March 2023 ABPN-VNE Exam Dumps

Dr. Pichot is Director and Dr. Starck and Dr. Harris are Addiction Psychiatry Residents at the University of Texas Health Science Center at San Antonio. Dr. Benzick is a Resident at the US Air Force Wilford Hall Medical Center General Psychiatry Residency Program, Lackland Air Force Base, Tex. The views expressed are those of the authors and are not US Air Force policy or the policy of any other Department of the Federal Government.

FARMINGTON –  NAMI Maine is excited to offer a Youth Mental Health First Aid course in partnership with MaineHealth that is designed for adults who regularly interact with young people.

Mental Health First Aid (MHFA) is a national best-practice, evidenced-based certification course that is seven hours in length, consisting of two hours of self-paced learning and five hours of instructor-led material virtually over Zoom.

Participants will learn about the common signs and symptoms of mental illness in youth including anxiety, depression, eating disorders, Attention Deficit Hyperactive Disorder (Adhd), and common signs and symptoms of substance use. They will also learn how to best interact with a child or adolescent in crisis and how to connect that person with help.

The course has been expanded this year to include content on trauma, addiction and self-care, as well as the impact of social media and bullying.

After registering, participants will be notified with login information to MHFA Connect to complete their pre-course work. The Zoom link for the training will also be located in MHFA Connect after the pre-work has been completed.

The virtual part of the training will be held on Thursday, March 9 from 9 a.m.–2 p.m. Completion of the course leads to a three-year certification issued by the National Council on Behavioral Health.

Anyone with questions may contact NAMI Maine’s coordinator of youth community education, by telephone at 1-800-464-5767, ext. 2318 or email [email protected]

To register visit NAMI Maine’s website at https://www.namimaine.org/youthprograms/p/ymhfa03092023

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The MarketWatch News Department was not involved in the creation of this content.

Feb 06, 2023 (IssueWire via Comtex) -- New York City, New York Feb 6, 2023 (Issuewire.com) - Get to know Board-Certified Psychiatric Mental Health Nurse Practitioner & Board-Certified Family Nurse Practitioner, Janet James-Melvin, who serves patients in Scottsdale, Arizona.

Janet is a board-certified psychiatric mental health nurse practitioner & board-certified family nurse practitioner with over 15 years of clinical and advanced nursing practice experience. She is the Owner & Operator of Samaritan Psychiatry and Wellness in Scottsdale, Arizona.

The MarketWatch News Department was not involved in the creation of this content.

HEALTHCARE / By Jon Harris

Josh Millrod, licensed creative arts therapist, reporting for duty — along with roughly 2,000 colleagues also ready and able to do their part in solving New York’s mental health crisis. That is, if you’ll have us, Gov. Hochul.

In this year’s State of the State address, Gov. Kathy Hochul addressed how dire things have gotten in New York. We face unprecedented rates of anxiety, depression and trauma, worsening clinician shortages, and an affordability crisis driven by insurance companies picking and choosing what services they will cover and which clinicians can provide them.

Meanwhile, on Dec. 30, Hochul signed a landmark bill to expand mental health coverage but only after excluding over 2,000 licensed psychotherapists.

This vital piece of legislation, years in the making, requires insurance companies to cover outpatient services provided by licensed mental health practitioners — including mental health counselors, marriage and family therapists, psychoanalysts, and, if she had not removed us from its provisions, creative arts therapists. Creative arts therapists would have represented more than 14% of this expansion until we were axed in the wee hours of 2023.

Unfortunately, this is just another example of creative arts therapists being left out of Albany’s efforts to increase access and affordability by expanding who can provide the diagnoses that patients need to get services and what licenses are covered by Medicaid.

Licensed creative arts therapists are psychotherapists who integrate music, art, dance and movement, drama, and poetry into their clinical work. We undergo rigorous training in both our creative modality and verbal psychotherapy. To qualify for my license, I earned a master’s degree at NYU including a yearlong internship at Bellevue Hospital working with some of New York’s neediest, obtained national board certification as a music therapist, and completed 1,500 hours of supervised clinical work on Rikers Island, where I developed a trauma-informed hip-hop therapy program for adolescent detainees. In the last six years, I’ve taken over 125 hours of postgraduate psychotherapy training to maintain my license. Still, Albany won't mandate that insurance companies cover my services or allow me to provide diagnoses for patients who need them to access care.

