Reclaiming Lives Issue 6

ONE STEP AT A TIMEMEET DRAVEN

A P U B L I C A T I O N O F C E N T E R S T O N E I S S U E S I XA P U B L I C A T I O N O F C E N T E R S T O N E I S S U E S I X

eclaiming iveseclaiming ivesReclaiming ivesLSPOTLIGHT ONCHILD AND YOUTH RESIDENTIAL TREATMENT SERVICES

WHAT IS ODD?

COMBATING . . . ADHD

HEALTH AND WELLNESSSEVEN LESSONS TO LEARN FROM CHILDREN

IN THIS ISSUE

1 One Step at a Time Cover Story

4 Spotlight on. . . Child and Youth Residential Treatment Services

Innovative Services for Warriors 5 and Their Families Begin

6 What is Oppositional Defiant Disorder (ODD)?

7 Health and Wellness Seven Lessons to Learn from Children

8 Physician Spotlight

9 Combating. . . Attention-Deficit/Hyperactivity Disorder (ADHD)

10 Philanthropy in Action

12 News and Notes

Reclaiming Lives A PUBLICATION OF CENTERSTONE ISSUE SIX www.centerstone.org

EditorinChief RamonaRhodes

ManagingEditor MindyTobin

AssociateEditor MelindaCollins

ContributingEditors AprilBragg,PhD GinoDeSalvatore BethHail KarenH.Rhea,MD RobertN.Vero,EdD GwenWatts

ContributingWriters MelindaCollins SusanGillpatrick NatalieStone MindyTobin

GraphicDesign MichaelRivera

CenterstoneTennesseeBoardofDirectorsJoanC.Sivley,Chair

LeeAnnIngram,Vice-ChairAlbertL.MenefeeIII,Secretary

JanetAyersDr.RichardBaxterDr.JessieCampbellR.ParkerGriffith

ChristaN.HollemanDr.CarmenReagan

SteveSalibaSperryStadlerJimSweeten

CommissionerDeborahTaylorTateDr.RobertN.Vero

Reclaiming Lives is winner of the 2008 APEX Award for Publication Excellence.

Reclaiming Lives is winner of the 2009 Gold Hermes Creative Award.

about centerstoneCenterstone, a not-for-profit organization, has

provided a wide range of mental health and addiction services to people of all ages for more than 50 years. Through more than 60 facilities and 170 partnership locations across Middle

Tennessee, Centerstone serves more than 50,000 children, adolescents, adults and seniors

each year. Centerstone is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). For more information about Centerstone, please call 888.291.4357 or visit

www.centerstone.org.

RECLAIMING LIVES • ISSUE SIX 1

Thefamilyisextremelyclose,alllivinginthesamehomeandworkingasateamtoraiseDravenandKira.

Afteronlyafewminutesofplaytime,Dravenhascompletedhisfirstcreation:abrightredstaircase.

“Draven,wheredothosestepslead?”Teliaasks.

“Up,up,up,up,”Dravenscreeches,thesoundofhisvoicepitchinghigherandhigherashespeaks.“AllthewaytotheBatmobile!”heexclaims,gigglingincessantly.

Everyoneburstsintolaughter,asDravenbeamswithdelightthenfallstothefloorandcontinuesaddingblockstohisstaircase.

Meanwhile,Kiraquietlyplaysalongsideherbrother,constructingaLegomasterpieceofherown.

Likemostfour-year-oldboys,DravenIrvinisfullofenergy.InaplaytherapyroomatCenterstone’sChildandAdolescentClinic,hebouncesback

andforth,scouringbinsofblocks,carsandcrayons.HechoosesaboxofLegos,findsaplaceonthefloorandbeginsbuilding,usingonlytheredblocks.

“Oh,helovesred,”Draven’smom,Telia,sayswithasmile.

“Everythinghastobered,”hisgrandmotherDebraechoes.“Hisclothes,hisshoes,practicallyeverythingheowns!”

Draven’slittlesister,19-month-oldKira,slidesoffhermom’slapandjoinsherbigbrotheronthefloor.AuntEriniscloseby,helpingthechildrenbuildand createwiththeirLegos.

One Step at a Time

continues on page 2

2 RECLAIMING LIVES • ISSUE SIX

“SometimesDravenandKiragetalonggreat,”Debrasays,watchinghergrandchildrenplay.“Sometimestheycannotstandeachother.Th eirrelationshipfluctuates.”

Th ehappymoodquicklybreakswhenDraveneruptsafterarguingwithKiraoveratoy.Inanoutburstofanger,heyellsatKiraandviolentlykicksatTelia,whotriestocalmhimdown.AuntErinholdsKirawhileTeliaandDebraworktogethertoconvinceDraventositonDebra’slapforaminute.

“LookatMiMi,”Debrasays,cuppingDraven’sfaceinherhandswhilerockingbackandforth.“Let’sgotoourhappyplace,”shesays.

Dravennods,hisbigbrowneyeswellingwithtears.

“Iwanttobeagoodboy,”DravensaysasherestshisheadonDebra’sshoulder.

