Treatment

An Interview with Sheila Balkan: Criminologist and Court Consultant

Addiction often leads people to become involved with the court system—through a DUI, forging prescriptions, or other situations that stem from the desperation that can surround drug and alcohol addiction. It can be incredibly difficult to face the many adverse elements of addiction when you are not only accountable to yourself and your family, but also to the court system. At Promises Treatment Centers, that’s where Dr. Sheila Balkan steps in.

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Model Mental Health Care Program Effective in Helping Inmates upon Release

The Substance Abuse and Mental Health Services Administration (SAMHSA) has published a new study on the success of a model program that helps individuals with serious mental illnesses enroll in Medicaid upon release from a correctional facility. The model assistance program took place in Oklahoma and was designed to strategically collate local, state, and federal resources to help enroll eligible inmates with mental illnesses in the Medicaid program upon the day of their discharge. At the end of SAMHSA’s study, Medicaid enrollment among this population increased by 15 percent. In general, the ability to obtain health care coverage for those who suffer mental illnesses and have a criminal history tends to be quite difficult. Yet SAMHSA’s model program efficiently increased the likelihood of ex-offenders accessing mental health services by eliminating obstacles for health insurance enrollment.

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Changing Way of Thinking is Key to Battling Depression

Moderate to severely depressed clients showed greater improvement in cognitive therapy when therapists emphasized changing how they think rather than how they behave, new research has found.

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Telephone Therapy Almost as Effective as Face-to-Face Therapy for Depression

Treating clinical depression on the telephone is nearly as effective as face-to-face consultations, a new Brigham Young University study has found. The trial run included 30 people newly diagnosed with major depression. Instead of eight scheduled visits to the clinic, the participants covered the same material during a series of phone calls with the therapist. Calls varied in length, ranging from 21 to 52 minutes. The patients did not receive antidepressant medication.

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Magnetic Stimulation May Be Successful as Depression Treatment

Some depressed patients who don’t respond to or tolerate antidepressant medications may benefit from a non-invasive treatment that stimulates the brain with a pulsing electromagnet, a study suggests. This first industry-independent, multi-site, randomized, tightly controlled trial of repetitive transcranial magnetic stimulation (rTMS) found that it produced significant antidepressant effects in a subgroup of patients, with few side effects.

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Psychological Acupuncture Helps Reduce Food Cravings

Psychological acupuncture has been shown to be successful in reducing food cravings for up to six months in people who are overweight or obese. The technique combines gentle tapping on pressure points while focusing on particular emotions and thoughts. Psychologist Dr. Peta Stapleton of Griffith University’s School of Medicine said the technique was painless and easy to learn.

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Doctor Warns Against Using “Natural” Anxiety Treatments

In a broad-based review of studies focused on drugs that treat anxiety, a Saint Louis University doctor found no evidence supporting the use of so-called “natural” treatments in combating the effects of anxiety.

St. John’s wort, kava extract, and valerian, herbal remedies touted on the Internet, have not been proven to be effective in treating anxiety, wrote Kimberly Zoberi, M.D., associate professor of family and community medicine at Saint Louis University School of Medicine. She also raised concerns about the safety of valerian, saying that there is a lack of any long-term studies of the herb.

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Therapy via Teleconference Proves Effective

New research finds that obtaining therapy via teleconference is just as effective as face-to-face sessions. “Previous studies have shown that phobia therapy via teleconferencing was just as efficient as face to face contact,” says lead researcher Dr. Stéphane Guay, a psychiatry professor at the Université de Montréal who is also director of the Trauma Studies Centre at the Louis-H. Lafontaine Hospital’s Fernand-Seguin Research Centre. “We wanted to see if the process could also be used for post-traumatic stress treatment.”

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An Interview with Lee FitzGerald: Director of Clinical Outreach at Promises

Five years ago, Lee FitzGerald had made up her mind that she was moving to Australia to open a bed and breakfast. But before she left, a friend suggested that she apply for a new opening at Promises Treatment Centers. Lee responded that she didn’t want a job as she was moving, but she ended up submitting her resume.

