Along the Road - WINTER 2018 - CHI St. Joseph Children's Health
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WINTER 2018 Along the Road The CHI St. Joseph Children’s Health Journey to a Healthier Lancaster Community
Letter from the President
The
Biggest
Heart
Elena, my oldest daughter, has the
biggest heart I’ve encountered.
When she sees a person, or an animal,
in need or sad she’s quick to respond.
Without giving it a second thought, she
would give away her last penny, make a
gift out of her favorite toy, or give away
the book she just bought as a present all
to bring some comfort and happiness to
another. I absolutely adore this about her.
Sadly, somewhere along the way many
of us lose this innocence, this desire to
improve the lives of those around us,
this desire to be of service to our brothers
and sisters.
2 | CHI St. Joseph Children’s Health | www.CHIStJosephChildrensHealth.org
My staff teases me about my admiration of Robert healthier, more vibrant and more successful? What
F. Kennedy and the ideals he embodied during his if health was the building block upon which commu-
brief time with us. A poster from his 1968 presiden- nities thrive? We’ve started efforts to remove lead
tial campaign hangs in my office. In these chaotic from community homes and businesses, provided
political times, I find that his words ring as true today community meals and social opportunities, vaccinat-
as they likely did in the 1960s. When orienting new ed residents against the flu and most recently began
staff or volunteers or talking about what the culture providing access to formula and first stage baby
is like at CHI St. Joseph Children’s Health, I often call foods for any family in need within the Borough.
upon one of RFK’s famous quotes, “There are those Most of what we have created and the programs
who look at things the way they are and ask why…I we have initiated as a part of Healthy Columbia
“There are those who look at things the way they
are and ask why…I dream of things that never were,
and ask why not?” – Robert F. Kennedy
dream of things that never were, and ask why not?” have not been tied to participant income level. This
I feel we are called to embrace this philosophy in our has confused some members of the community
work at CHI St. Joseph Children’s Health. Likely and really troubled some people looking at what is
none of us will ever be in a position or work for offered from the “outside.” I was asked about this
another organization in which we will be given the programmatic nuance by a reporter the other week
opportunity to fully embrace those words and when talking about the First Foods Access for Ev-
envision ways we would work to make our world eryone program. To us, the answer is pretty simple.
and our communities the place of dreams. There are certain things that, as a community, we
should assure are available to every resident – food
This past summer we began rolling out a new
and healthcare fall into those categories. It’s not a
initiative at CHI St. Joseph Children’s Health – our matter of seeing things as they are. It’s a matter of
Healthy Columbia Initiative. To us, the idea was making things as they should be.
pretty simple – What could happen if we direct-
ed our resources toward giving a community the God bless,
resources and programs necessary for good health? Phil Goropoulos
How could we play a role in making a community President, CHI St. Joseph Children’s Health
717.397.7625 | CHI St. Joseph Children’s Health | 3
Family Wellness Case Management
Children’s Health: Thinking Outside the Box
What do you think of when you hear “children’s health”? by many factors, which is why our care for children extends
Physical health, good nutrition, well child check-ups… beyond the walls of our three clinical service centers.
At CHI St. Joseph Children’s Health our vision for creating a Family Wellness Case Managers support families by
healthy community extends beyond the standard defini- helping to navigate the healthcare system including
tion. Our approach to children’s health includes not only screening for eligibility of health insurance benefits and
every child’s physical and behavioral health needs; it also finding needed health services for the entire family. Our
includes the health and well-being of the child’s family and Case Managers assist families in creating a healthy
the child’s physical and social environment. We recognize physical and social environment for their child(ren) by
that a child’s health is determined directing caregivers to available resources in their
community including utilities/food assistance, safe and
affordable housing, lead remediation, financial resources,
recreational activities, support groups, and other services
son, the family needs to be healthy in all areas of life.
ungest
ild r e n . Her yo
ree ch To the left is a summary of Allison’s story and how she
with th ol staf
f
mother e scho
a s in g le hool. Th
Alli s o n is le in s c her son has worked alongside a Family Wellness Case Manager
g troub on sch
eduled
ta r t ed havin n . A lli s
Michae
l, s
evaluat
io
Michae
l to move towards her family’s health goals. (The individ-
hiatric where
n d e d a psyc a lt h Center uals’ names have been changed to protect privacy).
