bergencountycaregiver

Advance Housing Inc.: Housing, Community and Opportunity

Our Mission & Vision:

Advance Housing Inc.’s mission is to offer individuals an array of housing and wellness services to enhance community integrations and promote quality of life.

Advance Housing Inc. will strive to be the leader in supportive housing, wellness services, housing development  and asset management. We will utilize data to demonstrate excellence, secure revenue resources, support growth and maintain financial viability. We will be dedicated to the pursuit of eradicating stigma and promoting positive change. Services are available 24 hours a day, 7 days a week, 365 days a year.

Advance Housing Inc. was started by consortium of mental health providers in order to meet the growing need for supportive housing services.

In 1997, we opened our doors with funding from the Division of Mental Health and Addiction Services (DMHAS) to provide consumers an array of individualized support services coupled with affordable and normalizing living arrangements. Since then, the agency has received funding from various public and private sources and expanded its programs to individuals living with a mental illness throughout northern New Jersey.

The agency’s philosophy of making the program fit the consumer in its delivery of supportive housing services has empowered consumers with various needs to live independently in the community.

Services are provided via multi-disciplinary teams that utilize flexible, innovative approaches and work closely with other local providers in order to ensure collaborative service planning with consumers. Advance Housing is certified as a Community Housing Development Organization (CHDO).

Our housing services are composed of housing quality inspections, property and facilities management and managing rental subsides. In addition to managing our owned housing stock, the agency also develops new projects that range from new construction to acquisition and rehabilitation.

Staffing and Hours:

Available 24 hours a day, 7 days a week, 365 days a year. Each program is staffed with a specially trained team in order to meet the diverse needs of consumers.

*Licensed Professionals

*Master’s Level Professionals

*Property Management

*Social Services Staff

*Peer Counselors

*Psychiatrist

*Nurses

*Substance Abuse Recovery Services

Emergencies:

Staff are available to consumers 24 hours  a day for emergencies. In case of psychiatric emergencies, consumers are encouraged to call the local Psychiatric Emergency Screening Center. Emergency maintenance in agency owned properties is available to residents through the Property Management Office.

For more information about the services we provide and/or referrals, please call (201) 498-9140 (Bergen County) or 973-940-8882 (Sussex County).

Supportive Living Program (SLP)

The Supportive Living Program is geared toward people are transitioning from group homes or lengthy hospitalizations and have achieved a relative level of independent living skills. The program provides consumers with mental health related challenges a choice of permanent, affordable and safe housing. Services are provided in Bergen and Sussex Counties.

Residential Intensive Support Team (RIST)

Offers consumers from Greystone Park Psychiatric  Hospital an opportunity to live independently in their own one bedroom apartments while also receiving intensive supportive services. Consumers are supported by a team that works in collaboration with external supports to provide the most effective individualized treatment services possible. Program services include rental assistance, vocational assistance, substance abuse recovery services, counseling and an array of other benefits. Services are provided in Bergen County.

The Homeless Service Team (HoST)

The Homeless Service Team program uses a holistic approach to help homeless adults with psychiatric disabilities achieve a better quality of life. The (HoST) team uses the Housing First model to move people from the streets and shelters to the safety of their own homes. Services are provided in Bergen County.

Aging Out Youth Program (AOV)

The Aging Out Youth Program provides permanent supportive housing services to young adults aging out of the Department of Children and Families and transitioning to the adult mental health system. Consumers work closely with a Youth Transition Specialist and a team to ensure stabilized housing and supportive services. Services are provided in Bergen and Passaic Counties.

Special Case Management

Special Case Management provides various services to individuals who are not typically eligible for the agency’s other programs. Services can include case management and consultation on a fee-for-service basis.

Medically Enhanced Supportive Housing Program (MESH)

The Medically Enhanced Supportive Housing Program provides supportive housing opportunities for individuals who have co-occurring medical conditions and psychiatric diagnoses. An Advance Practice Nurse, nursing staff and case management staff provide education and support to meet medical needs as well as assist in achieving a consumer’s optimal functioning in the activities of daily living. Services are provided in Sussex County.

Advance Counseling Center

The Advance Counseling Center offers an array of outpatient wellness services to support, enhance and improve quality of life for individuals and families. Individual, group and family therapy are provided as well as psychiatry services. Services are provided in our Bergen County location.

Dialectical Behavioral Therapy (DBT)

Dialectical Behavioral Therapy  assists individuals in relationship conflicts, managing difficult emotions, making impulsive or reactive decisions, avoiding responsibilities and feeling overwhelmed. DBT therapists work with clients to identify their personal strengths and build on them to increase self-confidence. DBT skills groups and individual therapy are provided in our Bergen County location.

Our Promise

We will continue to expand and strengthen the continuum of residential and case management services available to individuals in Bergen County who are diagnoses with a mental illness.

We will strive to maintain a consumer to staff ratio that will permit us to provide individualized, intensive services for as long as they are needed.

We will extend the unique combination of housing, supportive and crisis intervention services that we currently offer to adult population such as aging-out youth or dually diagnosed individuals.

