There’s no denying that for many of us, our pets hold a special place in our hearts. They’re our loyal companions, can make a bad day better, and love us just the way we are. The First Week of May is National Pet Week. In honor of this, we wanted to take a moment to celebrate some truly amazing animals that have a profound effect on the lives of their owners: service dogs.

Humans and dogs have had a special bond since the early days of our history. So, it’s no wonder we looked to them as a potential resource for people with disabilities who need some extra assistance. Whether it’s retrieving things for their owner, helping them get dressed, acting as their eyes, or alerting their owner of an oncoming seizure or drop in blood sugar, service dogs perform the necessary tasks that make their owners’ lives easier and give them more independence.

In 1929, we were introduced to the first official service dogs in this country – then called seeing eye dogs – who helped people who were blind navigate their surroundings. By the 1960s, people realized that service dogs had the potential to take on other tasks beyond guiding their owners around. By the 1970s, we had created a more formalized set of guidelines and methods for what service dogs could be used for and how to properly train them. In 1990, the Americans with Disabilities Act (ADA) defined a service dog as “any guide dog, signal dog, or other animal individually trained to provide assistance to an individual with a disability.” Service dogs also became protected under the ADA, giving people with disabilities the right to take their service dog with them wherever they go.

Getting a service dog ready to serve their owner takes serious work. According to Aaron Backer, Executive Director of the Wisconsin Academy for Graduate Service Dogs (WAGS), it takes their dogs around two years of intensive training before they can go home with their owner. WAGS dogs begin their training at 8 weeks old so that all they know is how to be a service dog. During the first two years, the puppies are trained by and live with volunteer trainers, who work closely with WAGS staff to ensure the animals have what it takes to be a service dog. The WAGS dogs will not only need to learn 50 to 60 commands, but also to prove that they are capable of being on-call at all times.

“You need a dog that wants to work,” says Aaron. “If you want them to work, you expect them to jump up and say ‘Yep, I’m ready to go!’ It doesn’t mean the dog should be doing something every second of every day. It means when you ask the dog to do something, they’re going to jump up and do it. That’s the kind of dog that enjoys being a service dog.”

               Aaron & Ian

After the puppies have completed their training with the volunteers, the new owners work with the WAGS Program and Training Director to match them with the right service dog. Owners then train with their dogs at the WAGS office in Madison, WI, over the course of several weekly visits before the dog is finally ready to be taken to its new home.

WAGS primarily provides dogs to people with physical disabilities, and they work exclusively with Golden Retrievers and Labrador Retrievers. These larger breeds tend to have a friendly temperament and are motivated to work, making them a particularly good fit for people with physical disabilities and limited mobility. Kinsley Tarr of Appleton, WI, was paired up with Teal, a Golden Lab who was trained by WAGS, in 2016. Teal helps Kinsley, who uses a power wheelchair, by giving Kinsley her paper and pens, helping her put on her jacket, closing doors for her, and carrying her wallet, among other tasks. The two have formed a deep bond, and Teal has become one of Kinsley’s best friends.

“Teal is very smart and fun to be with. Playful and energetic,” says Kinsley. “She’s always a lot of fun.”

Teal isn’t Kinsley’s first service dog. When Kinsley was in high school, she was paired with Hawk, and then after he retired, Kinsley had Shelby until she retired, too. All three of Kinsley’s dogs were trained at WAGS. Kinsley, who is enrolled in the TMG IRIS Consultant Agency, was able to use her IRIS funds to purchase Teal. IRIS (Include, Respect, I Self-Direct) is a Wisconsin long-term care Medicaid waiver option that allows people with disabilities and those who are aging to self-direct their long-term care supports and services.

                             Kinsley & Teal

Kinsley’s mom, Jane Tarr, says that having Teal and the other service dogs has led to a richer life for Kinsley. Not only does Kinsley have more independence since she doesn’t have to rely as much on caregivers, but having Teal has opened up Kinsley’s world.

