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ONE STEP AT A TIMEMEET DRAVEN
A P U B L I C A T I O N O F C E N T E R S T O N E I S S U E S I XA P U B L I C A T I O N O F C E N T E R S T O N E I S S U E S I X
eclaiming iveseclaiming ivesReclaiming ivesLSPOTLIGHT ONCHILD AND YOUTH RESIDENTIAL TREATMENT SERVICES
WHAT IS ODD?
COMBATING . . . ADHD
HEALTH AND WELLNESSSEVEN LESSONS TO LEARN FROM CHILDREN
IN THIS ISSUE
1 One Step at a Time Cover Story
4 Spotlight on. . . Child and Youth Residential Treatment Services
Innovative Services for Warriors 5 and Their Families Begin
6 What is Oppositional Defiant Disorder (ODD)?
7 Health and Wellness Seven Lessons to Learn from Children
8 Physician Spotlight
9 Combating. . . Attention-Deficit/Hyperactivity Disorder (ADHD)
10 Philanthropy in Action
12 News and Notes
Reclaiming Lives A PUBLICATION OF CENTERSTONE ISSUE SIX www.centerstone.org
EditorinChief RamonaRhodes
ManagingEditor MindyTobin
AssociateEditor MelindaCollins
ContributingEditors AprilBragg,PhD GinoDeSalvatore BethHail KarenH.Rhea,MD RobertN.Vero,EdD GwenWatts
ContributingWriters MelindaCollins SusanGillpatrick NatalieStone MindyTobin
GraphicDesign MichaelRivera
CenterstoneTennesseeBoardofDirectorsJoanC.Sivley,Chair
LeeAnnIngram,Vice-ChairAlbertL.MenefeeIII,Secretary
JanetAyersDr.RichardBaxterDr.JessieCampbellR.ParkerGriffith
ChristaN.HollemanDr.CarmenReagan
SteveSalibaSperryStadlerJimSweeten
CommissionerDeborahTaylorTateDr.RobertN.Vero
Reclaiming Lives is winner of the 2008 APEX Award for Publication Excellence.
Reclaiming Lives is winner of the 2009 Gold Hermes Creative Award.
about centerstoneCenterstone, a not-for-profit organization, has
provided a wide range of mental health and addiction services to people of all ages for more than 50 years. Through more than 60 facilities and 170 partnership locations across Middle
Tennessee, Centerstone serves more than 50,000 children, adolescents, adults and seniors
each year. Centerstone is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). For more information about Centerstone, please call 888.291.4357 or visit
www.centerstone.org.
RECLAIMING LIVES • ISSUE SIX 1
Thefamilyisextremelyclose,alllivinginthesamehomeandworkingasateamtoraiseDravenandKira.
Afteronlyafewminutesofplaytime,Dravenhascompletedhisfirstcreation:abrightredstaircase.
“Draven,wheredothosestepslead?”Teliaasks.
“Up,up,up,up,”Dravenscreeches,thesoundofhisvoicepitchinghigherandhigherashespeaks.“AllthewaytotheBatmobile!”heexclaims,gigglingincessantly.
Everyoneburstsintolaughter,asDravenbeamswithdelightthenfallstothefloorandcontinuesaddingblockstohisstaircase.
Meanwhile,Kiraquietlyplaysalongsideherbrother,constructingaLegomasterpieceofherown.
Likemostfour-year-oldboys,DravenIrvinisfullofenergy.InaplaytherapyroomatCenterstone’sChildandAdolescentClinic,hebouncesback
andforth,scouringbinsofblocks,carsandcrayons.HechoosesaboxofLegos,findsaplaceonthefloorandbeginsbuilding,usingonlytheredblocks.
“Oh,helovesred,”Draven’smom,Telia,sayswithasmile.
“Everythinghastobered,”hisgrandmotherDebraechoes.“Hisclothes,hisshoes,practicallyeverythingheowns!”
Draven’slittlesister,19-month-oldKira,slidesoffhermom’slapandjoinsherbigbrotheronthefloor.AuntEriniscloseby,helpingthechildrenbuildand createwiththeirLegos.
One Step at a Time
continues on page 2
2 RECLAIMING LIVES • ISSUE SIX
“SometimesDravenandKiragetalonggreat,”Debrasays,watchinghergrandchildrenplay.“Sometimestheycannotstandeachother.Th eirrelationshipfluctuates.”
Th ehappymoodquicklybreakswhenDraveneruptsafterarguingwithKiraoveratoy.Inanoutburstofanger,heyellsatKiraandviolentlykicksatTelia,whotriestocalmhimdown.AuntErinholdsKirawhileTeliaandDebraworktogethertoconvinceDraventositonDebra’slapforaminute.
“LookatMiMi,”Debrasays,cuppingDraven’sfaceinherhandswhilerockingbackandforth.“Let’sgotoourhappyplace,”shesays.
Dravennods,hisbigbrowneyeswellingwithtears.
“Iwanttobeagoodboy,”DravensaysasherestshisheadonDebra’sshoulder.
“Iknowyoudo,sweetie,”Debrareplies,holdinghimclose,combinghissandyblondehairwithherfingers.“Iknowyoudo.”
the FIrst step
Draven’saggressiveoutburstsbeganwhenhewastwoyearsold.Hewastemperamental,regularlyactingoutathomeandatpreschool.Hisbehaviorwassodisruptive,thathewasnolongerabletoattendpreschool.