We will stay committed to the highest professional and ethical standards in our dealings with consumers and the public as well as to the ongoing support and education of staff

We will treat all consumers, family members, staff and the community at large with respect, dignity and fairness.

Advance Housing Inc.

Locations:

Bergen County:

100 Hollister Road

Teterboro, NJ  07608

Telephone: (201) 498-9140

Fax (201) 498-9144

Sussex County:

14 Main Street

Sparta, NJ  07860

Telephone: (973) 940-8882

Fax (973) 940-8879

http://www.advancehousing.org

Disclaimer: This information is taken directly from the Advance Housing Inc. pamphlet. I have never used the service before so I have no opinion either yes or no to how the program is or does. Please call the above numbers or email them for more information.

Oral Care for Oncology Patients: #1 Recommended Dry Mouth Treatment-Biotene oral balance.

Your Oral Environment

Oral complications occur in almost all patients receiving radiation for head and neck malignancies in more than 75% of bone marrow transplant recipients and in nearly 40% of patients receiving chemotherapy. Some complications only occur during treatment; others, such as Dry mouth, may persist for many years after treatment and lead to serious oral condition.

Your mouth’s major protective system comes from three pairs of salivary glands. Cancer treatments can cause dry mouth/salivary gland dysfunction increasing the risk of oral infections, comprises speaking, chewing and swallowing. Persistent dry mouth also increases decay, bad breath and gum disease.

Oral Complications during Cancer Treatment

*Mucositis/Stomatitis: Mild to severe inflammation and ulceration of the mucous membranes; increased risk of pain, oral and systemic infection and nutritional compromises.

*Infection: Bacterial, Viral and fungal: resulting from xerostomia (dry mouth), myelosuppression and/or damage to the mucosa from chemotherapy/radiation.

*Dental Decay and Demineralization: Decay and erosion of the tooth’s surface as a result of changes in both the quality and quantity of salvia from cancer treatment.

*Bleeding: From the decreased platelets.

*Taste Alternation: Ranging from mild to severe and unpleasant to loss of taste.

Oral Hygiene Protocol:

*Use toothpastes that are specially formulated for cancer patients such as Biotene, which  contains natural salivary enzymes that boost and replenish your oral defense system. Clinically proven to inhibit harmful microorganisms associated with gingivitis and oral irritations. Biotene contains no sodium lauryl sulfate, a detergent found in other toothpastes and known to promote canker sores and mouth ulcers.

*Use a mouthwash specially formulated for cancer patients, such as Biotene alcohol-free mouthwash with salivary enzyme protection. Gentle, moisturizing and helps to restore a healthy balance of oral flora. Can be used as often needed!

*Gentle brush teeth, gums and tongue with an extra soft toothbrush after every meal, morning and before bed.

*Chew Biotene sugar-free gum to stimulate salivary flow and protect between brushing (Biotene Gum does not stick to dentures).

*Sip water frequently and such on ice chips.

*Avoid hard, sugar candy and carbonated soda.

*Check for inflammation or infection and report suspicious area.

*To relieve dry mouth use a salvia substitute as mouth moisturizing gel.

*Oral balance can provide instant relief to serious dry mouth sufferers and up to 8 hours of overnight relief. Also, fights odor and cavity causing bacteria.

*Apply Oral balance directly onto tongue and around your mouth. Apply whenever needing relief of dryness.

*Denture wearers can also experience additional problems due to dry mouth. Normal denture adhesives don’t work well if your mouth is dry. Try Biotene dry mouth denture grip. This adhesive adheres to your oral mocusa even in a dry mouth. Biotene also contains odor fighting enzymes to freshen breath.

If your mouth is sore:

*Take small bites of food, chew slowly and sip liquids with your meals.

*Avoid sharp, crunchy foods that could scrape or cut your mouth.

*Try a teaspoonful of Oral Balance Moisturizing gel prior to meals to assist with swallowing.

Other points to remember:

*Be sure to give your dentist your doctor’s phone number.

*Keep in close communication with your nurse.

*See a dentist at least 2 weeks before your therapy begins.

*If you have begun cancer treatment and have not seen a dentist, see one as soon as possible.

*You can help prevent serious oral complications. Side effects often happen because a person’s mouth is not healthy before cancer therapy starts.

*Not all oral complications can be avoided, but the fewer side effects you have the more likely you will stay on your cancer treatment schedule.

Do not forget:

*Visit your dentist regularly.

*Take meticulous care of your mouth.

*Speak with your doctor, pharmacist and dentist about any oral complications you have.

Helpful websites:

American Cancer Society

http://www.cancer.org

A program of support for people with oral and head and neck cancer

http://www.spohnc.com

American Dental Association

http://www.ada.org

Laclede Inc.

http://www.laclede.com

Biotene and Oral balance are available over the counter, without a prescription, at pharmacies, grocery chains and mass merchandise stores.

Questions?

Call toll-free 1-888-Biotene

1-888-246-8363

Laclede Inc.

