LBISD SharpMesaVistaHospital

Friday, August 24th


Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Good morning and welcome to another edition of living veteran San Diego a public service presentation of Deanna comes San Diego radio stations and Jerry Lee. If you or a loved one is struggling but mental illness or substance abuse chart mesa Vista hospital wants you to know that you are not alone. At sharp mesa Vista hospital they are committed to recovery. From children and teens seniors. They have a dedicated staff of psychiatrists and medical professionals to help you build a strong foundation and reach your full potential. Joining us this morning as sharp behavioral health services chief medical officer doctor Michael plopped welcome doctor Popper thanks for having me hearing. Outlets are a little background info on chart mesa Vista hospital first of all if I'm not mistaken. On this is one of the largest privately operated psychiatric hospitals in Southern California in San Diego county's largest provider of behavioral health care for children adolescents adults. And seniors tell us a little bit more about it. Though that's accurate the had so we have a large hospital 158 beds. Located in turning mace on my campus is sharp memorial hospital. We've been there since 1963. Now providing services inpatient and outpatient to the community San Diego. How we operate seven inpatient programs and fourteen outpatient programs though on the campus set. At Germany's as hostile as well as two satellite locations for intensive outpatient programs and how component and its city. We also operates sharp McDonald's senator chemical dependency recovery hospital. Mr. stones are of mesa Vista are we focus on recovery from drugs now. And and again you do inpatient and outpatient right yes review inpatient and outpatient tells little bit about those services to a and the inpatient services. The people generally are admitted for significant depressive episode does sometimes. A serious psychotic episodes like schizophrenia. But most commonly people are admitted for severe depression. Sometimes in association with dependence on drugs and alcohol. We also treat good example and independently. Any mental health problem. At least in the stand at Patricia McConnell senator. But the inpatient services really error intended for a brief and patience today we have. A lot of gardens and and healing environment we. We are for people at mesa Vista hospital. They tend to be in the hospital a short statement about a week on average. And then return to the community and in the outpatient services. Now patient services per dollar were called in intensive outpatient programs which are focused. Programs lasting three hours a day after five days a week. Focusing on specific illnesses or problems. We have a van service wearing pick people up and come to stay. Was this for three hours. We offer luncheon during that time. Whenever variety of programs at a senior program and eating disorders program a cognitive behavioral health program for significant depression. Now we have an adult program for folks who have more long term serious illnesses. We have a PT EST program. Now we have we're starting Naia opiate dependency program meant to the ceremonies are senator appropriations. So very comprehensive. Set of programs really pretty much anything you can think that we can tree. Okay and I wanna talk a little bit more about those programs. Little more in depth you did mention eating disorder and eating disorder program can tells a little bit more about that one. Yes that's an outpatient program focused on people who have either anorexia. Or Bellini and sometimes association with the other nominal house challenges. Tidbits and outpatient program Rican several hours a day and and last several weeks. Has as a high success story. Okay and some you some of the other services that you mentioned child and teen services. We have out some analysts and both inpatient. Program and an intensive outpatient program for children and adolescents. And in some distance. The inpatient programs because we've brief me on three. Five days typically done in a crisis during that situation and then enter into or intensive operation programs where. Problems can be taking over a period of time. OK so that eases the stays there at the hospital then as you mentioned relatively short they tend to be relatively short yes. You find a lot of people coming back and I mean they're they're short term visits and coming back. Or or a moving on. In in a good way really must really very much depends on mother nature of the Jonas how chronic illnesses. The we do have summary admissions that typically. More often than not a personal have a single admission. And then not return on them but in every admissions aren't uncommon right. And and your adult treatment services. Have a variety of adult inpatient and outpatient services. The I mentioned the adult program. Which is a an intensive outpatient program for. Some very social moral longer term illnesses such as schizophrenia or bipolar disorder. Are treated in that programs. And and again for older adult. They have a program for them for older adults as well right yes we have an inpatient program. For a variety of ties to disorders. For