Financial Disclosure. Learning Objectives. Nothing to disclose
|
|
- Anastasia Diana Murphy
- 6 years ago
- Views:
Transcription
1 Behavioral Health Oncology Service: Building an Integrative Hybrid Bio-Medical, Psycho-Social, Spiritual-Existential Cancer-Care Model to Meet the Growing Needs of the 21 st Century Cancer Patient Shannon R. Poppito, Ph.D. Clinical Psychologist Psycho-Oncologist Behavioral Health Oncology Service Baylor University Medical Center Baylor Sammons Cancer Center, Dallas TX Nothing to disclose Financial Disclosure Learning Objectives To identify new Behavioral Health Oncology Consultation Service as an example of successfully building an integrative hybrid biopsycho-spiritual supportive cancer care model To Identify the multi-faceted bio-medical, psycho-social, spiritualexistential needs of cancer patients To identify ways of promoting an integrative supportive care model to effectively address, treat and meet the growing needs of cancer patients
2 Behavioral Health Oncology (BHOPE) Service: Baylor Sammons Cancer Center Launched April 2015 Common Cancer-Related Symptoms and Challenges PHYSICAL-MEDICAL SYMPTOMS Adjustment to Illness Cancer-Related Pain & Fatigue Anxiety/Worry/Panic Depression/Sadness Sleep Disturbance Hormone Dysregulation SPIRITUAL DEMORALIZATION Crisis in Meaning & Purpose Crisis in Faith & Hope (Religious/Spiritual Beliefs) End-of-Life Exploration/Discussion Post-Traumatic Cancer Stress Vs. Post-Traumatic Growth EXISTENTIAL SUFFERING Death Anxiety Existential Distress Existential Guilt Existential Ambivalence Existential Isolation Existential Despair Behavioral Health Oncology Services: Meeting the Needs of the 21 st Century Cancer Patient 19 th -20 th Century Existential Philosophy & Psychology Kierkegaard, Nietzsche, Heidegger, Frankl, Yalom PhD: Existential Psychology (U. Dallas + Duquesne U.) BODY INTEGRATIVE BEHAVIORAL HEALTH HEALTHY LIFE STYLE MANAGEMENT Diet / Exercise Mgmt Coping & Stress Reduction Cancer-Related Pain Mgmt Sleep Hygiene /Fatigue Mgmt Mood/Hormone Regulation SPIRIT MIND EXISTENTIAL-SPIRITUAL SUPPORT PSYCHO-ONCOLOGY Meaning-Centered Therapy Cancer-Related Stress Mgmt Purpose-Driven Support Life-Transitional Stress Mgmt Spiritual Care & Support Fear / Worry / Anxiety Mgmt Grief & Bereavement Demoralization/Depression Mgmt Post-Traumatic Growth Mindfulness & Relaxation Vital Involvement Restorative Self-Care 21st Century Integrated Behavioral Health Consultation Preventative Collaborative Care (PCMH) Model Population Science Approach Promoting Healthy Lifestyle Management Military IBHC Training: L.A. Air Force Base Late-20 th Century Psycho-Oncology Cancer-Focused Psycho-Social Support MSKCC: Pioneers in field Fellowship Training: MSKCC (Drs. Breitbart & Holland)
3 Behavioral Health Oncology Service Referrals By Disease Management TOTAL REFERRALS TO DATE = 497 TOTAL ENCOUNTERS TO DATE = 1303 Quarterly Comparison: Behavioral Health Oncology Service Numbers Total BHOPE Referrals To Date: 497 INITIAL CONSULT - NON-UTILIZERS = Pts referred, but did not utilize BHOPE services: No Shows Hospitalized Reconsidered Death Language Barrier Identifies to Medical Staff: Three Referral Domains 1. Adjustment to Illness 2. Healthy Lifestyle Mgmt 3. Relational Issues Identifies to Medical Staff: * Refer Only LOW clinical cancer-related issues
4 Behavioral Health Oncology Service: Appropriate / Inappropriate Physician Referrals + High Risk Triage 93% Referrals Appropriate 2% Referrals Morbid Ideation 3% Referrals High Risk Patients 2% Referrals Suicidal Ideation Adjustment to Illness Life-Transitional Stress Anxiety/Worry/Panic Depression/Sadness Demoralization Pre-Tx: Anticipatory Anxiety Survivorship Healthy Lifestyle Diet/Exercise Mgmt Sleep/Fatigue Mgmt Self-Care/Wellness GI Issues: IBS/GERD Appetite/Nausea Chronic Pain/Fatigue Relational Stress Marital/Relational Issues Familial/Parental Issues Doctor/Patient Communication Caregiver Fatigue/Burnout Work related stress Preparatory grief/bereavement Endorses thoughts of harming self on Duke QoL evaluation. Provided brief suicide risk assessment [eval: thoughts, plan, intent, rehearsal, lethality] Vague/free-floating thoughts of not wanting to live with cancer: Not wanting to be a burden to family [e.g., they d be better off without me ] Not wanting to live with the physical pain or cancer symptoms, or mental/emotional suffering of cancer [e.g., wish I could fall asleep + never