“Iknowyoudo,sweetie,”Debrareplies,holdinghimclose,combinghissandyblondehairwithherfingers.“Iknowyoudo.”

the FIrst step

Draven’saggressiveoutburstsbeganwhenhewastwoyearsold.Hewastemperamental,regularlyactingoutathomeandatpreschool.Hisbehaviorwassodisruptive,thathewasnolongerabletoattendpreschool.

“Wedidn’tknowwhattodoorwheretoturn,soweaskedourpediatricianforadvice,”Teliasaid.“HetoldusCenterstonecouldhelp,sowecalledandmadeanappointment.Th atwasthefirststep.”

DravenbeganreceivingtherapyandmedicationmanagementservicesatCenterstone’sChildandAdolescentClinicinNashville.ACenterstonecasemanageralsovisitshimathishomeeachweek.Draven’streatmentteamdiagnosedhimwithOppositionalDefiantDisorder(ODD),withasecondarydiagnosisofAttention-Deficit/HyperactivityDisorder(ADHD).Mostrecently,hewasdiagnosedwithBipolarIIDisorder.

“Th ediagnoseswereheartbreaking,”Debrasaid.“ButDraven’smentalandbehavioralissueswereevenmoreheartbreaking.”

“Hisworstepisodehappenedaboutayearago,”Teliasaid.“Mymomwasatwork,andIwashomewithDravenandKira.Iwasinthekitchenfixingpeanutbuttersandwichesforlunch.IcutDraven’ssandwichinhalf,andturnedaroundtohandittohim.Icouldn’tbelievewhatIsaw.DravenhadtakenoffhisbeltandtighteneditaroundKira’sneck.Ididn’tknowwhattodo,soIimmediatelycalledCenterstone.”

Centerstonestaffmembersofferedconstantsupportthroughtheincident,helpingthefamilyduringandaftertheepisode.

“Westilldon’tknowwhattriggeredDraven’sbehaviorthatday,butIamsothankfulweknewwhotocallforhelp,”Debrasaid.“Centerstonehelpedusthroughit.Centerstoneisstillhelpingusthroughit.”

Withacombinationoftherapyandmedication,TeliaandDebrahavenoticedremarkablechangesinDraven.

“We both Want our FamIly to be happy and healthy. centerstone Is helpIng

us achIeVe those goals.”


“Heisbackinpreschool,attendingafewdayseachweek,”Teliasaid.“Andhisteacherssayhisbehaviorhasimprovedalot.”

“Insteadofactingout,heislearningtodealwithhisemotionsandcontrolhisbehavior,”Debrasaid.“Hehascomealongway.Hestillhasalongwaytogo.ButI’msoproudofhim.”

TeliaandDebrahavenoticedremarkablechangesineachothertoo.

“We’rebothcalmerandmorepatient,”Teliasaid.“We’velearnedtotalkmoreandtelleachotherhowwe’refeelinginsteadofarguing.”

“Wehavebigdifferences,”Debrasaid.“Butwe’reworkingtowardthesamegoals.Webothwantourfamilytobehappyandhealthy.Centerstoneishelpingusachievethosegoals.We’rebuildingahealthyfoundationforourfamily:oneday,onelesson,onestepatatime.”

“We’re buIldIng a healthy

FoundatIon For our FamIly: one day, one lesson,

one step at a tIme.”

Intheplayroom,Draven’soutbursthaspassed.Heisgigglyagain,asheentertainshismom,grandmotherandauntbyimitatinghishero,Spiderman.

“Pshhh!Pshhh!”Dravenspitsnoisily,thrustinghishandsoutinfrontofhim.Hepretendstoshootspiderwebsallovertheroom.

Hismomandgrandmotherlaugh.AuntErincan’tstopsmiling.EvenlittleKirathinksherbigbrotherisamusing.

Afewminuteslater,everyoneisquietagain.Dravenisn’tSpidermananymore,butjustalittleboysittingonthefloorplayingwithtoys.

“Somedaysit’stough,”Debrasays,herowneyesnowwellingwithtears.“ButIknowGodiswithus,andhewillhelpus.HeledourfamilytothegreatpeopleatCenterstone,andtheyarehelpingushelpDraven.Forthat,weareforevergrateful.”n

Hismomandgrandmotherlaugh.AuntErincan’tstopsmiling.EvenlittleKirathinksherbigbrotherisamusing.

Draven Irvin pretends to shoot spider webs with his fi ngertips while imitating his favorite superhero, Spiderman.


spotlight onChild and Youth Residential Treatment Services

Parentingchildrenandteenswithemotionalandbehavioraldisorderscanseemoverwhelming,particularlywhenachildhasahistoryofaggression,

self-destructivetendencies,extremefear,anxiety,impulsivityandwithdrawal.Childrenwhoexhibitthesebehaviorsmayevenbeadangertothemselvesorothers.Insomecases,itmaybedifficultforparentstokeeptheirchildsafelyathome.Centerstoneoffershelpforthesechildrenandfamilies.

Centerstone’sChildandYouthResidentialTreatmentServicesprovidesacompletecontinuumofcareforfamiliesandchildreninneed,includingtherapeuticfostercare,adoptionservices,youthgrouphomesandmentoring.Thesespecialized,family-centeredservicesincludebehavioralhealthinterventions,individualassessments,treatmentplanning,highlystructuredgrouplivingandactivelearningenvironments,individualandfamilytherapyand24-hoursupportandaftercareservicesforchildrenandfamiliesinneed.