older adults as well as a senior intensive outpatient program. We're predominately treating depression that program. Again we can pick people up which quite a service for seniors. Hand it lasts three hours today and several weeks consideration OK so when you talk about older adults and seniors what age group we looking at. Sixteen about which tends to be it's a little bit young for seniors. But. You know sometimes people with they've been more significant. Mental challenges and illnesses may. Who need treatment a little bit younger than someone else. India I also read somewhere that you have specialized programs by age and diagnosis. There's specialized programs. By diagnosis that I mentioned are. Cognitive behavioral program it's an outpatient program for depression so specific to that diagnosis. The we have a PT SD program trauma informed care program. For folks who have either military related are nonmilitary related problems. Oh what what's via. What's the intake process like for somebody that's coming in for the intake or via inpatient services. The personnel with a nurse. Two I do a good assessment. If that's if there are significant medical associated proms in my test you to imitate an emergency remarks are from or emergency room as well. He would Clarence. And then you're admitted seeing variety of mental health professionals a psychiatrist. Psychologist. Recreational therapists and nurses. Variety of a mental health professionals. Teaming the other tree. Now you satellite centers that you mentioned earlier where those located against. As one in mid city on university avenue on one in El Cajon. And they're they're similar to our programs of mesa Vista in that there intensive outpatient programs blessings several hours a day. We also picked people out fellow with a cancerous for the programs well. Let's talk a little bit about. Mental illness and in suicide in the United States is roles here in San Diego. We have seen over past. For the past several years a number of celebrities take their lives due to depression and other forms of mental illness. Statistics for mental illness and suicide are they on the rise who has a recent. Study by this the CDC. That identified in the fifteen year period from 1999 to 2015. The rate of suicide in the United States increased by 30%. To which is a huge increase over that period of time. And a number of factors can be identified that it was particularly among women. And particularly among middle aged man that there were rises relative to fifteen years earlier. I think there are a number of things which is contributed to it and not the least of which is the opiate epidemic which is contributed to suicide now Lian and lots of people. The economic downturn recession I think contributed to Roanoke contributed to the onset of depression and suicidal thinking particularly. Among middle aged man a man who for the first time had. They've lost their jobs are lost their homes or suffered serious economic challenges and that was a contributor. More recently overseeing that arise among women out over time. Men have outnumbered. Women in terms of a successful suicides by affordable. Men are four times more likely to actually kill themselves and then women and that's starting to change this and more women are taking their lives. Well how can somebody tell us if if there is what they have is a serious issue and when when should somebody seek help. Well generally it's better to. Air on the side of safety and seek help earlier rather than later. The but typically if you if your loved one becomes more disengaged. From you or from other family members are more more withdrawn. Less talkative. May have less energy sleep problems. May start to do now and after things like use drugs. Norm. Other types of our misadventures. That generally a person's behavior changes. And that's going to really start get concerned typically more withdrawal more this engagement as I mentioned that it's not acting like themselves it's important to. The favorable to be open to ask questions to be to engage your loved one rather than. I'm the enemy silent conspiracy with them to not talk about it. I have a question regarding where where were adamant in our country right now that's that's. With these school shootings in and other shootings is there is there a correlation between mental health illness and violence like these shootings. There really isn't there a mentally ill are much more likely to be victims of violence and perpetrators of violence. There is one particular type of disorder or psychotic disorder in which a person may develop delusional thinking. I'm may incorporate. That in two. There work or other types of relationships that type of thinking that's that's forming. Fixed false beliefs. Which can't do a person can't be dissuaded from. And sometimes when that develops in association with anger or something for which a person is angry about. That can lead to problems but it's a very significant minority. People who engage in violent activities. The so it's it's unfortunately been politicized to some extent. Utilizes a an argument. Against. Gun control in terms of describing this has been a Mormon mental health problem and I'm problem. And it really is our gun problem and availability of guns. Again