wake up die in peace ] Tx/Plan: 1) support in Bhope, OR 2) triage to appropriate psychiatric +/or I.O.P. services INAPPROPRIATE REFERRALS Suicidal/Homicidal Ideation: Patient reports passive or active S.I./H.I. thoughts, plan, intent, rehearsal requiring psychiatric services +/or crisis management. Psychiatric Medication Management: Patient reports or appears to be neuro-chemically imbalanced / impaired requiring referral to Psychiatry services. Crisis Management: Patient (or family member) is combative, disruptive, aggressive or emotionally disregulated. Dual-Diagnosis: Patient reports long-standing mental health hx + ETOH/drug/pain med dependence or addiction. Long-Term Psychotherapy: Patient reports long-standing *non-cancer-related psychological issues + problems. Intensive Out-Patient Psych Services: Observed emotional disregulation, volatility, poor distress tolerance or psychiatric issues that cannot be managed in LOW clinical-level Bhope services. PASSIVE SUICIDAL IDEATION ACTIVE SUICIDAL IDEATION Neuro-chemical impairment Pt endorses active S.I. plan, intent, access requiring psychiatry intervention lethality, h/o suicide attempts, neurochemical impairment requiring psychiatry Access to lethality [guns, meds] **Bhope does not have referral rights; cannot See also: Baylor Sammons Cancer refer patients to psych services. Center - Suicide Protocol Bhope will identify patient issue to referring Bhope to identify S.I. issue to referring physician + need for referral to Psychiatry, physician + involve nurse or SW triage Intensive Out-Patient [I.O.P.] program or M.H. Have nurse or SW call Baylor Police Mobile Assessment Unit [4444] to escort pt to E.D for psych eval Assessing Health-Related Quality of Life (HR-QoL) Via: Duke QoL + Brief Symptom Screen at Each Time Point Assessing Meaning and Purpose in Life: SMiLE - Schedule for Meaning in Life Evaluation Example: 37y/o male = Dx GBM Frontal / Temporal Lobe Level of Satisfaction 3 Young Children Marriage/Spouse Close Friends Work Software Engineer God Faith, Church Writing - Journaling, Plays Outdoor activities with kids Level of Importance Fegg MJ, Kramer M, L hoste S, Borasio GD (2008) The Schedule for Meaning in Life Evaluation (SMiLE): Validation of a new instrument for meaning-in-life research. Journal of Pain and Symptom Management 35(4):
5 Cancer DIE-gnosis : AN EXISTENTIAL WAKE UP CALL! Cancer Diagnosis: Being hit by an Existential Mac Truck! CALLS into question one s humanity via: life-limits physical, mental, emotional, spiritual, existential CALLS into question: One s existence (mortality) One s identity (individuality) One s place in the world (belonging) Who will I BE if I lose my hair my job my life ME? Triggers an existential crisis of body-mind-spirit: Anxiety-ridden fight-or-flight - stress response OR Despair-ridden failure-to-thrive - depressed response Existential Suffering in Cancer: An Umbrella Concept Existential Care: - Taking CARE of one s authentic Being as a whole - Life-completion: Making & Finding Peace w/life Existential Ambivalence: - Being between two worlds - The space between Life & Death - Living with cancer & dying from it Existential Joy: - Moments of intense beauty & authenticity - Unshakeable Joy! Existential Angst: - Facing one s mortality - Death anxiety (dread) - Annihilation (non-being) Existential Despair: - Crisis of meaning & purpose - Life s randomness, futility - Demoralization / existential vacuum Existential Guilt: - the unlived life within - unfulfilled or wasted potential [Raison d'être] - Overcoming Bad faith Existential Isolation: - Fear of Being / dying alone - Being disconnected from Life - Slipping away unnoticed Existential Transitions in Cancer Initial Diagnosis = Existential Mack Track! Immediate shock, fear of unknown, dread of what is to come B.C. A.D. Before Cancer & After Diagnosis = Who am I? Who will I be? Why did this happen to me? Is this my fault? Transitions through Cancer = Existential Whip-Lash! Increased bodily changes: hair/weight loss, pain, fatigue Increased anxiety/depression re: future, fear of recurrence ( Sword of Damocles ) Coming to terms with life in shadow of (potential) death Recurrence/Terminal Cancer = Existential Sucker-Punch! Confronting death while facing ultimate choices & responsibilities re: life, living-legacy & loved ones How will I die? What is my unfinished business? What impact or mark will I leave? Will I slip away unnoticed?