Staffedbyamultidisciplinaryteamofclinically-licensedprofessionals,Centerstone’sChildandYouthResidentialTreatmentstaffincludespsychiatrists,psychologists,therapists,casemanagersandassociateteachercounselors.Theseskilledexpertsarecommittedtoworkingwithchildrenandfamilies,helpingthemachievehappier,healthierlives.

Therapeutic Foster Care

Centerstoneprovidessafe,supportiveandculturallysensitivefosterhomeswhichmeettheemotional,physicalandsocialneedsofchildrenandadolescents.AtCenterstone,fostercareisviewedasatemporary,stepping-stonesolutiontohelpachildreachpermanency.Permanencyisaccomplishedwhenchildrenarereunifiedwithbirthfamilies,adoptedorarepreparedforthetransitiontoadultliving.

Centerstone’sTherapeuticFosterCareservicessupport,notonlytotheyouththatareintheprogram,butalsothefamiliesthatcareforthem.CaseManagersandIn-HomeTherapistsareavailabletochildrenandfosterparents24/7.Additionally,allCenterstonefosterparentsreceiveextensivetrainingandcontinuingeducation.

Adoption Services

SomechildrenareplacedinCenterstoneprogramsthroughgovernmentagencies.Forthesechildren,finding

aforeverfamilyisoftenoneoftheirdeepestdesires.Centerstone’sAdoptionServicesfindpermanenthomesforthesechildrenandfacilitatetheadoptionprocess.

Centerstonelocatesadoptiveparents,helpsfamiliesnavigatethelegalprocessofadoptionandprepareschildrenandfamiliesfortheemotionalandlegalchangestheywillexperienceafteradoption.

Youth Group Homes

Centerstone’sYouthGroupHomesprovideastructured,safeenvironmentwhereadolescentsareabletoaddressemotionalproblemsorbehaviorsthatpreventthemfrombeingsuccessful.Thesefacilitiesarestaffed24/7bycounselorswhoprovideindividualandgrouptherapy,familycounseling,educationalsupportandcommunityinvolvementopportunities.WhilelivinginCenterstone’sYouthGroupHomes,childrenattendpublicschools,participateincommunityrecreationandlearnindependentlivingskills,suchasfoodpreparation,laundryandshopping.

Mentoring Program

CenterstoneoffersmentoringservicesforchildreninTherapeuticFosterCareandYouthGroupHomes.Mentoringisidealforindividualswhowanttohaveapositiveimpactonchildren,butarenotreadytobecomeafosterparent.

Centerstonementorsarepositiverolemodelsandhavethepowertoimpactachild’sbehavioratschool,athomeandinthecommunity.Mentorsdeveloptrustingrelationshipswithchildrenandchallengethemtoovercomethecircumstancesthatledtotheirsituation.

AllofCenterstone’sChildandYouthResidentialTreatmentServicesreceivethehighestlevelofaccreditationfromCARF.CARF(theCommissiononAccreditationforRehabilitationFacilities)isanindependent,nonprofitorganizationthatreviewsandgrantsaccreditationservicesnationallyandinternationally.Theirstandardsarerigoroussoservicesthatmeetthemareamongthebestavailable.

For more information about Child and Youth Residential Treatment Services, contact Centerstone at 888.291.4357.n


In2009,moreactive-dutyU.S.militarypersonneltooktheirownlivesthanwerekilledin

eithertheIraqorAfghanistanwars.Thenumber:atleast301.It’sthehighestsuicideratethemilitaryhasseensincethePentagonbegankeepingtrackin1980,andthestatisticdoesn’tincludeveteransorfamilymembers.Itisestimatedthat18veteranstaketheirownliveseachday.Andalthoughsuicidesandsuicideattemptsbymilitaryspousesorotherfamilymembersarenottracked,mentalhealthexpertsandmilitaryofficialsbelievethereisadisturbingtrendofrisingsuicideratesandattemptsamongfamilymembersofmilitarypersonnelandveterans.

Now,morethanever,militarymembers,veteransandtheirfamiliesneedtoknowthathelpisavailableforcommonissueslikedepression,acuteanxiety,PosttraumaticStressDisorder(PTSD)andalcoholanddrugabuse.Theyneedtoknowtheimportanceoftreatingtheoftenunseen,emotionalwoundsofcombat.Theyneedtoknowthatahappy,healthylifeispossible,evenafterwar.Theyneedto

Innovative services for Warriors and Their Families begin

knowthatit’sOKtoaskforhelp.Theyneedtoknowtheyarenotalone.

Centerstoneisrespondingtothementalhealthneedsofmilitarymembers,veteransandtheirfamilies,withservicesbeginningthismonth.ThroughapartnershipwithNATechnologies,Centerstoneconnectsactive-dutymilitary,veteransandtheirfamiliestomentalhealthservicesthroughthewebsite,NotAlone.com.