Rancho Dominguez, CA  90220 USA

*Disclaimer: This information was taken from the Laclede Inc. pamphlet on Biotene and Oral Balance. I have not used the product so I have no opinion either yes or no to the use of the product. Please either call the company or stop by your local store for more information.

Adult Services: West Bergen Mental Healthcare-Where Health Comes to Mind

Who We Are…

West Bergen was founded in 1963 as a Child Guidance Clinic. As the needs of the community grew, so did West Bergen. To better serve the residents of the surrounding area, West Bergen expanded into a full-range community mental health center serving over 3,000 people each year.

We offer a wide variety of quality programs and services tailored to the special needs of children, families, adults and seniors. Our goal is to provide research-based treatment that will help to improve the overall quality of your life and help you feel better. West Bergen is committed to meeting the psychological needs of our clients with sensitivity and responsive, innovative services at the highest possible standard. We strive to improve the quality of life in the communities we serve…one life at a time.

West Bergen offers a variety of outpatient services meeting of outpatient services meeting the needs of adults and seniors.

Adult Counseling Services…

Anger Management Program

West Bergen provides anger management services to individuals through a group therapy setting for both children and adults. Goals include self-regulation, dealing with criticism, anger control and peer control.

Anxiety Disorders Program

A specialized, short term program designed to alleviate the symptoms of clients who experience a variety of anxiety disorders. West Bergen’s team of highly skilled therapists utilizes Cognitive Behavioral Therapy to help clients master current difficulties and to develop greater coping skills for the future.

Level 1 Autism Disorders (Formerly Asperger’s-Related Services)

West Bergen Level 1 Autism Spectrum Disorders Services offers a broad range of highly specialized programs for children, adolescents and adults with Asperger’s related symptoms. Services include Therapeutic Social Skills Groups, Comprehensive Evaluations and Individual and Family Treatment.

Depression Intervention Program

Services for treatment of depression and related mood disorders are available for children and adults. In addition, West Bergen is designed as a Center of Excellence by Columbia University for the successful completion of advanced training in the areas of depression and behavior disorders.

Divorce Program

This program is designed to help parents and children understand and manage the emotional and behavioral responses to divorce. The program is appropriate for families in any stage of divorce; newly separated, in the process of divorcing, recently or many years post-divorce.

Employee Assistance Program

West Bergen’s Employee Assistance Program provides assessment, referrals and short-term, problem focused treatment to individuals who may be experiencing personal problems that begin to affect job performance. West Bergen contracts with local municipalities to provide this service.

Family and Individual Services

West Bergen’s Center for Children and Youth provides individual and family therapy designed to address clients concerns and problems as well as to strengthen overall functioning. Our therapists are well trained in family systems, psychodynamic, cognitive behavioral and interpersonal therapeutic techniques.

Individual, Group and Couples Counseling

The West Bergen Counseling Group offers individual and group therapy designed to promote personal growth, address concerns and improve each individual’s sense of well-being. In addition, our highly trained clinical staff is also available to assist couples in understanding and resolving their relational issues.

For emergencies call: 201-262-HELP (4357) or Call 911.

Service Locations:

West Bergen Mental Healthcare

120 Chestnut Street

Ridgewood, NJ  07450

Center for Children and Youth

One Cherry Lane

Ramsey, NJ  07446

West Bergen Counseling Group

860 Wyckoff Avenue, 2nd Floor

Mahwah, NJ  07430

Online@www.westbergen.org

For additional information or to schedule an appointment please contact our Access Center at (201) 485-7172.

Voted #1 in Nationwide Customer Satisfaction by Mental Health Corporations of America (MHCA)

Disclaimer: This information was taken directly from the Adult Services: West Bergen Mental Healthcare pamphlet. I have never used the service so I have no opinion of it either yes or no to the program. Please call the above number or email them for more information.

Diabetes Self-Management Education Program: Englewood Hospital and Medical Center

The Program:

Recognized by the American Diabetes Association for Quality Self-Management Education, the Diabetes Self-Management Outpatient Education Program at Englewood Hospital and Medical Center offers both individual diabetes counseling and group diabetes education.

Individual sessions are scheduled to accommodate each participant’s needs. Group education sessions provide the participant the opportunity to interact with others who have diabetes.

Because family support is so important in the management of diabetes, each participant is encouraged to bring a family member or friend  to the program.

Diabetes is a lifelong disease and information and skills you need to manage your diabetes may change over time.

Information and Appointments: To schedule an appointment or to additional information call the Diabetes Self-Management Education Program at Englewood Hospital and Medical Center: (201) 894-3335.

Education: Educational topics covered in the program include:

*Individualized meal planning, weight control and carbohydrate counting.

*Medication and insulin (if appropriate).

*Physical activity

*Self-monitoring blood glucose.

*Managing high and low blood sugars.

*Intensive insulin management

*Insulin pump therapy

*Prevention and early detection of diabetes complications and diabetes emergencies.

*Stress management, risk reduction and problem solving.

*And more.

