CRG Newsletter: Spring Edition
  April 2012, Volume 2 (1) 
In This Issue!
Why Assess and Evaluate?
Physician's Corner: Initial Psychiatric Evaluations
Using Assessment Reports to Self-Advocate
Reaching Your Potential
My Life Turned Right Side Up
Meet Dr. Nathan Larson!
Meet Sarah Kelly!
Upcoming Events
CRG's Upcoming Events!

May 12, 2012
 Primary Care Psychiatry Conference
 

Join Our List
Join Our Mailing List

Greetings!

 

Welcome to the spring CRG newsletter! After a long winter, it is refreshing to see flowers blooming and the first signs of a beautiful summer.  

 

This issue is devoted to the topic, "Why Assess and Evaluate?" You will find two articles from patients that discuss what can change once an accurate evaluation and targeted interventions unfold. Another article discusses how our postsecondary disability specialist uses comprehensive assessment reports to help high school and college students enhance their ability to self-advocate. Read an article from one of our psychiatrists about the benefits of psychiatric assessments. You will also meet one of our providers, a psychologist who conducts a range of assessments, and one of our veteran staff members who helps us carry out this important work. Finally, this issue includes some previews of future CRG events and services.

 

At CRG, we truly believe that children, adolescents, and adults will do well if they can. We believe in the strength of individuals and families to address and support each other. We also believe in the willingness of teachers, physicians, tutors, and others to help individuals and provide appropriate services that lead to expanded possibilities. 

 

From all of us at CRG, we wish you a beautiful spring full of new possibilities!  

Why Assess and Evaluate?
by Julie T. Steck, Ph.D., HSPP
Julie Steck
Julie Steck, Ph.D., HSPP
 

"Ever since our son was born I have had concerns about his development. He had colic at a young age and never seemed to outgrow it. His behavior is unpredictable. He can be sweet and loving and then become angry and aggressive. His preschool teachers have talked about autism but he is sweet and affectionate. We know that we need help in parenting him and don't know where to start."

 

"Our son is a sophomore in high school. He is struggling academically and cannot get his thoughts from his mind to paper. He cannot take notes and gets behind in class. He was diagnosed with dyslexia in second grade and has an IEP.   He takes medication for ADHD. We don't know what his problem is or how to help him."

 

"Our daughter is 16 years old. She has been on medication since she was in second grade. Despite lots of support at home and in school, she cannot get herself organized. She does not have many friends and has been withdrawing more and more. We feel that she is very immature emotionally and socially. How do we help her?"

 

"Tommy is in first grade and his teacher is concerned that he can't concentrate. He always seemed very bright until he began kindergarten. He struggled with learning the names of letters and can't remember things like his phone number or address. Even though he has lots of friends, he does not like school and is beginning to refuse to go to school."

 

"Mia talks all of the time at home. However, she won't talk at school and won't look at people when they talk to her. Her teacher feels that she may have Asperger's Disorder but she plays with her siblings and friends at home."

 

"I did great in high school but had to drop out of college during my freshman year. It was hard for me to get organized, to get up in the morning and get to class, and to study for tests. I feel like a failure and need help in knowing what to do next."

 

While these quotes above have been modified slightly to protect patient privacy, they reflect the very common concerns expressed by patients and their families when they call to schedule their first appointment. Rarely do families call us and have only one concern. There are usually multiple questions and needs. CRG (formerly Children's Resource Group) was established in 1993 with the goal of "assessing needs, expanding possibilities."

 

In today's world, schools and insurance companies are seeking easy answers to complex problems. At CRG, we do not think that there are easy answers - or at least not answers that can be answered and addressed in a single visit. That is why we stress the need to assessindividual needs and devise a treatment plan based on assessment results. That is why we ask our patients to complete a thorough questionnaire that includes rating scales. We also ask them to provide prior evaluations and information regarding previous treatments and interventions. Once that information is reviewed with the patient and their family, we can determine whether there is need to administer tests in specific areas in order to provide a thorough assessment and evaluation of the concerns.

