ABHS AuroraConnections 2011 Q2 Edition
Transcription
ABHS AuroraConnections 2011 Q2 Edition
uroraConnections Q2, 2011 Edition Bruce Waldo Named CEO For Aurora Arizona On July 18th, Bruce Waldo officially became CEO for all of Aurora Arizona – East and West – further unifying our hospital system and providing unified strategic direction. This move is another step forward to becoming a true healthcare system and solidifying our position as the behavioral healthcare provider in Arizona. “I am very excited to lead Aurora, as the state’s largest free-standing psychiatric hospital system, into its next phase. We have an amazing team in place and it will be so beneficial to us all to begin sharing our strengths and our synergies within the system,” said Bruce. “The great thing about Aurora is we’re allowed to run our hospitals autonomously and, therefore, provide services based on our local community needs. This will continue as we progress, but I want to be sure that we all come together to share our strengths, what we’ve learned and how to do things better. I’m a big proponent of taking what’s working, what’s good and sharing it across the board in an effort of collaboration.” Bruce has more than 30 years of executive psychiatric healthcare management experience for both publicly traded and privately held hospital companies across the country. After beginning his college career at Brown University, Bruce transferred to the University of Washington in Seattle where he received his Bachelor's Degree in Sociology and a Master's Degree in Public Administration. And, it was in Seattle where Bruce began his behavioral health career as a mental health center administrator. “I’ve worked for just about every company in this business,” explains Bruce. “And, I can sincerely say Aurora is a great place to be. It’s an exciting time for Aurora as we continue to develop our business, expand our services and continue to provide great patient care.” “I welcome any of our community colleagues to call or email me with feedback and suggestions, or simply just to say ‘hi.’ We have a great future ahead of us and I’m looking forward to working with all entities to help make us even more successful.” Coming Soon… Over the next quarter, we will be launching a new logo as another step in joining our two hospitals into one system. Here’s a sneak peak. The design graphically represents the word Aurora, ties our two hospitals together as well as signifies that Aurora provides its patients with the tools to begin their road to recovery. NAMI Family-to-Family Education Program A Free Service for Your Patients NAMI’s Maricopa County chapter is offering a variety of Family-to-Family free 12-week education programs for family caregivers of individuals with mental illness. Trained family members teach the courses and topics include: Current information about mental illnesses Up-to-date information about medications Brain disorder biology clinical research updates Special workshops Strategy development Care for the caregiver Support and services referrals Advocacy initiatives For more information, contact Laura Shirling, Maricopa County Education Coordinator at 602.759.8177 or by email: [email protected]. Go Devils! Arizona State University Graduate College of Nursing was recently advanced to #21 out of 467 nursing schools in the nation. Congratulations on all of your hard work! Table of Contents News You Can Use 2 East Happenings 3 Adjunctive Therapy 4 West Happenings 5 Mental Health For You 6 Getting To Know You 7&8 From The 10 Commandments of Customer Service #1 – give accurate information the first time. Aurora CareConnections Thank you to the entire staff at Aurora Hospital for helping my daughter and our family. I’m so grateful that a facility such as yours exists to offer guidance and assistance. My daughter learned valuable coping tools, is on medication and getting better (and happier) every day. Aurora East Patient Your IOP program is flawless - the staff, group members, breaks, worksheets and handouts. All of Aurora is flawless. I am grateful to have been a part of this program and have improved with the treatment in more ways than I thought possible. Aurora West Patient My 4.5 days here were great. The day staff was all very helpful. I think having a good group of people talking about our problems was helpful – thank you all. Aurora East Patient Being here is a difficult step in life. That being said, I could not find kinder words to express my gratitude toward the staff in regards to encouraging me, supporting me and always expressing a positive attitude even in very stressful situations. Aurora West Patient If you’d like to be added to our email distribution list, please email or call Erin Boyd: [email protected] 