On today’s episode, Dr. Ashley and the Boss prepare for May which is Mental Health Awareness Month, by reviewing programs/events available to county residents during the month of May. They also explore three more great programs in Ashland County that address mental health and substance use crisis. Finally, Dr. Ashley and the Boss discuss ‘.css-j9qmi7{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:row;-ms-flex-direction:row;flex-direction:row;font-weight:700;margin-bottom:1rem;margin-top:2.8rem;width:100%;-webkit-box-pack:start;-ms-flex-pack:start;-webkit-justify-content:start;justify-content:start;padding-left:5rem;}@media only screen and (max-width: 599px){.css-j9qmi7{padding-left:0;-webkit-box-pack:center;-ms-flex-pack:center;-webkit-justify-content:center;justify-content:center;}}.css-j9qmi7 svg{fill:#27292D;}.css-j9qmi7 .eagfbvw0{-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#27292D;}
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:02):
Welcome.
Speaker 2 (00:02):
You're listening to the Keeping Ashland Healthy podcast a podcast
production of the Mental Health and Recovery Board of Ashland County, Ohio.
Thanks for joining us, and welcome back to another episode.
Doctor Ashley and I explore three more great programs on
today's episode, as well as bringing attention to May Is
Mental Health and Awareness Month. As you may have heard before,
(00:26):
the Board funds fifty programs and services through our contract
partners Appleseed a Caden Catholic Charities. And since we think
most folks in the community don't know that or what
they are and how to access, and we thought it
made some sense to spend some time unpacking each of
these programs a little bit about what they do, how
they can be access So I hope you enjoy today's episode.
Speaker 1 (00:49):
Good morning, Doctor Ashley. Here we are again. Here we
are good joining Ashlon Healthy. Good morning. Thank you all
for listening to the Mental Health and Recovery Boards Keeping
Ashland Health Healthy podcasts. We enjoy bringing this program to
you on a regular basis, and we are in a pattern,
Doctor Ashley, because I had mentioned to the audience we
(01:09):
had actually both together a few weeks ago, that we
have fifty funded programs through our three contract providers, Apples,
Catholic Charities and a KIDA, And I would imagine most
people don't know that we have fifty programs or what
they are, so it made some sense to us to
maybe try to unpack, in a relatively brief period of time,
(01:30):
try to unpack some of the programs. I've been calling
these three great programs, three more great programs, yet three
more great so until we get to the fifty. So
we will work our way through all these great programs
at the Mental Health and Recovery Board funds. Because obviously,
a great program is only great if people actually access
(01:51):
this when they need it, So if you don't know
about it, you won't access it. So that is partly,
obviously what the Mental Health and Recovery Board is all about,
is making the community aware of some of these resources
that we do have available, how to access those quickly
so that they can get their needs met and or
their loved ones needs met. So, without further ado, we're
(02:14):
going to talk about three kind of intensive services and
then a service for our veterans, which again there's not
always a whole lot of overlap between programs at the
Board funds and veterans is because their funding typically comes
from the VA, which is a separate funding entity and
(02:35):
planning entity than the board. But there is some crossover
that we've been trying to make. So we wanted to
talk about one of our veterans programs. And then May
is Mental health month, Doctor Ashley, I can't believe it's
almost here. So we want to talk about a few
of the things that we are promoting during the month
of May. So let us start first with what is
sometimes called detox. You know, that's the old term, doctor, Actually, yeah,
(02:57):
you know, because I don't know a bad reputation detox.
But now audience detox is not called detox anymore. It's
now called withdrawal management. And the thinking behind that is
withdraw from drugs, and it could be many different kinds
of drugs, but primarily opioids recently, or amphetamines or other drugs.
(03:20):
You might recall at our conference we talked about psychiatric
drug withdrawal. Uh. Drug withdrawal is a think a thing
and it can be very very challenging and it needs
to be managed and medically as well as with counselors
and social workers, primary care physicians, so that that's the
I think the rationale behind withdraw management. I think that
(03:42):
maybe better. Oh it sounds more science y.
Speaker 3 (03:47):
Yeah, maybe so right.
Speaker 1 (03:49):
And detoxification, and we can't forget alcohol.
Speaker 3 (03:51):
Alcohol, yes, which is draw is one of the most
dangerous is correct?
Speaker 1 (03:56):
So withdraw management, uh. And then resident services and we're
particularly talking about individuals that are struggling with substance use.
Withdrawal management tends to be much more short term, from
a few weeks to maybe thirty days or so. And
then residential services, as the name implies, for substance use,
(04:20):
could be a bit longer, could be some months or more.
And one of the questions we get a lot doctor Ashley,
is does the Mental Health and Recovery Board fund or
does Ashton County have within the county either withdrawal management
services or residential services for people struggling with substance use disorder?
And the answer is.
Speaker 3 (04:39):
What's the answer?
Speaker 1 (04:40):
No, No, we don't. There's a lot of reasons for that,
but the short one is we don't have enough sufficient
need from Ashroon County residents alone to stand up services
like that. So the next best thing is to have
those high quality services available within a short distance and
(05:00):
luckily we do have that in a partnership with Richland
County and Catalysts. They have both withdrawal management and residential
services about twenty five to thirty minutes or so away,
depending on where you live in the county.
Speaker 3 (05:14):
Yeah, so those services are still available for people in Ashland,
just not in the county, just.
Speaker 1 (05:18):
Not in the county. So I say that because I
want loved ones or the individuals to know that, and
we have an agreement, we're in regional collaboration with other
boards such that really it should not cost the individual
if they don't have insurance that could cover it, it
should not cost the individual anything to access those services.
(05:39):
I can tell you historically we work with Rick Ford.
He's the gatekeeper in the county. I say that because
sometimes folks want to go on their own or help
their loved one go on their own to get those services.
