Asking for what you need is probably the most underutilized tool for people. And yet, amazing requests have been granted to people simply because they've asked for it!
Whether its money, information, support, assistance, or time, most people are afraid to ask for what they need in order to make their dreams come true.
They might be afraid of looking needy, ignorant, helpless, or even greedy. More than likely though, it is the fear of rejection that is holding them back. Even though they are afraid to hear the word no, they're already saying it to themselves by not asking!
Do you ask for what you want or are you afraid of rejection?
Consider this: Rejection is just a concept. There is really no such thing as rejection! You're not any worse off by hearing no than you were before you asked. You didn't have what you asked for before you asked and you still don't, so what did you lose?
Being rejected doesn't hold you back from anything. Only YOU hold yourself back. When you realize that there's no merit to rejection, you'll feel more comfortable asking for things. You may just need a bit of help learning how to ask for what you want.
How to Ask for What You Want
There's a specific science to asking for and getting what you want or need in life. And while I recommend you learn more by studying The Aladdin Factor, here are some quick tips to get you started:
1. Ask as if you expect to get it. Ask with a positive expectation. Ask from the place that you have already been given it. It is a done deal. Ask as if you expect to get a "yes."
2. Assume you can. Don't start with the assumption that you can't get it. If you are going to assume, assume you can get an upgrade. Assume you can get a table by the window. Assume that you can return it without a sales slip. Assume that you can get a scholarship, that you can get a raise, that you can get tickets at this late date. Don't ever assume against yourself.
3. Ask someone who can give it to you. Qualify the person. Who would I have to speak to to get...Who is authorized to make a decision about...What would have to happen for me to get...
4. Be clear and specific. In my seminars, I often ask, "Who wants more money in their life?" I'll pick someone who raised their hand and give them a quarter, asking, "Is that enough for you?" "No? Well, how would I know how much you want. How would anybody know?"
You need to ask for a specific number. Too many people are walking around wanting more of something, but not being specific enough to obtain it.
5. Ask repeatedly. One of the most important Success Principles is the commitment to not give up.
Whenever we're asking others to participate in the fulfillment of our goals, some people are going to say "no." They may have other priorities, commitments and reasons not to participate. It's no reflection on you.
Just get used to the idea that there's going to be a lot of rejection along the way to the brass ring. The key is to not give up. When someone says "No"-- you say "NEXT!"
Why?
Because when you keep on asking, even the same person again and again...they might say "yes"...
...on a different day
...when they are in a better mood
...when you have new data to present
...after you've proven your commitment to them
...when circumstances have changed
...when you've learned how to close better
...when you've established better rapport
...when they trust you more
...when you have paid your dues
...when the economy is better
...and so on.
Kids know this Success Principle better than anyone. They will ask the same person over and over again without any hesitation (can you relate!).
Getting a good perspective on rejection and learning how to ask will make a world of difference for you as you work toward your goals. Practice asking and you'll get very good at it! You'll even speed your progress by getting what you need, or improving yourself in order to get it later.
Make a list of what you need to ask for in all areas of your life, and start asking.
Remember, ANYTHING IS POSSIBLE... if you dare to ask!
Wednesday, December 30, 2009
Tuesday, December 29, 2009
Childhood Psychiatric Diseases
I think the article was informative and needed. While I recognize there are abuses of systems that are fueled by greed, incompetence, lack of funding, and lack of education, there is also a lot of very good work going on to help children with a variety of mental health problems. There are also many children that do not get the help they need because of stigma, lack of adequate health insurance coverage, and lack of parity of mental health with physical health. Until we make mental illness as high a priority as cancer in research, training, funding, and access to care, there will be horror stories like the above to tell.
We need to not forget that like medicine, psychology, psychiatry, and mental health are developing fields. Therefore, what we do not do well today, we will do better tomorrow. Discussions like these, hopefully, will spur us to continue to search and prod others for better answers.
We must also remember that humans are very complex and answers for their problems will often not lie in one little box and often, not the first box you look in. It will be the combination of physical, mental, environmental, family, and spiritual answers, interventions, and changes that will help big people and little people heal from all kinds of illnesses. This is where one hand can help the other.
Here's to a better tomorrow.
Kathryn Seifert, Ph.D.
Read the Article at HuffingtonPost
Wednesday, December 23, 2009
Simple Suggestions for a Happier Holiday – Less is Often More in Making Holidays More Meaningful
• Studies suggest that Christmas, more than other holidays of the year, finds our personal spirit affected by physical and emotional stress that can wreak havoc on our interpersonal relationships.
• The expectations of warmth, joy, and happiness conveyed by the celebration--the holiday programs, songs, and cards, are often in contrast to the heartache, uncertainty, and strife in many people’s lives. Other factors are over-commercialization, financial constraints, and tension created by time demands.
