Suicidal Behavior In Children And Adolescents: Focus on Awareness and Prevention by Dr. Laurence Pezor

As we complete a week dedicated to the awareness of suicide, it is important to review this manifestation of mental illness and what the community and we, family, friends and mental health professionals, can do to address this crisis.

Statistically, it is staggering that suicide is the 3rd Leading cause of death in 15 to 24 year-olds and the 6th leading cause of death in 5 to 14 year-olds according to data from the American Academy of Child and Adolescent Psychiatry (AACAP, Facts for Families, 2013). Center for Disease Control data from 2005 indicated that among 15 – 24 year-olds, suicide accounts for 12.9% of all deaths annually.

This is particularly a concern for high school students who, in a study by Eaton et al in 2006, indicated at 16.9% of all high school students seriously considered suicide in the previous twelve months before the study. Additionally, there are significant cultural differences. The same study documented that Hispanic female high school students reported a higher percentage of suicide attempts than their non-Hispanic peers.

These statistics, however overwhelming, are only overshadowed by the unrelenting pain suicide inflicts on surviving family and friends. Some professionals contend that suicide cannot be prevented but mitigated by focusing on providing alternative choices to desperate situations. That providing those in emotional distress with more appropriate choices to manage their feelings and instead of self harm, utilize different coping skills when overwhelmed.

To that end, open discussion about suicidal behavior and feelings as well as providing alternatives to self harm, are the goal of therapy and community support.
Providing tools to children and their families including crisis lines, access to mental health services and other professional support is key.

Recognition of potential risk factors that indicate emotional distress and could lead to suicidal thoughts or behavior is everyone’s responsibility.
Potential risk factors, described by AACAP (2004), include:

Prior suicide attempts
Substance Abuse
Change in sleeping/eating habits
Withdrawal from family and friends
Unusual neglect of personal appearance
Violent, rebellious behavior
Loss of interest in pleasurable activities
More severe psychiatric symptoms (psychosis)
Complain of feeling “bad” or “rotten” inside
Put his or her “affairs in order”
Verbalize suicidal thoughts or feelings

Underlying mental illness, lack of family and social support as well as limited coping skills also play a pivotal role in suicidal behavior.

How can we, as family, friends and community, help?
Some basic interventions include:
Take threats seriously; notify police or mental health professionals
Be suspicious when there are serious psychiatric symptoms or substance abuse issues
Keep lines of communication open
Seek professional support

Eastern Shore Psychological Services (ESPS) has therapists in all the Talbot County schools working hand in hand with the school guidance counselors ready to help.
ESPS offers mental health, substance abuse and wellness services for all ages. For those seeking mental health services, ESPS offers “same day access” appointments Monday – Thursday at 8 AM at their office at 29520 Canvasback Drive.  For more information, please contact the Clinic at 410-822-5007.

Laurence Pezor, MD is the Chief Medical Officer at Child and Adolescent Psychiatrist with Eastern Shore Psychological Services.

 

Talbot Hospice Fetes Guthrie Members

Gigi and Steve Hershey, Jim Farrell, and Judy Gieske

More than 140 Talbot Hospice Guthrie Society members were honored at a donor appreciation party in September hosted by Jim and Maxine Farrell at their home, Canterbury Manor. The Guthrie Society is a giving society for top donors that give at a designated level each year to the Annual Campaign. Named after one of Talbot Hospice’s founders, Dr. Eugene “Buck” Guthrie, this group of dedicated donors exemplifies and honors Dr. Guthrie’s vision and commitment to the Talbot Hospice mission and his passion for making a difference in the end-of-life experience for patients and families served by hospice.

Guthrie Party Hosts Jim and Max Farrell, TH Executive Director Vivian Dodge, and Board President Steve Slack.

Canterbury Manor is a colonial revival mansion on Bailey’s Neck built in 1906 featuring sweeping views of Trippe Creek and award winning gardens. “We want to share Canterbury Manor with our community,” said Maxine Farrell.  “It brings us great pleasure to entertain this important group of Talbot Hospice supporters.”

Mary Choksi and Debbie Willse

Executive Director Vivian Dodge took the opportunity to express her appreciation for Guthrie Society members and their support for the hospice mission. “Our donors are an inspiration. They have given their time, efforts, resources, commitment, and love to Talbot Hospice. Their gifts and support make it possible for Talbot Hospice to exist and to close the gap of nearly $485,000 in care and services that is uncompensated.”

