Division of Mental Health

and Addictions.

“People helping people help themselves.”

In this issue: Nat. Healthcare Sec. & Safety Wk. ................. 2 Nat. Healthcare Sup. Chain Wk.3 Nat. Food Svc. Wk. ................. 3 Nat. Pharm. Tech. Day and Nat. Hosp. and Health Syst. Pharm. Wk. .... 4 Nat. Healthcare Fac. and Eng. Wk. ................. 5 Q-tips ............. 6 Thank You ....... ................... 7 - 9 Christmas Asst. ...................... 10 Emergency Plan .............. 11 Wellness Wisdom . 11 - 20 Sneaky Snaps .. ...................... 21 Culinary Corner ...................... 22 Who Am I? ... 23

Vol. 28, No. 10 October

2018

2

Darrin Monroe ............... Editor & Photographer .. ext. 3803 Chris Taylor ................... Comm. Services ........... ext. 3709 Brian Newell .................. Librarian ........................ ext. 3712 Rebecca Dowden .......... HR Director ................... ext. 3622

SPECTRUM Logansport State Hospital 1098 S. State Rd. 25 Logansport, Indiana 46947 The Spectrum is published and distributed on the second payday of each month for employees, retirees, and friends of Logansport State Hospital.

National Healthcare Security & Safety Week October 7th through October 13th is recognized as National Healthcare Security & Safety Week. I would like to take this time to thank the Securitas Security Staff of LSH for the role they play in ensuring that the safety of our patients, visitors, and staff is provided at all times. The Security Staff are here 24 hours a day, 7 days a week, proving their dedication to the task. I would also like to recognize our former and current Safety/Security Director, Dan Cooper and Brandon Collins. Ensuring safety standards are maintained throughout LSH is a daunting task that has been handled in a professional and positive manner. Please join me in thanking these staff members for their continuing efforts to ensure our safety while we complete our daily tasks. Sincerely,

R. Daryl Hall Superintendent

3

National Healthcare Supply Chain Week The week of October 7th through October 13th is recognized as National Healthcare Supply Chain Week. We celebrate the staff of Materiel Management for their outstanding contributions to the successful operations of our facility. Materiel Management is an integral department that interacts with every stakeholder of LSH. Join me in acknowledging the important role our Materi-al Management staff play in ensuring our ability to provide high-quality patient care. Sincerely,

R. Daryl Hall Superintendent

National Food Service Week We applaud the dedication of our Food Service staff during this week of October 7th through October 13th. Throughout the year, this staff works to plan, develop, create and serve healthy and tasty meals to our LSH patients. We acknowledge that these meals and snacks make an enormous impact on the happiness of our patient’s. We extend our thanks for the continued hard work and effort to make and serve a quality meal.

Sincerely,

R. Daryl Hall Superintendent

4

National Pharmacy Technician Day and National Hospital and

Health System Pharmacy Week October 16th is acknowledged as National Pharmacy Technician Day. The week of October 21st through October 27th is designated as National Hospital and Health System Pharmacy Week. Please join me in acknowledging our LSH Pharmacists and Pharmacy Technicians for the important role they play continually educating our staff and patient, promoting safe and effective use of medication, and always making a difference at our facility. This is the perfect opportunity to dispense a healthy dose of appreciation to this hard working and dedicated group. Sincerely,

R. Daryl Hall Superintendent

National Healthcare Quality Week The week of October 21st through October 27th is designated as National Healthcare Quality Week. Please join me in acknowledging our Quality Management and Staff Development Staff for their on-going efforts to maintain and improve healthcare quality at LSH. These Departments are integral in promoting quality improvements and training that enhances the lives of our patients. These Departments are invaluable to the success of LSH and we celebrate their continued good work. Sincerely,

R. Daryl Hall Superintendent

5

National Healthcare Facilities and Engineering Week

The week of October 21st through October 27th is designated as National Healthcare Facilities and Engineering Week. This gives us an opportunity to celebrate all areas of our Maintenance Department that includes staff working in the steam plant 24/7, those performing electrical, carpentry, painting, and plumbing tasks that maintain and allow for smooth operation in the buildings, the grounds crew that ensures we have a beautiful place to come to work at, and the store clerk that keeps them all organized. . Thank you for your hard work and dedication. Sincerely,

R. Daryl Hall Superintendent

6

Q-Tips

October 2018

A Survey of Patient Safety Culture

By Quality Management

Here are the overall results of the patient safety culture survey that clinical and nursing staff completed in July. Thank you to those staff who participated in the survey. Additional data is available from your Service Line Manager or Department Head. We will continue to work together to strengthen our patient safety culture.