“Before Kinsley got her first service dog, we found she was struggling with friendship. Having a service dog, it brings people to her and gave Kinsley her own presence in her social environment in school, and it helped her in the community,” says Jane. “The service dog helped Kinsley expand her outlet for communication with friends and family and people she doesn’t know.”

Taking service dogs out in public so that people with disabilities have more opportunities to be involved in their community is an important benefit of having a service dog.  Organizations like WAGS have a deep understanding of all the things that go into creating and maintaining a good service dog – knowing what breed will best fit the person’s needs, having professional trainers to help the volunteers train the puppies, and being available to the owners to help with any issues that may come up with the service dog down the road.

Emotional support animals are different than service dogs. Many people find great comfort and joy in their pets, which is wonderful and why we have pets in the first place. However, there is no certification needed to deem that a dog is an emotional support animal. There are ways, however, to tell if a dog is a properly trained service dog or is simply a pet, says Aaron. When service dogs are working, they will be perfectly behaved. Also, most service dogs will be wearing a vest with text indicating that people shouldn’t try to pet or distract them.

Kinsley’s mom Jane knows that properly trained service dogs do more than simply help people with disabilities go about their day-to-day lives. These dogs show the world that with a little extra help from their canine companions, people with disabilities can live more independent lives. They also give their owners the opportunity  to talk to curious strangers about what work their service dog does for them, and why it’s so important for people with disabilities to continue having the right to use their service dogs wherever they go.

“A service dog can be an ambassador for people with disabilities,” says Jane.

For those lucky enough to have a service dog, they find themselves richly rewarded. It’s no small undertaking to commit to having a service dog, and Jane says she’s so proud of all the hard work that Kinsley has put into training and caring for Teal. Kinsley, in turn, is grateful that Teal is there to help her whenever she needs, and that she’ll always be by Kinsley’s side. Kinsley and Teal have a deep, unconditional love for one another and an unbreakable bond.

“I think Kinsley and Teal are mirrors to each other,” says Jane. “They both have an internal spirit of happiness and they make each other fulfilled.”

Perhaps, though, Kinsley best sums up this special relationship:

“A person with a service dog has a heart that’s full!”

Article submitted by TMG Wisconsin 

Fear and anxiety about a disease can be overwhelming and cause strong emotions in adults and children. The Social Distancing concept, which is intended to reduce disease transmission and currently being practiced by communities at large, can be very isolating and lead to increase in stress levels. How you respond to the outbreak can depend on your background, the things that make you different from other people, and the community you live in.

People who might have more difficulty responding effectively to the stress of a crisis include:

• Those who have mental health conditions including problems with substance use
• Children and teens

If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, and feel like you want to harm yourself or others please call 911.

In general, health impacts from stress during an infectious disease outbreak can include:

• Fear and worry about your own health and the health of your loved ones
• Changes in sleep or eating patterns
• Difficulty sleeping or concentrating
• Worsening of chronic health problems
• Increased use of alcohol, tobacco, or other drugs

People with physical and mental health conditions should continue with their treatment and be aware of new or worsening symptoms. Make sure you continue to take your medications as prescribed and contact your healthcare provider if you find you are starting to feel worse.

Taking care of yourself, your friends, and your family can help you cope with stress. You can do this remotely through phone or video.

Things you can do to support yourself

• Take breaks from watching, reading, or listening to news stories, including social media.
• Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.
• Make time to unwind. Try to do some other activities you enjoy.
• Connect with others over phone or video. Talk with people you trust about your concerns and how you are feeling.

Look out for these common signs of distress:

• Feelings of numbness, disbelief, anxiety or fear.
• Changes in appetite, energy, and activity levels.
• Difficulty concentrating.
• Difficulty sleeping or nightmares and upsetting thoughts and images.
• Physical reactions, such as headaches, body pains, stomach problems, and skin rashes.
• Worsening of chronic health problems.
• Anger or short-temper.
• Increased use of alcohol, tobacco, or other drugs.