Talbot Hospice has been providing hospice and grief support services in Talbot County since 1981. For questions about our services or for more information visit TalbotHospice.org or call 410-822-6681.

 

PHOTO CAPTIONS:

  1. Talbot Hospice Guthrie Society party hosts Jim and Maxine Farrell, Talbot Hospice Executive Director Vivian Dodge and Board President Steve Slack, September 14, 2018 at Canterbury Manor
  2. Mary Choksi and Debbie Willse attended the Talbot Hospice Guthrie Society Party September 14, 2018
  3. Gigi and Steve Hershey, Guthrie Society Party Host Jim Farrell, and Judi Gieske enjoyed the evening at Canterbury Manor

 

You Do Matter: For All Seasons and Suicide Prevention on the Mid-Shore

It is most often the case that the subject of suicide comes up in conversation after a celebrity or public figure ends their life that way.  That was indeed the case when Anthony Bourdain killed himself in France during the summer.

And it is to the credit of the media that stories like Bourdain are now going beyond the sensational details and more frequently talk frankly about mental illness and the impact it has throughout the country. It is an occasion to have a national conversation about suicide.

In a local way, that is what For All Seasons wants to have with their “No Matter What…You Matter” suicide prevention campaign kicking off October 5th in Easton.  The staff and volunteer leaders of the Mid-Shore’s behavioral health provider, including director Beth Anne Langrell and Allie Prell, the chair of this year’s You Matter campaign, want the region to have those same conversations but with friends and family, and particularly with those that may be a risk of self-harm.

The Spy spent some time with Beth Anne and Allie at the Bullitt House last week to get their perspective on this awareness drive and their hopes for a community reaching out to loved ones for honest conversations about mental health.

This video is approximately five minutes in length. For more information about For All Seasons and its No Matter What…You Matter” suicide prevention campaign please go here

 

Maryland Democrats: Trump Health Care curbs could Affect 260,000 in State

As many as 260,000 Maryland residents could see higher premiums or lose their health care coverage altogether because of pre-existing medical conditions, age or gender under a new Trump administration legal strategy, state Democrats warned on Tuesday.

Rep. Elijah Cummings, D-Baltimore, along with other Democratic members of the Maryland congressional delegation and state Attorney General Brian Frosh attacked the Trump administration for refusing to protect Americans guaranteed the right to health insurance under the Affordable Care Act.

The protections, the Democrats argued, are of the utmost importance and won’t be invalidated without a legal fight.

“We’re better than that,” Cummings said. “We’re a better country than that.”

In June, Attorney General Jeff Sessions wrote in a letter to House Speaker Paul Ryan, R-Wisc., that the Justice Department would not defend key provisions of the health care law, a regular target of attacks by President Donald Trump and repeal efforts by congressional Republicans.

Cummings released a report by the Democratic staff of the House Oversight and Government Reform Committee that detailed potential impacts of such a policy on Marylanders. Frosh is among more than a dozen attorneys general challenging Sessions’s decision in federal court.

“Even more troubling, they did not offer any alternative,” Cummings said at a press conference.

He was flanked by Frosh, Maryland Sens. Ben Cardin and Chris Van Hollen, and Reps. Dutch Ruppersberger of Timonium and John Sarbanes of Towson. All are Democrats.

Trump has largely moved to defund the ACA since taking office, scaling back federal funding from $62.5 million in 2016 to just $10 million this year.

But Health and Human Services Secretary Alex Azar has challenged attacks on Trump’s handling of the health care law.

“The president trying to sabotage the (Affordable Care Act) is proving better at managing it than the president who wrote the law,” Azar said during a Sept. 27 speech in Nashville, The Washington Examiner reported.

Under the new Trump policy, 167,000 Marylanders with pre-existing conditions could lose coverage or face hikes in premiums, the Democrats’ study estimated. Of those, 79,000 have such severe pre-existing conditions that insurance carriers could deny them any coverage.

Up to 160,000 Maryland women could be charged more than men for the same health care coverage, the report said. Such discrimination was barred by the health care law.

