Bournewood News Online
May 2016
Do You Know What Mental Illness Feels Like?
May is Mental Health Month and at Bournewood Hospital, we are raising awareness of the importance of speaking up about mental health. We're asking that you share what life with a mental health condition is like whether it's about you, a family member, a friend, neighbor or loved one. We know that mental health conditions affect everyone in some way, and by sharing your experience, it only helps and empowers others to do the same. 

We often hear the clinical terms used by professionals to identify the symptoms of mental
illnesses...but if someone hasn't gone through it, would they know how to recognize it?
So often, clinical terms don't do justice to what life with a mental illness feels like. We know that two people with the same diagnosis can experience the same symptom and describe it in very different ways. Understanding the signs of a mental health condition and identifying how it can feel can be confusing, and often can contribute to ongoing silence or hesitation to get help.

It's important for us to talk about how it feels to live with a mental health condition. We know that it is common and treatable, and help is available. But not everyone knows what to look for when they are going through those early stages, and many simply experience symptoms differently. We all need to speak up early--Before Stage 4--and in real, relatable terms so that people do not feel isolated and alone. When we share our point of view with people who may be struggling to explain what they are going through, it's often a good way to help others figure out if they too are
showing signs of a mental health condition.

Get Social,
 Follow BOURNEWOOD
If you have a LinkedIn profile, check out Bournewood's company page for regular updates relevant to mental health and addiction.


And follow Bournewood on Twitter @BournewoodMASS

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May 1
Eric L. Deshazier

May 2
Kevin Leonard

May 3
Thanh Nguyen

May 6
Kendall Bozzello

May 9
Patrick Pelland

May 11
Emily Joyce

May 13
Marie Stephan
Daniel Stott
Ryan Wolfe

May 16
Elizabeth Pearson

May 18
Carolyn Straub

May 19
Julie Owens

May 20
Marek Brudniak
Sidique Kamara

May 21
Cenel Charles
Elizabeth McColgan

May 22
Jennifer McKenzie

May 24
Carolyn M. Toomer
Kate Welsh

May 25
Olivia Plohotniuc

May 28
Joanne Qiao
Stephen Saluti
Erica Simplice

May 29
Leon Martin

May 30
Danielle Balcom
Marian Kamara

May 31
Daune Lyman

Pile of newspapers and cup of coffee on the table
GOOD READS
Here we share a curated list of content from around the web relevant to the behavioral health and substance use field.
   __________

"How American Medicine Created -- And Can Now Solve -- The Opioid Crisis" is a Forbes magazine article by a doctor who asks the questions: How could this crisis have happened? What responsibility should physicians take, and what culpability do drug companies have? And what's the best solution to the different aspects of the problem? The Centers for Disease Control and Prevention issued the first-ever guidelines for opioids. Aimed at primary care physicians, the new national standards for these prescription painkillers are a step in the right direction.

_________

For college students, the consumption of alcohol varies from person to person. Whether drinking to socialize, celebrate, suppress difficult emotions or to simply relax, it has both a strong and varying affect on those who decide to drink. Why does alcohol cause us to act and feel differently? How much is too much? Why do some people become addicted and not others? The article, "The Truth Behind Substance Use Disorders and Drinking in College," was published in The Free Press, the official student newspaper of the University of Southern Maine. Read it here.

_________

One researcher has coined a useful mnemonic: The Five A's of mental health treatment disparities:
  • Accessibility;
  • Affordability;
  • Availability;
  • Appropriateness; and
  • Advocacy.
Read about it here.

_________

As the rest of the country adapts to the provisions of the national Affordable Care Act, Massachusetts, the state that served as a model for what is commonly referred to as Obamacare, is on to the next stage, making universal health care sustainable. Read the story from MASSLive here.
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IT Matters
Sneak Attack! Viruses Are Not Just for People
 Helpful tips from the Bournewood IT Department


The Bournewood IT Department is keenly aware of the many threats to our computer system's security-it's a moving target that changes every day as new viruses or "malware" emerge and create a real and serious risk to the safety and integrity of our system and more importantly to the protected health information we maintain. Below are a few excerpts from an article about these computer threats by Sara Angeles of the Business News Daily.
 
We'll start with the basics: Malware.
 
Malware could be lurking in your computer - and you might not even know it. Viruses, spyware, ransomware and other malware attacks have become so sophisticated that they could be wreaking havoc on your systems without showing any signs - that is, until it's too late. Attackers stealthily plant malicious elements that work in the background, tracking behaviors, logging keystrokes, stealing data and even shutting down networks. Today, there are more ways than ever for malware to secretly make its way into your computers.
 
