2006 Cabarrus Davidson Rowan Stanly Union
For people with
developmental The Art of Collaboration
disabilities, and By Stephan Tomlinson, M.Ed, MSW
Have you ever heard the saying, “It’s not rocket many changes occurring within the Mental Health
families and science” Well, that’s absolutely right. Community System. Presentations were given about new serv-
communities. Collaboration isn’t rocket science. It’s an art - the ices, service providers, and implementation of the
art of valuing, honoring, sharing, accommodating, new State service deﬁnitions. Aﬀordable Housing
and inspiring others to work together. Such an art Development, Latino Outreach, Cultural Com-
HIGHLIGHTS OF is readily practiced in the Community Relations petency, Geriatric Special Needs and Emergency
THIS ISSUE Department where our mission is to build strong Services were also topics that were discussed at these
collaborative relationships with our community meetings. Specialty Task Forces were also established
Consumer Success: stakeholders. to work with Hospitals, Law Enforcement, Depart-
Katie & Mikey 2 ment of Social Services and Juvenile Justice. The
Many local agencies like PBH rely on local, state and
Cultural federal dollars to service our communities. We are feedback received was invaluable to PBH in develop-
mandated to do increasingly more with less. There is ing literature and instructional material to educate
Competence Update 3
no room for duplication of services. We partner with the community.
Becky’s Corner 4 key stakeholders to provide In recognizing the importance
services that enrich the quality of reciprocity, our Community
How To Talk To of life in our communities. Relations staﬀ serves on a host of
Your Doctor 5 There is signiﬁcant evidence of community boards, associations, and
these partnerships when we see faith-based organizations includ-
Training 6-7 agencies like PBH, the Depart- ing: the Juvenile Crime Prevention
ment of Social Services, the Councils; Partnership for Children;
Summertime: Meds Health Departments, the Local United Way; and Higher Level Mis-
and Alcohol 8 School Districts, Hospitals, sions. Our Community Relations
Law Enforcement, Criminal staﬀ also serves on strategic planning
Justice, and Parks and Recrea- committees and chair several boards
tion, all partnering with one and subcommittees. In this way we
another. Tremendous commu- demonstrate PBH’s commitment to
nity collaboration exists in the other important community enrich-
For Current PBH catchment area. ment eﬀorts.
Information In 2004, PBH established Stephan Tomlinson Our newest collaborative eﬀort
On The New Community Advisory Councils Director of Community Relations involves the creation of “The Pied-
Service Deﬁnitions in each county. These Coun- mont Regional Continuum of Care”
Visit Our Website cils have representation from in which key stakeholders from
all of the aforementioned service agencies. Also many service agencies and organizations meet with
www.pbhcare.org included on these Advisory Councils are representa- representatives of our Public Housing Authorities,
tives from the Association for Retarded Citizens Habitat for Humanity, and local housing develop-
NEWSLETTER STAFF (ARC), The National Alliance for the Mentally Ill ers, to identify ways to develop aﬀordable housing
Edie Bush (NAMI), the Mental Health Association (MHA) for people with disabilities. This new committee
Helen Leak and the United Way. The Advisory Councils meet successfully submitted and was awarded a $672,000
Brenda Mauney monthly in each of the ﬁve counties we serve to talk HUD grant to oﬀer housing rental assistance to
about consumer needs, service gaps, and opportunity people who are homeless and disabled.
for improving the system of care. In each meeting it If you come to one of our Community Advisory
Becky Norman is clearly apparent that the agency and organization
Bonnie Schell Councils Meetings, you will notice that we have
representatives value each other’s contributions and lively and inspiring discussions. We mix metaphors
Traci Szeszulski honor their commitment to make the system work
Steve Tomlinson and acronyms. We support and encourage diversity.
better for people with Mental Illness, Developmental We accommodate unique perspectives. And at the
Michelle White Disabilities and Substance Abuse disorders. end of each meeting, we clearly demonstrate why
The Community Advisory Councils were originally community collaboration is an art and not a science.
established to educate the community about the
See Consumer Page 7
A Personal Success Story
By Carol Gouge, BS
Kathryn (Katie) Shepherd considers herself to be blessed by God whom she credits with her
achievements. She is a woman, mother, wife and employee who lives with Autistic Spectrum
Disorder (ASD). She was properly diagnosed in November of 2005, after spending her childhood
confused about why other children teased her. Although she was tested annually, it wasn’t until
Katie turned 16 that she found out her diagnosis. Her mother took her to work with her one day,
and while at work, Katie’s mother told her that she (Katie) was mentally retarded. This was devas-
tating to Katie, but it explained many of the diﬃculties she had faced as a child and young adult.
