Being a parent of a child with physical, emotional, or behavioral problems can be exhausting. Try to take good care of your physical and emotional health. Doing so will help provide you with needed energy to care for your child with special needs.

Schedule time for yourself. Use a calendar or planner to set aside specific times for buying and cooking healthy foods, resting, visiting with friends, and doing other things you enjoy. Don’t be afraid to ask family members or friends for help. Take a break while your child uses community services (such as school programs, social skills training, job training, and counseling). Ask your doctor about other resources that can provide you with needed personal time.

Learn ways to handle the normal range of emotions, fears, and concerns that go along with raising a child with special needs. Seek information about your child’s condition so that you will know what to expect. Use exercise, positive self-talk, relaxation, deep breathing, and other techniques to help you handle stress. Learn how to recognize when you need to use them.

Find out whether there is a support group in your area for parents of children with the same condition. Local and national groups can help connect families and provide much-needed sources of information. It may help you to share your feelings with others or simply to find out how others have addressed common issues. It can be comforting to talk with other parents who also face the challenges and joys of raising a child with special needs.

Seek and accept support from others. Don’t wait for information and assistance to come to you. Consider using respite care, which is a family support service that provides a break for parents and siblings. Trained staff can relieve family members from caregiving duties as needed. These breaks can help families communicate in a less stressful context and allow parents to focus complete attention on their other children for a while.

Allow yourself time to grieve if needed. You may feel a sense of loss about the dreams you had for your child. As you work through your grief, you will be better able to care for yourself and your family. Talk with your doctor or another health professional if you think you or another family member may be depressed or having other emotional difficulties.

Be realistic. In raising any child, there are no guarantees for success. It is important to remember to do the best you can and to know that you can’t control everything.

Believe in yourself. When self-doubts creep into your thoughts, remember to focus on the many good things you do for yourself and your child. If you are having problems dealing with your feelings about your child’s condition, talk with your doctor about whether counseling may be helpful.

Work with family and friends. Your family and friends may have concerns about your child. To address those concerns, you can:

• Talk about how your child’s condition affects you. Be open and honest about your hopes and concerns. Encourage others to talk about their feelings.
• Encourage them to learn about your child’s condition.
• Ask your other children to help with the care of the affected child as much as they are able. Allow them to refuse to help if they do not want to.

For additional information, visit MagellanHealth.com/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.

Recently, employees from Magellan Rx Management were featured on Rx Radio, a podcasting media company serving the pharmacy profession with a goal of inspiring healthcare professionals to take an innovative approach with healthcare. Host Richard Waithe, President of VUCA Health, sat down with eight of our pharmacists to talk about the future of pharmacy, and what it is like to be a pharmacist in managed care.

Listen while you are at work, out for a jog or doing homework (looking at you, pharmacy students), and go inside Magellan Rx to get the full scoop on the work that we do.

Listen here and start with whatever episode makes you happy – we recommend starting with our General Manager of Specialty, Steve Cutts.

Follow our campaign on Twitter and LinkedIn using #ThisIsMagellanRx to learn more about our team!

The holidays are a fun and joyous time but also a very busy one, and holiday stress and anxiety in children can and does happen. During the holidays, there are lots of fun activities and events going on, both at home and at school. And while that can be a good thing, the constant hustle and bustle can be just as overwhelming and nerve-wracking for children as it is for adults.

Recognize the signs that your child is stressed out. These signs may include:

• increased irritability or anger
• clinginess
• more crying, whining, or complaining
• sleep troubles (or sleeping too much)
• physical symptoms like headaches and stomachaches
• more or less eating
• isolation and/or refusal to participate in activities
• regressive behavior such as bedwetting or thumb- sucking

Try these tips to help alleviate your child’s stress and make the holiday season a merrier time for everyone:

Set a Calm Example

The most important way parents can help ease anxiety in children during the holidays is by trying to keep things relaxed as much as possible. As with so many situations, the way parents handle an issue can set the tone for how their kids will behave. If you let holiday stress get to you, your kids will definitely pick up on it, and child anxiety is more likely to be a problem in your house. To minimize anxiety in children during the holidays, take steps to handle your own stress and anxiety.