6 Developmental Transitions in Cancer: Erikson s Adult Developmental Milestones EARLY ADULTHOOD: [20yrs 45yrs] INTIMACY vs. ISOLATION Virtue/Life-Lesson: LOVE Challenge: LONELINESS MIDDLE ADULTHOOD [45yrs 65yrs] GENERATIVITY vs. SELF-ABSORPTION Virtue/Life-Lesson: CARE Challenge: EGOCENTRICISM LATER ADULTHOOD [65yrs -?] EGO-INTEGRITY vs. DESPAIR Virtue/Life-Lesson: WISDOM Challenge: APATHY Three Existential Wake-Up Calls ANGST = Know Thyself! Death Anxiety as a call to action [fight or flight response] Triggered by major Life-transitions [endings and new beginnings] Being-towards-death OR Being-towards-possibilities! GUILT = To Thine Own Self Be True! Existential Guilt as a call to responsibility [taking ownership for MY Life] Calls us to PAY attention to Life by: Responding to Life by being responsible for MY Life Calls us to respond to one s authentic truth + unfulfilled potential = raison d'être Triggered by Life-Crises: medical crisis, identity crisis or mid-life crisis = existential crisis CARE = Take Care of Yourself! Existential Care as a call to back home to wholeness [being-at-home-in-world] Authentically caring for one s entire Being (past-present-future / body-mind-spirit) Informed by Martin Heidegger s Being & Time
7 Meaning-Centered Psychotherapy Interventions For Advanced Cancer Patients based on: Man s Search for Meaning Viktor E. Frankl, M.D. ( ) Breitbart, W. & Poppito, S. Individual Meaning-Centered Psychotherapy for Patients with Advanced Cancer: A Treatment Manual. Oxford University Press. Sept 04, Breitbart, W. and Poppito, S. Group Meaning-Centered Psychotherapy for Patients with Advanced Cancer: A Treatment Manual. Oxford University Press. Sept 04, Cancer and Meaning Choosing One s Attitude: LIVING in the Face of Cancer He who has a why to live for can bear with almost any how. ~Nietzsche Cancer Suffering Physical Mental Emotional Spiritual Existential Enhance Meaning ( Changing Tragedy to Triumph ) Find Meaning (Via: Sources of Meaning) Lose Meaning ( Existential Vacuum ) Frankl, Man s Search for Meaning (1959). Beacon Press, Boston. Breitbart & Poppito. Individual Meaning-Centered Psychotherapy for Patients with Advanced Cancer (2014). Oxford University Press. Cancer May Trigger A Crisis in Meaning and Purpose MEANING PURPOSE CRISIS IN MEANING Being Mode Maternal = LOVE Attachment-based Relational Identity: Meaning-Based WHO & WHAT DO I LOVE? (RELATIONSHIPS) ABSENCE = DEPRESSION *Failure to Thrive* Challenge: DESPAIR CRISIS IN PURPOSE Doing Mode Paternal = LAUNCHING Goal-oriented Vocational Identity: Purpose-Driven WHY AM I HERE? (WORK / GOALS) ABSENCE = DEMORALIZATION *Failure to Launch* Challenge: GUILT
8 Guilt s Burden and Blessing: The Call Toward Self-Care GUILT: To Be In-Debt = Indebted / Responsible / Accountable Neurotic Guilt: What I OWE others = I owe! I owe! So off to work I go! FEAR-based = Freedom from guilt (*fears of not being enough) Reactive: I m a burden to others I owe them! Burden = Self-Imposed Imprisonment: Guilt, Shame, Doubt, Fear Authentic Guilt: What I OWE myself = Taking ownership for MY Life! Authentic Call: TAKE CARE OF YOURSELF! CARE-based = Freedom for living in the face of cancer! Responsive: Responding to Life by being responsible for MY life Blessing = Authentically FREE to take care of myself + my Life! CANCER ANGST + ANTS FEAR (of SOME-thing in the world) *VS* ANGST (Death Anxiety = NO-thingness = NON-existence) CANCER-RELATED FEARS, ANGST & DREAD: FEARS: chemo, radiation, f/u MRI s, Tx/Rx side effects (high pain/fatigue) ANGST: diagnosis, death, disability, disconnection Ontological Insecurity: Lack of embodied safety/protection TRIGGERING SURVIVAL MODE = Implement 3 C s of Self-Regulation BODY: Fight, Flight or Freeze Response = CALM BODY -- JUST BREATHE! MIND: Automatic Negative Thinking (ANTS) = CHALLENGE ANTS SPIRIT: Anticipatory Anxiety ( not-at-home ) = CONFRONT FEARS ~ HEALTHY LIFESTYLE MANAGEMENT~ Three healthy meals/day (+2-3 snacks): *all include high protein, fiber + water HIGH LEAN PROTEINS HIGH FIBER & COMPLEX CARBOHYDRATES REGULAR HYDRATION [8-10 glasses /day]
9 **Healthy ph Balance** Stress = Cortisol (stress hormone) = Acid = Inflammation = Dis-ease GOAL: Acid (sugar/sodium) rich foods/drinks + Alkaline (Acid-balancing) foods * Cut Out/Down: [white] processed/refined sugars + flour products The liver plays a major role in body s filtration system. Liver naturally processes healthy foods + creates acid to combat foreign chemicals [processed/refined sugars, preservatives, additives, nitrates, artificial coloring/flavoring, high fructose corn syrup, carcinogens, nicotine]. Baylor Palliative Care Referral to Behavioral Health Oncology Service Thank you for your time & interest Shannon.Poppito@BSWHealth.org
Meaning-Centered Psychotherapy for Cancer Patients
Meaning-Centered Psychotherapy for Cancer Patients 2 nd Sapporo Conference for Palliative and Supportive in Cancer William Breitbart, M.D., Chairman Jimmie C Holland, Chair in Psychiatric Oncology Department
More informationEXISTENTIAL DISTRESS. Paul Thielking 4/13/2018
EXISTENTIAL DISTRESS Paul Thielking 4/13/2018 Universal Cancer Related Disruptions 1 Cancer Related Disruptions Altered relationships Issues of dependence/independence Achievement of life goals Concerns
More informationPalliative Care in Adolescents and Young Adults Needs, Obstacles and Opportunities
Palliative Care in Adolescents and Young Adults Needs, Obstacles and Opportunities Justin N Baker, MD, FAAP, FAAHPM Chief, Division of Quality of Life and Palliative Care Attending Physician, Quality of
More informationCULTIVATING CALM IN TRANSITION. Career Support Group July 2016
CULTIVATING CALM IN TRANSITION Career Support Group July 2016 WELCOME Let s set our intention to release worries while we re here. Relax. Reconnect with ourselves Hit the reset button BREATHE STRESS Common
More informationLiving with Metastatic Breast Cancer: Emotional Impact
Living with Metastatic Breast Cancer: Emotional Impact Living Beyond Breast Cancer October 22, 2012 Wendy G. Lichtenthal, PhD Department of Psychiatry & Behavioral Sciences Memorial Sloan-Kettering Cancer
More informationFlourishing In Ministry
Flourishing In Ministry Rev. Chris Adams, PhD Center for Vocational Ministry Azusa Pacific University????? Family Stress Exhaustion Burnout Strain Depression 1 Wellbeing Daily wellbeing accumulates 2 Self-