OVERALL AREAS OF STRENGTH Supervisor/Manager Expectations & Action Promoting Patient Safety Supervisor acknowledges good work Supervisor considers staff suggestions for improving safety Supervisor does not encourage taking shortcuts Supervisor does not overlook patient safety problems Organizational learning-Continuous Improvement

LSH is actively improving patient safety Teamwork within Units Staff support one another on the unit Staff work together as a team Staff treat each other with respect When one area gets busy, others help out Hospital Management Support for Patient Safety Management provides a work climate that promotes patient safety

OVERALL POTENTIAL FOR IMPROVEMENT Communication Openness Staff do not feel free to question the decisions or actions of those with more authority Non-punitive response to error Staff feels like their mistakes are held against them When an event is reported, it feels like the person is being written up, not the problem Staff worry that mistakes they make are kept in their personnel file Even though these items did not score as a potential for improvement, working long hours and not having enough staff were identified as concerns to staff.

7

Thank You!

8

9

10

11

Wellness Wisdom from the Wellness Committee

OPEN ENROLLMENT BEGINS OCTOBER 24TH. WILL YOU BE READY?

Start preparing for Open Enrollment 2019 Open Enrollment is just around the corner. Take time now to carefully review each plan offering and determine which options best meet your family’s health care needs. A few tips to help you get started Know the dates: Mark your calendars for the 2019 Open Enrollment season. It begins October 24 and ends November 14 at Noon (EST). Review this year’s medical, vision and dental expenses. How much did you spend on medical, vision and dental needs this year?

12

You can view your expenses over the past year and estimate future expenses online with Anthem and CVS Caremark. Once you are logged into your account on Anthem’s website you can estimate your upcoming expenses by clicking on the Anthem Care Comparison section located under the “Care” tab on the top of the page. Estimating your medical expenses helps you determine which plan provides the most value for you. Be sure to include not only medical expenses, but premiums when looking at your annual spend. And don’t forget to factor in State Health Savings Account (HSA) contributions, if you qualify. Examine how much you contribute to your Flexible Spending Account (FSA). If you have a Flexible and/or Dependent Care Savings Account, be sure to examine your out-of-pocket expenses closely as these programs are a use- it-or-lose-it program. You may need to increase or decrease your contributions accordingly. Understand your insurance needs. If a qualifying event has occurred within the past year, your insurance needs may have changed as well. A qualifying event could be a birth, divorce, marriage or an adoption. Rather than simply signing up for the same amount you did the year before, determine whether your overall financial situation has changed, and whether or not you need more or less insurance. If you experienced such an event and did not request a change to your benefits within the first 30 calendar days, the open enrollment period is the time to add eligible dependents. Review your dependents and beneficiaries. It’s important to review dependents on a yearly basis. If your family situation has changed at all, it certainly merits making a review of your dependents and beneficiaries. Make sure addresses and phone numbers are updated and that all dependents are still eligible. Also, ensure your dependent social security numbers are included in PeopleSoft. Under the Affordable Care Act, applicable large employers are required to request dependents’ social security numbers for use in completing IRS forms, 1094-C and 1095-C. Steps to update this information:

Log into PeopleSoft HR Click on Main Menu Click Self Service Click Benefits Click Dependent Beneficiary Information Click Dependent & Beneficiary Coverage Summary Click on Child’s Name Click Edit Enter the SSN Click Save and Sign out of PeopleSoft

If you are married: compare your coverage against your spouse’s. If you and your spouse have different company benefits, make sure to weigh the pros and cons of each health insurance and overall benefits package. Compare the list of doctors in your plan to your spouse’s, network providers vary from plan to plan. The State medical plans use Anthem’s National PPO (BlueCard PPO). If your spouse’s open enrollment period and effective dates differ from the State plans, plan ahead. Your spouse’s open enrollment is not considered a qualifying event to change plans or level of coverage later in the year.