Reduce stress in yourself and others

1. Take breaks from watching, reading, or listening to news stories, including social media.
2. Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.
3. Make time to unwind. Try to do some other activities you enjoy.
4. Connect with others over phone or video. Talk with people you trust about your concerns and how you are feeling.
5. Use trusted sources for information such as the U.S. Centers for Disease Control & Prevention (CDC), The World Health Organization and state health department websites and encourage others to do the same.

For Parents

Not all children and teens respond to stress in the same way. Some common changes to watch for include

• Excessive crying or irritation in younger children
• Returning to behaviors they have outgrown (for example, toileting accidents or bedwetting)
• Excessive worry or sadness
• Unhealthy eating or sleeping habits
• Irritability and “acting out” behaviors in teens
• Difficulty with attention and concentration
• Avoidance of activities enjoyed in the past
• Unexplained headaches or body pain
• Use of alcohol, tobacco, or other drugs

There are many things you can do to support your child, including:

• Take time to talk with your child or teen about the COVID-19 outbreak. Answer questions and share factual information about COVID-19 from the aforementioned trusted sources in a way that your child or teen can understand.
• Reassure your child or teen it is ok if they feel upset. Share with them how you deal with your own stress so that they can learn how to cope from you.
• Limit your family’s exposure to news coverage of the event, including social media. Children may misinterpret what they hear and can be frightened about something they do not understand.
• Try to keep up with regular routines. If schools are closed, create a schedule for learning activities and relaxing or fun activities.
• Be a role model.  Take breaks, get plenty of sleep, exercise, and eat well. Connect with your friends and family members over the phone or through video.

Call your healthcare provider if stress gets in the way of your daily activities for several days in a row.

To learn more about what Magellan Healthcare is doing to support clients during the COVID-19 pandemic, visit MagellanHealthcare.com/COVID-19.

To learn more about Magellan Health’s corporate response to the COVID-19 pandemic and to view Magellan’s available resources click here: https://www.magellanhealth.com/news/covid-19/

While our everyday lives are becoming faster and more digital is your medical life doing the same? Do you miss filling your prescription because you forgot to call it in? Do you receive texts from pharmacists checking in on your current health conditions? Do you have a health coach a text away to help with your health goals?

Did you know that the average opt-in rate for receiving text messages is less than 2%? With MRx Connect we have seen more than 33% opt in. In addition, 98% of those who have opted in read the text message.

MRx Connect is an engaging digital communication service that helps prevent gaps in care and enhance awareness by sending proactive texts, emails, and chats. By receiving real-time information, people can make better healthcare decisions. MRx Connect messaging can be done in many ways and has shown many great results:

1. Refill Reminders: Receive a text when your prescription is getting low so that you know when to call in a new fill.
2. Flu Shot Reminder: Know when the best time is to receive your flu shot before it is too late in the season.
3. Re-enrollment Reminders: Be aware of when your enrollment is coming up, so you don’t have any gaps in care.
4. Health Coaching: Communicate with a professional health coach, pharmacist, or tech on your current health in real-time and on your own time.

Results:

• 35% engagement rate and improved refill rates for refill reminder for chronic conditions
• 23% of members received flu shots after receiving text message

Digital communication in healthcare allows you to be more aware and adherent to your care. You are never alone in your health journey and by being a click away from receiving answers or direction you are leading an even healthier, more vibrant life.

As more people are working from home to limit the spread of the novel coronavirus (COVID-19), what was once a perk may now seem like a punishment. It can be hard just to find and set up a workspace and connect with work, let alone deal with the isolation.

If you are used to going into work, you may miss opportunities for regular social interaction and connection with co-workers. Regardless of which life stage you’re in, working from home may cause feelings of isolation, frustration or stress that can impact your mental health.¹ Here are some tips to help you manage your new work-life balance:

Set yourself up for success

Find the most quiet place you can to set up your home work area. Make sure you have good lighting, a comfortable chair and plenty of outlets to plug in your computer, monitor, phone charger, etc. Put everything you need nearby so that you don’t need to constantly hop up to find a report, get supplies, etc. Maintain as much of an office-like demeanor as you can. If you are using video for meetings, remember, you’re on camera too.