“Wedidn’tknowwhattodoorwheretoturn,soweaskedourpediatricianforadvice,”Teliasaid.“HetoldusCenterstonecouldhelp,sowecalledandmadeanappointment.Th atwasthefirststep.”
DravenbeganreceivingtherapyandmedicationmanagementservicesatCenterstone’sChildandAdolescentClinicinNashville.ACenterstonecasemanageralsovisitshimathishomeeachweek.Draven’streatmentteamdiagnosedhimwithOppositionalDefiantDisorder(ODD),withasecondarydiagnosisofAttention-Deficit/HyperactivityDisorder(ADHD).Mostrecently,hewasdiagnosedwithBipolarIIDisorder.
“Th ediagnoseswereheartbreaking,”Debrasaid.“ButDraven’smentalandbehavioralissueswereevenmoreheartbreaking.”
“Hisworstepisodehappenedaboutayearago,”Teliasaid.“Mymomwasatwork,andIwashomewithDravenandKira.Iwasinthekitchenfixingpeanutbuttersandwichesforlunch.IcutDraven’ssandwichinhalf,andturnedaroundtohandittohim.Icouldn’tbelievewhatIsaw.DravenhadtakenoffhisbeltandtighteneditaroundKira’sneck.Ididn’tknowwhattodo,soIimmediatelycalledCenterstone.”
Centerstonestaffmembersofferedconstantsupportthroughtheincident,helpingthefamilyduringandaftertheepisode.
“Westilldon’tknowwhattriggeredDraven’sbehaviorthatday,butIamsothankfulweknewwhotocallforhelp,”Debrasaid.“Centerstonehelpedusthroughit.Centerstoneisstillhelpingusthroughit.”
Withacombinationoftherapyandmedication,TeliaandDebrahavenoticedremarkablechangesinDraven.
“We both Want our FamIly to be happy and healthy. centerstone Is helpIng
us achIeVe those goals.”
RECLAIMING LIVES • ISSUE SIX 3
“Heisbackinpreschool,attendingafewdayseachweek,”Teliasaid.“Andhisteacherssayhisbehaviorhasimprovedalot.”
“Insteadofactingout,heislearningtodealwithhisemotionsandcontrolhisbehavior,”Debrasaid.“Hehascomealongway.Hestillhasalongwaytogo.ButI’msoproudofhim.”
TeliaandDebrahavenoticedremarkablechangesineachothertoo.
“We’rebothcalmerandmorepatient,”Teliasaid.“We’velearnedtotalkmoreandtelleachotherhowwe’refeelinginsteadofarguing.”
“Wehavebigdifferences,”Debrasaid.“Butwe’reworkingtowardthesamegoals.Webothwantourfamilytobehappyandhealthy.Centerstoneishelpingusachievethosegoals.We’rebuildingahealthyfoundationforourfamily:oneday,onelesson,onestepatatime.”
“We’re buIldIng a healthy
FoundatIon For our FamIly: one day, one lesson,
one step at a tIme.”
Intheplayroom,Draven’soutbursthaspassed.Heisgigglyagain,asheentertainshismom,grandmotherandauntbyimitatinghishero,Spiderman.
“Pshhh!Pshhh!”Dravenspitsnoisily,thrustinghishandsoutinfrontofhim.Hepretendstoshootspiderwebsallovertheroom.
Hismomandgrandmotherlaugh.AuntErincan’tstopsmiling.EvenlittleKirathinksherbigbrotherisamusing.
Afewminuteslater,everyoneisquietagain.Dravenisn’tSpidermananymore,butjustalittleboysittingonthefloorplayingwithtoys.
“Somedaysit’stough,”Debrasays,herowneyesnowwellingwithtears.“ButIknowGodiswithus,andhewillhelpus.HeledourfamilytothegreatpeopleatCenterstone,andtheyarehelpingushelpDraven.Forthat,weareforevergrateful.”n
Hismomandgrandmotherlaugh.AuntErincan’tstopsmiling.EvenlittleKirathinksherbigbrotherisamusing.
Draven Irvin pretends to shoot spider webs with his fi ngertips while imitating his favorite superhero, Spiderman.
4 RECLAIMING LIVES • ISSUE SIX
spotlight onChild and Youth Residential Treatment Services
Parentingchildrenandteenswithemotionalandbehavioraldisorderscanseemoverwhelming,particularlywhenachildhasahistoryofaggression,
self-destructivetendencies,extremefear,anxiety,impulsivityandwithdrawal.Childrenwhoexhibitthesebehaviorsmayevenbeadangertothemselvesorothers.Insomecases,itmaybedifficultforparentstokeeptheirchildsafelyathome.Centerstoneoffershelpforthesechildrenandfamilies.
Centerstone’sChildandYouthResidentialTreatmentServicesprovidesacompletecontinuumofcareforfamiliesandchildreninneed,includingtherapeuticfostercare,adoptionservices,youthgrouphomesandmentoring.Thesespecialized,family-centeredservicesincludebehavioralhealthinterventions,individualassessments,treatmentplanning,highlystructuredgrouplivingandactivelearningenvironments,individualandfamilytherapyand24-hoursupportandaftercareservicesforchildrenandfamiliesinneed.
