The Vegan Way ( Kindle Edition ) By Annette Young Buy new : $4.97 First tagged “vegan cookbook” by Angela Sansom “Angie” Customer tags: veganism , vegan cookbook , vegan lifestyle , vegan baking , vegan re , animal welfare , vegan living , vegan
Archive for November, 2011
Coping with cancer and undergoing cancer treatment often creates stress on the body, mind and spirit. However, whether you are a cancer patient, survivor or you have just been diagnosed with cancer, you many find many benefits for your physical and emotional health by being involved in a fitness program. Up until many years ago cancer patients and survivors were encouraged to take it easy, but studies have shown that exercise may help with treatment, [ Read More ]
With the upcoming Thanksgiving holiday upon us, we would like to re-post our article for family members on suggestions of what to say and what not to say to loved ones in eating disorder treatment during the holidays. By Karen Wolf and Sarah Emerman The holidays, especially Thanksgiving, can be a stressful time for both clients and family members. Clients in eating disorder treatment often worry about what foods will be served for the Thanksgiving meal, potential comments made by family members, holiday-sized portions of food, following their meal plans, and avoiding behaviors. Their loved ones may also have concerns about feeling like they have to walk on eggshells around the client for fear of saying the “wrong” thing. This can make for a tense environment during a time reserved for appreciating family and being together. Therefore, with help from the clients in our day treatment program, we have compiled a list of dos and don’ts on what to say (and what not to say) to loved ones in eating disorder treatment during the holidays. Don’t
I just can’t help myself! I need to give this to you all again. I’m still blown away myself when I re-read these. Enthusiastic CARF surveyors said July 23, 2010, “Mirasol is light years ahead of any other program in the country.” Continuing they said, that in all of their years working in the mental health field, they had never seen a program as excellent as what we do at Mirasol. CARF, a national accrediting agency that examines and awards accreditation to more behavioral health facilities than any other agency, examines Mirasol every three years. A CARF endorsement means that a program’s policies and standards meet the highest possible criteria of excellence. An accreditation by CARF is proof of excellence in all areas of a facility. Last Thursday and Friday two CARF surveyors arrived. Both of them were long-time inspectors. One member of the team was an RN with 30 years of experience in the mental health arena. The other was a man with behavioral health experience as a social worker but also an experienced surveyor having done surveys for CARF for over 25 years. When the survey was over, our management team and the surveyors gather round for “the” report. The entire staff had worked for months making sure that we had everything ready. After the CARF people gave their report, I was stunned. I knew that we had an excellent program. I knew we were really good, but I didn’t imagine in my wildest dreams how good we are! Basing their comments on our outcome data and after viewing our treatment at the units they said our treatment was like magic. I have never wanted to play the game of outcomes. “Mine is better than yours. “ “No, mine is much better…….. “ Statistics can be manipulated and when I hear someone claiming a success rate of 92% at a year, I know it’s not true. The CARF team made me promise that I would share some of our numbers with our stakeholders which are all of you! When someone enters treatment, we do quite a lot of psychological testing. Two of the most important psychological instruments we administer are the Eating Disorder Inventory-III and the Beck Depression Inventory. I’m going to give you all of this information just