• It is sometimes challenging to find hope and happiness when your circumstances are in direct contrast to a holiday atmosphere of joy and celebration, but it is an opportune time to make strides in self-evaluation and in relationship healing that will benefit you and your loved ones all year long.
• The holidays may be an advantageous time to reach out to an estranged family member or loved one and seek common ground.
• A first critical step might open the door to reconciliation and healing.
• If you feel overwhelmed with a conflict or problem, share your burden with a friend, trusted psychologist, or pastoral counselor.
• Avoid any excesses in over-eating, drinking, and over-spending. Less is often more in making a holiday more meaningful.
• Though the holidays may not be “the most wonderful time of the year,” for many of us, we can transform them into an opportunity for healthier traditions and more meaningful relationships.
• Keep expectations for the holiday structure manageable; and set realistic goals for yourself and family members.
• Pace yourself. Holidays are lengthy, so structure quality time for yourself and others.
• If you do feel nostalgic, understand that your feelings are legitimate and you are in touch with them. If you don’t feel sadness, you cannot feel warmth; but you are capable of processing feelings and moving forward with your life.
• Do something very simple for someone else. Though we know that we feel better when giving, research has proven that thinking of others creates happiness in ourselves.
• During the holidays, enjoy activities that are free from stress, such as a walk in the woods, or tea with a friend.
• Find an exercise that works for you and your schedule and make it a priority. Exercise improves your mind and your body. People who suffer from seasonal affective disorder, especially, can benefit from more hours in the sunlight and walks out of doors.
• Celebrate the holidays in a new and meaningful way. Donate to a charity or draw names within a family to decrease the expense and stress of gift buying.
• Spend time with supportive and caring people. Carefully make choices, rather than attending every holiday event.
• Save time for yourself and your loved ones! Recharge your batteries and let others share in the responsibilities and rewards of a meaningful holiday season.
With best wishes for a wonderful holiday from the Board and Staff of the Mental Health Association in Talbot County
• The expectations of warmth, joy, and happiness conveyed by the celebration--the holiday programs, songs, and cards, are often in contrast to the heartache, uncertainty, and strife in many people’s lives. Other factors are over-commercialization, financial constraints, and tension created by time demands.
• It is sometimes challenging to find hope and happiness when your circumstances are in direct contrast to a holiday atmosphere of joy and celebration, but it is an opportune time to make strides in self-evaluation and in relationship healing that will benefit you and your loved ones all year long.
• The holidays may be an advantageous time to reach out to an estranged family member or loved one and seek common ground.
• A first critical step might open the door to reconciliation and healing.
• If you feel overwhelmed with a conflict or problem, share your burden with a friend, trusted psychologist, or pastoral counselor.
• Avoid any excesses in over-eating, drinking, and over-spending. Less is often more in making a holiday more meaningful.
• Though the holidays may not be “the most wonderful time of the year,” for many of us, we can transform them into an opportunity for healthier traditions and more meaningful relationships.
• Keep expectations for the holiday structure manageable; and set realistic goals for yourself and family members.
• Pace yourself. Holidays are lengthy, so structure quality time for yourself and others.
• If you do feel nostalgic, understand that your feelings are legitimate and you are in touch with them. If you don’t feel sadness, you cannot feel warmth; but you are capable of processing feelings and moving forward with your life.
• Do something very simple for someone else. Though we know that we feel better when giving, research has proven that thinking of others creates happiness in ourselves.
• During the holidays, enjoy activities that are free from stress, such as a walk in the woods, or tea with a friend.
• Find an exercise that works for you and your schedule and make it a priority. Exercise improves your mind and your body. People who suffer from seasonal affective disorder, especially, can benefit from more hours in the sunlight and walks out of doors.
• Celebrate the holidays in a new and meaningful way. Donate to a charity or draw names within a family to decrease the expense and stress of gift buying.
• Spend time with supportive and caring people. Carefully make choices, rather than attending every holiday event.
• Save time for yourself and your loved ones! Recharge your batteries and let others share in the responsibilities and rewards of a meaningful holiday season.
With best wishes for a wonderful holiday from the Board and Staff of the Mental Health Association in Talbot County
Monday, December 21, 2009
Brief Stress Relief Tips For the Demanding Lifestyle
Brief Stress Relief Tips For the Demanding Lifestyle
By [http://ezinearticles.com/?expert=Clade_Johnson]Clade Johnson
Good health and long life does not have to be an elusive ideal when you apply these easy to understand stress relief tips. Working towards success and achieving our goals can be very stressful. Leading a demanding lifestyle can often cause the body more harm than it should.
Whether you work in a very busy environment or as a full-time mom with very active kids, being overly anxious on a daily basis can take a heavy toll on your body. Worrying about the little things or worse, about life-altering decisions can weaken you, making you more susceptible to various diseases.