Launchedin2008,NotAlone.comisanemergingnationalleaderinonlineeffortstoreachoutandfindhelpforcombatveteransandtheirfamilies.Throughthewebsite,thoseinneedhaveaccesstoa24-hourhelpline,professionallyfacilitatedonlinesupportgroups,freein-persontherapyservicesandasocialmedianetworkthatconnectsmemberswithotherindividualswhoarefacingsimilarchallenges.

If you or someone you know needs help, log on to NotAlone.com or contact Centerstone at 888.291.4357.n

Centerstone and Not Alone leaders work together to design and implement services for warriors and their families.


Everyyoungchildthrowsatantrumfromtimetotime,andteensareoftentemperamental.Butifachildoradolescentdemonstratesapersistentpatternofdisobedient,hostileand

defiantbehaviortowardparents,teachersorotherauthorityfigures,thentheymaybeexperiencingOppositionalDefiantDisorder(ODD).

ODDistypicallydiagnosedininfancy,childhoodoradolescenceandischaracterizedbyprolongedpatternsofmisbehavior.ItisoftendifficultforparentsandguardianstodifferentiateODDfromnormalrebelliousbehaviorofchildrenandteens.Ifoneormoreofthefollowingsymptomsarepersistent(lastingsixmonthsormore)andthebehaviorcausessignificantdisruptionsathomeandatschool,thenthechildmayhaveODD.

ChildrenandadolescentswithODD:• Losetheirtemper• Arguewithadults• Refusetocomplywithrules• Deliberatelyannoypeople• Blameothersfortheirownmistakesormisbehavior• Areeasilyannoyedbyothers• Areoftenangryandresentful• Areoftenspitefulorvindictive

ItisestimatedthatoneintenyouthwillexperienceODD,withthedisorderbeingmorecommoninboysthaningirls.Whilethereisnoclearcause,naturaldisposition,parentingstyle,geneticsandbiochemicalorneurologicalfactorsmaycontributetothedevelopmentofthedisorder.

ODDistreatedthroughindividualandfamilytherapy,offeringchildrenandtheircaregiversthetoolstomanageandtreatthedisorder.

ItiscommonforchildrenandteenswithODDtoalsoexperienceothermentalhealthproblems,likeAttention-Deficit/HyperactivityDisorder(ADHD),anxietyordepression.Medicationmaybehelpfulinthesesituations.

Treatment for ODD is effective, and Centerstone can help. Call us anytime at 888.291.4357.n

what is oppositional defiant disorder?

“It Is estImated that one In

ten youth WIll experIence odd,

WIth the dIsorder beIng more

common In boys than In gIrls.”


A column devoted to healthy mind, body, spirit and relationships by Centerstone Wellness Expert, Susan Gillpatrick, MEd, LPChealth and wellness

seven lessons to learn from children

Iflifetodaywereaseffortlessforadultsasitisforsomechildren,Iamsurewewouldhavebetterhealth,lessstressandimprovedrelationships.Think

aboutit:adultsdon’tgetregularafternoonnaps,rarelyeatcookieswithoutfeelingguiltyandgetnospringbreakfromworkandresponsibilities.

Childrencanteachadultsvaluablelessonsaboutlivingmoreenjoyablelives.Trythesetipstoday!

Laugh more

Laughterisnature’sstressbuster.Itmakesusfeelgood!Itreleasesacombinationofhormonesandchemicalsthathavepositiveeffectsonoursystem.Laughterreducesstress,lowersbloodpressure,liftsdepression,boostsourimmunesystemsandmore.Laughterandsmilesareenjoyedbestwhensharedwithothers.Spendingtimewithchildrenisonewaytoincreaseourplayfulnessandenjoyourlives.

Live in the moment

Haveyouevernoticedhowkidsdon’tgetstressedabouttheirfuture?Theydon’tworryaboutwhatisyettocome.Theyliveinthemoment.Theyenjoylifetodayandsoakinallthatithastooffer.Childrenaren’tconsumedbythepast,unlikemanyadults.Adultscarryguilt,sorrowandstressorsfromyesterdayandyesteryearintoourpresentlives.Thisrobsusofthegiftswithinthepresent.

Have fun friends

Rememberyourbestbuddiesfromyourschooldays?Youwouldwakeupinanticipationofseeingthemandbeingwiththem.Adultsmustalsohavecorefriendshipsthatencourage,supportandcontributetoahealthyandfunlife.Seekfunfriendshipsthatwilladdenjoymenttoyourlife.

Go with the flow

Manyadultsneedtotonedownoursuper-seriousmindsandlearnthecalmingbenefitsofsimplygoingwiththeflow.Everythingdoesn’thavetobeplannedinminute-by-minutedetail.Therearemanysurprisestobediscoveredwhenweopenourselvesuptothembybeingflexibleandlessserious.Gowiththeflowandenjoythebreather!

See the good in people

Childrenarenotcriticsofothers,butrathertendtoseethegoodinpeople.Sadlymanyadultshavepessimisticviewsofothersandhaveakeeneyeforthefaultsinothers.Trytofocusonthegoodinpeople,anddon’tbecomedistractedbythepeopleandthingsyoucan’tcontrol.Sharewithothersthegoodyousee!