e H e
recomm avioral r his
ur Beh ped fo
o in t m e nt at o n w a s develo
an app nd a p la Allison’s story is a great example of how oftentimes
nosed,
ADHD a as diag
ia g n o s ed with t e r M ichael w a family’s vision for health and happiness includes
was d af .
hortly anager
ic a l care. S lln e s s Case M
ed c lin e more than just physical and behavioral health
continu mily W her
ith a Fa er and
t o meet w it ie s for h
gr e e d
three p
r io r
light concerns. We agree that access to affordable and
Allison a son set chool in
m e e ting Alli t h e r son in s meaningful after school activities is important
th is o r
During to supp sports/
d ways w cost
h e a lt h: 1) Fin inv o lv ed in lo for children’s healthy development and that
family’s en buy
r childr she can
Get he so that investing in a home is a part of creating a healthy
d ia g n osis 2) it s c o r e n
of his er cred nd Alliso
3 ) Im prove h s e M a nager a future for your family. The Family Wellness Case
s and a
activitie llness C nected
with
mily We ool, con Management Department is looking forward to
d a y . The Fa in s c h
a house
one her son r her
support nce fo continuing our work of thinking outside of the
it h a plan to n a n c ia l assista
p w fi
came u ovided d a box about health and assisting families along
that pr m, foun
it y r e source a s p o rts tea
u n gs for
a comm his siblin onth to
save their unique health journeys.
p M ic h ael and e r ie s each m
u c t
to sign ily’s gro to star
ment t
he fam unselor
s u p p le a fi n a ncial co – Aimee Clement, MSW
way to ing with ouse.
a meet buy a h Social Services Manager
, a n d set up e d a y she can
money that on
redit so
in g A lli son’s c
repair
4
4
Healthy Columbia
Actively Creating Healthy Communities
Parents are constantly bombarded with emerging health lead and has an elevated blood lead level, eliminating the
trends on what they should or should not be doing for source of lead, practicing good nutrition, and creating an
their children. One public health issue that continues to enriched environment can combat the negative effects.
seriously impact children and communities is the risk Through Healthy Columbia’s Lead-Safe Columbia project,
of lead poisoning. The ingestion or inhalation of lead families living in the Borough can have their homes tested
by young children (particularly those under 6 years old for free, regardless of any qualifying factors.
whose bodies absorb more lead than older children and There is still much work to be done. Healthy Columbia
adults) can result in the development of severe lasting seeks to work with Borough leaders and residents to
physical and behavioral health problems. Lead can be raise the standard for what qualifies as safe and healthy
found in homes pre-dating 1978, water pipes, children’s housing by empowering families to create lead-safe
toys, cosmetics, and more. Healthy Columbia is commit- homes. From grandparents who want a safe home for
ted to raising awareness about the dangers of lead and their grandchildren to visit to the young married couple
the risk of lead poisoning by equipping families with the who is concerned for their unborn baby, we can all work
information and the resources they need. together to create a healthy community.
When families learn that their home contains lead based
paint, they often feel blindsided. It is not something they Healthy Columbia has also been doing more than
often think about in the day to day hustle and bustle of screening houses for lead. This fall, in partner-
life. They know lead is dangerous, but are not aware of ship with UPMC Pinnacle, we held a free flu shot
the signs to look for or the proper cleaning techniques to event for the community to be armed against the
avoid exposure. Children are not always tested for lead at flu. This Christmas season, we hosted over 120
the recommended ages of 1 and 2 because they do not residents for a Pancake Breakfast. In January,
look or act sick. When a home or child is tested and the we launched the First Foods Access for Everyone
results come back positive for lead, the family often feels Initiative, which ensures Columbia families with
overwhelmed and uncertain about what to do to address children 12 months and younger have access to
this potentially devastating problem that could have formula and nutritious first foods regardless of
been avoided. income. Columbia’s Baby Boxes, an initiative that
With 90% of homes in Columbia Borough built before provides a safe sleep space for newborns in the
1978, this is the story of many individuals and families in borough, have been flying off the shelves. The first
the Columbia community. Lead-Safe Columbia seeks to six months of the Healthy Columbia project have
take a proactive approach by testing homes for lead and been invigorating, with so much more to come.
