The document describes Texas' Money Follows the Person Behavioral Health Pilot program. The program aims to transition adults with severe mental illness and/or substance abuse disorders from nursing facilities into the community by providing integrated services. The pilot began in 2008 and has helped over 280 individuals, with 71% maintaining independence after one year. Services provided through the pilot like cognitive adaptation training and substance abuse counseling have helped participants achieve increased independence, employment, and community involvement. The pilot demonstrates improved outcomes and lower costs compared to nursing facility care. Texas hopes to continue and expand these services.
Presentation by Auditor General - Caroline Spencer, An audit of access to State-managed adult mental health services.
Presented at the Western Australian Mental Health Conference 2019.
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Is Home Really Best? Private Home Care Agencies and Technology Can Make Home ...BCCPA
This presentation is about how technology can increase family involvement in person-centred care planning in home care. The Conference will be the first time the results from this UBC Masters Research project will be presented.
In a 2017 UBC survey of home care agencies in greater Vancouver the study aimed to determine
1) what are these home care agencies challenges in providing quality person centred care to their clients
2) home care agencies perceived benefits and barriers in using health information technologies.
Survey findings will help both public and private care providers understand how to better collaborate in caring for aging seniors.
Presented by: Christina Chiu, CEO, CareCrew, MHA Candidate
Presentation by Auditor General - Caroline Spencer, An audit of access to State-managed adult mental health services.
Presented at the Western Australian Mental Health Conference 2019.
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Is Home Really Best? Private Home Care Agencies and Technology Can Make Home ...BCCPA
This presentation is about how technology can increase family involvement in person-centred care planning in home care. The Conference will be the first time the results from this UBC Masters Research project will be presented.
In a 2017 UBC survey of home care agencies in greater Vancouver the study aimed to determine
1) what are these home care agencies challenges in providing quality person centred care to their clients
2) home care agencies perceived benefits and barriers in using health information technologies.
Survey findings will help both public and private care providers understand how to better collaborate in caring for aging seniors.
Presented by: Christina Chiu, CEO, CareCrew, MHA Candidate
Mental health in primary health care in India: The Gumballi experiencePrashanth N S
Invited panel presentation at the 10th European Conference on Tropical Medicine & International Health held at Antwerp (16-20 October 2017) by Prashanth N Srinivas. Presentation based on the book chapter by the same name by Prashanth N S, Sridharan V S, Seshadri T, Sudarshan H, Kishore Kumar K V & Murthy RS in the Palgrave Handbook on socio-cultural perspectives on Global Mental Health
Dementia Support Group (In-person): Draft Approach/ Guidance Document Swapna Kishore
This detailed draft document for persons who may want to set up an in-person support group.Caregivers need support, and one very important mechanism is a support group where caregivers can meet and talk face-to-face (an in-person support group), or they can discuss a topic with an invited expert, or learn some important skill. This detailed draft document is intended for persons who may want to set up an in-person support group. Feedback/ comments may be sent to cyber.swapnakishore@gmail.com
Enhancing Efficiency and Best Outcomes in Community Care: CBI’s Transitional ...BCCPA
In October 2016, CBI opened its first transitional and residential care in Burnaby, BC. Led by a multidisciplinary team that includes nurses, physiotherapists, occupational therapists, social workers, speech therapists, dieticians, behavioural interventionists and personal support workers, the facility provides specialized health care to support patients leaving hospital who are not yet able to return to their own home. This unique service also decreases hospital length-of-stay, admission and readmission to the hospital and wait times in emergency rooms. Join us and learn more about how our Transitional Care model helped patients, hospitals and funders to achieve excellent health and financial outcomes.
Presented by: Poonam Jassi, Director of Operations BC, CBI Health Group
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
Mental health in primary health care in India: The Gumballi experiencePrashanth N S
Invited panel presentation at the 10th European Conference on Tropical Medicine & International Health held at Antwerp (16-20 October 2017) by Prashanth N Srinivas. Presentation based on the book chapter by the same name by Prashanth N S, Sridharan V S, Seshadri T, Sudarshan H, Kishore Kumar K V & Murthy RS in the Palgrave Handbook on socio-cultural perspectives on Global Mental Health
Dementia Support Group (In-person): Draft Approach/ Guidance Document Swapna Kishore
This detailed draft document for persons who may want to set up an in-person support group.Caregivers need support, and one very important mechanism is a support group where caregivers can meet and talk face-to-face (an in-person support group), or they can discuss a topic with an invited expert, or learn some important skill. This detailed draft document is intended for persons who may want to set up an in-person support group. Feedback/ comments may be sent to cyber.swapnakishore@gmail.com
Enhancing Efficiency and Best Outcomes in Community Care: CBI’s Transitional ...BCCPA
In October 2016, CBI opened its first transitional and residential care in Burnaby, BC. Led by a multidisciplinary team that includes nurses, physiotherapists, occupational therapists, social workers, speech therapists, dieticians, behavioural interventionists and personal support workers, the facility provides specialized health care to support patients leaving hospital who are not yet able to return to their own home. This unique service also decreases hospital length-of-stay, admission and readmission to the hospital and wait times in emergency rooms. Join us and learn more about how our Transitional Care model helped patients, hospitals and funders to achieve excellent health and financial outcomes.
