Nature Speaks

By Dr. Gabriella Kőrösi

Seaside Oregon

Standing in front of unimaginable beauty. The ocean brings the morning breeze. The sand feels cold to a point that numbing sensations kick in. I stopped feeling my feet. My toes turn red. Should I turn back? The thought crossed my mind just for a second. Immediately my mind and body screams: No, not yet. I keep going. The morning air filled with eagles and seagulls flying. I hear the familiar roar of the water and the waves clashing on the sand. Making my way through rocks and sandy grass to the ocean. There is that moment of anticipation when you know what is coming. The beauty, the power, and the surrounding calmness of the water. It is truly amazing how something so powerful can create the most Zen and mystical moments.

Closing my eyes for a few minutes. I can sense the ocean’s power, feel the wet sand under my feet, feel the wind’s gentle touch on my hair and my body. It seems like I can see even that my eyes are closed. I can see a reddish color with particles merging together between air and water and create a beautiful harmony like a well-practiced symphony. It feels like synergy at it’s best. I can see with all my other senses and feel the energy surrounding me. I am thankful and grateful to be here, to enjoy this moment. Feeling the sand on my feet brings a grounding sensation and closeness to the earth that feels natural, it feels like home. Moments like these create true joy and belonging to nature, being a part of everything surrounding us. We are the water. We are the air. We are the wind. We are the fire. Broken sand dollars and shells under my feet, I keep walking. The morning sun shines its calming red rays on my face. It feels wonderful to be here. My feet warms up as I keep walking. The numbing sensation is gone. My toe colors return to normal. The sand shows multiple patterns in front of me. It is nature’s foot massage. The ground in front of me is a hard surface crossing between flat or wavy while in other places it is so soft that my feet sinks into the ground.

It’s time to turn back. I say goodbye to the ocean until the next time.

Thank you for being here.

www.gabriellakorosi.org

https://gkorosi75.medium.com/

A Gift from my Grandmother – Love of Baking

Challah Bread with a twist

By Dr. Gabriella Kőrösi

My grandmother loved baking and cooking for everyone in the family. I felt her love through food. She enjoyed cooking and enjoyed even more when we liked her cooking. She was an excellent cook, and her baking was also always magnificent. I have some recipes from her and one of my favorite one is challah bread what I call in Hungarian: Kalács. I called my grandma mama. Mama never measured anything she just felt what was right by experience. The only way to get the recipe is to watch her and measure things as she was putting them together. This is how the mama style kalács was born. I been using the base recipe for a long time and I been thinking about making it my own. I like to experiment with baking and sometimes succeed and sometimes not. This experiment happened to be a good one and I made an excellent kalács yesterday. I used my grandmother’s base recipe with some changes.

            Kalács is a little complex. It needs to rise the total of three times. Mama’s base recipe uses 1 kg flour, 6 dl of warm milk, 1 egg plus one for the top of the kalács, 5 spoonful of sugar, 1 and ½ spoonful of yeast, 2 spoonful of butter. The first spoonful of butter used with the initial mix the second after the first rise with the second mix.  Instructions: Mix yeast with sugar and some warm milk together and let it sit for about 5 minutes. When yeast is ready mix everything together. Let it raise until it doubles about 30 minutes. Rework the kalács dough again with the second teaspoonful of butter, let it double again. The next step is dividing the dough into 3 equal parts make a long strip of it then braid the 3 strips together. Fold the ends under. Let it rise one more time until doubles about 30 minutes in a warm place. Once it is done cover it with the egg and milk mix then bake for about 30 minutes in 350 F. The outcome is delicious kalács. You can add a sprinkle of poppy seed on top before baking it.