Bounce back after setbacks

Childrenareamazinglyresilient!Theyonlystaydistraughtfrommistakestemporarily,whereassomeadultsremaindownanddefeatedlongafteradisappointment.It’simportanttolearnlessonsduringtoughtimes,butremembertobouncebackandkeepyoureyesonthepositivepossibilitiestomorrowmaybring.

Write your own story

Thechoicesyoumaketodaywillwriteyourstoryforthefuture.Ifyouweretopaintapictureofyourideallife,whoandwhatwouldbeinit?Youcanstartmovingthatwaysimplybymakingdecisionsaboutwhatstoryyouwantyourlifetotell.Paintitwithbrilliantcolorsandlearnsomelessonsfromchildrenalongtheway.n

Susan Gillpatrick, MEd, LPC, CTS, is a Crisis Specialist for Centerstone. She may be reached at [email protected] For more of Susan’s expert advice, visit centerstone.org/health-and-wellness


physician spotlight

James graves, md

Dr.James“Mike”GravesisapsychiatristforCenterstone.HeworksatCenterstone’sGiles,

LawrenceandWayneCountycliniclocations.

Dr.GravesgrewupnearParsons,Tenn.,wherehegraduatedfromParsonsRiversideHighSchoolin1969.Afterhighschool,heattendedtheUniversityofTennesseeatMartin,andthenattendedtheUniversityofTennesseeCollegeofMedicineinMemphis.HecompletedhisresidencyinfamilymedicinethroughtheUniversityofTennesseeFamilyResidencyPrograminJackson.

Dr.Gravesbeganhiscareerinfamilymedicine,practicingindependentlyfrom1980–1994.Hebeganworkingpart-timeatColumbiaAreaMentalHealthCenterin1986,andjoinedtheteamfull-timein1995beforeColumbiaAreaMentalHealthCenterbecameCenterstonein1997.

n Why do you choose to work for Centerstone?Centerstoneallowsmetohelppeoplereachtheirgoals.WhetherIamhelpingaclientovercomementalillnessinordertodiscoverahealthy,happylifestyle,orworkingtogetherwithco-workerstobecomeabetterhealthcareteam,Centerstoneaffordsmetheopportunitytomakeadifference.

n What do you find to be the most satisfying aspect of your position at Centerstone?Ioftenseepatientswithseverementalillness,takingmultiplepsychotropicmedications.IfinditparticularlyrewardingwhenIamabletohelpapatientfindtherightdosageofanappropriatemedication,ultimatelyhelpingthemimprovetheirqualityoflife.

n What are your day-to-day responsibilities?Myday-to-dayresponsibilitiesincludepsychiatricevaluation,treatmentandmedicationmanagementforpatients.Iworkinconjunctionwithourtherapistsandnursestoensurethateachpatientreceivescomplete,wrap-aroundcare.

n What initially interested you in the mental health field?Iwasinterestedinlearninghowmentalhealthtreatment,whethercounseling,medicationoracombinationofboth,improvesthelivesofpeoplewithmentalillness.

n What other healthcare professional do you see as a mentor in your career?I’vealwaysadmiredDr.GeorgeShannon,aninternistanddirectorofthefamilyresidencyprogramIattendedattheUniversityofTennessee.Heemphasizedthatpatients’moodandanxietyoftenexacerbatenotonlytheirmentalhealthissues,butphysicalhealthproblemstoo.

n What is the most significant advancement that you’ve witnessed in mental health since you began practicing?ThemostsignificantadvancementI’vewitnessedisthegravitationawayfromtraditionalpsychotropicmedication,likebenzodiazepamsandtricyclics,toSelectiveSerotoninReuptakeInhibitors(SSRIs)—medicationsthataffectserotoninlevelsinthebrainforthetreatmentofdepression,anxietydisordersandsomepersonalitydisorders.Theintroductionofatypicalantipsychotics,whichtreatpsychosisandotherdisorders,isalsoanextremelysignificantadvanceinpsychiatriccare.

n What future advances in the delivery of care excite you most?Utilizingtechnologytobetterserveourpatientsisexciting.Forexample,Centerstone’stelemedicinetechnologyallowsdoctorstohaveface-to-faceinteractionwithclientsremotely,throughvideoequipment.Thistechnologyallowsgreateraccessforclientsandhelpsdoctorsensurethatclientsreceivetheappropriatelevelsofcare.

Integratedcareisalsoveryexciting,asIlookforwardtothedaywhenpatientswillreceiveprimarymedicalcareandmentalhealthcarewithinthesameclinic.CenterstonealreadypartnerswithseveralpediatricclinicsthroughoutMiddleTennessee.Pioneeringtheseintegratedcareopportunitiesisyetanotherwaytoincreaseaccessforpatients,ensuringtheyreceiveneededcare.

n Tell me about your family.Ilivewithmywife,Grace,andIhavetwosonsandtwostepsons.MysonChris(30)isadentistnearParis,Tenn.,andmyson,Jon(27),isadentaltechnician,whopracticesalongsidehisbrother.Mystepson,Logan(22),attendstheUniversityofNorthAlabamaasapre-medmajor.Myotherstepson,Dylan(19),planstobecomeanurse.

n What do you do in your spare time?Ienjoyreadingandlisteningtomusic.Likemanybabyboomers,IhavenearlyalltheBeatlesalbums.Iamacouchpotato,althoughIstrivetokeeptheyardmowedandweeded.Ialsoenjoyfishingandtennis.Mostrecently,I’vebecomeinterestedinplayingWii.n


Combating. . . ADHD

ADHD(Attention-Deficit/HyperactivityDisorder)isaneurobehavioralconditionwithsymptomsthatincludeexcessiverestlessness,

poorattentionandimpulsiveacts.Estimatesshowthat3-7percentofschool-agedchildrenandabout4percentofadultshaveADHD.

