Publications

BEHAVIORAL HEALTH

January-February 2018  |  Volume 99, Number 1

January-February 2018

Behavioral Health Basics for Chaplains

Behavioral Health BasicsBY: REV. MICHELE J. GUEST LOWERY, MDiv, BCC
You receive a call to the emergency room: A patient admitted for observation has requested spiritual support. When you arrive, the patient greets you with a torrent of words, rapidly shifting from topic to topic. She becomes agitated when you try to respond. You are not sure what to do.

A patient in the spirituality group you facilitate is convinced he has committed the unpardonable sin. He relentlessly seeks reassurance from you and others, yet his fear not only persists but intensifies. You are at your wit's end.
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Integrating CareIntegrating Care of Body and Mind

BY: JOHN MORRISSEY
The impact of mental health and other behavioral problems on someone's physical health is substantial and pervasive. So is the reverse: the impact of physical problems on behavioral health. That stark synergy of behavioral and medical status is the force pushing against any plans by health care systems to achieve better patient outcomes while managing and containing the costs of care.
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A Network Touches the Hard-to-Reach

BY: STEVE LINDQUIST, MSW, ACSW, and BRIAN ERICKSON, MSN
Amid increasing demand and the well-documented shortage of mental health professionals, Avera Health, based in Sioux Falls, South Dakota, is harnessing its telehealth network — Avera eCARE® — to help bridge gaps in behavioral health services. Solutions include a new eCARE Behavioral Health Services program and emerging applications for the AveraNow platform that makes video visits possible via a mobile device.
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Addiction Still Eludes A 'Magic Bullet' Cure

BY: ERIN KELSER, RN
We see the effects of addiction every day. In the United States, more than 30,000 people die each year from alcohol abuse, and more than 480,000 people die from tobacco use. Although we don't yet have the final numbers, statisticians estimate 64,000 drug overdose deaths for 2016, a figure that would make drug overdose the leading cause of death for Americans under 50. More than two-thirds of those deaths are from opiates, with the number of fentanyl deaths rising rapidly.
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Maternal Mental Health: Closing the Gaps in Care

BY: JOY BURKHARD, MBA
When a mother suffers from a mental health disorder, the result has a resounding effect on her physical health and the health of her child. Maternal mental health disorders such as depression, bipolar disorder and anxiety, which can occur during pregnancy or up to a year postpartum, affect up to 1 in 5 women and can soar as high as 50 percent for women living in poverty. These disorders often go undiagnosed and untreated, creating an alarming domino effect for mothers, their children and their families.
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Meeting Magda'Meeting' Magda: How Stories Connect Us to the Needs of Others

BY: GORDON SELF, DMin
Jesus told stories, parables that offered a glimpse of what the reign of God was like. He helped ordinary people like you and me understand what is elusive by comparing heaven with objects we can grasp and hold, like a mustard seed, a net, a pearl.
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Reflection: Entering into the Chaos

BY: BRIDGET DEEGAN-KRAUSE, MDiv, BCC
My beloved friend Brian — a poet, art collector, activist and caretaker of animals — enjoyed a rich spirituality and a wickedly funny sense of humor. He also lived with bipolar disorder, a mental health condition that causes extreme mood swings. With the help of friends, family and a team of professionals, Brian worked hard at maintaining mental health, but at times things fell apart and he needed extra support as he resumed a familiar journey of behavior modification and medication adjustments.
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It Is Time to IgniteIt Is Time to Ignite a Transformational Campaign

BY: ROD HOCHMAN, MD
In 1999, the Institute of Medicine published To Err is Human: Building a Safer Health System, a groundbreaking investigation that opened our eyes to the alarming rates of patients killed each year due to preventable medical errors. Three years later, the institute followed up with an even more explosive and comprehensive set of findings, titled Crossing the Quality Chasm: A New Health System for the 21st Century.
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Residents List Mental Health Care as Top Need