            I been making the kalács thins way the last 20 years. Yesterday I felt adventurous. I created a new recipe. I used the base recipe with a twist. I used honey instead of sugar. I used ½ amount of milk and ½ amount of macadamia milk. I just started using macadamia milk for hot chocolate and I love it.  I decided that I want each strip to be different and a little more fun. I created one with adding 1 teaspoon full of dark raw cocoa powder and one with a saffron soaked in about 2 tbsp of e=water and added about 1 teaspoon full of saffron oil. After the first mix I divided the dough to three equal parts. One I left the way it is. One I added the cocoa powder and worked it into the dough. The third I worked the soaked saffron and saffron oil into the dough. Everything else was the same except I did not have and eggs, so I used an egg replacement. I used a milk butter and honey mix to cover the kalács before baking. Baked in a pre-heated oven in 350 F for 30 minutes. I made 2 loafs instead of one from the 1 kg of flour. The outcome is a fun and very tasty kalács with a twist. As I was baking and then slicing the kalács I could hear what my mama would say. Good Job, this turned out great.

Mama 2011 Jasszentlaszlo , Hungary

Thank you, mama, for making all those wonderful meals and baked goods for us when I was growing up. Thank you for the joy of baking. Thank you for teaching me to cook and bake.

Celebrate anyone who cooks or bakes for you today😊

https://gkorosi75.medium.com/a-gift-from-my-grandmother-love-of-baking-859893c38e92

Death. Loss and Grief.

Facing our own Mortality.

By Dr. Gabriella Kőrösi

Remembering Dr. Cockcroft

Death is hard to face. It can be a sudden and unexpected visitor leaving shock, disbelief and sorrow behind.

The week started as any other normal week. People had enjoyed the weekend. There were wonderful conversations on Monday morning who did what during the last few days. Monday was great. Nobody knew yet that there was something wrong. Nobody at work and in the community anyway. The family knew that they were missing someone. By the next morning we all knew. He was not at work. He enjoyed the weekend, and something had happened. He did not return home. He did not come in to see his patients. He was missing. There was hope in the beginning. He was a survivor, people were hoping. I was hoping. There was hope for a little while, then this feeling sets in. He is not coming back. It has been too long. There is a moment when if you concentrate on a person you can feel their presence. I had stopped feeling that presence after a few days.

Then we heard the news. They had found his body and he is really not coming back. Even though everyone knew that this was a possibility. Now it was real. He is certainly not coming back. Death spoke his final words. There is no hope, there is nothing. He died. There is shock, disbelief, anger, and a multitude of emotions sit in. How and why, this had happened? He was such a wonderful man. Why did he had to die? He took care of so many others. He was an established pillar in his community. He died so sudden. Sadness sits in. Grief hits hard. Yet, life still goes on. One thing for sure in the middle of the storm everyone faces the loss and also face the fact that this could have been me. I could have died that day. Life is fragile and precious. If he died who was so full of life and charisma anyone can die at any moment.

Death is not something we think about every day. Yet in the past year there had been a lot of conversations about death. We are in the middle of a pandemic after all. More than 524,000 people had died just in the United States alone. A lot of souls to grieve. A lot of families left behind. There are so many deaths every day. This is different. All losses are hard, yet sudden unexpected loss seem to be the hardest. In the pandemic we know that deaths are a possibility. Someone leaving for the weekend to have fun and not coming back leaves deeper wounds. There is no time to prepare. There is no moments to hold a hand or to say goodbye. There is no chance to say the last words of love, caring or wisdom.  It can be hard to face death. There is no bargaining, there is no way out. He is really gone. He will be missed greatly by his family, friends, co-workers, patients, and his community.

I am grateful for all the wonderful work he had done in addictions, family practice and pain management. I hope he did not suffer. He will be missed by many.

Thank you, Dr. Cockcroft, for all you have done for so many.