Presented by: Poonam Jassi, Director of Operations BC, CBI Health Group
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
Douglas Ziedonis M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry
Department of Psychiatry, University of Massachusetts Medical School & UMass Memorial Health Care
Dr. Ziedonis addresses the RiverMend Health Scientific Advisory Board on co-occurring addictions and processes to help treat them.
To watch lecture visit :http://vimeo.com/100314352
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Attendees will gain insight into the stigma that is attached to individuals who have dual diagnosis and criminal justice involvement, as well as, the importance of instilling power and hope to the individual. They will increase knowledge of the stages of change and utilizing motivational interviewing techniques to assist the individual through their path of recovery from mental illness, substance abuse, and criminal justice involvement.
Review best practices for working with persons with addictions and mental health issues. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Training innovations dual diagnosis cambian fountains march 16Patrick Doyle
Dual Diagnosis describes the co-occurring problems of mental illness and substance misuse. However, the term 'dual' is something of a misnomer - the needs of this client group are often highly complex and extend beyond the relatively simplistic scenario implied by the term 'dual diagnosis'. This course uses realistic scenarios to enable participants to look at the reasons why mentally ill clients are so prone to drug and alcohol problems, the potential consequences of dual diagnosis, and current assessment and treatment approaches
Duration: half-day. one day, or two day options
Experience: None required
This course is suitable for: all staff currently working within health and social care settings in the United Kingdom. The course is designed to meet the training needs of domiciliary care agencies, care home or hospital settings and all staff. The course is also ideal for carers.
Number of Trainees: 15 maximum
Course Standard: Certificate of attendance
Equipment Needed: Hand-outs will be provided
Candidates will cover:
•Definitions of dual diagnosis and co-morbidity.
•Possible reasons for substance misuse in those with mental health difficulties
•Effects of substance misuse on those with mental health difficulties
By the end of the course Candidates will be able to:
•Discuss the relationship between substance misuse and mental health problems
•Describe the risk factors associated with these behaviours
•Understand the skills that are necessary to effectively work with clients who have dual diagnosis
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox
Pinterest: drsnipes
People with addictions and those who commit crimes have self-esteem issues in addition to a characteristic set of cognitive distortions. Learn what those are and how to help your client address them.
Drug abuse and society drug presentations: Spring 2013Brian Piper
This presentation is on recreational drugs as part of a elective course for 2nd and 3rd year pharmacy students. The instructions were to include what is known about history, pharmacodynamics, pharmacokinetics including common routes of administration, overdose potential, and recent epidemiology.
The class chose some older agents (peyote, LSD, mushrooms, cocaine), others that have only become more popular recently (bath sats, synthetic cannabinoids), and some medical drugs (methylphenidate, oxycontin).
New Directions in Medicaid - Initiatives for People with Mental IllnessOneVoiceTexas
Dana Stoner, Senior Policy Advisor with Texas Department of State Health Services, shared three examples of "changing the system" at the June 3, 2014 workshop on Designing Healthcare in Texas. The presentation was part of a Medicaid 101 overview and started the two day event sponsored by One Voice Texas, Harris County Healthcare Alliance, and Kinder Institute.
This slide contains information regarding Community Mental Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Psychosocial rehabilitation (PSR) is a holistic approach to supporting individuals with mental health conditions or disabilities in their recovery journey. It aims to enhance their quality of life, independence, and community integration by addressing psychological, social, and environmental factors.The goals of psychosocial rehabilitation (PSR) are multifaceted and aim to address the diverse needs of individuals with mental health conditions or disabilities. These goals are centered around promoting recovery, enhancing quality of life, fostering independence, and facilitating community integration.