Simple Guide to Relieving Stress
When you find yourself in a difficult bind, one common invaluable tip that can help you in a distressing situation is to stand back, take a deep breath and exhale slowly. This tip will help your body relax by slowing it down and preventing your anxieties from kicking into high gear.
Remember, no one is exempted from stress and anxiety. It is quite normal to panic and lose one's cool every now and then especially when you find yourself in an unfamiliar territory. Therefore, another important stress relief tip is to acquaint yourself with the people that you will be dealing with. Being prepared of what to expect can strengthen your tolerance of nerve-racking circumstances.
But often the burden can be too much for one person. Another stress relief tip is to find a trusted friend or family member who can help you go through the problematic condition. Talking about what is bothering you can lessen the anxiety and aid you in taking control.
Another stress relieving tip is to indulge yourself once in a while with any activity that is just meant for you to enjoy yourself. Taking yourself out of the environment causing you needless stress can help you recharge mentally, physically, and emotionally. Ways of doing this could be playing a sport, tinkering with a hobby, going to a picnic, a vacation, or just spending quality time with friends and family.
One other thing to keep in mind is to always, always, EAT right! Have lots of fruits and veggies in your daily diet. Combined with proper and regular exercise, you are sure to keep away from debilitating stress.
You can learn more about Clade's [http://15yearmortgagerates.org/]15_Year Mortgage Rates and new [http://pontoonboatparts.org/]Pontoon Boat Parts by visiting his websites.
Article Source: [http://EzineArticles.com/?Brief-Stress-Relief-Tips-For-the-Demanding-Lifestyle&id=3458810] Brief Stress Relief Tips For the Demanding Lifestyle
By [http://ezinearticles.com/?expert=Clade_Johnson]Clade Johnson
Good health and long life does not have to be an elusive ideal when you apply these easy to understand stress relief tips. Working towards success and achieving our goals can be very stressful. Leading a demanding lifestyle can often cause the body more harm than it should.
Whether you work in a very busy environment or as a full-time mom with very active kids, being overly anxious on a daily basis can take a heavy toll on your body. Worrying about the little things or worse, about life-altering decisions can weaken you, making you more susceptible to various diseases.
Simple Guide to Relieving Stress
When you find yourself in a difficult bind, one common invaluable tip that can help you in a distressing situation is to stand back, take a deep breath and exhale slowly. This tip will help your body relax by slowing it down and preventing your anxieties from kicking into high gear.
Remember, no one is exempted from stress and anxiety. It is quite normal to panic and lose one's cool every now and then especially when you find yourself in an unfamiliar territory. Therefore, another important stress relief tip is to acquaint yourself with the people that you will be dealing with. Being prepared of what to expect can strengthen your tolerance of nerve-racking circumstances.
But often the burden can be too much for one person. Another stress relief tip is to find a trusted friend or family member who can help you go through the problematic condition. Talking about what is bothering you can lessen the anxiety and aid you in taking control.
Another stress relieving tip is to indulge yourself once in a while with any activity that is just meant for you to enjoy yourself. Taking yourself out of the environment causing you needless stress can help you recharge mentally, physically, and emotionally. Ways of doing this could be playing a sport, tinkering with a hobby, going to a picnic, a vacation, or just spending quality time with friends and family.
One other thing to keep in mind is to always, always, EAT right! Have lots of fruits and veggies in your daily diet. Combined with proper and regular exercise, you are sure to keep away from debilitating stress.
You can learn more about Clade's [http://15yearmortgagerates.org/]15_Year Mortgage Rates and new [http://pontoonboatparts.org/]Pontoon Boat Parts by visiting his websites.
Article Source: [http://EzineArticles.com/?Brief-Stress-Relief-Tips-For-the-Demanding-Lifestyle&id=3458810] Brief Stress Relief Tips For the Demanding Lifestyle
Saturday, December 12, 2009
Jason's Network
Lot's of interesting people and information at Jason's Network
It is a network about peace, spirituality, health, wellness, success, and much more. Take a look. Consider joining. It's free
Dr. kathy
It is a network about peace, spirituality, health, wellness, success, and much more. Take a look. Consider joining. It's free
Dr. kathy
Thursday, December 10, 2009
The Yin and Yang of Beating Holiday Stress
By [http://ezinearticles.com/?expert=Donna_Gallers]Donna Gallers
As we approach the Winter Solstice (the shortest day of the year), many of us also observe holidays that celebrate light in the midst of darkness, warmth coming in from the cold, and miracles taking place where they seemed impossible.
The public face of this season is one of celebration, parties, gift-giving, and endless good cheer. That's all good and much of it sincere, but many of us also experience this as an extremely stressful period, with added burdens on our time, financial situations, emotions, and energy. The news of the world remains challenging, the commercialization intense, and we may wonder how we can truly feel joyful amidst all these conflicting energies.