   

Physician's Corner: Understanding Initial Psychiatric Evaluations
by Joshua Lowinsky, M.D.
Joshua Lowinsky, M.D.
This article is designed to provide you with a clear understanding of what happens at that appointment and how CRG psychiatrists use the information you share to try to help you. The initial psychiatric evaluation is the first meeting between you and your psychiatrist. You may have met with several other mental health professionals at CRG or this may be your first meeting with a professional at CRG. The purpose of this evaluation is 1) to develop a trusting relationship in which you can speak openly and honestly about your concerns and 2) to tell the story of what brings you in. Your psychiatrist will give you time to tell your story but will also guide you into other areas about your life and functioning that he/she needs to know about. If you are under the age of 18, your parents will probably help you tell your story or may tell their story about you and let you tell your own story about yourself. Chances are, you will be seen alone and also with your parents. Your parents may also be seen alone to speak about you. If you are an adult, you may choose to bring a significant other who may be with you for some or all of the evaluation. You may of course choose to come alone. If your psychiatrist wants to meet with other members of your support network to better understand you, he/she will ask for your permission.

  

Continue reading to learn more about initial psychiatric evaluations. 

Using Assessment Reports to Promote Self-Advocacy 
by David Parker, Ph.D.
David Parker, Ph.D.
David Parker, Ph.D.
What do you see when you look in the mirror? If you are a high school or college student diagnosed with a learning disability (LD), ADHD, Asperger's, anxiety, depression, or another mood or learning disorder, that "mirror" may be your diagnostic assessment report. For many students, the idea of reading such a report can be daunting. The idea of reviewing it with another person can trigger fears of being "found out" as a person with many weaknesses. Who would want to look into that mirror? In truth, there are many important and positive insights you can gain from these reports. They can help you better understand yourself, how you think, what your strengths and weaknesses really are, and what you can do to enhance your academic success.

 

There are many misconceptions about diagnostic assessment reports. More school systems are moving away from even conducting formal assessments to determine why students struggle to learn. This trend is unfortunate, become formal assessment is the first step in identifying the cause of a student's ongoing struggles with learning, attention, or mood regulation. If this trend continues, fewer and fewer students will have reports they could turn to for clear explanations of these issues and suggestions for effective coping techniques and support services.

 


Reaching Your Potential
by Ellen and James Malayter

I have a wonderful son. He's social, well behaved, seemingly bright, articulate and yet, I felt like something was not quite right from the time James was in first grade. He is the fourth of five children, my only boy. James is surrounded by four gifted sisters.  In school, James's grades were never horrible, a couple A's, a couple B's, and a couple of C's, but in comparison to his sisters (and I tried not to compare) he didn't like to read, homework took longer, he worked far harder and was not rewarded with the kind of grades and success in school as were his sisters.  Sometimes it seemed like James was only half-way plugged in.  When I raised concerns with teachers, they would tell me not to worry. "He is a boy." And, "You know, boys mature slower than girls." I was told, "James is a great kid and a pleasure to have in class; he will catch up and be fine." 

  

My Life Turned Right Side Up
by a CRG client
At age 17,  I was diagnosed with Attention Deficit Hyperactive Disorder (ADHD).  This has had a tremendous impact on every aspect of my life. Coming to terms with the fact that this is who I am and how I function has been a surprisingly relieving journey. Being diagnosed with ADHD explains so much to me about my past and how I have become my own unique self.  It changes my organizational skills as well as the way I interact with people.  I am able not only to understand myself better, but to communicate my ideas and emotions in much more effective ways.
Provider Spotlight: Nathan Larson, Psy.D.
Interviewed by David Parker, Ph.D.
Nathan Larson, Psy.D.
Meet Nathan Larson, Psy.D.
Dr. Nathan Larson is a clinical psychologist who joined the CRG team in July, 2011. He brings a wealth of expertise to our work here with individuals and families. I recently interviewed Dr. Larson in order to share more information with our readers.

