#family group therapy st louis mo

[newdawnfamilyhealing]

New Dawn Family Healing offers a comprehensive family recovery program in St Louis MO, designed to support not only individuals struggling with addiction but also their families. We understand that addiction affects the entire family unit, and our goal is to rebuild trust, communication, and a supportive environment for long-term recovery.

New Dawn Family Healing 711 Old Ballas Rd #203, St. Louis, MO 63141 (314) 470–9178

My Official Website: https://newdawnfamilyhealing.com/ Google Plus Listing: https://www.google.com/maps?cid=7062190844174420769

Our Other Links:

mental health family resources St Louis MO: https://www.newdawnfamilyhealing.com/family-mental-health-services/ family involvement in mental health treatment St Louis MO: https://www.newdawnfamilyhealing.com/mental-health-family-treatment/ individual therapy St Louis MO: https://www.newdawnfamilyhealing.com/individual-therapy-st-louis-mo

Service We Offer:

Individual Therapy Family Therapy Group Therapy Family Coordination

Follow Us On:

Facebook: https://www.facebook.com/newdawnfamilyhealing Instagram: https://www.instagram.com/newdawnfamilyhealing/ Twitter: https://twitter.com/new_dawn21250 Pinterest: https://www.pinterest.com/NewDawnFamilyHealing/

[sanalakebehavioralwellnesscenter]

Welcome to Sana Lake Behavioral Wellness Center, the premier outpatient treatment in Maryland Heights. Our center is dedicated to providing comprehensive and personalized care to individuals seeking recovery from addiction and mental health disorders. Our outpatient services include individual therapy, group therapy, medication management, holistic therapies, family counseling, and educational programs.

Sana Lake Behavioral Wellness Center 140 Weldon Parkway, Maryland Height, MO 63043 (636) 205–4090

My Official Website: https://sanalake.com/service-areas/maryland-heights/ Google Plus Listing: https://www.google.com/maps?cid=9470716732171269316

Our Other Links:

Drug Rehab St. Louis: https://sanalake.com/locations/missouri/st-louis/ EMDR Therapy St Louis: https://sanalake.com/treatment/eye-movement-desensitization-and-reprocessing-therapy/ Sober Living St Louis: https://sanalake.com/programs/recovery-supportive-housing/ St Louis Addiction Counseling: https://sanalake.com/service-areas/st-louis/

Service We Offer:

Addiction Treatment Inpatient Outpatient Drug Detox Family Therapy Partial Hospitalization

Follow Us On:

Twitter: https://twitter.com/LakeWellne54574 Pinterest: https://www.pinterest.com/SanaLakeBehavioralWellness/

[midwestinstituteforaddiction]

Midwest Institute for Addiction is a Drug treatment center in St Louis, Missouri. It provides comprehensive and evidence-based treatment to individuals struggling with addiction and substance abuse. The MIA team of skilled professionals offers a variety of services, including individual and group counseling, medical care, medication-assisted treatment, family therapy, relapse prevention education and aftercare services.

Midwest Institute for Addiction 711 Old Ballas Road, Suite 203, St. Louis, MO 63141 (314) 569–2253

Official Website: https://www.midwestinstituteforaddiction.org/ Google Plus Listing: https://maps.google.com/maps?cid=1031891545893241826

Other Links

Alcohol Detox St Louis : https://www.midwestinstituteforaddiction.org/detox-center/ Suboxone St Louis : https://www.midwestinstituteforaddiction.org/treatment-services/medications/suboxone/ Outpatient Rehab St Louis : https://www.midwestinstituteforaddiction.org/treatment-services/general-outpatient/

Other Service We Provide:

Addiction Treatment Drug Treatment Alcohol Treatment Detox Treatment Alcohol Detox Treatment

Follow Us On

Twitter: https://twitter.com/MI_Addiction Pinterest: https://www.pinterest.com/MidwestInstituteforAddictionMO/ Linkedin: https://www.linkedin.com/company/midwest-institute-for-addiction Facebook: https://www.facebook.com/MidwestInstituteforaddiction Instagram: https://www.instagram.com/midwestinstituteforaddiction/

[getcenteredusa]

Get Centered Counseling, Coaching, and Wellness

Address: 249 Lamp and Lantern Village Town and Country, MO 63017

Phone: (314) 899-2670

Email: info@getcenteredcounselingstl.com

Website: https://getcenteredcounselingstl.com/

Description: Get Centered Counseling, Coaching, and Wellness provides counseling services in Town and Country Missouri. They specialize in counseling and coaching with a whole person approach for children, teens, adults, couples and families.

Keywords: Counseling in St. Louis, Group Therapy, therapy st. louis

Hour: Monday - Friday 9:00am - 7:00pm Saturday 10:00am - 12:00pm

[liliannorman]

Antibodies from former COVID-19 patients could become a medicine

Since late March, some U.S. patients have received a promising experimental treatment for the new coronavirus. All were critically ill and in hospitals. They didn’t get a new drug. Instead, doctors infused their blood with antibodies. These immune proteins were taken from the blood of people who had already recovered from COVID-19.

Explainer: What is a coronavirus?

The treatment is known as convalescent (Kon-vuh-LES-sunt) plasma. Plasma is a yellowish liquid in blood. It carries antibodies. The body’s immune system makes those antibodies — special proteins — in response to a virus or vaccine. Those proteins can bind to a virus and help to remove the infectious particles.

It takes time for the body to make antibodies, around a week or two. But once they are available, the immune system can quickly respond to a particular virus the next time it confronts it. Antibodies are part of what is known as the body’s “active immunity.” For some viruses and vaccines, active immunity can last decades — even the rest of your life.

In contrast, the new plasma therapy uses someone else’s antibodies to fight infection. The immunity it offers may last for only weeks to a few months. But it’s just possible that these proteins can “prevent infection or treat infection in another patient,” says Jeffrey Henderson. He’s an infectious disease physician and scientist who works at Washington University School of Medicine in St. Louis, Mo.

Explainer: What is a clinical trial?

Convalescent plasma is an experimental therapy for COVID-19. The U.S. Food and Drug Administration, or FDA, recently authorized it for emergency use. How well it will work remains unknown. But with the United States now leading the world in confirmed cases of COVID-19 — and no proven treatments known — researchers are racing to set up clinical trials to test convalescent plasma.