“ADHDisthemostcommonchildhooddiagnosisthatIsee,”saidLynnaHollis,MD,aChildPsychiatristatCenterstone’sChildandAdolescentClinicinNashville.“Parentsandchildrenbothcanbefrustratedbyitssymptoms.Gettingtherightdiagnosisisdefinitelythefirstcriticalstep.”

Properdiagnosisincludesrulingouttheotherdisordersthatcanpresentwithsimilarsymptomssuchaslearningdisabilities,whichcancausedisruptivebehaviors.Mooddisorders,traumaandevendepressionmaymimicsymptomsofADHD.

ThetreatmentofADHDincludesmedicationinconjunctionwitheducationandcounseling.“Treatmentmustbepersonalized.EverychildIseeisunique,andtheirtreatmentreflectsthat.Whatwedon’twanttoseeisadisorderlikeADHDleftuntreatedbecausetherecanbesomanyothercomplicationsforthechildreniftheydon’treceiveintervention.ChildrenwithADHDareathigherriskforsubstanceabuse,teenpregnancy,severeandmultiplecarwrecksandtruancy.Thedropoutratefortheseyoungpeopleis30percent,”addedDr.Hollis.

Stimulants,suchasRitalin,AdderallandDexedrinearethemostcommontypeofmedicationprescribedforADHD.Theseaffectthepartofthebrainresponsibleforattentionspan,judgment,organizationandimpulsecontrol.Stimulantsalsoreleasedopamine,aneurotransmitterfoundlackinginchildrenandadultswithADHD.

“Whatitdoesisimprovethefunctionoftheprefrontalcortexwhichperformsexecutivefunctions.Itdoesstimulatethebrain,butitstimulatesthepartofthebrainthat’snotworkingright,”explainedDr.Hollis.

Inadditiontothetraditionalstimulantdrugs,thereareseveralothermedicationsusefulincontrollingsymptomsofADHD.Stratterabooststhelevelsofnorepinephrineinsteadofdopamine,thereforethereis

lessexacerbationofanxiety,ticsorTourette’sSyndromeandlesseffectonappetite.OtheroptionsincludeWellbutrin,whichalsoworksthroughnorepinephrine,andalphablockerssuchasguanfacineandclonidine.

Therapytochangedestructivebehavioralpatternsisalsoimportant.Centerstonecounselorsteachrelaxationtechniques,stress-management,organizationalskills,angermanagement,socialization,self-controlandcopingskills,whilealsoprovidingeducationforparents.Casemanagersalsointeractwiththechild’sschooltohelpteachersandotherfacultyunderstandwhatthechildisexperiencingandtoengagesupportatschool.

“IalwaysremindparentsthatadiagnosisofADHDorotherbehavioraldisorderisnotalwaysabadthing.Therereallyaresomepositivestoit.PeoplewithADHDarehighlymotivated,creative-Ienvytheirenergy,that’sforsure,”saidDr.Hollis.“ThemostimportantthingisweknowthatthetreatmentofADHDworks.KidsbringtheirreportcardswiththemfortheirappointmentssotheycanshowofftheirA’s.Theytellmeabouttheirnewfriends,andIcanseetheiroverallhappiness.It’sincrediblyrewarding.Mygoalistoseethesetypesofpositivechangesinallthechildreninmycare.It’sneveraboutmedicatingachildsotheyarelessofachallengetotheirparentsorteachersandallaboutgettingtheirfunctioningwhereitshouldbesotheygetbetter.”Sheadded,“Wedon’ttrytochangewhothatchildis,wejustgivethemthetoolstheyneedtobesuccessful.” n

Lynna Hollis, MD, with a young patient.


philanthropy in action

O’Charley’s Annual Thanksgiving with Therapeutic Preschool Program

Forover10years,O’Charley’shascelebratedThanksgiv-ingwithaspecialluncheonforCenterstone’sTherapeuticPreschoolersandtheirfamilies.

O’Charley’sprovidedThanksgivingturkeyandallthetraditionaltrimmingsforthisyear’sevent.AttendeesincludedO’Charley’sstaff,membersofCenterstone’sAmbassadorsCircle,Centerstonestaffandvolunteers.

Centerstone’sinnovativeTherapeuticPreschoolprogramhasprovidedcomprehensiveevaluationandintensivetreatmentforchildrenforover20years.BasedinparticipatingMetroNashvillePreschools,theTherapeuticPreschoolprogramprovidesasafe,stable,structuredandnurturingenvironmentforchildrenwhohaveexperiencedabuse,neglectorothertraumaticevents.Childrenaretaughttheearly-lifeskillsnecessarytoovercomeadversityandgrowintohappy,productivemembersoftheirhomes,schoolsandcommunities.