Establish your routine

When you’re away from the workplace, it’s important to set specific hours—and stick to them. It’s easy to work more hours than normal, but that may cut into your family time and affect your sleep schedule. You may also feel pressure to prove that you are spending your time productively, and this can result in increased anxiety and stress. Set your boundaries and develop a routine: wake up at the same time every day, take a shower, get dressed, etc. Keep as much of your non-work life as it was before the pandemic: eat well, exercise and get fresh air—just remember to maintain a 6-foot distance from others.

Practice self-care

Self-care is any proactive activity that we do to take care of our mental, emotional and physical health. Good self-care is the key to improved mood, reduced anxiety and a good relationship with yourself and others. While so many normal activities are disrupted, take some time to practice gratitude, eat healthy, get enough sleep and maintain or start an exercise program. You will feel better for it.²

Increase communication

You might find it easier to be productive without your most chatty coworkers constantly buzzing in your ear. But social interactions—even with coworkers—can alleviate feelings of isolation and loneliness. Try to maintain normalcy by setting up regular check-ins with your team or manager that allow you to provide progress updates, sort through problems or brainstorm ideas.

Cherish children

If you have children at home due to school closings, helping them make sense of what is happening in the world will help you process the situation too. Kids of all ages are as vulnerable as adults to feelings of anxiety, stress and sadness. Do the best you can to manage childcare, plan for different age groups and ask for help from those near to you, while staying mindful about social distancing. Be flexible to accommodate your children’s needs and those of your employer. This is a unique moment in history. Move through it as gracefully as you can and create good memories for your family.

Take breaks

In the office, there’s usually time for coffee breaks, lunch walks and chats with colleagues that give some breathing room from work. Just because you are working from home doesn’t mean you aren’t entitled to the same breaks. Hitting the pause button throughout the workday can be good for productivity. Get up and stretch, take deep breaths and look up from the computer at regular intervals. Remember to eat, and check with your supervisor for permission to take a break for a quick walk.

For more information and tips, visit MagellanHealthcare.com/COVID-19.

To learn more about Magellan Health’s corporate response to the COVID-19 pandemic and to view Magellan’s available resources click here: https://www.magellanhealth.com/news/covid-19/

¹Smith, P. (2020, March 10). How To Deal If Working From Home Is Hurting Your Mental Health. Retrieved from https://www.huffpost.com/entry/working-from-home-mental-health_n_5afd88e2e4b0a59b4e014602?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAALPysx5taWAnltmdXV9uEcuIXzXyRxgs3xGUH0ztFrzmyZfyFKQUQo1BetFTXXoiY1lnEVcXeQbFXLffHW2baI7Yr9eG5nDkYyB5iecH6hx8iRFumbBwpzRVhn1H7uRr-3ZngjIoto2Ctd1o-7Sl4sEDdIr-GAyVlgsNUEul-5MM

²Michael, R. (2018, July 8). What Self-Care Is – and What It Isn’t. Retrieved from https://psychcentral.com/blog/what-self-care-is-and-what-it-isnt-2/

Making smoother transitions from work to home and vice versa can help you enjoy all aspects of your life more. While bringing work issues home seems to be the most common problem, some simple strategies can help ease the transition in either direction.

Use goodbye rituals
Whether it’s saying goodbye to your family members and pets, or playing a quick game with your kids, it helps to use a consistent pattern for your farewells. A dependable kiss and a phrase of affection can steer everyone toward having a good day.

Glance at your planner
To prepare for the day’s activities, take a quick look at whatever type of planner you use. This can trigger some creative ideas and strategies for the day. Each evening, check what is on the schedule or needed for the next day.

Try to cut down on the daily rush
When driving, ease up on the gas pedal. Try to leave a few minutes earlier so that you’re not weaving in traffic or tailgating slower drivers. If you are working from home, try preparing the night before your work day. If you’re going to be on your computer, tidy your home office, and pre-program your coffee maker or tea kettle.

From work to home
Leave work issues at work. If you’ve had a bad day, whether it be in your home office or at work itself, the last thing you want to do is bring those issues and feelings home with you. For everyone’s benefit, mentally remove yourself from work before coming home or logging off for the day.