If the therapy works, FDA might approve its wider use to treat infections with SARS-CoV-2, the virus that causes COVID-19.

A vaccine is still needed to protect people from the infection. But such a vaccine for SARS-CoV-2 is at least a year away or more. Until then, scientists are searching for ways to treat the infection. Donated antibodies is one such treatment, notes John Roback. He’s a pathologist at Emory University School of Medicine in Atlanta, Ga. There, he performs research on blood-transfusion medicine.

Artist’s rendering of antibodies (blue) attacking viruses (red) in the body.Christoph Burgstedt/iStock/Getty Images Plus

Setting up clinical trials

Henderson, in St. Louis, is part of a group of U.S. researchers working to set up clinical trials for convalescent plasma. That group is known as the National COVID-19 Convalescent Plasma Project. It plans to test the antibodies in three different groups.

One would test whether they can prevent infection in people exposed to COVID-19 by a family member or other close contact. This trial would test plasma from COVID-19 survivors against a placebo, explains project member Shmuel Shoham. He’s a doctor at Johns Hopkins University School of Medicine, in Baltimore, Md. There, he specializes in infectious diseases. That placebo treatment would be plasma taken from patients prior to December 2019. That was before the viral epidemic reached the United States. This plasma, therefore, would have no COVID-19 antibodies.

See all our coverage of the new coronovirus outbreak

A second trial plans to test whether antibodies can help people with moderate disease who are in the hospital. It would study whether it could keep them from needing intensive care, Shoham says. A third trial aims to study whether the therapy helps the illest of patients.

While using donated antibodies to fight COVID-19 is new, this type of treatment is not. An April 1 commentary in the Journal of Clinical Investigation describes many instances in which donated plasma appeared to prevent or fight infections.

It was used to help stop outbreaks of measles and mumps. This was before vaccines for them were available. And there’s some evidence that people who got such plasma during the notorious 1918 flu pandemic were less likely to die.

There’s even been a few tests of COVID-19 antibodies from recovered patients to treat critically ill patients in China. But in those tests, the treatment was not compared to a placebo. Such placebo-controlled trials are the gold standard for evaluating how well a medical treatment works.

Plasma questions

In the United States, some blood banks and hospitals are gearing up to collect plasma from people who got over COVID-19. The Red Cross has set up a form for people who would like to donate. The National COVID-19 Convalescent Plasma Project also has info on how to register to donate plasma.

For the U.S. trials, the researchers will study the donated plasma. They want to know if it has what’s known as “neutralizing” antibodies. Such antibodies prevent a virus from entering a host cell. That would stop an infection.

Researchers suspect that this type of antibody is what makes plasma therapy effective. It also hints at when using the plasma would help most.

Early in the disease, the virus infects cells to copy itself. “But as the disease progresses, the tissue damage done by the virus is more difficult to reverse,” says Henderson. Inflammation — not the virus itself — can cause damage as the infection now continues. Still, he says, antibody therapy might be able to help someone who is critically ill.

As doctors await answers from completed trials in the United States and other countries, more U.S. patients may receive the experimental treatment. It’s great that critically ill patients might have this option, Shoham says. In the meantime, “we’re trying to … find out if [convalescent plasma] actually works.”

Antibodies from former COVID-19 patients could become a medicine published first on https://triviaqaweb.tumblr.com/

[gordonwilliamsweb]

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy

More From The Midwest Bureau

View More

ST. LOUIS — Missouri began offering chiropractic care, acupuncture, physical therapy and cognitive-behavioral therapy for Medicaid patients in April, the latest state to try an alternative to opioids for those battling chronic pain.

Yet only about 500 of the state’s roughly 330,000 adult Medicaid users accessed the program through December, at a cost of $190,000, according to Josh Moore, the Missouri Medicaid pharmacy director. While the numbers may reflect an undercount because of lags in submitting claims, the jointly funded federal-state program known in the state as MO HealthNet is hitting just a fraction of possible patients so far.

Meanwhile, according to the state, opioids were still being doled out: 109,610 Missouri Medicaid patients of all age groups received opioid prescriptions last year.

The going has been slow, health experts said, because of a slew of barriers. Such treatments are more time-consuming and involved than simply getting a prescription. A limited number of providers offer alternative treatment options, especially to Medicaid patients. And perhaps the biggest problem? These therapies don’t seem to work for everyone.

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The slow rollout highlights the overall challenges in implementing programs aimed at righting the ship on opioid abuse in Missouri — and nationwide. To be sure, from 2012 to 2019, the number of Missouri Medicaid patients prescribed opioid drugs fell by more than a third — and the quantity of opioids dispensed by Medicaid dropped by more than half.

Still, opioid overdoses killed an estimated 1,132 Missourians in 2018 and 46,802 Americans nationally, according to the latest data available. Progress to change that can be frustratingly slow.

“The opioids crisis we got into wasn’t born in a year,” Moore said. “To expect we’d get perfect results after a year would be incredibly optimistic.”

Despite limited data on the efficacy of alternative pain management plans, such efforts have become more accepted, especially following a summer report of pain management best practices from the U.S. Department of Health and Human Services. States such as Ohio and Oregon see them as one part of a menu of options aimed at curbing the opioid crisis.

St. Louis chiropractor Ross Mattox, an assistant professor at chiropractic school Logan University, sees both uninsured patients and those on Medicaid at the CareSTL clinic. He cheered Missouri’s decision to expand access, despite how long it took to get here.

“One of the most common things I heard from providers,” he said, “is ‘I want to send my patient to a chiropractor, but they don’t have the insurance. I don’t want to prescribe an opioid — I’d rather go a more conservative route — but that’s the only option I have.’”

And that can lead to the same tragic story: Someone gets addicted to opioids, runs out of a prescription and turns to the street before becoming another sad statistic.

“It all starts quite simply with back pain,” Mattox said.

Practical Barriers

While Missouri health care providers now have another tool besides prescribing opioids to patients with Medicaid, the multistep approaches required by alternative treatments create many more hoops than a pharmacy visit.

