Three gifts support mental health, research and neonatal care

CHOC Children’s is so grateful to recently have received three very generous gifts that will help CHOC continue to care for more than 185,000 babies, kids and teens each year. CHOC believes that all children deserve a chance at a happy, healthy childhood.

Transformational gift to benefit the pediatric mental health system of care

CHOC received a transformational gift from the Cherese Mari Laulhere Foundation to enhance and expand its pediatric mental health system of care. The announcement comes on the heels of the Conditions of Children in Orange County report, which highlights alarming increase in the number of children hospitalized in the county for mental illness.

The gift from the Cherese Mari Laulhere Foundation will:

  • Endow CHOC’s mental health inpatient center. Opened in April 2018 for children ages 3 to 17, the center is the only inpatient facility in Orange County that offers specialized programs for kids younger than 12. The center will now be named the Cherese Mari Laulhere Mental Health Inpatient Cente
  • Establish the Cherese Mari Laulhere Young Child Clinic for children ages 3 to 18 who are experiencing behavioral and emotional challenges, mental health issues and school readiness challenges.
  • Expand CHOC’s Intensive Outpatient Program, a mental health treatment program for high schoolers with moderate to severe symptoms of anxiety, depression or other symptoms related to mental health conditions. The program will be expanded to middle school-aged children.
  • Advance trauma-informed care, including providing tools to pediatricians to help in identifying adverse childhood experiences, and connecting patients and families with resources.
cherese
Cherese Mari Laulhere

“Our donations are gifts from our daughter, who brought so much light and love into this world. As someone who advocated for the underserved, Cherese would be very proud of her role in supporting CHOC’s mental health efforts and helping change the trajectory of thousands of young lives,” says Cherese’s parents, Chris and Larry.

Learn more about this gift to CHOC Children’s.

$8 million to advance research for rare disorder

An $8 million gift from the Foundation of Caring will help CHOC advance research for a rare lysosomal storage disease, ultimately leading to an improved understanding and more effective treatments.

The gift will support CHOC researchers working to develop next-generation therapies for Pompe disease, a lysosomal storage disease wherein glycogen builds up in the body’s cells and causes life-threatening heart failure and muscle weakness in affected babies. In honor of the gift, the program will be named the Foundation of Caring Lysosomal Storage Disorder Program at CHOC Children’s.

The work of Dr. Raymond Wang, a CHOC metabolic disorders specialist and director of the Foundation of Caring Lysosomal Storage Disorder Program, drew the attention of the Foundation of Caring several years ago when Dr. Wang began treating the great-granddaughter of the Foundation’s founder after she was diagnosed with Pompe disease.

raymond-wang-md
Dr. Raymond Wang, a CHOC metabolic disorders specialist and director of the Foundation of Caring Lysosomal Storage Disorder Program

With previous support from the Foundation of Caring, Dr. Wang and his team have already made significant strides in its study of Pompe disease, having built a growing research team that’s used CRISPR/Cas9 technology to edit the genome to create animal models of Pompe disease. The Foundation of Caring’s gift will allow Dr. Wang and his team to expand upon this work and use CRISPR to cure Pompe disease and lysosomal storage disorders.

“We are so pleased to support the important work of Dr. Wang and his team at CHOC to help find better treatment or, even better, a cure for Pompe disease for patients affected by the condition worldwide,” says the Foundation of Caring Board of Directors.

Learn more about this gift to CHOC Children’s.

$2 million to CHOC’s neonatal intensive care unit

Newborn babies requiring critical care have gained a big ally in the William, Jeff and Jennifer Gross Foundation. A recent $2 million gift to the neonatal intensive care unit (NICU) on CHOC’s main campus in Orange rounds the Foundation’s support of CHOC’s neonatal services to $7 million in the past year.

choc nicu

Many hospitals offer intensive care units but only a select few are rated by the American Academy of Pediatrics as Level 4 – the highest rating available – and even fewer are ranked among the best in the nation, according to U.S. News & World Report. CHOC’s program features three NICUs, a team of board-certified neonatologists and special units for the smallest preemies, infants who need complex surgery, and babies who have neurological and cardiac concerns.

“CHOC’s neonatal services are unlike anything else offered on the West Coast, providing the highest levels of care and tremendous hope to families in the region. We are honored to continue our commitment to CHOC and the care of newborn babies,” says Jeff Gross.

Learn more about this gift to CHOC Children’s.

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When distress is something more

When is distress something more serious? When does it become something that warrants specialized help?

