Care coordination is about connecting people to the services and supports they need. It is also about understanding what is important to the person and making sure their goals do not get lost along the way.

At Magellan Health, one way we strengthen that work is by bringing peer support specialists onto the care team.

Across multiple states, our Recovery Support Navigation, Family Support Navigation and Youth Support Navigation programs provide adult, family and youth peer support alongside care coordination. These programs often support members and families during some of the most difficult times of their lives. A member may have experienced multiple hospitalizations or be returning home from the hospital after a suicide attempt. A family may be navigating services after their child’s hospitalization or preparing for their child to come home from a residential treatment facility. A youth may be involved with the child welfare system and living in a group home while navigating multiple services and transitions.

A care coordinator can help connect services, address barriers and support transitions from one level of care to another. A peer support specialist brings something different to the relationship: lived experience.

The Unique Role of Peer Support Specialists

Peer support specialists draw on their own experiences of recovery or supporting a loved one, along with their experience navigating systems, to help someone who may be going through something similar.

They are not another case manager or clinician. They bring a non-clinical approach that works alongside, rather than duplicates, other supports. This is the kind of collaboration we want to see across the communities we support, with clinical care, case management and peer support working together while respecting the unique contribution of each.

The peer support perspective can help members and families think through what is important to them, understand their options and raise concerns they may not have known how to express. It can also help the care team better understand what the experience looks like from the member’s or family’s point of view.

Members and families may be working with a health plan, hospital, outpatient providers, community organizations and other services at the same time. Each part of the system may make sense on its own while the overall experience can still feel confusing or disconnected.

Peer support specialists can help identify gaps, disconnects and barriers that may not be visible to others on the care team and bring that information back to the care team.

Keeping Recovery and Resiliency at the Center

When someone has experienced repeated hospitalizations, a recent crisis or years of interacting with healthcare systems, much of the conversation can understandably become focused on risk, symptoms and services.

Peer support helps keep the conversation connected to the person’s life beyond the immediate crisis.

Recovery is about more than getting someone connected to the right service. It is also about supporting people to have greater choice, hope and direction in their lives.

We have seen that in our own peer support programs. Eighty-nine percent of members and caregivers participating in our support navigation programs self-reported increases in all three areas: hope, empowerment and self-determination.^*

We have also seen reductions in hospitalizations and emergency room utilization when peer support is added to care coordination. For members with high needs, that additional focus on hope, purpose and what matters to the person can help them remain in their communities and stay connected to the supports they need.

Our internal support navigation programs are not intended to replace services in the community.

They are designed to serve as a bridge, helping members and families through a difficult period and connecting them to community-based peer support that can continue after our involvement ends.

Celebrating Peer Support Specialists

Global Peer Support Celebration Day on October 15 gives us an opportunity to recognize peer support specialists and the work they do every day.

It also falls during National Disability Employment Awareness Month, which makes October a fitting time to recognize the value people with lived experience bring to the workforce.

For some peer support specialists, including me, there was a time when working again, building a career or using personal experiences to help someone else may have been difficult to imagine.

Many have experienced mental health or substance use challenges, hospitalization, disability or other significant disruptions in their lives. Through recovery, training and experience, they are now able to draw from what they have lived through to support another person.

People who have received services become part of the workforce improving those services. People who have needed hope are able to offer it to someone else.

As we recognize Global Peer Support Celebration Day, I am grateful for the peer support specialists across Magellan and across our communities who bring their lived experience to this work every day.

They bring something to the care team that no amount of professional training can fully replace: the perspective of having lived through it.

^{*Data from Magellan 2025 PSOM (Peer Support Outcome Measure) and FSOM (Family Support Outcome Measure).} 

Depression is common, and seeking help is an important step toward better mental health for yourself, a friend or a family member. Read on to better understand depression, why it’s okay to seek support and learn about beneficial tools.

What is depression?

Depression is an illness that causes you to feel sad, lose interest in activities that you used to enjoy, withdraw from others and have little energy. It is not a character flaw or personal failing and experiencing depression does not diminish your strength, worth or value as a person.