• Promoting Recovery
• Enhancing Daily Functioning
• Developing Coping Skills
• Building Social Skills and Relationships
• facilitating Vocational and Educational Goals
• Promoting Community Integration
• Improving Mental Health and Well-being
• Preventing Relapse and Hospitalization
• Enhancing Independence and Self-Sufficiency
• Improving Quality of Life
FACTORS AFFECTING PSYCHOSOCIAL REHABILITATION
Several factors can affect the effectiveness and outcomes of psychosocial rehabilitation (PSR) for individuals with mental health conditions or disabilities. These factors may influence the individual's ability to engage in rehabilitation activities, adhere to treatment plans, and achieve their recovery goals.
• Severity and Nature of the Disability: The type and severity of the individual's mental health condition or disability can significantly impact their ability to participate in psychosocial rehabilitation. Conditions with more severe symptoms or functional impairments may require more intensive or specialized interventions.
• Individual Characteristics: Personal factors such as age, gender, cultural background, socioeconomic status, education level, and personality traits can influence how individuals respond to psychosocial rehabilitation. Understanding these factors is essential for tailoring interventions to meet the individual's unique needs and preferences.
• Social Support Network: The presence of a supportive social network, including family, friends, peers, and other community members, can enhance the individual's ability to engage in psychosocial rehabilitation and cope with challenges. Conversely, lack of social support or negative social interactions may hinder progress in rehabilitation.
• Access to Resources: Adequate access to healthcare, mental health services, rehabilitation facilities, housing, transportation, employment opportunities, and other community resources is essential for supporting individuals in their recovery journey. Barriers to accessing these resources, such as financial constraints or geographic limitations, can impede progress in psychosocial rehabilitation.
• Stigma and Discrimination: Stigma associated with mental illness or disability can negatively impact individuals' self-esteem, self-efficacy, and willingness to seek help or engage in rehabilitation services. Addressing stigma and discrimination.
Age friendly initiative: Introduction to Self Management WorkshopAloka Banerjee
Introduction to training for community dwelling older persons on Self Management:
Subjects will include:
Common health issues.viz cardiovascular, arthritis, neurodegenerative condition, vision and hearing.
Techniques to deal with problems such as frustration, fatigue, pain and isolation,
Appropriate exercise for maintaining and improving strength, flexibility, and endurance,
Healthy diet
Appropriate use of medications, polypharmacy.
Communicating effectively with family, friends, and health care professionals
How to evaluate new treatments.
Active Ageing.
Every two years, One Voice Texas membership participates in a survey to evaluate the degree of success of our work. In turn, these results are used by the Board and staff to guide growth of the organization. This survey is conducted by Gerald Goodman, PhD, Professor and Program Director, Health Care Administration, Texas Woman’s University.
Designing Coverage for All - Closing the Coverage Gaps - Joy Johnson WilsonOneVoiceTexas
Joy Johnson Wilson, Health Policy Director at the National Conference of State Legislatures, looks at the coverage gaps at the Designing Healthcare in Texas June 4, 2014 conference.
What Accounts for Health Disparities - Stephen Klineberg, Ph.D.OneVoiceTexas
Stephen Klineberg, Ph.D., Professor/Co-Director Rice University's Kinder Institute for Urban Research, shared the impact demographics have on access to healthcare. Presentation was made at the Designing Healthcare in Texas conference on June 4, 2014.
Expanding Access to Healthcare in Texas - Robert Greenwald, J.D.OneVoiceTexas
Robert Greenwald, J.D., Director of the Center for Health Law and Policy Innovation at Harvard Law School, looks at turning the Affordable Care Act challenges into Opportunities at the June 4, 2014 Designing Healthcare in Texas conference. (Hosts: One Voice Texas, Harris County Healthcare Alliance, Rice University Kinder Institute)
Carisa Magee, Manager, Medicaid/CHIP Program Policy Texas Health and Human Services Commission, presented an overview of Medicaid at the "Designing Healthcare in Texas" conference hosted by One Voice Texas, Harris County Healthcare Alliance and Kinder Institute on June 3, 2014.
Presentation by Marjorie McColl Petty, Regional Director of the Department of Health and Human Services, Region VI, at the Sept. 30, 2013 83rd Texas Post-Legislative Conference hosted by One Voice Texas, United Way of Greater Houston and the Harris County Healthcare Alliance.
Presentation by Mario Castillo, Regional Organizing Lead in the Houston-Gulf Coast region for Enroll America, at the Sept. 30, 2013 83rd Texas Post-Legislative Conference hosted by One Voice Texas, United Way of Greater Houston and the Harris County Healthcare Alliance.
Presentation by James Smith of the American Continental Group at the Sept. 30, 2013 83rd Texas Post-Legislative Conference hosted by One Voice Texas, United Way of Greater Houston and the Harris County Healthcare Alliance.