Staffedbyamultidisciplinaryteamofclinically-licensedprofessionals,Centerstone’sChildandYouthResidentialTreatmentstaffincludespsychiatrists,psychologists,therapists,casemanagersandassociateteachercounselors.Theseskilledexpertsarecommittedtoworkingwithchildrenandfamilies,helpingthemachievehappier,healthierlives.
Therapeutic Foster Care
Centerstoneprovidessafe,supportiveandculturallysensitivefosterhomeswhichmeettheemotional,physicalandsocialneedsofchildrenandadolescents.AtCenterstone,fostercareisviewedasatemporary,stepping-stonesolutiontohelpachildreachpermanency.Permanencyisaccomplishedwhenchildrenarereunifiedwithbirthfamilies,adoptedorarepreparedforthetransitiontoadultliving.
Centerstone’sTherapeuticFosterCareservicessupport,notonlytotheyouththatareintheprogram,butalsothefamiliesthatcareforthem.CaseManagersandIn-HomeTherapistsareavailabletochildrenandfosterparents24/7.Additionally,allCenterstonefosterparentsreceiveextensivetrainingandcontinuingeducation.
Adoption Services
SomechildrenareplacedinCenterstoneprogramsthroughgovernmentagencies.Forthesechildren,finding
aforeverfamilyisoftenoneoftheirdeepestdesires.Centerstone’sAdoptionServicesfindpermanenthomesforthesechildrenandfacilitatetheadoptionprocess.
Centerstonelocatesadoptiveparents,helpsfamiliesnavigatethelegalprocessofadoptionandprepareschildrenandfamiliesfortheemotionalandlegalchangestheywillexperienceafteradoption.
Youth Group Homes
Centerstone’sYouthGroupHomesprovideastructured,safeenvironmentwhereadolescentsareabletoaddressemotionalproblemsorbehaviorsthatpreventthemfrombeingsuccessful.Thesefacilitiesarestaffed24/7bycounselorswhoprovideindividualandgrouptherapy,familycounseling,educationalsupportandcommunityinvolvementopportunities.WhilelivinginCenterstone’sYouthGroupHomes,childrenattendpublicschools,participateincommunityrecreationandlearnindependentlivingskills,suchasfoodpreparation,laundryandshopping.
Mentoring Program
CenterstoneoffersmentoringservicesforchildreninTherapeuticFosterCareandYouthGroupHomes.Mentoringisidealforindividualswhowanttohaveapositiveimpactonchildren,butarenotreadytobecomeafosterparent.
Centerstonementorsarepositiverolemodelsandhavethepowertoimpactachild’sbehavioratschool,athomeandinthecommunity.Mentorsdeveloptrustingrelationshipswithchildrenandchallengethemtoovercomethecircumstancesthatledtotheirsituation.
AllofCenterstone’sChildandYouthResidentialTreatmentServicesreceivethehighestlevelofaccreditationfromCARF.CARF(theCommissiononAccreditationforRehabilitationFacilities)isanindependent,nonprofitorganizationthatreviewsandgrantsaccreditationservicesnationallyandinternationally.Theirstandardsarerigoroussoservicesthatmeetthemareamongthebestavailable.
For more information about Child and Youth Residential Treatment Services, contact Centerstone at 888.291.4357.n
RECLAIMING LIVES • ISSUE SIX 5
In2009,moreactive-dutyU.S.militarypersonneltooktheirownlivesthanwerekilledin
eithertheIraqorAfghanistanwars.Thenumber:atleast301.It’sthehighestsuicideratethemilitaryhasseensincethePentagonbegankeepingtrackin1980,andthestatisticdoesn’tincludeveteransorfamilymembers.Itisestimatedthat18veteranstaketheirownliveseachday.Andalthoughsuicidesandsuicideattemptsbymilitaryspousesorotherfamilymembersarenottracked,mentalhealthexpertsandmilitaryofficialsbelievethereisadisturbingtrendofrisingsuicideratesandattemptsamongfamilymembersofmilitarypersonnelandveterans.
Now,morethanever,militarymembers,veteransandtheirfamiliesneedtoknowthathelpisavailableforcommonissueslikedepression,acuteanxiety,PosttraumaticStressDisorder(PTSD)andalcoholanddrugabuse.Theyneedtoknowtheimportanceoftreatingtheoftenunseen,emotionalwoundsofcombat.Theyneedtoknowthatahappy,healthylifeispossible,evenafterwar.Theyneedto
Innovative services for Warriors and Their Families begin
knowthatit’sOKtoaskforhelp.Theyneedtoknowtheyarenotalone.
Centerstoneisrespondingtothementalhealthneedsofmilitarymembers,veteransandtheirfamilies,withservicesbeginningthismonth.ThroughapartnershipwithNATechnologies,Centerstoneconnectsactive-dutymilitary,veteransandtheirfamiliestomentalhealthservicesthroughthewebsite,NotAlone.com.
