Tag: Brandon School-Based Health Services

Joyce Wilson, FN-P, named Director of Brandon School-Based Health Services

Joyce Wilson, FN-P, named Director of Brandon School-Based Health Services

Due to growth in Barbour Community Health Association’s (BCHA) school-based clinic, a School-Based Health Services Director is needed to oversee staff and operations. Recently, BCHA appointed Barbour County native and longtime BCHA nurse practitioner, Joyce Wilson, FN-P, to fill the new position of School-Based Health Services Director for Barbour County Schools.

We chatted with Wilson about this new position and what she hopes to offer to Barbour County students and staff. Read below to learn what she said about this exciting and unique opportunity.

What does your new role with School-Based Health Services entail?
I will oversee the clinics in the county schools and AB Wellness Center on Alderson Brouadus’ campus. My managerial duties will include ensuring evaluations are completed, approving time-off requests, and maintaining a relationship between the school clinics and the board of education.

What experience do you have that qualifies you for this role?
I have over 30-years of experience as a nurse with the last 10 of those years being spent with BCHA. I earned an Associate of Science in Nursing from Davis and Elkins College, a Bachelor of Science in Nursing from Alderson Broaddus College, and a Master of Science in Nursing from the University of Pittsburgh School of Nursing.

I really feel that my education and experience in the healthcare field has set me up to be successful in this new role.

What are your goals for the next six months/year for Brandon School-Based Health Services?
I really want to revisit and rewrite some of the policies so they are complicit with all the schools under BCHA’s umbrella. Many of the policies need to be updated since we started the school-based clinics in the school system.

What do you hope to bring in this new role for School-Based Health Services?
I hope to continue bringing positivity and care to the students in all the schools, and I hope that they feel that they are being looked after.

I also want to be connected with the board of education to ensure that we’re being complicit with policies and caring for students in the schools to the best of our ability.

What do you enjoy about working at BCHA/Brandon School-Based Health Services?
I’ve been with BCHA for roughly 10 years now, and they are truly a place that cares for their employees and patients.

You can learn more about the school-based clinics here.

What is a Case Manager?

What is a Case Manager?

At Barbour Community Health Association, we not only prioritize a patient’s physical health, but also their mental wellness.

Mental health is so, so important to a person’s daily life – whether it’s maintaining relationships, creating healthy family and work life balance, improving emotional health or overall quality of life.

That’s why we ensure we have the best behavioral health team that offers care and compassion to each individual who walks through the door. Our team also includes expert therapists who are specialized in various behavioral health treatment areas, including: anxiety, depression, mood disorders, substance abuse and many more mental health needs.

Our team also includes case managers who maintain a rapport and working relationship with each patient who may identify with a mental health concern.

Let’s learn a bit more about case managers and their important role in the behavioral health field.

Why are case managers needed?

Case managers often assist patients in connecting them with tools and resources that can benefit and improve their quality of life. They assist in the very important process of managing care to ensure that the patients’ individual needs are being met in the best way possible. They work directly with each patient from the beginning of behavioral health treatment services until completion.

What are our case managers responsibilities?

Case managers help in various ways, including:

– Providing patients with resources, which may include linkage and referral to outside community, treatment and support agencies.
– Coordinating patient appointments.
– Providing compassion and support to all patients via telephone or in person.
– Assisting with coordination of patient health insurance benefits.
– Working with the patient’s licensed health care provider to ensure behavioral health treatment efficiency and service delivery.

What is the difference between a case manager and a therapist?

Barbour Behavioral Health case managers are the initial point of patient contact, and provide support and information regarding available treatment options. Often case managers are referred to as the safety net that helps to catch patients who are in need. They are appointed to a patient to help assist in a smooth recovery throughout treatment with their licensed provider. Case managers communicate with patients in between provider appointments as needed for additional support.

A therapist works with the patient in identifying areas of concern, symptoms, diagnosis and strengths in order to develop personalized treatment goals which can be achieved within the therapeutic process. A therapist helps the patient in treating the underlying cause of symptoms for increased quality of life through various evidenced-based clinical practices, or interventions.

Both aim to ensure that patients are working toward achieving the best version of themselves.

What is the education of our case managers?

Barbour Behavioral Health case managers have a minimum 4-year undergraduate college degree in a human services related field.