May your soul and spirit rest in peace.

www.gabriellakorosi.org

https://gkorosi75.medium.com/

Daily Astorian: https://www.dailyastorian.com/news/local/seaside-doctor-remembered-for-spirit-of-service/article_9ed4b9da-7216-11eb-ba89-93df224d5c00.html

https://www.forevermissed.com/ben-david-cockroft/about

https://www.dailyastorian.com/news/local/community-event-planned-to-memorialize-late-seaside-doctor/article_fa004fb0-756b-11eb-9043-5b856bf58f44.html

https://www.worldometers.info/coronavirus/country/us/

COVID -19 Vaccination Experience

By Dr. Gabriella Kőrösi

It was a Friday afternoon I believe when I got my first notification that I am eligible to receive the COVID -19 Moderna vaccine. Even before that notification at work I had to fill out a questionnaire if I am willing to get the vaccine and how close I am to patients and providing patient care throughout the day. Once I received the notification I had to go to an app and pick a date and a time available for vaccination. Before the vaccination event I received 2 or 3 reminders about the vaccination time and place. I was very excited to receive the vaccine. Part of me was also scared. Not because we do not have enough information, I knew that the studies been valid, I done my research. I was scared that it is not going to be done in time to save the people who are most vulnerable. There had been too many deaths and we are far from over in the battle for life in this Pandemic. When I got to work Monday, I realized that the vaccination clinic was also looking for more help and I signed up to be the part of the clinic for both days. The day I received the vaccine my role was to be one of the observers after people received the vaccine and day two was to vaccinate people. Both roles were very interesting. We did the clinic in our conference rooms. People checked in outside in the hall, went through all necessary paperwork then came into the conference rooms to be vaccinated. We had three vaccination stations both days and the second half of the room was set up for post vaccination observation.  The vaccinators double checked the questionnaire filled out and asked questions about allergies, allergic reactions, immunocompromised conditions, and blood disorders. People who had any type of allergic reactions before vaccinations had to get a consultations with their primary care provider to discuss the benefits and possible reactions to the vaccine. In the post vaccination area, we provided follow up information about next steps, monitoring adverse effects, and recommending registration to the CDC ’s vaccine safe site. We monitored people between 15-30 minutes. One wonderful, unexpected effect in the post observation area was observing the connection between people. While some people were eager to get out when the 15 minutes was over, others were happy to stay and had engaging conversations with other staff members. Sometimes people forgot about the time and ended up talking to others and staying much longer than required. While I was in the observation role, we did not have anyone with any reaction to the vaccine. I received my vaccine at 15:10 at my scheduled time than went back to continue my observation of others. The vaccine itself did not hurt. I did develop some pain and local reaction by the next day. I registered to the CDC ’s v-safe site and received check ins for about a week every day after receiving the vaccination. The next day I was excited to participate in vaccine administration. Adding people in the ALERT vaccination system was also happening in real time. When I set up my station and got my first bag of vaccine, I felt like I am handling gold. Most people were very eager to receive the vaccine. Some people were nervous or anxious and asked some questions before receiving the vaccine. Most people did not even felt the vaccine administration. Many people did pictures and videos to create a memory of the vaccination. I made some pictures of vaccines, my vaccine station and posted some pictures that other people took of my while vaccinating. Overall receiving a vaccine and participating in the vaccination clinic had been a wonderful experience and I am hoping to be able to help out in other vaccination clinics in the future. Vaccines are still only part of the solution especially as we do not know how long the effectiveness will last. Preventing the spread by avoiding crowds, wearing a mask and hand hygiene are essential to help decrease the spread of the coronavirus.

Stay safe!

Wear a Mask

Get Vaccinated

www.gabriellakorosi.org

Resources:

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vsafe.html
https://www.cdc.gov/vaccines/covid-19/info-by-product/moderna/index.html

The Power of the People: Peace

The Power of the People: Peace

By Dr. Gabriella Kőrösi

          I opened my eyes today and I knew what I needed to write about. I can see it. Is it really possible? I see a rain drop. Not even a full force of a rain drop. In the beginning it is more like particles of mist. Imagine a misty morning. Stepping outside and feeling the gentle fresh water on your face. Small particles. Small wishes and hopes. That is how it starts. Small. A small part in each and every one of us.

