Medical Matters Weekly Welcomes Dartmouth Institute Leader
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Medical Matters Weekly Welcomes Dartmouth Institute Leader

BENNINGTON, VT—May 17, 2022— Amber E. Barnato, MD, MPH, MS, director of the Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth, will be the next guest on Medical Matters Weekly at 12 p.m. on Wednesday, May 25. The show will cover Barnato’s wide range of expertise, including public health/preventive medicine, hospice/palliative medicine, the institute’s work, health equity, and Barnato’s research regarding life support decisions families and physicians make for patients in the ICU.

The show is produced by Southwestern Vermont Health Care (SVHC) with cooperation from Catamount Access Television (CAT-TV). Viewers can see Medical Matters Weekly on facebook.com/svmedicalcenter and facebook.com/CATTVBennington. The show is also available to view or download as a podcast on svhealthcare.org/medicalmatters.

In addition to her role as director of the Dartmouth Institute, Barnato is the John E. Wennberg Distinguished Professor at the Geisel School of Medicine at Dartmouth. The Institute is both an academic department and a cross-campus institute bringing together more than 150 faculty who serve the mission of improving health and health care by conducting research jointly with staff and academic, health system, and community partners and by teaching and learning from more than 200 graduate students annually in the department’s MS, MPH, MHCDS, and PhD programs.

Barnato is trained in two medical specialties, public health/preventive medicine and hospice/palliative medicine.  Her own research focuses on understanding the causes and consequences of variation in end-of-life intensive care unit (ICU) and life-sustaining treatment use among seriously ill older adults. She focuses on the interplay between organizational norms, provider-patient communication, and implicit cognition, and how these phenomena produce racial disparities in end-of-life treatment.

Medical Matters Weekly features the innovative personalities who drive positive change within health care and related professions. The show addresses all aspects of creating and maintaining a healthy lifestyle for all, including food and nutrition, housing, diversity and inclusion, groundbreaking medical care, exercise, mental health, the environment, research, and government. The show is broadcast on Facebook Live, YouTube, and all podcast platforms.

After the program, the video is available on area public access television stations CAT-TV (Comcast channel 1075) and GNAT-TV's (Comcast channel 1074), as well as on public access stations throughout the United States.
 
About SVHC:
Southwestern Vermont Health Care (SVHC) is a comprehensive, preeminent, healthcare system providing exceptional, convenient, and affordable care to the communities of Bennington and Windham Counties of Vermont, eastern Rensselaer and Washington Counties of New York, and northern Berkshire County in Massachusetts. SVHC includes Southwestern Vermont Medical Center (SVMC), Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices.

Southwestern Vermont Health Care is among the most lauded small rural health systems in the nation. It is the recipient of the American Hospital Association’s 2020 Rural Hospital Leadership Award. In addition, SVMC ranked fourth nationwide for the value of care it provides by the Lown Institute Hospital Index in 2020 and is a five-time recipient of the American Nurses Credentialing Center’s Magnet® recognition for nursing excellence. It has also received the highest marks possible from the Leapfrog Group. The health system is fortunate to have the support of platinum-level corporate sponsor Mack, a leading supplier of contract manufacturing services and injection molded plastic parts based in Arlington, VT.

Southwestern Vermont Medical Center provides exceptional care without discriminating on the basis of an individual’s age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression. Language assistance services, free of charge, are available at 1-800-367-9559.

 

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COVID and Mental Health

We know that COVID-19 has claimed more than 85,000 lives so far. While this is devastating for those individuals and families, national mental health organizations are warning that another crisis could be looming.

Well Being Trust & The Robert Graham Center for Policy Studies in Family Medicine and Primary Care estimate that we could lose 75,000 more people due to "deaths of despair," including increased drug- and alcohol-related events and suicides brought on by stress related to the pandemic.

They based their estimation on previous data combined with the anticipated effects of unemployment and financial instability, social isolation, and uncertainty. All three are among the top causes of drug misuse and suicide.


In my experience, stressful times do put people at greater risk of suicide and drug misuse. While getting financial help, connecting with friends and family regularly, and finding new things to be excited about may help, some people may not be able to see their way to these methods without additional help.

For those who have a history of mental health challenges, it is a good time to reconnect with your therapist remotely via telemedicine. Making this connection is important. Changes in conditions may warrant a change to your medications. Your therapist may also be able to recommend group teletherapy and online support groups that may be suitable for you.

If you have ever considered suicide, it may be useful to work with a friend or family member to make a safety plan. A safety plan is a document written during a time of wellbeing that guides someone when they are experiencing thoughts of suicide. It helps them avoid an intense suicidal crisis.

Safety plans can include warning signs, coping strategies, sources of support, ways to remove suicidal means from the environment, and reasons for living. It can be a comforting and stabilizing force that can help prevent slipping into a crisis. For complete information, visit www.suicideinfo.ca/resource/safety-plans/.

Local help can be found through United Counseling Service (UCS) in Bennington and Manchester. They have a wide array of services for people of all ages. All can be accessed with a single number: 802-442-5491. A Warm Line is available 8-5, Monday through Friday and can connect you with help even if you’re not quite sure exactly what type of help you need. Emergency services are available 24/7.

Those who are experiencing thoughts of suicide should get help right away by National Suicide Prevention Lifeline at 1-800-273-8355. If in immediate danger, call 9-1-1 or go to your nearest Emergency Department.

When we look out for our own mental wellbeing and that of our friends and family, we will find that we truly can make it though this. None of us is alone. Help is just a phone call away.

Doris Russell is the assistant director of Outpatient and Mental Health Services at United Counseling Service.

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