At BCHA, we value our case managers, who are dedicated to our patients and their wellbeing.

For more information on behavioral health services, please call 304-823-4000.

Your Guide to EMDR with Robert Kiser, M.A., MT-BC, NCC, LPC, ADS, ALPS

Your Guide to EMDR With Robert Kiser, M.A., MT-BC, NCC, LPC, ADS, ALPS

Starting new therapy for mental health needs can be a daunting task, especially if you’ve tried several types of therapy with minimal to no success in the past. That’s where the staff at Barbour Community Health Association can help. Our providers are now offering Eye-Movement Desensitization and Reprocessing (EMDR) therapy for patients that can help with a number of conditions. Neurobehavioral psychotherapist, Robert Kiser, M.A., MT-BC, NCC, LPC, ADS, ALPS, sat down to give us an in depth understanding of this innovative type of therapy. Read on to learn more about EMDR and find out if you or a loved one may be a good candidate for this type of therapy.

  1. What is EMDR?

EMDR is an acronym for Eye-Movement Desensitization and Reprocessing therapy, an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. EMDR therapy is a set of standardized protocols that incorporates elements from many different treatment approaches. EMDR is recognized and recommended as an effective treatment for trauma by a wide range of organizations, including: The World Health Organization, The Substance Abuse and Mental Health Services Administration, Department of Veterans Affairs and Defense, International Society of Traumatic Stress Studies, and the American Psychiatric Association.

  1. How do you start the process? Is there an assessment process before patients begin EMDR treatment?

If you and/or your medical provider feel that EMDR treatment may be right for you, a referral for Behavioral Health assessment can be initiated directly from your medical provider to our Behavioral Health team, and a Behavioral Health case manager will contact you to set up an initial information gathering appointment soon after. You may also contact Barbour Behavioral Health yourself by calling 304-823-4000 (Belington Medical Clinic location) or 304-457-0057 (Myers Clinic location) to schedule an appointment. All Behavioral Health patients enrolled with our agency will receive a proper and thorough assessment so that we can make sure your care is designed and managed with the best possible outcomes for you in mind. 

  1. How does EMDR help patients? What are the benefits?

The purpose of EMDR is to alternately activate both the right and left hemispheres of the brain through either visual, tactile, auditory, or a combination of these stimuli. The bilateral stimulus “jumpstarts” the physiological information processing system inside of the brain. This allows the clinician to work with the patient in processing distressing experiences and associated memories, thoughts, feelings, and body sensations in a more organized way. The therapy will work to desensitize or “neutralize” undesirable symptoms the patient experiences resulting from traumatic experiences through the combination of dialogue with the clinician and stimulation that the patient receives over time. As an added bonus, many patients report that these symptoms often do not return or are quite significantly diminished to much more manageable levels, because the brain and body have been able to work together in such a meaningful and connected manner. Additionally, EMDR treatment often takes much less time to complete than conventional psychotherapeutic treatment approaches, making it more cost effective for patients, while working well for busier lifestyles.

  1. What can patients expect from EMDR therapy?

Let’s face it, coming to someone to share very sensitive and important information which may have made us feel any combination of vulnerable, scared, hurt, embarrassed, ashamed, unloved, or unsafe can seem quite daunting and even downright impossible. This is why a more current clinical approach to EMDR treatment involves adequately preparing patients to process distressing concerns at their own pace, by ensuring that their feelings of safety and ability to regulate strong feelings and sensations confidently and successfully are first met. When the patient and clinician decide that it is time to move forward with reprocessing traumatic events, this too is done with the patient always in control of his or her treatment. The clinician will work with the patient at his or her pace and build toward the desensitization and reprocessing of traumatic experiences thoroughly and completely, when ready. Your clinician will take great care in getting to know you, on your terms. Afterall, the purpose of receiving treatment is to feel better, right? Your clinician knows this and wants you to feel as comfortable as possible throughout the treatment experience. EMDR treatment is like a “workout” for your brain as strengthening and resiliency gradually occur, so some stronger feelings or sensations may arise from time to time, which is completely normal and oftentimes an indicator that the treatment is working. If at any point a patient feels that a “break” from reprocessing is needed for any reason, your clinician will listen to you and facilitate this.