Everyone experiences distress from time to time. Children and teenagers can go through spells where they seem very upset. However, people who struggle with a mental health disorder tend to experience distress more regularly and more strongly. When should you think about going to a professional for guidance? Below are a few characteristics that can help in figuring out the extend of your child or adolescent’s distress. Note this is not intended to replace a specialized medical assessment. Always seek immediate help if a child engages in unsafe behavior or talks about wanting to hurt himself or someone else.

Typical distress: The upsetting symptoms should last a few hours or a few days. This may look like:

  • After a breakup, your adolescent cries for a few days.
  • He complains of a stomachache after eating too much ice cream.
  • She has a temper tantrum when she is tired.

Distress that may require professional guidance: The upsetting symptoms are persistent and last longer then a few days. This may look like:

  • Crying regularly and not knowing why
  • Complaining about frequent stomachaches or headaches, with no known medical, that keep them from attending school
  • Having frequent tantrums or being intensely irritable much of the time
  • Consistently not meeting milestones for his or her age, or you feel there could be a problem with their development

Typical distress: Difficulties take place in one setting such as school, home, with friends, or in the community. This may look like:

  • Before a test or presentation at school, your child gets the feeling of butterflies in her stomach.
  • Your son misbehaves at home, but follows the rules at school.

Distress that may require professional guidance: Difficulties are pervasive and take place in more than one setting. This may look like:

  • After a poor grade on an exam, your child feels worthless or helpless all the time (at school, at home and with friends) and does not engage in regular activities.
  • Your child doesn’t like to eat at parties and at school for fear of gaining weight.
  • He throws severe tantrums at home and at preschool.

Typical distress: Generally, your child is doing well across most settings (at school, with friends and family relationships, at work if applicable). This may look like:

  • Your son feels betrayed by a friend; however, he continues to hang out with your family, and school performance stays the same.
  • Your daughter is usually a good student, but experienced a recent decline in grades due to a change in teachers.
  • Your son has a few friends in the neighborhood and one friend at school, but hangs out with family members.

Distress that may require professional guidance: Your child’s distress interferes with normal functioning, and symptoms get in the way of everyday life, such as school, friends, family relationships and work). This may look like:

  • Your daughter is spending more and more time alone, and avoiding social activities with friends or family.
  • Your son has lost interest in activities he used to enjoy doing.
  • Your daughter is not interested in playing with other children, or has difficulty making friends.
  • Your son is experimenting or engaging with alcohol and drug use, and is not engaged with family and friends, or shows a decrease in school or job achievement.

Stay Informed about Mental Health

CHOC Children’s has made the commitment to take a leadership role in meeting the need for more mental health services in Orange County. Sign up today to keep informed about this important initiative and to receive tips and education from mental health experts.

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What do psychiatric medications do?

By Alice Kim, clinical pharmacist at CHOC Children’s

Mental health is an important part of overall health. Therapy is important, but sometimes, medication is necessary to improve or maintain our mental health. These psychiatric medications are safe and effective when taken appropriately under a doctor’s supervision.

Psychiatric medications influence the chemicals in our brains that regulate emotions and thought patterns. They can reduce symptoms such as loss of energy and lack of concentration, so therapy can be more effective.

Psychiatric medications include a variety of drugs prescribed to treat different types of mental health problems, or to reduce symptoms associated with these problems. There are five main types of psychiatric medication: antidepressants, antipsychotics, stimulants, anti-anxiety, and mood stabilizers.

Antidepressants help reduce feelings of sadness or depressed mood and anxiety as well as suicidal thoughts. They do not, however, “make people happy” or change their personalities. Possible side effects of antidepressants include drowsiness or insomnia, constipation, weight gain, tremors and dry mouth.

Antipsychotic medications help reduce or, in some cases, eliminate hearing unwanted voices or having very fearful thoughts. These medications can promote thinking clearly, staying focused on reality, and feeling organized and calm. They also can help you sleep better and communicate more effectively. Possible side effects of these medication include drowsiness, increased appetite and weight gain, blurred vision, constipation, dry mouth, dizziness, restlessness, shakes and twitches, and muscle stiffness. Rare side effects include seizures and problems controlling internal body temperature.

Stimulants and related medicines help improve concentration and attention spans in both children and adults by reducing hyperactivity and impulsiveness. Possible side effects include trouble falling asleep, decreased appetite and weight loss. Less common side effects can include headaches, stomachaches, irritability, rapid pulse or increased blood pressure. These often go away within a few weeks after stopping use or if your health care provider lowers your dose.