This is a time to remember, look for, and hold out for the light wherever you can find it -- be it outside in the world or inside yourself. Darkness and light are aspects of yin and yang, the opposing and at the same time interconnected forces of the natural world. Each is found within the other, and each arises or gives way to the other, as the Solstice gives way to the longer and lighter days that follow.
For some of us the light, or lightness at this time of year can be found in the company of people we treasure; for others perhaps a walk in nature, or the bright lights of a city night, make our heart glisten. It's okay to acknowledge the moments of darkness, fear, anger, loneliness, disillusionment, etc., as they allow us to also transform and welcome the complementary experiences of exuberance, joy, laughter, relaxation, and inner peace. Know who you are and embrace your version, or vision, of light, warmth and miracles. This will help carry you through the stresses of the holidays and throughout the year(s) ahead.
Donna Gallers, LMT, CHHP, AADP is a licensed massage therapist, holistic health/nutrition counselor, and qigong teacher based in New York City. Her bodywork practice centers on Clinical and Process Acupressure, integrative forms of bodywork that promote better health and renewed energy by involving the client in his or her own healing process. She takes a similarly integrative approach to nutrition and health counseling. http://www.donnagallers.com http://www.dgallers.vpweb.com
Article Source: http://EzineArticles.com/?expert=Donna_Gallers http://EzineArticles.com/?The-Yin-and-Yang-of-Beating-Holiday-Stress&id=3398363
As we approach the Winter Solstice (the shortest day of the year), many of us also observe holidays that celebrate light in the midst of darkness, warmth coming in from the cold, and miracles taking place where they seemed impossible.
The public face of this season is one of celebration, parties, gift-giving, and endless good cheer. That's all good and much of it sincere, but many of us also experience this as an extremely stressful period, with added burdens on our time, financial situations, emotions, and energy. The news of the world remains challenging, the commercialization intense, and we may wonder how we can truly feel joyful amidst all these conflicting energies.
This is a time to remember, look for, and hold out for the light wherever you can find it -- be it outside in the world or inside yourself. Darkness and light are aspects of yin and yang, the opposing and at the same time interconnected forces of the natural world. Each is found within the other, and each arises or gives way to the other, as the Solstice gives way to the longer and lighter days that follow.
For some of us the light, or lightness at this time of year can be found in the company of people we treasure; for others perhaps a walk in nature, or the bright lights of a city night, make our heart glisten. It's okay to acknowledge the moments of darkness, fear, anger, loneliness, disillusionment, etc., as they allow us to also transform and welcome the complementary experiences of exuberance, joy, laughter, relaxation, and inner peace. Know who you are and embrace your version, or vision, of light, warmth and miracles. This will help carry you through the stresses of the holidays and throughout the year(s) ahead.
Donna Gallers, LMT, CHHP, AADP is a licensed massage therapist, holistic health/nutrition counselor, and qigong teacher based in New York City. Her bodywork practice centers on Clinical and Process Acupressure, integrative forms of bodywork that promote better health and renewed energy by involving the client in his or her own healing process. She takes a similarly integrative approach to nutrition and health counseling. http://www.donnagallers.com http://www.dgallers.vpweb.com
Article Source: http://EzineArticles.com/?expert=Donna_Gallers http://EzineArticles.com/?The-Yin-and-Yang-of-Beating-Holiday-Stress&id=3398363
The Stress Institute
Some very good information on stress management on the Stress Institute website
Keeping Stress Down Over the Holidays
we all know the Holidays can be stressful. here are some ideas to try to keep it manageable.
1. make your expectations of the holidays reasonable. When you feel disappointed, remind yourself of a happy holiday memory or event.
2. You do not have to have the best gift ever and wow everyone on your list. Make gift choices thoughtful rather than expensive. You will be glad you did when the season is over.
3. Pace yourself. Be sure to take relaxing breaks when things are hectic. stop and listen to some Christmas music in the mall while you shop. Have a cup of tea or coffee and enjoy the sights and sounds.
4. Give something to someone less fortunate than you and be grateful for the wonderful friends and family you have. One friend or family member is all you need to be grateful. reach out to someone this Christmas.
5. Make time for yourself. Do something fun. Take time to be quiet.
6. Eat well, at least some of the time. Pace yourself with sweets.
7. Listen to a relaxation CD or download. There are many on Amazon and itunes.
8. Read a book or magazine or surf the net for interesting articles.
9. smile and Laugh. Tell a joke. Forward a joke through email. make someone else laugh.
10. remember that when things are at their worse, they will get better in time.
11. talk to someone about your feelings if you feel sad. get social support from someone else or give social support to someone.
12. Happy Holidays. Enjoy.
1. make your expectations of the holidays reasonable. When you feel disappointed, remind yourself of a happy holiday memory or event.
2. You do not have to have the best gift ever and wow everyone on your list. Make gift choices thoughtful rather than expensive. You will be glad you did when the season is over.
