Transitioning and Grief. Royal Ottawa Operational Stress Injury (OSI) Clinic

Size: px
Start display at page:

Download "Transitioning and Grief. Royal Ottawa Operational Stress Injury (OSI) Clinic"

Transcription

1 Transitioning and Grief Royal Ottawa Operational Stress Injury (OSI) Clinic

2 Overview Introduction to Ottawa OSI Clinic The Importance of Transitioning Overview of Transitions Encountered Transitions and the Family Understanding Loss Understanding Grief Dealing with Grief & Loss Resources & Discussion

3 The OSI Clinic The Royal Ottawa OSI Clinic is one of 10 clinics across Canada. The Clinic is fully funded through Veterans Affairs Canada with services delivered through the Royal Ottawa Mental Health Centre. Staff consists of: psychiatry, psychology, social work, nurse, research & program evaluation coordinator, a program assistant, a manager of patient services and an operations director

4 The OSI Clinic We offer services to Veterans of the Canadian Forces (CF), eligible members of the CF, and the Royal Canadian Mounted Police (RCMP) who have (or suspect they may have) an OSI. Services are also offered to family members.

5 Operational Stress Injury Any persistent psychological difficulty resulting from operational duties performed while serving in the Canadian Forces or the RCMP. The term OSI was created to fight stigma. Umbrella Term: PTSD Depression other Anxiety Disorders Substance Use Disorders and others

6 The Importance of Transitioning and Grief

7 The Importance of Transitioning Transitions are an important and normal part of life. Transitions can be challenging. Leaving the service to become a civilian creates transitions in many areas of life that can become losses.

8 The Importance of Transitioning Adding an OSI and or physical health problems can add more losses. Losses need to be acknowledged. Grieving loss is a normal process.

9 Transitions Commonly Encountered in Service

10 The Nature of Release Type of Release (medical, voluntary ) Expected or Unexpected Voluntary or Imposed Ready or Not Ready Supported or Not Supported These factors can affect how prepared and supported the individual feels in facing upcoming transitions to civilian life (family, work, social, cultural )

11 Transitioning from Service to Civilian Life Behaviours that were necessary, normative, and adaptive during service may no longer be helpful.

12 Service Culture Organizational culture Organization = family Structure & routine Dealing with emotions and stress

13 Transitions Mission Orientation Mission Before Everything Focus on specific task More Flexibility & Choice Individual needs considered Multiple tasks and priorities

14 Transitions Safety Trust in buddy s training stick together, rely on them Trained to be aware of surroundings May feel isolated and wonder who s got my back Increased concern about safety

15 Transitions Decision Making Clear chain of command Following/giving decisive orders No questioning Collaborative, no clear chain More flexibility and discussion Input given from multiple sources

16 Transitions Structure & Routine Everything operates on a schedule, carefully timed Structure = safety & predictability Heightened readiness Multiple inputs on schedule, frequent changes Structure = helpful convenience (not safety mechanism) More relaxed, flexible

17 Transitions Family Roles & Routine Family adjusts to job requirements Changes are primarily related to service Set roles in family Need to balance family needs and work/career Changes may be family-determined Roles may need to be re-negotiated

18 Transitions and the Family

19 Transitions & the Spouse Makes independent decisions Routine and role of a Single person or Parent Must discuss and make compromises Must adjust to being part of a couple, co-parent

20 Transitions & Children Experiences Difficult Emotions Feels lack of control Feels uncertain with change in parent s mood, physical ability, & role Change of Behavior and Stress New routines, roles, and expectations Feelings of confusion May feel they are to blame

21 Sesame Workshop Homecomings: Family Routines motion/tlc/

22 Transitions & Family & OSI"s Member develops OSI Caregiver Burden Less Communication Avoidance, numbing & anger Reactive to partner (walking on eggshells) Verbal - physical outbursts

23 Film Clip from Children of Soldiers by Claire Corriveau National Film Board of Canada Production Available at

24 Understanding Loss

25 Understanding Loss A loss is when something or someone we are attached to is no longer available to us. Transitions often result in a loss. Losses are a difficult and normal part of life.