The physicians who recommend such treatments must support the option, and patients must agree. Then the patient must be able to find a provider who accepts Medicaid, get to the provider’s office even if far away and then undergo multiple, time-consuming therapies.

“After you see the chiropractor’s for one visit, it’s not like you’re cured from using opioids forever — it would take months and months and months,” Moore said.

The effort and cost that go into coordinating a care plan with multiple alternative pain therapies is another barrier.

“Covering a course of cheap opioid pills is different than trying to create a multidisciplinary individualized plan that may or may not work,” said Leo Beletsky, a professor of law and health sciences at Northeastern University in Boston, noting that the scientific evidence of the efficacy of such treatments is mixed.

And then there’s the reimbursement issue for the providers. Corry Meyers, an acupuncturist in suburban St. Louis, does not accept insurance in his practice. But he said other acupuncturists in Missouri debate whether to take advantage of the new Medicaid program, concerned the payment rates to providers will be too low to be worthwhile.

“It runs the gamut, as everyone agrees that these patients need it,” Meyers stressed. But he said many acupuncturists wonder: “Am I going to be able to stay open if I take Medicaid?”

Structural Issues 

More From The Midwest Bureau

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy 5:00 AM EST

Conservative Indiana Adopted Needle Exchanges But Still Faces Local Resistance Feb 12

Patients Stuck With Bills After Insurers Don’t Pay As Promised Feb 7

View More

While helpful, plans like Missouri’s don’t address the structural problems at the root of the opioid crisis, Beletsky said.

“Opioid overutilization or overprescribing is not just a crisis in and of itself; it’s a symptom of broader structural problems in the U.S. health care system,” he said. “Prescribers reached for opioids in larger and larger numbers not just because they were being fooled into doing so by these pharmaceutical companies, but because they work really well for a broad variety of ailments for which we’re not doing enough in terms of prevention and treatment.”

Fixing some of the core problems leading to opioid dependence — rural health care “deserts” and the impact of manual labor and obesity on chronic pain — requires much more than a treatment alternative, Beletsky said.

And no matter how many alternatives are offered, he said, opioids will remain a crucial medicine for some patients.

Furthermore, while alternative pain management therapies may lessen opioid prescriptions, they do not address exploding methamphetamine addiction or other addiction crises leading to overdoses nationwide — even as a flood of funds pours in from the national and state level to fight these crises.

The Show-Me State’s refusal to expand Medicaid coverage to more people under the Affordable Care Act also hampers overall progress, said Dr. Fred Rottnek, a family and addiction doctor who sits on the St. Louis Regional Health Commission as chair of the Provider Services Advisory Board.

“The problem is we relatively cover so few people in Missouri with Medicaid,” he said. “The denominator is so small that it doesn’t affect the numbers a whole lot.”

But providers like Mattox are happy that such alternative treatments are now an option, even if they’re available only for a limited audience.

He just wishes it had been done sooner.

“A lot of it has to do with politics and the slow gears of government,” he said. “Unfortunately, it’s taken people dying — it’s taken enough of a crisis for people to open their eyes and say, ‘Maybe there’s a better way to do this.’”

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy published first on https://nootropicspowdersupplier.tumblr.com/

[dinafbrownil]

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy

More From The Midwest Bureau

View More

ST. LOUIS — Missouri began offering chiropractic care, acupuncture, physical therapy and cognitive-behavioral therapy for Medicaid patients in April, the latest state to try an alternative to opioids for those battling chronic pain.

Yet only about 500 of the state’s roughly 330,000 adult Medicaid users accessed the program through December, at a cost of $190,000, according to Josh Moore, the Missouri Medicaid pharmacy director. While the numbers may reflect an undercount because of lags in submitting claims, the jointly funded federal-state program known in the state as MO HealthNet is hitting just a fraction of possible patients so far.

Meanwhile, according to the state, opioids were still being doled out: 109,610 Missouri Medicaid patients of all age groups received opioid prescriptions last year.

The going has been slow, health experts said, because of a slew of barriers. Such treatments are more time-consuming and involved than simply getting a prescription. A limited number of providers offer alternative treatment options, especially to Medicaid patients. And perhaps the biggest problem? These therapies don’t seem to work for everyone.

Email Sign-Up

Subscribe to KHN’s free Morning Briefing.

Sign Up

Please confirm your email address below:

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The slow rollout highlights the overall challenges in implementing programs aimed at righting the ship on opioid abuse in Missouri — and nationwide. To be sure, from 2012 to 2019, the number of Missouri Medicaid patients prescribed opioid drugs fell by more than a third — and the quantity of opioids dispensed by Medicaid dropped by more than half.

Still, opioid overdoses killed an estimated 1,132 Missourians in 2018 and 46,802 Americans nationally, according to the latest data available. Progress to change that can be frustratingly slow.

“The opioids crisis we got into wasn’t born in a year,” Moore said. “To expect we’d get perfect results after a year would be incredibly optimistic.”

Despite limited data on the efficacy of alternative pain management plans, such efforts have become more accepted, especially following a summer report of pain management best practices from the U.S. Department of Health and Human Services. States such as Ohio and Oregon see them as one part of a menu of options aimed at curbing the opioid crisis.

St. Louis chiropractor Ross Mattox, an assistant professor at chiropractic school Logan University, sees both uninsured patients and those on Medicaid at the CareSTL clinic. He cheered Missouri’s decision to expand access, despite how long it took to get here.

“One of the most common things I heard from providers,” he said, “is ‘I want to send my patient to a chiropractor, but they don’t have the insurance. I don’t want to prescribe an opioid — I’d rather go a more conservative route — but that’s the only option I have.’”

And that can lead to the same tragic story: Someone gets addicted to opioids, runs out of a prescription and turns to the street before becoming another sad statistic.

“It all starts quite simply with back pain,” Mattox said.

Practical Barriers

While Missouri health care providers now have another tool besides prescribing opioids to patients with Medicaid, the multistep approaches required by alternative treatments create many more hoops than a pharmacy visit.

The physicians who recommend such treatments must support the option, and patients must agree. Then the patient must be able to find a provider who accepts Medicaid, get to the provider’s office even if far away and then undergo multiple, time-consuming therapies.

“After you see the chiropractor’s for one visit, it’s not like you’re cured from using opioids forever — it would take months and months and months,” Moore said.