Due to Katie’s comprehension and understanding diﬃculties, high school was a struggle. Her
mother had been told that Katie would never graduate, but graduation was important to her.
When Katie visited her maternal grandparents in California in 1990 during the Thanksgiving
holiday, they decided to home school Katie so she could graduate from high school and she did
in 1992. This was a turning point in Katie’s life.
After graduating from high school, Katie went to live with her father, a retired Air Force, Vietnam
veteran who was now living in Fayetteville, NC. Her father took her to be tested again so they
would know her level of functioning. After receiving the results, her father took her to Vocational
Rehabilitation (VR) for job seeking skills and tips, education and job placement. She then went
to work at Goodwill Industries.
While living with her father and attending church, Katie met and fell in love with her future hus-
band Bill. They were married in Dillon, South Carolina in 1994. Shortly thereafter, her husband
was stationed in Weisbaden, Germany. While there they had a beautiful baby boy, Mikey. Bill
completed his tour in Germany, returned to the US, and was discharged from the Army. Katie and
her family moved to Kannapolis where her husband supported the family and Katie stayed home to raise
Katie & Mikey their son, Mikey, who was diagnosed with severe mental retardation. It was Mikey’s pediatrician who
told Katie that she was Autistic She decided to get tested by the same group who had diagnosed her son.
In 2005 she was correctly diagnosed with Autistic Spectrum Disorder.
Katie’s seven year old son is the joy of her life! She keeps his picture with her at all times. She is insistent
that he receive the best care possible so he can have a future ﬁlled with opportunities. Katie’s love for
her son has led her to become an advocate for those who are living with Autism and Autistic Spectrum
Disorder and Mental Retardation. Through her advocacy Katie has become involved with the National
Association for Autistic Research (NAAR) and the Rowan Chapter of the Autism Society. She is commit-
ted to supporting research for Autism and Mental Retardation and has decided to allow her brain to be
used for research upon her death.
Prior to her diagnosis, Katie and her husband separated, but continue to remain best friends. Mikey has
lived with Katie since the separation. Currently Mikey is on a list for placement in a group home where
he will be receiving the care that he needs on a full time basis. Katie wants to do what is in her son’s best
interest and she plans on doing everything necessary to nurture his psychological development.
Katie is a single parent and employed with Subway. During this time she has organized fund raisers for
the National Alliance for Autism Research and the Rowan Chapter of the Autism Society through the
Happy 25th Salisbury Subway stores owned by Chris Hicks and the Pizza Hut located on Jake Alexander Blvd. in
Salisbury. She enjoys her job, her supervisor and coworkers, and is grateful to them for being receptive
Anniversary and supportive of her advocacy for Autism services.
Katie is “thankful to God” for all he has given her and plans to continue living a normal life by loving
to Arc of and caring for her son as well as working, and advocating. She invites people to speak with her if they
have questions about these illnesses or are interested in research. She can be reached by contacting
Union Consumer Aﬀairs at PBH.
Disability is a natural part of life. It doesn’t reduce a person’s right to take part
fully in society. Our nation must guarantee this right. That means people with
disabilities need to enjoy equal opportunity. They should also be free to live on
their own, and have enough money to pay their own expenses. For all these to
happen, we need better education for children.
Paraphrased from IDEA, Section 601 of the Individuals with Disabilities Education Act
P AG E
Amendments of 1997.
Cultural Competence Update
Do Racial and Ethnic Disparities Exist in Mental Health?
By Revella Nesbit, BSW, M.Ed., LPC
The Surgeon General’s report entitled Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental
Health was released by the U.S. Department of Health and Human Services. The report sites that Americans Despite most
of diverse cultures, races, and ethnicities have enriched our nation. The most recognized racial and ethnic
minority groups in the United States are the: African Americans (Blacks); American Indians and Alaska
Natives; and the Asian Americans and Paciﬁc Islanders. Hispanic American (Latino) is a term that deﬁnes
an ethnicity, and may apply to a person of any race, including White Americans. Racial and ethnic minorities
are projected to account for 40% of the U.S. population by 2025. disparities
The Surgeon General’s report states that for all persons, Mental health is fundamental to overall health and
productivity. Yet, one in every ﬁve Americans experience the disabling eﬀects of mental health problems.