26 Resiliency Resiliency is described as behavioural elasticity This refers to an individual s ability to cope in a way that matches the situation

27 Types of Losses Death Psychological or Moral Injury Physical Injury Relationships Roles & Responsibilities Identity Financial & Employment

28 Death Family member Close friend or service buddy Directly or indirectly

29 Psychological or Moral Injury Witness disturbing actions or scenes Loss of values & changed beliefs Witness morally questionable behaviours Question human nature

30 Physical Injury Loss of limb(s) Chronic Pain Brain injury Limited or loss of sight / hearing

31 Relationships Conflict or detachment Separation or estrangement from children or family Disconnected from service friends Socializing may be a challenge

32 Roles & Responsibilities Role as a professional Feeling unproductive or useless More or less involvement at home (chores or parenting) Shift of role (new work setting, at home)

33 Identity Who am I out of uniform? Sense of belonging (service family ) Body image / fitness level Living with an OSI

34 Financial and Employment Job security, income or financial stability Finances may limit activities Change of daily routine No longer provider

35 Understanding Grief Grief is the natural reaction to a loss. Grief is a process. There is no right or wrong way to grieve. Grief can involve a wide range of responses (emotional, cognitive, behavioural).

36 Four Tasks of Grieving J. William Worden, Ph.D. Accept the Reality of the Loss Experience the Pain of Grief Adjust to a New Reality Withdraw Emotional Energy & Reinvest

37 Grief and OSIs Is it grief, OSI or both? Acute vs. chronic Similar manifestations

38 Similar Manifestations 1) Emotional and Psychological Effects Anger, Sadness, Betrayal Anxiety, Depression 2) Physical and Cognitive Reactions Somatization, sleep disturbance Memory lapse, lack of concentration

39 Similar Manifestations 3) Spiritual and Existential Questioning Uncertainty & unpredictability Why me? ; What now? 4) Family and Social Expectations Isolation, avoiding gatherings Fear of being judged, lack of intimacy

40 Dealing with Transitions, Grief and Loss Look after your health (sleep, diet, exercise) Some options for support: Family, friends, peer support Consider a support group Religious or spiritual leader Therapy may be helpful

41 Dealing with Transitions, Grief and Loss Try to accept your emotional reaction remember that reactions to losses can vary and there is no right or wrong way to feel. Try to express how you feel in a helpful way: Talking, writing, finding a creative outlet. Be patient with yourself! Transitions can be challenging and grieving can take time.

42 Dealing with Transitions, Grief and Loss If you have an OSI, or if you feel your emotions are too intense or difficult to cope with, consider seeking treatment with a qualified professional. Speak to your family physician Ask your Case Manager

43 Some Suggested Resources: THANK YOU!

Common Reactions to Life Changes

Common Reactions to Life Changes Common Reactions to Life Changes We react in our own unique way to changes in our lives. While most common reactions are considered normal, unexpected, seemingly uncontrollable emotional and/or physical

More information

Understanding PTSD treatment

Understanding PTSD treatment Understanding PTSD treatment Do I need professional help? Whether or not you need help can only be determined by you and a mental health professional. However, you can take the self-assessment in the PTSD

More information

For Mental Health and Human Services Workers in Major Disasters

For Mental Health and Human Services Workers in Major Disasters Page 1 of 5 Home Programs Mental Health Topics Newsroom Publications Resources This Site Search For Mental Health and Human Services Workers in Major Disasters POTENTIAL RISK GROUPS Online Publications

More information

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking

More information

dealing with a depression diagnosis

dealing with a depression diagnosis tips for dealing with a depression diagnosis 2011 www.heretohelp.bc.ca No one wants to feel unwell. Talking to your doctor or other health professional about problems with your mood is an important first

More information

What Can I Do To Help Myself Deal with Loss and Grief?

What Can I Do To Help Myself Deal with Loss and Grief? What Can I Do To Help Myself Deal with Loss and Grief? There are certain tasks that help people adjust to a loss. Every person will complete these tasks in his or her own time and in his/her own way. The

More information

Psychological First Aid Red Cross Preparedness Academy 2014

Psychological First Aid Red Cross Preparedness Academy 2014 Caring for Survivors of Trauma and Disaster: An Introduction to Psychological First Aid Biographical Information Rev. William F. Engfehr III LutheranChurch MissouriSynod DisasterResponseChaplain Senior

More information

The Many Emotions of Grief

The Many Emotions of Grief The Many Emotions of Grief While it is important to understand grief and know how it can affect us, we must also acknowledge that: The focus of grief is not on our ability to understand, but on our ability

More information

Responding to the Needs of Justice-Involved Veterans. Mark Mayhew, LCSW VA Justice Outreach Coordinator

Responding to the Needs of Justice-Involved Veterans. Mark Mayhew, LCSW VA Justice Outreach Coordinator Responding to the Needs of Justice-Involved Veterans Mark Mayhew, LCSW VA Justice Outreach Coordinator There is inherent sympathy for those who sustain damage in defense of country, whether that damage

More information

Schizophrenia. This factsheet provides a basic description of schizophrenia, its symptoms and the treatments and support options available.

