Improving Mental Health of African and Black Americans

Improving Mental Health of African and Black Americans



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Culturally responsive Service with African American Clients
Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC
Executive Director, AllCEUs.com
Objectives
– Explore the culture, values and traditions of African Americans
– Identify issues and barriers which need to be considered to provide culturally responsive treatment
– Learn about how to provide culturally responsive group psychoeducation

– African Americans or Blacks are people whose origins are “in any of the black racial groups of Africa”
– The term includes
– Descendants of African slaves brought to this country against their will
– More recent immigrants from Africa, the Caribbean, and South or Central America
– many individuals from these latter regions, if they come from Spanish-speaking cultural groups, identify primarily as Latino

– In most African American communities, significant alcohol or drug use may be socially unacceptable or seen as a sign of weakness even in communities where the sale of such substances may be more acceptable.
– Overall, African Americans are more likely to believe that drinking and drug use are activities for which one is personally responsible; thus, they may have difficulty accepting alcohol abuse/dependence as a disease 
Treatment Issues
– African Americans are less likely than White Americans to receive treatment for anxiety and mood disorders, but they are more likely to receive treatment for drug use disorders
– In one study evaluating posttraumatic stress disorder (PTSD) among African Americans in an outpatient mental health clinic, only 11 percent of clients had documentation referring to PTSD, even though 43 percent of the clients showed symptoms of PTSD
– African Americans are more likely to be diagnosed with schizophrenia and less likely to be diagnosed with affective disorders than White Americans, even though multiple studies have found that rates of both disorders among these populations are comparable
–  African Americans are about twice as likely to be diagnosed with a psychotic disorder as White Americans and more than three times as likely to be hospitalized for such disorders. 
–  For an overview of mental health across populations, refer to Mental Health United States, 2010 (SAMHSA 2012a).

– Diverse participants learn content more effectively if they can create a coherent narrative about the topic or process presented. That’s the brain’s way of weaving it all together.
– Have them create skits or role plays
– In outreach break them into similar groups (i.e. parents, pastors)
– Have them relate it to something they already know (i.e. the bible, Quoran, a piece of literature or a current event)
Summary
– Explored the culture, values and traditions of African Americans to include communalism and the importance of spirituality for many clients
– Identify issues and barriers which need to be considered to provide culturally responsive treatment including ineffective assessment tools, lack of insurance or transportation and lack of awareness of the types and benefits of counseling services
– Learn about how to provide culturally responsive group psychoeducation including how to teach to the collective culture in a multicultural group and how to be an effective group facilitator.
– Learned about a variety of evidence based practices demonstrated to be effective with African Americans.

 AllCEUs provides multimedia #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5)
Unlimited Counseling CEs for $59
Specialty Certificates starting at $89 including #AddictionCounselor #RecoveryCoach #PeerSupportSpecialist #TraumaInformedCare #BHT #Etherapy

#DrDawnEliseSnipes provides training through #allceus that are helpful for #LPCCEUs #LMHCCEUs #LCPCCEUs #LSWCEUs #LCSWCEUs #LMFTCEUs #CRCCEUs #LADCCEUs #CADCCEUs #MACCEUs #CAPCEUs #NCCCEUS #LCDCCEUs #CPRSCEUs #CTRSCEUs and more.

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Addressing Viral Hepatitis

Addressing Viral Hepatitis



Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.

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#HepFreeFuture #WorldHepatitisDay.

Overview of Viral Hepatitis
~ 3.5–5.3 million people in the United States live with chronic viral hepatitis
~ Symptoms can take decades to manifest, so many people who are infected do not seek timely treatment
~ Chronic hepatitis infection affects approximately 5% of psychiatric inpatients
~ More than 90% of infants that are infected will develop a chronic hepatitis B infection
~ Up to 50% of young children between 1 and 5 years who are infected will develop a chronic hepatitis B infection
~ 90% of healthy adults over the age of 19 will recover from a Hep B exposure
~ HCV will spontaneously clear in 25% of the population
Counseling Approaches
~ Helping Clients Understand Their Diagnoses
~ Acute vs Chronic
~ A, B, C
~ Among those who develop chronic HCV or HBV infection, an estimated 20 to 30% will develop cirrhosis
~ Progresses faster in those infected after 40
~ Increased risk of developing Type 2 Diabetes
~ Abdominal swelling (Ascites) indicates treatments are no longer working.
~ Hepatic encephalopathy will occur in approximately 30 to 40% of individuals with cirrhosis is the illness becomes more severe.
~ Neurologic and psychiatric manifestations including apathy, irritability, decreased energy level, impaired sleep-wake cycle, impaired cognition, diminished consciousness, or loss of motor control
~ Helping Clients Understand Their Diagnoses
~ Interventions (Consult with physician)
~ Medication to slow progression of cure the disease
~ Get screened for liver cancer annually
~ Avoid or limit alcohol and smoking since both cause a lot of stress to your liver
~ Eat a healthy diet with lots of vegetables since fried, greasy foods are hard on your liver
~ Maintain a healthy weight to prevent fatty liver
~ Drink coffee?
~ Individuals with chronic HCV who do not have cirrhosis can often take acetaminophen, aspirin or NSAIDs at low or standard recommended dosages.
~ Persons with chronic HCV infection and cirrhosis should, in general, avoid taking acetaminophen, NSAIDs or aspirin
~ Those with chronic HCV are often told to avoid taking iron supplements or a daily multivitamin that contains iron
~ Vitamin D deficiency is common with chronic HCV infection (and depression)
Counseling Approaches: Motivation
~ For Testing or Treatment
~ Physical (relieve symptoms)
~ Affective (anxiety/depression)
~ Cognitive (provide direction and clarity)
~ Environmental/Relational (know they are not putting anyone else at risk or how to mitigate risk)
~ OARS: Open-ended questions, Affirmation, Reflection, Summarizing
~ FRAMES: Feedback, Responsibility, Advice, Menu, Empathy, Support
Counseling Approaches
~ Developing a Prevention Plan
~ Prevent self and loved ones from infection
~ Prevent additional infections or development of confounding issues
~ Prevent infecting others if infected
Counseling Approaches
~ Building Support Systems
~ Educate about prevention and to reduce stigma
~ Family counseling
~ Community education
~ Support groups

