Alina Lodge Blog

Polypharmacy, Monotherapy, Deprescribing, and Vindication

July 2019

Who doesn’t enjoy the opportunity to say "I told you so?"

Perhaps only the most self-critical and masochistic individual doesn’t like to be vindicated. What follows in this piece is the story of vindication for the way we do certain things -- and always have done certain things -- at the Little Hill Foundation.

Daniel P. Greenfield, MD, MPH, MS
Psychiatric Consultant, Little Hill Foundation

In psychiatric practice, as in so many areas of human activity, the pendulum of trends in prescribing psychotropic ("acting on the mind," or "psyche") medications has swung widely over the years: From disinterest and avoidance of these medications (during the psychanalytic era in the first half of the twentieth century); to the guarded but hopeful use of limited psychotropic agents (in the 1960's and 1970's); to the acceptance of tailored and specific "monotherapy," or use of single agents for patients (in the 1980's and 1990's");* to "polypharmacy," the enthusiastic and wholesale prescribing of multiple psychotropic medication for multiple presumed clinical diagnoses in the same individual (in the 1990’s and 2000’s); to a recent backlash movement against polypharmacy called "deprescribing" (over the past several years).

Read full article.

Daniel P. Greenfield, MD, MPH, MS
Psychiatric Consultant, Little Hill Foundation
Clinical Professor of Neuroscience (Psychiatry), Seton Hall University

Prodependency

July 2019

Client-Centered-Therapy and Client-Centered Language is changing the way we do therapy and document client records all together.

It allows the client to be the expert with their story, empowers their decision-making; and increases autonomy within the counseling relationship while being genuine, and truly empathetic using client-sensitive language.

Jennifer Russo, Clinical Director NWCC

With that being said-- it was only a matter of time that within the drug and alcohol field, this would lead to how we would change the way we address the "Family Disease", and more specifically, "Codependency".

Robert Weiss, Phd. in Addiction and Sex Therapy, is responsible for beginning a movement in how we address codependency. This movement is known as "Prodependence".

Read full article.

Jennifer Russo
Clinical Director, North Warren Counseling Center

Managing the Substance Use Disorder client with a Co-morbid Eating Disorder

June 2019

In my experience, approximately 40-50% of our population of women with Substance Use Disorder have also been diagnosed with an Eating Disorder, or display disordered eating behaviors.

Due to the severity of both illnesses, and in order to be a more effective therapist, I believe it is essential to treat these disorders concurrently.

Jackie Re, Program Director Haley House

To further complicate matters, co-morbidity is high among this population, including other disorders such as anxiety, depression, and personality disorders.

Frequently SUD and ED clients will also have physical and medical complications due to their drug use and disordered eating patterns.
Read full article.


Jackie Ré
Program Director, Haley House

Happy Sober Life

June 2019

Happiness to me is being ok with myself and everything around me just the way it is.

That took years of self-work to achieve. I was always chasing more, unhappy with what I had and blaming others. I had no idea how to live in the day. Just like breathing I have to practice daily acceptance, gratitude, humility, staying in the moment, and listening to others.

Laurie Andrysiak – Alumni Coordinator Alina Lodge

Today I am exactly where my feet are. I have a program which teaches me humility, gratitude, and helping others will ensure my contentment. I am happier if I am concentrating on others than myself. I am always surprised that each time I take a call and listen and am just there for another person I relax and forget about anything going on in my life. I concentrate on them, I let go of me.
Read full article.


Laurie Andrysiak
Alumni Coordinator

2019: A Year for Optimism

June 2019

I am writing this note the day after our annual Gratitude Picnic.

It will be difficult to top this year’s event! Perfect weather, a fantastic turnout, great food, a superb speaker, friends old and new! It is just wonderful to see our beautiful campus filled with beaming smiles. My heartfelt thanks to everyone who worked so hard and gave so much to make it such a success.

Robert Berry, Board of Trustees President

This is my first year as President of the Board. It is an exciting time in our history, and I feel both humbled and proud to work with Bill Robbins as he and I start our stewardship.

There is a lot for us to be optimistic about.
Read full article.



