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Veterans experiencing an emotional crisis should contact the Veterans Crisis Line or call 1-800-273-8255 press 1.
Veterans in need of medical advice after normal clinic hours can call TelCareat 1-888-838-7890.
Services Offered Medical Services
(Please see Driving Directions for Clinton Crossings and Mt. Hope Ave Facilities)
Geriatrics and Extended Care Services
Parent Facility: Canandaigua VAMC
Please also see the website of the Office of the Health Insurance Commissioner (OHIC) at
an association of professional psychologists dedicated to promoting quality psychological practice within an effective and caring mental health system
is to promote and advocate for the clinical practice of psychology
licensed, doctoral level psychologists who provide healthcare related services. Retired psychologists, and students also are eligible for membership.
If you need to find a qualified psychologist in your area just SEARCH our free database.
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NAPPP and AMP have developed a joint training program in medical psychology. The program combines online course materials coupled with a weekly seminar on Skype. Request information,
Dr. Nicholas Cummings and Dorothy Cummings receive the first NAPPP Lifetime Achievement Award Read Their Stories Here?
The independent report of APA’s involvement in aiding torture is now avaliable. The full report can be accessed or downloaded. NAPPP Position and Hoffman Report Report
NAPPP’s proposal on how we think practitioners can be used to stem gun violence. See proposal
This is a video that you will want all of your patients to view. See the video
NAPPP releases handout for parent’s seeking treatment for their children. Download Here
FDA admits that medication should not be a stand-alone treatment for mental disorders.Read it here
If you have an idea or a completed manuscript for a book, contact NAPPP for an evaluation of your work. Publishing a book can be a great practice builder. Contact Us
NAPPP issues a model legislation for states to provide prescriptive authority to psychologists. Read legislation
A golden opportunity is also our last chance as psychologists Read paper
NAPPP has provided legislators and policymakers a blueprint for change that controls costs and increases patient care. Read paper
NAPPP confronts current medical practice in this 117 page document. Read paper
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American Board of Behavioral Health Practice
Receive Board Certification in behavioral healthcare
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Receive Program and Practice Accreditation in behavioral healthcare
For those interested in Exploring the practice of medical psychology. All revenue from the book is donated to the NAPPP PsychAdvocacy Fund. This is a great way to support practice and get a book in return.
We are holistic because we believe that healing requires more than just adjusting brain chemistry, and more than just talking about problems. Brain chemistry and talking can be important elements of healing, but equally important are the body, the emotions, the spirit, and our relationships with others and with ourselves.
At Psych Choices, we offer an array of alternatives. Psychotherapy can help you find more effective ways to manage your feelings, your relationships, and your life. Psychiatric medications and/or dietary supplements may address biological factors that have caused mental illness or distress; we offer genetic testing to help determine the best medication for your particular needs. Nutritional counseling and other lifestyle changes can have a profound effect on mood and stress management. We even offer pastoral counseling, sex therapy, and psychological testing.
We accept most health insurance plans. For those without insurance that we can accept, we offer a sliding fee scale.
If you are having a mental health crisis, please click here.
X Your life is extremely valuable, and people care about you.
If you, or someone you know, is in immediate danger of harming him or herself, please call 911 immediately.
If you are not in immediate danger, but do have suicidal thoughts or feelings of complete hopelessness, please contact us or another mental health professional as soon as possible.
Depression is a disorder that can be treated! Please reach out for help!
Psych Choices of the Delaware Valley can help, but we do not have an emergency service. For new patients, it can take a week or more to get an appointment.
In a mental health emergency, these numbers offer help 24 hours a day:
In Delaware County, call the Crisis Center at Mercy Fitzgerald Hospital at 610-237-4210. or the Crozer Crisis Center at 610-447-7600. 24 hours a day.
From anywhere in the U.S. call the National Suicide Prevention Lifeline at 800-273-8255. or the Treatment Advocacy Center at 1-800-SUICIDE.
PNC Building, Drexeline Shopping Center, 5060 State Road 2 nd Fl. Just East of Township Line Rd. US 1 Drexel Hill, PA 19026-4609
Phone: 610-626-8085 | Fax: 610-626-8032
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The Portsmouth Health Department is dedicated to promoting, protecting, and preserving a healthy and safe community.For reporting a public health emergency, such as a reportable disease or environmental public health hazard, after normal business hours, on holidays or weekends, please contact 866-531-3068
The Portsmouth Health Department is accredited through the Public Health Accreditation Board, and is the first health department in Eastern Virginia to achieve this designation. We are committed to the promotion, protection, and preservation of a healthy and environmentally safe community. Through data collection, continuous quality improvement, and community partnerships, the Portsmouth Health Department works to ensure the health and well-being of Portsmouth residents.
Welcome to the Portsmouth Health Department s C3 SUMMER CAMP Choices l Chances l Changes. This is our third consecutive year of delivering engaging summer camps to middle and high school students from in and around the Portsmouth community. This year s summer camp is organized into two one-week sessions from July 24 August 4, 2017 and includes exciting instruction and activities in:
In addition to instruction and fun learning activities, we will be providing breakfast and lunch to all camp attendees.
PHDMRC volunteers support local public health initiatives and emergency response. There are roles for both medical and non-medical volunteers. Participate in mass prophylaxis and vaccinations exercises and community disaster drills. Train with local emergency response partners. To volunteer, visit www.vamrc.org
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Let s face it, there are millions of reasons why we don t find the time to make healthy lifestyle choices. Kids, jobs, cat videos on YouTube we re busy. But whatever your reason, prediabetes is REAL. So find out if you have prediabetes by taking the test now. You won t regret it. Take the Risk Test (It ll only take a minute!)