623.344.4416 Page 2 News You Can Use Brain Myth Buster Myth: We only use 10% of our brains. Fact: We use 100% of our brains – we may use only 10% of our potential! Aurora East Provider Direct Referral Line Aurora East has implemented a Provider Direct Referral Line as part of its Assessment & Referral/Intake department. The number is a dedicated phone line provided exclusively to behavioral healthcare providers to utilize when they have a patient in crisis. Our staff is trained to know that when this particular phone rings, it’s equivalent to “the president’s red phone” and needs to be answered right away as there is an immediate need. Aurora East 480.345.5494 Aurora West 623.344.2840 Upcoming CEU Opportunities For more information and to RSVP for any of these upcoming free seminars, please email Erin Boyd or call 623.344.4416. Tuesday, August 23rd, 11:30am – 1:30pm, ABHS West Would You Recognize An Eating Disorder If You Saw One? A Price Foundation Study of female anorexics found there is a biological connection to this disease identifying linkages on chromosomes 1, 2 and 13. The study group displayed genetic vulnerability to perfectionism, OCD and low self-esteem. Eating disorders are not always physically obvious. If you had a patient with an eating disorder, would you recognize it? Tuesday, September 27, 11:30am – 1:30pm, ABHS West 50 Ways to Leave Your Lover – And Other Myths About Domestic Violence Why don’t they just leave? That’s a questions many of us ask. In this program you’ll take an in-depth and comprehensive look at the reasons, and the hidden causes within abusive intimate partner relationships. Aurora West 6015 W. Peoria Ave. / Glendale, AZ 85302 Thursday, August 25th, 8:00am – 10:00am, ABHS East Addiction: Is There Really Any Hope? Addiction takes a powerful hold not only on the addicted person, but on their loved ones and family members. Both the addicted person and their significant others often fight the label of addiction. But, as we know, treatment does work. Intervention is a process that, when done properly, can motivate an addicted person to accept treatment when all other methods or coercion have failed. Thursday, September 22, 8:00am – 10:00am, ABHS East Adolescents & Medications Aurora East’s Medical Director, Lauro Amezcua-Patiño, MD, FAPA, will be speaking on adolescents and medications. Aurora East 6350 S. Maple Ave. / Tempe, AZ 85283 News From The East Aurora East’s Clinical Approach By Lauro Amezcua-Patiño, MD, FAPA, Medical Director, Aurora East As Medical Director for Aurora East, I’ve often been asked what my clinical mission and vision is for the hospital as a start-up and now as a fully operational entity. First and foremost, we intend to provide services that are patient centered and family friendly, but also easily accessible, and always accountable. From our treatment philosophy the patient is obviously always at the center of care, but we are well aware that many other entities and other people are instrumental in facilitating the person’s well-being, whether it’s fellow providers, family members, case managers and/or fellow treatment centers. The patient in our scenario of care is almost always a dynamic concept – it can be an individual or, for example, with adolescents, it’s always more than an individual. As a team, everyone involved in the patient’s care must think in terms of problem solving for this concept of a patient. It’s important that our clinicians understand that we, as an acute care psychiatric hospital, are only a part of the process of a continuum of care and cannot work in isolation from the community. This not only applies to collaborating with our behavioral health colleagues, but to also include our non-psychiatric medical counterparts in the equation. It is my goal and our staff’s goal to ensure that a patient’s care is dynamic and active with all parts involved, behavioral health and medical. We are trying to instill in our front-line team to be “family friendly,” meaning to be willing to put ourselves not just in the patient’s position, but also in the family member’s shoes, especially from a bio/psycho/social perspective. It’s important to stop and ask oneself, “What is it like for the patient to be in a psychiatric hospital? What is like for that family member to be caring for this patient at home?” From this philosophy stems the ability to really listen to our patients and our patient’s care team. Going back to the “patient as a concept” theory, if you learn to be empathic with the “patient,” you will come up with a more adaptive emphatic solutions to most problem presented to you. We can’t just deliver a message that we understand a problem. The patient has to know we are willing to make an attempt to feel it. This