In addition, up to 108,000 older Maryland residents could be charged more, according to the report.

Maryland workers in higher-risk occupations also could lose protections: 19,000 construction workers, 9,700 shipping clerks and 4,800 emergency medical technicians.

“Defending the Affordable Care Act will affect the lives of Marylanders and people all over this country,” Cardin said. “It’s critically important that the American people understand what’s at stake when the president does not defend the Affordable Care Act.”

A Kaiser Family Foundation poll released in September showed that 50 percent of adults held a favorable view of the ACA. Forty percent held an unfavorable view. Another Kaiser poll found that 75 percent of people polled said it was “very important” that the ACA’s protections for people with pre-existing conditions ensuring guaranteed coverage remains law.

“When the Trump Administration decided not to defend the law … they’ve given a green light to all those who want to undo that protection through the courts,” Van Hollen said.

Trump, who said during his campaign that he wanted to put somebody on the Supreme Court who would help overturn the ACA, has done just that in nominating Brett Kavanaugh. In 2011, Kavanaugh was the dissenter in a 2-1 federal appeals court ruling on the constitutionality of the ACA’s individual mandate provision.

Cummings said the administration’s hostility to the health care law has caused unease even among government attorneys.

“Their actions are so indefensible,” Cummings said, “that three of four career attorneys representing the government withdrew from the case rather than sign their names on the brief. One attorney even resigned.”

Joel McElvain and two other lawyers withdrew from the case this summer; he later resigned. All three worked on a lawsuit brought by Texas and other Republican-led states that challenges the constitutionality of the ACA and is likely to find its way to the Supreme Court.

by Jared Goldstein

Women and Girls Fund’s Purple Grants in Action: Rising Above Disease with Bonnie Scott

As noted in our first Women & Girls Fund Goes Purple interview Sherry Collier with Restoring H.O.P.E. in Women it could be said that the  WGF has been wearing purple a long time before Talbot Goes Purple started their successful awareness campaign last year. A philanthropic organization committed to empowering women and girls; it also seeks to help with the unique health needs, both physical and mental, of women in our community who are trying to rebuilding their lives after a life of drug or alcohol abuse.

In the Spy’s ongoing Grants in Action series with the WGF, we turn our attention to Rising Above Disease’s women-only recovery house founded by Bonnie Scott.

WGF board member Talli Oxnam once again introduces Bonnie and her extraordinary personal journey from addiction to recovery, and her commitment to supporting women as a tribute to her son who tragically lost his life due to a drug overdose a few years ago.

This video is approximately six minutes in length. For more information about Rising Above Disease please go here

This is the ten in a series of stories focused on the work of the Women & Girls Fund of the Mid-Shore. Since 2002, the Fund has channeled its pooled resources to organizations that serve the needs and quality of life for women and girls in Caroline, Dorchester, Kent, Queen Anne’s and Talbot Counties. The Spy, in partnership with the Women & Girls Fund, are working collaboratively to put the spotlight on twelve of these remarkable agencies to promote their success and inspire other women and men to support the Fund’s critical role in the future.

Talbot Hospice Offers New Support Groups

Talbot Hospice has announced the addition of three new grief support groups to its roster. All support groups are free of charge and open to the public, whether or not your loved one was served by Talbot Hospice.

Beginning in September an eight-week group called “Looking Ahead” will be offered for anyone in the community who is grieving the death of a loved one. Participants will have two options to choose from – Wednesdays from 1 – 3 p.m. or Thursdays from 6 – 8 p.m. Wednesday dates are September 5, 12, 19, 26 and October 3, 10, 17, 24. Thursday dates are September 6, 13, 20, 27, and October 4, 11, 18, 25. Registration is required.

In October, a four-week group called “Shattering the Silence” will offer support, education, and resources to families impacted by a loved one’s death from suicide or overdose. This group will meet every Tuesday in October (2, 9, 16, and 23) from 6:30 – 8:30 p.m.

“Navigating the Holidays in the Midst of Grief” will be offered Friday, November 2, 9 a.m. – 12:30 p.m. This grief workshop will offer coping strategies, ideas, suggestions and grief education on how to navigate the holidays which can be challenging, especially during the first year after the death of a loved one. Registration is required.