More informationImpact on our Mental Health. Biological Changes Psychological Changes Social Changes Professional Services Coping Skills
Impact on our Mental Health Biological Changes Psychological Changes Social Changes Professional Services Coping Skills Biological Changes After a brain injury, biological impacts may affect mental health
More informationHELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE
HELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE HOW TEENS COPE WITH LOSS & GRIEVE Grief is personal There is no right or wrong way to grieve Influenced by developmental level, cultural traditions,
More information3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose
A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual
More informationSTAYING AFLOAT AND CONNECTED IN THE MIDST OF SUICIDE
STAYING AFLOAT AND CONNECTED IN THE MIDST OF SUICIDE SUICIDE IS A JOURNEY WHY DO PEOPLE DIE BY SUICIDE? Psychological Theory of Suicide PRIMARY DRIVERS -Predisposition (illness, past attempts, trauma)
More informationDynamics of Disease. Elizabeth Archer-Nanda, PMHCNS-C. Collaborators: Mary Helen Davis, MD Sarah Parsons, DO Rose Vick, PMHNP-C
Dynamics of Disease Elizabeth Archer-Nanda, PMHCNS-C Collaborators: Mary Helen Davis, MD Sarah Parsons, DO Rose Vick, PMHNP-C 1 Norton Cancer Institute Louisville Oncology Med/Hem Onc Gyn Onc Ortho Onc
More informationEmbedded Suffering, Embodied Self:
Embedded Suffering, Embodied Self: On the Challenges of Being a Trauma Therapist Milton Erickson used to say to his patients, My voice will go with you. His voice did. What he did not say was that our
More informationWellness: Thriving with Brain Cancer VERONICA PORCHE, PSYD Clinical Psychologist Department of Neurosurgery OUTSMARTING BRAIN TUMORS PATIENT
Wellness: Thriving with Brain Cancer VERONICA PORCHE, PSYD Clinical Psychologist Department of Neurosurgery OUTSMARTING BRAIN TUMORS PATIENT CONFERENCE Cedars-Sinai Medical Center September 6, 2014 Patients,
More informationAcceptance of Death as a Goal Palliative Care
Amsterdam October 6, 2011 Acceptance of Death as a Goal Palliative Care William Breitbart, MD. FAPA, FAPM Chief, Psychiatry Service Vice- Chairman Department of Psychiatry &Behavioral Sciences Memorial
More informationCompassion Fatigue; Helping the Helper. Malissa Mallett, LMSW Brain Injury Alliance of Arizona, Program Director
Compassion Fatigue; Helping the Helper Malissa Mallett, LMSW Brain Injury Alliance of Arizona, Program Director Objectives Effects of our work as a caregiver What is compassion Fatigue PTS / Secondary
More informationInterprofessional Webinar Series
Interprofessional Webinar Series Understanding Existential Distress and Meaning-Oriented Therapies in Patients with Advanced Illness E. Alessandra Strada, PhD, MSCP, FT Director of Integrative Medicine
More informationClass 1 First 30 minutes of class will practice yoga and meditation and discuss principles of yoga
Take Care of Yourself Class Outline Class 1 First 30 minutes of class will practice yoga and meditation and discuss principles of yoga I. Purpose of the class a. Understand health is a result of how the
More information1- List 5 stages of emotional adjustment to diabetes. 2- Describe the 3 components (A-B-C s) of Cognitive Behavior Therapy.
Learning Objectives: 1- List 5 stages of emotional adjustment to diabetes. 2- Describe the 3 components (A-B-C s) of Cognitive Behavior Therapy. 3- Describe the four pronged approach to diabetes care.
More informationFamilies Confronting the End-of-Life: Promoting Peaceful Acceptance of Death
Families Confronting the End-of-Life: Promoting Peaceful Acceptance of Death Holly G. Prigerson, PhD Director, Center for Psycho-oncology & Palliative Care Research Dana-Farber Cancer Institute Associate
More informationCharles Schroeder EMS Program Manager NM EMS Bureau
Charles Schroeder EMS Program Manager NM EMS Bureau Objectives Understand the nature of stress, emotional and psychological distress Understand how it affects people and why Help you to recognize the stressors
More informationSUICIDE RISK IN PALLIATIVE/ EoL SETTINGS
SUICIDE RISK IN PALLIATIVE/ EoL SETTINGS M A R C K I N G S L S E Y C. P S Y C H O L C O N S U L T A N T C L I N I C A L P S Y C H O L O G I S T / P S Y C H O -ON C O L O GI S T SUICIDE RISK IN PALLIATIVE/
More informationIncluding Everything: Mindfulness and Transforming Suffering in Palliative Care
Including Everything: Mindfulness and Transforming Suffering in Palliative Care Andrea Thach, MD Center for Senior Health, PeaceHealth, Bellingham Objectives 1. 2. 3. Understand what mindfulness is; Know
More informationOUTPATIENT TREATMENT WESTPORT, CONNECTICUT
OUTPATIENT TREATMENT WESTPORT, CONNECTICUT ABOUT CLEARPOINT At Clearpoint, we focus on healing the whole person: mind, body, and spirit. Our comprehensive care methods set clients up for long-term success
More informationlost a loved one to support group accidental overdose
lost a loved one to support group accidental overdose Monday Evenings September 12, 2016 - November 14, 2016 This experience has given me the encouragement I needed to go on and lead a full life. To help
More informationJourney of Personal Development (Part 3): Transcend Yourself. Paul T. P. Wong. Personal development is a process
1 Journey of Personal Development (Part 3): Transcend Yourself Paul T. P. Wong Congratulations for coming to the last installment of this 3- part series. If Part (1) Know Yourself serves as the foundation
More informationSuicide.. Bad Boy Turned Good
Suicide.. Bad Boy Turned Good Ross B Over the last number of years we have had a few of the youth who joined our programme talk about suicide. So why with all the services we have in place is suicide still
More informationYouth Suicide Assessment and Intervention in Primary Care. Tina Walde, DNP, PMHNP OHSU School of Nursing
Youth Suicide Assessment and Intervention in Primary Care Tina Walde, DNP, PMHNP OHSU School of Nursing Objectives Role of the NP History Terms Epidemiology Groups with increased risk Warning signs The
More informationPracticing Mindfulness in Everyday Life. Presented by: Erin Cannon, CHWC UMedTech
Practicing Mindfulness in Everyday Life Presented by: Erin Cannon, CHWC UMedTech Mindfulness is Mindfulness means paying attention in a particular way; on purpose, in the present moment and non-judgmentally.