Could we do this? Is this something people want? Is this something you want? I do believe so. I do believe that most people want peace. Peace in our hearts, our souls, and our neighborhoods. Peace for our families, friends and loved ones. Currently, we have over 7.8 billion people living on this planet we call earth. 7.8 billion people. A lot of power lives in numbers. If for example 7.7 billion people want peace, equity, love, caring, support, appreciation, and kindness in this world why 0.1 billion can stop this from happening? Why we have wars? Why we have fights over power and money? Why a few in power can decide how the rest of the people live and die?

Could 7.7 billion misty particles wake up and demand a better world? Not with tear gas and guns but with love, kindness, and appreciation for each other and what we have in this earth? Could you wish the best for your neighbor and support them when they need support? How about the person struggling down the street? How about someone you don’t know? Could we show that we can all be better? Could we look and treat each other as humans without judgement? Can we grow from a misty small particle to a full blown raindrop? A raindrop that has a peaceful force that sweeps away the few that want the distraction of peace? Is it possible? How many raindrops will it take to fill our dried out rivers again, to bring bounty to places where forests were cut down?  How many trees could we plant if we all just plant one? At least 7.7 billion. What you think? Will you be one of those rain drops? Will you be part of a river bringing hope and peace for the future?

www.gabriellakorosi.org

GK. 8/4/20

Kindness

Take a moment. Look outside, what do you see? I see shades of green of lush evergreens. Ferns, flowers, birds. I see the sky that is a little gloomy this morning. Rain drops collecting on the front deck, paddles of rain providing water for thirsty birds. I see chickens walking around looking for tasty bugs to eat. I see peace and serenity. The leaves gently move with the morning wind. No judgement. No questions. Trees, plants , animals, survive the best they can. They need water, nourishment of good soil, sun. Then, just let them grow. If I want them to grow better I take care of them. Take the weeds out. Make compost from scraps of unused fruits, vegetables and make compost juice that I dilute with water to provide additional nourishment. Some plants are more temperamental then others. Regardless: basic needs of water, sun and some soil is needed for every plant to survive. Basic water and food for animals to survive.

I watch sadly in the world all the negativity and lack of kindness when it comes to treat each other as human beings. I am grateful for each and every person who is kind to another. Violence, racism, sexism, judgement, blame will not take us anywhere. All that brings is loss, tears and sorrow. I recently took a genetic testing. I was curious. What I learned was that I belong to most of the continents and most of the groups, generally of course. In my genetics I have European blood and Asian blood, African and Philippine, German and Italian, Slavic and Scandinavian, Peruvian and Indian. The list goes on. I am so mixed that I can only say that I am human. I belong to all. I care for all. I would only want to be judged by another person based on my actions. Not by looking at me with judgement because where I was born or where I live now or what color my skin is. My skin color does not tell you who I am, what have I done and what have I lived through in my life.

I do see some kindness in the world. I hope that it will spread. I hope that one day most people realize that we are the same. Life is tough as it is. So many people do not have even the basic things to survive. They do not have the food and water and shelter they need. They die. People die every day. Mother nature provides and takes away. We kill our environment, it kills us. People kill and hurt each other. It is hard enough to survive in this planet without having to deal with lack of kindness and continuous judgement. I do have hope. I do believe in the human race. I hope that for the future kindness will prevail. I hope that we will nurture each other that same way mother nature nurtures plants. I hope that each and every person who is kind to another will grow and provide a positive example to others to follow. I hope that we will survive and flourish.

Be kind.

Friendly Invaders

            It started on a Saturday afternoon. The weather was beautiful, the sun rays showed their amazing play on the surrounding evergreens. I was standing by the kitchen sink, washing dishes, and was looking out on the window. I knew something was out of place. I was not sure what it was at first. I slowly closed the faucet, the water stopped running. Stillness. For a minute I was just standing there looking out of the window. I heard them before I saw them. It is not something I seen before, so I was unsure what was really going on. I just stood still with a million thoughts running through my head. What it that sound? My body just moved like if it knew that I had to do. I went to investigate. Took a closer look. I went outside to the front porch. Walked to the side of the house and stopped. Here they were. Many of them. Buzzing around happily by our roof. Their little wings flopping enthusiastically, exploring, checking out the place. I have to say it was the perfect spot for them. I was standing there trying to count how many. I think it was about 50 or maybe a 100 to start with. I was just standing there watching them. I was not sure what kind they were; I was just hoping that they were friendly. I knew that this was lucky in a way, we do need them, and their numbers have been declining for a while. They are in danger from so many things. I intuitively knew that this was also a problem, and also that I need to try to save them.