The effort and cost that go into coordinating a care plan with multiple alternative pain therapies is another barrier.

“Covering a course of cheap opioid pills is different than trying to create a multidisciplinary individualized plan that may or may not work,” said Leo Beletsky, a professor of law and health sciences at Northeastern University in Boston, noting that the scientific evidence of the efficacy of such treatments is mixed.

And then there’s the reimbursement issue for the providers. Corry Meyers, an acupuncturist in suburban St. Louis, does not accept insurance in his practice. But he said other acupuncturists in Missouri debate whether to take advantage of the new Medicaid program, concerned the payment rates to providers will be too low to be worthwhile.

“It runs the gamut, as everyone agrees that these patients need it,” Meyers stressed. But he said many acupuncturists wonder: “Am I going to be able to stay open if I take Medicaid?”

Structural Issues 

More From The Midwest Bureau

Conservative Indiana Adopted Needle Exchanges But Still Faces Local Resistance Feb 12

Patients Stuck With Bills After Insurers Don’t Pay As Promised Feb 7

Conceived Through ‘Fertility Fraud,’ She Now Needs Fertility Treatment Jan 28

View More

While helpful, plans like Missouri’s don’t address the structural problems at the root of the opioid crisis, Beletsky said.

“Opioid overutilization or overprescribing is not just a crisis in and of itself; it’s a symptom of broader structural problems in the U.S. health care system,” he said. “Prescribers reached for opioids in larger and larger numbers not just because they were being fooled into doing so by these pharmaceutical companies, but because they work really well for a broad variety of ailments for which we’re not doing enough in terms of prevention and treatment.”

Fixing some of the core problems leading to opioid dependence — rural health care “deserts” and the impact of manual labor and obesity on chronic pain — requires much more than a treatment alternative, Beletsky said.

And no matter how many alternatives are offered, he said, opioids will remain a crucial medicine for some patients.

Furthermore, while alternative pain management therapies may lessen opioid prescriptions, they do not address exploding methamphetamine addiction or other addiction crises leading to overdoses nationwide — even as a flood of funds pours in from the national and state level to fight these crises.

The Show-Me State’s refusal to expand Medicaid coverage to more people under the Affordable Care Act also hampers overall progress, said Dr. Fred Rottnek, a family and addiction doctor who sits on the St. Louis Regional Health Commission as chair of the Provider Services Advisory Board.

“The problem is we relatively cover so few people in Missouri with Medicaid,” he said. “The denominator is so small that it doesn’t affect the numbers a whole lot.”

But providers like Mattox are happy that such alternative treatments are now an option, even if they’re available only for a limited audience.

He just wishes it had been done sooner.

“A lot of it has to do with politics and the slow gears of government,” he said. “Unfortunately, it’s taken people dying — it’s taken enough of a crisis for people to open their eyes and say, ‘Maybe there’s a better way to do this.’”

from Updates By Dina https://khn.org/news/no-quick-fix-missouri-finds-managing-pain-without-opioids-isnt-fast-or-easy/

[stephenmccull]

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy

More From The Midwest Bureau

View More

ST. LOUIS — Missouri began offering chiropractic care, acupuncture, physical therapy and cognitive-behavioral therapy for Medicaid patients in April, the latest state to try an alternative to opioids for those battling chronic pain.

Yet only about 500 of the state’s roughly 330,000 adult Medicaid users accessed the program through December, at a cost of $190,000, according to Josh Moore, the Missouri Medicaid pharmacy director. While the numbers may reflect an undercount because of lags in submitting claims, the jointly funded federal-state program known in the state as MO HealthNet is hitting just a fraction of possible patients so far.

Meanwhile, according to the state, opioids were still being doled out: 109,610 Missouri Medicaid patients of all age groups received opioid prescriptions last year.

The going has been slow, health experts said, because of a slew of barriers. Such treatments are more time-consuming and involved than simply getting a prescription. A limited number of providers offer alternative treatment options, especially to Medicaid patients. And perhaps the biggest problem? These therapies don’t seem to work for everyone.

Email Sign-Up

Subscribe to KHN’s free Morning Briefing.

Sign Up

Please confirm your email address below:

Sign Up

The slow rollout highlights the overall challenges in implementing programs aimed at righting the ship on opioid abuse in Missouri — and nationwide. To be sure, from 2012 to 2019, the number of Missouri Medicaid patients prescribed opioid drugs fell by more than a third — and the quantity of opioids dispensed by Medicaid dropped by more than half.

Still, opioid overdoses killed an estimated 1,132 Missourians in 2018 and 46,802 Americans nationally, according to the latest data available. Progress to change that can be frustratingly slow.

“The opioids crisis we got into wasn’t born in a year,” Moore said. “To expect we’d get perfect results after a year would be incredibly optimistic.”

Despite limited data on the efficacy of alternative pain management plans, such efforts have become more accepted, especially following a summer report of pain management best practices from the U.S. Department of Health and Human Services. States such as Ohio and Oregon see them as one part of a menu of options aimed at curbing the opioid crisis.

St. Louis chiropractor Ross Mattox, an assistant professor at chiropractic school Logan University, sees both uninsured patients and those on Medicaid at the CareSTL clinic. He cheered Missouri’s decision to expand access, despite how long it took to get here.

“One of the most common things I heard from providers,” he said, “is ‘I want to send my patient to a chiropractor, but they don’t have the insurance. I don’t want to prescribe an opioid — I’d rather go a more conservative route — but that’s the only option I have.’”

And that can lead to the same tragic story: Someone gets addicted to opioids, runs out of a prescription and turns to the street before becoming another sad statistic.

“It all starts quite simply with back pain,” Mattox said.

Practical Barriers

While Missouri health care providers now have another tool besides prescribing opioids to patients with Medicaid, the multistep approaches required by alternative treatments create many more hoops than a pharmacy visit.

The physicians who recommend such treatments must support the option, and patients must agree. Then the patient must be able to find a provider who accepts Medicaid, get to the provider’s office even if far away and then undergo multiple, time-consuming therapies.

“After you see the chiropractor’s for one visit, it’s not like you’re cured from using opioids forever — it would take months and months and months,” Moore said.