and Julio aren't any more like anybody else very small subset him to the final. And there is still a huge stigma. Associated with mental health mental health illnesses isn't changing at all it is changing. I think we have less stigma of them used to one reason has there been more. Celebrities with mental health don't mental challenges to. Become public and talk about it. At the same time we've had. Celebrity associated suicides in the recent past. And that creates conversation. Around it which is very positive generally. I think sting has gotten. Were better but we saw along with ago. And things like political rhetoric about violence and guns don't help. In terms of our reducing staff. Is there anything we can do to to change that it hoped he would move forward. Open the conversation I'll be talking about it and fortunately your doing this year earlier airing this type of program and the it's it's important for us to get the word out that treatment works. That mental health does not need to know illness is not to me to be suffered a loner. Without treatment. And you know we're available to tell people when and and which people surveillance of our services. So we are currently in the midst of what many would call. And OPO I epidemic can you mentioned how you've got OP oil dependency drug depends and dependence programs. And a sharp mesa Vista hospital hope he would have been around for for a long time why are we seeing this. Problem now Pope he would have been around for about a 150 years in terms of common usage and in medicine. The air we're seeing the problem now because of a number of reasons. And a lot of us who bear some responsibility. The physicians aren't I'm alone in the hunt we have we have contributed. In the nine to 1990s. The institute of medicine and created a report that identified that we. Aren't treating pertained. Well enough in the United States the we are with holding medications from people who need it. And obviously people with them very very serious illnesses cancer who need opiate pain medication deserve that and should have as much as they need. But a week overshot the mark we trained doctors to look foreign treat pain. We made it too easy an emergency rooms to command without the pain syndrome and get a shot of the water and go home. Colombian. Intra muscular pain medication. And restated too easy to get. Took to treat and get opiates. At the same time we had these medications that became much more available particularly OxyContin. Which is used more chronic pain. Became was just very much more commonly and young people would get OxyContin out of their parents. I'm medicine chests. Use it for recreational lane and then discovered that it's pretty expensive. And it became less expensive to buy black tar heroin. So young people would switch from OxyContin or pain pills. To Harold and develop. You know very serious drug habit. So that those were contributors. Very potent medications like fentanyl. Being available on the market. And sold illicitly. Was. Again a huge prom because that's. Lethal it's it causes respiratory depression and overdosed and combine that with a alcohol or any other drugs. And a person's much more likely to die from overdose from fans and intentional as is so much stronger than than heroin right. Yes and its very potent comes. And over for his arms into a patch. And is sort of the number one illicit drug among these prescribed medications to had a year alcohol and drug treatment programs work. It sharp and mesa Vista hospital. We have inpatient detoxification. That Sherman says the hospital and also with terrorists are McDonnell senator. How we are developing what's called medication assisted treatment program at McDonald's senator. Provide both impatience and out patients can receive medications. Which helped where. Withdrawal and who have getting off these these. Drugs kind of success rate he's seen that these programs. Very good success rates oh with them it obviously depends on the take the am. The actual illness support systems people have how motivated they are for recovery. Have a we have very good success rate at both the facilities. And another part to a big part of sharp nice Vista hospital is your clinical trials we talk about that for a few minutes. Yes we've we've for I've been doing clinical trials of incidents are for 25 years. In a variety of disorders including how alzheimer's disease. Schizophrenia bipolar disorder. Depression. PT EST more recently. And so we are doing a variety of trials. And these disorders. And are always looking for willing participants for volunteers. Clinical trials only work if other people willing to participate in them. And it's an easy process. People get care for carefree. Oftentimes pretty sophisticated. Valuations and imaging and treatment of alzheimer's trials with. MRI scans and pet scans which are free. As part of the service. But we do a variety of frozen in. And these types of disorders and and again are looking for subjects now would assume it's different for each clinical trial balloon what are the basic. Guidelines or or qualifications to get into one of these trials. Well the basic guidelines include being able to give informed consent and fully understanding however clinical trials about. I'm being