This program provides education to individuals and families with:

*Type  1 or Type 2 diabetes

*Gestational diabetes (diabetes found during pregnancy)

*Pre-diabetes

*Metabolic syndrome

The program is open to:

*Those requiring changes in their diabetes treatment plan.

*Individuals newly diagnosed

*Those looking for assistance  to better manage their diabetes.

Gestational Diabetes Education:

The Gestational Diabetes Education Program teaches women how to mange one of the most common metabolic disorders of pregnancy. By controlling blood glucose levels, mothers-to-be have a greater assurance of having a healthy baby.

Support Groups:

A free Diabetes Support  live with Group is open to individual and their families. This group allows participants to share their experiences, learn from others and discuss how they live with diabetes. Guest speakers are often featured. This group meets on the fourth Tuesday of every month from 7:00pm to 8:30pm. (no meetings in July or August).

An Insulin Pump Support Group is held quarterly for those using an insulin pump, those interested in pump therapy and those using multiple daily injections.

Insurance Coverage:

The Diabetes Self-Management Outpatient Education Program at Englewood Hospital and Medical Center is covered by Medicare and most insurance providers. A referral or prescription from you healthcare provider is needed.

Diabetes Education Overview:

Diabetes is a disease that affects almost 30 million people in the United States-both young and old. While it can be very serious, good diabetes control can prevent and/or minimize long-term complications.

Self-Management is an essential component of diabetes treatment. The Diabetes Self-Management Program at Englewood Hospital and Medical Center is designated to help you gain the everyday skills needed to manage diabetes successfully.

Our team of experienced certified diabetes educators, including registered nurses and registered dietitians, have created a comprehensive program to help you and your family gain the knowledge, skills and attitudes you need to achieve and maintain control of your diabetes.

American Diabetes Association: The American Diabetes Association  recognizes this education service as meeting the National Standards from Diabetes Self-Management Education.

Englewood Hospital and Medical Center

Your hospital for life.

Diabetes Self-Management Education Program

350 Engle Street

Englewood, NJ  07631

(201) 894-3335

englewoodhealth.org

Disclaimer: This information is taken directly from the Englewood Hospital and Medical Center Pamphlet. I have never used the service so I have no opinion either yes or no to how the programs works. Please call the above number or email for additional information.

Specialized Therapy Associates: Where special concerns deserve special care

ADHD Program

Outpatient Psychological, Psychiatric and Testing/Evaluation Services

Children, Adolescents and Adults Families and Couples

Phone: (201) 488-6678

Toll Free: 855-STA-TALK

http://www.specializedtherapy.com

Rediscover Life, Live Beautifully, Be Healthy and Find Happiness

ADD/ADHD Program:

Are you or your child dealing with any of the following issues?

*Difficulty maintaining the necessary amount of attention during boring or difficult tasks.

*Difficulty being organized enough to accomplish daily tasks effectively.

*Having so much energy that it, rather than you, are in control of your behavior.

*Acting before evaluating the consequences of your behavior.

*Difficulty with self-control in multiple situations.

*Planning and executing your goals effectively.

*Reading non-verbal cues in order to interact with others successfully and enjoyably.

*Other emotional or behavioral problems.

Diagnostic Evaluation for ADD or ADHD and Comorbid disorders:

*Computerized Continuous Performance Test to diagnose ADD/ADHD

*Neuropsychological, learning disability and IQ testing.

Services Offered:

*Differentiation of effective from ineffective treatments.

*Clarification of possible causes of ADHD.

*Parents are taught behavior management skills to use to help their children.

*Evaluation for medication provision by appropriate staff members.

*Medication and Medication Management (Now offering genetic testing to match you to the right medication for you).

*Integrative and complimentary alternatives to Medication.

*Group social skills program for children.

*Individual sessions to address unique issues and comorbid disorders.

*Overcoming negative self-image in either child or adult clients.

*Helping adults gain more effective self-management and self-control techniques.

*Helping adults with career planning, money management and interpersonal issues.

*Staying informed by current research findings.

For more information on the ADHD program or to schedule an appointment, please call (201) 488-6678.

Specialized Therapy Staff:

Specialized Therapy Associates LLC has been a part of the New Jersey communities for more than two decades providing state-of-the-art services to children, adolescents, families and adults. STA includes a staff of highly experienced psychologists, psychiatrists, licensed clinical social workers, nurse practitioners, professional counselors, drug and alcohol counselors and other professional staff dedicated to providing a full spectrum of services to help you achieve your social, emotional and relationship goals.

Our Brief List of Specialized Programs includes:

*Group Therapy: Men’s, Women’s Teen and New Mother’s Groups.

*Health and Wellness

*Relationship Building

*Social Skills Training for Children, Teens and Adults

*Addiction and Codependency Program

*Anxiety Disorders Program

*Dialectical Behavioral Therapy (DBT) Skills Program

*Divorce Group

*Trauma Program

*Willpower Workout Groups

STA is a unique place where you will find the full range of psychological and psychiatric services in one organization to help you live your best life.

Our experienced intake counselors will match you to the best provider for your special concerns.