Set Up Conditions for Good Behavior

Avoid taking your child to places such as the mall or holiday gatherings when he is hungry or tired. It’s hard even for grown-ups to deal with noise and lots of stimulation when they’re not feeling their best; kids get hungry more often and become tired more easily, and may understandably have a tough time being on their best behavior and are more likely to experience holiday stress when they’re exhausted or hungry.

Remember the Importance of Routines

The holidays can throw a big wrench into household routines, and that can play a role in anxiety in children.  To minimize holiday stress in your kids, try to get routines back on track once an event or party is over. For instance, if a school holiday concert or a church gathering goes past your child’s bedtime, try to stick to quiet, calm activities the next day and get your child to bed on time the next night.

Watch What They Are Eating

Another thing that can fall by the wayside amidst the holiday hubbub is healthy eating. Between all the extra sugary holiday snacks and the lack of time to sit down  to regular meals, it can be all too easy for kids to eat less healthy foods, which can contribute to holiday stress and anxiety in children. Try packing healthy snacks when you have to go shopping or run other holiday errands and try to minimize the number of sweet treats at home. Whenever possible, offer healthy snacks, such as air-popped popcorn or apple slices with cheese and crackers and limit cookies and candy to after-snack treats.

Get Your Child Moving

Fresh air and exercise are essential for boosting mood and re-setting the spirit, which can alleviate holiday stress and anxiety in children. Make sure you schedule some time to get your child outside to run around and play.

Avoid Overscheduling

As tempting as it may be to accept every invitation from friends and family, try to limit your holiday parties and activities so that you and your child are not overwhelmed. A couple of events a week may be fine, but having an obligation every day can lead to holiday stress and anxiety in children.

Have Your Grade-Schooler Help You

Big kids love to help mom and dad, especially if they get lots of praise for being responsible and helpful. If you have to shop, ask your child to help you look for an item at the store (fun stocking stuffers for cousins, for example). Giving your child a task will not only boost her self-esteem, it’ll distract her and help prevent any holiday stress and anxiety.

Schedule Some Quiet Time

Having some peace and quiet with your child is more important than ever during the busy holiday season. Find a quiet corner and read a book with your child or create holiday pictures for grandma and grandpa. Take a walk outside in nature, away from noise and crowds and obligations.

Remind Your Child and Yourself What the Holidays Are Really All About

A great antidote for holiday stress and the bloated commercialism of the season is helping others, whether it’s by shoveling an elderly neighbor’s sidewalk or by wrapping presents for needy kids at your local church. Helping your grade-schooler become a charitable child will help alleviate her holiday stress and anxiety.

Help is available. For additional information, visit MagellanHealth.com/MYMH

Post-traumatic stress disorder (PTSD) can be a challenge for you and your family. Your family may find it hard to accept some of the changes PTSD can bring to your life. By talking and supporting one another, you and your family will be better prepared for these changes.

Family support

Your family is an important part of your recovery. They can be there to listen and to help you through rough times.

It’s also important that you help your family understand PTSD. They may not always know how to respond when they see you hurting. They may feel scared, sad, guilty, or even angry about your condition.

Talking about PTSD can help you and your family cope. Talk about your symptoms and what triggers them. Discuss different treatments and how they can help you recover. When you open up, your family can better understand what you’re going through.

Family therapy can help. This is a type of counseling that involves your whole family. A therapist can teach you how to work through problems and communicate better.