is especially crucial when working with adolescents. We also encourage our staff (and, they’re very good at it) to think in acute-care terms. This is only the beginning of a patient’s road to recovery. And, just as their scenario for admitting was critical, it’s critical that we provide each patient with the tools and resources to begin their healing upon leaving our facility. And, as we begin to expand our services over the course of the next year, we never want to deviate from our ultimate goal of providing sustainable good care. Our new product lines will have to be consistent in care and carry the same principals – one standard for the entire hospital. And, I believe we have the staff in place to do just that. A new hospital equals a new culture. I’d like to take this time to personally thank our tremendous staff for helping create and continue to develop an empathic culture of care. It’s been a wonderful experience to learn and grow together and to create our own style of treatment. Seeing that growth has been a great privilege and humbling experience. I’d also like to thank the community for welcoming us. The reception has been great and the response from patients, insurers and other hospitals has been exceptional. We look forward to continuing to serve the behavioral health needs of this community and to continue our patient-centric path of care. Page 3 Aurora East Implements Discharge Planning Expertise Have you met Lauren? If not, you should! Lauren Jones, Aurora East’s Discharge Case Manager, is constantly looking for referral sources for our patient’s discharge planning purposes. Aurora East created this unique role so that we can provide one point of contact for referral sources and create personal, one-to-one relationships with our community resources. Lauren maintains a database with pertinent details regarding a referral source’s business such as treatment focus, populations served, insurances accepted and those accepting new patients. To assist with this process, we have created a Provider Referral Form found on Page 9. If you received this newsletter via email, the form was also attached as a separate file to the email. The form is easy to follow and can be completed within the PDF file. Upon completing the document, either save it as a new file and email it to Erin Boyd, or fax it to 623.344.4449. Lauren says the program has worked out really well so far. “Our social work team now has more time to help treat our patients while I can focus on emphasizing to our patients the importance of continued treatment upon their discharge. Also, my office line is forwarded to my cell so that I’m always available to help a provider schedule an appointment directly with the patient. We strive to have all discharge planning documents faxed to the provider within 24 hours of discharge.” Discharge planning documents include: reason for admission; medication reconciliation documents, labs/test performed and results; and the relapse prevention plan. Lauren is also the point of contact for sending referral packets should a provider need additional clinical information before deciding to accept a patient. “One of our primary goals is to make this process as easy as possible for the patient and for the provider and to create a ‘best match’ between the two parties in hopes that continued treatment is a success,” explains Lauren. Feel free to contact Lauren directly 480.345.5486 or by email at: [email protected]. at Page 4 Adjunctive Therapy Thrives At Aurora Aurora West’s Latest Addition – Dargo Aurora West is quite excited about its newest therapeutic team member, Dargo. Dargo, and his Mom, Amy Halm, joined our team this past quarter and their services are already full integrated into our patient care. Dargo comes to us with quite the skill set. He is a certified hospital therapy dog through Therapy Dogs International as well as a professionally trained narcotics detection K-9. Those of you who appreciate the benefits of pet therapy will appreciate the positive effect Dargo (and Amy) have on our patients. Amy shared a moving moment she experienced recently. “I was with a patient who was lying facedown on her bed, with no desire to move, let alone get out of bed. Within 15 minutes of Dargo’s arrival, I watched her throw the ball with Dargo, out in the fresh air, and LAUGH out loud while my goofy K9 pranced around showing off. It’s truly a visual I will not forget any time soon.” You can find more information about Dargo Amy said she thinks of Aurora as a place where people with compasand his services on the Desert Drug Dog sionate hearts help heal people with broken hearts and is happy to be a website. And, be sure to check out Dargo’s part of the team. And, we’re certainly happy to have