Residents List Mental Health CareBY: ARTURO CARRILLO, PhD, LCSW, and CAITLIN L. O'GRADY, PhD, LCSW
In 2015, Saint Anthony Hospital's community health needs assessment ranked mental health as the highest perceived problem in the community, with 82 percent of respondents rating it a major problem. Concerns for mental health far outnumbered diabetes (69 percent), community violence (64 percent), nutrition, physical activity and weight (64 percent), substance abuse (63 percent), family violence (50 percent), and tobacco use (50 percent). The findings also highlighted that self-reported chronic depression, along with fair/poor mental health, was notably higher among adults under 60, Latinos and low-income residents.
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Eating Disorders

Eating Disorders Can Mask Malnutrition

BY: KATHERINE L. GODWIN, MD
We categorize eating disorders as mental illness, but they have very high medical seriousness as well, so that assessment and treatment require an integrated approach. Coordinating care for such complex cases can be done well but also can involve distinct hurdles for patients, families, caregivers, insurance companies and hospital systems.
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Alzheimers Disease

Alzheimer's Disease

BY: CONCETTA FORCHETTI, MD, PhD
Although public awareness of Alzheimer's disease has grown significantly in recent years, considerable confusion still exists about the disease, its symptoms and its relationship to dementia.

The confusion is not limited to the general public: Even physicians sometimes lack a clear understanding of Alzheimer's. In the past, when seniors exhibited signs of memory loss, mood changes and/or a diminished ability to perform everyday tasks, it was thought to be part of the normal aging process. Such symptoms were chalked up to natural changes in an aging brain — a process that doctors in those days called "organic brain syndrome." Nonmedical types used a simpler term: senility.
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Patients Personify What Ethical Principles Mean

BY: JAMES DUBOIS, DSc, PhD
Reflection on human experience is invaluable in understanding the meaning of ethical principles within the lives of people. Such reflection may help us to identify, for example, what actually helps people to flourish or how people are willing to balance concern for their autonomy with concern for their safety.
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FEATURES

Following Up with Tomorrow's Leaders

BY: MARK CRAWFORD
Tomorrow's Leaders is a Catholic Health Association program that recognizes promising young professionals who are poised to become the Catholic health ministry's future leaders. Each year, CHA honors a group of high-achieving individuals who are committed to advancing the mission of Catholic health care. Nomination criteria include dedication to mission, consistent high performance and compassionate ministry leadership. Below we interview nine previous recipients to see how recognition as a Tomorrow's Leader has influenced their professional and personal lives.
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A Category 5 Prayer, in Real Time

BY: FR. JOSEPH DRISCOLL, DMin
Actually, all prayer should be in real time. However, when we gather for our weekly worship services in synagogue, church, mosque or other gathering space, we are less "we" and more "I." Think of it. No one can see inside you and me, with our individual stories and experiences of the past week, day or hour. No one has taken the temperature of the individual and her or his feelings, whether joy, sorrow, worry, delight or even boredom. It is a wonder that prayer and ritual can speak to and from such diversity.
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DEPARTMENTS

Editor's Note

BY: MARY ANN STEINER

Ethics - Is There A Catholic Policy on Health Care Reform?

BY: FR. CHARLES BOUCHARD, OP, STD

Mission and Leadership - Advancing CHA's New Strategic Plan

BY: BRIAN P. SMITH, MS, MA, MDIV

Community Benefit - Engaging Community Members to Improve Community Health

BY: JESSICA CURTIS, JD, AND KRIS WIITALA

Age Friendly - Creating Age-Friendly Health Systems

BY: LESLIE PELTON, MPA, KEDAR MATE, MD, TERRY FULMER, PhD, RN, FAAN, and AMY BERMAN, RN, LHD, FAAN

Thinking Globally - Insights on Working in Developing Communities

BY: BRUCE COMPTON AND ALEX NATSIOS