13

Open Enrollment does not need to be a stressful time. Plan, prepare and ask questions now to help reduce the stress later. If you have any questions about your benefits or have a unique situ-ation and require some guidance, please contact the INSPD Benefits Hotline at 317-232-1167 (within Indianapolis) or toll-free at 877- 248-0007 (outside Indianapolis).

Employee Assistance Program (EAP) Benefits are expanding January 1, 2019 In 2010, a trusted friend encouraged me to utilize my Employee Assistance Program (EAP) benefit. My now husband and I were in the process of blending families. I was trying to un-derstand my new role as a stepmother. I remember thinking, ‘People do this every day. People deal with harder things than this every day. I should be able to figure this out on my own.’ Looking back at this point in our lives, I am certain of a few things. First, our EAP benefit was the most effective tool we utilized during this transition in our lives. Second, my hus-band and I continue to benefit from the skills we learned in our sessions 8 years ago, and last, I didn’t feel comfortable taking advantage of my benefit until someone I trusted shared their experience. It seems silly now, but feeling reluctant to use the benefit is so common. I’m reaching out in this personal way to share two significant enhancements to the State’s Employee Assistance Program:

Beginning January 1, 2019, employees, their dependents, and individuals living in their household, will have access to eight (8) free face-to-face counseling sessions with a licensed therapist per issue, per year. This is a significant increase from the current three (3) available sessions.

Employees will now have access to an online 24/7 program provided by Anthem EAP called myStrength to support emotional well-being.

These enhancements are fundamental to our continued focus of improving overall health among state employees and providing greater access to care.

1. Employee Assistance Program The Employee Assistance Program is completely confidential and accessing the free face-to-face counseling sessions couldn’t be simpler:

Dial 1-800-223-7723. and select option 1

Once you are connected with an EAP representative, ask them about therapy visits

The representative is trained to assist you in finding a therapist that fits your needs and will guide you through the process of scheduling your first appointment.

For your convenience, appointments can even be scheduled within LiveHealth Online. If you are interested in this option please let the representative know. The Employee Assistance Program can be utilized for a broad range of life situations:

“I’m struggling learning how to support my aging parent”

“My spouse recently lost their job”

“Our long-time family pet passed away last week”

“I am having a hard time adjusting to my child’s recently diagnosed disability”

“I dealt with a difficult situation at work that continues to bother me”

14

15

“At times I feel overwhelmed by stress and anxiety”

If you are not ready to speak to someone directly, you can access a number of resources online through the Employee Assistance Program’s website, www.anthemeap.com. (Use Company Code: State of Indiana).

The EAP website also provides resources for legal and financial concerns, dependent care referrals, smoking cessation, ID recovery and credit monitoring to name a few. All of these resources are completely free of charge and available 24 hours, 7 days a week for you, your dependents and your household members.

2. myStrength The newest resource available on Anthem’s EAP website is myStrength. myStrength is a unique, online emotional wellness program. Like a health club for your mind, myStrength provides personalized and proven online and mobile resources to promote ongoing emo-tional well-being. If you or someone in your family is struggling with depression, anxiety, overuse of drugs or alcohol, chronic pain, difficulty sleeping, or simply trying to manage everyday stress, help is available 24/7 from the comfort and privacy of your own home. myStrength contains stress management tools, inspirational videos, articles, and quotes, as well as step-by-step eLearning modules to help you feel better and stay better. myStrength is free and com-pletely confidential. To access myStrength: Visit the Anthem EAP website at AnthemEAP.com

Once on their homepage, click the Members Login button on the left-hand side of the page

On the next page, enter your company code: State of Indiana

Click Login

Click on myStrength in one of the lime green boxes on the right of the screen

Click Sign Up to create an account

I hope you will be able to take advantage of these great new enhancements available to you. If you have any questions about these new enhancements, please don’t hesitate to contact the Benefits Hotline Monday through Friday (7:30 a.m. to 5 p.m. EST) at 317-232-1167 within Indianapolis area, toll-free outside Indianapolis at 1-877-248-0007, or via email at SPDBenefits@spd.in.gov.