The effort and cost that go into coordinating a care plan with multiple alternative pain therapies is another barrier.

“Covering a course of cheap opioid pills is different than trying to create a multidisciplinary individualized plan that may or may not work,” said Leo Beletsky, a professor of law and health sciences at Northeastern University in Boston, noting that the scientific evidence of the efficacy of such treatments is mixed.

And then there’s the reimbursement issue for the providers. Corry Meyers, an acupuncturist in suburban St. Louis, does not accept insurance in his practice. But he said other acupuncturists in Missouri debate whether to take advantage of the new Medicaid program, concerned the payment rates to providers will be too low to be worthwhile.

“It runs the gamut, as everyone agrees that these patients need it,” Meyers stressed. But he said many acupuncturists wonder: “Am I going to be able to stay open if I take Medicaid?”

Structural Issues 

More From The Midwest Bureau

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy 5:00 AM EST

Conservative Indiana Adopted Needle Exchanges But Still Faces Local Resistance Feb 12

Patients Stuck With Bills After Insurers Don’t Pay As Promised Feb 7

View More

While helpful, plans like Missouri’s don’t address the structural problems at the root of the opioid crisis, Beletsky said.

“Opioid overutilization or overprescribing is not just a crisis in and of itself; it’s a symptom of broader structural problems in the U.S. health care system,” he said. “Prescribers reached for opioids in larger and larger numbers not just because they were being fooled into doing so by these pharmaceutical companies, but because they work really well for a broad variety of ailments for which we’re not doing enough in terms of prevention and treatment.”

Fixing some of the core problems leading to opioid dependence — rural health care “deserts” and the impact of manual labor and obesity on chronic pain — requires much more than a treatment alternative, Beletsky said.

And no matter how many alternatives are offered, he said, opioids will remain a crucial medicine for some patients.

Furthermore, while alternative pain management therapies may lessen opioid prescriptions, they do not address exploding methamphetamine addiction or other addiction crises leading to overdoses nationwide — even as a flood of funds pours in from the national and state level to fight these crises.

The Show-Me State’s refusal to expand Medicaid coverage to more people under the Affordable Care Act also hampers overall progress, said Dr. Fred Rottnek, a family and addiction doctor who sits on the St. Louis Regional Health Commission as chair of the Provider Services Advisory Board.

“The problem is we relatively cover so few people in Missouri with Medicaid,” he said. “The denominator is so small that it doesn’t affect the numbers a whole lot.”

But providers like Mattox are happy that such alternative treatments are now an option, even if they’re available only for a limited audience.

He just wishes it had been done sooner.

“A lot of it has to do with politics and the slow gears of government,” he said. “Unfortunately, it’s taken people dying — it’s taken enough of a crisis for people to open their eyes and say, ‘Maybe there’s a better way to do this.’”

No Quick Fix: Missouri Finds Managing Pain Without Opioids Isn’t Fast Or Easy published first on https://smartdrinkingweb.weebly.com/

[kansascityhappenings]

On-the-job emotional stresses at least doubling average suicide rates in veterinarians

KANSAS CITY, Mo. — Suicide has become an epidemic among veterinarians.

A study from the Centers for Disease Control and Prevention finds the rate is 2 to 3.5 times higher among veterans than the general population.

FOX4 talked with a veterinarian in Kansas and one in Missouri about why they’re under so much stress and how veterinarians from around the world are coming together online to help each other cope.

Shawnee veterinarian Dr. Sadie Scott has worked in veterinary medicine for more than 20 years, first as an assistant and a vet tech, before following her passion through eight years of veterinary school.

“It’s eight years total of college, and it is a grueling experience and you have to be so dedicated and determined,” Scott said.

But following that passion comes with several serious challenges. She said those combined difficulties, over time, can lead to overwhelming stress and depression, even to suicide. One of the biggest challenges is financial.

“Most people are graduating with around $200,000 of debt right now,” Scott said. “And when you go out and you start that career that you’ve been working so hard to start and you can’t pay your bills, and you can’t pay your student loans, for many people the financial stress is just more than what they can handle.”

There’s also the compassion fatigue that comes with giving bad news to owners who love their pets. It’s even harder for the vet when they know the owner contributed to the health problem.

“You have to share the news with them: why their animal is sick, what’s going on with their animal, the cost of care for their animal, prognosis,” Scott said. “You’re sharing all of this information and in that whole conversation you know that animal is sick because that owner didn’t do the right thing by vaccinating or preventing heart worms.”

Then there’s what she calls emotional whiplash.

“So I may be dealing with that woman who is just devastated because of the options she has, and my next appointment is an 8-week-old puppy, and I have to immediately switch moods. You know they don’t want me walking in with the heaviness of the conversation I just had. They want me to be excited,” Scott said.

And the job requires that veterinarians have immediate access to drugs that can sedate and euthanize animals.

“When you’ve been told three times that day that you don’t have compassion because you charge too much, when you’ve been raked over the coals on social media — there was a veterinarian a few years ago, I think in Korea, at a high kill shelter,” Scott said. “And the media pegged her as Doctor Death, and she committed suicide.”

Scott has also been raked over the coals online: cyber-bullied twice within six months. Once by a woman who gave her a zero rating, although they had never even met.

“When I read that review, I was devastated. Devastated. For somebody that had never stepped a foot into my clinic – had been to the previous owner years ago – and then shared all this misinformation about me and my services. Devastated. Devastated,” she said.

Scott felt she had no recourse, so she shared her experience online.

“What I chose to do is I shared her review and my response on Not One More Vet,” she said. “And that’s when the warriors really came out.”

Not One More Vet is an online Facebook group for veterinarians. It has more than 20,000 members from around the world and averages about 130 posts a day. It was started about five years ago after pioneering veterinarian Dr. Sophia Yin took her own life. St. Louis veterinarian Dr. Abby Whiting is on it’s board.

“A veterinarian friend of mine started thinking of how alone she felt and how sad it was that we had lost someone as special as Dr. Yin,” Whiting said. “So she got together with some friends and they were commiserating, and they realized that a whole lot of vets feel this way. And on that night, Not One More Vet was born.”

Whiting said veterinarians affect our lives more than we know.