How does malware find its way into your computer? Two examples are spearphishing and simply attacking normal Web browsing activities.
 
Spearphishing is a form of email fraud that spoofs emails, making it seem as though they come from trustworthy senders. These messages may contain links or attachments that deliver malware. One scenario is an email that comes from a trusted source whose email account was hacked or whose email address and sender name are made to look legitimate.
 
Computer users can also unwittingly download malware when visiting trustworthy or seemingly trustworthy websites.
 
Malware may be hosted on a popular website by hackers. When unsuspecting users go to the webpage, the code on the webpage takes advantage of a vulnerability in their browser and automatically downloads and executes the malware without knowledge of the user. Additionally, malware can infect systems after users inadvertently install the malicious programs, such as downloading free software, etc.
 
At Bournewood, we are constantly monitoring our system with antivirus programs to keep our information and our computer infrastructure safe. But antivirus software doesn't detect all malware and the problem is growing. And as the new generations of malware evolve, it becomes more difficult to stop it.
 
Here are a few things to be aware of to prevent malware from infecting your computer:
 
Online ads. Nowadays simply surfing the Web can infect your computer. Most malware comes from legitimate websites because of poor passwords or software flaws. For example, malvertisements - online ads with malicious code hidden inside them - are popular methods to spread malware. Without even knowing it, your computer is infected upon visiting the website, following the advertisement display, says Bari Abdul, head of consumer business, Check Point Software Technologies
 
Social media. More than three-quarters of all malware and computer viruses are entering computers via social media. People inherently trust social media because the messages are received from friends and recognizable brands, which makes it the perfect avenue to exploit an unsuspecting individual. Social is now the world's largest attack surface and medium combined, says James C. Foster, CEO and co-founder, ZeroFOX
 
Mobile malware. Benjamin Caudill, co-founder, Rhino Security Labs says that cybercriminals have developed an app for Android phones, which they posted on Google Play labeled as a utility app. What it really did, however, was load up the phone's memory with malware. The next time that phone was connected to a computer, the malware would activate and infect the computer.


Bournewood Hospital 
Education Opportunities


ANNUAL CLINICAL EDUCATION 
Wednesday, May 11, Intervale Conference Room
Please note that class begins promptly at 8 a.m. and runs until 3:15 p.m. (3:30 p.m. for nurses)
Please make arrangements to allow for traffic patterns which may be different from the times that you usually travel to work.
 
 
FALLON CPR RECERTIFICATION SESSIONS
All sessions begin at 1 p.m. in Intervale and run 4 hours.
Thursday, June 23
Monday, July 25
Call extension 3608 to register.
PLEASE NOTE THAT THERE ARE NO CPR SESSION IN MAY
 

STAFF ORIENTATION
May 3 - 5 and 9
Intervale Conference Room

NURSES' MEETING
Tuesday, May 10
2:30 to 3:30 p.m.
 
Bournewood.com
New edition icon. Internet button on white background.
Check out Bournewood's new website at the same address www.bournewood.com

News and Announcements page added, check back often!
A Message from 
CEO Marcia Fowler

Mental Health Reform: The Time is Now
 
Recently I had the good fortune to attend the National Association of Psychiatric Health Systems (NAPHS) conference in Washington, D.C. It was a busy and intense few days as we immersed in information from key policy makers in the health care field, reviewed NAPHS advocacy priorities and visited the Capitol to meet with legislators from our states to advocate for behavioral health legislation that promote our policy priorities.

A stellar lineup of conference speakers included Sen. Bill Frist, former Senate Majority Leader and heart and lung transplant surgeon; Matt Salo, Executive Director of the National Association of Medicaid Directors; Marilyn Tavenner, President and CEO of America's Health Insurance Plans; Paul Gionfriddo, President and CEO of Mental Health America; and Sen. Lamar Alexander, Chairman, Senate Health, Education, Labor and Pensions Committee.

We had the opportunity to discuss important issues in the behavioral health field with Senators Elizabeth Warren and Ed Markey, Congressmen Jim McGovern, Seth Moulton and Congresswoman Niki Tsongas.

While Congressman Joe Kennedy was not in Washington during our conference, he met with me and David Matteodo, Executive Director of the Massachusetts Association of Behavioral Health Systems, at his Newton office. Congressman Kennedy's commitment to behavioral health issues and his deep understanding of the nuances and complexities of our field is truly impressive and we're looking forward to his upcoming visit to Bournewood.