as we gave it to the surveyors. It’s rather complicated but you can read the numbers – I’ll help. The Eating Disorder Inventory 3 (EDI-III) is the third edition of a test that reports in multiple scales. The test consists of 91 questions answered in terms of frequency of behaviors from always to never. Reports consist of 21 separate scales; three are validity scales, four are eating disorder risk and composite scales, nine are psychological scales, and five are psychological composite scales. Results are presented as percentiles for all, anorexia, bulimia, and EDNOS diagnoses. For simplicity of reporting percentiles of two risk scales/composite scores are used, each chosen for broad-based relevancy to Mirasol’s program, the Eating Disorder Risk Composite (ERDC) and the Global Psychological Maladjustment Composite (GPMC). In addition, the 9 psychological scales, including Low Self-Esteem (LSE), Personal Alienation (PA), Interpersonal Insecurity (II), Interpersonal Alienation (IA), Interoceptive Deficits (ID), Emotional Dysregulation (ED), Perfectionism (P), Ascetism (A), and Maturity Fears (MF). These will all be compared for pre and post scores for the total, anorexic, bulimic, and EDNOS populations. B Results: The information presented in the following chart is based on residents who completed the program during the years of 2007, 2008, 2009, and through June 2010. You can readily see the differences between the pre-scores and the post-scores. But look at the post scores for EDRC for 2007, then 2008, 2009, and finally 2010. You’ll see that the scores progressively get lower – meaning that our patients are getting a lot better! Now do the same for the GPMC. You can readily see the differences between the pre-scores and the post-scores. But look at the post scores for EDRC for 2007, then 2008, 2009, and finally 2010. You’ll see that the scores progressively get lower – meaning that our treatment is more and more effective and our patients are getting a lot better! Now do the same for the GPMC. Risk Scales and Composite Scores 2007 Results Pre EDRC Post EDRC Pre GPMC Post GPMC ALL (N = 22) 53.27 28.00 56.55 31.45 Anorexia (N = 9) 64.89 47.67 63.89 45.78 Bulimia (N = 13) 45.23 14.38 51.46 21.54 2008 Results Pre EDRC Post EDRC Pre GPMC Post GPMC ALL (N = 34) 54.06 21.50 54.44 25.21 Anorexia (N = 11) 62.18 37.18 56.64 28.18 Bulimia (N = 20) 44.70 9.40 50.35 19.85 EDNOS (N = 3) 86.67 44.67 73.67 50.00 2009 Results Pre EDRC Post EDRC Pre GPMC Post GPMC ALL (N = 20) 49.35 13.60 49.35 18.15 Anorexia (N = 3) 61.67 40.67 52.00 36.00 Bulimia (N = 13) 41.85 3.46 52.08 13.54 EDNOS (N = 4) 64.50 26.25 38.50 19.75 2010 Results Pre EDRC Post EDRC Pre GPMC Post GPMC ALL (N = 11) 46.10 11.82 44.00 10.27 Anorexia (N = 6) 42.33 17.5 31.83 14.17 Bulimia (N = 5) 50.60 5.00 58.60 5.60 Here are the results for the individual scales as named above. Take a look at the self-esteem scores – pre and post 2007, 2008, 2009, 2010. The improvement is substantial with lower scores each consecutive year. Psychological Scale Scores 2007 Results Pre LSE Post LSE Pre PA Post PA Pre II Post II Pre IA Post IA Pre ID Post ID Pre ED Post ED Pre P Post P Pre A Post A Pre MF Post MF ALL (N = 22) 56.5 30.6 53.6 31.0 51.2 32.8 62.6 50.5 58.3 29.1 62.8 48.5 57.0 42.3 57.2 39.1 56.0 44.6 Anorexia (N = 9) 60.7 45.1 59.9 45.6 50.2 38.6 69.9 53.1 59.2 39.8 66.2 58.0 67.7 53.2 63.6 49.6 66.2 56.3 Bulimia (N = 13) 53.7 20.6 49.2 20.8 51.9 28.8 57.5 48.7 57.6 21.8 60.4 41.8 49.5 34.7 52.8 31.9 49.0 36.5 2008 Results Pre LSE Post LSE Pre PA Post PA Pre II Post II Pre IA Post IA Pre ID Post ID Pre ED Post ED Pre P Post P Pre A Post A Pre MF Post MF ALL (N =34) 59.2 26.6 54.7 23.6 54.0 34.4 60.1 43.2 56.3 25.7 51.6 43.4 56.5 45.2 45.8 24.0 55.1 34.2 Anorexia (N = 11) 68.1 30.8 62.3 26.0 58.9 42.1 59.5 44.5 55.8 26.2 45.3 34.8 59.5 54.3 41.3 21.0 59.5 45.8 Bulimia (N = 20) 52.2 21.4 47.7 19.5 50.5 26.1 57.8 39.3 54.1 21.0 53.6 44.4 50.7 38.6 45.9 23.5 