At the same time Hochul touts Albany’s renewed commitment to tackling our mental health crisis, she unnecessarily limited the number of clinicians available to New Yorkers. Sadly, the clinicians she excluded are often the ones best-suited to serving patients averse or unresponsive to other forms of therapy. This last-minute exclusion means that my patients remain at the whims of their insurance companies. If they change jobs, switch plans, or their current insurer shifts rules, they risk losing their mental health care.

I’ve seen firsthand how creative arts therapy can change lives. At Rikers Island, I helped adolescent detainees produce hundreds of songs telling the stories of their pain, trauma, resilience, and hope. These weren't music lessons; they were trauma therapy sessions that used music as a safe container for the overwhelming pain and suffering that these young men held in their minds and bodies. Now, in my private practice, many clients come to me because other therapies haven’t worked or because their traumatic pasts make it hard to talk without getting overwhelmed.

I know little is simple in Albany, but this is straightforward. Extending creative arts therapists the same mandates and privileges granted to our fellow mental health practitioners would make 2,000 additional qualified clinicians available to New Yorkers in need.

We’re ready when you are, Governor.

Pros

• Recommends daily meditations
• Offers mindfulness courses, focus music, and mindful movement videos
• Offers a free seven-day trial
• Teachers and teens get free access

Cons

• Many videos are geared toward beginners, which may not be the best fit for more experienced meditators
• Some Google Play reviews mention that the app interface can be confusing

According to research published in the journal JAMA Internal Medicine, there is moderate evidence to support the effect of meditation and mindfulness programs on reducing symptoms of anxiety, depression, stress, and pain. Headspace has a bank of more than 500 meditations, including three-minute “Mini” meditations, walking meditations, and advanced meditations. Headspace is available on the App Store and Google Play.

Every day, the Headspace app will curate a list of meditations and mindful activities for you, including a “sleepcast” to help you end your day. A sleepcast is a 45- to 55-minute audio segment you can listen to before bed that starts with a meditation or breathing exercise to help you wind down, followed by a bedtime story. The narrator will walk you through different places, such as an aquarium or treehouse, while describing the imagery with soothing speech and with calming music in the background. Headspace remixes each of its 71 sleepcasts every night, so they’ll always be a little different each time you listen.

Headspace also offers a library of narrated mindful movement videos, including ones for yoga, dance, and cardio, to train your body along with your mind. Every video is unique, but the narrators focus on common themes, such as setting intentions for the activity, staying present in your body, focusing on your breath, and practicing self-compassion.

Headspace costs $12.99 per month or $69.99 per year. For a family plan supporting up to six accounts, you will pay $99.99 per year. If you aren’t ready to commit to a subscription, you can sample its services during its free seven-day trial. If you're an adult student at a post-secondary college or university, you can get a discounted student membership that costs $9.99 per year.

Headspace offers free memberships to educators who live in the United States, United Kingdom, Canada, and Australia. Teenagers ages 13 to 18 also get free access to Headspace through its partner Peer Health Exchange.

Headspace App Reviews

On the App Store, Headspace gets 4.8 out of 5 stars from more than 922,000 ratings. On Google Play, it gets 4.4 out of 5 stars from more than 292,000 ratings. Reviewers mention that they find the app useful but that it doesn't always work as it should. They also mention difficulty navigating the app interface after latest updates.

Mary Alvord, a psychologist in Maryland who teaches mental health professionals about telehealth, Jay Shore, Ph.D., a psychiatrist and director of telemedicine at the Helen and Arthur E. Johnson Depression Center at the University of Colorado Anschutz Medical Campus and Henderson offer these pros and cons for online therapy.

Pros

Circumvents mental health stigma. “For people whom stigma is a concern, especially if they live in a tight-knit community, parking their car outside a counseling center or therapy office can really violate their privacy,” says Henderson. “But online therapy is really discreet and can protect people’s privacy and confidentiality in ways that in-person [therapy] simply cannot.”