Start fresh at home
Familiar end of work day rituals can help clear your head and refresh you. Do something simple like changing clothes or washing your face. Or, stand out on the back porch for a moment to breathe. Put on your favorite soothing music or do your favorite exercise. Sweep out the garage. Experiment and find out what works best for you.

Enjoy a little down time
Don’t rush right into preparing a meal if you can help it. Grab at least a few moments of relaxation with your partner, children and/ or pets first.

Make a clean break
At home for the evening, avoid work-related email and messaging if possible. If you can’t fully avoid it, limit it to just a set time, away from the family space.

For additional information, visit MagellanHealth/MYMH

This document is for your information only. It is not meant to give medical advice. It should not be used to replace a visit with a provider. Magellan Health does not endorse other resources that may be mentioned here.

Coronavirus (COVID-19) concerns are growing, and school closures are happening in most states. While grown-ups are anxiously figuring out how to handle the impacts of these decisions, kids are observing everything and may feel just as scared and confused as adults.

Talking with children about COVID-19

Children look to parents, guardians, caregivers and other trusted adults to help them make sense of what is happening in the world. COVID-19 is the topic of conversations everywhere on social media, web news outlets and TV. Everyone is being exposed to the fear and uncertainty of this global pandemic.

Children might find it difficult to understand what they are seeing or hearing about COVID-19, so they can be particularly vulnerable to feelings of anxiety, stress and sadness. As an adult, it’s important to make yourself available to listen to children’s thoughts and communicate in an age-appropriate way that addresses children’s questions without stoking anxiety. Children react, in part, on what they see from the adults around them. When parents and caregivers deal with a stressful situation calmly and confidently, they can provide the best support for their children.

The Substance Abuse and Mental Health Services Administration provides Tips for Caregivers, Parents and Teachers During Infectious Disease Outbreaks that includes information on possible reactions and tips for talking with children and youth of different age groups.

Tips for staying at home with children during the outbreak

• Focus on the uniqueness of the moment. This situation has never happened before. How can you make the best of it? Yes, it is stressful on many levels, but for your children, it is a time they will never forget and there is an opportunity in forced togetherness to reinforce your family bonds.
• Plan for different age groups. Younger children will love being home. Young teenagers may not be as thrilled by not being able to hang out with their friends on a daily basis. High schoolers can handle themselves and may be able to help with the younger kids if you have to work.
• Bend with the wind. Meaning: be flexible with the schedule. Let children play, do a fun project together (make cookies or do a craft), eat breakfast for lunch and make room for downtime to read and hang out. Your kids may have quite a bit of time at home, so try to maintain your patience and perspective.

To learn more about what Magellan Healthcare is doing to support clients during the  COVID-19 pandemic, visit  MagellanHealthcare.com/COVID-19.

To learn more about Magellan Health’s corporate response to the COVID-19 pandemic and to view Magellan’s available resources click here: https://www.magellanhealth.com/news/covid-19/

Adapted from: Stockwell, A. (2020, March 13). What to do with your kids when schools are canceled. Retrieved from https://www.vox.com/the-highlight/2020/3/13/21178234/coronavirus-covid-19-school-closures-kids-home

In January 2020, the United States (US) Food and Drug Administration’s (FDA) Center for Drug Evaluation and Research (CDER) published Advancing Health through Innovation: New Drug Therapy Approvals 2019. This report provides a summary of a number of approvals and highlights the “game-changers” approved in 2019, solidifying the upward trend in approval volume initially seen in 2017. Compared to 2017 and 2018, in which CDER approved 46 and 59 new drugs, respectively, 48 novel agents were approved in 2019. This number does not include new and expanded uses of already approved drugs, new formulations, new dosage forms, vaccines, blood products, cellular or gene therapy, or the 10 biosimilar approvals. This far exceeds the average of 38 novel approvals per year in the past 10 years. Figure 1 outlines approvals over the past 10 years.