Amy and Dargo as latest TV appearance. part of our team! I’ve Got The Music In Me As described by the American Music Therapy Association, music therapy is an efficacious and valid treatment for people who have psychosocial, affective, cognitive and communicative needs. Research results and clinical experiences attest to the viability of music therapy even in those who are resistive to other treatment approaches. In an acute-care setting, we’re always searching for methodologies and tools that will provide the nugget of inspiration for healing. Our Aurora East facility uses a multitude of music therapy methodologies, partly due to the amazing work and to the amazing spirit of our Adjunctive Therapy team, including nationally certified Music Therapist Tom Geare. “Music therapy is much more than listening to an emotional song or strumming a guitar,” explains Tom. “We provide a variety of music-related activities such as lyrical analysis, using music for guided imagery, allowing song to lead an art group and even the simple act of drumming. All our activities are geared toward providing our patients with some tools they can use for the rest of the lives.” Adolescents especially respond to music therapy allowing them to improve verbalization skills, increase self-esteem, create a new skill set, enhance their focusing ability, participate in team building and learn new coping skills. Tom graduated with a Voice Performance degree focused on opera from Western Washington University. He is able to uniquely apply his operatic background in his work. “Opera is obviously a very dramatic art form in which the ability to exaggerate facial expressions is nearly as important as the ability to sing. In my groups, I sometimes utilize this dramatic skill to create self-awareness by having the patients use all 26 muscles in their face via an expression exercise.” Tom also leads Tai Chi groups and uses his juggling skills to break the ice with patients. “I never thought I’d use my juggling ability in therapy, but it’s been quite useful to help build rapport. I’ve even taught some patients how to juggle and then hear them say that they’re going to go buy some juggling balls!” Summing up what it’s like working as a Music Therapist for Aurora, Tom said, “Fate plopped me here and I love it. It’s a dream come true that I never knew I had.” Page 5 News From The West Aurora West Launches PHP Program Aurora West is excited to announce the opening of its Partial Hospitalization Program, or PHP, serving adults with mental health needs. The newly implemented program now provides Aurora West patients with a complete continuum of care allowing every patient the opportunity to receive the level of care most appropriate to their individual needs. Not every patient requires an inpatient setting, but some still need daily intensive treatment in a partial hospitalization setting. Our PHP program is designed to provide just that for the adult and geriatric populations with acute psychiatric and/or dual diagnosis symptoms and who are suffering a significant decline in social, occupational, or daily living activities function. Our clinical team assists to control symptoms and maintain patient function to prevent further decompensation and repeated inpatient hospitalizations. Pam Poole, RN, (L) and Colleen Kowalke, PsyD, (R) run Aurora West’s PHP program. “Two of the great benefits of our PHP program are the group size and the amount of time we spend with each person on a daily basis. Spending six hours a day with someone allows us to really get a feel for how they live – their behavior patterns, their social patterns, their eating patterns. And, with such a small group, this keen observation lets us really center in on the specific treatment each individual needs,” explains Pam Poole, RN, Aurora West’s PHP nurse. How do I know which level of care is right for my patient? The answer is simple. Call 623.344.4444 and we’ll do the triaging for you. The comprehensive, short-term outpatient care is more concentrated than traditional outpatient care or intensive outpatient care, but still allows the patient to return home each night and, therefore, provides the patient the opportunity to practice new skills that promote confidence and independence. The structured format provides medical monitoring, plus therapeutic groups and activities similar to an inpatient setting, but since no overnight hospital stay is required, the program is also more affordable. The majority of managed care plans pay for partial hospitalization, as does Medicare. Aurora West’s Novice & Bridge RN Program Still Going Strong By Deborah Kastiel, RN, BSN, Clinical Educator, Aurora West The majority of new graduate nurses are finding it incredibly difficult to