The impact of these problems is tremendous when left untreated. President Bush’s New Freedom Commis-
sion on Mental Health Report states that “the mental health system, (which is primarily responsible for
providing services to individuals without insurance), has not kept pace with the diverse needs of racial and
ethnic minorities, often under serving or inappropriately serving them.” The Surgeon General has also stated
that signiﬁcant barriers still remain in access, quality, and outcomes for care of minorities. As a result, racial
and ethnic minorities bear a disproportionately high burden of disabilities from mental disorders. This
burden does not arise from a greater prevalence or severity of illnesses, but rather from receiving less care
and poorer quality care. Visit us on our
In addition, barriers exist for ethnic minorities who seek services. They include: mistrust and fear of treat- web site at:
ment; diﬀerent cultural ideas about illnesses and health; diﬀerence in help-seeking behaviors, language, and
communication patterns; racism; varying rates of being uninsured; and discrimination by individuals and www.pbhcare.org
institutions. Despite most popular beliefs, disparities do exist. Becoming culturally competent is one step in
a long journey towards eliminating disparities in the mental health system for racial and ethnic minorities. Under About PBH,
New Freedom Commission on Mental Health, Achieving the Promise: Transforming Mental Health Care in click on Cultural
America. Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD: 2003.
view our report
Your mental health matters. Taking care of your mental health is just and plan.
as important as taking care of your overall health. In fact, the two are
tightly connected. Mental health problems like depression can aﬀect
your general health.
Tip from the Surgeon General
We have revised our web site - Take a look!
Children and Family Services Association - NC
has revised their web site!
New site is much more interactive and provides search engines
that will assist consumers and state agencies in knowing more
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about the services provided by our member agencies
By Becky Norman, BSW
We are meeting with Jim Curtin, Community Relations – Housing Development Manager. Thank you Jim,
for meeting with me to discuss the PBH Housing Initiatives and plans on the horizon.
Becky: Can you tell us what’s on the move with thirty percent (30%) of their adjusted gross income
our Housing Initiative? for housing cost including: rent, mortgage payments,
Jim: PBH is in the process of developing aﬀordable condominium fees, utilities, taxes and insurance, as
housing to enable individuals with mental illnesses, applicable for rental or owned housing units. The
developmental disabilities and substance abuse prob- new grant will bring our Shelter Plus Care program
lems to live in our communities with the proper sup- up to approximately 20 vouchers. This means that
ports. Currently there is not suﬃcient housing for 20 individuals and/or families with disabilities can
our consumers and as a result people are residing in receive assistance with rent and supportive services.
state institutions contrary to the Olmstead decision To qualify for Shelter Plus Care, an individual must
which mandates that steps be taken to enable con- be both homeless and disabled. A small percentage
sumers with disabilities to live in our communities. must also be chronically homeless which is deﬁned
as living in the streets or in shelters continuously for
Becky: Can you explain PBH’s plans to develop a year or more, or has had at least four episodes of
Trivia aﬀordable housing?
Jim: There are a number of things we are work-
homelessness in the past three years.
Becky: What types of supportive services are avail-
Which of the ing on. In partnership with RHA Health Services, able under the Shelter Plus Care Grant?
we have applied for a grant from the State Mental
following game Health Trust Fund for the development of a transi- Jim: The supportive services consist of case man-
agement, medical or psychological counseling and
show hosts has tional housing program. We received notice from
the State that we were awarded the grant and will be supervision, childcare, transportation, and job
training to facilitate independence. These services
obsessive moving swiftly with RHA Health Services to help
are typically provided after a person centered plan is
implement this program. PBH has applied for and
compulsive successfully been awarded a Housing and Urban developed through the help of a support provider.
These services may be provided in the consumer’s
Development (HUD) Shelter Plus Care Grant. This
disorder? grant will enable individuals with disabilities to home and or in the community as appropriate.
obtain an apartment with the help of a Rental Assis- Becky: How can individuals ﬁnd out if they are
a. Alex Trebek- tance Voucher. PBH has also established a Housing eligible for various housing programs?