“Every time we eat, every time we sit down to dinner with our families, the produce and the animal products that are put on our plate were made safe for us to eat by a veterinarian,” she said.

Both doctors agree on what needs to change.

“Conversation needs to change, talking about it, making it OK for these Type A, determined individuals to say, you know what? I need help,” Scott said.

She would also like vet schools to offer more training in how to deal with managing the emotions of their human clients.

And perhaps most important of all: be kind.

“Remember that your veterinarian is human. They’re a person at the end of the day and before you jump onto the computer, think, ‘Is this something I would say to this person if they were face to face with me?’ and if not, maybe you should rethink it,” Whiting said.

They both say if you have a good relationship with your veterinarian, thank them and their staff for the work they do because they’re the people who make it possible for our pets to bring us so much joy.

“We are here because we love your animals. We want to help you have the most amazing life with your animals for as long as possible,” Scott said.

FOX4 asked both Kansas State and MU’s colleges of Veterinary Medicine about how they address these issues in their programs.

K-State’s College of Veterinary Medicine employs two licensed counselors who said they discuss aspects of well-being including suicide rates within the profession.

They also offer therapy sessions to students and provide education presentations within the college curriculum about managing stress, maintaining well-being and other topics. They also schedule regular activities designed to improve well-being for students in the college.

A spokesperson for the University of Missouri’s College of Veterinary Medicine said the school doesn’t address the suicide rate as part of the curriculum, but does address the issue during first-year orientation and as part of well-being seminars and programming.

The college has a full-time psychologist who offers individual counseling, clinical consultation and outreach seminars to students, faculty and staff on mental health topics.

A number of MU faculty and staff have also received training through the university about responding to students in crisis, including assessing suicidality and referring to appropriate resources.

from FOX 4 Kansas City WDAF-TV | News, Weather, Sports https://fox4kc.com/2019/10/14/on-the-job-emotional-stresses-at-least-doubling-average-suicide-rates-in-veterinarians/

from Kansas City Happenings https://kansascityhappenings.wordpress.com/2019/10/15/on-the-job-emotional-stresses-at-least-doubling-average-suicide-rates-in-veterinarians/

[newdawnfamilyhealing]

At New Dawn Family Healing, we believe in a holistic approach to mental health services in St Louis MO. Our services are designed to address the physical, emotional, and psychological aspects of mental well-being. We offer a wide range of therapies, including individual counseling, group therapy, and family therapy, ensuring that all facets of mental health are treated comprehensively. Our goal is to help you achieve a balanced and fulfilling life, free from the constraints of mental health challenges.

New Dawn Family Healing 711 Old Ballas Rd #203, St. Louis, MO 63141 (314) 470–9178

My Official Website: https://newdawnfamilyhealing.com/ Google Plus Listing: https://www.google.com/maps?cid=7062190844174420769

Service We Offer:

Individual Therapy Family Therapy Group Therapy Family Coordination

Follow Us On:

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[granitenorthtv-blog]

New Alpine Practice Manager

The Alpine Clinic Appoints New Practice Manager The Alpine Clinic is pleased to announce the appointment of Rick H. Senn, Practice Manager who will oversee the activities at five Alpine Clinic locations including Franconia, Littleton, Plymouth, North Conway and physical therapy in Franconia. About Rick. H. Senn

Rick H. Senn, Practice Manager Senn graduated from the University of Missouri, Columbia. He received his Bachelor’s degree in general studies with a focus on health service management, community development, and geography. He comes to Littleton Regional Healthcare with more than 20 years in practice management and administration. Most recently, Senn served as practice director at the Alice Peck Day Memorial Hospital – Surgical and Specialty Care Clinics. There he managed multiple surgical practice specialties and pain management. Prior, he served as practice manager of operations at Mercy Medical Group in St Louis, MO. He was also practice manager at SSM Medical Group in St Louis, MO. Senn looks forward to working with the physicians, providers, and staff at The Alpine Clinic to serve patients and their families throughout the communities we serve. Senn brings a strong background in physician practice management which will lend itself to patient satisfaction and outstanding care. For additional information about The Alpine Clinic, please call 603.823.8600. Read the full article

[redabiz2]

When Individual Therapy St Louis MO Can Be Helpful

By Elizabeth Scott

Everyone needs to talk to someone from time to time. Talking to someone privately can make you feel safe and secure. Sometimes, people don't feel confident talking within a group of people. This is why individual therapy St Louis MO can be helpful. It has always been a successful approach since the start of psychotherapy. It means that there is complete privacy and they feel more confident to open up and express themselves without feeling intimidated by other members. Some people prefer to work on a one on one basis. They may not be ready to work in a group yet. It can relate to the person who has suffered from trauma in their lives. For example, cognitive behaviour therapy is perfect for someone who has problems with self esteem or when they have social anxiety disorder. They will be struggling with negative emotions and feelings. It can be difficult for them to believe in themselves when they are exposed to this type of self talk. There are different ways in which one can progress with this. There are different therapists. This can include someone who is specialized in a particular area, such as with addictions or with trauma or with depression and anxiety, for example. It is worthwhile finding someone like this because they will have more experience in what you are struggling with. They will develop certain techniques so that they know what to do when they are triggered. It can be different for everyone. It also will vary from one person to the next. Some people find that music is a great way to keep them placid and at peace, while others find that meditation is a great way to eliminate much of the anxiety and negative feelings which go through their mind. This is why it is necessary to watch out for the signs so that you are aware of how to cope with this. Some parents find that their kids are going through a stage because this is the norm. However, when this drags on for some time and the child is angry and sad and upset, then it is time to look for professional help. Sometimes, there are more practical steps that they work with. It can relate to depression where the individual will have problems even starting up in the morning. This can be difficult for family members to relate to and it can deteriorate their relationships. However, it is part of the illness, especially when it is severe. A person with depression will need to look into some of these practical steps. Once someone has been talking to a therapist on their own for some time, they may suggest that their client move on to a group which can be just as advantageous, but they obviously have to be ready for this. Sometimes, it can be a challenge, and this will also be a good thing, such as with a person with social anxiety disorder. It will help them to face their fears.

About the Author:

Get a summary of the factors to keep in mind when picking a therapist and more information about a professional who offers individual therapy St Louis MO services at https://ift.tt/2roVb7O now.