More informationPhilip Burke, PhD 18 Year PSC Patient Clinical Psychologist
Philip Burke, PhD 18 Year PSC Patient Clinical Psychologist Solution: The Spoon Theory by Christine Miserandino. Meet the Silver Thieves. What happens when we try to defeat the silver thieves? Accept thieves
More informationThoughts on Living with Cancer. Healing and Dying. by Caren S. Fried, Ph.D.
Thoughts on Living with Cancer Healing and Dying by Caren S. Fried, Ph.D. My Personal Experience In 1994, I was told those fateful words: You have cancer. At that time, I was 35 years old, a biologist,
More informationEmotional Adaptation after Cancer
Emotional Adaptation after Cancer Jesse Fann, MD, MPH Department of Psychiatry & Behavioral Sci, UW Clinical Research Division, FHCRC Director, Psychiatry & Psychology Service, SCCA Outline Fear of Recurrence
More informationMyra McPherson, LMHC, Ph.D Bee Ridge Rd., #230 Sarasota, FL Office:
Myra McPherson, LMHC, Ph.D. 5824 Bee Ridge Rd., #230 Sarasota, FL 34233 Office: 941-343-9745 www.parentexpress.org MyraSMcPherson@gmail.com Love, Bliss, Joy, Empowerment, Freedom, Appreciation Passion,
More informationLiving on the Edge of Uncertainty The Chronic Illness Experience: A Patient s Perspective
Living on the Edge of Uncertainty The Chronic Illness Experience: A Patient s Perspective Marina Symcox, PhD GIST Support International Arthur Frank, PhD At the Will of the Body: Reflections on Illness
More informationBuilding Resilience. Presenter Oonagh Fagan
Building Resilience . Building Resilience Presenter Oonagh Fagan Outline Definition of resilience The 4 C s of resilience Resilience strategies How to build them Definition of Resilience Resilience is
More informationMental Health in Youth: Symptoms, Treatment, Resources, and Hope. Town Hall Meeting Presentation Dr. June Restrepo January 24, 2019
Mental Health in Youth: Symptoms, Treatment, Resources, and Hope Town Hall Meeting Presentation Dr. June Restrepo January 24, 2019 Our ultimate focus is on Jesus Christ, not on the fallen world 2 Corinthians
More informationSuicide Prevention in the Older Adult
Suicide Prevention in the Older Adult Nina R. Ferrell, MA Geriatric Outreach Professional Relations Salt Lake Behavioral Health Hospital Presentation Content Credits 1. Addressing Suicidal Thoughts and
More informationA Good Death: What Church Leaders Need to Know About Death Preparation for Older Adults
A Good Death: What Church Leaders Need to Know About Death Preparation for Older Adults Thanks to Generous Givers This webinar is provided as a service of Discipleship Ministries and is funded through
More informationOVERVIEW of the CONTENT of the course Existential Well-being Counseling: A Person-centered Experiential Approach.
OVERVIEW of the CONTENT of the course Existential Well-being Counseling: A Person-centered Experiential Approach. An integration of Positive psychology, Existential and Person-centered Experiential psychotherapy.
More informationGRIEVING A SUICIDE LOSS
GRIEVING A SUICIDE LOSS WHAT IS SUICIDE LOSS GRIEF? Grief is grief (also called bereavement), but when it involves a suicide death many people react differently than with, for example, a death resulting
More informationGrade 5: Healthy Mind and Emotions Lesson 7: Recipe for Stress: Peers Pressure and Drugs
Grade 5: Healthy Mind and Emotions Lesson 7: Recipe for Stress: Peers Pressure and Drugs Objectives: 1. Students will identify what stress is and how it affects the body. 2. Students will describe the
More informationPSYCHOSOCIAL ASPECTS OF RENAL DISEASE
PSYCHOSOCIAL ASPECTS OF RENAL DISEASE Anastasia Anastasiou Palliative care symposium Aug 13 They ll be fine What we will cover Grief and loss Emotional Reactions Sex/sexuality Non-Compliance CALD Quality
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationUPMC SAFE-T Training Adapted for Pediatric Primary Care. Sheri L. Goldstrohm, Ph.D.