Jeopardy Development Committee to begin the planning Jim: The eligibility guidelines for Shelter Plus Care
process for future development. are on the PBH Website. In addition, there are eight
b. Howie Mandel - Becky: What is the Piedmont Regional Continuum Public Housing Authorities in the PBH catchment
Deal or No Deal of Care (PRCoC) and what part does it play in the area that have information and are able to assist with
PBH Plan to increase aﬀordable housing? eligibility determinations for the various programs
c. Pat Sajak - Jim: HUD requires that a Continuum of Care they administer. We also have a brochure entitled
PRCoC, which is also available on the PBH web-
Wheel of Fortune Committee be in existence consisting of representa-
site and at the homeless shelters. PBH has posted
tives from community service agencies like Depart-
ment of Social Services (DSS) and the Health De- an application for individuals interested in being
d. Meredith Vieira- considered for the Shelter Plus Care program. We
partment, along with service organizations, advocacy
Who Wants to be a groups, private developers, municipal agencies and will be establishing a waiting list from the interested
Millionaire a host of concerned individual providers to work applicants so that after all Rental Assistance Vouchers
together in applying for and managing housing units have been issued, we may contact people on the list
See back page for answer when a new voucher becomes available.
and supportive services for people with disabilities.
These committees analyze the needs in the com- Becky: How can individuals learn more about af-
munity and determine which local projects will best fordable housing and the resources available to help?
meet the needs of individuals in the community with Jim: PBH will continue to post information on
disabilities. Our PRCoC was established in February our website. Individuals may attend the PRCoC
2005. PBH serves as the lead agency on this impor- committee meetings on the 2nd Wednesday of each
tant Continuum of Care committee. month at 10:00 AM at 300 Copperﬁeld Plaza Suite
Becky: Can you tell us how this newly awarded 203 in Concord. Other helpful websites include:
HUD Grant works? TAC: www.tacinc.org
Jim: The Shelter Plus Care Grant enables us to is- HUD: www.hud.gov
sue a voucher to homeless and disabled individuals Fair Housing: www.fairhousinglaw.org
and families. This grant provides assistance so the NC Housing Coalition: www.nchousing.org
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individuals will not be required to pay more than NC Housing Finance Agency: www.nchfa.com
How To Talk To Your Doctor
Psychiatric Drugs and Hot Weather
By Craig Hummel, MD
With the coming of summer, patients taking of the sun are blocked. Second, cover as much of
medication need to take care to make sure that the the skin as you can. Long sleeved shirts and long Did You Know......?
heat and the sun do not give them diﬃculties. This pants are best for accomplishing this. And, if the
is not to say that patients should not go outside rash appears, consult with your doctor as soon as
during the summer months, but that they need to possible. 1 in 2 Americans
use caution. People on the atypical antipsychotics such as has a diagnosable
First and foremost, people who are outside in Zyprexa, Resperidal, and Seroquel, experience
hot weather need to make sure they are drinking extra sweating and photosensitivity. Anticonvul- mental disorder
adequate amounts of water or other non-caﬀeinated sants drugs such as Depakote and Tegretol cause
beverages to prevent dehydration. When it is hot increased sensitivity to the sun. each year,
and especially if you are exercising, you may not Lithium can be troublesome in hot weather. The
be able to cool down your body. This is because kidney is the organ that takes lithium from our including:
even though you are sweating the sweat is not body and it is also the organ that regulates the
evaporating fast enough. Some older antipsychotic amount of ﬂuids in the body. It is possible that
medications such as Thorazine and the drug for if the body has an imbalance in ﬂuids, that the 44 Million adults
side eﬀects, Cogentin, inhibit the body’s ability to lithium level could change. This could cause
sweat. It is best to not do strenuous activities when either side eﬀects or make the lithium less eﬀec-
it is hot and humid and to drink enough ﬂuids to tive. Lithium causes excessive sweating under the 13.7 million
stay well hydrated. If you feel yourself becoming hot sun which raises the amount of Lithium and
overheated, take a cool shower or splash water on can lead to toxicity. Good ﬂuid intake, not all at children
your face and arms. once, but throughout the day, is the best insurance
All drugs can cause a condition called photosen- against this problem.
sitivity. This is where a person develops a rash on Adderal and Ritalin, prescribed for children and
parts of their body that are exposed to the sun. teens with Attention Deﬁcit Disorder, can also
The rash looks like a sun burn and can be serious. make it diﬃcult for the body to maintain a normal 80 to 90% of
Many psychiatric drugs are prone to this problem, temperature. Parents and friends should monitor
especially the older antipsychotics such as Thora- the amount of sun exposure children and teens are mental disorders
zine and Haldol. Older neuroleptics foster severe getting and remind them to drink plenty of ﬂuids.
sunburn after 30-60 minutes of sunlight. are treatable
In short, during hot summer days it is best to drink
There are steps that can be taken to lessen the extra ﬂuids, stay out of the sun, wear light colored
changes of a photosensitivity rash. First, use a loose clothing, spend time in cool places such as using medication
good sun block while outside. These are found in malls and movies, use fans or air conditioning when
sunscreen products and are usually rated from 15 available, avoid overexertion, be alert to sunburns, and other
to 45. Buy the highest UV blocking lotion you can. and have a great summer!