And I can't say this clearly enough. Please don't do
that unless you've got a lot of money. Okay, we
have worked out arrangements for the funding, but you need
(06:01):
to go through a CADA and mister Ford to access
those Rick has to do an assessment and really make
sure that this is the right level of care because
it's the most intensive level of care for from somebody
who's struggling with substance usees. So we need to make
sure folks are ready for that level care because it
is extremely expensive. But we can get you in at
no cost, but you need to go through mister Ford.
(06:23):
If you just show up and say hey, I'm from
Ashton County, I heard doctor Ashley and the Boss on
to Keep You an Ational and Healthy podcast talk about this,
admit me and don't charge me anything. They're not going
to do that. They're not going to admit you. They
have to have Rick Ford's assessment and you know, through
a CADA to get in. So just just call Rick
at a KEDA. He does this all the time. He's
(06:45):
what we call our gatekeeper for those services. Yeah, that's great.
So now how does it work? People say, well, what
should I expect? Well, with withdraw management, it's not uncommon.
Maybe I'll just take opioids, Doctor Ashley. I know people,
aren't you. Withdrawal management hasn't been used as much for
opioids here in the last couple of years as it
(07:06):
was in the previous three, four and five years, where
we use quite a bit of it. But basically, the
person would go in initially withdrawal management for opioids, go
through that process and then they might transfer over to
the residential services for a period of time and then
they would get discharged into outpatient services within the county. Now,
the nice thing about what Catalyst has set up is
(07:29):
the withdrawal management and the residential they're like right across
from each other. They're like their own little compound. Yeah,
and so it's really convenient for those that are visiting them.
They're both right there. It's in a nice part of
town that they have the set up where I think
it's very peaceful. So anyway, we're pretty happy with what
(07:52):
Catalyst is doing over there. We love that it's so
close to the county since we don't have it in
the county. But yeah, I just hopefully folks, that gives
people just a better idea what to expect or what
to anticipate. And again, if funding is an issue, and
it is for a lot of people, just go through
mister Ford. Let him be the gatekeeper for those services.
Make sure you really do meet that level of care
(08:12):
criteria before going over there, and he'll help facilitate that.
Speaker 3 (08:17):
Yeah, So one question I think listeners might be wondering
is why might someone need detox or withdraw management? What
do you think about that?
Speaker 1 (08:25):
Yeah, and not everybody does. That's a great question, doctor Ashley.
So how do I know I need that? That's what
Rick helps you decide. Some individuals don't need to go
into that level care to get out patient services and
be successful. That's the whole point. Do I need withdraw
management residential? Not necessarily? Why don't you sit down with
somebody like mister Ford that's got thirty plus years experience
(08:48):
and expertise in this, let him walk you through some
questions to figure out what would make the most sense.
Speaker 3 (08:56):
Yes, and I think so when you withdraw from a substance,
it can be very uncomfortable, painful, You can be very sick, right,
and so sometimes you just need a higher level of
care to get through that process. Sometimes people will go
through withdrawal and in the process they can't handle it
and they'll just continue using, start using again. So it's
(09:17):
a way to help get people to the other side
of that withdrawal.
Speaker 1 (09:21):
It's very uncomfortable, as you say, and that process if
you do that on your own and by yourself, and
it's very uncomfortable, right, you may not be as successful
as if you're in a controlled environment with supports, with
help with sometimes medications that come alongside short term during
the withdrawal process to make that withdrawal easier. Yeah, so
(09:41):
it is I think recommended for certain folks, but not all.
So that's why that assessment is so importal. Yes, yep. Well,
our next intensive service that we want to talk about
is actually the gatekeeper's applesed not a CADA, and this
has to do with ind DoLS that might be struggling
thinking about harm themselves or others, or just in a
(10:03):
mental health crisis as opposed to maybe a substance use
disorder crisis. So mental health crises are more common than
maybe people know in Ashton County, Doctor Ashley, we were
just looking at the numbers for this year. I've got
them here in my hand. It looks like we're going
to get just a little over nine hundred folks that
(10:25):
get a what we call crisis assessment. Yes, and you know,
of those nine hundred folks in the county that there
might be some duplicates in there, but again, roughly nine
hundred individuals that might be in such a crisis, mental
health crisis that they need a professional assessment by somebody
at Applesys. The vast majority of those folks, about fifty percent,
(10:47):
they get assessed and then they are you know, discharged,
usually from a hospital setting er, so not even admitted,
so they'll just be in the er, assess and then
released back home or go back home. We follow up
services either the same day or soon thereafter. Most folks
(11:08):
can be receive the help they need. That way. The
reason I guess I'm bringing that up, Doctor Ashley, is
in for our audience members listening, they might think from
watching movies or reading books that if you go to
the hospital to get assessed because you're struggling with a
mental health issue, that you're going to go to the hospital,
And I just want folks to know that is rarely,
(11:29):
rarely the case. So what I mean by rarely, So
our numbers are pretty consistent year over year, and we
get these from Appleseed. About one percent, maybe two percent
of all the people's screen will end up going to
the State hospital, which is over in Masslin. That's a
pretty small number of folks, and that's been holding steady
(11:53):
for many years now. Another seven or eight percent of
all the folks that are screening might end up in
what we call private psychiatric hospital, which again, do you
know how many private psychiatric hospitals we have in Ashen County,
Doctor Ashley is we have the So again for the
same reason we talked about withdrawal management and residential we
just don't have the number of individuals in the county
(12:15):
that need that level of care, but they access it
through psychiatric hospitals that are nearby. I will say, unlike
what Catalyst is doing. Sometimes we've used Ohio Health, which
is next door, but more often than not, when we
have to admit somebody to a private psychiatric hospitels it's
(12:35):
a little further away. Like Ohio Hospital for psychiatry, it's
usually in Columbus that area up in the Akron area,
some a county perhaps, So there is a little bit
more of a drive involved with that, and I just
wanted the audience to know that. But again, you're only
talking about seven or eight percent of all the folks
that are screened in the year that need that.