removing the lead hazards before a child is poisoned. Lead
poisoning is 100% preventable. If a child is exposed to – Kesley Miller, Healthy Columbia Program Manager
717.397.7625 | CHI St. Joseph Children’s Health | 5
Dental Services
What About Those Soft Teeth?
As we visited with family this past holiday season it was mom’s gums get sore and bleed, and let’s not forget about
enjoyable to see our younger generation growing and the dreaded morning sickness. Some of these things we
coming into their own. For me it was also a time of just can’t control. What we CAN control during pregnan-
reflection thinking about various family traits, and more cy are our oral health habits. Taking steps to take care of
specifically, teeth. Why do some family members have no your teeth during pregnancy can lead to a reduced risk of
original teeth left, and others have them all remaining. premature babies and other health complications for the
Why do people lose teeth? Is it a lack of access to care? mom during the pregnancy. Most recently, studies have
Is it a lack of interest in dental hygiene? Is it a disease or found that the bacteria that cause cavities in the mouth
a health condition that affected their oral health? Or, is it, of the mother have transferred to the amniotic fluid of
dare I say, the family’s history of “soft teeth”. the developing baby. Does this mean the baby will have
Why the quotes you ask? You see, in the dental profession,
we actually express frustration about the term “soft teeth”. It is important to practice
You can Google “soft teeth” and get many answers from
many dentists about their thoughts. What it comes down
good oral health habits both
to is there really isn’t such a thing as a “soft tooth”. There during pregnancy and once
may have been genetic issues during pregnancy or some
other negative health issues during childhood that caused your baby is born.
an abnormality in tooth development, but that’s a topic for
another article. cavities when he or she is born? No, it doesn’t. A newborn
So why do some families have a more difficult time baby’s mouth is considered sterile. Although, once a moth-
keeping their teeth even if they do brush and floss daily er who has a history of cavities and gum disease kisses her
and see the dentist twice a year? It really comes down to newborn baby on the mouth, it’s game on! She just in-
family and the traits that we share. More specifically it’s fected her beautiful newborn baby with the bacteria from
about the bacteria we share. her mouth. The same goes for kisses from grandparents,
siblings, aunts and uncles. And there you go – a family
When a baby is conceived there are changes that happen “trait” has just been passed on to the newest generation.
to the mother and the developing fetus that can impact Your whole family has shared their oral bacteria with your
the mother’s oral health. Hormones are going crazy, child. We can do this by kissing, sharing drinks, cleaning a
6 | CHI St. Joseph Children’s Health | www.CHIStJosephChildrensHealth.org
pacifier with our own mouth before giving it back to the
baby and testing the temperature of baby food on our lips
before we feed our infants.
It is important to practice good oral health habits both
during pregnancy and once your baby is born. We make
the following recommendations:
• It is okay to go to the dentist while you are preg-
nant. Your dental team really likes to see you in your
second trimester unless you are having a dental
situation that requires you to be seen sooner or even
later into your pregnancy.
• Brush, floss and rinse twice a day.
• For morning sickness, rinse with plain water and
DON’T brush your teeth for at least one hour. This al-
lows your saliva to neutralize the acids in your mouth.
When the hour is up brush with fluoridated tooth-
paste and, if you can, rinse with a mixture of baking
soda and water.
• Have a balanced diet and reduce the acidic juices,
sugary beverages and sodas you drink.
• Take the time to take care of your teeth post-partum.
You need to be healthy too!
• Once your little one is born you need to think about
infant oral care. We encourage you to wipe your ba-
by’s gums with a clean moist washcloth twice a day.
• Do not put your little one to bed with a bottle or
sippy cup that contains anything other than water.