Harvard's Robert Greenwald on Texas MedicaidOneVoiceTexas
Robert Greenwald, JD, Clinical Professor of Law and Director of Center for Health Law and Policy Innovation at Harvard Law School, presented an in-depth analysis forum of the federal health reform Affordable Care Act and associated transformation of the Texas Medicaid system. On January 24 in Austin, he spoke to sever audiences on the challenges and opportunities specific to Texas including why the Affordable Care Act’s Medicaid expansion is so important to the provision of cost- effective, high quality care and treatment to low income uninsured Texans.
Professor Greenwald has over 20 years of experience in the fields of health law and policy. His Center is recognized as a national leader in Affordable Care Act implementation and in efforts to improve healthcare access and health outcomes for the uninsured and underinsured.
One Voice Texas and the Harris County Healthcare Alliance sponsored the event.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
Empowering Recovery
1. Empowering
Recovery:
The Money Follows the Person
Behavioral Health Pilot
Dena Stoner, Senior Policy Advisor,
Mental Health & Substance Abuse Services
Texas Department of State Health Services
dena.stoner@dshs.state.tx.us
2. State Health Services
• Texas’ behavioral health (mental health and substance
use treatment) authority and Public Health authority
• Values:
— using research to create innovative service models
— empowering the person to recover from mental
illness and / or substance use
— partnering with other service systems to address
complex mental, physical and social needs
3. Current Reality
• People with severe mental illness in Texas live 29 years
less, on average, than other Americans and have more
health problems earlier in life.1
• National data indicates that large numbers of nursing
facility residents have a primary diagnosis of mental
illness, with a disproportionate number being under the
age of 65. 2
• In 2007, over 7,000 Texas nursing facility residents were
former clients of the public mental health and / or
substance abuse system.3
1. Lutterman T, Ganju V, Schacht L, Shaw R, Monihan K, et.al. Sixteen State Study on Mental Health Performance Measures. DHHS Publication No.
(SMA) 03-3835. Rockville, MD: Center for Mental Health Services, Substance Abuse & Mental Health Services Administration, 2003
2. Bagchi, A.D., Simon, S.E. & Verdier, J.M. (2009). How many nursing home residents live with a mental illness? Psychiatric Services, 60(7), 958-964.
3. Texas Department of State Health Services and Texas Department of Aging and Disability Services (2007). Data match showing prevalence of former
DSHS clients in DADS licensed nursing facilities.
4. Mike
• Schizoaffective disorder
• Insulin dependent diabetes
• Street drug and alcohol addiction
• Emaciated and physically debilitated
• Lacked social, living skills and family supports
• Considered a “behavior problem”
• In and out of nursing facilities or homeless for
most of his adult life
5. Susan
• Age 65, was admitted to a nursing facility after she tore
apart her apartment during a psychotic episode and
broke most of her possessions.
• She had a host of mental and physical conditions,
including bipolar disorder, panic disorder, high blood
pressure, high cholesterol, diabetes, neuropathy, and
edema.
• Socially isolated and unable to manage her declining
health, Susan faced the prospect of living the rest of her
life in a nursing facility.
5
6. 66
Behavioral Health Pilot
• Goals:
— Transition adults with severe mental illness and/or substance
abuse disorders from nursing facilities to the community
— Successfully support individuals in the community by
integrating evidence-based mental health and substance abuse
services with long term care services and supports
• Pilot began April 2008 and will conclude in 2016. Due to success it
expanded to serve Atascosa, Wilson and Guadalupe counties.
• The Pilot could result in systemic changes to the Medicaid long term
services system.
7. 77
Pilot Scope
• Includes adults with mental health or
substance abuse conditions and functional
limitations who have resided in an institution
for at least 3 months.
• In addition to existing long term care and
relocation services, BH Pilot services are
available for participants:
• Substance abuse services
• Cognitive Adaptation Training (CAT)
8. Substance Use Services
• Services are customized
• Transportation provided
• Services include:
—Assessment by a Licensed Chemical Dependency
Counselor
—Community-based services in nursing home, person’s
home or therapist’s office
—Linkage and transportation to other community
services (Narcotics Anonymous, Alcoholics
Anonymous, etc.)