Speaker 3 (12:53):
Level of right and it's really only if there are
risk to their own safety or someone else's RCT.
Speaker 1 (13:00):
So I think that's important to know because it's not
that we want to underreact when somebody is experiencing a crisis,
but we certainly don't want to overreact. And we talk
about restrictive levels of care, most restrictive levels of care
which are inpatient kind of psychiatric admits. We don't want
to put folks in those situations unless it absolutely is
(13:21):
warranted based on all the available information and the best
clinical guidance of the team working with them at the time.
Speaker 3 (13:27):
Absolutely. I think so a lot of times when someone's struggling,
just having that support, like being able to have the
pre screen done and talk to a professional, that in
itself sometimes is enough to de escalate the situation, and
just knowing that they have some resources going forward keeps
them out of the hospital.
Speaker 1 (13:47):
No, and both doctor Ashley and I, when we weren't bureaucrats,
which that should be a good book title. When we
weren't when we were in direct practice, both of us
did crisis is both of us us did these assessments
that we're talking about. And one of the critical elements
whenever you did an assessment and you did facilitate helping
(14:09):
somebody get into one of these psychiatric hospitals, whether at
the state or the private was you know, we were
always thinking about, you know, what needs to happen there
to minimize the length of day, not minimize it, you know,
for non clinical reasons, which is what sometimes we have
to do now just because of overcrowded, but for clinical reasons.
How long really is reasonable for the person to be
(14:31):
in that level of care, that very high level care.
So we're discharge planning from your initial admit, we're trying
to do discharge planning, as you said, what needs to
be in place when the person gets out, Where are
they going to go, who's going to be involved with
their care and their treatment? What services weren't they getting
that you know, maybe be more helpful, et cetera. What
(14:52):
happens in the hospital, like a medication that might be added,
should that be continued when they come out, should it
for how long? And what type of medication is that
going to be covered by their insurance or are they
tolerating it well? Or do we make There's so many
things around discharge planning, but we do that as soon
as they're admitted. I know that sounds maybe odd, but
(15:13):
as soon as people go in on day one we're
trying to figure out, you know, how to get them
out because we don't want to keep them there any
longer than they need to be there.
Speaker 3 (15:21):
Yeah, I mean, we believe like the hospital is not
the most fun place to be right, not normally, and
you can get a lot of support and services in
the community. So the best place really is in the community.
Speaker 1 (15:31):
Absolutely. So guess what the board feels so strongly about
crisis services. It is our number one priority service. Love
that yep, So they felt so strongly about this. Again,
we may have mentioned this position before on the on
the podcast, but the boards invest some of their dollars
in a hospital liaison at Appleseed and really, her whole
(15:52):
job it is a female, so I can say that
it always has been, actually I think about the history
of it. Yeah, her whole job is to make sure
everything we're talking about right now goes as smoothly as
possible for the individual and the family's impacted. So she
makes sure that the admissions, the length of stay. She
makes sure that hospitals that were placing folks in and
(16:13):
working with we would put our own family members in
because again that's the standard. If I wouldn't put mom
and you've met my mom. I'd hate to put her
in the hospital, but if she needed it, you know,
where would I put her? Where would I feel comfortable
placing her? So that's our standard. If we would and
feel comfortable with our family and friends there, maybe we
need to be contracting with a different hospital.
Speaker 3 (16:33):
I love that way of thinking.
Speaker 1 (16:35):
Yeah, absolutely so I want folks to know. I guess
if you're a loved one, or you're the individual that
might struggle, please know first and foremost that it's very
unlikely that you're going to end up in a state hospital.
And even if you do, it's not what you've seen
on TV. Even though these might be locked facilities, it
is not one flu over the cuckoos and as situation.
There is no nurse ratchets that I'm aware of. Yeah,
(16:57):
I hope folks tend to be much more health wellness
positive in their focus. They understand that folks are there
for usually a short period of time before they move out,
and they just trying to stabilize the situation and get
them to where they need to be so they can
be successful. But that's going to happen on the outpatient side,
So hospital and in patient services and those are gatekeepers
(17:22):
are apple seed, and I just wanted folks to know
a little bit about that and a little bit about
the numbers. I thought that would be helpful to know
about the numbers. But we say this a lot, doctor
Ashley when we do our QPR trainings, But individuals that
are in crisis at a level where they need this
kind of screen and possible placement, that tends to be
a once in a life experience. It usually is for
(17:44):
an individual. It's a convergence of a lot of stressors
all hitting at the same time. So it could be employment,
it could be personal, it could be physical. Several things
are all bearing down on the individual at the same time,
and their ability to cope and manage is overwhelmed, and
they get into a point where they just they're not
sure about what to do, and they can be in
such distress that this kind of assessment and then treatment
(18:06):
makes sense. But as I say, for the vast majority
of people, that's a once in a lifetime experience.
Speaker 3 (18:11):
Yeah, they get better and they don't experience that again usually.
Speaker 1 (18:14):
Yes, And I say that because I want folks that
are listening to don't hesitate. If you or a loved
one is experiencing that level of stress, reach out call
the twenty four to seven number that we talk about
all the time on this program, and we work it
into our intro in our outro the four one nine
two eight nine six' one one, one because we don't want
folks to be shy about using that. Number. YEAH i
(18:36):
think that's great.
Speaker 3 (18:37):
Too you said like eight or nine hundred people in
the year we'll actually call for, That SO i think that's.
Great people are using the.
