TopJuly 2014
In This Issue
Coordination of Care Can Save Lives
Dental Screenings for Residential Rehabilitation Program
Xerostomia and Behavioral Health
Quitline and Upcoming Arundel Lodge Classes Help Stop Smoking
$70,000 in Grants for New Children and Adolescents Center
Using Person-First Language
Thank You to John Simms
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Join Our Mailing List
Special Events

Memorial Blood Drive

Sat., July 19

From 1 to 4 p.m.

At Arundel Lodge.


Please sign up online to donate in honor of Robert Phillips, M.D.



Double Nutritional Benefits Available at Two Annapolis Farmers Markets

Sundays until November 2014


Every Sunday, you can spend your SNAP, WIC, or Senior Farmers' Market Nutrition Program coupons at these farmers markets and they will double your coupons for an extra value of up to $15 per shopper, per day. See below for details on which market accepts which coupons.


Annapolis Fresh Farm Market


8 a.m. - noon 

Donner Parking Lot, Compromise Street

(202) 362-8889

Accepts WIC, Senior FMNP


Westfield Annapolis Farmers Market


10 a.m. - 2 p.m.

Corner of Generals Highway and Bestgate Road

(410) 222-7410

Accepts SNAP/EBT, WIC, Senior FMNP

 Monthly Meetings and Groups

NAMI Family Support Group

Thurs., July 10 
7 to 8:30 p.m.
At Arundel Lodge. 
For more information, email NAMI Anne Arundel.

Open Eye Gallery Committee Meeting 

Fri., Aug. 1
11 a.m. 
At Arundel Lodge.
Held on the first Friday of each month. All are welcome. Email Katerina Evans
 or call her at (443) 433-5961 with any questions. 

 Lodge Links 

Mental Health Links

NAMI Anne Arundel County 


On Our Own of Maryland 



Happy Independence Day!
Arundel Lodge provides holistic care--read why it's important and how our Behavioral Health Home Team came to the aid of an individual in medical crisis just a few weeks ago!

This July, dental and nursing students offer free oral health services to persons served in our Residential Rehabilitation Program. See below for details.

Also, learn about the potential health hazards of xerostomia and its link to common medications for behavioral health.

About 44 percent of the U.S. tobacco market is made up of people with behavioral health disorders. Read about a free quitline and upcoming smoking cessation classes at Arundel Lodge. 
Construction will begin on Arundel Lodge Children and Adolescents Center. 
Also in this issue, LaShandra Oliver explains the importance of using language that puts people first. 
Finally, we say "thank you" to John Simms after 21 years at Arundel Lodge.
Don't forget to check out our Special Events section!

Coordination of Care Can Save Lives


Various studies, including research done by Oxford University, indicate that behavioral health disorders can reduce a person's life expectancy by 10 to 20 years. By comparison, the average reduction in life expectancy for heavy smokers is eight to 10 years.


Bridgitte Gourley, DNP, CRNP

Research conducted by the National Association of State Mental Health Programs Directors even shows that people with untreated behavioral health disorders may die up to 25 years earlier than the general population.


Why? Some might guess that suicide would be the cause. Individuals living with schizophrenia, major depression, and bipolar disorder are at risk for suicide, but this is not the cause of death for most people with behavioral health disorders.


The fact is that individuals living with serious behavioral health disorders are much less likely to receive primary care services for persistent medical conditions. Chronic conditions such as diabetes, hypertension, and hyperlipidemia plague individuals with psychiatric disabilities and are often ignored.


Individuals' mistrust of medical care providers, the challenges associated with navigating our complex and ever-changing healthcare system, poverty, stigma and unhealthy lifestyle choices including heavy smoking, poor diet choices and a lack of activities that promote physical fitness and well-being tend to be contributing factors.


Additionally, many of the medications taken by individuals with behavioral health disorders can cause side effects that, if left untreated, can ultimately lead to higher health risks.


Jessica Stallings, RN

SAMSHA and Dr. Seena Fazel of the Department of Psychiatry at Oxford University have also cited another factor: the lack of coordination between behavioral and primary health care.