Other ongoing support groups at Talbot Hospice include:
Caregivers Support Group, Thursdays at 1-2:15 p.m.
Pet Loss Support Group, 1st Thursday of the month, 6-7 p.m.
Child Loss Support Group, 3rd Wednesday of the month, 6:30-8 p.m.
Grief Support Group, 4th Tuesday of the month, 5-6:30 p.m.

All support groups meet at Talbot Hospice, 586 Cynwood Drive, Easton. For more information or to register for a group contact Becky DeMattia at 410-822-6681 or bdemattia@talbothospice.org. More details about these groups can be found at www.Talbothospice.org/programs/bereavement.

Shore Medical Center at Easton Recognized by US News & World Report

University of Maryland Shore Medical Center at Easton is featured among the Maryland hospitals recently ranked in U.S. News & World Report’s annual report on best hospitals nationwide. The Easton hospital was ranked second among the best hospitals on the Eastern Shore of Maryland and among the top 15 hospitals in the State of Maryland. The U.S. News ranking also gave special recognition to UM Shore Medical Center at Easton’s programs for patients with chronic obstructive pulmonary disease (COPD), heart failure and hip replacement received special recognition for high quality care.

“There are so many people who deserve credit for this excellent recognition – our team members, our physicians and advanced practice providers, our volunteers and our devoted community supporters,” says Ken Kozel, president and CEO of UM Shore Regional Health. “On behalf of the Board of UM Shore Regional Health and our senior leadership, I’m very pleased to express our appreciation for the outstanding teamwork that is helping us achieve our Vision, to Be The Region’s Leader in Patient Centered Health Care.”

Issued annually during the month of August, the U.S. News Best Hospitals nationwide analysis reviews 5,000 hospitals’ performance in both adult and pediatric clinical specialties, procedures and conditions. Scores are based on several factors, including survival, patient safety, nurse staffing and more. Hospitals are ranked nationally in specialties from cancer to urology and rated in common procedures and conditions, such as heart bypass surgery, hip and knee replacement and COPD. Hospitals are also ranked regionally within states and major metro areas.

UM SRH Submits State Applications to Transform Health Care in Dorchester County

Public Information Session July 31 to Share Proposed New State-of-the-Art Medical Campus in Cambridge, Offering 24/7 Emergency Care, Surgery Center, and Comprehensive Outpatient Services to Meet Dorchester Health Needs

Representing a significant step in a process that began more than two years ago, University of Maryland Shore Regional Health (UM SRH) has filed applications with the Maryland Health Care Commission (MHCC) seeking approval to transform and enhance the health care services offered in Dorchester County.

The filing, called a Request for Certificate of Need Exemption, describes plans to replace UM Shore Medical Center at Dorchester with a new state-of-the-art health care campus offering services including 24/7 emergency care and short-stay observation care, with proposed outpatient surgery center, diagnostic services, outpatient specialty medical care, chronic disease management services, telemedicine and enhanced outpatient behavioral health programs and services.

A free public information session is scheduled Tuesday, July 31, 6:30 p.m. to 8:30 p.m., at Cambridge-South Dorchester High School, to share the proposed plans for this new medical campus with a Freestanding Medical Facility (FMF), to be known as University of Maryland Shore Medical Center at Cambridge.

Aerial view of the proposed UM Shore Regional Health medical campus in Dorchester (design may be subject to change.)

The proposed medical campus is planned to be located approximately one mile from the current hospital, in Cambridge Marketplace, at Ocean Gateway (Route 50) and Woods Road. This location provides enhanced access to public transportation and ambulances and provides for an adjacent helipad for air transports.

Over the past two years, UM SRH discussed the changing health care environment with Dorchester County physicians, elected officials, Emergency Medical Services, public health and other health care partners, and community business leaders.  With their support for the possible conversion of the aged hospital in Dorchester to an FMF, and the  relocation of inpatient medical-surgical and behavioral health beds to nearby University of Maryland Shore Medical Center at Easton,  the discussions expanded to the wider Dorchester community through a series of community listening sessions around the County in 2017.  With positive feedback from these conversations, the Boards of University of Maryland Medical System (UMMS) and UM SRH moved forward with more detailed plans, leading to this month’s applications.