Launchedin2008,NotAlone.comisanemergingnationalleaderinonlineeffortstoreachoutandfindhelpforcombatveteransandtheirfamilies.Throughthewebsite,thoseinneedhaveaccesstoa24-hourhelpline,professionallyfacilitatedonlinesupportgroups,freein-persontherapyservicesandasocialmedianetworkthatconnectsmemberswithotherindividualswhoarefacingsimilarchallenges.
If you or someone you know needs help, log on to NotAlone.com or contact Centerstone at 888.291.4357.n
Centerstone and Not Alone leaders work together to design and implement services for warriors and their families.
6 RECLAIMING LIVES • ISSUE SIX
Everyyoungchildthrowsatantrumfromtimetotime,andteensareoftentemperamental.Butifachildoradolescentdemonstratesapersistentpatternofdisobedient,hostileand
defiantbehaviortowardparents,teachersorotherauthorityfigures,thentheymaybeexperiencingOppositionalDefiantDisorder(ODD).
ODDistypicallydiagnosedininfancy,childhoodoradolescenceandischaracterizedbyprolongedpatternsofmisbehavior.ItisoftendifficultforparentsandguardianstodifferentiateODDfromnormalrebelliousbehaviorofchildrenandteens.Ifoneormoreofthefollowingsymptomsarepersistent(lastingsixmonthsormore)andthebehaviorcausessignificantdisruptionsathomeandatschool,thenthechildmayhaveODD.
ChildrenandadolescentswithODD:• Losetheirtemper• Arguewithadults• Refusetocomplywithrules• Deliberatelyannoypeople• Blameothersfortheirownmistakesormisbehavior• Areeasilyannoyedbyothers• Areoftenangryandresentful• Areoftenspitefulorvindictive
ItisestimatedthatoneintenyouthwillexperienceODD,withthedisorderbeingmorecommoninboysthaningirls.Whilethereisnoclearcause,naturaldisposition,parentingstyle,geneticsandbiochemicalorneurologicalfactorsmaycontributetothedevelopmentofthedisorder.
ODDistreatedthroughindividualandfamilytherapy,offeringchildrenandtheircaregiversthetoolstomanageandtreatthedisorder.
ItiscommonforchildrenandteenswithODDtoalsoexperienceothermentalhealthproblems,likeAttention-Deficit/HyperactivityDisorder(ADHD),anxietyordepression.Medicationmaybehelpfulinthesesituations.
Treatment for ODD is effective, and Centerstone can help. Call us anytime at 888.291.4357.n
what is oppositional defiant disorder?
“It Is estImated that one In
ten youth WIll experIence odd,
WIth the dIsorder beIng more
common In boys than In gIrls.”
RECLAIMING LIVES • ISSUE SIX 7
A column devoted to healthy mind, body, spirit and relationships by Centerstone Wellness Expert, Susan Gillpatrick, MEd, LPChealth and wellness
seven lessons to learn from children
Iflifetodaywereaseffortlessforadultsasitisforsomechildren,Iamsurewewouldhavebetterhealth,lessstressandimprovedrelationships.Think
aboutit:adultsdon’tgetregularafternoonnaps,rarelyeatcookieswithoutfeelingguiltyandgetnospringbreakfromworkandresponsibilities.
Childrencanteachadultsvaluablelessonsaboutlivingmoreenjoyablelives.Trythesetipstoday!
Laugh more
Laughterisnature’sstressbuster.Itmakesusfeelgood!Itreleasesacombinationofhormonesandchemicalsthathavepositiveeffectsonoursystem.Laughterreducesstress,lowersbloodpressure,liftsdepression,boostsourimmunesystemsandmore.Laughterandsmilesareenjoyedbestwhensharedwithothers.Spendingtimewithchildrenisonewaytoincreaseourplayfulnessandenjoyourlives.
Live in the moment
Haveyouevernoticedhowkidsdon’tgetstressedabouttheirfuture?Theydon’tworryaboutwhatisyettocome.Theyliveinthemoment.Theyenjoylifetodayandsoakinallthatithastooffer.Childrenaren’tconsumedbythepast,unlikemanyadults.Adultscarryguilt,sorrowandstressorsfromyesterdayandyesteryearintoourpresentlives.Thisrobsusofthegiftswithinthepresent.
Have fun friends
Rememberyourbestbuddiesfromyourschooldays?Youwouldwakeupinanticipationofseeingthemandbeingwiththem.Adultsmustalsohavecorefriendshipsthatencourage,supportandcontributetoahealthyandfunlife.Seekfunfriendshipsthatwilladdenjoymenttoyourlife.
Go with the flow
Manyadultsneedtotonedownoursuper-seriousmindsandlearnthecalmingbenefitsofsimplygoingwiththeflow.Everythingdoesn’thavetobeplannedinminute-by-minutedetail.Therearemanysurprisestobediscoveredwhenweopenourselvesuptothembybeingflexibleandlessserious.Gowiththeflowandenjoythebreather!
See the good in people
Childrenarenotcriticsofothers,butrathertendtoseethegoodinpeople.Sadlymanyadultshavepessimisticviewsofothersandhaveakeeneyeforthefaultsinothers.Trytofocusonthegoodinpeople,anddon’tbecomedistractedbythepeopleandthingsyoucan’tcontrol.Sharewithothersthegoodyousee!