Speaker 1 (18:44):
Hotline, no that's the nine hundred are actually the. Assessments,
okay the actually hotline calls or we're in, thousands thousands
of people call the. Hotline we should do another episode
just on. That we.
Speaker 3 (18:55):
SHOULD i think that's. Great people are open to using.
Speaker 1 (18:57):
It, absolutely we have a lot of folks that call the.
Hotline but, yeah the nine actual. Assessments, okay. Gotcha, yeah
our next let's pivot real. QUICK i had mentioned a
unique peer program that The board funds here In Ash
county for, veterans and it's our what we call Our Landing.
Zone they call it that The Landing. Zone it meets
(19:19):
On wednesdays over at The Professional building from eight to.
Ten The Landing zone meeting is a peer to peer veterans.
Program and WHAT i mean by that it's informal in
that basically we make sure that the rooms, available it's,
clean it's, lit there's, coffee there's. Donuts for the. Vets
they run it. Themselves they decide the topic areas and
(19:41):
best way to address issues that they are going. Through
because we've learned Doctor ashley over the years that vets
helping other, vets these peer peer programs can be highly
effective and work better than sometimes bringing in somebody who's
not a, peer that maybe has a lot of great
information but isn't a, peer and it's not always received as.
(20:04):
Well and AS i said at the top of the,
podcast The veteran, services the vets typically get most of
their services paid through THE, va so they're not usually
going to our contract, Partners, Apples educata And catholic. Charities
they're usually going TO va hospitals and. Clinics so we
don't have the direct relationship on the clinical. Side but
(20:26):
we wanted to have at least some, role some way
to support our. Vets so this peer to peer, program
The Landing, zone was a way for us to do.
That and we're glad because we have on any Given,
wednesday there's about twenty vets that get. Together that's. Awesome, ye,
YEAH i love. That, YEAH i love that they get.
TOGETHER i love that they're in charge of the agenda
and they manage. It they help each, other they support
(20:47):
each other different, theaters different conflicts over different time, frames
so from Koreat Desert storm To vietnam that we have
a few from that. Era so, yeah it spans the
different wars or. Conflicts so that is THE va programs
(21:07):
Through Catholic, charities but they actually meet in our large
conference room with a professional. Building and for folks that
they don't, know that's on the entrances On Church, street
which is is that little cut through the street between
second and Third. Street, yeah so, Yeah i'm looking at
Doctor ashley just nods her head because she's not from
the area and refuses actually, KNOW i actually knew what
(21:29):
you're talking right across the. Court, Then, so, last but not,
least Doctor, ashley those are our three great. Programs we
want to talk a little bit because we're getting real
close To, may And may is typically one of THOSE i,
mean every day is a special day for, somebody and
(21:52):
there are all kinds of events and celebrations out there
for every day of the. Year it's actually very. Overwhelming and,
similarly there's a month for every, cause, event et. Cetera
SO i with. IT i know it is hard.
Speaker 3 (22:05):
To keep, up but this one's important for.
Speaker 1 (22:07):
Us, yes So may is mental Health month has been
around for quite a few. Years for whatever that's worth,
audience it has been around for a. While we did
not make this one up like some Of david's made up,
holidays but there's a few things that are going on
through the month Of. May and again why Mental Health Awareness.
Month the whole idea is we believe that's why we're
(22:28):
doing the. Podcast in part is that we think it's
impossible to really have a good quality of life if
you have a poor quality of mental. Health so mental health,
wellness emotional wellness is key to. That so we want
to draw attention to that, issue the critical component that
is mental health awareness and mental health in. General so
(22:53):
we do. That several different things are going on in the.
Month we are going to have a. Newsletter Sandy hoffman
here's at our, office works with us and our other
partners to assemble that it's a good comprehensive newsletter that'll
get released right at the first of the month with
a lot of the information we're talking. About if folks
aren't already under mailing this and are receiving, that please
(23:14):
please what what's going? On? Uh call us four one
nine two eight one three one three, nine or just
go to a Website ashland M hrb dot org uh
and sign up for the. Newsletter and again we'll put
this information in the episode. Description if you're, driving, uh
you can pull over if you, want but you probably
need to get to where you're, going so, uh but,
yeah get the, newsletter sign up for the, newsletter and
(23:38):
Then may seventh is one of the events we're doing
a Question persuade refer down With step. Two that's a you,
know obviously a large manufacturing company In, Perrysville South. County.
Uh you you did the first step two TRAINING qpr
a year or two. AGO i can't remember was that
last year the year, before but, anyway you did. That
and kudos to the company the leadership there that they
(24:00):
said we want to have this on an ongoing.
Speaker 3 (24:02):
Basis, yes and this one is for their management. Team
SO i think that's.
Speaker 1 (24:05):
Great, yeah so we'll be doing that TRAINING u two
SHIFTS i think one in the, morning one later on
to try to get all three of their. Shifts, Yes
may fourteenth is The Senior Health Fair Asha. County Asha
County council On aging is the lead on. This, uh
it is NOT i think too much of an exaggeration
(24:27):
to say we'll see over six hundred. Seniors oh, yeah
that's a big. Event it's AT au at The Convo Upper.
Convo there's a kind of a tabling opportunity for a
couple hours in the morning and then there's a nice
lunch with some entertainment and some. Giveaways so that's a.
Day so if you are an organization that's listening to
the podcast that serves seniors and any capacity and you've
(24:49):
not been involved with the tabling piece of, that get
a hold OF i guess it'd Be nicole at The
council on The console On, aging so you can get a.
Spot they may all be, gone but if double, check
and if they, are you just need to get in
line for next year because it's it's a wonderful opportunity
(25:11):
to get information to seniors In Ashton. County may, seventeenth
our good friends over In Richland, County jeff and Donnah
heck are doing their thirty Three Forever Birthday walk in
honor of their Daughter danny that they lost to suicide
some years. Ago we always table at that because there's
such a crossover Between richmond And Ashton county in terms
(25:32):
of people that live and work between the two. Counties
we love supporting that. Event so we'll be over There may.