  1. What behavioral health conditions does EMDR treat?

EMDR has been utilized for rather expansive treatment populations and symptom concerns with high success. EMDR can be used with children, adolescents, and adults. Some conditions and areas which are commonly treated in EMDR include: Post Traumatic Stress (PTSD), panic attacks, phobias, nightmares, performance and social anxiety, complicated grief, adjustment disorders, disturbing memories, stress reduction, decision-making, sexual and/or physical abuse, neglect, pain, somatic disorders, personality disorders, as well as part of addiction treatment. 

  1. What other treatments can patients use alongside EMDR?

EMDR itself utilizes an Adaptive Information Processing (AIP) model approach to treatment. However, EMDR therapy integrates elements of other psychological theories and psychotherapies (i.e. Cognitive-Behavioral, Psychodynamic, Mind-Body, Person-Centered, etc.) into a standardized set of procedures and clinical protocols. At Barbour Behavioral Health, EMDR is also oftentimes incorporated with our neurobehavioral patients also receiving certain types of neurotherapies.

  1. Does EMDR work for everyone?

EMDR works well with most patients, however there can be various clinical factors which would make EMDR an ineffective or inappropriate treatment approach for certain individuals. If EMDR is not determined to be the best treatment approach for you by your licensed clinician, other treatment or clinical recommendations will be discussed. 

Our talented team is always working hard to make sure we have solutions for every individual who comes into our clinic. For more information on EMDR therapy or to schedule an appointment with one of our Behavioral Health providers, call Barbour Community Health Association at 304-823-2800.

Talking about Teen Depression with Linh Pham, LGSW

Talking about teen depression with Linh pham, lgsw

Depression is a disease that does not discriminate. It can severely affect anyone at any time in their life. And since the start of the COVID-19 pandemic, more and more people are struggling with the effects of depression.

About 20 percent of teens experience depression before they reach adulthood and only about 30 percent are being treated for the disease. These numbers are staggering and heartbreaking.

As a behavioral health therapist, I have worked with teens who have struggled with depression, and I have talked with families who missed the signs that their teen was suffering.

I don’t point fingers at parents because these signs can be difficult to see as many symptoms can mimic “teenagers being teenagers.” However, parents need to know when it’s time to intervene.

Some of the signs I tell parents to look out for include low energy, low self-esteem, eating and sleeping disturbances, self-harm, suicidal thoughts, suicide attempts, and hopelessness. If you find your teen is not enjoying activities they used to or if your teen is isolating from others that can be a major sign. If your teen is showing signs of excessive work, anger issues, slacking off in school or ‘masking’—acting as if everything is fine, it may be time for you to chat with your teen about what’s going on.

What can lead a teen into depression?

There’s a number of factors that should be considered, like low self-esteem.
Low self-esteem can be caused from lacking a healthy support system—many teens don’t have a person they can trust and share their struggling stories with. Sometimes friends can’t be trusted as they are seen as “fake,” and teens are not talking with parents because they would feel that they would be ‘yelled’ at or dismissed. Which I find disheartening. Teens need somebody to tell them, “it will be okay,” that they are doing their best, that they are beautiful and kind.

Teens in the foster care system are at risk of low self-esteem and depression also. It is hard to keep track of all the changes as teens move from one home to another. In time, they lose the sense of who they are, where they belong and how their future would look. This makes it difficult for them to feel good about themselves in their current situation.

Bullying can lead to low esteem. Teens suffering from bullying are made fun of by classmates who are immature, lacking empathy, and kindness to others.

Social media has a huge impact on the way teens feel about themselves. Constantly comparing yourself to others can certainly lead anyone to poor self-esteem.

Sibling rivalry is a common situation that can lead to teens feeling bad about themselves. Siblings often compare each other on their academic performance, sport, hobbies, friends, etc.

Athletes can also struggle with low esteem. These are the ones that usually are seen as confident, strong, ‘cool kids,’ but they struggle so much to live up to that, together with strict practice and diet routine that time and meeting expectations from various people.

Creating a positive home environment for your teen.

A teen’s environment at home and the way their family interacts with one another can lead to depression and other forms of mental illnesses. Teens need a healthy routine in place and a family atmosphere that enjoys experiencing life together rather than ‘just sitting around.’