Bounce back after setbacks
Childrenareamazinglyresilient!Theyonlystaydistraughtfrommistakestemporarily,whereassomeadultsremaindownanddefeatedlongafteradisappointment.It’simportanttolearnlessonsduringtoughtimes,butremembertobouncebackandkeepyoureyesonthepositivepossibilitiestomorrowmaybring.
Write your own story
Thechoicesyoumaketodaywillwriteyourstoryforthefuture.Ifyouweretopaintapictureofyourideallife,whoandwhatwouldbeinit?Youcanstartmovingthatwaysimplybymakingdecisionsaboutwhatstoryyouwantyourlifetotell.Paintitwithbrilliantcolorsandlearnsomelessonsfromchildrenalongtheway.n
Susan Gillpatrick, MEd, LPC, CTS, is a Crisis Specialist for Centerstone. She may be reached at [email protected] For more of Susan’s expert advice, visit centerstone.org/health-and-wellness
8 RECLAIMING LIVES • ISSUE SIX
physician spotlight
James graves, md
Dr.James“Mike”GravesisapsychiatristforCenterstone.HeworksatCenterstone’sGiles,
LawrenceandWayneCountycliniclocations.
Dr.GravesgrewupnearParsons,Tenn.,wherehegraduatedfromParsonsRiversideHighSchoolin1969.Afterhighschool,heattendedtheUniversityofTennesseeatMartin,andthenattendedtheUniversityofTennesseeCollegeofMedicineinMemphis.HecompletedhisresidencyinfamilymedicinethroughtheUniversityofTennesseeFamilyResidencyPrograminJackson.
Dr.Gravesbeganhiscareerinfamilymedicine,practicingindependentlyfrom1980–1994.Hebeganworkingpart-timeatColumbiaAreaMentalHealthCenterin1986,andjoinedtheteamfull-timein1995beforeColumbiaAreaMentalHealthCenterbecameCenterstonein1997.
n Why do you choose to work for Centerstone?Centerstoneallowsmetohelppeoplereachtheirgoals.WhetherIamhelpingaclientovercomementalillnessinordertodiscoverahealthy,happylifestyle,orworkingtogetherwithco-workerstobecomeabetterhealthcareteam,Centerstoneaffordsmetheopportunitytomakeadifference.
n What do you find to be the most satisfying aspect of your position at Centerstone?Ioftenseepatientswithseverementalillness,takingmultiplepsychotropicmedications.IfinditparticularlyrewardingwhenIamabletohelpapatientfindtherightdosageofanappropriatemedication,ultimatelyhelpingthemimprovetheirqualityoflife.
n What are your day-to-day responsibilities?Myday-to-dayresponsibilitiesincludepsychiatricevaluation,treatmentandmedicationmanagementforpatients.Iworkinconjunctionwithourtherapistsandnursestoensurethateachpatientreceivescomplete,wrap-aroundcare.
n What initially interested you in the mental health field?Iwasinterestedinlearninghowmentalhealthtreatment,whethercounseling,medicationoracombinationofboth,improvesthelivesofpeoplewithmentalillness.
n What other healthcare professional do you see as a mentor in your career?I’vealwaysadmiredDr.GeorgeShannon,aninternistanddirectorofthefamilyresidencyprogramIattendedattheUniversityofTennessee.Heemphasizedthatpatients’moodandanxietyoftenexacerbatenotonlytheirmentalhealthissues,butphysicalhealthproblemstoo.
n What is the most significant advancement that you’ve witnessed in mental health since you began practicing?ThemostsignificantadvancementI’vewitnessedisthegravitationawayfromtraditionalpsychotropicmedication,likebenzodiazepamsandtricyclics,toSelectiveSerotoninReuptakeInhibitors(SSRIs)—medicationsthataffectserotoninlevelsinthebrainforthetreatmentofdepression,anxietydisordersandsomepersonalitydisorders.Theintroductionofatypicalantipsychotics,whichtreatpsychosisandotherdisorders,isalsoanextremelysignificantadvanceinpsychiatriccare.
n What future advances in the delivery of care excite you most?Utilizingtechnologytobetterserveourpatientsisexciting.Forexample,Centerstone’stelemedicinetechnologyallowsdoctorstohaveface-to-faceinteractionwithclientsremotely,throughvideoequipment.Thistechnologyallowsgreateraccessforclientsandhelpsdoctorsensurethatclientsreceivetheappropriatelevelsofcare.
Integratedcareisalsoveryexciting,asIlookforwardtothedaywhenpatientswillreceiveprimarymedicalcareandmentalhealthcarewithinthesameclinic.CenterstonealreadypartnerswithseveralpediatricclinicsthroughoutMiddleTennessee.Pioneeringtheseintegratedcareopportunitiesisyetanotherwaytoincreaseaccessforpatients,ensuringtheyreceiveneededcare.
n Tell me about your family.Ilivewithmywife,Grace,andIhavetwosonsandtwostepsons.MysonChris(30)isadentistnearParis,Tenn.,andmyson,Jon(27),isadentaltechnician,whopracticesalongsidehisbrother.Mystepson,Logan(22),attendstheUniversityofNorthAlabamaasapre-medmajor.Myotherstepson,Dylan(19),planstobecomeanurse.
n What do you do in your spare time?Ienjoyreadingandlisteningtomusic.Likemanybabyboomers,IhavenearlyalltheBeatlesalbums.Iamacouchpotato,althoughIstrivetokeeptheyardmowedandweeded.Ialsoenjoyfishingandtennis.Mostrecently,I’vebecomeinterestedinplayingWii.n
RECLAIMING LIVES • ISSUE SIX 9
Combating. . . ADHD
ADHD(Attention-Deficit/HyperactivityDisorder)isaneurobehavioralconditionwithsymptomsthatincludeexcessiverestlessness,
poorattentionandimpulsiveacts.Estimatesshowthat3-7percentofschool-agedchildrenandabout4percentofadultshaveADHD.