Arundel Lodge is tackling this problem through our Behavioral Health Home, which integrates the services needed to address all of a person's medical and behavioral health needs. We partner with Anne Arundel Medical Center, which provides primary medical care at our main location and consults with our Behavioral Health Home team.


The Behavioral Health Home provides a comprehensive initial assessment and identification of gaps in medical care as well as best treatment options to enhance outcomes. It also provides goal setting in Individual Rehabilitation Plans, care coordination, health promotion, comprehensive transitional care, individual and family support services, support groups, referrals to community and social supports, and more.


Just a few weeks ago, our Behavioral Health Home team proved once again why it is so critical to have integrated, competent, compassionate and holistic care.


Erica Siegert, LPN, and Lisa Baer-Ahmay, RN

Because Arundel Lodge's Behavioral Health Home team knows our folks so well, they were able to advocate for an individual in danger and meet her needs when other professionals could not recognize her level of distress. 


Here's what Lisa Baer-Ahmay, RN, Arundel Lodge's Behavioral Health Home Director, had to say about the incident.


I am not sure if everyone is aware of all we do downstairs and what exactly goes on from day to day. We can have anything from a splinter in a finger to a [serious medical emergency].


My team really rose to the occasion...when a [person served] needed fast action. They ran to her side and provided immediate support. When the paramedics came, they did not do vitals or an assessment and were willing to leave when the client stated she was "fine."

Mary Campbell, Clinical Care Coordinator


My team knew that this client was not herself and that something was seriously wrong. After urging and convincing, the paramedics finally agreed to transport her to the hospital, where she received further treatment.


I cannot tell you how proud I am of Mary [Campbell], Jessica [Stallings], and Erica [Siegert] for going above and beyond to help our clients. They advocate to get our clients the basic care they are entitled to...I cannot do my job without [the] three. I am so proud to be a part of this team. I know we save the lives of our clients and I feel we make a difference every day.


Thank you, ladies, for the opportunity to work and learn from you every day. You make a difference in the lives of our persons served.


To learn more about the importance of integrated care and why people with behavioral health disorders have lower life expectancies on average, take a look at these articles from the Daily Mail, Science Daily, and SAMHSA.


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Promoting Dental Health

On three Thursdays in July (July 10, 17, and 24), at Arundel Lodge, students from University of Maryland School of Nursing and School of Dental Hygiene will provide small-group oral health screenings, fluoride varnish, and health promotion information to persons served in the Residential Rehabilitation Program.


Persons served will have the opportunity to volunteer for small-group teaching sessions, where they will be offered oral health education, screening to identify active disease conditions, and a fluoride varnish application.


The purpose of the screening is to assess and document the number of residents affected by oral health conditions and to triage those in order of severity for priority scheduling with dental care providers. The dental health teaching will be developed to meet the needs of individuals and will include visual prompts and dental models to illustrate proper brushing and flossing techniques. Persons served will receive new toothbrushes, toothpaste, and floss for participation in the program.


This partnership serves two essential purposes: to provide a much needed service to persons served at Arundel Lodge that they may not otherwise be able to afford, and to provide a learning opportunity for dental and family nurse practitioner students to try to effect change in medical education about the importance of holistic care.


We are grateful to University of Maryland School of Dental Hygiene's Lisa Bress, RDH, and School of Nursing's Bridgitte Gourley, DNP, CRNP, for their leadership role in this project.


Dental care is needed year-round. Please help by donating to our Dental Fund.

If you've ever needed any kind of dental work, you understand the pain to both mouth and pocket. Arundel Lodge would like to establish a Dental Fund for individuals who need dental care, but cannot afford it. Send a check and write "Dental Fund" in the note, or click the "Donate" button now.




Average cost of dental procedures:

  • Exam and cleaning: $115 (recommended twice per year)
  • Bite wing X-ray: $50 (annually)
  • Panoramic X-ray: $100 (every three to five years)
  • Fluoride treatment: $30
  • Filling: $161 - $315 (depending on level of decay)
  • Tooth extraction: $160 with PA X-ray


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What Is Xerostomia, and Why Is It Important?