A Gingerbread World Celebrates 25 Years

ANashvillefamilyholidaytraditionfor25years,LoewsVanderbiltHotel’sannualAGingerbreadWorldonceagainfeaturedtwospecialevents:theChildren’sGingerbreadWorkshopandGinger’sNightOut.

TheChildren’sGingerbreadWorkshopbroughttogethermorethan200childrenandteenstoringintheholidaysastheydecoratedtheirowngingerbreadhouses.

Awarmeveninggatheringofgrown-upgirlfriends,Ginger’sNightOutwascompletewithlivelyconversation,refreshmentsandappetizers.Attendeescreatedgingerbreadhousesandenjoyedwine,horsd’oeuvresandasilentauction.

AllproceedsfromtheeventsbenefitCenterstone’sservicesforchildrenandfamilies.

To find out how you can make a difference, contact Centerstone’s Development Department at 615.463.6645 or [email protected].

Sperry and Blake Stadler at Ginger’s Night Out

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Megan Smith and Katie Ward at Ginger’s Night Out

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Children enjoy decorating gingerbread houses during the Children’s Gingerbread Workshop

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Women who attend Ginger’s Night Out create gingerbread houses while socializing with friends

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FedEx Presents with Crisis Management Strategies Team at Ambassadors Circle Meeting

Centerstone’sAmbassadorsCirclerecentlygatheredtolearnmoreaboutCrisisManagementStrategies(CMS)services,whichprovidescriticalincidentpreparationandresponseforbusinessesandorganizationsexperiencingworkplaceviolence,robberies,naturaldisasters,schoolshootingsandothertraumaticevents.

HostedbyReverendFredDettwillerandDETDistributingandsponsoredbyHCA,Inc.,theAmbassadorsCircleeventfeaturedseveralguestspeakerswhodiscussedtheirrelationshipswithCenterstoneanditsCMSteam.

SpecialguestsincludedFedExCaptainValerieThal-Slocum,ChairofFedEx’sCriticalIncidentResponseProgram

(CIRP)andPeteDillenbeck,DirectorofCIRP,whosharedtheirpersonalstoriesofthefatalcrashofFedExFlight80andthecriticalincidentassistancetheyreceivedfromCenterstoneduringandafterthetragedy.

ReverendFredDettwiller,ChaplainfortheNashvilleInternationalAirport,alsospoke,recountingtheskillsandexpertisehehaslearnedthroughcriticalincidenttrainingofferedbyCenterstone’sCMSteam.

Establishedin2005,Centerstone’sAmbassadorsCircleadvancesCenterstone’smissionthroughoutMiddleTennesseecommunities.Membersserveasemissaries,raisingawarenessofCenterstone’sprogramsandkeyinitiatives.n

FedEx Director of Critical Incident Response Program,

Pete Dillenbeck; FedEx Captain, Valerie Thal-Slocum;

Centerstone’s Director for Crisis Management Strategies,

Becky Stoll; Reverend Fred Dettwiller and Centerstone

CEO, Dr. Bob Vero

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Ambassadors Circle Chair, Mark Faulkner and

CFO of Not Alone, Mike Jones

t

Dr. John Volker, Dr. Carmen Reagan and Dick Fitzgerald

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Elizabeth Callis, Melissa Bartolomei, Amanda Hartberger and Chef Rick Kahre serve Thanksgiving trimmings to attendees

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A Therapeutic Preschooler and

his mom enjoy the O’Charley’s

Thanksgiving luncheon with Centerstone’s Ambassadors

Circle Chair, Mark Faulkner

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Therapeutic Preschoolers enjoyed Thanksgiving turkey and all the traditional trimmings during the luncheon

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ExcellenceAward.TheprogramworkswithinRoomintheInn’sOdysseyprogramtohelphomelessindividualswhoarestrugglingwithco-occurringmentalillnessandsubstanceabuse.

School-Based Services and Mule Town Family Network Partner to Win Grant, Expand Campaign

Centerstone’sSchool-BasedServicesandMuleTownFamilyNetworkstaffmembersrecentlyteameduptowinthe$1,000RicoPallottaInnovationGrant.Thegrantwillallowtheteamstoexpandtheyouth-driven,mentalhealthawarenesscampaign,RAISEYourVoice.

CreatedandimplementedinaMauryCountyhighschoolduringthe2008-2009schoolyear,RAISEYourVoiceisapeer-based,anti-stigmacampaignledbyCenterstoneSchool-BasedProgramManager,

news & notes

Lee Ann Ingram Named Unsung Hero

LeeAnnIngram,Vice-ChairfortheCenterstoneofTennesseeBoardofDirectorsandvisionaryforcebehindthesuccessfulCoaching4Teens

program,hasbeenrecognizedasanUnsungHerobyNashvilleLifestylesmagazine.TheawardcelebratesthegenerosityofspiritthatthrivesintheNashvillecommunity.IngramwasfeaturedintheNovemberissueofNashvilleLifestyles.