What is your role here at CRG?

 

As a clinical psychologist, I provide comprehensive and targeted assessment to help identify individual's needs and strengths in order to facilitate effective treatment. I also provide individual, family, and group therapy. I mostly work with children and adolescents, but also provide services to adults. The people I help have problems like depression, anxiety, behavioral issues, anger management problems, ADHD, and a variety of other concerns. I tailor my approach to therapy based on the person's needs, but generally I like to take a short-term strengths based model. My goal is to assist people to not only manage their current problems but develop the skills they will need to overcome any obstacles to their continued success even when they are done with therapy.

 

Continue reading to find out more about Dr. Larson! 

 

Meet the Staff: Sarah Kelly

Interviewed by Jessica Bostwick

You may not know her by name, but you have probably noticed Sarah Kelly around CRG's office. A beautiful smile and friendly attitude make Sarah very hard to miss! For the past six years, Sarah has been an essential part of CRG. With her numerous talents and a great work ethic, Sarah's role at CRG has been constantly evolving.
 

What is your role at CRG?

 

I joined CRG in August 2006, after graduating from Miami University of Ohio with a degree in Business. I began as a Front Office Coordinator, where my main role was to provide excellent client support, assuring that each and every client has a satisfying experience at CRG. Just a year later, in August 2007, I became the Assistant Front Office Supervisor. Shortly after that, in March 2008, I was promoted to Front Office Supervisor. In this role, I continued to provide client assistance while also being responsible for managing, scheduling and training the front office staff. In addition to the supervisor position, I took over the role of CRG's Privacy Officer. As the Privacy Officer, I ensure that all of CRG's policies and procedures pertaining to client's confidential health information are HIPAA-compliant. Recently, I have moved into a new position as CRG's Accounting/Bookkeeping Assistant. In this new role, I have been assisting CRG's administrative team with the practice finances. I am also part of the CRG marketing team, where I assist with CRG's website and designing promotional materials.

 

Save the Date: May 12, 2012

Primary Care Psychiatry Conference  
Thanks in part to the vision of CRG psychiatrists Dr. Joshua Lowinsky and Dr. Tonya Foreman, health care providers have an exciting professional development opportunity in the near future.  Community Health Network, Witham Health Services, and CRG will co-sponsor the First Biannual Primary Care Psychiatry Conference on Saturday, May 12, 2012 (7:30 a.m. to 1:00 p.m.).  This event will take place at Indiana Wesleyan University's Indianapolis (North) Education & Conference Center, located near I-1465 and North Keystone Avenue.  The day's focus will be on the diagnosis and treatment, in a primary care setting, of some of the most common psychiatric issues (depressive disorders, bipolar disorders, ADHD, and eating disorders).  Participants can earn up to 4 CME's.  The registration fee is $50.00.

 

Continue reading to learn more about the Primary Care Psychiatry Conference! 

Upcoming CRG Events!
by Sarah Kelly

Social Skills Boot Camp

Beth Waite, our Assistive Technology Specialist, is gearing up for "Social Skills Boot Camp," an intensive week-long program designed to enhance social skills and prepare participants for playing and hanging out with friends over the summer.  Beth will run three groups, separated by age, the week of June 18th - 22nd. 

  • The preschool group (ages 3-5) will reinforce social skills such as listening, waiting, and taking turns. 
  • The elementary group (ages 6-10) will foster skills such as working in groups/pairs, compromising, initiating conversation and practicing good sportsmanship. 
  • The preteen/teenage group (ages 11-14) will cover topics such as conflict resolution, offering and accepting criticism, flexible thinking and nonverbal communication. 

Continue reading about more upcoming events at CRG!

 
Sincerely,
 

Children's Resource Group
CRG