Seventeenth that's down at The Carousel district right. Downtown and
you know That carousel, music you Know Doctor ashley the first,
HOUR i liked. It the third, hour, right didn't they
have snakes last? Year, yeah there's a lot of vendors
(25:54):
that show, up including some some folks that breed bring the. Snakes, yeah,
yeah that's why kids like.
Speaker 3 (26:00):
That, lizards there's, Snakes there's.
Speaker 1 (26:03):
All kinds of amphibians. There there's always a great turnout
for that. Event Appreciate jeff And. Donna they always support
Our suicide And Awareness walk that we do later on In.
September we you, know certainly support their work bringing attention
to the issue of, suicide but also just a crisis
care and emotional health and, wellness.
Speaker 3 (26:24):
And isn't it it's on their daughter's. Birthday, yes their
daughter that died by suicide at the age of thirty,
three and that's what the organization is named.
Speaker 1 (26:32):
After, YEAH i love. That also on the, Seventeenth so
folks might have to make a. DECISION i don't know
if they can do them. Both one of our, Partners
appleseed on one of their programs is the Safe haven,
program which is their domestic violence in partner violence. Program
Safe haven has a run with The stars FIVE. K
(26:53):
Now Jerry, straswald the executive, director has clearly said you
don't have to, run you can, walk you can, skip
and he SAID i Think jerry was quoted as, saying in,
fact you don't have to do anything except give us
your money if you just want to sit, there WHICH
i thought was A t, shirt which is pretty. Cool
so but if you want to, run, skip, jump sit
with The stars five k ash And, fairgrounds you know
(27:14):
that is the safe a is a program Of appleseed
that starts at seven point thirty at the Fair Grounds may,
seventeenth The Ashy County Sheriff's. OFFICE i know sponsors that
they try to make it. Fun they get some of
the staff they're in competition with each other and they
competitive they. Are they've got some GREAT i think videos On.
(27:35):
Facebook i've seen it on social media. That, yeah the
rivalries they, are and again a lot of, This Doctor,
ashley will we be for the month as we continue
to advertise all the, DETAILS i won't be able to
put all of these in the episode, description BUT i
will refer folks to the. Website but then you said
something about social, media.
Speaker 3 (27:54):
So, yeah we're also going to be sharing information to
raise awareness about mental health related topics and also reduce,
stigma which is kind of The states theme this year
is reducing. Stigma so we'll be sharing some information on
Our facebook page And. Instagram so if you've not followed
and liked us on those, things please do it Before
may so you can get that.
Speaker 1 (28:14):
Information, yep, Awesome, Well Doctor ashley, again three more great
programs Plus May's Mental Health. Month we're. Excited we're always
excited that here at The Mental.
Speaker 3 (28:24):
Health like thirty more agos.
Speaker 1 (28:26):
Right, well stay, tuned. Audience we do appreciate you joined
us weekend and week out for this. Program hopefully it
is helping to raise your awareness of not only the
issues of mental health and emotional health and substance use,
recovery but also the service is available on how to
access Those.
Speaker 3 (28:45):
Yes thanks so much for.
Speaker 2 (28:46):
Listening thank you for listening to another episode of The
Keeping national And healthy. Podcast the podcast is a production
of The Mental health And Recovery board Of Ashland, County.
Ohio you can reach the board by calling four one
nine two eight one three one. Three please remember that
The board funds a local twenty four to seven crisis
line Through Applese Community Mental Health.
Speaker 1 (29:06):
Center it can be reached by.
Speaker 2 (29:07):
Calling four one nine two eight nine sixty one one.
One that's four one nine two eight nine sixty one one.
One until next, Time please join us in Keeping Ashland.
Speaker 1 (29:19):
Healthy
Welcome.
Speaker 2 (00:02):
You're listening to the Keeping Ashland Healthy podcast a podcast
production of the Mental Health and Recovery Board of Ashland County, Ohio.
Thanks for joining us, and welcome back to another episode.
Doctor Ashley and I explore three more great programs on
today's episode, as well as bringing attention to May Is
Mental Health and Awareness Month. As you may have heard before,
(00:26):
the Board funds fifty programs and services through our contract
partners Appleseed a Caden Catholic Charities. And since we think
most folks in the community don't know that or what
they are and how to access, and we thought it
made some sense to spend some time unpacking each of
these programs a little bit about what they do, how
they can be access So I hope you enjoy today's episode.
Speaker 1 (00:49):
Good morning, Doctor Ashley. Here we are again. Here we
are good joining Ashlon Healthy. Good morning. Thank you all
for listening to the Mental Health and Recovery Boards Keeping
Ashland Health Healthy podcasts. We enjoy bringing this program to
you on a regular basis, and we are in a pattern,
Doctor Ashley, because I had mentioned to the audience we
(01:09):
had actually both together a few weeks ago, that we
have fifty funded programs through our three contract providers, Apples,
Catholic Charities and a KIDA, And I would imagine most
people don't know that we have fifty programs or what
they are, so it made some sense to us to
maybe try to unpack, in a relatively brief period of time,
(01:30):
try to unpack some of the programs. I've been calling
these three great programs, three more great programs, yet three
more great so until we get to the fifty. So
we will work our way through all these great programs
at the Mental Health and Recovery Board funds. Because obviously,
a great program is only great if people actually access
(01:51):
this when they need it, So if you don't know
about it, you won't access it. So that is partly,
obviously what the Mental Health and Recovery Board is all about,
is making the community aware of some of these resources
that we do have available, how to access those quickly
so that they can get their needs met and or
their loved ones needs met. So, without further ado, we're
(02:14):
going to talk about three kind of intensive services and
then a service for our veterans, which again there's not
always a whole lot of overlap between programs at the
Board funds and veterans is because their funding typically comes
from the VA, which is a separate funding entity and
(02:35):
planning entity than the board. But there is some crossover
that we've been trying to make. So we wanted to
talk about one of our veterans programs. And then May
is Mental health month, Doctor Ashley, I can't believe it's
almost here. So we want to talk about a few
of the things that we are promoting during the month
of May. So let us start first with what is
sometimes called detox. You know, that's the old term, doctor, Actually, yeah,
(02:57):
you know, because I don't know a bad reputation detox.