 Anti-anxiety medication can reduce anxiety and help you feel more relaxed. These medicines are generally safe when used as prescribed and usually are temporary, since long-term use can cause dependency. Call your doctor right away if you experience headaches, slurred speech, confusion, dizziness, increased nervousness or excitability when taking these medications.

Mood stabilizers help reduce or eliminate extremes of high or low moods and related symptoms. They should not keep you from experiencing the normal ups and downs of life, though. Side effects can include an upset stomach, drowsiness, weight gain, dizziness, shaking, blurred vision, confusion, or lack of coordination.

How to deal with side effects of medication

Side effects often get better with continued medication therapy. For side effects of mental health medication that linger, here are a few tips:

Side Effect What can be done
Dry mouth Try sugarless gum or mints
Constipation Drink plenty of water and eat lots of fruits and vegetables. Ask your doctor or pharmacist about over-the-counter laxatives.
Nausea or upset stomach Take your medication with a meal. Ask your doctor about anti-nausea medication.
Feeling sleepy Ask about changing the time when you take the medication.

Despite the prevalence of mental illness in the U.S. – one in five people have a diagnosable mental health disorder—an unnecessary stigma remains surrounding seeking treatment and utilizing prescribed medication. If you have a mental illness, know that you are not alone. For those without a mental health condition, educate people around you about the reality that mental illness is more common than people realize and speak out against stigma. By improving mental health education, we can challenge our misinformation and negative attitudes.

Stay informed about mental health.

CHOC Children’s has made the commitment to take a leadership role in meeting the need for more mental health services in Orange County. Sign up today to keep informed about this important initiative and to receive tips and education from mental health experts.

Related posts:

  • Three gifts support mental health, research and neonatal care
    CHOC Children’s is so grateful to recently have received three very generous gifts that will help CHOC continue to care for more than 185,000 babies, kids and teens each year. ...
  • When distress is something more
    When is distress something more serious? When does it become something that warrants specialized help? Everyone experiences distress from time to time. Children and teenagers can go through spells where they ...
  • Music therapy in a mental health setting
    Music therapy has been part of CHOC Children’s specialized therapeutic programming for more than 10 years. The program has grown recently, due to increased awareness of its effectiveness and a ...

Music therapy in a mental health setting

Music therapy has been part of CHOC Children’s specialized therapeutic programming for more than 10 years. The program has grown recently, due to increased awareness of its effectiveness and a growing need among CHOC patients. We sat down with Kevin Budd, a board-certified music therapist in CHOC’s Mental Health Inpatient Center, to discuss the benefits of music therapy in an inpatient psychiatric setting.

Q: Music therapy is more than just listening to music. What encompasses this practice?

A: Music therapy is the clinical and evidence-based use of musical interventions to accomplish individualized goals. This occurs within a therapeutic relationship between a credentialed professional who has completed an approved music therapy program, and a patient. During music therapy, we address physical, psychological, cognitive and/or social functioning challenges for patients of all ages. Essentially, we utilize evidence-based, musical interventions for non-musical outcomes; meaning music is the tool which helps support a patient’s non-musical need or goal.

Q: How does music therapy support clinical goals?

A: A patient’s clinical goal is the starting point for determining which musical intervention will be most effective. In the Center, these goals could include: mood regulation, self-expression, self-esteem, anxiety, interpersonal effectiveness, treatment motivation, positive coping skills, and more. There’s no one-size-fits-all treatment when it comes to music therapy within mental health. We might work towards their goals several different ways, including: focused music listening, songwriting, song discussion, group instrument playing, music and relaxation, singing, and many others.

For example, if a patient’s clinical goal is to increase identification of positive coping skills, we might work on lyric analysis within the patient’s preferred style of song. We could discuss triggers, resilience, and negative life situations in the song. During this lyric analysis, I can help navigate the discussion to include the patient’s interpretation of the musician’s experience and how it might relate back to their own life. After this discussion, we could rewrite the chorus of the song including identification of a negative situation and a positive coping skill to help address it. The patients can then be encouraged to share what they created— by singing, spoken word, or other creative means.

Within this exercise, not only has the patient identified a negative situation and how to better cope with it within a creative medium, they have experienced the active utilization of a positive coping skill, built up confidence after completing and sharing their creation, felt more connected with others in the group due to being vulnerable and feeling validated, improved their mood from the positive experience, and formed a sense of increased treatment motivation.

Music therapists utilize assessment, treatment planning, and evaluation to determine whether a patient’s current methods of music therapy are meeting their needs. Without treatment goals, there could be no effective music therapy.