UPMC SAFE-T Training Adapted for Pediatric Primary Care Sheri L. Goldstrohm, Ph.D. Prevalence of Suicide in the U.S. 10th most frequent cause of death for all ages 2nd leading cause of death for individuals
More informationThe Knowing-Doing Gap
College of Agricultural, Consumer and Environmental Sciences You Are What You Think: Creating a Mindset of Wellness Dr. Raquel Garzon NMSU Cooperative Extension Services Nutrition and Wellness Specialist
More informationA Guide to Help You Cope with Suicide. Victim Assistance Unit Denver Police Department 1331 Cherokee Street Denver, Colorado
A Guide to Help You Cope with Suicide Victim Assistance Unit Denver Police Department 1331 Cherokee Street Denver, Colorado 80204 720-913-6035 DPD Mission Statement In partnership with the community, we
More informationSleep, Stress, and Fatigue
Sleep, Stress, and Fatigue Central Washington University E.A.S.E. Cancer Foundation Tim Burnham Ph.D. Interrelated Stress Sleep disturbance Fatigue Stress Stress is YOUR response to a situation Stressor:
More informationRoyal College of Psychiatrists Consultation Response
Royal College of Psychiatrists Consultation Response DATE: 10 March 2017 RESPONSE OF: RESPONSE TO: THE ROYAL COLLEGE OF PSYCHIATRISTS in WALES HSCS Committee, Isolation and Loneliness The Royal College
More informationHandouts for Training on the Neurobiology of Trauma
Handouts for Training on the Neurobiology of Trauma Jim Hopper, Ph.D. April 2016 Handout 1: How to Use the Neurobiology of Trauma Responses and Resources Note: In order to effectively use these answers,
More informationMindfulness, Self-Compassion, and Resilience by Linda Graham, LMFT
Mindfulness, Self-Compassion, and Resilience by Linda Graham, LMFT Resilience is an innate capacity in the brain that allows us to face and deal with the challenges and crises that are inevitable to the
More informationMATCP When the Severity of Symptoms Interferes with Progress
MATCP 2017 When the Severity of Symptoms Interferes with Progress 1 Overview Stages of Change, or Readiness for Change Changing Behavior Medication Adherence Disruptive Behaviors Level of Care Tools including
More informationSuicide: Starting the Conversation. Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support
Suicide: Starting the Conversation Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support What We Do Know About Suicide Suicidal thoughts are common. Suicidal acts, threats
More informationLeadership Beyond Reason
1-Values... 2 2-Thoughts... 2 Cognitive Style... 2 Orientation to Reality... 2 Holding Opposing Thoughts... 2 Adapting to New Realities... 2 Intuition... 2 Creativity... 3 Cognitive Distortions... 3 Observe
More informationLive, Laugh and Find Joy Again
Live, Laugh and Find Joy Again Understanding Loss Janet Mathis Manager, Information Services Johnson County Community College What s the first word you think of when I say the word grief? Loss? Sadness?
More informationLiving Well with Bone Marrow Failure Diseases
Living Well with Bone Marrow Failure Diseases ISABEL SCHUERMEYER, MD DIRECTOR OF PSYCHO-ONCOLOGY CLEVELAND CLINIC JUNE 22, 2013 Overview What do we know about symptoms & quality of life for bone marrow
More informationSuicide Awareness & Assessment
Suicide Awareness & Assessment Western Psychiatric Institute and Clinic of UPMC Presbyterian Shadyside 1 Dr. Jennifer Beckjord, PsyD; Senior Director, Clinical Services Jeffrey Magill, MS; Emergency Management
More informationSchool-Based Mental Health Mindfulness Growth Mindset Response to Resiliency
School-Based Mental Health Mindfulness Growth Mindset Response to Resiliency #1: How mindfulness supports well-being from kids who practice. #2: How the three systems in the brain effect emotional self-regulation.
More informationSome Definitions. Loss = the thing that happened. Grief = the reaction to the loss. Shock, sorrow, anger, guilt
Some Definitions Loss = the thing that happened Death, divorce, being fired, moving, Grief = the reaction to the loss Shock, sorrow, anger, guilt Mourning = set of grief rituals whether formal or informal
More informationDepression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment
Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment Jamie E. Pardini, PhD Sports Medicine and Concussion Specialists Banner University Medical Center-Phoenix University
More informationResponding to Expressions of the Wish to Hasten Death
Responding to Expressions of the Wish to Hasten Death Keith G. Wilson, PhD, CPsych The Ottawa Hospital Rehabilitation Centre Ottawa, Canada Emeritus Clinical Investigator Ottawa Hospital Research Institute
More informationEnd of Life Care: Planning an approach to intervene in family struggles
End of Life Care: Planning an approach to intervene in family struggles Gilbert Fan, FAPA, RSW, RC Co-Chair, Patient Support Master MSW, Department of Psychosocial Oncology National Cancer Centre Singapore
More informationMeeting the Palliative Care Needs of the Frail Elderly
Meeting the Palliative Care Needs of the Frail Elderly 5 Days in Palliative Care 2016 Dr. A. T. Kerigan Associate Clinical Professor Department of Medicine, Mc Master University 1. What is frailty? 2.
More informationCompassion Fatigue. Various Degrees of Impairment 9/10/2013. Jerome Greenfield M.D. DFAPA
Jerome Greenfield M.D. DFAPA Compassion Fatigue Family or loved one of seriously ill patient Nursing Staff Physicians Therapy and Social Services Staff Various Degrees of Impairment Mild symptoms of worry
More informationDURING A SUICIDAL CRISIS
DURING A SUICIDAL CRISIS 1 UTAH RANKS 5 TH IN THE NATION 1 6 7 5 3 9 10 4 8 2 Data Source: WONDER 2016 Suicide Fatality Rates ages 10+ 2 Crude Rate of Suicides per 100,000 UTAH AND U.S. SUICIDE TREND Rate
More informationThe Emotional Impact of IBD. Chelsea Sherrington, Psy.D.