Britni Saunders Director, Indiana State Personnel Department

5 Strategies for Optimal Autumn Wellness By Grace Suh, L.Ac., Dipl.O.M.

Shorter days, a chill in the air, and pumpkin lattes signify autumn’s presence. Leaves turn beautiful color and then, dried up, fall to the ground. I’ve always looked forward to autumn after summer’s heat. For me, fall represents a rebirthing process, and death plays a crucial role in that cycle. Even in Los Angeles where I live, which some people see as almost season-less, we feel those changes in our bodies. Even in warmer climates, some may feel low energy and other symptoms related to seasonal transition. Many of my patients dread autumn. As the days grow shorter, some experience more mood swings and depression. They also suffer more colds, flus, runny noses, clogged sinuses and dry skin. In Eastern Medicine, your lungs and large intestine, which prefer warmth and moisture, can become extra sensitive in autumn. Coughing, sinus problems, and other respiratory issues frequently occur as the weather becomes cooler and dryer. From that perspective, autumn means taking extra care of your body and protecting your energy levels to prevent illness.

16

Another way to look at this is: If spring and summer are expansive and opening, autumn and winter signify contracting and going inward. That latter process is much harder for your body. Recall the exciting, joyful, possibility-filled feeling spring and summer bring. That’s not to say the upcoming season isn’t joyous. After all, we’ve got Thanksgiving (my favor-ite holiday!) and December festivities to welcome. At the same time, let’s acknowledge autumn can also decrease motivation as well as trigger low mood and energy levels. Some people thrive in autumn; others, not so much. That’s fine. Stop pressuring yourself to feel exuberant when your body needs time to adjust to seasonal transi-tion. Over my 14 years as an acupuncturist, I’ve found these five strategies can optimize immunity and minimize mood swings as the days grow shorter: 1. Get an extra 30 - 60 minutes of sleep every night. Not always possible, but the extra rest can help boost your immune system and help your body better detoxify. A study in the jour-nal Gerontology found that “sleep deprivation and restriction impair immune responses by dis-rupting circadian rhythms at the level of immune cells...” Look at that extra time investment as health insurance so you take fewer sick days. Sleep also helps you stay lean and healthy: A study in the journal Obesity (Silver Spring) found women who get optimal amounts of sleep ex-perience better fat loss. Quantity and quality count here. 2. Check your vitamin D levels. Even if you live in sunny LA, you might not be making optimal vitamin D levels in winter. If you live in a colder, darker climates, chances are you aren’t. A study in the Journal of Investigative Medicine found vitamin D plays a crucial role in immune regulation. Researchers learned deficiencies could increase autoimmunity and infection suscep-tibility. Ask your doctor for a 25-hydroxyvitamin D test and supplement until your levels reach 60 - 100 ng/ml. 3. Address your emotions. Darker, cooler days sometimes increase emotions like sad-ness and grief. For some people, increased exercise or even yoga helps reduce these debilitat-ing emotions. For others, meditation helps. Sometimes just becoming mindful and aware of these emotions can reduce their impact. For me, autumn is the anniversary of my father’s pass-ing, so I work to release grief. Think of deep-seated emotions like grief as layers, almost like an onion, which you gradually shed. 4. Stay hydrated. Drinking enough water keeps your respiratory tissue moist and optimiz-es immunity. Conversely, even mild dehydration can impair your immune system. Once you re-alize you’re thirsty, you’re already dehydrated. Don’t forget water-dense autumn fruits like per-simmons, passion fruits, pears, pomegranate, and quince. Autumnal veggies daikon, sweet po-tatoes, radicchio, Brussels sprouts, squashes and pumpkins also provide hydration. Juicing makes a smart alternate way to get these water- and nutrient-dense foods. 5. Reduce stress. Rushing around to pick kids up from band practice and get a healthy dinner on the table can increase anxiety, stress, and other emotions that deliver a major wham-my to your immune system. A study in the journal Brain, Behavior, and Immunityfound that, es-pecially as we age, stress adversely impacts immune function. In the chaos, find a reminder to help you slow down, breathe, and find your center of calm.