It’s okay to ask for help

Seeking support when you need it is a healthy and normal part of life; it’s a sign of strength and self-awareness. Everyone needs support sometimes, and that’s okay.

Benefits of self-screening tools

Screenings do not diagnose mental health conditions. They are used to identify signs of potential mental health concerns early and connect individuals to care and resources. Screenings may help people feel more comfortable talking about mental health.

Trying to figure out how to get help with depression or mental health symptoms can be challenging on your own. Self-screening tools can be a good first step to help yourself, a family member, or a friend. Be sure to review your results and any recommendations with your doctor or mental health professional.

Visit Magellan’s Behavioral Health Resources website for mental health self-screening tools, educational resources and more.

Working parents juggle two demanding roles at once, showing up daily for their family and striving to bring their best self to work. Whether the day goes smoothly or gives way to chaos, the ability to bounce back and manage it all is vital for your wellbeing.

• Start with self-compassion: Cut yourself some slack. You won’t always be perfect, and that’s okay. Treat yourself with the same kindness you would show to a friend.
• Build a support network: You don’t have to do everything alone. Identify a friend, family member or neighbor you can lean on, and ask for help before you get overwhelmed.
• Set boundaries: Protect your energy by saying no to non-essential commitments. You can’t be at every event or volunteer for every school function. Choose what matters most and let go of the rest without guilt.
• Take a time-out: When stress builds up, recharge with small breaks. A five-minute walk, deep breathing or a quick call with someone you trust can help you reset with a clearer mind.

Working on social wellbeing

Being a busy parent and professional whose life often revolves around other people’s schedules can sometimes feel isolating. Build a support network of at least two people you can turn to when you need help or a break.

• Choose people who make you feel safe, respected and genuinely listened to, and let them know that you’d like to include them in your support circle.
• Describe the signs that might indicate you’re stressed and how they can best support you.
• Ask for help before you become overwhelmed to prevent a stress snowball.

Dementia affects millions of individuals in the United States, and the number continues to grow. For military families, veterans, and federal employees, the impact of dementia often unfolds alongside the demands of service, relocation, deployment, or high-stress public service roles. Behind every diagnosis is a caregiver who provides daily support, often without formal training or adequate resources. Nearly 12 million Americans are caring for people living with Alzheimer’s disease or other dementias without being compensated, representing an economic value of more than 400 billion dollars. The emotional and physical cost, however, is far more difficult to measure. 

At Magellan Federal, we see the profound physical and emotional impact dementia has not only on those diagnosed but on the caregivers who walk beside them. This includes caregivers across military and federal communities who may already be navigating demanding missions, workforce pressures, or limited access to consistent support. As the population ages, the need to support caregivers becomes a national priority that directly affects family stability, workforce readiness, and long‑term wellbeing. 

The Changing Reality of Dementia Caregiving 

Caregivers today face increasing demands. 30% are 65 or older, 2/3 are women, and 1 in 4 is part of the sandwich generation, caring for both aging parents and children. Among military and federal families, caregiving responsibilities are often layered onto careers that require flexibility, mobility, and sustained performance. Their support allows individuals with dementia to remain at home longer and maintain a sense of dignity and independence. 

Caregiving can strengthen relationships and build resilience, yet it also brings emotional, physical, and financial strain. Compared to caregivers supporting individuals without dementia, dementia caregivers experience nearly double the rate of stress and health challenges. For caregivers in service-oriented environments, these risks can be compounded by operational demands and limited time for self-care. 

The Hidden Toll on Caregivers 

Dementia caregivers often report depression, anxiety, chronic stress, grief, and isolation. Many experience sleep disruption, weakened immune functioning, and increased risk of chronic illness. These challenges can be especially difficult for military families and federal employees who may be managing relocations, deployments, or high responsibility roles while providing care at home. 

The American Medical Association’s Caregiver Health Self‑Assessment Questionnaire highlights early signs of strain, such as irritability, fatigue, and difficulty concentrating. These symptoms are signals that caregivers need support, yet many caregivers, particularly those accustomed to prioritizing mission and service, push through until they reach burnout. 