The higher the number the more ultraviolet rays therapies
15th Annual NC Mental Health Consumer Organization
Conference held at Peace College in Raleigh, NC
Fewer than half
of adults get help
Theme for this year was
Discover Your Strengths Only one-third of
The PBH Oﬃce of Consumer children get help
Aﬀairs sponsored thirteen
consumers from the ﬁve
Bonnie, Donna and
clubhouses in the PBH area.
Judy of Anarossi Place
For clubhouse information,
call Jennie at 704-786-1222 in downtown Concord
leaving for June 3-5
P A GE
July through September 2006
DESCRIPTION, TARGET AUDIENCE &
TRAINING AVAILABLE REGISTRATION REQUIREMENT
July 18, Instructor(s): Becky Norman/QM Staﬀ An overview of State & Federal Rules, how to
access and policy & procedure requirements.
LME & MH/DD/SAS Providers: Direct Care,
Management, Case Managers, consumers/
August 8, BACK TO BASICS
Instructor(s): Kaye Auten The “Ins and Outs” of medical records management.
2006 Time: 9AM-12PM PDS, LME & MH/DD/SAS Providers
Location: Cabarrus PDS
August 8, CONTINUOUS QUALITY
IMPROVEMENT (CQI) CQI process to include planning and implementa-
2006 Instructor(s): Todd Abernethy/QM Staﬀ tion. Includes State, LME & business plan require-
Time: 1PM-5PM ments.
LME & MH/DD/SAS Providers
August 15, Instructor(s): Becky Norman/Dr. Carroll Lytch Review of Client Rights Rules in NC. Includes rights
or Ron Brooks; Keisher Young
and responsibilities. Includes policy & procedure
requirements and how to access rules.
Location: Copperﬁeld LME, Providers, Case Managers, consumers/family
AUDIT PROOF YOUR SERVICES
September 12, Instructor(s): Todd Abernethy/Amber Burris/ Importance of detailed documentation & reasons for
clear and organized documentation. Includes Federal,
State & LME requirements.
Location: Copperﬁeld LME & MH/DD/SAS Providers
September 12, Instructor(s): Becky Norman/QM Staﬀ Importance of detailed documentation, what should
Time: 1PM-5PM be reported and reasons for reporting, clear and
2006 Location: Copperﬁeld organized documentation guidelines. Includes
Federal, State & LME requirements.
LME & MH/DD/SAS Providers: Direct Care,
Management, Case Managers, consumers/
QUALITY ASSURANCE ACTIVITIES
September 19, Instructor(s): Becky Norman/QM Staﬀ The role of QA in LME’s, QA/QI planning and
responsibilities. Includes State, LME & Business plan
LME & MH/DD/SAS Providers
REGISTER ON LINE AT OUR WEB SITE: WWW.PBHCARE.ORG/CALENDAR
P A GE
CALL OR E-MAIL MECHELLE NURSE AT
MECHELLEN@PAMH.COM OR 704-721-7039
July through September 2006
DESCRIPTION, TARGET AUDIENCE &
TRAINING AVAILABLE REGISTRATION REQUIREMENT
INTERNAL AGENCY REVIEW
Instructor(s): Becky Norman/QM Staﬀ The role of QA and responsibilities for internal September 19,
Time: 1:30PM-4PM monitoring of systems per the QA/QI plan. Includes
Location: Copperﬁeld State, LME & Business plan requirements. 2006
LME & MH/DD/SAS Providers
DEMENTIA, DIFFICULT BEHAVIORS,
SCHIZOPHRENIA, DEPRESSION Consultation and training for providers and caregiv- Dawn Lillard
Instructor(s): Geriatric Specialty Team of PBH
Time: 1 to 3 Hours Consultation/ ers who work with consumers’ 60 yrs. old and up or
who have geriatric like needs. Trainings are tailored
Location: To Be Determined to site need. or
Providers/Caregivers of consumers age 60 or older
Other Training Available
These are not provided by PBH
PBH web site:
www.gacpd.com/calendar.htm www.northwestahec.wfubmc.edu www.pbhcare.org.