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[addictionrecoveryassistance]

Addiction Treatment Kansas

Contents

Kansas city inpatient drug and

Address. 810 cedar st; girard

Suboxone treatment programs and doctors who

4:30pm ​ telephone

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The post Addiction Treatment Kansas appeared first on A.R.T. Group.

[optometrist0]

Future Of Optometry Career

Contents

All their options before they

Career paths for graduates

For the past 35 years

Some practitioners divide their time between

Lindahl from southfield

Titles ophthalmologist and postgraduate

America’s young people need to understand all their options before they make a …

The L.V.Prasad Eye Institute as part of its commitment to quality eye care and education established the Bausch & Lomb School of Optometry in the year 2000 … immediately absorbed by the industry. In the future, all optical outlets will …

and serving the future of optometry. Your sense of honor and commitment to the profession will always be the foundation … Optometry's Career Center …

Learn about what an optometrist is and what optometrists do. Explore the academic path to this career to see if it's the right one for you.

Optometry & Vision Science » Future optometry students » About the optometry program » Careers in optometry … ODs enjoy a lifelong career with a satisfying …

Get Connected. OptometryStudents.com · Think · About the AOA · Governance and Policies · Newsroom · Contact Us · Advertising. American Optometric Association, 243 N. Lindbergh Blvd., St. Louis, MO 63141 ©2018 American Optometric Association.

Primary Care Optometry … Care Optometry News asked three experts what role some ongoing trends will play in the optometric practice of the future. … Jobs; All News;

Today’s popular majors include computer sciences, as well as biotechnology, lab sciences, optometry … that’s job-trained haredim for 26 years. “The goal is to bring them to a place where their families can have a solid financial future.”

Find Optometry Career Opportunities Near You.

Aug 23, 2017 … Discover what these individuals in different stages of their careers have to say about the future of optometry and how things might look down the road.

Q. I was recently talking with a classmate about future plans, and we struck an interesting point that I am looking for reassurance on. In the past I understand that …

He was the only Obama holdover in the new Administration and one of the few Trump cabinet members actually qualified for their jobs. He also … announced his …

The program is aimed at developing and training the future leaders of optometry in the state and the nation … Each patient has a unique story and I love the fact that my job is engaging and challenging on a daily basis." In addition to …

The future looks bright for those in the practice of optometry, and perhaps even more so for those studying to become optometrists. According to top sources, optometry as a profession is growing much faster than most fields on the job market, even amongst the other steadily growing groups in the medical field. The Bureau …

Jun 17, 2013 … … two are getting slimmer and slimmer. Could this possibly mean that optometry will be useless in the future? After I finish optometry school (or residency?), how difficult is it to get a job? I don't want to get into something that will pile on debt with no chance of finding a well-paying job. Thank you everyone!

Find out more about the average optometrist salary and learn where the best- paying metropolitan areas are for a optometrist across the country. … Scorecard. Salary. 8.1. Job Market. 4. Future Growth. 6. Stress. 6. Work Life Balance. 8. Read about how we rank the best jobs.

That's why an optometrist's job is so important. … Future Growth 6. … But all prospective optometrists must take and pass the Optometry Admission Test …

Nov 14, 2004 … Hi Everyone, I am a junior undergraduate student with a 4.0 GPA who is re- evaluating career options. My path was to end up in a computer-related field but I am now very concerned that it is a field pretty difficult to find a job in with no real- world experience and I am exploring the options to become a …

Employment of optometrists is projected to grow 27 percent from 2014 to 2024, much faster than the average for all occupations. + Expand Section. Top States with the most civilian jobs. States: CA, NY, TX, IL, FL,. Projected Civilian Job Growth. Future job growth is projected to decline rapidly. Projected Civilian Job Growth.

Sep 5, 2017 … Today's new optometrists are entering a career field with endless options! There are quite a few career paths that one can pursue, even fresh out of school. We caught up with some unique ODs at Vision Expo East 2017. Here are some of the highlights from the videos we shot: …

Job Outlook. Employment of optometrists is … Because the number of optometrists is limited by the number of accredited optometry schools, licensed optometrists …

The program looked a bit different then than its equivalent today, Hernandez says; the current degree program is a masters in health administration, and more career paths for graduates … in the then-new School of Optometry under the …

You've dedicated your career to shaping the future of the optometric profession. The AOA and your state association are dedicated to protect it. You teach to the highest level. The AOA supports you and the profession to the highest level, helping you do your job better. 9. For me, for the past 35 years, the AOA has been an …

Discover what these individuals in different stages of their careers have to say about the future of optometry and how things might look down the road.

Quick Facts: Optometrists. 2016 Median Pay, $106,140 per year $51.03 per hour. Typical Entry-Level Education, Doctoral or professional degree. Work Experience in a Related Occupation, None. On-the-job Training, None. Number of Jobs, 2016, 40,200. Job Outlook, 2016-26, 18% (Much faster than average). Employment …

Optometrists and Orthoptists perform eye examinations and vision tests, prescribe lenses, other optical aids and therapy, and diagnose and manage eye movement disorders and associated sensory problems. A Bachelor Degree or higher is usually needed to work in this job. Registration or licensing may be required.

Optometrists are healthcare professionals who specialise in the eye – one of the most complex of all the body's organs. Optometry is a varied and rewarding career. Optometrists work in a broad range of settings – some practitioners divide their time between clinical practice, research or teaching, and some volunteer to work …

Home > Students/Future Students. Students/Future Students . Students seeking to make a real difference will find no better career than optometry.

Access information, resources and opportunities that will help you grow your optometry practice. See what's possible with VSP Global and our partners.

