver Burnout • Request and accept help. Most offers of help are genuine — accept them, whether it’s money to help pay for care, or someone to cook meals once a week. Caregiving should not be a burden you shoulder alone.

You and your loved one have spent a lifetime building friendships; let those friends participate.

• Practice relaxation techniques.

Even when you don’t have time to carve out for self-care every day, make some time to relax. Learn relaxation techniques: Whether counting your breaths or picturing the beach, small periods of relaxation can make a big difference.

THE RATE OF ALZHEIMER’S DISEASE

Signs you may be experiencing

and related dementias has been rising

caregiver burnout include:

• Join a support group. Caring for someone with dementia can be

for years, and today, more than one

• Lower energy

extremely isolating. Support groups

in three older adults acquires some

• You get sick easily and

are comprised of people who are

form of dementia. For the 15 million Americans who provide care to those

frequently • Constant exhaustion,

experiencing the same things you are; join a group to discuss

suffering from dementia or Alzheimer’s,

even after sleeping or taking

frustrations and learn how others are

a form of dementia, the work can be

a break

managing their situations. Call

emotionally draining and physically

• Neglecting your own needs

1-800-272-3900 to find a support

exhausting. Many loved ones with

• Impatience and irritability

group near you.

dementia require nearly round-the-clock

• Feeling helpless and hopeless

care, and the illness can stretch on for

• Feeling that your life revolves

years: About one-third of caregivers end

around caregiving

up providing care for five years or more.

If you’re a caregiver, you may often find that you are so focused on the

Here are ways to manage the stress of being a caregiver:

• Change the situation where possible. Write down everything that needs to be done and everything you are doing. Where can things change? There may be ways to combine tasks, eliminate steps,

needs of your loved ones that self-care

• Make time to take care of yourself.

becomes low on the priority list. Studies

If you’re running yourself ragged,

show that family caregivers of people

you’re not giving your body the rest

with dementia are at greater risk of

and nutrition it needs to stay healthy.

with dementia is more like a marathon

anxiety, depression, and overall poorer

Ask a friend to sit with your loved one

than a short sprint. It’s vital to take care of

quality of life than caregivers for people

for a few hours so that you can get

yourself — paying attention to your own

with other conditions.

some time to yourself, whether it’s to

physical, mental, and emotional needs

or share responsibilities.

The act of caregiving for someone

attend a yoga class or take a nap.

— so that you can maintain good health

common. It’s important to recognize the

Taking time for yourself is a necessity,

for the long haul and ultimately provide

signs so that you (or a loved one who is

not a luxury.

better care for your loved one..

Caregiver stress, or “burnout,” is

providing care) can take steps to avoid it.

sheppardpratt.org • heal.

13

INTEGRATED BEHAVIORAL HEALTH

Bringing Sheppard Pratt Expertise to Your Primary Care Doctor’s Office TWENTY-NINE PERCENT of all patients with medical issues also have mental health issues. For many people, it is difficult to find mental health resources in the community, and often, an appointment may not be available for four to six weeks. It makes more sense for a primary care practice to partner with a national resource such as Sheppard Pratt to provide behavioral health services, rather than relying on patients to make the call to a referred practice or avoiding making the appointment altogether due to stigma or fear of judgment.

Research shows people are more open to receiving treatment when offered in a familiar setting, and results

and out of the hospital as much as

indicate this is an effective way to

possible. More than counseling,

address behavioral health disorders

a patient who is already working with a

occurring for certain patients.

primary care physician is able to receive

In November 2016, we began

approach, as we’re doing with Sheppard Pratt Integrated Behavioral Health, can we get

earnestly rolling out Sheppard Pratt

a pre-existing issue. Collaboration

Integrated Behavioral Health,

enables providers to better coordinate

the best outcomes.”

a program that integrates behavioral

care and to work together to develop

health services into Greater Baltimore

ways to treat patients based on utilizing

—Dr. Catherine Harrison-Restelli

Medical Center’s patient-centered

the other’s skill set.

medical home primary care practices.