Convenience and safety. If you’re unable to travel safely during bad weather or can’t take time out of your workday to travel to and from a mental health professional’s office, a virtual visit can be a good substitute.

Sense of intimacy. Shore says some patients may prefer their familiar at-home surroundings versus an “artificial clinic environment.” Henderson echoes these sentiments. “In some ways, video is more intimate than being in the same room because we’re in each other’s space,” she says. “You might be in my office, but it’s in my home, so it feels like you’re in my home just as I am in your home. That really bridges a gap, as opposed to being on my turf when you come into my office.”

Similar outcomes. In-person and video visits hold the potential to deliver similar results, according to Shore. Henderson agrees: “We see just as much, if not more, improvement in online therapy settings. Apples to apples, in-person therapy versus telehealth, there’s really no difference between which one is more effective.”

Easier access. For people who live far from the nearest therapist’s office or counseling center, online therapy can provide a readily available alternative.

Little to no wait time. A virtual appointment may be able to begin on time while an in-office appointment may be delayed by paperwork and other bureaucratic hurdles.

Cons

Nonverbal communication. A therapist may not pick up on a patient’s nonverbal cues during a virtual appointment. Alvord explains that much of our communication is nonverbal. However, Henderson points out that the proximity of the camera lens during video appointments can provide more visual communication through facial expressions than in an in-person appointment where a greater physical distance exists between the therapist and the client.

Limited effectiveness for some. Certain patients, such as some children or people with autism spectrum disorder, may not respond well to virtual therapy, Alvord notes. Patients with dementia or other cognitive issues also may not do well in virtual sessions without modifications, such as a caregiver being with the patient, Shore says.

Technology. Some patients’ homes may not be equipped with high speed internet service, or the patient may not be comfortable with technology, making virtual therapy difficult or even impossible to carry out.

Insurance coverage. In some cases, your health insurance provider may cover an in-person therapy session but may not cover a virtual session. Such policies are constantly changing, though, especially in light of the COVID-19 pandemic. Speak to an agent at your insurance company to confirm what your coverage currently includes.

Plans to address mental health support and programs in Monroe County are underway, according to Lisa Graham, Monroe Community Mental Health Authority chief executive officer.

"We’re addressing it in a couple ways. We began planning to expand our access and our crisis services last year. We applied for and we were approved for grant funding to implement a mobile crisis response unit,” Graham said. “Unfortunately, our agency has also been impacted by the staffing shortages that are impacting the entire country. So we needed to become fully staffed in order to do that. … We are addressing the need for expanded crisis services.”

A mobile crisis response unit is expected to be up and running by July.

Due to a lack of mental health support services and resources, the Oaks Homeless Shelter, 1018 E. Second St., will close Feb. 23, said Pastor Heather Boone of Oaks of Righteousness Christian Ministries.

Related:Oaks of Righteousness asking for crisis stabilization unit

Boone is asking for services from MCMHA which include timely, face-to-face appointments; easier access to psychiatric care; and services that are located anywhere in the Orchard East Community where their clients do not have to take four buses to get the care they need.

In November 2023, MCMHA embedded a certified peer support specialist at the Oaks Homeless Shelter as a point person for clients needing help with food, clothing, housing and to begin or maintain mental health treatment.

"In the months of December and January, she's had 64 contacts with 25 unique individuals at the shelter," Graham said.

Graham said MCMHA currently provides crisis services 24-hours a day, seven days a week, 365 days a year.

“We have an after-hours team of licensed, master's-level clinicians and we receive notices of crises in a number of ways. We might a get a call from the hospital. We might get a call right to our 24-hour line, and whenever we get those calls we have to respond to those calls and access and provide a determination of a level of care within three hours,” she said.

Story continues

The Michigan Department of Health and Human Services requires MCMHA to respond to calls and provide a disposition within three hours for all populations.

“They require a 95% compliance rate and, in three years, we have never once fallen below that compliance rate with any populations,” Graham said. “Another thing we’ve done is increase the number of staff in our access center and at our front desk.”

In an email, Graham addressed offering same-day appointments and services for clients.

“There is no policy that requires MCMHA to offer same-day appointments and transportation. In fact, Michigan Department of Health and Human Services requires that individuals who make a request for service have their first assessment within 14 days,” she said.