            Their little bodies were covered with fuzzy, yellow, and black striped coat. Honeybees. They were scouts and decided that our rooftop would be a perfect place for them to move in and build a new nest. Their visit was exciting and worrisome at the same time. I started to call around friends and people we knew who knew more about bees to get some ideas that might help us what to do with the bees.  I also started searching for ideas and learning from others more about the bees what do they like what they do not like. I learned that they do not like cinnamon and moth balls and like lemongrass. We did not want them to make a home in our house and started to come up with ideas how to gently move them out. We found someone who had an extra honey box that they brought to our house. They set it up on top of one of our small buildings next to the house. We made cinnamon water and started to shoot it up with a water gun, squirting it up to the rooftop where the bees were. Stuffed some moth balls up to the area as well. The buzzing were so loud we could hear it through the ceiling. Sleeping and wondering what will happen was difficult.

            The next day was also warm and beautiful. The buzzing got louder, and the dogs got terribly upset, they kept barking and barking continuously. I got the puppies inside and went outside to look around.  The buzzing got extremely loud. Nothing I ever heard before. I just listened for a while. Then, I walked outside by the side of the house and looked up. Well. The day before I had seen maybe 50-100 bees, now, they were everywhere. Thousands of them. Time has stopped. I stood silently, amazed, and shocked at the same time. I was scared and excited. The bees covered the whole house, it was a huge swarm. The weather changed suddenly, and the rain started. We have not seen the bees again for a long time and kept wondering if they have moved into the bee-box or not. It took about two weeks before the weather got warmer again. We heard them first, then I started to see them around the bee box. It was extremely exciting. We sent pictures and videos to the beekeepers. It seemed the bees moved into the box. I felt relieved. After about another week the beekeepers come and took the bees away to their home. When they lifted up the box, they estimated that there were about two pounds of bees in the box. I never even heard about bees referred by their weight before. I was glad that the bees now had a safe home and they moved out of our house. I found out the next day that two pounds of bees equal about 7,000 bees. We had saved 7,000 little lives. It made my day.

Save the bees.

Fight for a Lifetime

There is an epidemic and you are not alone. She is been waiting for those results for awhile. She received some of them a few weeks back. The company could not finish running all the results, there was not enough material. She had to wait. She was sitting in a rolling black computer chair wondering what will be next. Then a sound that is familiar came through. A pin drop in the air. Is it good news? Is it something helpful or something annoying? There was a new message. She glanced; kind of half interested so see what it was. Then she thought, well here it is. The results I been waiting for. What will they tell me. A lot of things were running through her mind. What will I find out? Should I open the results now? Wait until I get home? What will all this mean?

These tests are more and more common. She was seeking out this test because there had been a lack of answers. She has been trying hard to get better, to feel better. Nothing seemed to be working. A lot of people are in those same shoes. What shoes? She got what she had from her parents, grandparents, great grandparents. There was not a lot of choice in the matter. Just the way she was born. She could not wait, the intensity of emotion filled up the office. The sun was shining outside, the trees were watching intensely. The workday was almost over. Just do it her mind commanded. She did.

The workday was almost over. Well, why not, she thought. What the worst that could happen? She opened up her CRI genetics health report. She started to read about her genetics as they relate to her health, allergies, sensitivities, metabolism and so forth. The more she read the more it made sense. Quick caffeine metabolism, caffeine anxiety, allergies to cats, dogs, and pollen, high triglycerides, low salt sensitivity, the list goes on. Now those teary eyes and swollen eye lids made more and more sense. It was like switching on a light bulb. The more she read the more she understood herself, her family, and problems she has been having. Then there it was. The result that made tears come to her eyes. It still does every time she thinks about it. It has been a struggle and a fight for over 20 years now ever since her second child. It all made perfect sense now. It is not just her, there is a genetic disposition that is working against her. Not just one gene. Six. Three in each category. The categories, just looking at them so simply written with and explanation made her head spin. It almost seemed surreal. She was in another dimension.