Promises staff instantly loved her and wanted to hire her on the spot, but she was told she needed to meet the founder and former owner of Promises, Richard Rogg. When she arrived to meet with him, she recognized him from her Saturday group meetings. “Are you applying, too?” she asked him. Richard laughed and explained that he owned the place. Lee was shocked as he had never shared this in any group meetings over the years; she was so impressed by his humility—and by Promises as a whole—that she immediately accepted the job as a Marketing Representative. Five years later, she is now the Director of Clinical Outreach.

“I’m in recovery—in three weeks I’ll have 10 years. Before I started working at Promises I owned a marketing company. But after getting sober, I realized that I needed to be of service to others, and I didn’t feel that I was helping others in the marketing field, so I sold the company to my business partner. I had started a sober volleyball team, and one of the members told me about a job opening at Promises. When I resisted, he told me that the job seemed made for me, as it was a marketing position where I could help other people in recovery. After interviewing with Richard, I knew I was meant to stay here and work for Promises instead of moving to Australia, and I’ve been here ever since,” Lee explained.

In her position as Director of Clinical Outreach, Lee, who is a CADC (California Association of Alcohol and Drug Counselors) and a BRI (board-registered interventionist), oversees alumni services and plans alumni events; heads up a quarterly newsletter, which is sent out to all Promises alumni; organizes a monthly advisory board, where alumni discuss ways to improve the programs at Promises; surveys alumni weekly, bi-weekly, and monthly to check on their aftercare; and sets up speaking conferences for Promises staff.

“I reach out to alumni, doctors, hospitals, other treatment centers, interventionists, therapists, holistic healers, and more. I’ll arrange dinners or other meetings with the potential referral source because we don’t want to send our clients to people we haven’t met. We want to make sure they adhere to the 12-step model and the same treatment modalities as we do,” Lee said.

Lee also runs a not-for-profit treatment center for women in Nepal. She traveled to Nepal with a friend for three weeks and volunteered to help addicted women, who have little support in Nepal. Together they started the first Narcotics Anonymous group for women on the outskirts of Kathmandu. “Alcohol isn’t very prevalent there because it’s so expensive, but poppies grow on the side of the road so heroin is very popular,” Lee explained, adding that the program also provides clean needles. “We hope that when women come to the Drop-In Center to get clean needles, they’ll see all the other women who have gotten clean and are in NA meetings, and they’ll want to get clean too.” Lee explained that one of the women spoke English and was her translator, and Lee still sponsors her via email. “I ship books over there to keep them well stocked and educated, and we’re opening another center in Dharan, a small town south of Kathmandu.”

Lee explained that volunteer work is an important part of Promises. Female clients help out at Miriam’s House, which is a recovery home for mothers and their children, and clients also help out at the Venice Community Housing Corporation, which houses homeless people. “When clients come back from doing service work they tend to feel a lot of gratitude for what they have. Most of our clients haven’t been homeless, so when they see others in that situation, it makes them feel grateful,” Lee said. “Richard Rogg instilled the importance of being of service to others in everyone who works here or comes through here—he’s helped countless people. The idea behind Promises is that this is your home, and we will always open the door for you.”

“Being of service to others is one of the most important parts of recovery. I see some people in meetings that are very lonely, and I’ll invite them to events or ask them to play volleyball, or I’ll introduce them to other clients who are having a hard time,” Lee said. “I also sponsor people whenever they ask me, and I never say no to speaking. The premise of the program is that if you don’t help other people, you can’t help yourself.”

Lee added that she believes the staff at Promises makes it stand out from other treatment centers. “Promises has a great reputation, and we make our clients feel special. About 90 percent of our staff is in recovery, so we know what it’s like to be in the clients’ shoes. Adhering to our original modality and the 12-step model is also important—we’re not about harm reduction. If someone is resistant to the 12 steps, we can help ease them into it,” she said. “Our 24-hour admissions policy is also great. We’ll take a call at any time—addiction doesn’t take a weekend.”

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Vitamin D May Lift Spirits in Cold Weather

A daily dose of vitamin D may just be what people in northern climates need to get through the long winter, according to researchers at Loyola University Chicago Marcella Niehoff School of Nursing (MNSON). This nutrient lifts mood during cold weather months when days are short and more time is spent indoors.

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