Also check out our other podcasts, Happiness Isn’t Brain Surgery and Addiction Counselor Exam Review

AllCEUs provides multimedia #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5)

#AllCEUs courses are accepted in most states because we are approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions, the Australian Counselling Association, National Counsel for Therapeutic Recreation Certification NCTRC, CRCC, PA Certification Board, Canadian Counselling and Psychotherapy Association and more. and more…

#DrDawnEliseSnipes provides training through #allceus that are helpful for #LPCCEUs #LMHCCEUs #LCPCCEUs #LSWCEUs #LCSWCEUs #LMFTCEUs #CRCCEUs #LADCCEUs #CADCCEUs #MACCEUs #CAPCEUs #NCCCEUS #LCDCCEUs #CPRSCEUs #CTRSCEUs and more. #HPCSA #ACA #NBCC #NCMHCE #addiction #recovery #mentalhealth#addictionrecovery #depression #anxiety #wedorecover #motivation #mentalhealthawareness #addictionawareness

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5 Reasons the Modern World Is so Ugly

5 Reasons the Modern World Is so Ugly



A distinguishing feature of much of the modern man-made world is that it is, first and foremost, very ugly: disappointing modern architecture abounds. We’ve almost ceased to notice how awful a lot of it is and forgotten how much better we can do. Here are five central reasons why so many buildings have gone wrong and an urgent blueprint for how to build the more beautiful world we deserve.
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“One of the great generalisations we can make about the modern world is that it is, to an extraordinary degree, an ugly world. If we were to show an ancestor from 250 years ago around our cities and suburbs, they would be amazed at our technology, impressed by our wealth, stunned by our medical advances – and shocked and disbelieving at the horrors we had managed to build. Societies that are, in most respects, hugely more advanced than those of the past have managed to construct urban environments more dispiriting, chaotic and distasteful than anything humanity has ever known…”

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Counseling Tools Life Hacks for Chronic Pain Management