3. Pace yourself. Be sure to take relaxing breaks when things are hectic. stop and listen to some Christmas music in the mall while you shop. Have a cup of tea or coffee and enjoy the sights and sounds.
4. Give something to someone less fortunate than you and be grateful for the wonderful friends and family you have. One friend or family member is all you need to be grateful. reach out to someone this Christmas.
5. Make time for yourself. Do something fun. Take time to be quiet.
6. Eat well, at least some of the time. Pace yourself with sweets.
7. Listen to a relaxation CD or download. There are many on Amazon and itunes.
8. Read a book or magazine or surf the net for interesting articles.
9. smile and Laugh. Tell a joke. Forward a joke through email. make someone else laugh.
10. remember that when things are at their worse, they will get better in time.
11. talk to someone about your feelings if you feel sad. get social support from someone else or give social support to someone.
12. Happy Holidays. Enjoy.
Saturday, December 5, 2009
the Wii fit
I have tried the new Wii fit to try to stay healthier and I love it. It has Yoga, aerobics, games, focus, and balance. I think it is going to keep me engaged. My grand daughter and I both have used it so far. It will also measure your weight and BMI, as well as balance and chart your progress. It will give you the number of calories burned. You can compete against yourself, if you are competitive, which I am I am liking it.
Sunday, November 29, 2009
Sustaining a public mental health clinic
I operate 3 public mental health clinics, 3 school mental health programs, and 1 prevention program on Maryland’s rural Eastern Shore. I was raised here and I love being here. The good news is that I get to do what I love in a place I love every day of the week; the bad news is that it is nearly 7 days and nights a week. (It’s a good thing I love it.)
In our clinics we have seen thousands of clients and we have done some very good work in multiple counties. We have sites on Talbot, Wicomico, and Somerset Counties. Several years ago we moved into Talbot and Somerset counties when other clinics closed down. (What were we thinking?) Managing sites in 3 counties is a major challenge, but I have excellent managers. Problems such as an “us and them” mentality crop up and we have to work against that. Communication can be tricky and sometimes difficult among sites. On the other hand, we have economy of scale for benefits for employees and other goods and services. Psychological testing is located in one site, but can be offered in other sites, as well. Consequently, we have contracts that cover many counties on the Shore.
Being in a rural area and serving an economically disadvantaged population, client transportation to services has been a major hurdle. We have had several used vehicles that sites have shared so that children can be picked up for services. This is a necessary, but not reimbursed service. We bought our first new van after 10 years of providing services. Employees also transport children in their private cars, which means that we have had to have policies and insurance for employee use of vehicles. In ten years we have had one van break down with children in it. It was because employees “forgot” to put oil and water in it and killed the engine, so we needed a system and policy for that.
In the present day environment, mental health has to be run as a business. It has been a paradigm shift for those of us who have believed that we are here to help others whether we get paid or not. So, we have had to learn and to teach others how to balance clinical with fiscal responsibility. It has been a shift for me as well. My first mission statement read, “the highest quality services for everyone regardless of their ability to pay.” Now, employees have minimum productivity requirements. They must see 25 clients per week for a full time position. Additionally, I must make payroll regardless of whether the state pays me on time or not. Managers must ensure that expenses do not exceed income. This has been difficult especially since we have grown from 5 to 80 employees in 10 years and we were under capitalized.
Therapists and PRP (Psychiatric Rehabilitation Program) workers must have excellent paperwork skills. Public mental health paperwork is massive and very specific. Some people have not been able to keep up with the paperwork and have had to undergo disciplinary action. Some have not been able to meet the paperwork standards even after supervision and training and we have had to dismiss them. (Now there’s a joyful time for all.)
We maintain the highest quality of clinical services through supervision, clinical meetings, training, and grand rounds. Employees can use paid time off to attend training and we offer free training on site. I have tried to maintain that the most complex cases require the most intensive and complex interventions, but this has been a difficult concept for some to understand, as well. We serve a forensic population and the therapy for them is different than for those with no forensic issues. Working with Court ordered clients requires training and a paradigm shift. It is not for everyone. Some have tried it and found they are not suited to it.
We have maintained our business through multiple streams of funding, such as fee for services, contracts, consultation, and grants of all kinds. It has been our survival and our vitality. We have a contract with the department of Juvenile Services for psychological testing and contracts with State and Federal Parole and Probation. Healthy Families is our prevention program and it is funded through a grant. We will be expanding our grant funding for research in the future.
Some examples of situations a public mental health clinic faces may make the picture clearer. Several years ago I had a phone call on the emergency pager from a desperate father of three. His wife was severely mentally ill. He had no health insurance. He made $10 an hour, too much for his wife to qualify for medical assistance. He could not afford medical appointments for his wife or medication. She could not take care of her three children. I stayed on the phone with him to help him figure out some options that might work and told him to call back if they didn’t work. He didn’t call back, so I am hoping something worked. These are the types of dilemmas we face in public mental health.