But now audience detox is not called detox anymore. It's
now called withdrawal management. And the thinking behind that is
withdraw from drugs, and it could be many different kinds
of drugs, but primarily opioids recently, or amphetamines or other drugs.
(03:20):
You might recall at our conference we talked about psychiatric
drug withdrawal. Uh. Drug withdrawal is a think a thing
and it can be very very challenging and it needs
to be managed and medically as well as with counselors
and social workers, primary care physicians, so that that's the
I think the rationale behind withdraw management. I think that
(03:42):
maybe better. Oh it sounds more science y.
Speaker 3 (03:47):
Yeah, maybe so right.
Speaker 1 (03:49):
And detoxification, and we can't forget alcohol.
Speaker 3 (03:51):
Alcohol, yes, which is draw is one of the most
dangerous is correct?
Speaker 1 (03:56):
So withdraw management, uh. And then resident services and we're
particularly talking about individuals that are struggling with substance use.
Withdrawal management tends to be much more short term, from
a few weeks to maybe thirty days or so. And
then residential services, as the name implies, for substance use,
(04:20):
could be a bit longer, could be some months or more.
And one of the questions we get a lot doctor Ashley,
is does the Mental Health and Recovery Board fund or
does Ashton County have within the county either withdrawal management
services or residential services for people struggling with substance use disorder?
And the answer is.
Speaker 3 (04:39):
What's the answer?
Speaker 1 (04:40):
No, No, we don't. There's a lot of reasons for that,
but the short one is we don't have enough sufficient
need from Ashroon County residents alone to stand up services
like that. So the next best thing is to have
those high quality services available within a short distance and
(05:00):
luckily we do have that in a partnership with Richland
County and Catalysts. They have both withdrawal management and residential
services about twenty five to thirty minutes or so away,
depending on where you live in the county.
Speaker 3 (05:14):
Yeah, so those services are still available for people in Ashland,
just not in the county, just.
Speaker 1 (05:18):
Not in the county. So I say that because I
want loved ones or the individuals to know that, and
we have an agreement, we're in regional collaboration with other
boards such that really it should not cost the individual
if they don't have insurance that could cover it, it
should not cost the individual anything to access those services.
(05:39):
I can tell you historically we work with Rick Ford.
He's the gatekeeper in the county. I say that because
sometimes folks want to go on their own or help
their loved one go on their own to get those services.
And I can't say this clearly enough. Please don't do
that unless you've got a lot of money. Okay, we
have worked out arrangements for the funding, but you need
(06:01):
to go through a CADA and mister Ford to access
those Rick has to do an assessment and really make
sure that this is the right level of care because
it's the most intensive level of care for from somebody
who's struggling with substance usees. So we need to make
sure folks are ready for that level care because it
is extremely expensive. But we can get you in at
no cost, but you need to go through mister Ford.
(06:23):
If you just show up and say hey, I'm from
Ashton County, I heard doctor Ashley and the Boss on
to Keep You an Ational and Healthy podcast talk about this,
admit me and don't charge me anything. They're not going
to do that. They're not going to admit you. They
have to have Rick Ford's assessment and you know, through
a CADA to get in. So just just call Rick
at a KEDA. He does this all the time. He's
(06:45):
what we call our gatekeeper for those services. Yeah, that's great.
So now how does it work? People say, well, what
should I expect? Well, with withdraw management, it's not uncommon.
Maybe I'll just take opioids, Doctor Ashley. I know people,
aren't you. Withdrawal management hasn't been used as much for
opioids here in the last couple of years as it
(07:06):
was in the previous three, four and five years, where
we use quite a bit of it. But basically, the
person would go in initially withdrawal management for opioids, go
through that process and then they might transfer over to
the residential services for a period of time and then
they would get discharged into outpatient services within the county. Now,
the nice thing about what Catalyst has set up is
(07:29):
the withdrawal management and the residential they're like right across
from each other. They're like their own little compound. Yeah,
and so it's really convenient for those that are visiting them.
They're both right there. It's in a nice part of
town that they have the set up where I think
it's very peaceful. So anyway, we're pretty happy with what
(07:52):
Catalyst is doing over there. We love that it's so
close to the county since we don't have it in
the county. But yeah, I just hopefully folks, that gives
people just a better idea what to expect or what
to anticipate. And again, if funding is an issue, and
it is for a lot of people, just go through
mister Ford. Let him be the gatekeeper for those services.
Make sure you really do meet that level of care
(08:12):
criteria before going over there, and he'll help facilitate that.
Speaker 3 (08:17):
Yeah, So one question I think listeners might be wondering
is why might someone need detox or withdraw management? What
do you think about that?
Speaker 1 (08:25):
Yeah, and not everybody does. That's a great question, doctor Ashley.
So how do I know I need that? That's what
Rick helps you decide. Some individuals don't need to go
into that level care to get out patient services and
be successful. That's the whole point. Do I need withdraw
management residential? Not necessarily? Why don't you sit down with
somebody like mister Ford that's got thirty plus years experience
(08:48):
and expertise in this, let him walk you through some
questions to figure out what would make the most sense.