Robert Berry
President
Little Hill Foundation Board of Trustees

Mental Health Awareness Month

May 2019

May is Mental Health Awareness Month

The theme of Mental Health Awareness Month 2019 is #4Mind4Body, reflecting the relationship between mind and body in health. In the words on the ancient Romans, "Mens sana in corpore sano" ("A sound mind in a sound body").

Dr. Daniel Greenfield

Mental Health Awareness Month has been observed for the month of May since 1949, in an effort to educate and destigmatize the public and its all-too-prevalent confusion and fear about mental illness. Combining mental illness with substance use disorders (i.e. 'dual diagnosis') a high prevalence, or proportionate – upwards of 35% of the adult population of the country experiences either or both of these conditions during a lifetime...
Read full article.

Daniel Greenfield, MD, MPH, MS
Medical Team

What is Mindfulness?

May 2019

What is mindfulness and how do you practice it?

Mindfulness is a term used to describe a way of responding to stress that allows you to get out of old mental patterns which worsen stress and decrease problem solving.

BluJean Casey

Mindfulness is a tool that is beneficial for people struggling with mental health and substance use disorders, but it is just as useful for everyday stressors. Practicing mindfulness means increasing your awareness of the present moment without judgment...
Read full article.

BluJean Casey, MA, LAC, NCC
North Warren Counseling Center Team

Alcohol Awareness Month

April 2019

April is Alcohol Awareness Month,

a public health program organized by the National Council on Alcoholism and Drug Dependence (NCADD) in 1987 to increase awareness and outreach surrounding the dangers of alcohol.

Megan Hein

Originally targeted at college-age students, Alcohol Awareness Month is now a national movement meant to improve understanding of the causes and effects of alcoholism and enable families and communities to better deal with alcohol-related issues...
Read full article.

Megan Hein
Clinical Team Member, Alina Lodge

Gratitude Picnic

April 2019

A message from Erica Norris

I’d like to tell you why the Picnic is so important to me personally. You see, I am a recipient of the Scholarship Fund. Without it, I would not have been able to finish my stay at Alina Lodge. When I ran out of funds, Alina Lodge did not discharge me. I stayed until my counselor said I was ready to go.

The Gratitude Picnic and the Scholarship Fund is what made this possible. It is my honor to be the Chairperson of the 2019 Gratitude Picnic

Erica Norris - Little Hill Foundation

You can help support the Scholarship Fund with a purchase of a Gratitude Journal ad, a raffle ticket or sponsorship. The Journal ad form is attached, and you may write a message in honor of your counselor, a loved one, a memorial or a simple message of hope to others. You never know the life you have touched...
Read full article.



Erica Norris
Chairperson

It's about Time

April 2019

A message from our Executive Director - William Robbins

I must say I have spent a lot of time lately thinking about both our founder, Mrs. Geraldine Delaney and our most recent Executive Director, Michael Hornstein... It's about Time

Bill Robbins

As I embark on my own stewardship of Little Hill Foundation and work with our Board of Trustees to create a vision of our future, I inevitably keep returning to our past....
Read full article.

William Robbins
Executive Director

Nutrition

March 2019

March is National Nutrition Month.

Nutrition in Recovery: The goal is to find a balance in intake between Carbohydrates, Protein, and Fat to meet macronutrient needs, balance brain chemistry, and maintain a stable blood glucose level...

Ellen Sagan

By taking in adequate protein, cravings can be minimized which helps prevent the need to use drugs, alcohol, or sugar to meet those needs...
Read full article.

Ellen Sagan, B.S., RD
Nutritionist


Codependency

February 2019

Don’t Call Me Names: You’re Codependent, You’re An Enabler, You’re The Weak Link.

The truth is Codependency is different than loving, caring, helping and being supportive.

Donna Pittala

A family that is dealing with an active addict is in crisis, many times dealing with life and death situations. There are no hard and fast rules to tell us exactly how to respond in each situation. Right now, the opioid epidemic has many families in a panic...
Read full article.

Donna Pittala, MA, LCADC, CODS, CCS
Director of Family Services


Eating Disorder Recovery

January 2019

Eileen Reuter - Licensed Clinical Alcohol and Drug Counselor

At Alina Lodge we are aware of the many co-occurring disorders that our students struggle with, in addition to their substance abuse. These combined issues add confusing and complicated components to treatment. But it is necessary to address...
Read full article.

Eileen Reuter
LCADC, MAPC