The proposed timeline for the opening of the new UM Shore Medical Center at Cambridge and the relocation of acute care inpatient beds to Easton is mid-2021, depending upon both State approval and funding.

With regulatory approvals, this new model of care will enhance the hospital’s ability to ensure services are available, keeping residents healthy in their community and reducing unnecessary inpatient admissions and emergency room visits.  This model also allows for the potential to provide ambulatory surgical care and intensive outpatient behavioral health treatment.

Plans for the sale and ultimate redevelopment of the existing hospital site, located on approximately 14 acres of Choptank River waterfront, took a step forward in May when the City of Cambridge and Dorchester County created a Memorandum of Understanding creating an entity, Cambridge Waterfront Development, Inc. (CWDI), designed to purchase the property, prepare it for development and negotiate its sale by 2021. A second step occurred in early June, as UM SRH CEO Ken Kozel, Cambridge Mayor Victoria Jackson-Stanley, and Dorchester County Council President Ricky Travers signed a Letter of Intent for continued negotiations leading to the future sale of the hospital property to CWDI when health care services transfer to Cambridge Marketplace.

SUMMARY: Proposed UM Shore Medical Center at Cambridge

Approximately 40,000 square foot state-of-the-art Freestanding Medical Facility (FMF), open 24/7/365, to include:

• 18 private emergency treatment rooms serving all ages
• 2 bed resuscitation/critical care suite, serving all ages
• 3 behavioral health rooms
• 10 private short stay observation beds
• Telemedicine capabilities for Emergency Department patient specialist consultation
• State-of-the-art diagnostic/treatment equipment and technology
• Diagnostic services to support emergency care, including CT, MRI, ultrasound and X-ray
• Laboratory services, 24/7
• Helipad for air transport

SUMMARY: Proposed Services- UM Shore Medical Pavilion at Cambridge

Approximately 50,000 square foot, two story facility housing diagnostic, treatment, community education and support services, including:

• Outpatient services/providers in specialties such as cardiology, diabetes/endocrinology, ENT (ear, nose, throat, allergy), gastroenterology, general surgery, gynecology, obstetrics (prenatal care), orthopedics, outpatient behavioral health, outpatient medical oncology, pediatrics and urology
• Ambulatory Surgery Center (1 OR and 1 procedure room)
• Outpatient rehabilitation services, including The Balance Center
• Cardio-pulmonary rehabilitation
• Fully integrated telemedicine services for specialist access
• Community health education hub

About University of Maryland Shore Regional Health

As part of the University of Maryland Medical System (UMMS), University of Maryland Shore Regional Health is the principal provider of comprehensive health care services for more than 170,000 residents of Caroline, Dorchester, Kent, Queen Anne’s and Talbot counties on Maryland’s Eastern Shore. UM Shore Regional Health’s team of more than 2,600 employees, medical staff, board members and volunteers work with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together. For more information, visit www.UMShoreRegional.org.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is a university-based regional health care system focused on serving the health care needs of Maryland, bringing innovation, discovery and research to the care we provide and educating the state’s future physician and health care professionals through our partnership with the University of Maryland School of Medicine and the UM Schools of Nursing, Pharmacy, Social Work and Dentistry in Baltimore.  As one of the largest private employers in the State, the health system’s 25,000 employees and 4,000 affiliated physicians provide primary and specialty care in more than 150 locations and at 14 hospitals.  UMMS’ flagship academic campus, the University of Maryland Medical Center in Baltimore, is recognized regionally and nationally for excellence and innovation in specialized care.  Our acute care and specialty rehabilitation hospitals serve urban, suburban and rural communities and are located in 13 counties across the State. In addition, UMMS operates health insurance plans serving Medicare and Medicaid members. For more information, visit www.umms.org.

Evergreen Lifestyle: Everything Under the Sun with Healthy Sun Exposure by Freya Farley

Summer, a time when longer sun-filled and warm days invite you to enjoy all the fun and activities offered by the Eastern Shore. Whether on the boat, beach, in a backyard, or at a local park, soaking up the sun has many benefits. However, it’s important to also remember that frequent overexposure to UV radiation can damage your skin.