Schizophrenia. This factsheet provides a basic description of schizophrenia, its symptoms and the treatments and support options available. This factsheet provides a basic description of schizophrenia, its symptoms and the treatments and support options available. What is schizophrenia? Schizophrenia is a commonly misunderstood condition,

More information

HOW PARENTS CAN HELP THEIR CHILD COPE WITH A CHRONIC ILLNESS

HOW PARENTS CAN HELP THEIR CHILD COPE WITH A CHRONIC ILLNESS CENTER FOR EFFECTIVE PARENTING HOW PARENTS CAN HELP THEIR CHILD COPE WITH A CHRONIC ILLNESS Parenting a chronically ill child is a challenge. Having a child with a chronic illness is stressful for any

More information

Critical Incidents. Information for schools from Derbyshire Educational Psychology Service

Critical Incidents. Information for schools from Derbyshire Educational Psychology Service Critical Incidents Information for schools from Derbyshire Educational Psychology Service Introduction to Critical Incidents A critical incident (CI) is any event that is unexpected, acute, stressful and

More information

Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls

Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls Satellite Conference and Live Webcast Thursday, August 25, 2011 5:30 7:00 p.m. Central Time Faculty David J. Schonfeld,

More information

Your guide to. anxiety treatment. after a motor vehicle accident

Your guide to. anxiety treatment. after a motor vehicle accident Your guide to anxiety treatment after a motor vehicle accident November 2003 ISBN 1 876958 16 2 Published by the Motor Accidents Authority of NSW Level 22, 580 George Street, Sydney 2000 Phone: 1300 137

More information

This publication is available upon request in multiple formats. Web site: veterans.gc.ca Toll free: 1-866-522-2122. Revised February 2012

This publication is available upon request in multiple formats. Web site: veterans.gc.ca Toll free: 1-866-522-2122. Revised February 2012 This publication is available upon request in multiple formats. Web site: veterans.gc.ca Toll free: 1-866-522-2122 Revised February 2012 Her Majesty the Queen in Right of Canada, represented by the Minister

More information

Physical Symptoms Mood Symptoms Behavioral Symptoms

Physical Symptoms Mood Symptoms Behavioral Symptoms Prescription drugs are the 3 rd most commonly abused drugs amongst teens in Nebraska, and the same statistic holds true on a national level. The rise in prescription drug abuse is becoming increasingly

More information

Traumatic Stress with Alcohol and/or Drug Addiction

Traumatic Stress with Alcohol and/or Drug Addiction Traumatic Stress with Alcohol and/or Drug Addiction information for individuals and families Eastern Trauma Advisory Panel What is Post Traumatic Stress Disorder (PTSD)? How people react to a traumatic

More information

What Families and Loved Ones Need to Know

What Families and Loved Ones Need to Know What Families and Loved Ones Need to Know Answers to your questions about addiction, treatment and recovery For families faced with addiction, hope is real, and help is ready at Hazelden. Center City,

More information

National Defence. Défense nationale A-MD-007-144/JD-004. Preparing for CRITICAL incident. Stress

National Defence. Défense nationale A-MD-007-144/JD-004. Preparing for CRITICAL incident. Stress National Defence Défense nationale A-MD-007-144/JD-004 Preparing for CRITICAL incident Stress Foreword This publication is presented as a resource for the Department of National Defence (DND) community,

More information

Comprehensive Resilience Module

Comprehensive Resilience Module Resilience And Risk Reduction Comprehensive Resilience Module Spiritual Dimension Meditation Meditation Overview There are many types of meditation that can help you develop your human spirit and build

More information

Positive Coping with Rheumatoid Arthritis a skills workshop

Positive Coping with Rheumatoid Arthritis a skills workshop Positive Coping with Rheumatoid Arthritis a skills workshop About this workshop Created by: Dan Bilsker PhD Centre for Applied Research in Mental Health & Addiction Faculty of Health Sciences, Simon Fraser

More information

Coping with Culture Shock

Coping with Culture Shock Coping with Culture Shock The term culture shock was introduced in 1958 to describe the anxiety produced when a person moves to a completely new environment. This term expresses a lack of direction and

More information

Trauma FAQs. Content. 1. What is trauma? 2. What events are traumatic?