Burnout and Compassion Fatigue 

Burnout reflects emotional, physical, and mental exhaustion caused by prolonged stress. Compassion fatigue develops when caregivers are repeatedly exposed to the suffering of someone they love. Both conditions can leave caregivers feeling numb, overwhelmed, or disconnected from their sense of purpose. 

These experiences are not personal shortcomings. They are predictable outcomes of a system that relies heavily on unpaid caregiving and limited support structures. For military and federal caregivers, cultural expectations around resilience and self-reliance can further delay help-seeking. 

Supporting Caregivers as Part of the Care System 

Magellan Federal advocates for a holistic approach that recognizes caregivers as essential partners in the dementia care journey. Federal agencies and military-connected systems have a unique opportunity to strengthen caregiver wellbeing across the populations they serve. 

1. Acknowledge the Emotional Experience: Caregivers often feel guilt, grief, fear, and self‑doubt. Understanding the stages of dementia and the changes that come with each stage can help caregivers feel more prepared and less alone. This awareness is especially important in military and federal communities where emotional strain may be underrecognized. Validating their emotions is an important first step. 

1. Strengthen Support Networks: Caregivers benefit from connection. National dementia organizations offer helplines, support groups, respite services, and educational resources that reduce isolation and help caregivers sustain their role over time. Ensuring these resources are accessible regardless of duty location or work schedule is critical for military and federal families. 

1. Prioritize Caregiver Health: Caregivers need routines that support physical and mental wellbeing. Encouraging preventive care, behavioral health support, and caregiver‑friendly policies can reduce burnout and improve long-term outcomes. Workplace flexibility and leadership awareness play a meaningful role in supporting caregivers who are also part of the federal workforce. 

1. Help Families Navigate Dementia Together: Families often struggle to talk about dementia, especially with children. Age‑appropriate resources and guidance can help normalize the experience and build resilience across generations. This support is particularly valuable for military children who may already be adapting to frequent change. 

Why Federal Leadership Matters 

Dementia caregiving is a public health challenge with far-reaching implications. Within military and federal populations, caregiver strain can directly affect readiness, retention, and overall workforce resilience. As the number of individuals living with dementia grows, so will the need for caregivers who are supported, trained, and emotionally equipped for the journey ahead. 

Federal agencies play a critical role in shaping the systems that support these caregivers. By investing in caregiver wellbeing, agencies strengthen workforce readiness, reduce long‑term healthcare costs, and enhance the stability of families who serve the nation. 

Magellan Federal is committed to advancing solutions that build caregiver resilience, expand access to behavioral health resources, and integrate caregiver support into federal programs. The cost of caring is high, but caregivers should not have to carry it alone. 

References:  

• Duke University Population Research Institute. (n.d.). Duke researchers point out error in U.S. estimates of dementia. https://dupri.duke.edu/news-events/news/duke-researchers-point-out-error-us-estimates-dementia  
• Alzheimer’s Association. (n.d.). What is dementia? https://www.alz.org/alzheimers-dementia/what-is-dementia  
• Alzheimer’s Association. (2025). Alzheimer’s disease facts and figures. https://www.alz.org/alzheimers-dementia/facts-figures  

• Caregiver Action Network. (n.d.). Dementia caregiver stress. https://www.caregiveraction.org/dementia-caregiver-stress/  

• American Psychological Association. (n.d.). Common problems faced by caregivers. https://www.apa.org/pi/about/publications/caregivers/practice-settings/common-problems  

• Health in Aging Foundation. (n.d.). Caregiver self‑assessment questionnaire. https://www.healthinaging.org/tools-and-tips/caregiver-self-assessment-questionnaire  

• Caregiver Action Network. (n.d.). Understanding caregiver burnout. https://www.caregiveraction.org/understanding-caregiver-burnout/  

• Caregiver Action Network. (n.d.). 10 tips for family caregivers. https://www.caregiveraction.org/10-tips-family-caregivers/  

