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MENTAL HEALTH NEWS TM YOUR TRUSTED SOURCE OF INFORMATION, EDUCATION, ADVOCACY AND RESOURCES FALL 2008 FROM THE LOCAL, STATE, AND NATIONAL NEWS SCENE VOL. 10 NO. 4 The Interrelationship Between Physical and Mental Health The Diabetes Co-Morbidity Initiative The Institute for Community Living Responds to Health Crisis By Rosemarie Sultana-Cordero, LMHC Each module uses motivational tech- Jeanie Tse, MD niques to help consumers think about their and Andrew Cleek, PsyD experiences and values and how improv- ing health behaviors might be relevant to achieving life goals. An awareness of the o you know someone who is consumer’s readiness or “stage of change” living with diabetes? Most helps service providers to maintain a per- likely you do: About 1 in 3 son-centered approach throughout the people will develop diabetes process. The modules also allow consum- Dduring their lifetime. Moreover, it is ers to discuss barriers to changing health more than twice as common in people behaviors, and guide problem-solving with serious mental illness when com- around those barriers. pared to the general population. The Diabetes Self-Management Work- These are some pretty staggering book is just one part of the DCI Toolkit. numbers, but here’s another wake-up The tools help both the consumer and the call: people with serious mental illness consumer’s treatment team to work to- die 25 years younger than the general gether in coordinating diabetes care. population. That puts the life expectancy These tools include the Diabetes Info of people with serious mental illness in Card, available as a pocket-sized or letter- the same ballpark as that of people in sized card. This card allows consumers to undeveloped countries like Sudan and record and track the six things they need Haiti. And one of the major causes of to know about their diabetes, made easy death is diabetes. to remember as the ABCDEF’s: A1c, a Clearly, this is a crisis! But crisis, as measure of blood glucose control, Blood we all know, is an opportunity for Why is diabetes more common in people mental illness to self-manage their diabe- pressure, Cholesterol, kiDney function, change. The Institute for Community who have mental illnesses? tes. On an organizational level, it seeks to Eye exams, and Foot exams. Living (ICL), working with the Urban develop the skills of staff working with The DCI Toolkit also includes form Institute for Behavioral Health, is proud Lifestyle factors like exercise and diet, consumers with diabetes and to improve letters that consumers can bring to their to be leading a New York State Health in addition to diabetes-related genes collaboration among health and mental primary care providers (PCP’s) and psy- Foundation-funded project, the Diabetes passed down through families, put people health providers. On a community level, chiatrists, that introduce the consumer as a Co-morbidity Initiative (DCI), to ur- at risk for developing Type 2 Diabetes. it seeks to develop awareness of the crisis DCI participant, request relevant health gently improve diabetes care for consum- The risk of developing Type 2 Diabetes is and support for people with diabetes, and information, and invite collaboration be- ers at 7 NYC agencies, including The higher for people with mental illness for a to provide easy-to-use educational materi- tween providers. Tools developed spe- Bridge, Comunilife, F.E.G.S., Jewish number of reasons. Low energy levels als to as many people as possible. cifically for mental health providers in- Board of Family and Children’s Ser- may make it difficult to be physically The DCI involves using a Diabetes clude the DCI Quik Guide, a laminated vices, William F. Ryan Community active. Changes in appetite and medica- Self-Management Workbook to help con- card with reminders on principles of per- Health Center, Services for the Under- tion side effects can make it difficult to sumers improve their diabetes self-care son-centered care provision, including tips served and Comunilife. eat a healthy diet. Some of the medica- and access quality medical care. This on ways to collaborate with consumers’ This project addresses type 2 diabetes tions used to treat mental illness have Workbook seeks to introduce a new ap- providers, family, friends and other sup- mellitus, which usually begins in adult- been shown to increase the risk for Type 2 proach in making lifestyle changes to self- ports. These and other tools are available hood and is preventable. Type 2 diabetes Diabetes. Other factors including poverty manage diabetes. Visually