Trauma FAQs. Content. 1. What is trauma? 2. What events are traumatic? Trauma FAQs Content 1. What is trauma? 2. What events are traumatic? 3. Who experiences trauma? 4. What are symptoms of trauma? 5. How can I help someone who may be experiencing trauma? 6. Where can people

More information

Social and Emotional Wellbeing

Social and Emotional Wellbeing Social and Emotional Wellbeing A Guide for Children s Services Educators Social and emotional wellbeing may also be called mental health, which is different from mental illness. Mental health is our capacity

More information

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a

More information

Background. Bereavement and Grief in Childhood. Ariel A. Kell. University of Pittsburgh. December 2011

Background. Bereavement and Grief in Childhood. Ariel A. Kell. University of Pittsburgh. December 2011 Running Head: BEREAVEMENT AND GRIEF Background Bereavement and Grief in Childhood by Ariel A. Kell University of Pittsburgh December 2011 BEREAVEMENT AND GRIEF 2 When looking at how individuals experience

More information

There is a growing focus on moving upstream to protect mental health and reduce the incidence of mental illness.

There is a growing focus on moving upstream to protect mental health and reduce the incidence of mental illness. An Upstream Approach to Improving Psychological Wellbeing Dr Brian Marien Founder and Director of Positive Health Strategies brian.marien@positivegroup.org www.positivegroup.org Prevention or cure? Zola,

More information

Return to Work after Brain Injury

Return to Work after Brain Injury Return to Work after Brain Injury This section talks about return to work after head injury and what kind of difficulties people experience. It moves onto talking about what kind of help and support is

More information

Coping with trauma and loss

Coping with trauma and loss Coping with trauma and loss Coping with trauma and loss Someone close to you may have died in sudden and/or traumatic circumstances. You may have witnessed the death, or the deaths and injury of others.

More information

Below is a diagram showing the Models of Grief that have been developed by a range of theorists since the 1940 s. The 1964, 1972) Restitution

Below is a diagram showing the Models of Grief that have been developed by a range of theorists since the 1940 s. The 1964, 1972) Restitution Models of grief Below is a diagram showing the Models of Grief that have been developed by a range of theorists since the 1940 s. Models of grief Theorist Stage or Phase Lindemann Shock & Acute Mourning

More information

Listen, Protect, and Connect

Listen, Protect, and Connect Page 1 Listen, Protect, and Connect PSYCHOLOGICAL FIRST AID FOR CHILDREN, PARENTS, AND OTHER CAREGIVERS AFTER NATURAL DISASTERS Helping you and your child in times of disaster. Page 2 As a parent or adult

More information

Ninon Yale Clinical Nurse Specialist Trauma Program McGill University Health Centre Sept. 27, 2012

Ninon Yale Clinical Nurse Specialist Trauma Program McGill University Health Centre Sept. 27, 2012 Ninon Yale Clinical Nurse Specialist Trauma Program McGill University Health Centre Sept. 27, 2012 Suicide in Québec Québec is the Canadian province with the highest suicide rate Affects all age groups

More information

Opening Our Hearts, Transforming Our Losses

Opening Our Hearts, Transforming Our Losses Preface Alcoholism is a disease of many losses. For those of us who are the relatives and friends of alcoholics, these losses affect many aspects of our lives and remain with us over time, whether or not

More information

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton Psychiatric Issues and Defense Base Act Claims Dr. Michael Hilton Criteria for DSM-IVRPosttraumatic Stress Disorder with changes now in effect with DSM5 a. The person has been exposed to a traumatic event

More information

Grief & Bereavement: A Practical Approach

Grief & Bereavement: A Practical Approach Grief & Bereavement: A Practical Approach Ian Anderson Continuing Education Program in End-of of-life Care Module Objectives! 1. Define grief & bereavement.! 2. Describe some of the models of grief.! 3.

More information

Domestic Violence, Mental Health and Substance Abuse

Domestic Violence, Mental Health and Substance Abuse Domestic Violence, Mental Health and Substance Abuse Sue Parry, PhD NYS Office for the Prevention of Domestic Violence Why does domestic violence (DV) have so many mental health effects? Put yourself in

More information

USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD)

USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD) USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD) Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By: Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D. When people find

More information

Mental Health and Nursing:

Mental Health and Nursing: Mental Health and Nursing: A Summary of the Issues What s the issue? Before expanding on the key issue, it is important to define the concepts of mental illness and mental health: The Canadian Mental Health

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

After Sexual Assault. A Recovery Guide for Survivors SAFE HORIZON. 24-Hour Hotline: 212 227 3000. www.safehorizon.org