“ADHDisthemostcommonchildhooddiagnosisthatIsee,”saidLynnaHollis,MD,aChildPsychiatristatCenterstone’sChildandAdolescentClinicinNashville.“Parentsandchildrenbothcanbefrustratedbyitssymptoms.Gettingtherightdiagnosisisdefinitelythefirstcriticalstep.”
Properdiagnosisincludesrulingouttheotherdisordersthatcanpresentwithsimilarsymptomssuchaslearningdisabilities,whichcancausedisruptivebehaviors.Mooddisorders,traumaandevendepressionmaymimicsymptomsofADHD.
ThetreatmentofADHDincludesmedicationinconjunctionwitheducationandcounseling.“Treatmentmustbepersonalized.EverychildIseeisunique,andtheirtreatmentreflectsthat.Whatwedon’twanttoseeisadisorderlikeADHDleftuntreatedbecausetherecanbesomanyothercomplicationsforthechildreniftheydon’treceiveintervention.ChildrenwithADHDareathigherriskforsubstanceabuse,teenpregnancy,severeandmultiplecarwrecksandtruancy.Thedropoutratefortheseyoungpeopleis30percent,”addedDr.Hollis.
Stimulants,suchasRitalin,AdderallandDexedrinearethemostcommontypeofmedicationprescribedforADHD.Theseaffectthepartofthebrainresponsibleforattentionspan,judgment,organizationandimpulsecontrol.Stimulantsalsoreleasedopamine,aneurotransmitterfoundlackinginchildrenandadultswithADHD.
“Whatitdoesisimprovethefunctionoftheprefrontalcortexwhichperformsexecutivefunctions.Itdoesstimulatethebrain,butitstimulatesthepartofthebrainthat’snotworkingright,”explainedDr.Hollis.
Inadditiontothetraditionalstimulantdrugs,thereareseveralothermedicationsusefulincontrollingsymptomsofADHD.Stratterabooststhelevelsofnorepinephrineinsteadofdopamine,thereforethereis
lessexacerbationofanxiety,ticsorTourette’sSyndromeandlesseffectonappetite.OtheroptionsincludeWellbutrin,whichalsoworksthroughnorepinephrine,andalphablockerssuchasguanfacineandclonidine.
Therapytochangedestructivebehavioralpatternsisalsoimportant.Centerstonecounselorsteachrelaxationtechniques,stress-management,organizationalskills,angermanagement,socialization,self-controlandcopingskills,whilealsoprovidingeducationforparents.Casemanagersalsointeractwiththechild’sschooltohelpteachersandotherfacultyunderstandwhatthechildisexperiencingandtoengagesupportatschool.
“IalwaysremindparentsthatadiagnosisofADHDorotherbehavioraldisorderisnotalwaysabadthing.Therereallyaresomepositivestoit.PeoplewithADHDarehighlymotivated,creative-Ienvytheirenergy,that’sforsure,”saidDr.Hollis.“ThemostimportantthingisweknowthatthetreatmentofADHDworks.KidsbringtheirreportcardswiththemfortheirappointmentssotheycanshowofftheirA’s.Theytellmeabouttheirnewfriends,andIcanseetheiroverallhappiness.It’sincrediblyrewarding.Mygoalistoseethesetypesofpositivechangesinallthechildreninmycare.It’sneveraboutmedicatingachildsotheyarelessofachallengetotheirparentsorteachersandallaboutgettingtheirfunctioningwhereitshouldbesotheygetbetter.”Sheadded,“Wedon’ttrytochangewhothatchildis,wejustgivethemthetoolstheyneedtobesuccessful.” n
Lynna Hollis, MD, with a young patient.
10 RECLAIMING LIVES • ISSUE SIX
philanthropy in action
O’Charley’s Annual Thanksgiving with Therapeutic Preschool Program
Forover10years,O’Charley’shascelebratedThanksgiv-ingwithaspecialluncheonforCenterstone’sTherapeuticPreschoolersandtheirfamilies.
O’Charley’sprovidedThanksgivingturkeyandallthetraditionaltrimmingsforthisyear’sevent.AttendeesincludedO’Charley’sstaff,membersofCenterstone’sAmbassadorsCircle,Centerstonestaffandvolunteers.
Centerstone’sinnovativeTherapeuticPreschoolprogramhasprovidedcomprehensiveevaluationandintensivetreatmentforchildrenforover20years.BasedinparticipatingMetroNashvillePreschools,theTherapeuticPreschoolprogramprovidesasafe,stable,structuredandnurturingenvironmentforchildrenwhohaveexperiencedabuse,neglectorothertraumaticevents.Childrenaretaughttheearly-lifeskillsnecessarytoovercomeadversityandgrowintohappy,productivemembersoftheirhomes,schoolsandcommunities.