The Emotional Impact of IBD Chelsea Sherrington, Psy.D. Who is this talk for? Patients Caregivers, friends, and loved ones Professionals Advocates in the fight for living well with IBD Who am I? (aka:
More informationWellness along the Cancer Journey: Palliative Care Revised October 2015
Wellness along the Cancer Journey: Palliative Care Revised October 2015 Chapter 2: Palliative Care Palliative Care Rev. 10.8.15 Page 352 Group Discussion True False Not Sure 1. Palliative care is only
More informationSuicide Prevention and Intervention
Suicide Prevention and Intervention Kim Myers, MSW May 2, 2017 Division of Substance Abuse and Mental Health Overview Suicide in Utah Suicide Risk & Protective Factors Suicide Warning Signs C-SSRS Safety
More informationTrauma: From Surviving to Thriving The survivors experiences and service providers roles
Trauma: From Surviving to Thriving The survivors experiences and service providers roles Building Awareness, Skills & Knowledge: A Community Response to the Torture Survivor Experience Objectives 1. To
More informationDifficult Situations in the NICU. Esther Chon, PhD, EdM Miller Children s Hospital NICU Small Baby Unit Training July, 2016
Difficult Situations in the NICU Esther Chon, PhD, EdM Miller Children s Hospital NICU Small Baby Unit Training July, 2016 TOPICS Compassion Fatigue, Burnout and PTSD Dealing with Death and Loss Moral
More informationA Model of Shared-Care of the Cancer Survivor. Mary S. McCabe
A Model of Shared-Care of the Cancer Survivor Mary S. McCabe Survivorship Care: An International Endeavor Cancer Survivors Risks of Health Outcomes Comorbidities Lifestyle Behaviors Exposures Surgery Chemotherapy
More informationCompetencies for Advanced Certification for Hospice Palliative Care
Competencies for Advanced Certification for Hospice Palliative Care Part of the NACC Standards Re-Approved 2015-2021 United States Conference of Catholic Bishops Subcommittee on Certification for Ecclesial
More informationUnderstanding and Treating Anxiety in Youth and Adults. Presented by Kathryn Faver, MSW, LICSW North Homes Children and Family Services Inc.
Understanding and Treating Anxiety in Youth and Adults Presented by Kathryn Faver, MSW, LICSW North Homes Children and Family Services Inc. What is Anxiety and How Does it Affect the Brain and Body? Anxiety
More informationBUREAU SPEAKERS. For questions or to schedule an event call, (616) The speaker did an amazing job! She has a real gift engaging students.
It was a real gift to have the speaker here to share both her expertise and herself as we worked through our questions about hospice care. Thank you, thank you! The bereavement manager was a wonderful
More informationJeremy Mork, MSW,LICSW Missy Butler, MS, LMFT MITH Program, Child and Adolescent Behavioral Health Services, MN DHS
Five Survival Skills for Caregivers of Emotionally Reactive Children & Adolescents Jeremy Mork, MSW,LICSW Missy Butler, MS, LMFT MITH Program, Child and Adolescent Behavioral Health Services, MN DHS What
More informationPalliative Care In PICU
Palliative Care In PICU Professor Lucy Lum University Malaya Annual Scientific Meeting on Intensive Care 15 August 2015 2 Defining Palliative Care: Mistaken perception: For patients whom curative care
More informationdepression and anxiety in later life clinical challenges and creative research
2 nd Annual MARC Symposium Critical Themes in Ageing Melbourne, 10 th August 2018 depression and anxiety in later life clinical challenges and creative research Nicola T Lautenschlager, MD, FRANZCP Professor
More informationMODULE IX. The Emotional Impact of Disasters on Children and their Families
MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty
More informationClient s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone:
Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Private email address: Student? If yes, where and major? May we leave
More informationCounseling and Psychotherapy Theory. Week 7. Humanistic Approach
Counseling and Psychotherapy Theory Week 7. Humanistic Approach Contents 1 2 3 Major Concepts and Propositions 1 Overview 2 Person-centered Approach 3 Existentialist Approach 4 Gestalt Approach Change
More informationPERINATAL PALLIATIVE CARE SUPPORTING FAMILIES AS THEY PREPARE TO WELCOME THEIR BABY AND TO SAY GOOD-BYE
PERINATAL PALLIATIVE CARE SUPPORTING FAMILIES AS THEY PREPARE TO WELCOME THEIR BABY AND TO SAY GOOD-BYE Kathy Cromwell CT, MSW, LCSW Director, Hinds Hospice Angel Babies HINDS HOSPICE ANGEL BABIES Our
More informationThe Life Satisfaction Survey (LSS): Development of the Instrument
2006 2006 International Coach Federation Research Symposium November 1, 1, 2006 2006 St. St. Louis, Missouri The Life Satisfaction Survey (LSS): Development of the Instrument 1 Presented by: Tom Krapu,
More information10/8/2014. Quality of Life: On score of 0 (poor) 10 (excellent): MDS average = 5.1. Normal average = 7.7
What do we know about symptoms & quality of life for bone marrow failure disease patients? Isabel Schuermeyer, MD Director of Psycho-Oncology Cleveland Clinic AA/MDS International Foundation 2014 regional
More informationPopontopoulou Christina Psychologist Médecins Sans Frontières
Popontopoulou Christina Psychologist Médecins Sans Frontières International, independent organisation with medical and humanitarian action Delivers emergency aid to people affected by armed conflict, epidemics,
More informationUnderstanding Grief. Content Developed by: Kenneth J. Doka, PhD, MDiv
Understanding Grief Content Developed by: Kenneth J. Doka, PhD, MDiv This webinar is provided through the support of a grant from the Centers for Medicare and Medicaid Services (CMS) Why Are You Here?