garner a hospital RN position without having at least a year’s experience. It’s a catch-22 because as a new graduate, how do you acquire that necessary experience? To resolve this problem, six months ago Aurora West created and implemented a unique nursing employment model. We began hiring novice nurses and via our nurse education program are providing them with the training, tools and the on-thejob experience necessary to begin their career. The program quickly segued to include experienced medical-surgical nurses who wanted to try their hand in behavioral health. The program has been a huge success in a variety of ways. Our novice and bridge nurses have brought enthusiasm, energy, professionalism and patient-focused care with them as they start their shifts each day. And, our veteran staff has enjoyed the opportunity to share their expertise and teach others and have shown exemplary kindness and patience every shift, every day. To date, 35 RNs qualifying for the program have been hired and 31 are now employed. This is an 88.6% retention rate! Thank you to all who have supported and participated in this program. We look forward to its continued success. Page 6 Mental Health News For You Recovery is an individual’s journey of healing and transformation to live a meaningful life in a community of his or her choice, while striving to achieve maximum human potential. (U.S. Department of Health and Human Services) What Happens When You Stop Smoking We all know the dangers and adverse long-term effects of smoking. In fact, in a new study published in the journal Pediatrics, researchers add to the evidence that children may be especially vulnerable to the effects of smoke exposure and have higher odds of developing neurobehavioral disorders from secondhand smoke. Yet, it’s still such a difficult habit to break. Many behavioral health patients turn to smoking as a coping mechanism. The flyer located on Page 10 could possibly be the beginning caveat for someone to stop smoking and can be easily printed on an 8½ by 11 piece of paper to provide to your patients. University of Arizona Receives Federal Grant To Study LGBTQ Youth Suicide The National Institute of Mental Health gave researchers at New York University, the University of Arizona and Widener University $2.8 million to study risk factors and assess protective measures for LGBTQ youth considering suicide. Researchers of the five-year study will collect a significant number of data from one of the largest samples of gay and lesbian youth ever conducted, which is especially important since LGBT youth suicide if often underestimated. The study’s goal is to create a tangible product to offer clinicians, parents and community members who are wanting to save gay youths lives. Researchers say they will make “significant efforts” to focus on the transgender community and ethnic gays and lesbians, and are even more excited about determining what makes LGBTQ youth “resilient.” Did You Know... Alcohol is the most commonly used addictive substance in the U.S. Over 60% of the illegal drugs in the world are consumed in the U.S. A new report from Columbia University’s National Center on Addiction and Substance Abuse (CASA) crystallizes just how challenging it is to break the bonds of addiction. If someone begins their journey into drug or alcohol dependency after the age of 21, they have a one in 25 chance of remaining addicted for life. Those whose addictions start before the age of 18 fair even worse: They have a staggering one in four chance of developing a lifelong dependency. Advocacy In Action The AHCCCS Administration in June proposed a 50% reduction in covered respite hours from 720 hours per year to 360 hours per year. The proposed reduction was an effort to assist in the state’s requirement of reducing the AHCCCS program by $2.5 billion. AHCCCS solicited public input via its website and two community forums regarding this particular cutback. In addition to the nearly 250 individuals who attended the community forums and shared their stories, over 500 individuals provided written feedback and gave the administration valuable insight into their daily struggles. And, it has officially paid off. These personal stories were critical in informing the final decision to reduce respite care coverage from 720 hours per year to 600 hours per year – a reduction of just over 15%, rather than the 50% reduction originally proposed. These changes will be effective October 1, 2011. Mental Health First Aid Training In response to the recent Tucson shootings, the Arizona Department of Health Services’ Division of Behavioral Health Services, the National Council for Community Behavioral Healthcare and Arizona's Regional Behavioral Health Authorities, which include