54.5 27.5 EDNOS (N = 3) 73.7 46.3 74.0 42.0 59.0 62.0 77.3 64.7 73.3 55.7 61.7 68.3 84.3 56.7 62.3 38.7 43.3 36.0 2009 Results Pre LSE Post LSE Pre PA Post PA Pre II Post II Pre IA Post IA Pre ID Post ID Pre ED Post ED Pre P Post P Pre A Post A Pre MF Post MF ALL (N = 20) 47.8 17.7 53.1 18.9 46.5 27.8 53.9 34.7 58.5 22.8 50.9 35.5 52.7 39.0 50.5 18.3 43.9 35.7 Anorexia (N = 3) 44.0 41.0 52.7 37.7 61.7 62.0 42.7 39.3 81.0 45.0 38.0 41.7 41.3 27.3 51.3 28.0 58.3 67.7 Bulimia (N = 13) 52.8 13.2 59.0 15.4 46.5 19.9 61.3 38.1 55.5 18.6 54.9 33.2 52.1 35.4 45.6 14.3 46.5 31.5 EDNOS (N = 4) 34.3 14.5 34.3 16.0 35.0 27.8 38.0 20.0 51.3 19.5 47.5 38.3 63.0 59.5 65.5 24.0 24.3 25.3 2010 Results Pre LSE Post LSE Pre PA Post PA Pre II Post II Pre IA Post IA Pre ID Post ID Pre ED Post ED Pre P Post P Pre A Post A Pre MF Post MF ALL (N = 11) 47.4 15.2 47.6 14.4 40.8 14.6 55 24.9 50.6 16.2 47.2 22.8 52.5 31.8 38.8 14.2 45.5 21.3 Anorexia (N = 6) 32 19 32.7 19.3 34.5 17.3 56.3 34.7 49.3 16.5 38 19.5 43 25.8 30.5 21 37.8 21.5 Bulimia (N = 5) 65.8 10.6 65.6 8.4 48.4 11.4 53.4 13.2 52.2 15.8 58.2 26.8 63.8 39 48.8 6 54.8 21 Last but certainly not the least is one of my favorite tests, the Beck Depression Test. It’s short, only 21 questions, and highly accurate. The client answers the questions on a scale of 0 to 3, with three indicating the strongest symptoms and the 0 indicating few symptoms. Most of the clients who admit to Mirasol are severely depressed when they come in. Look at these scores, pre-treatment and post-treatment from 2007, 2008, 2009, 2010. The post treatment scores show that there is very few, if any, depressive symptoms existing. All of the patients have greatly improved feelings of well-being. 2007 Results Pre BDI Post BDI ALL (N = 23) 34.26 18.13 Anorexia (N = 9) 41.00 26.33 Bulimia (N = 14) 29.93 12.86 2008 Results Pre BDI Post BDI ALL (N = 34) 31.50 13.03 Anorexia (N = 11) 35.45 16.00 Bulimia (N = 20) 27.85 10.00 EDNOS (N = 3) 41.33 22.33 2009 Results Pre BDI Post BDI ALL (N = 19) 30.42 7.89 Anorexia (N = 3) 28.67 17.00 Bulimia (N = 12) 31.42 7.25 EDNOS (N = 4) 28.75 3.00 2010 Results Pre BDI Post BDI ALL (N = 12) 29.83 10.5 Anorexia (N = 6) 25.67 12.17 Bulimia (N = 6) 34 8.83 I hope to keep reporting outcome information quarterly as well as reporting long-term outcomes. We have found that our treatment results are long lasting – at one year, 70% of our clients are still in recovery. This does not mean that they have not slipped a time or two, but because of our Focused Continuing Care, the slips have been very short lived.
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Check out Women of Substance on the Eating Disorder Hope website for first hand accounts from women who have recovered from their eating disorder and are living life to the fullest in recovery. Should you have any questions or comments regarding this post please email blog@eatingdisorderscleveland.org.
Give Them Something Better ( Paperback ) By Stephanie Howard Buy new : $24.99 2 used and new from $23.74 Customer Rating: First tagged “vegan cookbook” by Stephanie Howard “ridzomom” Customer tags: vegan cookbook , healthy eating , heart disease , cookbook , health , vegan
I happened to connect a couple of days ago with Judy Avrin who is the mother of Melissa Avrin. Melissa died from bulimia two years ago at the age of 19. When I read this I felt like I’d been punched! We’ve all read about anorexics that have died at very low weights. I somehow downplayed the fact that bulimia is a killer as well. Someday Melissa was founded in 2010 by Judy Avrin following the death of her daughter Melissa to an eating disorder. A 501(c)(3) nonprofit organization, Someday Melissa’s mission is to promote recognition and awareness of eating disorders and the importance of early treatment. Along with Danna Markson, LCSW and director Jeffrey Cobelli, Judy created a documentary, “Someday Melissa, the story of an eating disorder, loss and hope.”