Funding has been cut back severely for public mental health in these tough economic times. Clinic directors were told recently to prepare for another $23 million in cuts, which turned out to be $11 million in cuts. Still a lot of money, and we tightened our belts one more time. The Upper Shore Hospital Center closed and RICA lost more beds. Many people lost jobs.
Plato said “the true creator is necessity, who is the mother of invention, while Nietzsche said, “That which does not kill us makes us stronger. So, I think they are both right. I certainly am stronger for the experience of creating and maintaining this public mental health clinic and it has not killed me. I have created many new things (programs, books, assessments) out of the necessity of meeting the mental health needs of Eastern Shore people. In conclusion, running 3 public mental health clinics is the toughest thing I have ever done in my life, but it was well worth it.
In our clinics we have seen thousands of clients and we have done some very good work in multiple counties. We have sites on Talbot, Wicomico, and Somerset Counties. Several years ago we moved into Talbot and Somerset counties when other clinics closed down. (What were we thinking?) Managing sites in 3 counties is a major challenge, but I have excellent managers. Problems such as an “us and them” mentality crop up and we have to work against that. Communication can be tricky and sometimes difficult among sites. On the other hand, we have economy of scale for benefits for employees and other goods and services. Psychological testing is located in one site, but can be offered in other sites, as well. Consequently, we have contracts that cover many counties on the Shore.
Being in a rural area and serving an economically disadvantaged population, client transportation to services has been a major hurdle. We have had several used vehicles that sites have shared so that children can be picked up for services. This is a necessary, but not reimbursed service. We bought our first new van after 10 years of providing services. Employees also transport children in their private cars, which means that we have had to have policies and insurance for employee use of vehicles. In ten years we have had one van break down with children in it. It was because employees “forgot” to put oil and water in it and killed the engine, so we needed a system and policy for that.
In the present day environment, mental health has to be run as a business. It has been a paradigm shift for those of us who have believed that we are here to help others whether we get paid or not. So, we have had to learn and to teach others how to balance clinical with fiscal responsibility. It has been a shift for me as well. My first mission statement read, “the highest quality services for everyone regardless of their ability to pay.” Now, employees have minimum productivity requirements. They must see 25 clients per week for a full time position. Additionally, I must make payroll regardless of whether the state pays me on time or not. Managers must ensure that expenses do not exceed income. This has been difficult especially since we have grown from 5 to 80 employees in 10 years and we were under capitalized.
Therapists and PRP (Psychiatric Rehabilitation Program) workers must have excellent paperwork skills. Public mental health paperwork is massive and very specific. Some people have not been able to keep up with the paperwork and have had to undergo disciplinary action. Some have not been able to meet the paperwork standards even after supervision and training and we have had to dismiss them. (Now there’s a joyful time for all.)
We maintain the highest quality of clinical services through supervision, clinical meetings, training, and grand rounds. Employees can use paid time off to attend training and we offer free training on site. I have tried to maintain that the most complex cases require the most intensive and complex interventions, but this has been a difficult concept for some to understand, as well. We serve a forensic population and the therapy for them is different than for those with no forensic issues. Working with Court ordered clients requires training and a paradigm shift. It is not for everyone. Some have tried it and found they are not suited to it.
We have maintained our business through multiple streams of funding, such as fee for services, contracts, consultation, and grants of all kinds. It has been our survival and our vitality. We have a contract with the department of Juvenile Services for psychological testing and contracts with State and Federal Parole and Probation. Healthy Families is our prevention program and it is funded through a grant. We will be expanding our grant funding for research in the future.
Some examples of situations a public mental health clinic faces may make the picture clearer. Several years ago I had a phone call on the emergency pager from a desperate father of three. His wife was severely mentally ill. He had no health insurance. He made $10 an hour, too much for his wife to qualify for medical assistance. He could not afford medical appointments for his wife or medication. She could not take care of her three children. I stayed on the phone with him to help him figure out some options that might work and told him to call back if they didn’t work. He didn’t call back, so I am hoping something worked. These are the types of dilemmas we face in public mental health.
Funding has been cut back severely for public mental health in these tough economic times. Clinic directors were told recently to prepare for another $23 million in cuts, which turned out to be $11 million in cuts. Still a lot of money, and we tightened our belts one more time. The Upper Shore Hospital Center closed and RICA lost more beds. Many people lost jobs.
Plato said “the true creator is necessity, who is the mother of invention, while Nietzsche said, “That which does not kill us makes us stronger. So, I think they are both right. I certainly am stronger for the experience of creating and maintaining this public mental health clinic and it has not killed me. I have created many new things (programs, books, assessments) out of the necessity of meeting the mental health needs of Eastern Shore people. In conclusion, running 3 public mental health clinics is the toughest thing I have ever done in my life, but it was well worth it.