able to discuss and understand many risks and benefits which may be associated with a many trials most browser placebo controlled that's required by the FDA. Have the means of portion of the participants. Will be on a placebo or sugar pill on we don't know and they don't know whether there on that assists a requirement. For our new medication that come to market. So that's not uncommon. There's a complete evaluation. A number of lab tests are performed from. People will undergo some forms of psychological evaluations of to measure progress over time that those attended the brief assessments. We try and make it easy for people again and we we will pick people up. There's small a small compensation for time and that travel. Associated with a and it's it's an easy process you a lot of support from our team. And and it's helping us to really evaluate understand and get Newton treatments market. Now that's kind of where I was going to ask aside from probably helping you. In diagnosing and treating these these conditions what are some of the other benefits of having these trials. Well on the benefits are people have an opportunity to help others that's often what people say is their motivation. And as well as possibly themselves are we obviously can't make any promises in terms of outcomes of treatment with experimental medications but. The all these trials are overseen by the institutional review board of sharp hospital. I'm a sharp hospitals solution ensures the safety. Of subjects and and all information goes through them to the FDA. These are all very well monitored studies and I would encourage people to find out about them because it's a way. Particularly if you may not be doing as well just like with of the disorder your suffering from and are looking for new treatments this is a way to find that. And also two on this be a part of of the development of a new approaches to him to treatment of serious mental illness. And you mentioned that the different types of clinical trials alzheimer's. Depression PT SD schizophrenia are are all of these current trials right now that are sharp makes it. Yeah currently we have several trials and alzheimer's disease in fact we were we participated in the trial that most recently came out with positive results. It's the first trial look you know what's called amyloid and treatment of hypothesis. That is shown positive results. We have several pro is going on alzheimer's disease but have several going on and schizophrenia and no one thrown bipolar disorder. We have trials going on depression. In particular with the new medication called ask get a Maine. Which. Is. I knew a novel approach. To treating a new anti depressant to treating a treatment resistant depression is almost suicidal thinking. And that's the purpose of that medication at this point and it's showing some positive results others so we're seeing. Good results many of our trials. In and have somebody sign up for a trial to be pausing to do is call 858836. 8350. And you'll talk to one of our staff and then we can now find out that your interest and an appropriate as for trial. Now also a chart mesa Vista hospital you offer classes in support groups. Top spot thus we have a variety of support groups available to the community they they tend to be out here and run. We've their offered in the evenings and power around. Family support for various disorders as well as. Support. Community groups in and bring in recovery from drugs and alcohol. Her available and on our website you can see which 10 book and they're all different times and elusive yet okay and before we wrap up we just ran out of time. Any advice. For someone listening this morning who may be experiencing. Mental health issue or or. A lot of one. That might be listening. Both of you or a loved one the important thing is to is to seek help send this to not wait. And his help is available. Treatment works. And he'd be very pleasantly surprised when you access treatment. And talking to them is important talking to him about it. For loved ones absolutely it's as simple it's important to. Bring it up me open I'm being honest about it ask questions. Offer solutions are possible bit of mostly to this provide support to your loved ones and help fend access treatment. An end don't like Wright and onto. Any anything else that you'd like like us to know about what is did you do your chart mesa Vista hospital has got again just another minute minute or so left thought this would. Like people to know that we've been in this business for a long time we we are mental health experts. We offer treatment and comfortable healing environment in both inpatient and outpatient programs. That's excellent staff. Were very well trained and and compassionate. And. Would encourage you to seek treatment and what this other website for chart Methodist Hospital. Sharp dot com slash mesa Vista and I doctor Popper thank you very much for being on the Saturday thank you for all you do. And sharp mesa Vista hospital it's appreciated thank you Gary. That concludes another addition of living veteran San Diego the opinions expressed on living in San Diego do not necessarily. Reflect the opinions and views of the staff and management. 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