Benefits of Sun Exposure

Spending moderate time in the sun plays a vital role in:

  • Boosting hormones, such as vitamin D
  • Reducing blood pressure and improving cardiovascular health
  • Improving mood by releasing endorphins
  • Contributing to pain relief in people with fibromyalgia

Vitamin D Production & Deficiency

The most commonly known benefit of sun exposure is how it induces the production of vitamin D, a critical steroid hormone that acts on receptors throughout the body, influencing bone health, heart function, and inflammation. When UVB rays from the sun strike exposed skin, the body can synthesize vitamin D3, which is transformed by the liver and kidneys into the biologically active hormone.

Due to a variety of factors including lifestyle and environment, vitamin D insufficiency affects almost 50% of the population worldwide. In our practice, we often run across people with symptoms of vitamin D deficiency, which include:

  • Excessive Sweating
  • Fatigue & Muscle Weakness
  • Chronic Pain
  • Broken Bones
  • Depressed Mood

Your doctor can run a simple blood test to measure your Vitamin D levels if a deficiency is suspect.

While there are different ways you can increase your Vitamin D levels, emerging research suggests that natural sun exposure may regulate vitamin D in a way that supplements cannot mimic. For example, vitamin D produced in the skin may last at least twice as long in the blood compared with ingested vitamin D.

Risks of Sun Overexposure

Just as there are multiple benefits to sun exposure, there are also risks. Sunlight includes rays of invisible ultraviolet light of varying wavelengths (UVB and UVA), which can contribute to:

  • Sunburn
  • Damage to collagen leading to accelerated skin aging
  • Skin cancer
  • Cataracts

The majority of UV radiation reaching the Earth’s surface is UVA, which penetrates more deeply into the skin (compared to UVB rays) where it can indirectly damage DNA via the generation of free radicals.

Like most things related to health, bio-individuality and lifestyle habits are important when it comes to sun exposure. Certain groups of people are more susceptible to the negative impacts of UV sun exposure and may require different strategies to avoid harm. For example, those with certain autoimmune conditions such as lupus can be exceptionally sun sensitive. Further, medications such as tetracycline antibiotics, used to treat various infections, can increase sun sensitivity.

People with a personal or family history of skin cancer or other genetic susceptibilities, which can make it more challenging to repair UV-induced DNA damage, need to be more vigilant to avoid too much sun exposure.

Limit Your Sun Exposure

According to studies done at NIH the best time for sun exposure is around noon, when UVB rays are most likely to reach your skin and boost vitamin D production, and when UVA rays, which increase the risk of skin cancer and photodamage, are minimized. For maximum benefit, expose unprotected skin (backs of hands or face) to the sun for 10 to 20 minutes daily. 

Incorporate Natural Dietary Skin Support

There are a variety of foods that can reduce your skin’s susceptibility to ultraviolet damage. Aim for a mix of carotenoids including lycopene (found in tomatoes and watermelon), lutein (found in spinach and other dark-green veggies), and beta-carotene (found in orange, red, and yellow produce). Astaxanthin, a carotenoid pigment found in microalgae and seafood like salmon, shellfish, and krill, also contributes to skin health. Our area is fortunate to have access to not only fresh and healthy fruits and vegetables at various roadside stands but also plenty of seaside fare.

Find Stress-Reduction Practices

Studies have led researchers to believe that chronic stress can increase the susceptibility of your skin to UV damage. Stress weakens the immune system and makes you more susceptible to the effects of free radicals, which can lead to skin damage and cancer.  In fact stress alone, without sun exposure, has been shown to damage DNA and increase signs of early aging. Adopting regular stress management practices, such as those offered by our center, which includes meditation, yoga, and mind-body practices, can make you more resilient to resist the damaging impacts of chronic stress.

Throw Some Shade

One of the best ways to enjoy a sunny day without suffering damage is to minimize your time spent in the strongest rays. Stay in the shade when possible and wear lightweight, long-sleeved shirts, pants, and wide-brimmed hats that are specifically designed to block UV rays.

Choose a Safer Sunscreen

Sunscreen provides either a chemical or physical barrier against the sun’s rays. Look for ingredients that don’t contain toxic endocrine-disrupting chemicals that potentially affect reproduction and development hormones and/or cause skin irritation. Avoid oxybenzone, octinoxate, retinyl palmitate, and homosalate.