Xerostomia, more commonly known as "dry mouth," is a prevalent side effect of many of the drugs taken by individuals living with behavioral health disorders--and it's more than just an inconvenience. Some of the unpleasant results of dry mouth include not tasting food well, chapped lips, difficulty speaking clearly, and oral appliances such as dentures not fitting properly.


More serious consequences include difficulty in chewing and swallowing, mouth sores, tooth decay, and irreversible periodontal disease, which can lead to additional, serious health problems. Individuals who take three or more medications daily are more likely to experience dry mouth.


Saliva is a lubricating, antimicrobial agent that helps to fight cavities by reducing acid and bacteria build-up (plaque) on teeth. It helps cleanse the mouth of food particles and replenishes minerals lost by teeth through the normal process of eating. When chronic, persistent dry mouth occurs, tooth structure begins to break down, plaque builds, gum inflammation occurs, and periodontal disease can result. This can lead to loosening and eventual loss of teeth.


According to an article in Current Psychiatry, "Few psychiatrists routinely screen patients for xerostomia, and if a patient reports this side effect, they may be unlikely to address it or understand its implications because of more pressing concerns such as psychosis or risk of suicide. Historically, education in general medical training about the effects of oral health on a patient's overall health has been limited. It is crucial for psychiatrists to be aware of potential problems related to dry mouth and the impact it can have on their patients."


Xerostomia can be just the start of many health complications. The problem snowballs when unfavorable oral conditions worsen, and expensive procedures such as fillings or tooth extractions are required, but not addressed due to a lack of access to professional dental care. Doctors suspect that bacteria caused by dental infections may play a major role in some heart diseases.


Individuals can help address dry mouth through their diet by eating foods that stimulate the production of saliva such as apples, celery, carrots, and sugarless gum and candies.
Over-the-counter rinses, moisturizing gels, and dry mouth toothpaste can also relieve symptoms. Avoiding drying agents such as cigarettes, caffeine, and alcohol that can exacerbate the problem may be helpful. These actions won't cure dry mouth, but can help relieve some of the symptoms and provide oral comfort.


Good oral hygiene is critical. Flossing and brushing with fluoride toothpaste or using a fluoride rinse can help preserve teeth. Dentists recommend that individuals with xerostomia have their teeth cleaned and examined three or four times per year. This poses a particular problem for many individuals living with behavioral health disorders who don't have the necessary insurance or funds to attend even the regular recommended two dentist visits per year. Medicaid does not typically pay for routine exams and preventative treatment.


Read more about oral health and behavioral health from the National Alliance on Mental Health (NAMI) and MedicineNet.


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Free Quitline Offers Help to Stop Smoking


In Addition, Arundel Lodge to Offer Smoking Cessation Classes Starting in August


A study by The Journal of the American Medical Association estimates that about 44 percent of the U.S. tobacco market is comprised of individuals with behavioral health disorders. A combination of factors such as peer environments or physical addiction could cause individuals living with behavioral health disorders to be almost twice as likely to smoke as the rest of the population in the United States. However, there is hope for lowering these numbers: the study also indicates that among this same group, there is a high quit rate.


The Arundel Lodge Care Coordination Team is attending a specialized behavioral health smoking cessation training program in order to offer smoking cessation classes to Arundel Lodge Health Home participants. Classes will begin sometime in August. Please look for more information to come.

In the meantime, start your quit plan today by calling 1-800-QUIT-NOW (1-800-784-8669). It's free, it's confidential, and it's available 24 hours a day, seven days a week. This support line offers free coaching to help you develop a personal quit plan, provides ideas on how to stop smoking for good, and even helps you determine if you are eligible for free nicotine patches and gum.


You can also visit the American Cancer Society's Quit for Life Program online, or register for online support at


To learn more about mental illness and smoking, read more from the Centers for Disease Control and Prevention and the National Alliance on Mental Illness.


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More than $70,000 in Grants Will Help Build New Children and Adolescents Center


Arundel Lodge is proud to announce that we've received more than $70,000 in grants to begin construction on our Children and Adolescents Center.


There is an enormous need in Anne Arundel County for behavioral health programs that target children and adolescents. In 2012, Arundel Lodge began serving individuals from 4 to 17 years old, and we are now embarking on a journey to create a dedicated center that makes children and adolescents feel safe and welcomed.