Talking with your kids about PTSD

Teaching your kids about PTSD is important. They may not understand why you’re feeling bad or why you get angry sometimes. This can be scary for kids at any age. They also may blame themselves for things that aren’t their fault. Make sure your kids understand that they aren’t to blame for your PTSD. When talking with your kids about PTSD:

• Be honest and listen to what they have to say.
• Tell them it’s okay to ask questions. Ask them how they’re feeling, and let them know that their concerns are important.
• Make sure they feel safe, secure, and loved. They may be afraid that something bad is going to happen.
• Provide information about PTSD. Let them know what it is, how you got it, and how you can recover.
• Encourage a good support system of friends outside your family. Get them involved in school activities or youth programs in the community.
• Don’t promise that your PTSD is going to go away soon. Instead, talk about how treatment can help you feel better. It’s okay if you don’t have all the answers.
• Be as positive as you can. Your kids will notice how you react in difficult situations, which can influence their reactions.

Triggers Things that suddenly remind you of your traumatic event are called triggers. Triggers can bring up stressful feelings or cause you to have flashbacks, which means you feel like you’re reliving the event all over again.

Trying to avoid triggers is a common reaction. It’s normal to stay away from things that cause you stress. Because of this, you may feel like you can’t do the things you used to enjoy. This may be hard on you and your family.

Talk with your family about your triggers. They need to know what causes you stress. By being aware of your triggers, your family can help you find ways to cope with them.

Some common triggers include:

• Places, social events, or even smells and sounds. For example, smoke may trigger memories in someone who was hurt in a fire. Or a car that backfires may remind a veteran of gunfire.
• Being around others who were involved in your traumatic event. This may happen when veterans have a reunion.
• The anniversary of your traumatic event. Try to plan enjoyable activities on and around the anniversary date. It may help to be with friends or family.

Coping with holidays

Big holidays like Christmas and New Years can be stressful. The holidays can be a painful reminder of past times when life seemed better. Big groups of family and friends are often part of the holidays.

This may be stressful because:

• Groups tire you out or make you feel overwhelmed.
• You feel pressure to join family activities when you’re not up for it.
• You feel like you have to act happy when you’re not.

Your loved ones also might ask you questions about your life or about PTSD. You may not feel comfortable answering these questions. Keep in mind that your family may feel some of the same pressures.

You can cope with holiday stress by:

• Setting limits. Don’t join activities for longer than you can handle. You can choose when you want to be a part of the group.
• Taking breaks. Go for walks, or set aside a place where you can be alone for a while. This can keep you from feeling overwhelmed.
• Getting plenty of rest. Take naps if you feel like you’re not getting enough sleep at night.
• Talking with your family about how you feel. Your family can help you. Be honest with them about your stress.
• Not drinking too much. Alcohol may make your symptoms worse or cause you to have problems with your family.

For family members If you are the spouse or family member of someone with PTSD, here are some tips for helping your loved one during the holidays:

• Accept the mixed feelings your loved one may have about the holiday.
• Respect and support your loved one’s choices about being involved in the celebration.
• Plan ahead of time how you will cope with stress. This may mean talking about how your loved one will answer questions about PTSD, or deciding how long you will stay at a party.
• Remember to take care of yourself. Do things for yourself to relieve stress.
• Keep your expectations realistic.

The holidays can be a joyful time, offering a chance to reconnect with friends and family. They can also be stressful and hectic. You may feel pressure to buy and give gifts, have concerns about money, or feel like there isn’t enough time to get everything done.

Think about the kinds of events that trigger stress for you during the holidays. Then, you can focus on one or two things you can do that will help the most to reduce stress.