A Gingerbread World Celebrates 25 Years
ANashvillefamilyholidaytraditionfor25years,LoewsVanderbiltHotel’sannualAGingerbreadWorldonceagainfeaturedtwospecialevents:theChildren’sGingerbreadWorkshopandGinger’sNightOut.
TheChildren’sGingerbreadWorkshopbroughttogethermorethan200childrenandteenstoringintheholidaysastheydecoratedtheirowngingerbreadhouses.
Awarmeveninggatheringofgrown-upgirlfriends,Ginger’sNightOutwascompletewithlivelyconversation,refreshmentsandappetizers.Attendeescreatedgingerbreadhousesandenjoyedwine,horsd’oeuvresandasilentauction.
AllproceedsfromtheeventsbenefitCenterstone’sservicesforchildrenandfamilies.
To find out how you can make a difference, contact Centerstone’s Development Department at 615.463.6645 or [email protected].
Sperry and Blake Stadler at Ginger’s Night Out
t
Megan Smith and Katie Ward at Ginger’s Night Out
t
t
Children enjoy decorating gingerbread houses during the Children’s Gingerbread Workshop
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Women who attend Ginger’s Night Out create gingerbread houses while socializing with friends
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RECLAIMING LIVES • ISSUE SIX 11
FedEx Presents with Crisis Management Strategies Team at Ambassadors Circle Meeting
Centerstone’sAmbassadorsCirclerecentlygatheredtolearnmoreaboutCrisisManagementStrategies(CMS)services,whichprovidescriticalincidentpreparationandresponseforbusinessesandorganizationsexperiencingworkplaceviolence,robberies,naturaldisasters,schoolshootingsandothertraumaticevents.
HostedbyReverendFredDettwillerandDETDistributingandsponsoredbyHCA,Inc.,theAmbassadorsCircleeventfeaturedseveralguestspeakerswhodiscussedtheirrelationshipswithCenterstoneanditsCMSteam.
SpecialguestsincludedFedExCaptainValerieThal-Slocum,ChairofFedEx’sCriticalIncidentResponseProgram
(CIRP)andPeteDillenbeck,DirectorofCIRP,whosharedtheirpersonalstoriesofthefatalcrashofFedExFlight80andthecriticalincidentassistancetheyreceivedfromCenterstoneduringandafterthetragedy.
ReverendFredDettwiller,ChaplainfortheNashvilleInternationalAirport,alsospoke,recountingtheskillsandexpertisehehaslearnedthroughcriticalincidenttrainingofferedbyCenterstone’sCMSteam.
Establishedin2005,Centerstone’sAmbassadorsCircleadvancesCenterstone’smissionthroughoutMiddleTennesseecommunities.Membersserveasemissaries,raisingawarenessofCenterstone’sprogramsandkeyinitiatives.n
FedEx Director of Critical Incident Response Program,
Pete Dillenbeck; FedEx Captain, Valerie Thal-Slocum;
Centerstone’s Director for Crisis Management Strategies,
Becky Stoll; Reverend Fred Dettwiller and Centerstone
CEO, Dr. Bob Vero
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Ambassadors Circle Chair, Mark Faulkner and
CFO of Not Alone, Mike Jones
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Dr. John Volker, Dr. Carmen Reagan and Dick Fitzgerald
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Elizabeth Callis, Melissa Bartolomei, Amanda Hartberger and Chef Rick Kahre serve Thanksgiving trimmings to attendees
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A Therapeutic Preschooler and
his mom enjoy the O’Charley’s
Thanksgiving luncheon with Centerstone’s Ambassadors
Circle Chair, Mark Faulkner
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Therapeutic Preschoolers enjoyed Thanksgiving turkey and all the traditional trimmings during the luncheon
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12 RECLAIMING LIVES • ISSUE SIX
ExcellenceAward.TheprogramworkswithinRoomintheInn’sOdysseyprogramtohelphomelessindividualswhoarestrugglingwithco-occurringmentalillnessandsubstanceabuse.
School-Based Services and Mule Town Family Network Partner to Win Grant, Expand Campaign
Centerstone’sSchool-BasedServicesandMuleTownFamilyNetworkstaffmembersrecentlyteameduptowinthe$1,000RicoPallottaInnovationGrant.Thegrantwillallowtheteamstoexpandtheyouth-driven,mentalhealthawarenesscampaign,RAISEYourVoice.
CreatedandimplementedinaMauryCountyhighschoolduringthe2008-2009schoolyear,RAISEYourVoiceisapeer-based,anti-stigmacampaignledbyCenterstoneSchool-BasedProgramManager,
news & notes
Lee Ann Ingram Named Unsung Hero
LeeAnnIngram,Vice-ChairfortheCenterstoneofTennesseeBoardofDirectorsandvisionaryforcebehindthesuccessfulCoaching4Teens
program,hasbeenrecognizedasanUnsungHerobyNashvilleLifestylesmagazine.TheawardcelebratesthegenerosityofspiritthatthrivesintheNashvillecommunity.IngramwasfeaturedintheNovemberissueofNashvilleLifestyles.