Teens need a balance of responsibility in the house. What I usually see is the teen either doesn’t have any responsibility in the house or constantly get nagged for not finishing everything on their chore list.

Teens struggling with their parents’ divorce or separation, being taken away from family due to civil CPS cases, moving between foster homes, and changing schools can all lead to mental struggles.

Meeting a parent’s expectations.

Teens suffering from depression usually prefer to do what they think their parents or caregivers want them to do. This can lead to teens stressing out easily as soon as they recognize they don’t do things good enough whether it be academic performance, sports, or any other extracurricular activities.

Sometimes depression in teens can be hereditary. Especially in West Virginia, it is very common for depression to run in the family.

I often get asked, when or how do I approach my teen if I think they are depressed.

It’s important to reach out when you notice your teen’s behavior is ‘off.’ Signs such as eating less or more, sleeping too much, or having a hard time sleeping/falling asleep/staying asleep, getting ‘moody’ more than normal or getting agitated/angry more easily than normal with more intensity, if you find they are isolating themselves more than normal, their grades dropping, if you notice your teen wearing long sleeve shirts, long pants, hoodies in an inappropriate weather temperature they could be self-harming and trying to hide something like cutting marks mean it is time to get your teen help.

If you are not sure about how your teen is doing, you can approach their friends, ask school staff (bus driver, secretary), ask teachers, school counselor/therapist/social worker, and even the principal to see how you child is doing.

How to get your teen help?

• If your teen already has an established primary care physician, make an appointment for a wellness checkup and general assessments for depression and anxiety and referral to behavioral health.

• Parents or teens can also talk with a school counselor or principal for resources of school-based behavioral health services.

• Look for community behavioral health agencies, like the Barbour County Health Association’s Behavioral Health team, and make an appointment for intake.

If you have questions or concerns about your teen, please reach out to your provider for info on the next steps to get your teen help.

Brandon School-Based Health Services: Serving Barbour County Schools

Brandon School-Based Health Services: Serving Barbour County Schools

Barbour Community Health Association consistently looks for opportunities to improve and expand services to all Barbour County residents. In fact, BCHA’s school-based program was recently contracted by the Barbour County Board of Education to begin providing both medical and behavioral health services in all Barbour County Schools.

These additional services to students are sure to be a great advantage for not only the student(s), but families, staff and teachers.

Here’s everything you need to know about the school-based program and the recent expansion.

When did the Barbour County Board of Education decide to partner with BCHA?
In August 2020 the Barbour County Board of Education accepted BCHA’s proposal that emphasizes every child, family, and school staff member in Barbour County should have access to medical and behavioral health care through a school-based health clinic.

What is the purpose of a school-based health program?
School-based clinics are utilized for both immediate-care services, such as minor injuries or diagnosis and treatment of various health conditions, as well as preventative services, such as health screenings, weight management, and providing health education to the students and staff.

By offering these services to all Barbour County Schools, students and families now have easy access to health and wellness.

What services are offered through school-based health services?
Both physical and behavioral services are offered through the school-based program, including:
Routine check-ups, vaccination, sports physical exams, chronic conditions management, acute care, individual/group/family therapy, psychological testing, psychiatric evaluations and medication management.

What does the contract between BCHA and the board of education indicate about the expansion?
Under the contract, the Brandon Wellness Center at Philip Barbour High School would continue to be the central hub and first point of contact for behavioral health referrals or questions from the community. A full-time licensed mental health provider will remain at that location as well as a case manager to provide support to both the medical provider and the school.

The contract now includes adding two additional licensed mental health providers, one to serve Philippi Elementary, Philippi Middle, and Kasson Elementary/Middle and one to serve Belington Elementary, Belington Middle, and Junior Elementary. A full-time manager will also be on site for support. BCHA also employs two doctoral level psychologists and a psychiatric nurse practitioner that will be available on an as needed basis for specialty services.

Barbour Community Health Association will also assign one licensed medical provider, and a nurse to these additional locations, with a rotating schedule to best accommodate the needs of each individual school.

Will these services be monitored?
To ensure services are effective and adequate, BCHA will meet with school officials every 90 days to discuss how the program has been going and to troubleshoot any barriers or issues that may arise.