—Recovery support groups
—Peer Specialist
8
9. Cognitive Adaptation Training
• Evidence-based intervention that helps
individuals master skills of independent living
• Uses a motivational strengths perspective to
facilitate person’s initiative and independence
• Provides assistance and simple, inexpensive
environmental modifications (e.g., calendars,
clocks, signs, organizers) to help people
establish daily routines, organize environment
and function independently
9
10. Cognitive Issues in Mental Illness
•Psychomotor Speed
•Attention
•Memory
•Executive Functions
• formulate plans for goal directed behavior
• sequence behavior and thought
• maintain goal-directed-action in the face of distraction
• inhibit irrelevant or inappropriate behavior
10
12. Training can Include…
1212
Bathing Laundry
Dressing Grocery Shopping
Dental Hygiene Transportation
Make-up Leisure Skills
Work/Vocational Skills Toileting
Social Skills, Communication
and Telephone Use
Housekeeping/Care of home
Eating, Nutrition, Cooking $ Management/Budgeting
Medication Management Orientation
14. 14
Service Period
• Pilot services are provided to the participant while still in
the nursing facility (up to six months before discharge) to:
— Begin development of therapeutic relationship
— Help choose the community residence and accomplish
relocation (housing voucher paperwork, physically
visiting potential residences)
— Identify potential triggers in the community for drug
or alcohol abuse
— Address potential barriers, supports, experiences, fears
• Pilot services are provided up to 365 days after discharge
15. 15
Transition Planning
• Individual Plan
• Developed with person, CAT and/or SA
therapist, HMO, and housing specialist
• Completed 60 days or more before conclusion of
Pilot services
• Designed to provide continuity beyond Pilot
• Evaluation continues after transition from Pilot
services to regular HMO long term services
16. 16
Partnership
• The long term care agency operates the overall MFP Demonstration and
provides relocation assistance.
• State Medicaid provides a broad array of home and community-based
services and transition assistance through HMOs
• The state mental health and substance abuse authority operates the MFP
BH Pilot, provides state match for BH Pilot services and contracts for Pilot
services / evaluation.
• Local Mental Health Authorities and / or University of Texas Health
Science Center-San Antonio provide the BH Pilot services.
• UT Health Science Center also provides technical assistance, training and
supervision of CAT therapists.
• UT Austin conducts the independent evaluation.
17. 17
Reaching Out
• Weekly Pilot team meetings and monthly
Community Transition Team meetings
resolve individual and systemic issues
• Training for key community partners,
such as nursing facility social workers to
“build the bridges”
18. The Pilot Today
• Over 280 individuals have been served
• 140 have completed a year of Pilot services
• Project findings have been recognized and
published in national journals
18
19. 19
MFP BH Results
• To date, 71% of individuals in the Pilot have
maintained independence in the community.
• Participants demonstrate statistically significant
improvement on “Adjustment to Living/ Adaptation”
section of the Multnomah Community Ability Scale,
which measures survival in the community, independence
in daily life, managing money and coping abilities.
• Preliminary analysis indicates that Medicaid costs for
participants in the Pilot are lower on average than costs
prior to their discharge from the NF.
• Examples of increased independence include getting a
paid job at competitive wages, driving to work,
volunteering, getting a GED, attending computer classes
and working toward a college degree.
20. 20
MFP: What’s Next?
• The state’s Medicaid mental health and substance abuse
services are transitioning to managed care.
• Texas could include the Pilot services in its managed
care long term services and supports system. Thousands
of Texans could benefit.
• Texas is sharing results nationally to inform federal
policy changes that support independence, recovery.
• Texas is including MFP Pilot services in a home and
community-based program for individuals with long
(1yr +), repeated stays in state mental health hospitals
21. 21
Mike
• Mike’s dream was to have a job and a place of his own. With the
help of CAT, Mike set employment goals, learned to interview and
got some vocational training. He began working 20 hours a week.
• Through CAT, he learned the social skills needed to get along in the
community. He handled daily activities like catching the bus, taking
medication, doing laundry and caring for himself. CAT also helped
him learn to manage his blood sugar level and eat healthy. His
STAR+PLUS service coordinator helped him get the health services
he needed.
• Through substance abuse counseling, Mike was able to understand
issues in his past and reconnected with his natural family.
.
22. Susan
• Moved from the nursing facility to an apartment complex.
• Her goals included achieving mental stability; getting involved in
her community; and focusing on her artwork, which had been very
limited in the nursing facility.
• Susan and her CAT therapist created a journal in which Susan logs
each day’s moods and their causes. They also regularly practiced
guided relaxation, which Susan learned to perform on her own .
• The CAT therapist connected her with public transportation, which
she uses for medical appointments and weekly trips to the art co-op.
• She learned to use journals to monitor her blood sugar and blood
pressure, and consequently no longer needs skilled nursing
services.
• Her talent was noticed. She was invited to teach an art class.
22