It has been 20 years of wondering what she has been doing wrong. Why she does not feel healthy, why she does not look the way she used to look. Here it was. Genetics plays a huge part in it so she will need to work extra hard to get better and get healthier.  It’s been so long. Here are the answers. Tears are flowing and she is trying to understand what it all means. What it means is that she will have to work extra hard for the rest of her life. The struggle will not end. Here are the genes that were handed down to her by her ancestry: genes RS10968576 is AG RS12444979 is CC and RS4771122 is GG. Looking at them does not mean a lot, they just seem interesting numbers, then the description comes.  Higher predisposition to high BMI (body mass index). The genes tell her to prefer high calorie foods, tell her that it will be difficult to maintain weight. The list goes on. Another three genes although they are on different chromosomes, numbered 3, 6 and 16 tell the difficulty to maintain weight and experience the yoyo effect as it is described in the report. Greater difficulty staying in shape comes from both parents. She has to exercise more, not have any drinks, no sugar or use tobacco products. Good to know she thought. Smoking and alcohol was never a problem. Bread and sweets on the other hand, well that is another story.

One interesting fact it the bottom of the page it stated the confirmation as to why this is a big problem. It is not just a problem for her. She knew this. There is an epidemic. Obesity epidemic. The processed foods don’t help either. Fat and sugar loaded foods don’t hep either. Also, genetics play a role. The things she craves, the things others crave. Others who took this health test over 76% people got the same results, two parents, high difficulty to maintain weight. What does this mean for our future, she wondered. About 20% people had moderate difficulty maintaining the weight, this left about 2.6% little difficulties and some inconclusive results. She did not know how many people took this test, still it is most likely a good representation of the population. So, the population is predisposed to obesity, yet look at our food stores. Full of fatty and sugary foods. Welcome to the new evolution, she thought. Well she will just have to work harder. She will. No other choice. She has this sentence taped to her computer screen: “Never give up”. She is me and I won’t give up.

Hope you will join the fight to be healthier with me. This piece was written for myself and the group of Transformers for our weekly weight loss challenge requested by my coach Allison. She asked us what courageous thing we can do this week. I said I will write about my struggles to maintain my weight. Hope you enjoyed. Stay healthy, stay safe.

Mothers

It was an early spring day, she was standing there, her hair down, slight wind in the air. It was a parking lot. A place where many people come and go. She was looking at me and I was looking at her. A secret glimpse. The drive was not easy. I was sitting in the back seat, to her right and I know that here I am, and yet, I am about to leaving again in a few moments. My emotions were up on the car ceiling. The world felt like it was spinning around me. Two weeks flew by so quickly, it was just not enough time. I appreciated every moment. This was 2 years ago. There was no need to say any words. I could see it in her eyes, the movements in her body, the unspoken words, I knew that my tears will follow. The truth of deep love and caring for each other. It is hard to say goodby when you do not know when it will be again to see your mother, and as a mother to see your child and let them go again. It might have been a normal day for everyone else. Not for me, and not for her. There was an understanding between us that only a mother and a child can feel. A bond that forms while in the womb and gets stronger while growing up. There are moments that are wonderful and moments that we tend to forget. The last moments for me were in the airport saying goodby.