By introducing this expansion, BCHA’s goal is to provide quality care for the wellbeing and health of the children and families of Barbour County. For more information on services, contact Brandon Wellness Center at (304) 457-4000.

HPV Vaccination: What You Need to Know

HPV Vaccination: What You Need to Know

January is recognized as Cervical Cancer Awareness Month. During this month, BCHA sets out with the intention of raising awareness of the preventable cancer. To provide our patients with education about prevention, screening options and treatments, we sat down for a Q&A with Jenniver Duvall, PA-C at BCHA.

Why should you get your teenager’s HPV vaccinations?

Human papillomavirus (HPV) is the most common sexually transmitted infection in the US and the vaccine protects against particular strains of it. Nearly 80 million Americans are currently infected with HPV and approximately 14 million people become newly infected each year.

How is it cancer protection?

HPV is known to cause cancers of the throat, cervix, vagina, vulva, penis, and anus. Since the vaccine can protect against certain high risk strains of HPV, it can prevent more than 90% of HPV cancers.

What ages should your child get their vaccinations?

Ideally, Gardasil is given to boys and girls between the ages of 11-12 before being exposed to HPV. The body’s immune response to the vaccine seems best at this age range. It can be given as early as nine years of age.

What if you missed your HPV vaccination during childhood? Can a patient catch up?

Yes, it should be given as soon as possible followed by the appropriate immunization schedule. It is given in a series of two or three doses, depending on the age it is started. The vaccine is recommended for ages 9-26, even if the individual has already been diagnosed with HPV. Some adults between the ages of 27-45 may benefit from vaccination depending on risks for new HPV infections. They can discuss this with their healthcare provider.

What else should patients know about cervical cancer and the HPV vax?

For most women, HPV will go away on its own; however, if it does not, there is a chance that over time it may cause cervical cancer.

Some things that increase your risk of developing cervical cancer are being immunocompromised, smoking, being on birth control pills for five or more years, and giving birth to three or more children.

Cervical cancer may not cause any signs or symptoms. Advanced cervical cancer may cause abnormal bleeding or discharge.

Cervical cancer is the easiest gynecologic cancer to prevent with regular screening tests and follow-ups. It also is highly curable when found and treated early. However, each year, approximately 12,000 women in the United States are diagnosed with cervical cancer and more than 4,000 women die.

Getting the vaccine does not eliminate the need for cervical cancer screening.

HPV has been recommended since 2006 and has proven to be safe and effective. However, there are some people that should not get the vaccine, such as people with a life threatening allergic reaction to any ingredient of HPV or to a previous HPV vaccine, people who have an allergy to yeast, or people who are pregnant.

The Vaccines for Children (VFC) program provides vaccines at no cost to children ages 18 years and younger who are uninsured and Medicaid-eligible.

What screening options does BCHA have for cervical cancer?

BCHA offers PAP tests and HPV testing. We start screening PAP tests at 21 and HPV testing at 30.

To help prevent false-negative or false-positive results, you should avoid douching, sexual intercourse, and using vaginal medications or hygiene products for two days before your test.

If you have a low income or do not have insurance, you may be able to get a free or low-cost cervical cancer screening test through the National Breast and Cervical Cancer Early Detection Program or Family Planning.

If you have questions or would like to learn more, contact BCHA today. 

Have a Teenager Going Off to College? Take These 3 Health Steps Before They Leave

Have a Teenager Going Off to College? Take These 3 Health Steps Before They Leave

Summer has passed. Now, it’s time for your not-so-little child to fly the coop and brave the world of higher education.
Sending your child off to college can be stressful for both you and the upcoming freshman. From scheduling classes and familiarizing yourselves with the college town, prepping for life after high school can seem a bit for overwhelming and chaotic. This can lead to certain important aspects being forgotten — like your child’s healthcare while they’re away from you.


Below are a few health steps to follow as your child moves onto higher education.

1. Discuss dosage and the dangers associated with medication: For most teens, parents/guardians typically handle any medications that are prescribed. But, not when they’re on their own. Talk to your teen about the dangers associated with mixing medications with one another – over the counter or not, and the effects that prescriptions can have when mixed with drugs and alcohol. Reading dosage instructions on over the counter or prescribed medications should be taken seriously as well. For your daughter, talk with her about how antibiotics cancel out the effectiveness of birth control.