It's impossible to return from a conference and fact-finding mission like this without some significant take-aways. Our group is still processing the flood of information and expertise we were exposed to, but I can share some of the bipartisan legislative activity related to behavioral health issues taking place in our nation's capital and our opportunity to directly advocate for our priorities. There are currently two comprehensive mental health bills pending in the House and the Senate. We pushed for five policy points for inclusion in the bills:
  • Eliminate the "190-day Medicare lifetime limit" which allows for just 190 days of inpatient care in a psychiatric hospital in a beneficiary's lifetime.
  • Modify the Medicaid "Institutions for Mental Disease" (IMD) exclusion that prohibits adults aged 21-64 on Medicaid from accessing acute care psychiatric hospital care. (We have a waiver in Massachusetts allowing coverage.)
  • Enforcement of Parity by requiring health insurers to disclose their policies and procedures related to parity.
  • Fund Medicaid and Medicare Information Technology for behavioral health.
  • Expand and train the workforce needed to meet the demand for mental health and addiction services.
What does this mean for us here in Massachusetts? Each one of these speaks to my three-prong approach for building and sustaining a person-focused and compassionate behavioral health organization like Bournewood Health Systems: fostering state-of-the-art treatment; operating an efficient and accountable organization; and be at the table to advocate for and make an impact on critical policy action such as parity enforcement.

At Bournewood, we believe that individuals with mental health and substance use conditions can recover, at any stage of life, with access to effective treatment and supports, enabling them to live, work, learn and participate fully in their community. The passage of these bills will help us realize this vision for the future of individuals living with mental health conditions. The time is now.

Bournewood Practice Tool Accepted 
to Joint Commission Library
We are pleased to share the news that the Joint Commission Leading Practice Library has accepted Bournewood Hospital's insulin conversion chart into its library database. "The Leading Practice Library is an important initiative that allows Joint Commission accredited organizations to find 'real-life' solutions that have been successfully submitted by their peers," wrote Concetta Phillipps, MBA, MPM, Project Manager, Development at The Joint Commission in notifying Bournewood of this good news.
  
According to Mary Purdy, Bournewood Director of Patient Care Services, a multidisciplinary team that included representatives from the nursing, pharmacy and medical staff departments met for several weeks last year to develop new processes to improve safety in ordering, dispensing and administering insulin. The team applied principles from rapid process improvement to assess and analyze data and current practice in the use of this medication class. One of our challenges in using this medication was having patients admitted on insulin not in our formulary. Our pharmacist team member developed the conversion chart to assist the Licensed Independent Practitioners (LIPs) in ordering from the formulary whenever possible using the information on the new conversion chart. The chart was well received by the LIPs and has helped in achieving several error-free months for insulin use at Bournewood. The team also recommended several other process changes as part of their initiative to reduce error and improve patient safety. All of their recommendations are now in use. 
 
We congratulate the team on having their work recognized by The Joint Commission!
Congratulations
Alison Saluti, MHC !
Employee of the Month card isolated on whiteAlison Saluti is a valued member and a great asset to the Emerson 1 team. Her work ethic and dedication to patient care is evident in every shift she works. Alison is frequently mentioned in patient surveys for her caring and compassionate approach. Her ability to de-escalate situations in very intense moments is often commended. 

Alison's colleagues acknowledge her dependability, team spirit and quick response to challenging situations. She is a true collaborator and a strong patient advocate. Alison approaches every shift with a positive attitude and is always eager to help her co-workers. We congratulate Alison as the May 2016 Employee of the Month!

Janet Gallello, RNC, Nurse Manager, Emerson 1
Kara Wrucke, SMHC

 
Way to go, Alison!
HR Notes and News
From the office of Paula L. Berardi
Human Resources Manager
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I'd like to extend a warm welcome to new employees who have joined us recently. We are excited to have them on board and we hope their experience here at Bournewood will be a rewarding one.
 
Please join me in welcoming our new colleagues, listed here:

Lisa Turner
Unit Secretary
Emerson II
Emma Christensen
RN
Emerson ITU
Tara Jones
RN
Emerson ITU
Erica Simplice
MHC
Stedman ITU

And please welcome back to Bournewood:
 
Christine Fitzpatrick
Clinical Nurse Specialist
Medical Staff
Snezhana Voynova
RN
Dodge II Adolescent Program

May is a busy month for us. The full HR update containing news, announcements and important dates can be accessed here. There are also several employment opportunities here at Bournewood. Among them are openings for an adolescent psychiatrist, adult family nurse practitioner, clinical resource specialist, mental health counselors and occupational therapist. For a complete listing of job openings, employee benefits and discounts - including movie, sports and ski passes - and other useful information, click here.