After Sexual Assault. A Recovery Guide for Survivors SAFE HORIZON. 24-Hour Hotline: 212 227 3000. www.safehorizon.org After Sexual Assault A Recovery Guide for Survivors SAFE HORIZON 24-Hour Hotline: 212 227 3000 www.safehorizon.org SAFE HORIZON hopes this guide will help the recovery of anyone whose life has been affected

More information

Finding Balance in Your Grieving. Dr. Jo Christner, Psy.D. The death of your spouse most likely turned your whole world upside down

Finding Balance in Your Grieving. Dr. Jo Christner, Psy.D. The death of your spouse most likely turned your whole world upside down Finding Balance in Your Grieving Dr. Jo Christner, Psy.D. The death of your spouse most likely turned your whole world upside down out of balance. Everything seemed to change in your life especially you.

More information

Delusions are false beliefs that are not part of their real-life. The person keeps on believing his delusions even when other people prove that the be

Delusions are false beliefs that are not part of their real-life. The person keeps on believing his delusions even when other people prove that the be Schizophrenia Schizophrenia is a chronic, severe, and disabling brain disorder which affects the whole person s day-to-day actions, for example, thinking, feeling and behavior. It usually starts between

More information

BRIEFING: COPING WITH SEPARATION

BRIEFING: COPING WITH SEPARATION BRIEFING: COPING WITH SEPARATION BRIEFING TOPICS COMMON FAMILY EXPERIENCES DURING DEPLOYMENT. SIGNS OF ADJUSTMENT PROBLEMS. ASSESSMENT PROGRAMS. RECOMMENDATIONS. MILITARY FAMILIES Military Families Have

More information

PTSD Ehlers and Clark model

PTSD Ehlers and Clark model Problem-specific competences describe the knowledge and skills needed when applying CBT principles to specific conditions. They are not a stand-alone description of competences, and should be read as part

More information

North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon 97210 Tel: 503-291-5300 Fax: 503-291-5303

North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon 97210 Tel: 503-291-5300 Fax: 503-291-5303 North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon 97210 Tel: 503-291-5300 Fax: 503-291-5303 Post-Traumatic Stress Disorder (PTSD) Post-traumatic stress disorder (PTSD)

More information

Trauma and the Family: Listening and learning from families impacted by psychological trauma. Focus Group Report

Trauma and the Family: Listening and learning from families impacted by psychological trauma. Focus Group Report Trauma and the Family: Listening and learning from families impacted by psychological trauma Focus Group Report A summary of reflections and remarks made by Baltimore City families impacted by trauma and

More information

Cardio-Pulmonary Resuscitation (CPR): A Decision Aid For. KGH Patients And Their Families

Cardio-Pulmonary Resuscitation (CPR): A Decision Aid For. KGH Patients And Their Families Cardio-Pulmonary Resuscitation (CPR): A Decision Aid For KGH Patients And Their Families The goal of this pamphlet is to provide information about cardiopulmonary resuscitation (CPR) so you can be adequately

More information

MODULE 1.3 WHAT IS MENTAL HEALTH?

MODULE 1.3 WHAT IS MENTAL HEALTH? MODULE 1.3 WHAT IS MENTAL HEALTH? Why improve mental health in secondary school? The importance of mental health in all our lives Mental health is a positive and productive state of mind that allows an

More information

Coping With Stress and Anxiety

Coping With Stress and Anxiety Coping With Stress and Anxiety Stress and anxiety are the fight-and-flight instincts that are your body s way of responding to emergencies. An intruder crawling through your bedroom window in the dark

More information

Chapter One Love Is the Foundation. For Group Discussion. Notes

Chapter One Love Is the Foundation. For Group Discussion. Notes Group Study Guide How can you learn to speak each of the fi ve love languages with your children and fi ll their love tank? This interactive guide includes study questions and exercises for you, for your

More information

Cognitive Remediation of Brain Injury

Cognitive Remediation of Brain Injury Cognitive Remediation of Brain Injury Amanda Sacks, PhD, ABPP-CN Weill Cornell Medical College Purpose 1. Outline possible cognitive deficits resulting from brain injury 2. Explain the role of cognitive

More information

Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification)

Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification) Community Mental Health Centers (Managing Risks and Challenges) Inpatient Hospitalization (New Hampshire Hospital) (Assessment, Treatment Planning/Discharge) Community, Schools, Cyberspace and Peers (Initial

More information

Psychological Issues in Cancer Survivorship. Dr Andy Ashley Clinical Psychologist South Worcestershire Specialist Palliative Care, 2015