2. Send them off with the proper health information: It may be helpful for your teen – and give you some relief – if they have all health-related information typed up or programmed in their phone. Be sure to included insurance information, a list of current prescriptions and dosages, medication or other allergies, urgent care name, number and address and contact info for the campus health center.

3. A first aid kit will come in handy: Your teen will probably think your overpacking for them, but at some point, that last minute first aid kid will be needed. Be sure to include band aids, gauze, antibiotic ointment, ice packs, a digital thermometer, acetaminophen and any other items you deem necessary. If you want to add a little something extra, create a ‘sick’ kit for when your teen turns under the weather. Soup, crackers, tea bags and Pepto Bismol may just be what your kid needs to feel at home while they’re sick at college.

These are just a few helpful tips that will help with you and your child’s transition. The last tip would be to trust that you have taught and guided your teen into a smart college student. Remind your freshman if they have any questions related to their health or prescriptions that you are only a phone call away! For any serious medical concerns about your child going off to college, you should consult with their doctor for more information.

Is your freshman headed to Alderson-Broaddus?
The AB Wellness Clinic is located on the ground floor of Burbick Hall, making healthcare services convenient for every Alderson-Broaddus student, faculty and staff member. For more information, please stop by or call 304-457-0400.

Prepare Your Child for a Safe School Year with These Tips

Prepare Your Child for a Safe SCHOOL YEAR with These Tips

This year has certainly been a challenging one. With the spread of COVID-19, Americans have had to make changes and adjustments in their day-to-day life. From losing their job or working from home to limit the spread, many have had to make sacrifices to keep themselves and loved ones safe.

Now, it is back-to-school season, and many are on edge about returning to “normal”, or more so adjusting to a new normal. Both students and parents/guardians are going through the emotions and thoughts that are “let’s get back to school” but also “how do we keep our kids safe?”

As the school year is quickly approaching, here are some tips on how to ease your mind and prepare your child for a safe semester.

 

  1. Prepare your child for a new set up.

Many school districts are implementing new regulations to keep students, teachers, and staff safe and well. School rooms and lunch areas may look different with safeguards in place. It’s probable that students will not be able to gather or converse next to each other and after school activities may be limited as well. Explain to your child that these procedures are only to limit and prevent the spread of COVID-19. These new changes may be difficult for your child to adapt to, but it’s important that they understand the reasoning behind the regulations.

 

2. Promote mask wearing.

The CDC recommends that everyone wear a mask or face covering to limit the spread of COVID-19. Masks may slow the spread of the virus and keep people who may have the virus and do not know it from transmitting it to others. Because of the CDC recommendations, many school systems require that students, teachers, and staff wear a mask when in the building. This can be frustrating to students, especially younger children. Explain to your child that mask wearing is a necessity for their safety and their family’s. There are tons of masks available with various prints and designs to accentuate your child’s style. Perhaps, allow your child to choose a few of their favorites for the school year.

 

3. Educate your child on social distancing & proper hygiene.

As schools begin to open, physical distancing from others will be a top priority for school administration. Like mask wearing, you should educate your child on the importance of social distancing. If you’ve been following the CDC guidelines, social distancing should not be new to your child; however, it may be difficult for them to grasp in a school setting. Explain that physical distancing is just as critical in school as it is in a grocery store and will keep them, their friends, favorite teachers, and family safe.

Regular hand washing should also be encouraged, especially since school is back in session. Send your child to school with their own personal hand sanitizer and explain that they should use it often when hand washing is not available.

 

4. Listen to your child’s concerns.

This school year can be scary for many. Parents have their concerns about their child’s safety and education. But understand that your child also has their own worries. If your child is expressing concern, listen and try to ease their worries. Also, it should be noted that some school districts are allowing students to take courses online. This may be an alternative option to consider that can benefit your child and your family as well. 

 

There’s no doubt that 2020 has been quite a year for the books. And with the increasing number of COVID-19 cases in the U.S., many are still left uncertain about the rest of the year and the following years. With that said, many are preparing to adjust to a new set up — jobs, income, home care and school.

We hope these tips will help you prepare for the upcoming modified school year.