More informationSuicide & Care. Dr. Bart Andrews Clinical Director. Behavioral Health Response
Suicide & Care Dr. Bart Andrews Clinical Director Behavioral Health Response The Quest for the Cure: The Science of Mental Illness, Thomas Insel, MD, Director of NIMH, 2014 National Council for Behavioral
More informationSt George Hospital Renal Supportive Care Psychosocial Day, 10 th August Michael Noel, Supportive and Palliative Care Physician, Nepean Hospital
St George Hospital Renal Supportive Care Psychosocial Day, 10 th August 2017 Michael Noel, Supportive and Palliative Care Physician, Nepean Hospital Michael.Noel@health.nsw.gov.au Hannah Burgess, Renal
More informationInvesting in Ourselves Cause The Way We re Working Isn t Working
Investing in Ourselves Cause The Way We re Working Isn t Working Hi, My Name is Shannon and I am a mother I am a partner I am a daughter & granddaughter I am a sister I am a friend I am a colleague I am
More informationResiliency and Recovery Post-Trauma
Resiliency and Recovery Post-Trauma Texas Children s Health Plan CME November 18, 2017 Megan Mooney, Ph.D. Assistant Professor, Baylor College of Medicine Training Coordinator, Trauma and Grief Center
More informationREDUCE THE BURDEN ON YOUR LYMPHATIC SYSTEM THROUGH WHOLE FOODS NUTRITION. Angela Wright, BSc, CNP, RNCP Lead Nutritionist, InspireHealth
REDUCE THE BURDEN ON YOUR LYMPHATIC SYSTEM THROUGH WHOLE FOODS NUTRITION Angela Wright, BSc, CNP, RNCP Lead Nutritionist, InspireHealth InspireHealth Not-for-profit charity, founded in 1997 Health Professionals
More informationMichael Connors Director of Services
Michael Connors Director of Services 34 years helping people to live well with the impact of cancer Understanding the patient experience Penny Brohn Whole Person Model Mind Emotions WHOLE PERSON AFFECTED
More informationHealthy Self. Bell Ringer. Class Period
Healthy Self Name Class Period Bell Ringer Fill out the bell ringer at the beginning of each class period. I f you are ABSENT for a bell ringer you can copy the information from my website www.missgarfield.weebly.com.
More informationEnhancing Your Personal and Professional Resilience
Enhancing Your Personal and Professional Resilience Mamta Gautam, MD, MBA, FRCPC, CPDC, CCPE, MOT PROFESSIONAL RESILIENCE 1. Being prepared for the event 2. Coping with the situation skills and strategies
More informationNational Association of Catholic Chaplains Part Two, Section 600 Standards for Specialty Certification in Palliative Care and Hospice
National Association of Catholic Chaplains Part Two, Section 600 Standards for Specialty Certification in Palliative Care and Hospice Those seeking NACC specialty certification in palliative care and hospice
More informationRISK VS RIGHTS: SAFELY SUPPORTING CONSUMERS WITH SEXUAL TRAUMA HISTORIES DAVID K. ATTRYDE, MS LPC
RISK VS RIGHTS: SAFELY SUPPORTING CONSUMERS WITH SEXUAL TRAUMA HISTORIES DAVID K. ATTRYDE, MS LPC PRESENTING CHALLENGE Balancing best practices in supporting IDD and MH consumers with dignity and respect,
More informationUseful Self Assessment tools to help identify your needs and how you are feeling for patients and their family/caregivers
Useful Self Assessment tools to help identify your needs and how you are feeling for patients and their family/caregivers 114 115 Needs Assessment Tool Patients & Families [NAT-P&F] The topics below are
More informationLiving with Advanced Colorectal Cancer: A Balancing Act
Living with Advanced Colorectal Cancer: A Balancing Act Simone Stenekes Clinical Nurse Specialist CancerCare Manitoba Symptom Management & Palliative Care Disease Site Group Presenter Disclosure Faculty:
More informationThe Impact of the Opioid Crisis on Children
The Impact of the Opioid Crisis on Children Guided Notes for Online Learning Name: Date: 1 Table of Contents Section 1: The Opioid Crisis Page 3 Section 2: Addiction Page 4 Section 3: Trauma Informed Care
More informationChronic Pain, Anger & Grief. M. Wesley Buch, Ph. D., R. Psych (#1186) Behavioural Health Care
+ Chronic Pain, Anger & Grief M. Wesley Buch, Ph. D., R. Psych (#1186) Behavioural Health Care Dr. Elizabeth Bannerman, Registered Psychologist Dr. Judy Le Page, Registered Psychologist Dr. Wesley Buch,
More informationTable Of Contents The Inner Freedom Coaching System
P a g e 3 Table Of Contents The Inner Freedom Coaching System ALL RIGHTS RESERVED WORLDWIDE... 1 DISCLAIMER AND TERMS OF USE AGREEMENT... 1 How Resilient Are You?... 12 The Daily Let Go Process... 14 Getting
More informationINDIVIDUALS ARE COPING ALL THE TIME.
Coping Strategies INDIVIDUALS ARE COPING ALL THE TIME. COPING (CONTENDING) Coping: Is the behavior that protects us from becoming psychologically and physiologically disorganized. Usually incorporates
More informationCaring Effectively for Others Without Losing Yourself
Caring Effectively for Others Without Losing Yourself Marcia Lattanzi Licht, LHD, RN, LPC (303) 494-8456 MLLicht@comcast.net Course Materials & Disclosure Course materials including handout(s) and conflict
More information