Psychological Issues in Cancer Survivorship. Dr Andy Ashley Clinical Psychologist South Worcestershire Specialist Palliative Care, 2015 Psychological Issues in Cancer Survivorship Dr Andy Ashley Clinical Psychologist South Worcestershire Specialist Palliative Care, 2015 Introduction Cancer deaths are due to fall dramatically by 2030 with

More information

The Doctor-Patient Relationship

The Doctor-Patient Relationship The Doctor-Patient Relationship It s important to feel at ease with your doctor. How well you are able to talk with your doctor is a key part of getting the care that s best for you. It s also important

More information

CHRONIC PAIN AND RECOVERY CENTER

CHRONIC PAIN AND RECOVERY CENTER CHRONIC PAIN AND RECOVERY CENTER Exceptional Care in an Exceptional Setting Silver Hill Hospital is an academic affiliate of Yale University School of Medicine, Department of Psychiatry. SILVER HILL HOSPITAL

More information

THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN. Where Does It Hurt?

THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN. Where Does It Hurt? THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN Where Does It Hurt? Child Abuse Hurts Us All Every child has the right to be nurtured and to be safe. According to: Family Violence in Canada: A Statistical Profile

More information

Sunderland Psychological Wellbeing Service

Sunderland Psychological Wellbeing Service Sunderland Psychological Wellbeing Service Information for Referrers Offering a range of psychological therapies across Sunderland. To make a referral call 0191 566 5454 A partnership between Northumberland,

More information

Background. Provincial Teacher Resource List 2015-2016. Please Note:

Background. Provincial Teacher Resource List 2015-2016. Please Note: Provincial Teacher Resource List 2015-2016 Background The purpose of this list is to help teachers and schools promote a Comprehensive School Health (CSH) approach in a classroom setting. CSH is an internationally

More information

Progression MIDDLE STAGE. What is Alzheimer s disease?

Progression MIDDLE STAGE. What is Alzheimer s disease? Progression MIDDLE STAGE This document is one in a five-part series on the stages of Alzheimer s disease and is written for the person with the disease, their family and caregivers. The middle stage of

More information

Suicidal. Caring For The Person Who Is. Why might a person be suicidal?

Suicidal. Caring For The Person Who Is. Why might a person be suicidal? Caring For The Person Who Is Suicidal For further information see also the following MIND Essentials resource Conducting a suicide risk assessment. Suicidal thoughts and behaviours are not unique to mental

More information

EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY

EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY Traumatic brain injury EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY Traumatic brain injury (TBI) is a common neurological condition that can have significant emotional and cognitive consequences.

More information

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm E-Resource March, 2014 POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm Post-traumatic Stress Disorder

More information

Understanding The Unique Aspects And Challenges Of Living With MS

Understanding The Unique Aspects And Challenges Of Living With MS Connecticut Resident Services Coordinator Training Understanding The Unique Aspects And Challenges Of Living With MS July 23, 2009 Susan Raimondo, Senior Director, Advocacy & Programs National Multiple

More information

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor General uneasiness to panic attacks and phobias Excessive fears and worries, feelings of restlessness Continual

More information

Differences in Behavioral Health Support

Differences in Behavioral Health Support TASK: To determine the difference between a Psychiatrist, Psychologist, Social Worker, Chaplain and Behavioral Health Technician (BHT). CONDITIONS: Discussion Question based STANDARDS: Soldiers will know

More information

Management Assistance Program

Management Assistance Program Management Assistance Program COMMUNICATING WITH EMPLOYEES DURING A CRISIS: How to prepare and help employees cope with a workplace related crisis GOALS: The goal of this module is to provide organizations,

More information

Presented to Compassionate Care Conference By Bill Cross PhD LMFT

Presented to Compassionate Care Conference By Bill Cross PhD LMFT Presented to Compassionate Care Conference By Bill Cross PhD LMFT This is the Perfect Time This is the Perfect Place This is the Perfect Teaching This is the Perfect Teacher This is the Perfect Student

More information

Restorative Parenting: A Group Facilitation Curriculum Activities Dave Mathews, Psy.D., LICSW

Restorative Parenting: A Group Facilitation Curriculum Activities Dave Mathews, Psy.D., LICSW Restorative Parenting: A Group Facilitation Curriculum Activities Dave Mathews, Psy.D., LICSW RP Activities 1. Framework of Resourcefulness 2. Identifying the Broken Contract Articles 3. The Process of

More information

A Carer s Guide to Depression in People with a Learning Disability

A Carer s Guide to Depression in People with a Learning Disability A Carer s Guide to Depression in People with a Learning Disability Fife Clinical Psychology Department Lynebank Hospital Halbeath Road Dunfermline Fife KY11 4UW Tel: 01383 565 210 December 2009 This booklet

More information

How does mental illness interfere with school performance?