Speaker 3 (08:56):
Yes, and I think so when you withdraw from a substance,
it can be very uncomfortable, painful, You can be very sick, right,
and so sometimes you just need a higher level of
care to get through that process. Sometimes people will go
through withdrawal and in the process they can't handle it
and they'll just continue using, start using again. So it's
(09:17):
a way to help get people to the other side
of that withdrawal.
Speaker 1 (09:21):
It's very uncomfortable, as you say, and that process if
you do that on your own and by yourself, and
it's very uncomfortable, right, you may not be as successful
as if you're in a controlled environment with supports, with
help with sometimes medications that come alongside short term during
the withdrawal process to make that withdrawal easier. Yeah, so
(09:41):
it is I think recommended for certain folks, but not all.
So that's why that assessment is so importal. Yes, yep. Well,
our next intensive service that we want to talk about
is actually the gatekeeper's applesed not a CADA, and this
has to do with ind DoLS that might be struggling
thinking about harm themselves or others, or just in a
(10:03):
mental health crisis as opposed to maybe a substance use
disorder crisis. So mental health crises are more common than
maybe people know in Ashton County, Doctor Ashley, we were
just looking at the numbers for this year. I've got
them here in my hand. It looks like we're going
to get just a little over nine hundred folks that
(10:25):
get a what we call crisis assessment. Yes, and you know,
of those nine hundred folks in the county that there
might be some duplicates in there, but again, roughly nine
hundred individuals that might be in such a crisis, mental
health crisis that they need a professional assessment by somebody
at Applesys. The vast majority of those folks, about fifty percent,
(10:47):
they get assessed and then they are you know, discharged,
usually from a hospital setting er, so not even admitted,
so they'll just be in the er, assess and then
released back home or go back home. We follow up
services either the same day or soon thereafter. Most folks
(11:08):
can be receive the help they need. That way. The
reason I guess I'm bringing that up, Doctor Ashley, is
in for our audience members listening, they might think from
watching movies or reading books that if you go to
the hospital to get assessed because you're struggling with a
mental health issue, that you're going to go to the hospital,
And I just want folks to know that is rarely,
(11:29):
rarely the case. So what I mean by rarely, So
our numbers are pretty consistent year over year, and we
get these from Appleseed. About one percent, maybe two percent
of all the people's screen will end up going to
the State hospital, which is over in Masslin. That's a
pretty small number of folks, and that's been holding steady
(11:53):
for many years now. Another seven or eight percent of
all the folks that are screening might end up in
what we call private psychiatric hospital, which again, do you
know how many private psychiatric hospitals we have in Ashen County,
Doctor Ashley is we have the So again for the
same reason we talked about withdrawal management and residential we
just don't have the number of individuals in the county
(12:15):
that need that level of care, but they access it
through psychiatric hospitals that are nearby. I will say, unlike
what Catalyst is doing. Sometimes we've used Ohio Health, which
is next door, but more often than not, when we
have to admit somebody to a private psychiatric hospitels it's
(12:35):
a little further away. Like Ohio Hospital for psychiatry, it's
usually in Columbus that area up in the Akron area,
some a county perhaps, So there is a little bit
more of a drive involved with that, and I just
wanted the audience to know that. But again, you're only
talking about seven or eight percent of all the folks
that are screened in the year that need that.
Speaker 3 (12:53):
Level of right and it's really only if there are
risk to their own safety or someone else's RCT.
Speaker 1 (13:00):
So I think that's important to know because it's not
that we want to underreact when somebody is experiencing a crisis,
but we certainly don't want to overreact. And we talk
about restrictive levels of care, most restrictive levels of care
which are inpatient kind of psychiatric admits. We don't want
to put folks in those situations unless it absolutely is
(13:21):
warranted based on all the available information and the best
clinical guidance of the team working with them at the time.
Speaker 3 (13:27):
Absolutely. I think so a lot of times when someone's struggling,
just having that support, like being able to have the
pre screen done and talk to a professional, that in
itself sometimes is enough to de escalate the situation, and
just knowing that they have some resources going forward keeps
them out of the hospital.
Speaker 1 (13:47):
No, and both doctor Ashley and I, when we weren't bureaucrats,
which that should be a good book title. When we
weren't when we were in direct practice, both of us
did crisis is both of us us did these assessments
that we're talking about. And one of the critical elements
whenever you did an assessment and you did facilitate helping
(14:09):
somebody get into one of these psychiatric hospitals, whether at
the state or the private was you know, we were
always thinking about, you know, what needs to happen there
to minimize the length of day, not minimize it, you know,
for non clinical reasons, which is what sometimes we have
to do now just because of overcrowded, but for clinical reasons.
How long really is reasonable for the person to be
(14:31):
in that level of care, that very high level care.
So we're discharge planning from your initial admit, we're trying
to do discharge planning, as you said, what needs to
be in place when the person gets out, Where are
they going to go, who's going to be involved with
their care and their treatment? What services weren't they getting
that you know, maybe be more helpful, et cetera. What
(14:52):
happens in the hospital, like a medication that might be added,
should that be continued when they come out, should it
for how long? And what type of medication is that
going to be covered by their insurance or are they
tolerating it well? Or do we make There's so many
things around discharge planning, but we do that as soon
as they're admitted. I know that sounds maybe odd, but
(15:13):
as soon as people go in on day one we're
trying to figure out, you know, how to get them
out because we don't want to keep them there any
longer than they need to be there.
Speaker 3 (15:21):
Yeah, I mean, we believe like the hospital is not
the most fun place to be right, not normally, and
you can get a lot of support and services in
the community. So the best place really is in the community.