In 2019, the FDA continued its strategic initiatives, with additional approvals of biosimilars and generics (both first-time agents and those off-patent with limited competition), as well as a focus on the expedited approval process, particularly for rare diseases and agents supported by positive patient-reported outcomes. Notably, the FDA hosted a public meeting in April 2019 to receive input on how to tackle barriers associated with the development of treatments for rare diseases, and held another meeting to celebrate “Rare Disease Day” in February 2020. Moreover, this trend is likely to continue, with the FDA releasing several guidances on gene therapy. The new pathway for insulin approval under biologic license applications planned for March 2020 and the launch of internet-based repositories or apps to improve access to information for both providers and patients (e.g., CURE ID in 2019, antiretrovirals in 2020) also highlight strategic initiatives of the FDA.

Last year, all 48 novel drug approvals met their Prescription Drug User Fee Act (PDUFA) goal dates, cementing this as a priority for the Agency. In 2019, 42% were considered first-in-class, and 44% were approved for rare diseases (Orphan Drugs). Priority Review was granted to 58% of novel drugs, 19% received Accelerated Approval (more than doubling the rate of 7% last year), 27% were designated as Breakthrough Therapy, and 35% garnered Fast Track designation. Overall, 60% of all drug approvals in 2019 used expedited development and review methods. In addition, 90% were approved in the first review cycle, and 69% were approved in the US prior to receiving approval in other countries. A breakdown of the types of drugs approved in 2019 is illustrated in Figure 2, with approvals once again dominated by drugs in the expansive oncology spectrum.

Some of the notable 2019 approvals included new advances for the treatment of cystic fibrosis (CF), with the first triple combination therapy and expanded indications of existing CF therapy available to younger patients, and the first new medications in several years for sickle cell disease. Additionally, several approvals targeted rare conditions, such as erythropoietic protoporphyria, neuromyelitis optica spectrum disorder, tenosynovial giant cell tumor, Duchenne muscular dystrophy, and systemic sclerosis-associated interstitial lung disease. Beyond treatments for rare disease and cancer, the FDA also approved agents for more common disorders, including multiple sclerosis, novel treatments for depression, migraine and cluster headaches, epilepsy, several autoimmune conditions, age expansions for diabetes therapy, and a drug-sparing regimen and new prophylaxis option for human immunodeficiency virus-1 (HIV-1). Although down slightly from 2018, the large number of approvals from 2019 represent a continued trend by the FDA to expedite and increase the quantity of annual approvals.

The COVID-19 global pandemic is taking a physical, mental and emotional toll on doctors, nurses, healthcare workers and caregivers. The long work hours and limited resources are causing overwork, exhaustion and in some cases, compassion fatigue. Not to mention balancing your work with the concerns for your own family and loved ones.

What is compassion fatigue?

Compassion fatigue is a state of chronic physical and mental distress and exhaustion. People with this fatigue often describe a negative shift in their world view and a preoccupation with the illness of others. They may experience stress and burnout, affecting their ability to be effective in their jobs and relate to their loved ones and friends.

Tips for preventing compassion fatigue:

• Make self-care a priority. Despite your workload, do your best to practice healthy habits. Focus on making sure you are staying hydrated, sleeping as much as possible, eating nutritious meals and getting exercise when you can. Follow the COVID-19 CDC guidelines on keeping yourself and your family’s risk low.
• Boost your emotional resilience. Deep breathing, meditation, being grateful and allowing yourself some down time are ways to keep your life in balance, so you are better able to handle stress, setbacks and crises.
• Get social support. Reaching out over the phone or through a text message to supportive loved ones, friends and colleagues can be a calming influence and shift your perspective on what you are dealing with every day.
• Be proud of your profession. Your work is important. You are caring for people during the first-ever pandemic caused by a coronavirus and giving them hope and strength.
• Seek professional help. If you are experiencing distress and/or symptoms of burnout, take advantage of your healthcare and employee assistance benefits and meet with a behavioral health professional who can help.

We wholeheartedly thank you for all you are doing to care for others and combat this outbreak.

For more information and tips, visit MagellanHealthcare.com/COVID-19.