How does mental illness interfere with school performance? How does mental illness interfere with school performance? Mental illnesses may interfere with functioning in different ways. Often, the person themselves or the professionals working with them can describe

More information

Helping Returning Veterans Transition to College And get their Financial Aid, too!

Helping Returning Veterans Transition to College And get their Financial Aid, too! Helping Returning Veterans Transition to College And get their Financial Aid, too! Adapted for CCCSFAAA 2015 Conference Deborah Griffin Director, Financial Aid and Veteran Affairs Ohlone College dgriffin@ohlone.edu

More information

Talking to our children about Violence and Terrorism: Living in Anxious times

Talking to our children about Violence and Terrorism: Living in Anxious times Talking to our children about Violence and Terrorism: Living in Anxious times Living in Anxious Times: Introductory Remarks Since the September 11 attack America has changed. Children and adults alike

More information

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological reaction to brain tumour Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological Reaction To Brain Tumour Diagnosis A Key word to understand is Adjustment Adjustment refers

More information

HELPING YOUNG CHILDREN COPE WITH TRAUMA

HELPING YOUNG CHILDREN COPE WITH TRAUMA HELPING YOUNG CHILDREN COPE WITH TRAUMA Disasters are upsetting to everyone involved. Children, older people, and/or people with disabilities are especially at risk. For a child, his or her view of the

More information

Memory, Behaviour, Emotional and Personality Changes after a Brain Injury

Memory, Behaviour, Emotional and Personality Changes after a Brain Injury Memory, Behaviour, Emotional and Personality Changes after a Brain Injury The consequences of a brain injury on any individual, family or relationship are far reaching. A brain injury not only impacts

More information

About Postpartum Depression and other Perinatal Mood Disorders

About Postpartum Depression and other Perinatal Mood Disorders About Postpartum Depression and other Perinatal Mood Disorders The entire period of pregnancy up to one year after delivery is described as the perinatal period. Many physical and emotional changes occur

More information

Anxiety, Fear, and Depression

Anxiety, Fear, and Depression Anxiety, Fear, and Depression Having cancer affects your emotional health A cancer diagnosis can have a huge impact on most patients, families, and caregivers. Feelings of depression, anxiety, and fear

More information

Objective: Identify effects of stress on everyday issues and strategies to reduce or control stress.

Objective: Identify effects of stress on everyday issues and strategies to reduce or control stress. Lesson Plan: Dealing with Stress Objective: Identify effects of stress on everyday issues and strategies to reduce or control stress. Time: 45-60 minutes Structure: On-line homework before class (Stress

More information

COMPREHENSIVE PAIN REHABILITATION CENTER OUTPATIENT PROGRAMS

COMPREHENSIVE PAIN REHABILITATION CENTER OUTPATIENT PROGRAMS COMPREHENSIVE PAIN REHABILITATION CENTER OUTPATIENT PROGRAMS Our comprehensive whole-person rehabilitative services help patients return to an active lifestyle. THE MAYO CLINIC COMPREHENSIVE PAIN REHABILITATION

More information

CHILDREN WITH SPECIAL NEEDS IN DIVORCE

CHILDREN WITH SPECIAL NEEDS IN DIVORCE CHILDREN WITH SPECIAL NEEDS IN DIVORCE Authored by: Sunni Ball, MA DAPA 701 S. Cascade Ave Fax: 719-667-1818 December 2002 Almost one third of all children in the United States under the age of 18 were

More information

Adjusting to Spinal Cord Injury

Adjusting to Spinal Cord Injury Adjusting to Spinal Cord Injury After a spinal cord injury, everyone copes differently with the journey toward psychological healing and adjustment. The topics below will explore common issues and concerns

More information

Sample Letters Death Announcements

Sample Letters Death Announcements Sample Letters Death Announcements Sample Letter to Parents Dear Parents, As you may or may not be aware, our school (or district) has recently experienced (specify event, whether death, fire, etc.) which

More information

Signs of an Abusive Relationship

Signs of an Abusive Relationship Inside This Issue: 1. Signs of an Abusive Relationship 2. How to Avoid Prescription Drug Misuse or Abuse 3. Anger Management Tips: Taming Your Temper 4. For Your Information EAP Services: 1. How to Use