Friday, November 27, 2009
Ways to Make Someone Smile
20 Different Ways To Make Someone Smile
In todays world we simply dont smile enough. By making someone smile you will make a good friend.Do you want to put a smile on someone's face today? Maybe make their day a little better. It won't cost you a single penny or much time to do just that. And because smiling is contagious, it probably won't just be one person you make smile today.
Here are 20 ways to turn that frown upside down.
1. Send some flowers to your partner at work.
2. Compliment a friend or work colleague on their appearance.
3. Donate something to charity.
4. Take a friend out to lunch.
5. Let someone know you miss them.
6. Make a surprise telephone call to your partner at work, just to say hi.
7. Hold a door open for someone walking behind you.
8. Hug your partner for no reason.
9. Leave a joke on a friends answer machine.
10. Send a card to a friend letting them know what a good friend they are.
11. Give up your seat on the train to someone when there aren't any left.
12. Share your umbrella on a rainy day.
13. Ask a friend if they need anything while you're out shopping.
14. When it's raining, plan an indoor picnic with your children.
15. Leave a love letter somewhere where your partner will find it.
16. Send someone an unusual and unexpected gift like chocolate, or flowers.
17. Tell your child you're proud of them.
18. Tell someone you thought about them the other day.
19. Cook a surprise meal for your partner one night, especially if they normally do the cooking.
20. Tell your partner you love them.
Did you know it takes only 17 muscles to smile, but 43 to frown. Why waste all that energy frowning when you could just smile.
Here are 5 more facts about smiling.
1. Women smile more than men.
2. Smiling releases endorphins that make us feel better.
3. We are all born with the ability to smile, it's not something we learn from others.
4. A smile is a universal expression of happiness.
5. A smiling person is thought to be a more pleasant, attractive, sociable, sincere and competent than a non-smiling person.
Just remember, smiling is the easiest and cheapest way of improving your looks.
Content Source: Bukisa - 20 Different Ways To Make Someone Smile
Thursday, November 26, 2009
FDA recommends that Gardasil be used with males
The FDA has now recommended that Gardasil now be given to boys ages 9 to 26 to prevent genital warts caused by HVP. HVP is now believed to be responsible for 70% of anal and cervical cancers and is preventable by giving girls and now boys the drug gardasil.
Famous Quotes
Stephen Covey
Strength lies in differences, not in similarities.
Kenneth Hildebrand
Strong lives are motivated by dynamic purposes.
Vincent Lombardi
Success demands singleness of purpose.
Booker T. Washington
Success is to be measured not so much by the position that one has reached in life as by the obstacles which he has overcome.
Strength lies in differences, not in similarities.
Kenneth Hildebrand
Strong lives are motivated by dynamic purposes.
Vincent Lombardi
Success demands singleness of purpose.
Booker T. Washington
Success is to be measured not so much by the position that one has reached in life as by the obstacles which he has overcome.
Monday, November 23, 2009
Health news - Teen Pregnancy and New Health Screening Guidelines
Teen pregnancy is on the rise. 435,000 in 2006. Top states are Mississippi, Texas and New Mexico. Teens tend to have children with more health and behavior problems. It is believed that we are failing to properly educate our young people about human sexuality.
New mammography guideline state that women do not need regular mammograms until age 50 and them only every other year. PAP tests do not need to begin until 21 with re-screens every two years until age 30. with 3 negative screens, women can be screened every 3 years after age 30. with no abnormal results in 10 years, women over 65 can stop getting PAP tests altogether. The rest of the world apparently has gone to PAP tests every 5-6 years.
Well this flies in the face of what we have heard for many years. what are we to think? It is reported that fewer screenings will not increase our risk of cancer. It is just different than what we have had drummed in our heads for so long. I hate having those tests anyhow. So, I am good with this.
Dr. kathy
New mammography guideline state that women do not need regular mammograms until age 50 and them only every other year. PAP tests do not need to begin until 21 with re-screens every two years until age 30. with 3 negative screens, women can be screened every 3 years after age 30. with no abnormal results in 10 years, women over 65 can stop getting PAP tests altogether. The rest of the world apparently has gone to PAP tests every 5-6 years.
Well this flies in the face of what we have heard for many years. what are we to think? It is reported that fewer screenings will not increase our risk of cancer. It is just different than what we have had drummed in our heads for so long. I hate having those tests anyhow. So, I am good with this.
Dr. kathy
Sunday, November 22, 2009
Today's famous quotes.
Human kindness has never weakened the stamina or softened the fiber of a free people. A nation does not have to be cruel to be tough.
Franklin D. Roosevelt
Love and compassion are necessities, not luxuries. Without them humanity cannot survive.