TAMHO Awards

treatmentatCenterstoneandnowlivesahappy,healthylife.Today,Barberisanactivecommunityleader,helpingothersdealingwithco-occurringdisordersbychairinglocalAlcoholicsAnonymous(AA)meetings.

CharlieChase,veteranmediapersonalityandformernewsanchorforWZTVFox17,receivedtheMediaAward.NominatedbyCenterstone,

ChasewasrecognizedforraisingawarenessofmentalillnessandaddictionthroughhisconsistentcoverageofbehavioralhealthissuesinTennessee.

Centerstone’sDualDiagnosisProgramreceivedtheProgramof

Lee Ann Ingram

Charlie Chase

L to R: Centerstone Senior Vice President for Clinic Services, Ben Middleton; Regional Director,

Rebecca Marshall; Lloyd Wayne Barber; Gerald Taylor; Centerstone CEO, Dr. Bob Vero

�Centerstone’s�Coaching4Teens�is�a�free�program�for�teens�who�want�to�discover�a�healthier�balance�in�their�lives,�gain�confidence,�prioritize�goals�and�

improve�relationships.

Log�on�to�www.coaching4teens.org�

to�learn�more.

TheTennesseeAssociationofMentalHealthOrganizations(TAMHO)recentlyhelditsannualawardsceremonyandluncheonwhereCenterstonewaspartofthreeawards.

CenterstoneclientLloydWayneBarberreceivedthePersonalCourageAward,whichacknowledgeshiscourageousnessinfacingandovercomingthepersonalchallengespresentedbyhismentalillness.Afteryearsofbattlingalcoholismandbipolardisorderalone,Barberbegan


JenniferBurgerandSocialMarketingManagerforMuleTownFamilyNetwork,SonyaBeasley.Thefour-weekcampaignallowedstudentstolearnaboutmentalillnessanddiscoverwaystoovercomestigmathroughpeersupport.

Withthe$1,000RicoPallottaInnovationGrant,BurgerandBeasleywillexpandtheRAISEYourVoicecampaigntoanotherMauryCountyhighschool.

Beverly Little Honored for Service to Centerstone

Centerstone’sBoardofDirectorsrecentlyrecognizedexitingboardmember,BeverlyLittle,forheryearsofservicetotheorganization.LittlehasbeenpartofCenterstone’sleadershipfornearly20years,servingontheBoardofDirectorsfrom1990-2009.CenterstoneCEO,BobVero,andCenterstoneBoardofDirectorsChair,JoanSivley,presentedLittlewithaplaqueinappreciationoftheleadershipandvisionsheprovidedduringhertenureasaboardmember.Little’shusband,RankinLittle,stoodalongsidehiswifeasshereceivedthehonor.

Vince Young Celebrates the Holiday Season with Centerstone

TennesseeTitansquarterbackVinceYoungcelebratedtheholidayseasonwithclientsandstaffmembersfromCenterstone’sHartLaneyouthgrouphomeforboys.InDecember,YoungtooktheboysshoeshoppingatReebok.Healsohosteddinnerfortheboysandtookthemtoalocalarcade.

Centerstone Expands Integrated Care Partnerships

Inanefforttocombinephysicalhealthcareandmentalhealthcare,CenterstonerecentlyexpandeditsintegratedpartnershipwithCentennialPediatricstoincludetwolocationsinNashville–atCentennialParkandSouthernHillsMedicalCenter.Centerstone’sintegratedpartnershipswithpediatricclinicsbeganfouryearsagowithColumbiaPediatricsinColumbia,Tenn.andCentennialPediatricsinClarksville,Tenn.

L to R: Centerstone CEO, Dr. Bob Vero; Centerstone Board of Directors Chair,

Joan Sivley; Beverly Little and Rankin Little

L to R: Mary Elizabeth Colton, Katie Warne, Anne Gray Thornburg and Kristie Okimoto present their artwork at Centerstone’s Child

and Adolescent Clinic

L to R: Centerstone Director for Residential and Academy Services, Gino DeSalvatore; Vince

Young and Centerstone Program Manager, Ronnie Russell celebrate the holiday season.

Centerstone Expands Residential Services to Wilson County

Centerstone recently expanded its residential services for adults to include an enhanced supported housing facility in Wilson County. Located in Lebanon, Carver Care Home is a transitional housing facility, offering a structured, recovery-oriented residential environment for individuals with mental illness who previously had difficulty living on their own.

Local Girl Scouts Donate Art and Supplies to Centerstone

FourMiddleTennesseeGirlScoutsrecentlyearnedtheGirlScoutGoldAwardthroughtheirvolunteerworkwithCenterstone.MaryElizabethColton,KatieWarne,AnneGrayThornburgandKristieOkimotorecentlyvisitedCenterstone’sChildandAdolescentClinic,wheretheypresentedartworktodecoratethehallsofthefacilityandartsuppliesforCenterstoneclients.

PriortotheDec.21presentation,thefourGirlScoutsspentweekendsattheNashvilleclinic,repairingandpaintinghallwaysinpreparationfordisplayingtheartworktheycreated. n

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Reclaiming Lives Issue 6

Documents

Transcript of Reclaiming Lives Issue 6