Formula, breastmilk, milk and juices have natural
sugars in them that can cause the bacteria to have a
FEAST on baby’s teeth overnight. Bacteria + Sugar +
Teeth = Cavities
• As soon as your baby has a tooth, start brushing the
tooth/teeth twice a day with a water dampened baby
toothbrush or a finger brush. The American Academy
of Pediatric Dentistry recommends no more than a
smear or rice-size amount of fluoridated toothpaste
for children less than three years of age.
• Be sure to take your child to the dentist within 6
months of their first tooth appearing or by age one.
For those of us who have already been affected by family
traits, please brush, floss and rinse twice a day and see
your dentist twice a year for an exam. You will lead a
healthier life.
– Laura Myers, PHRDH – Director of Dental Services
7
717.397.7625 | CHI St. Joseph Children’s Health | 7
Children’s Health Education
Nurturing the Seeds of Change
As the temperatures in Lancaster dip into single digits, groups on her farm from April to November. Farmer Cin-
Farmer Cindi Hughes at Heritage Creek Farm Camp and di has been working with CHI St. Joseph Children’s Health
Education Center plans for warmer days. From the for three years and counting. We originally contacted
windows of her farm house in Mount Joy, Cindi can see Heritage Creek Farm Camp and Education Center (HCFC)
30 acres of frosty fields. The children’s garden which because we planned to form a Farm to School relation-
helps the educators at Heritage Creek teach children ship between Heritage Creek and the Columbia Borough
how to grow fruits and vegetables is covered in snow. School District (CBSD). Our goal was to increase the
The animals are tucked away in their warm winter students’ knowledge of local fruits and vegetables and
shelters awaiting the arrival of spring and the return shift their food preferences toward liking, choosing, and
of children to the farm. eating “healthy” foods more often at home and school.
Her head buried in seed catalogs, Farmer Cindi has a In the education department at CHI St. Joseph Chil-
vision. “We will start seed indoors in Mid-March and dren’s Health, we are spending countless hours in the
then transplant them into the fields after the threat of community teaching kids they should eat crunchy fruits
frost in Mid-May. As soon as the weather breaks we will like apples. We say, “apples are healthy choices for your
teeth and your whole bodies and while that’s true, it
start planting the Children’s Gardens so students visiting
probably isn’t enough to change what people do or the
the farm in the spring can participate in planting activities
way kids eat ” said Lizzy Krajan, Education Associate
and also see crops in various stages of growth. As part
and nutrition project lead at CHI St. Joseph Children’s
of our educational mission of teaching food origin, crops
Health. In our first year of working with the students at
are planted, maintained and harvested with the helping
Columbia Middle School-Taylor Campus, we confirmed
hands of students and campers. In 2017 we had about
kids really do eat what they know. Thorough surveys
½ acre in food production and in 2018 we expect to
and repeated taste tests revealed students loved fruit
increase that to close to an acre!”
- especially oranges – and some even liked vegetables.
Cindi and Ed Hughes live on a working farm which they “It makes sense that kids loved oranges, but we had
developed into an education center with co-founder been endorsing apples for so long, we actually believed
Rochelle Hildreth Dietz in 2011. The farm is home to a children in Central Pennsylvania would know more
very successful summer camp (yes, there is a waiting list) about them and love them as much as we do” said Kate
for children ages 3-17 and farmer Cindi also hosts school Huhn, Education Program Manager.
8 | CHI St. Joseph Children’s Health | www.CHIStJosephChildrensHealth.org
We wanted kids to love the fruits and vegeta-
bles that grow “in their backyards” and when
that wasn’t true we had to face reality that
kids in Columbia, just like so many kids in the
US, have no idea where their school cafeteria
or grocery stores get the food they eat. Kids’
preferences for food are rooted deeply in their
daily exposure to things. It’s not that they
won’t try new things, because they do that
70% of the time in our program. It’s not even
taste, a highly subjective variable we ruled out
early in our analysis. What limits their diet is
opportunity. They eat what they know and
what is easily accessible.