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Bournewood Medical Grand Rounds
 
Monday, May 23, 2016
12 noon in the Intervale Living Room
  
Bournewood Hospital 
300 South St., Brookline, MA 
  
Sponsored by the Bournewood Educational Foundation, Inc. 
  
  
The Opioid Epidemic and the Emerging Trends of Non-medical Prescription Drug Use Among Opioid Users: Our Clinical Dilemma
  
presented by
  
Hector A. Colon-Rivera, MD, CMRO
Chief Resident in Psychiatry, Boston University Medical Center
Chief Resident, Bournewood Hospital
  
The epidemic of opioid overdoses in Massachusetts calls for an increase in training for both the community and health providers. A study indicates that almost 70 percent of intravenous drug users have witnessed an overdose and at least 62 percent have tried to respond either by calling for help or by trying remedies learned from friends or other drug users. Also, the significant shift in the non-medical use of prescription drugs has led to new patterns of abuse and increased risk of negative consequences, particularly among opioid dependent patients. By increasing awareness and focusing on good prescribing practices, clinicians can minimize this risk and provide better care to their patients.
  
Learning Objectives
Following this presentation, participants will be able to
  • Describe the national epidemic of opioid overdoses;
  • Describe some community-based programs geared to decreasing opioid overdoses;
  • Identify the prescription drugs that are most subject to abuse;
  • Describe the negative effects of abuse of these drugs in opioid dependent patients;
  • And discuss prescribing practices that may minimize abuse of prescription drugs.
      
Bournewood Hospital designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit (TM). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Bournewood Hospital is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians.
A Big Thank You 
for a Generous Gesture!
The Westwood Girl Scout Troop 74112 visited Bournewood recently and made a generous donation of 120 t-shirts and assorted footwear for patients. Troop Leader Karen Jordanides, who is also on the board of the IAM Strong Foundation, said that the girls enjoyed their visit and are committed to raising awareness around mental illness and suicide prevention. Visiting with her were Girl Scouts Madi Brady, Leah Piscitelli and Hannah Jordanides. On behalf of the individuals we serve, the Bournewood staff are grateful for the empathy and concern for others that motivated Troop 74112 to undertake this project. We enjoyed meeting and talking with them and we look forward to continuing to support the IAM Strong Foundation. 


Mary McCarthy, nurse manager for Khan ITU, and Hannah Jordanides of Westwood Girl Scout Troop 74112 show off one of the t-shirts donated by the Troop.

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Recipes 
We Love
  From marthastewart.com
 
Mother's Day is on May 8 and we don't know any mom who doesn't love chocolate. Mom will be impressed and blissed out with this very simple Chocolate Raspberry Tart--just seven ingredients, but magical results. 

INGREDIENTS
  • 32 chocolate wafer cookies (about 8 ounces)
  • 2 tablespoons sugar
  • Coarse salt
  • 6 tablespoons (3/4 stick) unsalted butter, melted
  • 12 ounces semisweet chocolate chips
  • 1 1/4 cups heavy cream
  • 1 1/2 cups fresh raspberries (6 ounces)
DIRECTIONS
  1. Preheat oven to 350 degrees. In a food processor, combine cookies, sugar, and 1/2 teaspoon salt. Process until very fine crumbs form. Add butter and pulse until mixture just comes together. Press crumbs firmly into a 9-inch fluted tart pan with a removable bottom. Place on a baking sheet and bake until crust is dry and set, 20 minutes. Let cool.
  2. In a large bowl, combine chocolate and pinch of salt. In a small saucepan, bring cream to a bare simmer over medium-high. Immediately pour cream over chocolate and let stand 1 minute. Stir gently until chocolate melts and mixture is completely smooth. Pour chocolate into cooled tart shell and refrigerate until set, 30 minutes. To serve, remove tart from pan and scatter raspberries on top. 

 
Mental Health America offers several online screening tools for adults. Taking a screening is one of the quickest and easiest ways to determine whether you are experiencing symptoms of a mental health condition. Mental health conditions, such as depression or anxiety, are real, common and treatable. And recovery is possible. But not all of us think about our mental health enough. Feel free to share the link with your friends, neighbors and loved ones.
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We welcome your input, news and updates! If you have a photo, story, staff profile or good news you'd like to share with your Bournewood colleagues, send them along and we'll be sure to include it in the next Bournewood Online. Send your news by email to Anna at achinappi@bournewood.com

We thank you!
Anna Chinappi
Director of Strategic Communications
Bournewood Health Systems