Here are some ideas:

Preparing for the holidays 

1. Know your spending limit. Lack of money is one of the biggest causes of stress during the holiday season. This year, set a budget, and don’t spend more than you’ve planned. It’s okay to tell your child that a certain toy costs too much. Don’t buy gifts that you’ll spend the rest of the year trying to pay off.
2. Give something personal. You can show love and caring with any gift that is meaningful and personal. It doesn’t have to cost a lot. Or, use words instead of an expensive gift to let people know how important they are to you. Make a phone call or write a note and share your feelings.
3. Get organized. Make lists or use an appointment book to keep track of tasks to do and events to attend.
4. Share the tasks. You don’t have to do everything yourself. Share your “to do” list with others. Spend time with friends and family while you share tasks like decorating, wrapping gifts, and preparing the holiday meal.
5. Learn to say no. It’s okay to say “no” to events that aren’t important to you. This will give you more time to say “yes” to events that you do want to attend.
6. Be realistic. Try not to put pressure on yourself to create the perfect holiday for your family. Focus instead on the traditions that make holidays special for you. And remember that just because it’s a holiday, family problems don’t go away. If you have a hard time being around your relatives, it’s okay to set limits on your time at events.

During the holidays

You may not be able to avoid stressful situations during the holidays, but you can plan to respond to them in a healthy way.

1. Take breaks from group activities. Pay attention to your own needs and feelings. Spend a little time by yourself if you can. Meditate, or do some relaxation breathing. Go for a short walk.
2. Keep a regular sleep, meal, and exercise schedule. Limit your alcohol. Taking care of yourself will help you deal with stressful situations during the holidays.
3. Get support if you need it. Holidays can sometimes trigger depression. They can be especially hard if you are already dealing with the death of a loved one or the breakup of a relationship. You may feel embarrassed to ask for help, or you may think that you’ll get over “the blues” on your own. But most people need treatment to get better. Talk with your doctor about counseling and medicine for depression.

Help is available. For additional information, visit MagellanHealth.com/MYMH

Senior Whole Health, a wholly-owned subsidiary of Magellan Health, has a core mission of addressing the social and medical needs of individuals eligible for Medicare and Medicaid, with a special focus on putting services in place to allow elderly individuals to remain safely in their homes for as long as possible.

The average Senior Whole Health member is 76, female, has several chronic illnesses, and takes five or more medications. In spite of the fact that many members have home-based community services and regular nursing visits, a majority of the admissions for hospital and emergency department care are unexpected. While it is not feasible for all high-risk members to have a daily evaluation by a clinician, Senior Whole Health is implementing a program of passive home monitoring for select high-risk members allowing for early detection of changes in behavior that identify when an individual is at risk for hospitalization. With prompt interventions by clinical staff, trips to the Emergency Department and/or Hospital can be averted.

The program being used by Senior Whole Health is called Lively® Home, a GreatCall product offering. With advance permission of the member and their family, a suite of 10 passive sensors is installed in the home. Activities of daily living such as getting into and out of bed, using the toilet and opening the refrigerator are monitored, allowing for a normal pattern of activity for an individual to be modeled. In the event that the individual’s behavior pattern changes (such as staying in bed much longer than usual or using the refrigerator much less than usual), an alert is sent to clinical staff, allowing for a wellness call to the member to check on their status. Often a medical condition can be identified and treated in the outpatient setting, avoiding more serious outcomes including hospitalizations and/or premature nursing home admissions.

Seniors have listed losing independence as among their greatest fears of aging. The use of passive monitoring technology such as Lively® Home along with direct in-person support services is expected to further extend the ability of high-risk Magellan Health members to live safely and independently as long as possible at home.

Family members can play an important role in helping a loved one with co-occurring mental health and substance use disorders get on the road to recovery. Support a loved one’s recovery by:

• Helping a loved one remember to take all prescribed medications for one or both disorders
• Listening to any concerns about medications – such as their purpose, benefits, and side effects – and helping address those concerns
• Making sure appointments with treatment providers are kept
• Working with the treatment team to stay informed and help address any issues related to medication

To learn more, visit Mind Your Mental Health.

Source: Behavioral Health Evolution

There is no mistaking that opioid addiction is a major social issue in the United States but there is also a lot of confusion and misinformation. We’ve included seven frequently asked questions about opioid addiction below.

1) What are opioid medications?