The Dalai Lama
Franklin D. Roosevelt
Love and compassion are necessities, not luxuries. Without them humanity cannot survive.
The Dalai Lama
CNN Hero of the year
Check out CNN's hero of the year, a educator in the Philippines. We hear plenty of bad news, here's some good news for a change. Yeah CNN, for this project. Goto Cnn.com
Saturday, November 21, 2009
ESPS Celebrates 10 Years
Salisbury, MD. July 1, 2009 marked the tenth anniversary of Eastern Shore Psychological Services, LLC (ESPS) providing quality mental health care. ESPS has grown from five employees in a single location in Salisbury, MD to three locations. Currently ESPS provides services to Wicomico, Somerset, Southern Worcester, Dorchester, and Talbot counties in Maryland with over eighty employees.
Services provided include traditional mental health therapy, group therapy, psychiatric evaluations and medication management. ESPS also provides psychological testing and evaluations and engages in ongoing research to help identify the risk of violence in youth and adults. Mid Shore Mental Health Systems recently presented the founder, Dr. Kathryn Seifert, with an award for innovative mental health programming, as well. ESPS was also named one of Maryland's Top Woman Owned Businesses by Diversity Business in 2009. ESPS will be having 10th Anniversary open houses at each of their locations in October.
Dr. Kathryn Seifert, founder and CEO of ESPS, speaks nationally and internationally on topics of violence prevention. Her book, How Children Become Violent won the 2007 Independent Publishers Award. She has also authored a parent version of this book to provide practical advice for caregivers. While researching the book, Dr. Seifert also developed a risk and needs assessment tool, The CARE 2: Chronic Violence Risk and Need Assessment, which helps therapists determine the appropriate level and type of services needed for individuals and their families. This tool is gaining acceptance both nationally and internationally. Dr. Seifert has authored several other books and CD's including RELAX: Your Life May Depend on It and Pathways to Inner Peace. . Dr. Seifert will be presenting information on her research and books this fall at:
• National Conference of Juvenile and Family Court Judges in Chicago in July 2009,
• SHIP: School Health Interdisciplinary Program at Turf Valley, MD in August 2009
• International Children and the Law Conference in Prato, Italy in September 2009
• National Workshop on Juvenile and Adult Female offenders in Jackson, MS in October 2009
##
If you would like to arrange an interview with Dr. Seifert, you may contact Melissa Wright at 410-334-6961 ext. 104 or email your request to m.wright@espsmd.com.
Services provided include traditional mental health therapy, group therapy, psychiatric evaluations and medication management. ESPS also provides psychological testing and evaluations and engages in ongoing research to help identify the risk of violence in youth and adults. Mid Shore Mental Health Systems recently presented the founder, Dr. Kathryn Seifert, with an award for innovative mental health programming, as well. ESPS was also named one of Maryland's Top Woman Owned Businesses by Diversity Business in 2009. ESPS will be having 10th Anniversary open houses at each of their locations in October.
Dr. Kathryn Seifert, founder and CEO of ESPS, speaks nationally and internationally on topics of violence prevention. Her book, How Children Become Violent won the 2007 Independent Publishers Award. She has also authored a parent version of this book to provide practical advice for caregivers. While researching the book, Dr. Seifert also developed a risk and needs assessment tool, The CARE 2: Chronic Violence Risk and Need Assessment, which helps therapists determine the appropriate level and type of services needed for individuals and their families. This tool is gaining acceptance both nationally and internationally. Dr. Seifert has authored several other books and CD's including RELAX: Your Life May Depend on It and Pathways to Inner Peace. . Dr. Seifert will be presenting information on her research and books this fall at:
• National Conference of Juvenile and Family Court Judges in Chicago in July 2009,
• SHIP: School Health Interdisciplinary Program at Turf Valley, MD in August 2009
• International Children and the Law Conference in Prato, Italy in September 2009
• National Workshop on Juvenile and Adult Female offenders in Jackson, MS in October 2009
##
If you would like to arrange an interview with Dr. Seifert, you may contact Melissa Wright at 410-334-6961 ext. 104 or email your request to m.wright@espsmd.com.
Health Care Debate will begin in the Senate
The senate voted tonight to begin debate on the health reform bill after Thanksgiving. Do you feel some form of bill should be eventually passed? Answer my poll.
Dr. Kathy
Dr. Kathy
Welcome
This is a new blog about relaxation, wellness, and health. I will be adding articles and news.
My husband heard a news article on NPR that 4000 IU of vitamin D3 daily has been proven to help the symptoms of arthritis. I didn't hear the report, but i am willing to try it out and let you know.
Dr. Kathy
My husband heard a news article on NPR that 4000 IU of vitamin D3 daily has been proven to help the symptoms of arthritis. I didn't hear the report, but i am willing to try it out and let you know.
Dr. Kathy
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