More information

Hospice Care It s About How You Live

Hospice Care It s About How You Live Hospice Care It s About How You Live Beth Mahar, Director of Member Services Hospice & Palliative Care Association of NYS Thank you to: Elizabeth Peters RN The Community Hospice of Columbia/Greene Mission

More information

ADULT CASE MANAGEMENT EXAM

ADULT CASE MANAGEMENT EXAM UTAH DEPARTMENT OF HUMAN SERVICES DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH ADULT CASE MANAGEMENT EXAM Name Examiner s Name Examiner s Signature Date Score This exam is designed to test your knowledge

More information

INTRODUCTION. The Seven Rules of. Highly Worried People

INTRODUCTION. The Seven Rules of. Highly Worried People INTRODUCTION The Seven Rules of Highly Worried People WORRYING IS SECOND NATURE to you, but imagine that someone who has been raised in the jungle and knows nothing about conventional modern life approached

More information

Occupational Therapy Programme Wedge Gardens Treatment Centre

Occupational Therapy Programme Wedge Gardens Treatment Centre Occupational Therapy Programme Wedge Gardens Treatment Centre Occupational Therapy at Wedge Gardens Treatment Centre aims to help patients with substance abuse problems to function as independently as

More information

This brochure suggests some strategies for helping someone you know who is living with a terminal condition. Understanding emotions and feelings

This brochure suggests some strategies for helping someone you know who is living with a terminal condition. Understanding emotions and feelings This brochure suggests some strategies for helping someone you know who is living with a terminal condition. Finding out that someone you know a relative, acquaintance, workmate, or friend - is going to

More information

Helping Children and Youth with Depression Information for Parents and Caregivers

Helping Children and Youth with Depression Information for Parents and Caregivers Helping Children and Youth with Depression Information for Parents and Caregivers What is depression? It is normal for children and youth to feel sad from time to time. But this sadness doesn t stop them

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

Age-Appropriate Reactions & Specific Interventions for Children & Adolescents Experiencing A Traumatic Incident

Age-Appropriate Reactions & Specific Interventions for Children & Adolescents Experiencing A Traumatic Incident The Florida Crisis Consortium is supported by the Florida Dep:ntment ofhealth. Age-Appropriate Reactions & Specific Interventions for Children & Adolescents Experiencing A Traumatic Incident The following

More information

Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too.

Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too. The Family Library DEPRESSION What is depression? Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too. Also called

More information

Bradford University Recovery Summer School

Bradford University Recovery Summer School Bradford University Recovery Summer School The University of Bradford is very pleased to announce that this year a Recovery Summer School will be running from Tuesday 7 th June 2016 until Thursday 11 th

More information

AGING AND LOSS OF INDEPENDENCE

AGING AND LOSS OF INDEPENDENCE AGING AND LOSS OF INDEPENDENCE I can t do as many things as I used to do, but I m now learning to enjoy what I can do. Helen, 78 year-old grandmother Losses occur at every stage in life, particularly in

More information

Postpartum Depression and Post-Traumatic Stress Disorder

Postpartum Depression and Post-Traumatic Stress Disorder Postpartum Depression and Post-Traumatic Stress Disorder Emotional Recovery: Postpartum Depression and Post-Traumatic Stress Disorder By: Lisa Houchins Published: July 23, 2013 Emotions vary widely after

More information

HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES

HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES (2008 Medicare Conditions of Participation for Hospice Care 418.122 (f)) Hospice Philosophy Hospice is a unique concept of care designed to provide comfort

More information

SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW

SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW TABLE OF CONTENTS What is Depression? 4 Symptoms of Depression 6 Substance Abuse as a Coping Mechanism 8 Which Occurs First? 10 Substance Abuse and the

More information

Mental Illness among Trauma-Affected Populations. Paul Bolton, MBBS, DTMH, MPH, MS Bloomberg School of Public Health

Mental Illness among Trauma-Affected Populations. Paul Bolton, MBBS, DTMH, MPH, MS Bloomberg School of Public Health Mental Illness among Trauma-Affected Populations Paul Bolton, MBBS, DTMH, MPH, MS Bloomberg School of Public Health Section A The Nature of Mental Illness after Trauma Leading Causes of Disability in the

More information

Traumatic Stress. and Substance Use Problems

Traumatic Stress. and Substance Use Problems Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

Mental Health Role Plays

Mental Health Role Plays Mental Health Role Plays Goals: To discuss various mental health issues and mental illnesses. To discuss stigma, support and treatment options surrounding mental health issues and mental illnesses. Requirements:

More information