Counseling Tools Life Hacks for Chronic Pain Management



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Counseling Tools (Life Hacks) for Chronic Pain Management
Dr. Dawn-Elise Snipes PhD, LPC, LMHC
Executive Director, AllCEUs
Objectives
 Define the problem
 Examine the similarities between CNCP, mental health issues and addiction
 Identify the impact of CNCP on patients
 Explore biopsychosocial resource needs for secondary and tertiary prevention.
Effective pain management in patients with comorbid issues must address all conditions simultaneously.
Biopsychosocial Impact of Pain…
Assessing for Chronic Pain
 Assessment of CNCP should document:
 Pain onset, quality, and severity
 Results of investigations into etiology
 Pain-related functional impairment
 Emotional changes (e.g., anxiety, depression, anger)
 Pre-existing mental health, trauma or addiction issues
 Cognitive changes (e.g., attentional capacity, memory)
 Assessment cont…
 Beliefs about the pain that they experience such as what causes it, how long it will last, whether it is curable, what effects it will have in their lives, what treatments might be relevant, and whether it is understood and believed as “real” by clinicians
 Family response to pain (i.e., supportive, enabling, rejecting)
 Parental cognitive responses to pain, such as parental pain catastrophizing or exaggerated negative pain appraisals, have been found to influence both parents’ emotional reactions to pain and child functional disability
 Assessment cont…
 Environmental consequences (e.g., disability income, loss of desired activities, absence from desirable or feared work)
 Daily pain assessment
 Descriptive language
 Numerical Scales
 Verbal Scales
 Visual Scales
 Exacerbating and mitigating factors
Goals of Chronic Care Models
 Shift from acute & episodic to ongoing proactive care
 Emphasizes
 Prevention (getting worse, developing other conditions)
 Patient’s role in managing health with mutual goal setting and action planning (self-management)
 The goal of self-management interventions are to:
 Improve knowledge about the condition and intervention options
 Increase confidence in the ability to change
 Leverage what he or she can do to promote personal health (prevention)
 Improve motivation and problem solving rather than simple compliance with a caregiver’s advice
 Help the participants’ master six fundamental self-management tasks:
 Solving problems including preventing problems and relapse
 Making decisions
 Using resources
 Forming a patient -provider partnership
 Making action plans for health behavior change
 Self-tailoring
Developing Acceptance
 Deciding that pain “is” and choosing not to focus/dwell on it leads to:
 Lower pain intensity.
 Less pain-related anxiety and avoidance.
 Less depression.
 Less physical and psychosocial disability.
 More daily uptime.
 Better work status.
For a list of tools to assess coping, see TIP 54, Chapter 2, Exhibit 2-12.
Summary
 There are many similarities between Pain, mood and addictive disorders
 Integrated, concurrent, biopsychosocial treatment is vital
 Mood impacts pain which impacts life satisfaction
 Recovery supports realistic beliefs and identifies controllable factors enhanced outcomes
 Patients with current addictions or mental health issues need concurrent treatment
#KidsGetArthritis #curearthritis

AllCEUs provides multimedia #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5)
Unlimited Counseling CEs for $59
Specialty Certificates starting at $89 including #AddictionCounselor #RecoveryCoach #PeerSupportSpecialist #TraumaInformedCare #BHT #Etherapy

#AllCEUs courses are accepted in most states because we are approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions, the Australian Counselling Association, National Counsel for Therapeutic Recreation Certification NCTRC, CRCC, PA Certification Board, Canadian Counselling and Psychotherapy Association and more. and more…

#DrDawnEliseSnipes provides training through #allceus that are helpful for #LPCCEUs #LMHCCEUs #LCPCCEUs #LSWCEUs #LCSWCEUs #LMFTCEUs #CRCCEUs #LADCCEUs #CADCCEUs #MACCEUs #CAPCEUs #NCCCEUS #LCDCCEUs #CPRSCEUs #CTRSCEUs and more.

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Enhancing Mental Health for Hispanic and Latino/Latina/Latinx Persons

Enhancing Mental Health for Hispanic and Latino/Latina/Latinx Persons



Enhancing Mental Health for Hispanic and Latinx Persons based in part on TIP 59: Improving Cultural Competence https://store.samhsa.gov/product/TIP-59-Improving-Cultural-Competence/SMA15-4849

As a note, the term Latinx is strongly recommended to be used by the academic institutions. However, I want to recognize the information coming from community polls that indicate: “In a post published on Medium, the market research company providing consumer insights on the Latino community shared their findings. Of the 508 Latinos in the country that they surveyed, most, or 44%, preferred the label “Hispanic” to describe themselves. That term headed Latino/a, which polled at 24%; country of origin (e.g. Salvadoran), 11 %; country of origin plus “American,” 7%; and “American,” 6%. The least preferred term, according to the poll, was “Latinx,” which was favored among only 2% of the pool.” https://remezcla.com/culture/hispanic-latino-latinx-poll-thinknow/

Please SUBSCRIBE and click the BELL to be notified when we release new videos and when Dr. Dawn Elise Snipes is going live each month. Access additional benefits by JOINING here https://www.youtube.com/channel/UCAE3JJi8tX7gfhZEXCUGd_A/join

CEUs are available for this presentation at https://www.allceus.com/member/cart/index/product/id/42/c/
Want to listen to it as a podcast instead? Subscribe to Counselor Toolbox Podcast https://pod.link/1120947649

 AllCEUs provides multimedia #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5)
Unlimited Counseling CEs for $59
Specialty Certificates starting at $89 including #AddictionCounselor #RecoveryCoach #PeerSupportSpecialist #TraumaInformedCare #BHT #Etherapy

#AllCEUs courses are accepted in most states because we are approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions, the Australian Counselling Association, National Counsel for Therapeutic Recreation Certification NCTRC, CRCC, PA Certification Board, Canadian Counselling and Psychotherapy Association and more. and more…

#DrDawnEliseSnipes provides training through #allceus that are helpful for #LPCCEUs #LMHCCEUs #LCPCCEUs #LSWCEUs #LCSWCEUs #LMFTCEUs #CRCCEUs #LADCCEUs #CADCCEUs #MACCEUs #CAPCEUs #NCCCEUS #LCDCCEUs #CPRSCEUs #CTRSCEUs and more.

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