• Alzheimer’s.gov. (n.d.). Tips for caregivers. https://www.alzheimers.gov/life-with-dementia/tips-caregivers  

• Caregiver Action Network. (n.d.). Caregiver help desk. https://www.caregiveraction.org/helpdesk/  

• Alzheimer’s Association. (n.d.). Alzheimer’s and dementia helpline. https://www.alz.org/help-support/resources/helpline  

• Family Caregiver Alliance. (n.d.). Support and resources for caregivers. https://www.caregiver.org/  

• ARCH National Respite Network. (n.d.). Respite provider locator. https://archrespite.org/#  

• Alzheimer’s Association. (n.d.). Support groups. https://www.alz.org/help-support/community/support-groups  

• AlzConnected. (n.d.). Online caregiver community. https://alzconnected.org/  

• Dementia Society of America. (n.d.). Education and resources. https://www.dementiasociety.org/  

• Alzheimer’s Association. (n.d.). Care and education resources. https://www.alz.org/help-support/resources/care-education-resources  

• Alzheimer’s Foundation of America. (n.d.). Talking to young children about Alzheimer’s. https://alzfdn.org/talking-to-young-children-about-alzheimers/  

• Alzheimer’s Association. (n.d.). Talking to kids about dementia. https://www.alz.org/help-support/resources/kids/talking-kids-about-dementia  

• Oliveros, J. (2018). The Remember Balloons. Simon & Schuster. 

• Fox, M. (1984). Wilfred Gordon McDonald Partridge. Kane/Miller Book Publishers. 

• Elizabeth, J. (n.d.). Will Grammy Remember Me? (Publisher varies by edition.) 

Feeling connected to others plays a significant role in mental health. If you’ve experienced loss, trauma or isolation, or felt marginalized or bullied, community can be especially important. While finding or building community may take time, it can make a real difference. Strong relationships reduce stress, support mental health and help make life more meaningful. 

How to engage with your community

Community can start with small, everyday actions that fit your time, comfort level and interests. It doesn’t have to be a lot. Choose what feels right for you.

• Support your neighborhood: Get to know neighbors, check in on someone nearby or take part in activities that bring people together.
• Practice active kindness: Simple gestures, like listening or offering help can strengthen relationships.
• Take part in local events: Attend community gatherings, fairs or activities to meet others and learn what’s happening in your area.
• Use shared spaces: Spend time in libraries, community centers, parks or other places people gather.
• Join a club or group (online or in person): Look for groups focused on your interests, culture or shared experiences.
• Get outside: Participate in walking groups, community gardens or outdoor activities.
• Care for your environment: Help keep shared spaces clean, safe and welcoming.
• Volunteer or give your time: Contribute your skills or help others through local organizations or causes.

Community takes many forms. One small action, online or in person, can build connection and support and create brighter days.

Building your confidence – starting today.

Self-esteem is how you feel about yourself. When it’s healthy, you recognize your strengths and appreciate the good in life. The great news? You can strengthen it. Here’s how:

• Flip the script on self-criticism. Replace harsh inner voices with kinder ones. Celebrate wins, big and small, and own what you’re good at.
• Show your compassion. Everyone is a work in progress. Treat yourself like you’d treat a good friend, with kindness and understanding.
• Stop the comparison game. Social media shows highlight reels, not reality. Focus on your path and progress, not someone else’s.
• Find growth in every experience. When things don’t go as planned, ask what you learned instead of dwelling on the disappointment. Turn obstacles into stepping stones.
• Build your crew. Surround yourself with people who uplift you. A positive circle makes a real difference in how you see yourself.

Visit the Mind Your Mental Health page on your member website or call your program for confidential mental health resources.

Spotlight Magellan gives colleagues and those we collaborate with the opportunity to get to know Magellan employees through facilitated interviews that explore their personal interests and the meaningful work happening across Magellan. Through intentional engagement, Spotlight Magellan fosters a sense of community and connection, and highlights the impact demonstrated by individuals in their roles at Magellan.