“I have a good time doing (my job) every day.” Hanson said he wants to provide … “That’s the way things are going in the future of optometry.” Art of Optometry’s office also will be completely paperless. It will be open for appointments …

Institutes: Elite School of Optometry (Shankar Netralya); BITS, Pilani and Bausch and Lomb School of Optometry at L V Prasad Eye Institute, Hyderabad Job roles: Optometrist at eye hospitals/clinics, product executive and trainers, …

Family Optometry Contents When you walk into You’re from around Associates and 24 postgraduate "I was born in India and my family moved to Brisbane when I was still in primary … Need an eye doctor in Metro Detroit or Oakland County? Patients come to Dr. lindahl from southfield, Farmington Hills, Lathrup Village, Bloomfield, & more. Within Institute Of Optometry Contents Her tour throughout campus Wilmer eye institute offers routine Our optometrists specialize Naseema fareed memorial For primary health care Includes classroom and Institutes: Elite School of Optometry (Shankar Netralya); BITS, Pilani and Bausch and Lomb School of Optometry at L V Prasad Eye Institute, Hyderabad Job roles: Optometrist at eye hospitals/clinics, product executive and Od Optometry Contents Visual systems for Was named the nebraska The titles ophthalmologist and postgraduate dynamic international What Is An Optometrist? An optometrist is an eye doctor who has earned the Doctor of Optometry (OD) degree. Optometrists examine eyes for both vision and health … Difference between an Ophthalmologist, … An optometrist receives a doctor of optometry

from http://bestoptometrists.net/future-of-optometry-career/

[datarecoverydownload-blog]

Treating Alcoholism: A Chronic Disease Deleted Data Recovery

Lisa R. is a child of an alcoholic. She grew up in a nice Deleted Data Recovery home with a loving family who seemed to have everything. Inside her house there was a very different story that her family kept from friends and the community. Lisa's mother was an alcoholic who drank every single day and eventually died from liver disease when Lisa was just 22 years old. Now, at age 35, Lisa is in recovery from the very same disease.

Almost one-fourth of children in the United States are exposed to alcohol abuse or dependence in their families before the age of 18.i Yet many alcoholics tackle this disease alone, viewing it as a test of personal willpower, rather than seeking help.

"I had no idea alcohol addiction was a disease when I was growing up. I just thought my mother acted that way because she felt like it," said Lisa, a mother of three daughters. "It wasn't until I found myself in the same boat that I began to understand her more. I just felt hopeless. I'd resigned myself that I was just going to die like my mother because there was no help for this."

In order for people with alcohol dependence to get the necessary help, it is important that health care providers recognize alcoholism is a disease that can be treated. "New advances in scientific research have produced a better understanding of the physiological changes of the brain from chronic, long-term exposure to alcohol," said Barbara Mason, Ph.D. of the Scripps Research Institute in La Jolla, California. "The normal balance of brain chemistry is disrupted in a patient who is addicted to alcohol. We believe that restoring a normal balance of brain chemistry effectively helps patients maintain sobriety."

Alcoholism continues to be a problem-one that costs the How Can I Recover Deleted Files United States $185 billion in direct and indirect social costs per year.i These costs may be explained by the fact that many patients with the disease are not being diagnosed or treated. In fact, 82 percent of America's doctors say they avoid addressing the issue of alcoholism with their patients.ii Surprisingly, the majority of families of alcoholics whose doctor had not intervened say they wanted their doctor to intervene.ii

Eight million people suffer from alcohol dependence,i yet only approximately 20 percent receive treatment.iii In the last decade, there have been few advances in the treatment of alcohol dependence.

The first new medication in nearly a decade to be approved by the FDA for the treatment of alcohol dependence, Campral® (acamprosate calcium) Delayed-Release Tablets, from Forest Laboratories, Inc., is indicated for the maintenance of abstinence from alcohol in patients who are abstinent at treatment initiation. Campral should be part of a comprehensive management program that includes psychosocial support.iv

In clinical trials, Campral has been proven to not only help alcohol-dependent patients maintain abstinence, but also significantly prolong the time to first drink.iii

Like many alcoholics, Lisa has gone through several unsuccessful attempts to treat her dependence on alcohol. However, this past March she found that combining behavioral therapy with the prescription medication called Campral is the most effective treatment for her. Lisa said, "I used to think, there's no way that I'll ever be able to go the rest of my life without a drink. But now, with the medication I am on and the hard work with group therapy, I find I can resist the need to drink." Lisa has been abstinent ever since starting that treatment program.

Campral® (acamprosate calcium) is contraindicated in How To Recover Lost Calendar On Iphone patients with severe renal impairment (creatinine clearance 30mL/min). Campral is contraindicated in patients with known hypersensitivity to acamprosate calcium or any excipients used in the formulation. Campral does not eliminate or diminish withdrawal symptoms. Alcohol-dependent patients, including those patients being treated with Campral, should be monitored for the development of symptoms of depression or suicidal thinking. The most common adverse events reported with Campral vs. placebo (≥3% and higher than placebo) were asthenia, diarrhea, flatulence, nausea and pruritus.

Campral is a registered trademark of Merck Santé s.a.s, subsidiary of Merck KGaA, Darmstadt, Germany.

i Grant, B.F.; Dawson, D.A.; Stinson, F.S.; Chou, S.P.; Dufour, M.C.; Pickering, R. The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001-2002. Drug and Alcohol Dependence 2004; (74); 223-234.

ii The Rush Study. Attitudes Toward Alcoholism. Peter D. Hart Research Associates on behalf of the Rush Recovery Institute. 1998. Available at: www.rushrecoveryinstitute.org. Accessed: January 25, 2005.

iii Data on File, Forest Laboratories, Inc. slide.

iv Campral® (acamprosate calcium) Delayed-Release Tablet Prescribing Information, Forest Laboratories, Inc., St. Louis, MO, 2004.

[newdawnfamilyhealing]

New Dawn Family Healing, your partner in comprehensive family mental health treatment in St Louis MO. We believe in a holistic approach to healing, focusing not just on individuals but on the entire family unit. Our dedicated team of professionals is committed to providing compassionate care and evidence-based therapies to support families in their journey toward mental wellness.

New Dawn Family Healing 711 Old Ballas Rd #203, St. Louis, MO 63141 (314) 470–9178

My Official Website: https://newdawnfamilyhealing.com/ Google Plus Listing: https://www.google.com/maps?cid=7062190844174420769

Service We Offer:

Individual Therapy Family Therapy Group Therapy Family Coordination

Follow Us On:

Pinterest: https://www.pinterest.com/NewDawnFamilyHealing/ Twitter: https://twitter.com/new_dawn21250 Facebook: https://www.facebook.com/newdawnfamilyhealing Instagram: https://www.instagram.com/newdawnfamilyhealing/