Farmer Cindi and the farm educators at HCFC
agreed to help CHI teach Columbia students
more about their food – and not just food
groups – by using an innovative farm-based
curriculum to show students the connection between Continued support from the Columbia Borough School
dirt and their dinner. HCFC brings the farm to the school District will enable CHI St. Joseph Children’s Health and
and their apple sauce demonstration is always a hit as
Heritage Creek Farm Camp to do even more with Co-
students take turns making and eating fresh apple sauce.
lumbia students this Spring. We are working through the
details to provide indoor and outdoor gardening oppor-
tunities on site, plus educational visits to the farm for
students at CMS Taylor and Park Elementary. Assuming
all goes well, the crops we plant this spring at Heritage
Creek will help cultivate a student-run Farmer’s Market
available to CBSD students and families by Fall 2018.
The Farmer’s Market may not have been a part of the
original Farm to School plan, but the students’
enthusiasm for planting and then eating the potatoes
they grew, nurtured the idea along. We are deeply
indebted to the food service team at CBSD and Christi
Beazley of Carol H Gilbert Consulting for helping us cook
and serve what the students grow. The root of this
project may be the food, but the program itself has
However, when the students visit the farm, as they’ve planted the seeds of change in Columbia. We have all
done every year of the program, they grow exponentially.
been struck, maybe even a little humbled, by what
Students calculate how much they would need to grow
Columbia students will do – when given the chance.
if they were farmers. They learn what grows locally and
Each year we feed them a new opportunity and they take
which parts of the plant we eat - roots, leaves, stems,
it - why not a farmer’s market? As for Farmer Cindi, she
etc. Seeing them crunch numbers and veggies assures us
is indoors right now, but not for long. By April you’ll find
these students can remain healthy learners. By far their
the education team from CHI St. Joseph Children’s Health
favorite activity is planting potatoes. If you thought they
and several hundred Columbia Students at Heritage
wouldn’t want to get their sneakers dirty, think again!
Creek Farm Camp planting potatoes. It will be easy to
Farmer Cindi taught the students to plant seed potatoes
find us. We’ll be the group with our eyes to the sky!
with their “eyes to the sky” and every single student dug
into the challenge. – Lori Albert McCracken, MSS – Director of Education
9
717.397.7625 | CHI St. Joseph Children’s Health | 9
Children’s Behavioral Health
Family Wellness Counselors:
An Essential Resource
A core philosophy behind the creation of the Behavioral on healthy lifestyle choices and improved communication.
Health Center at CHI St. Joseph Children’s Health is the It is our belief that healthy choices are the foundation
belief that the environment in which we raise our children for emotional and behavioral health.
and the choices we make, as a unit, directly impacts the
The family wellness journey starts with an assessment
short-term and long-term mental well-being of our chil-
completed by the family in conjunction with a Family
dren. How we choose to eat, how we communicate, how
Wellness Counselor. The two part assessment – complet-
we elect to discipline our children, how much or how little
ed in the home and at the CHI St. Joseph Children’s Health
we exercise and even how much sleep we get at night all
Center - helps to determine family strengths and possible
leave a lasting impression as children grow up into adults.
areas of need. From the assessment, the family and the
No one has all of the answers, but at the same time we can
CHI St. Joseph Children’s Health team map a path forward
all use some help and support as we strive to provide the
with our family wellness counselors providing support,
best for our children. Recognizing this, incorporated family
feedback, and guidance along the way.
wellness counseling as an essential component in our
treatment philosophy for all of the children (and teens) en- Families engaging the Family Wellness Counseling
rolling in our behavioral health center. Thanks to funding Program often request support and guidance addressing:
from the Catholic Health Initiatives Mission and Ministry nutrition, stress management and discipline/positive
Fund and the Lancaster Osteopathic Health Foundation, behavioral reinforcement.
this unique service offered to patients and their families
Launched in August with the opening of the behavioral
at CHI St. Joseph Children’s Health is provided at no-cost
health center, families have already reported positive
to the family and provides parents, siblings and patients
changes and development in their family relationships.
with important preventative and self-care strategies and
Parents have reported positive behavioral changes in their
techniques essential to long-term health and improved
children as a result of adaptations in parenting style, and
family functioning.
great joy at the discovering of a child’s willingness to try a
Working with our psychiatrist, nurse practitioner and new and healthy food.
therapists, the Family Wellness Counselors at CHI St.