TAMHO Awards
treatmentatCenterstoneandnowlivesahappy,healthylife.Today,Barberisanactivecommunityleader,helpingothersdealingwithco-occurringdisordersbychairinglocalAlcoholicsAnonymous(AA)meetings.
CharlieChase,veteranmediapersonalityandformernewsanchorforWZTVFox17,receivedtheMediaAward.NominatedbyCenterstone,
ChasewasrecognizedforraisingawarenessofmentalillnessandaddictionthroughhisconsistentcoverageofbehavioralhealthissuesinTennessee.
Centerstone’sDualDiagnosisProgramreceivedtheProgramof
Lee Ann Ingram
Charlie Chase
L to R: Centerstone Senior Vice President for Clinic Services, Ben Middleton; Regional Director,
Rebecca Marshall; Lloyd Wayne Barber; Gerald Taylor; Centerstone CEO, Dr. Bob Vero
�Centerstone’s�Coaching4Teens�is�a�free�program�for�teens�who�want�to�discover�a�healthier�balance�in�their�lives,�gain�confidence,�prioritize�goals�and�
improve�relationships.
Log�on�to�www.coaching4teens.org�
to�learn�more.
TheTennesseeAssociationofMentalHealthOrganizations(TAMHO)recentlyhelditsannualawardsceremonyandluncheonwhereCenterstonewaspartofthreeawards.
CenterstoneclientLloydWayneBarberreceivedthePersonalCourageAward,whichacknowledgeshiscourageousnessinfacingandovercomingthepersonalchallengespresentedbyhismentalillness.Afteryearsofbattlingalcoholismandbipolardisorderalone,Barberbegan
RECLAIMING LIVES • ISSUE SIX 13
JenniferBurgerandSocialMarketingManagerforMuleTownFamilyNetwork,SonyaBeasley.Thefour-weekcampaignallowedstudentstolearnaboutmentalillnessanddiscoverwaystoovercomestigmathroughpeersupport.
Withthe$1,000RicoPallottaInnovationGrant,BurgerandBeasleywillexpandtheRAISEYourVoicecampaigntoanotherMauryCountyhighschool.
Beverly Little Honored for Service to Centerstone
Centerstone’sBoardofDirectorsrecentlyrecognizedexitingboardmember,BeverlyLittle,forheryearsofservicetotheorganization.LittlehasbeenpartofCenterstone’sleadershipfornearly20years,servingontheBoardofDirectorsfrom1990-2009.CenterstoneCEO,BobVero,andCenterstoneBoardofDirectorsChair,JoanSivley,presentedLittlewithaplaqueinappreciationoftheleadershipandvisionsheprovidedduringhertenureasaboardmember.Little’shusband,RankinLittle,stoodalongsidehiswifeasshereceivedthehonor.
Vince Young Celebrates the Holiday Season with Centerstone
TennesseeTitansquarterbackVinceYoungcelebratedtheholidayseasonwithclientsandstaffmembersfromCenterstone’sHartLaneyouthgrouphomeforboys.InDecember,YoungtooktheboysshoeshoppingatReebok.Healsohosteddinnerfortheboysandtookthemtoalocalarcade.
Centerstone Expands Integrated Care Partnerships
Inanefforttocombinephysicalhealthcareandmentalhealthcare,CenterstonerecentlyexpandeditsintegratedpartnershipwithCentennialPediatricstoincludetwolocationsinNashville–atCentennialParkandSouthernHillsMedicalCenter.Centerstone’sintegratedpartnershipswithpediatricclinicsbeganfouryearsagowithColumbiaPediatricsinColumbia,Tenn.andCentennialPediatricsinClarksville,Tenn.
L to R: Centerstone CEO, Dr. Bob Vero; Centerstone Board of Directors Chair,
Joan Sivley; Beverly Little and Rankin Little
L to R: Mary Elizabeth Colton, Katie Warne, Anne Gray Thornburg and Kristie Okimoto present their artwork at Centerstone’s Child
and Adolescent Clinic
L to R: Centerstone Director for Residential and Academy Services, Gino DeSalvatore; Vince
Young and Centerstone Program Manager, Ronnie Russell celebrate the holiday season.
Centerstone Expands Residential Services to Wilson County
Centerstone recently expanded its residential services for adults to include an enhanced supported housing facility in Wilson County. Located in Lebanon, Carver Care Home is a transitional housing facility, offering a structured, recovery-oriented residential environment for individuals with mental illness who previously had difficulty living on their own.
Local Girl Scouts Donate Art and Supplies to Centerstone
FourMiddleTennesseeGirlScoutsrecentlyearnedtheGirlScoutGoldAwardthroughtheirvolunteerworkwithCenterstone.MaryElizabethColton,KatieWarne,AnneGrayThornburgandKristieOkimotorecentlyvisitedCenterstone’sChildandAdolescentClinic,wheretheypresentedartworktodecoratethehallsofthefacilityandartsuppliesforCenterstoneclients.
PriortotheDec.21presentation,thefourGirlScoutsspentweekendsattheNashvilleclinic,repairingandpaintinghallwaysinpreparationfordisplayingtheartworktheycreated. n
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