Synthetic fragrances should also be avoided in all personal care products, including sunscreens. These chemicals, such as parabens, phthalates, and synthetic musks, are linked to endocrine disruption, reproductive impacts, and even cancer. Instead, look for non-nano  (meaning the particles are less likely to be absorbed by your skin) physical or mineral-based sunscreens like zinc oxide.

Some of our favorites include

Bare Republic Mineral Face Sunscreen Lotion

 

Sun Bum Signature Mineral-Based Moisturizing Sunscreen Lotion

 

Australian Gold Botanical Sunscreen SPF 30 Mineral Lotion

 

Brush on Block Broad Spectrum SPF 30 Mineral Powder Sunscreen

 

All Good Lips Tinted – SPF 18 Lip Balm- Alpine Pink

Freya Farley is Evergreen’s Executive Director and an Acupuncturist at the Wellness Center at Evergreen. Her practice focuses on Women’s Health and Fertility. Along with acupuncture, and herbal medicine, Freya practices a food-as-medicine approach. She offers Open Studio morning yoga sessions, private consultations & treatments, as well as a weekly Community Acupuncture Clinic.

*The information in this article is intended for your educational use only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition and before undertaking any diet, supplement, fitness, or other health program.

On a Rare Occasion You Know When You Have Changed the Life of a Child by Liz Freedlander

In the universe of adults whose work careers (or volunteer time) is focused on improving the lives of children – teachers, social workers, non-profit staffs – it is rare to know if you’ve really made a difference.

But occasionally, a young adult comes back and identifies you as the mentor whose dedication, professional skills and ideas changed his or her life.

Rashaan Rhoden was a Dorchester County student who was referred to Channel Marker’s youth program. His disruptive behavior indicated a need for redirecting his impulses, learning coping skills and receiving positive reinforcement for his good qualities.

Rashaan, now 20, wrote a letter to Arville Johns, his Channel Marker case worker, and read it aloud to him at a recent staff meeting. Tears flowed. It was quite a moment!

While letters like this are few and far between, there are surely many young adults who share Rashaan’s sentiments about the people who changed their lives only they never told you.

June 2018                                                                                   

Dear Mr. Arville,

I’m writing this letter to you to express how much I appreciate you and how thankful I am for you being a part of my life, especially during my teenage years. The bottom line is that you mean the world to me and I love you to death. Channel Marker was a great “safe zone” for me in high school and I’m glad I stuck through it, even though I felt as though I did not need it. My mother knew I did. I can’t speak for all of the Channel Marker county locations, but the one in Dorchester County is the best one and you Mr. Arville are a big reason for that.

Looking back at it, I miss our times together. From the rides to Ocean City to the basketball games at Sandy Hill, there was never a dull moment when I was around you. Whenever my mother and I got into it, I always wished you could just come get me because you knew how to calm me down. It seems as though you just have that effect on kids. Our times together weren’t always dandelions and roses. We didn’t have the perfect relationship, but I can 100% say that we had and still have a quality relationship.

You taught me life lessons and skills that will make me succeed, not only as a person but as a professional such as yourself. Just watching the way you talk to other adults and professionals impressed me. Even watching you handle other disruptive kids impressed me. I admit that patience is an important skill to adapt and I feel as though I improved tremendously with that skill because of you. Other skills I learned from being in Channel Marker are: opening up more in a group setting, being an active leader, and ways to take and give constructive criticism. All of these skills/attributes (and much more) are why I am so successful today.

This upcoming Fall, I will be moving to Orlando, Florida to attend the University of Central Florida’s Graduate Program for Hospitality & Tourism Management. This is HUGE for me. Not only did I get accepted into graduate school, but I got accepted to my #1 college choice! It’s easy for me to thank my advisors and teachers at Frostburg, but I would never have even thought about college if it wasn’t for you. You were my role model in high school. You went to college and you always talked about it to me. So, I decided to focus on college instead of working or joining the military.

  I want to end this letter by again saying thank you for caring for me. Obviously, you’ve done more than what I mentioned in this letter, but I just want you to know that I am successful because of you and Channel Marker. This may sound corny but YOU ARE Channel Marker. God did not put you in my life for the money you earned to do a job.  You proved that to me numerous times. I love you Mr. Arville (like my own father) and keep up the good work.

Love,

Your Son, Rashaan