17

Additional References: Maciocia, Giovanni. The Foundations of Chinese Medicine: A Comprehensive Text for Acupunc-turists and Herbalists. PA: Churchill Livingstone, 1989. Pitchford, Paul. Healing with Whole Foods Oriental Traditions and Modern Nutrition. CA: North Atlantic Books, 1993.

18

Deciding to Quit Smoking and Making a Plan Smokers often say, “Don’t tell me why to quit, tell me how.” There’s no one right way to quit, but there are some requirements for quitting with success. Key steps for quitting are covered here. Make the decision to quit smoking The decision to quit smoking is one that only you can make. Others may want you to quit, but the real commitment must come from you. Think about why you want to quit. Are you worried that you could get a smoking-related disease? Do you really believe that the benefits of quitting outweigh the benefits of continuing to

smoke? Do you know someone who has had health problems because of smoking? Are you ready to make a serious try at quitting? Write down your reasons so you can look at them every time you want to smoke. If you’re ready to quit, setting a date and deciding on a plan will help move you to the next step. Set a date and make a quit smoking plan What’s important about picking a Quit Day? Once you’ve decided to quit, you’re ready to pick a quit date. This is a key step. Pick a day within the next month as your Quit Day. Picking a date too far away gives you time to change your mind. Still, you need to give yourself enough time to prepare. You might choose a date with a special meaning like a birthday or anniversary, or the date of the Great American Smokeout (the third Thursday in November each year). Or you might want to just pick a random date. Circle the date on your calendar. Make a strong, personal commitment to quit on that day. How do you plan to quit? There are many ways to quit, and some work better than others. Nicotine replacement therapy, prescription drugs, and other methods are available. Learn more about ways to quit so you can find the method that best suites you. It’s also a good idea to talk to your doctor or dentist, and get their advice and support.

Support is another key part of your plan. Stop-smoking programs, telephone quit lines, Nicotine Anonymous meetings, self-help materials such as books and pamphlets, and smoking counselors can be a great help. Also tell your family, friends, and co-workers that you’re quitting. They can give you help and encouragement, which increases your chances of quitting for good.

Do quit smoking programs really work? As you make your quit plan, you may wonder about success rates of the many different methods available. Success rates are hard to figure out for many reasons. First, not all programs define success in the same way. Does success mean that a person isn’t smoking at the end of the program? After 3 months? 6 months? 1 year? Does smoking fewer cigarettes (rather than stopping completely) count as success? If a method you’re considering claims a certain success rate, ask for more details on how success is defined and what kind of follow-up is done to confirm the rate. It’s important to remember that quitting is hard. Quit smoking programs in general seem to have fairly low success rates, but they can still be worthwhile. Only about 4% to 7% of people are able to quit smoking on any given attempt without medicines or other help. Finding a program that fits your needs can make a difference. What can I do to increase my chances of quitting? Counseling and other types of emotional support can boost success rates higher than medicines alone. There’s also early evidence that combining certain medicines may work better than using a single drug. Behavioral and supportive therapies may increase success rates even further. They also help the person stay smoke-free. Check the package insert of any product you are using to see if the manufacturer provides free telephone-based counseling. Prepare for your Quit Day Here are some steps to help you get ready for your Quit Day: Pick the date and mark it on your calendar. Tell friends and family about your Quit Day. Get rid of all the cigarettes and ashtrays in your home, car, and at work. Stock up on oral substitutes – sugarless gum, carrot sticks, hard candy, cinnamon sticks,

coffee stirrers, straws, and/or toothpicks. Decide on a plan. Will you use NRT or other medicines? Will you attend a stop-smoking

class? If so, sign up now. Practice saying, “No thank you, I don’t smoke.” Set up a support system. This could be a group program or a friend or family member who

has successfully quit and is willing to help you. Ask family and friends who still smoke not to smoke around you, and not to leave cigarettes

out where you can see them. If you are using bupropion or varenicline, take your dose each day leading up to your Quit

Day. Think about your past attempts to quit. Try to figure out what worked and what didn’t.

For the best chance at success, your plan should include at least 2 of these options.