Opioids are medications prescribed to relieve physical pain. Opioid medications bind to the areas of the brain that control pain and emotions, driving up levels of the feel-good hormone dopamine in the brain’s reward areas, and producing intense feelings of euphoria. As the brain becomes used to the feelings, it often takes more and more of the drug to produce the same levels of pain relief and well-being, leading to dangerously high tolerance levels, dependence, and later, addiction.

2) What are the names of some common opioid medications?

• Codeine

• Fentanyl citrate

• Hydrocodone (e.g., Vicodin)

• Hydromorphone (e.g., Dilaudid)

• Mepedridine (e.g., Demerol)

• Morphine (e.g., Kadian, Avinza)

• Oxycodone (e.g., OxyContin, Percocet)

3) What are opioid medications used for?

Opioids are used to treat moderate to severe pain that may not respond well to other pain medications. They provide relief from an array of symptoms associated with respiratory illnesses, severe coughing, injuries, trauma, surgery, dental procedures and chronic pain.

4) How do people become addicted?

Taken as prescribed, opioids can be used to manage pain safely and effectively. However, since these drugs also affect the brain regions involved in reward, some people experience a euphoric response. Those who abuse opioids may seek to intensify their experience by taking the drug in ways other than those prescribed.

5) What is the difference between opioid dependence and opioid addiction?

Physical dependence on opioids means that the body relies on an external source of opioids to prevent withdrawal. Normally the body is able to produce enough endogenous opioids (i.e., endorphins) to prevent withdrawal. However, as tolerance increases over time, eventually the body’s ability to maintain its equilibrium is exceeded and the body becomes dependent on the outside source of opioids. Physical dependence is predictable, easily managed with medication, and is ultimately resolved with a slow tapering off of the opioid.

Unlike physical dependence, addiction is a change in behavior caused by biochemical changes to the brain after continued substance abuse and it is classified as a disease. Addiction takes the form of uncontrollable cravings, the inability to control drug use, compulsive drug use, and continued use despite doing harm to oneself or others. Strong cravings are common to all addictions. These cravings are rooted in altered brain biology. Recovery is the process of reversing, to the extent possible, these brain changes. This is accomplished through therapy and replacing the addictive behaviors with healthy alternative behaviors.

6)  What are the signs of an opioid addiction?

• Constricted pupils

• Nausea

• Itchiness

• Drowsiness

• Reduced social interaction

• Anxiety

• Poor memory and concentration

• Slowed breathing, movement and reactions

• Mood swings

• Apathy and depression

7) What does treatment involve?

Opioid addiction is a chronic disease, like diabetes, asthma and hypertension. While it can’t be cured, it can be treated to help the person regain a healthy, productive life. Treatment programs typically include detoxification, medication for opioid withdrawal, counseling and the support of family and friends. The goal of the treatment program is to help the person get through the withdrawal successfully and learn new coping skills to address addictive behaviors over the long-term.

Additional Resources

Centers for Disease Control and Prevention (CDC)

The CDC website features a section devoted to opioid information, data and FAQs. In addition, there are guidelines for prescribing opioids for chronic pain to help ensure patients have access to safer treatment options.

National Institute on Drug Abuse (NIDA)

NIDA provides information odrugabuse.govn commonly abused drugs, the latest science and treatments, trends and statistics to improve individual and public health.

The American Society of Addiction Medicine

A society of physicians aimed at increasing access to addiction treatment. They offer a nationwide directory of addiction medicine professionals.

The Substance Abuse and Mental Health Services Administration (SAMHSA) or 1-800-662-HELP

Find locations for residential, outpatient, and hospital inpatient treatment programs for drug addiction and alcoholism throughout the country.

The Partnership at Drugfree.org or 1-855-378-4373

Provides information and resources on teen drug use and addiction for parents to help them prevent and intervene in their children’s drug use or find treatment for a child who needs it.

Help is available. For additional information, visit MagellanHealth.com/MYMH

Read more about opioid addiction here.