(CNN) For the layperson, a few minutes might tick by without a second thought, but those precious minutes after a baby is born could be beneficial for newborns later in life, some doctors say. When to “clamp” and or cut one of the most prominent fixtures associated with childbirth, the umbilical cord, has been at the center of an international cord-cutting clash for decades.
What started as a grass-roots movement by UK midwife Amanda Burleigh nearly a decade ago, has recently grabbed the attention of medical doctors around the world. “I wanted to find answers to why so many children, including mine, my friends’ and my colleagues’ appeared to have additional learning and health needs, especially the boys,” said Burleigh. So she started reflecting on her own practice as a midwife.
“I began to question why we were trained to cut the umbilical cord immediately after a baby was born,” said Burleigh. “I then started to explore my theory that there must be a link to a child’s health based on when the cord is cut.” Her curiosity grew into a movement.
Doctors say before the mid-1950s, when many babies were delivered by midwives, most cord cutting happened when the umbilical cord stopped pulsating, around five minutes after birth. Despite a growing body of medical evidence, the exact time frame when the cord should be clamped continues to be a controversial topic among the medical community.
According to the American College of Obstetrician and Gynecologists, or ACOG, generally most umbilical cord clamping happens within 15 to 20 seconds after birth. The ACOG does not endorse the practice of delayed cord clamping but rather suggests cord clamping should take place between 30 to 60 seconds after birth, since the ideal timing for cord clamping has yet to be established.
Many international health organizations, including the World Health Organization, now recommend umbilical cord clamping be performed from one to three minutes after birth.
Medical studies have suggested positive effects of delayed cord clamping after birth, including increases in iron stores, blood volume and brain development. In a study released this week in the medical journal JAMA Pediatrics, researchers in Sweden measured the effects of delayed cord clamping on children past infancy and up to four years, a time frame few doctors have examined.
In the study, a group of 263 healthy Swedish full-term babies were randomly split into two groups. One group had their umbilical cords clamped less than 10 seconds after birth. The cords of the other group were clamped three minutes after birth. The two groups were then monitored for four years. The babies with delayed cord clamping performed modestly better on tests assessing their fine motor skills and social skills. The boys in the study displayed the most statistical improvement. The results, researchers say, showed no difference in overall IQ.
Though the results are not dramatic, researchers involved with the study said this is an important step. “It’s incredible to see what a difference an extra three minutes and one-half cup of blood can have on the overall health of a child, especially four years later,” said Dr. Ola Andersson, lead author of the study and a pediatrician at the department of women and children’s health at Uppsala University in Sweden. “This is very promising, but larger studies are necessary,” said Andersson.
At birth an estimated one-third of the baby’s blood is in the placenta. Red blood cells contain hemoglobin, a protein molecule, which carries oxygen to body tissues. At birth, the smallest amount of blood could have a big impact on specific aspects of an infant’s health, doctors in support of delayed cord clamping say.
Doctors in support of delayed cord clamping say there are also external drivers perpetuating the practice of early cord clamping in developed countries. Early cord clamping causes vital blood cells to remain in the placenta, which could be used and stored in stem cell banks, doctors say.
“It’s not a black and white issue,” said Dr. David Hutchon, retired obstetrician from the Memorial Hospital in Darlington, United Kingdom. “Though early cord clamping makes it easier to collect and bank cord blood stem cells — since most of the blood volume remains in the placenta — in turn, the nutrients from the cord blood are not directly delivered to the infant at birth.”
In the past 55 years, early cord clamping has become more popular as the medical protocol for managing the third stage of labor. This has largely been attributed to the need to monitor the cord blood gasses to test if a baby has been starved of oxygen during labor. Lack of oxygen during labor can cause brain damage in later years for some children, doctors say.
“When it comes to labor management practices, we need to find a better way of testing for the cord blood gases as well as getting billions of stem cells out of the cord and placenta after the baby has had its physiological transition and a normal blood volume,” said Hutchon. “We’re getting closer to finding a solution but we’re just not there yet.”
Neonatologist Anup Katheria, director of the Sharp Mary Birch Neonatal Research Institute in San Diego, aims to find alternative ways in which very premature infants who need help with breathing at birth can receive delayed cord clamping without having to be removed from their mother into a separate treatment area.
“The practice of helping babies breathe while waiting to clamp the umbilical cord has been around for a long time; it makes sense for the sickest infants,” said Katheria. “We’re focused on producing evidence that shows the benefits. We think this could become the foundation for practice changing resuscitation techniques, transforming outcomes for the most critical of newborns nationwide.”
Despite the obstacles, Amanda Burleigh said she will continue to champion for delayed cord clamping.
“I’ve been told I’m like the midwifery version of Erin Brockovich, which is a huge compliment,” said Burleigh. “The body of medical evidence is growing in support of stopping immediate cord clamping but there is still a lot of resistance because many people just don’t know about it and it’s always hard to change common practice.”
Опубликовано: 2 авг. 2012 г.
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Alora is an “all-in-one” home health software system that has been designed to handle both Skilled and Non-skilled home care services. Whether your agency is Medicare certified, purely a non-Medicare agency, or a combination of both, Alora home health software can be customized to fit your unique needs. Alora homecare software is capable of billing all payers, including, Medicare, Medicaid/Waiver, Managed Care, Private Insurance, VA and Private Pay.
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