appealing and in English and Spanish. results from the body’s inability to keep have also been linked to increased risk. easy to read (grade 5 level), it consists of The DCI Toolkit will be introduced at a blood glucose (sugar) under control. A Furthermore, people with mental illness 9 modules designed to guide consumers in total of roughly 30 mental health programs glucose level that is too high damages rarely receive the full range of interven- setting achievable goals in the areas of: over the next two years, with an anticipated blood vessels and nerves, leading to dia- tions or coordination of care recom- 30 participants at each program. A team of • Understanding diabetes betes complications like: heart attacks, mended to prevent and treat diabetes. It’s researchers will be studying whether or not strokes, kidney failure, blindness and a complicated problem. The solution will • Caring for diabetes and mental health using the DCI Toolkit results in better foot infections (worst case: amputation). need to involve change at multiple levels: health for consumers with diabetes. Im- • Choosing healthy foods But keeping glucose in check can individuals, organizations and the com- provement in consumers’ A1c levels, a prevent complications and lead to a munity at large. • Being physically active measure of diabetes control, will be one of longer life! The trouble is: keeping glu- • Taking medication the main indicators of whether the Toolkit cose in check is not always easy. Al- The Diabetes Co-morbidity Initiative (DCI) is effective. Changes in food choices, • Taking care of feet though medication is available to main- physical activity, foot care and smoking are tain healthy glucose levels, behavioral The DCI approaches the diabetes crisis • Checking glucose just some of the other outcomes that will changes involving diet and physical ac- on multiple levels. On the individual be studied. • Having a sick day plan tivity are also needed to manage this level, it seeks to enhance the motivation disease. and knowledge of people with serious • Quitting smoking see The Diabetes Initiative on page 37 NON PROFIT Mental Health News Education, Inc. ORGANIZATION 16 Cascade Drive U.S. POSTAGE PAID Effort, PA 18330 WHITE PLAINS, NY PERMIT NO. 153 PAGE 2 MENTAL HEALTH NEWS ~ FALL 2008 Mental Health News is a Publication Mental Health News of Mental Health News Education, Inc. Thanks Our Honored Sponsors The Board of Directors Benefactor Sponsor New York State Office of Mental Health Chairman Platinum Sponsor Peter C. Campanelli, PsyD, President & CEO Bristol-Myers Squibb Institute for Community Living Institute for Community Living Vice-Chairman Nassau County Department of Mental Health Janet Z. Segal, LCSW, BCD, Chief Operating Officer Chemical Dependency and Developmental Disabilities Four Winds Hospital New York City Department of Mental Hygiene Treasurer Orange County Department of Mental Health Peter Beitchman, DSW, Executive Director Westchester County Department The Bridge of Community Mental Health Members of The Board Carmen Collado, LCSW, Director of Immigrant and Latino Services Jewish Board of Family & Children’s Services Help Support our Nonprofit Mission Become an Honored Sponsor of Donald M. Fitch, MS., Executive Director Mental Health News Education, Inc. The Center For Career Freedom Benefactor: $25,000 Michael B. Friedman, LMSW Includes a custom designed multi-page section including ads and article space Public Policy Consultant in 4 quarterly issues of Mental Health News, Salud Mental, or Autism Spectrum News. We will also ship as many copies of the newspaper as you need for distribution Mary Hanrahan, LCSW, Government Relations Specialist to clients, staff, board members, and satellite programs. New York Presbyterian Hospital This package has a value of over $15,000 if purchased as separate orders. Platinum: $10,000 Amy Kohn, DSW, Executive Director & CEO Mental Health Association of Westchester Includes a full page ad and article space in 4 quarterly issues of Mental Health News, Salud Mental, or Autism Spectrum News. This layout is designed to give your organization a dramatic two-page spread in the newspaper. 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Mental Health Association of New York City Silver: $2,500 Includes a quarter page ad in 4 quarterly issues of Alan Trager, Executive Director & CEO Mental Health News, Salud Mental, or Autism Spectrum News. Westchester Jewish Community Services We will also ship you 1 bundle (50 copies) of the newspaper for distribution to clients, staff, board members, and satellite programs.