I talk to my mother often. It is not the same. Especially now. The borders are closed and I can not even go to see her even if I would want to go. She is thousands of miles away, yet she is with me all the time. There are many times when I think : ” What would my mother say now? What would she tell me to do?”. Even if she would live close by today, I could only see her from far apart and could not hug her, hold her, or be close to her. It is certainly a difficult time for mother’s day. I am grateful for all the mothers. Not just the human ones. I am amazed by all the wonderful mothers of the animal kingdom as well. I am also very grateful for all the step mothers, adopting mothers, grandmothers and sisters, foster parents and the list go on and on. I am grateful for everyone who takes care of others. When I think of mothers I also think of “mother nature” and I am grateful that there is air that is breathable and food that is edible and natural elements that can be used to provide housing. I am grateful for all the wonders of the world. I hope that all of the mothers and children out there will be able to connect today and keep in touch through tough times like this pandemic.

I hope that I can see my mother and my children again in person. Today, I also want to thank for all the people who are working on that solution to make connections possible again, and all the people who are social distancing and wearing protective masks to protect themselves and others. Many people who had died in the past months because of the coronavirus are older, many of them must be mothers. I thank all of you who tried and keep trying to keep them safe. It is definitely a unique and different mothers day that I had not seen before. The best anyone can do for their mother is to stay away and wish happy mothers day from at least 6 feet. I think mothers day is a nice tradition, on the other hand I appreciate my mother every day. I am grateful for each day we are both on this earth. Mom, thank you. Love you.

Mental Health Conference

Last weekend I drove to Salem Oregon to attend NAMI’s yearly conference. I had met some wonderful people and learned a lot about services that NAMI and affiliates provide. Some of the services that affiliates reported from the past year included but not limited to ending the silence, family and friends, CIT trainings, support groups, stigma event, basics trainings, health fair, family to family classes, table events, outreach to schools, mental health first aid, suicide prevention, launching a website with resources, sib-shops for kids siblings with mental who have mental health issues. Two counties are currently working on opening a Clubhouse for mental health support including Clatsop county and Mid Valley. It was nice to see all the collaboration and the impact that NAMI affiliates all together created in their communities. It might not seem a lot when we look at one community but adding all of them together there are a lot of services and programs that are provided. Volunteers are always needed for more support. From all of the US NAMI Oregon is #7 in providing program delivery and #11 on the number of people served.

It was great to meet the new Behavioral health director from OHA Steve Allen, and hear his vision for the future of mental health in Oregon State. He discussed multiple legislation’s. Aid and Assist admissions doubled since 2012. IMPACTS SB973 Improving People’s Access to community based treatment. He discussed improvements needed in children’s behavioral health including assessments, in home treatment(Medicaid), Crisis and treatment services (CATS), youth suicide prevention efforts. Additionally, he discussed school mental health investments, the student success act. He talked about HB 2257 as it relates to Substance abuse disorder and chronic illness. He talked about the new CCO 2.o integrated care with behavioral health benefit. Steve Allen emphasized that adequate provider network is needed to assure timely access to mental health care. It is not acceptable not to have enough providers, he added. He discussed challenges and complexities in rural areas. He felt that sometimes the least experienced people are the ones working with the most complex mental health patients. His vision is to provide wrap around services where the individual is in the middle and they are surrounded with a system and a team that provides simple, responsive and meaningful service delivery. He feels it is essential is to identify what is the most important thing to the individual in their life and start there. He would like to see decreasing barriers and simplifying work flow. Go upstream. I was very inspired by his talk.

There was a session on Clubhouses and Chadwick Clubhouse from Roseburg,OR did a very nice presentation on their new clubhouse. There was a member testimony. He described how the clubhouse helped him after he had a breakdown. Now he works for the clubhouse as staff. It is always nice to hear when people are supported. Roseburg’s clubhouse now been open about one year and just also received their own 5013c. They will become an independent organization. They are looking to hire a new director as well. Medford,OR clubhouse (Compass House) director Elizabeth Hazelwood was also present and provided data that showed the need for mental health support in the United States and the effectiveness of the clubhouse model. Elizabeth has been working with Chadwick Clubhouse, providing support for them. Clubhouses are a wonderful way to provide non clinical mental health support for those in need. They create a work ordered day, a community where people can feel safe, useful and appreciated. It was wonderful to see all the accomplishments from both clubhouses. I am very excited that a clubhouse will open soon in Clatsop County as well.

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