Community Partnership of Southern Arizona, Magellan of Arizona, Northern Arizona Regional Behavioral Health Authority and Cenpatico, have partnered to launch a statewide, extensive training campaign in Mental Health First Aid (MHFA). MHFA is designed to assist persons with a behavioral health need. It is much like CPR in that anyone can learn and apply the concepts soon after going through the short certification training. MHFA will prepare individuals to respond and to act in a helpful manner when they are concerned about someone's mental health. This can be someone they know or even a stranger experiencing an emotional crisis. Persons who experience behavioral health challenges benefit from treatment. In addition to the 12-hour “Mental Health First Aiders” training, the program also offers a five-day Train the Trainer course. For more information, visit the MHFA website. Unique Volunteer Opportunity If you’re looking for a means to give back to our community and to be able to utilize your professional skills in doing so, Give an Hour™ is a nonpolitical organization asking behavioral health professionals to give an hour each week of their time to help provide critical mental health services to U.S. military personnel and their family members. For more information, visit their website at www.giveanhour.org. Page 7 Getting to Know Aurora Meagan Foxx, LPC, LISAC Community Relations & Marketing Coordinator, Aurora West Favorite Color: Blue Favorite Sports Team: Arizona Cardinals Where did you grow up? East Coast – Connecticut and NY Did you know?... When Meagan was 7-years-old, she lived in Battery Park in NYC right next to the World Trade Center. Every day, as her family headed to work and to school, they would go through the middle of the World Trade Center to reach the nearest public transportation station. So, when 9/11 occurred, it was rather impactful on her as it was a part of her everyday life for a year. Meagan was an only child, but has three children, a 10-year-old girl, a 5-year-old boy and a 3-year-old boy, who was born on Leap Day. With a school teacher Mom, Meagan’s educational accomplishments did not disappoint. She graduated from East Valley High School in Mesa at the ripe age of 15, certifying her as the youngest high school graduate in Maricopa County that year. After receiving a Bachelor’s in Psychology, she went on to earn dual Master degrees – one in Education and one in Professional Counseling from the University of Ottawa. Meagan recently joined the Aurora team because its team approach philosophy matches her own philosophy and her position allows her to really affect change in the community, which excites her. She enjoys the atmosphere of everyone working toward a common goal, the constant growth that is occurring and the continual desire to improve. Julie Freeman, Director of Nursing, Aurora East Favorite Color: Pink Favorite Sports Team: Arizona Diamondbacks Where did you grow up? Fort Dodge, IA Did you know?... The Freeman family members are avid Sun Devil supporters. Julie and her husband met at ASU; her eldest daughter just graduated with a biology degree from ASU; her middle son will be a senior at ASU this fall; so, her third son, who’s still in high school, will certainly be breaking a mold should he choose alternative “sacred ground.” Julie’s husband is a retired military pilot, now flying for United Airlines. As with any military family, they frequently moved while their children were young which led to all three kids being born in a hospital room with an ocean view, albeit three different oceans – the Atlantic, the Pacific and the Gulf of Mexico. Something must have been in the salty air as all three kids were also born on a holiday – New Year’s Day, Independence Day and Columbus Day. Athletics also abound within the Freeman family. In fact, Julie played forward on the state high school basketball championship team at Corona del Sol high school in Tempe. Go Aztecs! Julie was Aurora East’s 5th employee hired and has helped mold the services offered. She finds working for Aurora a true family experience with great support from the entire system while helping carve Tempe’s adolescent niche and allow for creativity about the care and services provided. Page 8 Getting to Know Aurora, Continued... Nick Bogenrief, BHT, Aurora East Favorite Color: Viking Purple Favorite Sports Team: Minnesota Vikings Where did you grow up? Delano, MN Did you know?... Hailing from Minnesota, it’s no surprise that Nick is a die-hard Vikings’ fan. But, when asked what his favorite Vikings’ moment is, he says it’s still yet to be determined. Nick attended Southwest Minnesota State on a football scholarship and was eventually made captain of the team. He also double majored in