Coupled with the psychotherapy and psychiatry services
Joseph Children’s Health function as a family wellness
offered at the Behavioral Health Center, the Family
coach assisting children and families as they identify
Wellness Counseling Program helps position each child
goals for the future and then work in partnership with
and family in our program for success and improved
them to develop a “roadmap” to success. The family
wellness counselors tailor their support and strategies to mental wellbeing.
meet each family’s individual needs, with an emphasis – Kim Nettleton, MSW – Behavioral Health Center Manager
10 | CHI St. Joseph Children’s Health | www.CHIStJosephChildrensHealth.orgThe Leadership and Staff of
CHI St. Joseph Children’s Health
CHILDREN’S BEHAVIORAL HEALTH
Thomas Foley, MD – Psychiatrist
Mary Jo Hanley, CRNP – Psychiatric Nurse Practitioner 2016-2017 Board of Directors
Lindsey Baker, MA – Therapist
Chris Ballentine – Secretary
Kim Myer, LSW – Therapist
Phil Goropoulos
Jillian Black, MEd – Family Wellness Counselor
Rebecca Edwards, MEd – Family Wellness Counselor Lorraine Gutierrez
Now Hiring – Family Wellness Counselor Mary Kennedy, OSF – Vice Chair
Kim Nettleton, MSW – Program Manager Tom Kopfensteiner, STD
Joe Mayberry, DO
CHILDREN’S DENTAL SERVICES
Lisa McCracken
Columbia Dental Center
Sean Mooney, PHR, SHRM-CP
Elizabeth Harrison, DMD – Dentist
Sherri Hosler – PHRDH – Hygienist Carol L. Powell, Ph.D.
Kiauna VanHook – EFDA – Expanded Function Dental Assistant Michelle A. Reaser, RN, BSN, MBA
Now Hiring – Expanded Function Dental Assistant Thomas L. Regan, DDS – Chair
Brenda Ramos – Dental Assistant Jodie Reinhart – Treasurer
Alison Rodriguez – Program Assistant
Debra M. Scheidt
Sharon Rombalski – Program Manager
Kathleen Troy Smyser
Lancaster Dental Center
Elaine G. Ugolnik, JD
Jeanette Pikarski, DMD – Dentist
Mary Wubbolt, PHRDH – Hygienist
Latae Schley – Expanded Function Dental Assistant
Now Hiring – Dental Assistant
Gerardo Diaz – Program Manager NOW HIRING – We are currently looking to
fill several positions. Call 717.397.7625 or visit
CHILDREN’S HEALTH EDUCATION StJosephChildrensHealth.org for more information.
Heather Ha – Education Coordinator
Lizzy Krajan – Education Associate
Matt Martsolf – Education Coordinator
Katherine Huhn – Program Manager
Hank – Health Hero
FAMILY WELLNESS CASE MANAGEMENT
Angelique Gebhard – Case Manager
Kerri Schaaf, MS – Case Manager
Leah Yarnell – Case Manager
Aimee Clement, MSW – Social Services Manager
LEADERSHIP AND ADMINISTRATION
Ruth Fellabaum – Executive Assistant
Philip K. Goropoulos, MNM – President
Beth Grossmann – Vice President
Lori Albert McCracken, MSS – Director of Education
Kelsey Miller – Program Manager, Healthy Columbia
Laura Myers – Director of Dental Services
Rose Sachs – Patient Support Services Manager
717.397.7625 | CHI St. Joseph Children’s Health | 11NON-PROFIT ORG.
1929 Lincoln Highway East, Suite 150 US POSTAGE
Lancaster, PA 17602 LANCASTER, PA
PERMIT #1564
717.397.7625 | www.CHIStJosephChildrensHealth.org
E THE DA
AV T
E
S
3rdual
Ann -QUE AND OPEN HOUSE
BAR-B
Join Us!
MONDAY, JUNE 4 2018 – 4 PM TO 7 PM
CHI ST. JOSEPH CHILDREN’S HEALTH
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