Specialized Therapy Associates LLC

First Steps:

Call (201) 488-6678 and speak to an intake specialist today. At Specialized Therapy Associates, your confidentiality is assured. The intake specialist will ask questions for the purpose of providing you the best in-house practitioner to give you the skills and experience best suited for your needs. Feel free to ask for a location nearest to you.

Have your insurance information ready as we do provide in-network reimbursement for most services. Not all providers are in-network, however for your convenience STA is contracted with most of the major insurance companies as a facility.

Please visit our website for more information or to register online. Follow our blog and sign up for our monthly newsletter for STA updates and healthy behavior tips.

Please visit our website for more information or to register online. Follow our blog and sign up for our monthly newsletter for STA updates and healthy behavior tips.

Please visit http://www.specializedtherapy.com

Call STA now to reach your personal goals. Call (201) 488-6678 or toll free (855) STA-TALK.

Specialized Therapy Associates LLC

83 Summit Avenue Floor 2

Hackensack, New Jersey  07601

Visit us online at http://www.specializedtherapy.com

Choose a facility that is convenient for you:

*83 Summit Avenue, Floor 2 Hackensack, NJ  07601

*481 Hackensack Avenue, 2A, Hackensack, NJ  07601

*19 Spear Road, Suite 301, Ramsey, NJ  07446

FXMed Centers: The Functional Medicine Center for Personalized Care.

STA is in partnership with FXMed Centers will identify and treat any underlying health condition such as methylation defects, chronic low grade infections, poor gut health as examples of health issues that lead to or exacerbate mental health disorders. FXMed Centers will treat with natural alternatives for quicker relief and probable cures.

Visit: http://www.FXMedCenters.com

*Disclaimer: this information was taken directly from the Specialized Therapy Associates LLC pamphlet. I have not used the service so I have no opinion, either yes or no, to how the service works. Please call or email the above numbers for more information.

LifeWork Strategies: Strategies for Success LLC.

Strategies for Success in Life and Work

Acquire the Strategies that successful people use in…

Business, Relationships, Family Life and Health & Welfare

Life Work Strategies offers…

Individualized, Customized Interventions for fast and effective results:

Executive Coaching:

*Leadership

*Career Goals

Life Coaching:

*Health and Wellness

*Personal/Relationship Goals

Testing and Evaluations:

*Management

*Succession Planning

Entrepreneurship:

*Business Development Goals

Short-Term Experimental Workshops

Family Life/Child Health:

*Relationship Enhancement

*Parenting

*Children and Divorce

We offer intensive programs for significant change to optimize health, relationships, personal wealth and academic performance.

The Executive program for both the employed executive as well as the independent entrepreneur, not only teaches skills but coaches performance in key areas: leadership, negotiation, teamwork, workforce productivity and relationships.

The Entrepreneur program develops the high-level performance necessary to start and succeed with any new venture. Corporations have increased the bottom line combining all programs to promote health, performance and satisfying personal life for the most productive workforce.

The Integrative Health program utilizes state-of-the-art medicine for prevention and chronic disease management. A team of professionals intervenes to promote optimal health by integrating mind-body interactions.

The Performance Enhancement program is designed to compel optimal performance, based on the most current research in achievement motivation to promote performance at work. A specialized program is available to college and graduate students for a head start into the right opportunity.

Experiential Workshops include…

Relationship Enhancement: A program designed to enhance a variety of relationships, whether romantic, professional or personal.

Academic Performance Enhancement: An achievement motivation program to assist students in optimizing their performance.

Coping with Chronic Illness: Providing education, support and specific coaching to help you stay on track with chronic disease management.

Parenting: Designed to teach the important parenting skills of relationship, communication and problem solving.

Social Skills: Groups designed to teach children and adolescents important skills for interpersonal success.

Coping with Divorce: Providing the guidance and support necessary to make the process of change least disruptive for all involved.

Coping with Stress/Anxiety: Providing skills to avoid letting anxiety take over your life.

On site corporate consultation is available.

Integrated Health Program Services can be offered on site or at any medical facility.

Get started and learn more about LWS by visiting our website at http://www.lwscoach.com

Email: drg@lwscoach.com

To make a referral, call our Intake Department at (201) 224-5200.

Life Work Strategies LLC (LWS) is cutting edge with a proprietary  coaching model. Strategic Coaching is our brand and cannot be found anywhere else. Dr. Vanessa Gourdine, the group’s founder, is a specialist in applied psychology. She has formulated an approach to compel behavior change with efficient and effective interventions. Dr. Gourdine works with an innovative team of psychologists, applying the art and science of psychology to help others achieve their highest potential. LWS is the state-of-the-art coaching organization designed for those who want to reach the pinnacles of both career and personal success.

*Disclaimer: this information is taken directly from the Life Work Strategies LLC pamphlet. I have not used this service so I have no opinion either yes or no, to the service. Please call or email the above numbers for more information.

Caring for the Caregiver: Practical ways of helping you care for a person with memory loss and confusion-helping you help others. Tips for caregivers.

Caring for a person with memory loss and confusion can be stressful and exhausting. These tips can help you find the support you need.