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Using Person-First Language

By LaShandra Oliver

"But if thought corrupts language, language can also corrupt thought." 
- George Orwell, 1984


Addressing how we think and speak to and about individuals with behavioral health disorders is just as important to the recovery process as therapy and coping skills.


When you go out with a friend, family member or significant other, for example, how are you introduced? The meet-and-greet is usually something like, "This is my friend/husband/wife/partner/

brother/sister/son/daughter." Right? Have you ever heard of someone being introduced as "the procrastinator"? What about "the college drop-out," or "my overweight brother/sister?" Can you imagine how you would feel if you were defined by what you might perceive as your deficits or challenges in life?


Unfortunately, for a person with a behavioral health disorder, their diagnosis often becomes the deficit or life-challenge by which they are defined. "He is a schizophrenic," "she is bipolar," or "my schizophrenic uncle," "my bipolar sister." Many of my clients have told me that they feel as though the world can see their diagnosis stamped on their forehead.


Defining these individuals by their behavioral health disorders serves only to reinforce feelings of self-consciousness. This negativity can prove demoralizing and stifle motivation to push forward with recovery.



We all have deficits and challenges, but we also all have strengths, needs, abilities, and preferences. It's the combination of all of these characteristics that makes us unique and human.


In order to promote positive thinking and motivate others, we can adopt "person-first" language. Simply put, person-first language involves using descriptive terms in a way that highlight someone's humanity versus their deficits or challenges. For example, "my nephew who has autism" is a statement that puts the person (your nephew) before his disorder. By contrast, "my autistic nephew" emphasizes his deficit, and immediately discounts everything else about him. Putting the person second implies that the diagnosis is all that defines him.


Without even realizing it, we all make language choices that can be damaging. As a counseling student, I learned the importance of adopting a "person-first" mentality through the use of "person-first" language. I remember sitting in class describing the agency where I had just started working as a "place that works with schizophrenics." My teacher interrupted me and stated that I work at a place with "PEOPLE who are diagnosed with schizophrenia."


When the initial embarrassment of being corrected in class wore off, I thought about what she meant. I hadn't intended anything negative by what I had said; Ilove my job and respect my clients, but with the turn of a phrase, I had been challenged to consider the potential damage that could be caused by referring to individuals by their diagnosis.


It may seem like a subtle or insignificant change in word order, but opening up the mind to recognizing a person's diagnosis as only part of the person, and not the whole, can make a world of difference. In addition to discounting the whole person, identifying someone by their diagnosis first can reinforce stereotypes and heighten stigma.


Consider how your language can reflect a person-first mentality. Below are some examples that you can use to evaluate your language choices regarding behavioral health:

  • "Suffering from" versus "living with" (e.g., depression).

"Suffering from..." implies that the depression is stronger than the person. "Living with..." puts the power back in the person's hands.

  • "Is" (disorder) versus "has" (a disorder)

"My aunt is bipolar" implies that "bipolar" is all that she is. But we are all made up of multiple characteristics, wants, needs, and behaviors. "My aunt has bipolar disorder" allows your aunt to have many other important defining characteristics as well.

  • "Addict" versus "person recovering from"

This is another very common identifier. Calling someone an addict implies that this is who they are and that there can never be a different life for them. A person recovering from substance abuse or addiction has the chance to create their own future and achieve whatever goals they may have set.


You can find additional examples of person-first language here.


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Thank You to Retiring Staff Member John Simms

John Simms

John Simms retired in June after working for Arundel Lodge for 21 years! He witnessed Arundel Lodge's evolution from a small space on Renard Court to our beautiful new building on Solomons Island Road.  


Throughout his tenure, John worked in rehabilitation service, supervised the Arundel Lodge landscaping crew, and worked his way up to Operations Manager. John now plans to spend his time golfing in the Sunshine State (Florida) and assisting his wife, Oretha, a campaign manager in 

Prince George's County. 


We are grateful to John for all of his years of service and wish him the best of luck on his new journey. 


When asked what he will remember most about his time at Arundel Lodge, John echoed our own sentiments: "I love our members." 

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