Graham provided information about the Performance Improvement Project. The project is focused on reducing the number of individuals who drop out of services between the first call to request services and the first appointment to receive services. MCMHA is implementing two strategies: offering same-day appointments and offering transportation assistance.

“Again, these are not mandates, but interventions we have agreed to implement as part of the project, beginning Jan. 1, 2023,” Graham said in her email. “Due to staffing issues, we are not always able to offer same-day appointments, and the PIHP is aware of this, but that is the goal we are working toward. For fiscal year 2023, we averaged 6.6 calendar days between request for service and initial assessment. We are currently offering transportation assistance.”

PIHP stands for Prepaid Inpatient Health Plan, which is an agency that manages Medicaid services for behavioral health. The PHIP for Monroe County is Community Mental Health Partnership of Southeast Michigan

MCMHA recently completed a gap analysis to determine the needs of the community for accessing services and care. The analysis is a method used to determine whether a organization's requirements or objectives are being met or if steps should be taken to meet them. One of MCMHA’s identified needs was staffing.

With newly hired and trained staffing, plans are being made to make mental health support services available in early March in downtown Monroe at a location known as the Benesh Building, 428 S. Monroe St.

“We have some space there and we know that some people do have a problem getting to locations. Pastor Boone has pointed out it takes four bus transfers to get someone from Oaks to Raisinville Road if they are taking the bus. So this is intended to address that problem that many city residents have in getting to our Raisinville Road location. They would be within walking distance or a quick bus ride to that location.”

In 2023, recruiting and retention was a top priority and MCMHA contracted with two additional psychiatrists. The agency now has six psychiatrists, including two children’s doctors, and one nurse prescriber.

Graham addressed a presentation made in January by Team Wellness Center to MCMHA’s leadership team. The center is requesting to be credentialed for fully integrated outpatient community health services with an emphasis on mental health and substance use disorders, as well as crisis stabilization.

“Team Wellness is one of many providers who would be eligible to submit a proposal should our board of directors vote to contract those services out,” Graham said. “If they did put that on the agenda and vote to contract out additional crisis services, the process would be to put out a request for proposals and those proposals would have to be evaluated and the vendor we chose would go through the credentialing process.”

The process could take up to two to three months to complete.

MCMHA has been meeting with St. Joseph Center of Hope on Stewart Road, a crisis intervention center for people experiencing substance abuse disorders and also mental health crisis.

“Just this week, one of my program directors was able to divert someone who might have been hospitalized to St. Joe’s Center for Hope where they were able to get the crisis stabilization instead of going into the hospital,” she said. “So, we do have community partners that we can strengthen both partnerships with and I’ll be bringing all of those options to our board when we think about the whole crisis continuum that we want to develop.”

On Feb. 22, at the next scheduled MCMHA meeting, Graham will make a presentation overviewing the response crisis services currently in place and discuss expansion plans.

She said it will then be up to the board to decide if any additional crisis services need to be developed in-house or contracted out.

This article originally appeared on The Monroe News: Plans for expanding mental health support, programs in progress

Orlando Psychiatrists differ from other mental health professionals in that they may prescribe medication as well as practice psychotherapy in treatment. Sometimes, Psychiatrists form part of a clinical team in which they will diagnose and prescribe, while psychologists or therapists provide the client's psychotherapy.

As part of a clinical assessment, Psychiatrists may conduct physical examinations, take blood tests, and order and interpret lab tests and brain image scans, such as CT scans, CAT Scans, and MRIs.

The field of psychiatry in Orlando has many sub-specialties, including pediatric psychiatry. Those who work with the elderly are called geriatric psychiatrists.

Other related sub-specialties include cognition psychiatry, addiction psychiatry, psychosomatic, forensic, reproductive medicine specialties, psychopharmacology , psychiatric genetics, neuroimaging, and clinical neurophysiology.

Psychiatric nurse practitioners in Orlando, or mental health nurse practitioners, generally have an MS degree in nursing (MSN) and a number of years of training to become certified. Psychiatric nurse practitioners are able to assess and diagnose mental health conditions and prescribe medication. Orlando Psychiatric nurse practitioners also have training that enables them to include psychotherapy with treatment.

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