1. Ask for Help:

*Ask a friend to fix dinner or a relative to help out for an hour each week.

*Make a list of ways others can help. When a friend asks, “What can I do?” have them choose from a list.

*Don’t wait for a crisis. Ask for and accept help on a regular basis.

*Even if asking is hard, find at least one resource you can use right away.

2. Express your feelings:

*Recognize that feelings of frustration, sadness, anger and depression are normal under the circumstances.

*Talk about your feelings with a friend, relative, counselor or caregiver support group.

3. Take care of your health:

*Make sure you are eating a healthy diet, getting regular physical activity and getting plenty of rest.

*Learn and use stress reduction techniques.

*Don’t put off your own medical care. Talk with your doctor about getting flu shots and other preventive care.

4. Learn about the disease:

*Find out about the different forms and stages of dementia so that you are not taken by surprise when new behaviors occur.

*If you can, provide information to family and friends so they will know how to best to support you.

5. Avoid Isolation:

*Pursue a hobby or take a class. Join a reading or discussion group.

*Become active in a community organization.

6. Talk with professionals:

*Contact a social worker or your local social services agency to help you find out about caregiving resources.

*Talk with an attorney or legal aid service about legal issues. Many areas have free or low-cost legal aid available.

*Talk with an accountant about finances.

*Find a counselor or therapist to help you deal with your feelings.

7. Look for signs of burnout:

*Not taking care of your own health, feeling lonely, crying or losing your temper more than usual are all signs that you may need some help.

*Take an honest look at your use of sedatives and alcohol. Have a doctor or counselor help you evaluate your use.

*Find someone to talk to if you feel discouraged, frustrated, trapped or over-burdened.

*Seek professional help if you are depressed or thinking about suicide.

8. Give yourself a treat:

*Buy yourself a present such as a favorite magazine or new clothes.

*Watch a sunset.

*Put your feet up and listen to a symphony or a ball game on the radio.

*Order dinner from your favorite restaurant and have it delivered.

*Buy yourself flowers.

9. Take time for yourself:

*Consider using respite care, homecare or adult day care.

*Schedule regular time for yourself. Plan to spend an hour each day or an afternoon once a week away from caregiving.

*Consider taking a vacation.

*If time or money is a concern, be creative! Ask for help from friends or relatives and use community services. You are worth it!

*Remember, you will be better able to care for another if you take time for yourself.

10. Investigate local services:

*Find out if meals are delivered to seniors or home-bound people in your area.

*Contact your local senior center to help you find resources.

*Find out about assisted living facilities. Even if you do not want to use one now, you may need to in the future.

Disclaimer: this information was taken directly from the Journeyworks Publishing pamphlet written by Mardi Richmond. The information is helpful to all caregiver and please look at Journeyworks other pamphlets. They are a huge source of information and advice on helping caregivers. These pamphlets are available in most  Nursing facilities.

Caregiving: How to get the Whole Family Involved: Tips to make your job easier when caring for an older, ill or disabled adult.

Are you a relative or friend of an older, ill or disabled person? Is one family member responsible for providing or arranging most or all of the care? Do you want other family members and friends to become more involved? These tips can help.

Start with a family meeting:

*Call a family meeting to discuss caregiving needs and ways for each person to help.

*Include everyone who is able to contribute.

*Consider holding the meeting in a neutral location with few distractions. Or if your family is spread out geographically, the meeting can be held by email, in a private web chat room or through telephone conferencing.

*Make up an agenda ahead of time so that everyone can contribute.

How will decisions be made?

*If the person being cared for is able, he or she should have a say in how care needs are met.

*The person who has the primary responsibility whether through providing care or arranging care by professionals-should also have a say.

*Other family members’ views should be heard and respected too.

*For health and legal decisions, the person being cared for can use Durable Power of Attorney documents to designate someone to make decisions if he or she cannot.

If you disagree:

It is common for people to disagree about the best way to approach a caregiving situation:

*Make sure each person’s concerns are heard.

*Try to reach a comprise.

*Avoid turning the disagreement into a feud.

*If you cannot agree, bring in an outside person-a counselor, care manager or clergy member, for example-to act as a mediator.

Support the primary caregiver:

*Try to respect the person who is taking primary responsibility. He or she is doing a difficult job.

*If you see that a problem exists, offer solutions and support, not criticism.

Don’t be afraid to take charge:

*When there are several people involved, organizing tasks is very important.

*Make a list of what needs to be done. Ask people to volunteer for tasks.

*Consider having each person take responsibility for a different area of caregiving. For example, one person can take the person to medical appointments and get prescriptions filled. Another person can pay bills and research financial options.

What can you do if you don’t feel others are carrying their weight?

*Find out why. Sometimes a friend or family member would like to help but isn’t sure how.

*Sometimes a sibling may be respecting the role of the primary caregiver by not interfering. He or she may not get involved unless asked directly.

*If a person is not participating because he or she does not agree with the course of care, talking through the issues may help.

Long distance support: How to help the primary caregiver when you can’t be there.

What can you do if you live in another city or state?