“Our consultants are integral

As of today, we have a full-time

team members who attend to all the

Sheppard Pratt behavioral health

patient’s needs,” says Dr. Robert P. Roca,

take a whole patient-centered approach,

consultant at nine of 10 primary care

Vice President and Chief Medical

as we’re doing with Sheppard Pratt

practices to provide mental health

Officer at Sheppard Pratt. “It’s a very

Integrated Behavioral Health, can we

evaluations and treatments. Now, when

collaborative approach; together we

get the best outcomes.”

a primary care physician notices a patient

arrive at a plan to make sure no one

has symptoms of a behavioral health

slips through the cracks.”

issue, instead of making a referral in the

“Patients only succeed when

In the little over a year this partnership has been running, it works.

Based on 2,000 assessments since

community, the patient has access to

artificial silos are broken down and

January 2017, we have reduced anxiety

a high-quality Sheppard Pratt provider

you examine the physical, medical,

scores by 52 percent and depression

right down the hall.

biological, and social aspects,” says

scores by 36 percent. Eighty-six percent

Dr. Catherine Harrison-Restelli,

of behavioral health appointments

consultants in primary care practices is

a psychiatrist with Sheppard Pratt Health

have been completed in these

the answer to a number of problems: first

System and Chair of the Department

primary care practices, compared to

and foremost, keeping patients healthy

of Psychiatry at GBMC. “Only when we

50 percent nationally..

Having behavioral health

14

more comprehensive care if they have

“Only when we take a whole patient-centered

heal. • Sheppard Pratt Health System

MEET OUR COMMUNITY

Get to Know Jamie Rockymore-Bess Meet Jamie Rockymore-Bess, discharge coordinator for the general adult unit at our Ellicott City hospital.

Jamie began her career at Sheppard Pratt as a mental health worker in 2009. She quickly came to embrace Sheppard Pratt’s mission, and transitioned to her current role as a discharge coordinator in 2011. She’s been helping patients thrive and has been fighting stigma ever since.

Q. Tell us about what you do at

way people can get better and seek treatment

Sheppard Pratt.

is to talk about it. There’s so much help

A. As a discharge coordinator, I work with the social workers, charge nurse, psychiatrist, and patient care coordinator to make sure each person has somewhere to go and has the aftercare appointments and referrals they need. The treatment here is so important,

available that people don’t seek because they’re afraid.

Q. What advice do you have for someone with a loved one with a mental health diagnosis?

and after discharge it’s important to have

A. Don’t be afraid of your loved one.

close, tightknit aftercare. I make sure our

Be a support system. It’s one thing to have

patients have the right follow-up care to

treatment, but it’s another to have support,

help them thrive.

and they go hand in hand. Be their biggest support and try your best to understand

Q. What do you love most about your

and have patience. Some things you can’t

role as a discharge coordinator?

snap out of — don’t make them feel guilty for

A. I love seeing the patients progress. Some people come in with really tough situations, and there’s so much satisfaction in seeing someone turn things around. That’s so fulfilling to me — especially when we have successful

not being able to do that. The whole family is affected by mental illness.

Q. What can we do to destigmatize mental health?

aftercare placements, such as for someone

A. Mental health needs to be discussed —

who is homeless or doesn’t have anywhere to

it needs to be part of common conversation

go. Hearing that someone’s doing well in a

at school, in churches, at home. I want my

program and so much better off because of

blog [jamierockymore.com] to start that

what Sheppard Pratt did — it’s just so fulfilling.

conversation for people, to have them realize, “Maybe I should talk to somebody.”

Q. You are so passionate about fighting

We need people to know that seeking

mental health stigma. Tell us more about that.

help or talking to a therapist isn’t a bad

A. We’re here to help; we’re all in this profession because there’s a need. The fact that there is a need, and that need isn’t always recognized by society — that’s what makes me want to spark change, to get us to a point where it’s comfortable to talk about depression and anxiety, because the only

thing — I think everyone needs a therapist! Therapists help you think in a different way and see things in a new light. Be open-minded and start a conversation. And, therapy doesn’t always mean medication — therapy is about what’s best for the individual. We work to find the best fit for each person.

6501 N. Charles Street Baltimore, MD 21204 410.938.3000

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