19

The Wellness Committee consists of: Diana Anderson, Vicki Campbell, Courtney Carter, Mary Clem, Theresa Dexter, Becky Dowden, Maureen Guimont, Kris Keeler, Marcy LaCosse, Donna Little, Darrin Monroe, Kathy Pattee, Julie Stapleton, Lucia Ward, Marcia Woolley, and Deb Yerk.

Successful quitting is a matter of planning and commitment, not luck. Decide now on your own plan. On your Quit Day Over time, smoking becomes a strong habit. Daily events, like waking up in the morning, finish-ing a meal, drinking coffee, or taking a break at work, often trigger your urge to smoke. Breaking the link between the trigger and smoking will help you stop. On your Quit Day go down this list: Do not smoke. This means not at all – not even one puff! Stay busy – try walking, short bursts of exercise, or other activities and hobbies. Drink lots of water and juices. Start using nicotine replacement if that’s your choice. Attend a stop-smoking class or follow your self-help plan. Avoid situations where the urge to smoke is strong. Avoid people who are smoking. Drink less alcohol or avoid it completely. Think about how you can change your routine. Use a different route to go to work. Drink tea

instead of coffee. Eat breakfast in a different place or eat different foods. Be prepared to feel the urge to smoke. It will pass whether you smoke or not. Use the 4 D’s to help fight the urge: Delay for 10 minutes. Repeat if needed. Deep breathe. Close your eyes, slowly breathe in through your nose and out through

your mouth. Picture your lungs filling with fresh, clean air. Drink water slowly, sip by sip. Do something else. Some activities trigger cravings. Get up and move around. Often this simple trick will allow you to move beyond the strong urge to smoke.

The American Cancer Society medical and editorial content team Our team is made up of doctors and master’s-prepared nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. Last Medical Review: April 19, 2016 Last Revised: April 19, 2016

20

Sneaky Snaps!

G O T C H A

G O T C H A

G O T C H A

G O T C H A

Lookout for Darrin and his camera, you could be next!

21

The Winners of the Morale Booster Cutest Pet Contest stand proud with their winning t-shirts showing off their Pets. Pictured L-R: Jennifer Nipple and Jerry Frame.

Culinary Corner

Sweet Potato Casserole

22

INGREDIENTS

3 lbs sweet potatoes peeled and cut into cubes 1/2 cup brown sugar packed 1/3 cup butter softened 1/2 teaspoon vanilla extract 3/4 cup chopped pecans divided 1/4 teaspoon cinnamon or to taste salt and pepper to taste 2 cups miniature marshmallows

INSTRUCTIONS

1. Preheat oven to 375 degrees F. Grease a 9 x 13 pan. 2. Place sweet potatoes in a pot of boiling water. Simmer for 15 minutes or until fork tender.

Drain. 3. In a large bowl (or in the pot the potatoes were cooked in), mash the sweet potatoes with

brown sugar, butter, cinnamon, vanilla and salt & pepper. 4. Fold in half of the pecans and spread into prepared pan. 5. Sprinkle with the marshmallows and the remaining pecans. 6. Bake for 25 minutes or until marshmallows are golden brown and potatoes are heated

through. NUTRITION INFORMATION Calories: 188, Fat: 7g, Saturated Fat: 2g, Cholesterol: 10mg, Sodium: 87mg, Potassium: 316mg, Carbohydrates: 29g, Fiber: 3g, Sugar: 14g, Protein: 1g, Vitamin A: 243.7%, Vitamin C: 2.5%, Calcium: 3.6%, Iron: 4% (Nutrition information provided is an estimate and will vary based on cooking methods and brands of ingredients used.)

If you have a picture of an employee and would love to have a little fun with it, call Darrin Monroe at # 3803.

Congratulations to Chris Delp for guessing Assistant Superintendent Greg Grostefon pictured in the last Who Am I.

Winner Will Be

Announced In

The Next Spectrum.

Who Am I?

Can you guess who’s shaking hands with Superintendent Daryl Hall in the picture below? If you can, call Darrin Monroe at #3803 or e-mail Darrin at

darrin.monroe@fssa.in.gov by November 27, 2018.

Employees with correct answers will have their names put into a drawing, sponsored by the Morale Booster Committee, for a chance to win a free, five dollar Mr. Happy Burger certificate.

22

Assistant Superintendent, Gregory Grostefon