*Ask how you can help. Offer ideas if the primary caregiver isn’t sure.

*Offer emotional support. Call and check in regularly. Be someone the caregiver can confide in.

*Offer financial support. Contribute to the household expenses or pay for respite care.

*Make phone visits. Spend time on the phone visiting with the person being care for.

*Give breaks. Take over caregiving duties for a day or weekend each month or a week every few months. This provides breaks for the primary caregiver.

*Do those tasks that can be done at a distance. Research the disease or condition or make phone calls to find out about support services.

*Thank the primary caregiver. Show your appreciation regularly.

Involving the whole family in caring for and supporting an older family member can make it easier on everyone. Look inside for ideas on how you can include others in caregiving.

To find information about support groups and other services in your area, consult your local phone book. You can also call the Eldercare Locator at 1-800-677-1116 or visit its website at http://www.eldercare.gov.

*Disclaimer: this information was taken off a pamphlet from Journeyworks Publishing and written by Mardi Richmond. Please look over this pamphlet for the information needed. It is tough to do it all on your own. This pamphlet is a wonderful resource of knowledge.

NJ Workability Frequently Asked Questions (FAQs)

Question: What is Workability (NJW)?

Answer: NJ Workability is a state and federally funded program that provides Medicaid health benefits, at a higher income eligibility level than ever before, to people with disabilities who are working.

Question: Who is eligible for NJ Workability?

Answer: A person must be between the ages of 16 and 64, employed full or part time and have a permanent physical or mental disability.

Question: Will I qualify if I am self-employed?

Answer: Yes, self-employment individuals with disabilities are also covered; you just need to provide documentation of self-employment and income.

Question: What does NJ Workability cover?

Answer: NJ Workability covers all the medical and healthcare services available through Medicaid. These may include, but are not limited to, durable medical equipment, outpatient counseling, medical transportation, dental and vision care, personal care services, pharmaceutical and other medical services.

Question: How much can you earn and still be covered by NJ Workability?

Answer: You can earn as much as $58,000 (gross) annually and still be fully eligible for Medicaid coverage through NJ Workability.

Question: Do you have to be receiving benefits, such as Social Security Disability Income (SSDI) or Supplemental Security Income (SSD)?

Answer: No, as long as you are working and have a permanent disability (which can be determined by the County Board of Social Services &  the Division of Medical Assistance & Health Services Disability Review Team).

Question: What happens if the Social Security Administration (SSA) determined I am not disabled?

Answer: Your application can be reviewed to see if that decision can be appealed or if you would be subject to the one year re-application.

Question: Does working mean I am automatically considered not to be disabled?

Answer: No, for this program your disability status is evaluated without consideration of your work activity. You are assessed as an individual who is working despite a permanent disability.

Question: If my spouse is not disabled, would their income be counted for my eligibility?

Answer: Yes, income of an ineligible spouse is evaluated by the process of ‘deeming’ a portion of the income to the spouse applying for eligibility. It is counted as unearned income.

Question: Where do I apply?

Answer: If you are interested in applying, call toll free 1-888-285-3036, for initial screening and information. Applications are taken and eligibility determination is made at your County Board of Social Services (CBSS).

Question: How do I find out what services are covered? How do I find doctors/providers that participation?

Answer: Contact the Medical Assistance Customer Center (MACC) to find out services/doctors/providers. To locate the MACC in your area call, 1-800-256-1561. If you are enrolled in a Medicaid managed care program, you would contact that HMO.

Question: What happens when I’m not working?

Answer: This needs to be reported to your CBSS to determine if your status permits continuation of benefits or if your eligibility needs to be suspended to avoid possible repayment of incorrectly paid benefits.

Question: Can I use my employer health insurance?

Answer: Yes, benefits will be coordinated with Medicaid being the final or last payer.

Question: Will the NJW benefits cover my entire family?

Answer: No, only the eligible individual or eligible couple.

Question:  Can someone on Workability choose a Medicaid HMO or must they be on fee-for-service?

Answer: NJ Workability clients may receive fee-for-service or enroll in one of the Medicaid HMO’s, In fact, we have been encouraging Workability clients to use HMO services to assure greater access to care. Remember, NJ Workability is just another route to Medicaid eligibility-it is not a special program.

Question: Is there a rule regarding eligibility for felons or people who have been convicted of a crime?

Answer: Prisoners must no longer be under the jurisdiction of the correctional facility and meet all other eligibility requirements of assistance programs. Many correctional institutions already work with County Boards of Social Service for transitional screening and/or applications for programs that can be effective upon release.

Question: What is the application process for felons/people with criminal records?

Answer: The application process would include a disability determination that the County Board of Social Services (CBSS) would request through the state using records and forms from the correctional facility. Additionally, if the facility has submitted an application through the Social Security Administration (SSA) then the County/State cannot process a concurrent disability determination. If there has been a SSA disability denial, the State is bound to honor that decision for one year.

Question: Is Unemployment Insurance considered earned or unearned income?

Answer: Unemployment insurance benefits are considered unearned income.