Click on the
PBH Calendar of
Events. This is a
great place to ﬁnd
In May 2006, NAMI North Carolina (The National Alliance for the out about events,
Mentally Ill) held its annual Spring conference in Raleigh, NC. trainings, meetings,
There was an art exhibit at the conference re-creating the beautiful and current
painting, Irises, by Vincent Van Gogh who rendered the work at a time information.
when he was being treated for mental illness. This re-creation consisted
of a veritable garden of oversized silken ﬂowers donated by those who
celebrate the Courage and Hope for Recovery of people with mental illness.
ARC, ADVOCATING FOR PEOPLE WITH MENTAL RETARDATION 1st Tuesday of
Cabarrus Champions, a local self-advocacy group for adults with disabilities.
Where: Cabarrus County Senior Center, Corban Avenue, Concord
Time: 6:30PM - 7:30PM
For more information call the Arc oﬃce at: 704-637-1521.
PA G E
More Trivia Summertime - Meds & Alcohol
This person was perhaps By Traci Szeszulski, LCSW/P
one of the ﬁrst self- Summer is here! For most people sunny, warm The following is a description of the eﬀects alcohol
advocates in the US. He weather brings carefree days of grilling out, picnics, can have on speciﬁc types of medications:
was placed in an asylum and holiday celebrations which sometimes includes Antidepressants (tricyclic type): Alcohol can
drinking an alcoholic beverage or two. For those increase the sedative (sleepiness) eﬀect, impair-
in 1900 at age 24. taking psychotropic medications it is important to ing mental skills required for activities such as
He encountered wide- be mindful of the side eﬀects that can occur with driving. A chemical called tyramine found in
alcohol. some beers and wines can cause a dangerous
spread abuse. After
Medications must generally travel through the rise in blood pressure.
getting out, he formed bloodstream to its site of action, where it produces Antipsychotics: Alcohol can increase the seda-
an organization to some change in an organ or tissue. The drug’s eﬀect tive eﬀect of medications resulting in impaired
expose and end abuse then diminishes as it is metabolized by enzymes coordination and potentially fatal breathing
in the liver and eliminated from the body by the diﬃculties. Liver damage can also occur with
in institutions. kidneys. When a person consumes alcohol it acts chronic alcohol use.
Who was this self-advocate? in the same way and may compete for the same
set of metabolizing enzymes. This can inﬂuence the Antianxiety: Alcohol may cause severe drowsi-
eﬀectiveness of the medication by altering its avail- ness increasing the risk of auto accidents.
a. Cliﬀord Beers ability. Speciﬁcally with Ativan, and other benzodiaz-
epines, alcohol can cause depressed heart and
b. Thomas H. Gallaudet The eﬀects alcohol has on medications can vary breathing functions.
c. Louis Braille depending on the amount that is consumed. A
single drink (acute dose) may prolong and enhance These are just some of the harmful eﬀects that can
d. Alexander Bell the medication’s eﬀects while chronic alcohol result when combining alcohol with psychiatric
consumption may decrease its availability and medications. This article is not inclusive of all
Association diminish the eﬀects. It is important to remember eﬀects or types of medications such as those used
Mental Health that any amount of alcohol can transform medi- to treat medical conditions. When taking any
cations into toxic chemicals that can damage the prescribed or over-the-counter medication, always
inspiration, for the consult with your doctor or pharmacist before
liver, kidney or other organs.
Cliﬀord Beers, drinking alcoholic beverages.
Visit us at:
Trivia from p.4
b. Howie Mandel, the host of the game show Deal or No Deal, has obsessive-compulsive disorder (OCD)
and a fear of germs, to the point that he does not shake hands with anyone. A person with OCD has
persistent, unwelcome thoughts (obsessions) and/or the urgent need to engage in certain rituals (com-
pulsions). Mandel revealed on the Howard Stern Show that his shaved head is not related to natural
hair loss, but to his fear of germs. He stated that the lack of hair makes him feel cleaner.
Twin Sisters and Their Journey through Schizophrenia by Pamela Spiro Wagner and Carolyn S.
This truly describes what a person with schizophrenia experiences with their hallucinations,
misinterpretations of reality, paranoia and fear, as well as the experience of a sister who is very
P A GE
close to her. A must read book!