Q: What kind of impact have you seen in mental health patients who have participated in music therapy?

A: In any setting, music has an instantaneous effect on our bodies — mentally, physically and behaviorally.

Patients have shared several stories about how music therapy has helped them with their clinical goals. It’s amazing how one musical intervention can address multiple goals.

Sometimes it’s hard for patients to verbalize past trauma or express their current struggles. But with music therapy, they can discuss a song that may relate to their current life situation— whether that be bullying, family problems, feeling hopeless, having anxious thoughts, or another stressor. During this process, patients may be able to process and verbalize more, since the lyrics are an easier gateway for expression.

During group instrument playing, patients who might have difficulty with interpersonal relationships are able to cohesively and successfully play music together in a positive and supportive space without the need to talk.

During group ukulele playing, patients can work on distress tolerance and problem-solving skills while persevering through a challenging task — and by the end, they have improved self-esteem.

Q: What is unique about music therapy in an inpatient psychiatric facility?

A: Music therapy can look different in the inpatient psychiatric setting than in other areas of the hospital.

Within the Center, goals for music therapy are focused on combatting the reasons why a patient is admitted— these could include suicidal ideation, depression, anxiety or other factors that keep these youth from participating in a healthy way in daily life. The goal of the MHIC is to stabilize these patients and provide them with as many resources as possible to cope with their mental health challenges.

Music therapy does just that and provides opportunities for patients to learn, process, practice and discover new skills through tailored music interventions such as group instrument playing, songwriting, music listening, song discussion, beat-making, singing, rapping, and many other techniques. The MHIC offers opportunities for group work, that allows for a diverse group of kids and teens to come together and express themselves in a supportive, safe and validating environment. Individual music therapy sessions are available to patients in the Center who need additional one-on-one support to complement their other treatment.

Q: Why did you want to become a music therapist? Why a mental health setting specifically?

A: I’ve gone through my own mental health challenges throughout my life, and I always found that music validated my journey. Music helped me distract myself and process my feelings. Music met me where I was in the moment and gave me hope. It also gave me a platform to express myself in ways I didn’t know how to otherwise.

When considering career paths, I wanted to find a way to harness the role music had played in my life in a therapeutic way. After receiving my undergraduate degree in music, I developed a special interest where psychology and music intersect—the space where music therapy truly breathes. I pursued my graduate degree in music therapy, and then became a board-certified music therapist.

I feel humbled and fulfilled to be able to support kids and teens at CHOC with the tool of music. By creating an authentic therapeutic alliance, I can support them through a harsh and challenging time in their lives. I am thrilled to be on the front lines of the music therapy program at CHOC Children’s and I look forward to supporting its growth and success in treating pediatric patients.

Stay Informed about Mental Health

CHOC Children’s has made the commitment to take a leadership role in meeting the need for more mental health services in Orange County. Sign up today to keep informed about this important initiative and to receive tips and education from mental health experts.

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Talk Openly To Your Kids About Bullying

Bullying continues to make headlines around the country.  In particular, cyberbullying has become an increasingly common and serious issue largely due to the easy access, and in some cases the anonymity, of digital devices.

CHOC Children’s offers the following tips to help you start a conversation with your child around bullying, and guidelines to help you and your child combat bullying.

Dr. Heather Huszti, chief psychologist at CHOC, says one of the best ways to protect your children from bullying is to talk openly about it. “Have a discussion about why some kids might be bullies,” she says. “You can explain that most bullies have low self-esteem and that they bully other people to try to feel better about themselves.”

Dr. Heather Huszti
Dr. Heather Huszti, chief psychologist at CHOC Children’s

Dr. Huszti suggests asking your child open-ended questions such as, “Is there anything going on?” or “Is there anything I can help you with?” This approach usually works better than firing off a list of specific questions.

If you learn your child is being bullied, here are some additional steps you can take:

  • Inform your child’s school about the bullying.
  • Talk with the bully’s parents about the behavior.
  • Help your child build up his or her self-esteem. The better your child feels about herself, the less effect a bully will have on her overall well-being.
  • Be mindful of your child’s online activity.
  • Have a plan. Talk about what your child might do if he or she is bullied, including who to tell.
  • Pay close attention to signs from your child that may show something is wrong, such as acting withdrawn, sad or irritable, or changes in their sleep or appetite. Keep in mind however, that sometimes kids will not display any signs at all so it’s important to keep an open dialogue with your child.
Learn more about CHOC’s commitment to mental health

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