Question: If I am 18 years of age, working part time and living with parents or family, is my family’s income considered?

Answered: Eligibility will be determined by the County of Board Social Services. A parent’s income would be deemed to the applicant for those under age 18. The deemed amount is treated as countable unearned income.

Question How does Workability apply to a seasonal employee?

Answer: When the employee is not working. he/she is ineligible for any month where there is no employment (unless receiving paid sick leave, temporary disability payments or workers’ compensation). If the person does not report stopping work as required and continues to receive benefits during that period, that individual will have incorrectly received benefits which will be subject to recovery.

Question: If an SSI beneficiary works and exhausts all SSI work deductions (ending their cash benefits), do they have to accept and then exceed 1619B benefits before going on the Workability program?

Answer: If a person is still actively receiving SSI, we recommend they utilize the SSI 1619B program. If an applicant’s SSI eligibility is already terminated, we do not require them to return to SSA; however, we do ask for their letter of termination because of no longer being medically disabled). We accept the SSA disability determination rather than completing another determination through the DMAHS Disability Review Team. If SSA says you are no longer disabled, we have to abide by that decision for one year before the person can re-apply.

If you would like additional information please call: 1-888-285-3036

http://www.njworkability.nj.gov

Disclaimer: This information is taken directly from the DHS Office of Publications pamphlet for NJ Workability Frequently asked Questions (FAQs). I have never used the service so I have no opinion on the program either yes or no to how it works. Please call or email them at the above number and get more information.

. Pre-diabetes and Diabetes: Cornerstones4Care

What is the difference between pre-diabetes and diabetes?

The difference between pre-diabetes and diabetes is how high the blood sugar level are. Pre-diabetes is when your blood sugar (or glucose) levels are higher than normal but not high enough to be diagnosed as type 2 diabetes. Look at the table  to see the levels. Did you know that about 79 million adults age 20 and older have pre-diabetes.

What’s going on in your body?

A condition called insulin resistance increases the risk of getting both pre-diabetes and type 2 diabetes. Insulin is a hormone that is made by the pancreas, a large gland behind the stomach. Insulin helps sugar from food move from your blood into your body cells. Your  cells need sugar for energy. Sugar from food can be from sweet foods and drinks, like candy, cakes, cookies, pies and soda or from carbohydrates like starches, fruit, and milk that turn into sugar.

When you have insulin resistance, your body produce insulin but does not use it effectively.  So sugar builds up in the blood which can lead to pre-diabetes or type 2 diabetes. Most people with insulin resistance aren’t aware that they have it for many years, until it turns into type 2 diabetes. But the good news is that if people find out early that they have insulin resistance, they may be able to delay progression to type 2 diabetes.

Who is at risk?

Here are some of the factors for pre-diabetes and diabetes.

Factors that can be managed:

*Being overweight

*Having high blood pressure

*Having low HDL cholesterol and high triglycerides (blood fats)

Factors that cannot be changed:

*Being age 45 age or older

*Having a family history of diabetes

*Having a history of gestational diabetes or of giving birth to a baby weighing more than 9 pounds.

*Belonging to an ethnic group at high risk for diabetes such as Native American, African-American, Hispanic or Asian.

It is important to discuss your risk factors with your doctor. If you think you may be at risk for pre-diabetes, see your doctor to be tested.

How is pre-diabetes diagnosed?

You may have pre-diabetes without having any symptoms. Pre-diabetes us found with one of the following test:

*Fasting plasma glucose (FRG) test-Measures blood sugar when you haven’t eaten anything for at least 8 hours.

*Glucose tolerance test (GTT)-Measures blood sugar after you haven’t eaten anything for at least 8 hours and 2 hours after you drink a sugary drink provided by a doctor or laboratory.

*A1C-Measures your average estimated blood sugar over the past 3 months.

Your doctor will look for these values to diagnose pre-diabetes and diabetes.

FPG

Pre-diabetes 100-125 mg/dl

Diabetes 126 mg/dl or higher

GTT

Pre-diabetes 140-199 mg dl

Diabetes 200 mg/dl or higher

A1C

Pre-diabetes 5.7%-6.4%

Diabetes 6.5% or higher

How can you lower your risk of pre-diabetes?

There are no medicines approved by the FDA to treat pre-diabetes. If you have pre-diabetes, your blood sugar should be checked for type 2 diabetes yearly. According to the American Diabetes Association (ADA), if your blood sugar levels are normal, you should have them checked every 3 years or more often if your doctor recommends it. Pre-diabetes does not automatically turn into type 2 diabetes. You can take steps to lower your risk.

The American Diabetes Association says that you can lower your risk for type 2 diabetes by:

*Losing just 7% of your body weight (or 15 pounds if you weigh 200 pounds).

*Doing moderate physical activity (such as brisk walking) for 30 minutes a day, 5 days a week.

For more information, visit Cornerstone4Care.com

*Disclaimer: All of this information is taken directly from the Cornerstone4Care.com pamphlet. I have not used any of their services so I have no opinion either yes or no to any of their programs. Please call the above numbers or email them for more information.