This month, we’re getting to know Jennifer Friedrich, vice president, federal program operations, military counseling division, federal market. Jennifer has been with Magellan since 2012.

Continue reading to learn more about Jennifer:

Describe a typical workday in your life.

My workday has a high operational tempo and is centered on maintaining operational excellence within the military counseling division, a team of over 1,750 associates including project management staff, Military & Family Life counselors and personal financial counselors. I focus on supporting our government customer, our employees and the organization as a whole by balancing priorities, addressing emerging needs and ensuring our teams have the guidance and resources they need to succeed. Each day requires adaptability, collaboration and a steady focus on delivering high-quality outcomes in support of the military counseling mission.

What is your biggest strength?

My greatest strength is my ability to lead through a human-centered, strength-based approach. My leadership, counseling and teaching philosophies naturally intersect and are grounded in humanistic psychology. I focus on identifying and amplifying each individual’s strengths and intentionally aligning them with meaningful growth opportunities. This approach builds trust, enhances intrinsic motivation and supports employee wellbeing and confidence, resulting in more engaged, capable and resilient teams.

How do you feel you excel in supporting your team(s)?

I excel in supporting my teams by modeling and encouraging balance, reflection and self-care as essential components of sustained performance. Magellan has afforded me the ability to maintain work-life balance, which enables me to remain focused, present and mission-driven. I translate this into my leadership by advising employees to intentionally set aside time each day to pause, evaluate and invest in themselves. I recognize that personal wellbeing directly supports effectiveness, engagement, and long-term success.

What is your favorite thing to do during your time off?

Traveling is my favorite way to spend time off. I enjoy exploring new geographic locations, immersing myself in different cultures and experiencing the food and traditions that make each place unique. Travel allows me to recharge, broaden my perspective and return with renewed energy and curiosity that carries over into my work and daily life.

What is the best career advice that you have received or have learned through your own experiences?

The best career advice I have learned through experience is to lead and work with purpose. Magellan has compassionately pushed my leadership growth edge by fostering a thriving, supportive environment that encourages reflection and development. I advise employees to explore their inner “why” and pursue opportunities that align with their values and sense of purpose. When individuals are engaged in meaningful work, they become more effective, connected and resilient, which are invaluable benefits that extend both inside and outside the workplace.

Do you have any pets? Tell us about their quicky personality traits and share a picture!

I have four pets: Oliver, Sage, Teddy and Poppy, and each has a wonderfully unique personality! Oliver is the loyal protector of the group, always keeping a watchful eye on everyone. Sage oversees all activity like a wise manager, making sure nothing goes unnoticed. Teddy truly lives up to her name. She’s our cuddly teddy bear and resident comforter. Poppy is a nonstop bouncing ball of energy who keeps us on our toes.

Together, they bring an incredible amount of joy and unconditional love to our home.

Mental Wellbeing Month asserts that being mentally healthy is a vital part of your overall wellness. Just as it’s important to monitor markers of your physical health such as blood pressure or cholesterol levels, you should keep careful track of your emotional wellbeing. This can include your moods, ability to function socially, energy levels and ability to respond to challenges.

• Practice mindfulness by slowing down during your day to fully experience the present moment. Take stock of how you’re feeling and let go of stress.
• Seek professional help if you experience ongoing feelings of sadness or hopelessness, loss of energy, insomnia, early awakening, oversleeping or restlessness and irritability.
• Schedule meaningful activities each day, such as creative hobbies, that are important to you. Identify and work into your routine the activities that reliably help you relax and recharge.

Visit the Mind Your Mental Health page on your member website or call your program for confidential mental health resources.

Working on physical health

Never underestimate the importance of nurturing your physical wellbeing. It’s never too late to work on improving your health.

• Physical health forms the foundation for mental and emotional resilience—allowing you to meet the challenges of the day, manage your relationships and succeed in your work.
• The connection is clear—prioritize regular movement, a healthy diet, quality sleep and you’ll likely experience increased energy, improved mood, enhanced appearance and greater capacity to pursue what matters most to you.