Justice Administration and Sociology. He originally wanted to be a police officer, but due to a tough job market, he stumbled into behavioral health and hasn’t looked back. Nick and his wife recently became new parents of six-month-old, Connall. He’s also the proud parent of two stepdaughters, ages 10 and seven. While he enjoys all the year-round outdoor activities in Arizona, he misses the winter sports in Minnesota such as hockey and ice fishing, but he makes it back north several times per year where his family still lives. Having worked in Behavioral Health for over six years and focusing his time on adolescents, Nick was a natural fit for Aurora East. He said he enjoys the atmosphere at Aurora, from the variety of patients he is able to help treat to the friendliness of the staff in which you say “hi” to everyone from the CEO to the landscapers. Pam Micca, Director of Social Services, Aurora West Favorite Color: Blue and Purple Favorite Sports: Chicago Bears Where did you grow up? Carpentersville, IL Did you know?... Pam is one of five children. Growing up in such a large family was “loud and chaotic.” She remains close to all of her siblings. She moved to Arizona from Jackson, WY where she and her husband enjoyed the multitude of outdoor activities like hiking, camping, riding snow mobiles. They were also frequently on the lookout for celebrity sightings. In fact, her husband designed upscale kitchens for the likes of Connie Stevens and Harrison Ford. Growing up in a city the size of Chicago affords a child a variety of learning opportunities. Pam’s family frequented all of Chicago’s museums. Her favorite was the Museum of Science and Industry because of the famous Colleen Moore’s Doll House, which as a kid, Pam just knew it as “an enormous, amazing doll house with 50+ plus rooms fully decorated!” Pam was excited to join Aurora, finding a new home here where her broad experience and unique gifts can once again be utilized. She loves that her social work team continually rises to the occasion and puts the patient’s care and the patient’s best interest at the forefront. Be sure to ask her about the two books she’s written and how they intertwine her clinical philosophy. PROVIDER REFERRAL FORM PRACTICE DETAILS First Name: Last Name: Licensure: Title: Practice/Center Name: Address Line 1: Address Line 2: City, State: Zip: Phone: Fax: Cell / Pager: Email: Website: Male / Female: Populations Served: Second Office Address Address Line 1: Address Line 2: City: State: Zip: Phone: Fax Payment Managed Care* Medicare Single Case Agreements Medicaid Self Pay Only Sliding Scale Type of Practice Private Practice Sober Living Male Female Children (3-12) Adolescents Adults Geriatrics Multidisciplinary RTC Addiction TX Ctr Accepting New Patients? Offering IOP and/or Groups? Hospital Other Yes No Yes No AREAS OF TREATMENT Addiction (All) Addiction (CD) Addiction (Love) Addiction (Sex) ADHD Anger Management Autism Behavior Modification CBT Chronic Pain Couple's Therapy DBT Dissociative Disorder Domestic Abuse Eating Disorders EMDR Faith Based Family Counseling Grief/Loss Group Therapy Individual Therapy Interventionist Learning Disabilities LGTBQ Medication Mgt Military Issues Neurobehavioral Neurofeedback OCD Physical Abuse Psychosis PTSD Self Harm Sexual Abuse TBI Testing/Evaluation ADDITIONAL DETAILS ABOUT YOUR PRACTICE/TREATMENT CENTER *Managed Care Plans Accepted Please fax or email this form to Erin Boyd at: 623.344.4449 | [email protected] WHAT HAPPENS WHEN YOU QUIT SMOKING? Within 20 Minutes of Last Cigarette: Blood pressure, pulse, body temperature return to normal. 2 Weeks to 3 Months: Circulation improves. Walking is easier. Lung function increases up to 30 percent. 8 Hours: Oxygen and carbon-monoxide levels in blood return to normal. 1 to 9 Months: Coughing, sinus congestion, fatigue and shortness of breath decreases. Cilia in lungs regrow, which leads to healthier lungs. Body’s overall energy level increases. 24 Hours: Chance of heart attack decreases. 5 Years: The lung-cancer death rate for an average former smoker (1 pack/day) decreases by almost half. Stroke risk is reduced to that of a non-smoker 5-15 years after quitting. The risk of cancer of the mouth, throat and esophagus is half that of a smoker's. 48 Hours: Nerve endings start regrowing. Senses of taste and smell improve. 10 Years: The lung-cancer death rate is similar to that of a non-smoker. The precancerous cells are replaced. The risk of cancer of the mouth, throat, esophagus, bladder, kidney and pancreas decreases. 72 Hours: Bronchial tubes relax increasing lung capacity and making breathing easier. 15 Years: Your risk of heart disease is now the same as a non-smoker. 1.800.QUIT.NOW www.smokefree.gov www.auroraarizona.com