Speaker 1 (15:31):
Absolutely. So guess what the board feels so strongly about
crisis services. It is our number one priority service. Love
that yep, So they felt so strongly about this. Again,
we may have mentioned this position before on the on
the podcast, but the boards invest some of their dollars
in a hospital liaison at Appleseed and really, her whole
(15:52):
job it is a female, so I can say that
it always has been, actually I think about the history
of it. Yeah, her whole job is to make sure
everything we're talking about right now goes as smoothly as
possible for the individual and the family's impacted. So she
makes sure that the admissions, the length of stay. She
makes sure that hospitals that were placing folks in and
(16:13):
working with we would put our own family members in
because again that's the standard. If I wouldn't put mom
and you've met my mom. I'd hate to put her
in the hospital, but if she needed it, you know,
where would I put her? Where would I feel comfortable
placing her? So that's our standard. If we would and
feel comfortable with our family and friends there, maybe we
need to be contracting with a different hospital.
Speaker 3 (16:33):
I love that way of thinking.
Speaker 1 (16:35):
Yeah, absolutely so I want folks to know. I guess
if you're a loved one, or you're the individual that
might struggle, please know first and foremost that it's very
unlikely that you're going to end up in a state hospital.
And even if you do, it's not what you've seen
on TV. Even though these might be locked facilities, it
is not one flu over the cuckoos and as situation.
There is no nurse ratchets that I'm aware of. Yeah,
(16:57):
I hope folks tend to be much more health wellness
positive in their focus. They understand that folks are there
for usually a short period of time before they move out,
and they just trying to stabilize the situation and get
them to where they need to be so they can
be successful. But that's going to happen on the outpatient side,
So hospital and in patient services and those are gatekeepers
(17:22):
are apple seed, and I just wanted folks to know
a little bit about that and a little bit about
the numbers. I thought that would be helpful to know
about the numbers. But we say this a lot, doctor
Ashley when we do our QPR trainings, But individuals that
are in crisis at a level where they need this
kind of screen and possible placement, that tends to be
a once in a life experience. It usually is for
(17:44):
an individual. It's a convergence of a lot of stressors
all hitting at the same time. So it could be employment,
it could be personal, it could be physical. Several things
are all bearing down on the individual at the same time,
and their ability to cope and manage is overwhelmed, and
they get into a point where they just they're not
sure about what to do, and they can be in
such distress that this kind of assessment and then treatment
(18:06):
makes sense. But as I say, for the vast majority
of people, that's a once in a lifetime experience.
Speaker 3 (18:11):
Yeah, they get better and they don't experience that again usually.
Speaker 1 (18:14):
Yes, And I say that because I want folks that
are listening to don't hesitate. If you or a loved
one is experiencing that level of stress, reach out call
the twenty four to seven number that we talk about
all the time on this program, and we work it
into our intro in our outro the four one nine
two eight nine six' one one, one because we don't want
folks to be shy about using that. Number. YEAH i
(18:36):
think that's great.
Speaker 3 (18:37):
Too you said like eight or nine hundred people in
the year we'll actually call for, That SO i think that's.
Great people are using the.
Speaker 1 (18:44):
Hotline, no that's the nine hundred are actually the. Assessments,
okay the actually hotline calls or we're in, thousands thousands
of people call the. Hotline we should do another episode
just on. That we.
Speaker 3 (18:55):
SHOULD i think that's. Great people are open to using.
Speaker 1 (18:57):
It, absolutely we have a lot of folks that call the.
Hotline but, yeah the nine actual. Assessments, okay. Gotcha, yeah
our next let's pivot real. QUICK i had mentioned a
unique peer program that The board funds here In Ash
county for, veterans and it's our what we call Our Landing.
Zone they call it that The Landing. Zone it meets
(19:19):
On wednesdays over at The Professional building from eight to.
Ten The Landing zone meeting is a peer to peer veterans.
Program and WHAT i mean by that it's informal in
that basically we make sure that the rooms, available it's,
clean it's, lit there's, coffee there's. Donuts for the. Vets
they run it. Themselves they decide the topic areas and
(19:41):
best way to address issues that they are going. Through
because we've learned Doctor ashley over the years that vets
helping other, vets these peer peer programs can be highly
effective and work better than sometimes bringing in somebody who's
not a, peer that maybe has a lot of great
information but isn't a, peer and it's not always received as.
(20:04):
Well and AS i said at the top of the,
podcast The veteran, services the vets typically get most of
their services paid through THE, va so they're not usually
going to our contract, Partners, Apples educata And catholic. Charities
they're usually going TO va hospitals and. Clinics so we
don't have the direct relationship on the clinical. Side but
(20:26):
we wanted to have at least some, role some way
to support our. Vets so this peer to peer, program
The Landing, zone was a way for us to do.
That and we're glad because we have on any Given,
wednesday there's about twenty vets that get. Together that's. Awesome, ye,
YEAH i love. That, YEAH i love that they get.
TOGETHER i love that they're in charge of the agenda
and they manage. It they help each, other they support
(20:47):
each other different, theaters different conflicts over different time, frames
so from Koreat Desert storm To vietnam that we have
a few from that. Era so, yeah it spans the
different wars or. Conflicts so that is THE va programs
(21:07):
Through Catholic, charities but they actually meet in our large
conference room with a professional. Building and for folks that
they don't, know that's on the entrances On Church, street
which is is that little cut through the street between
second and Third. Street, yeah so, Yeah i'm looking at
Doctor ashley just nods her head because she's not from
the area and refuses actually, KNOW i actually knew what
(21:29):
you're talking right across the. Court, Then, so, last but not,
least Doctor, ashley those are our three great. Programs we
want to talk a little bit because we're getting real
close To, may And may is typically one of THOSE i,
mean every day is a special day for, somebody and
(21:52):
there are all kinds of events and celebrations out there
for every day of the. Year it's actually very. Overwhelming and,
similarly there's a month for every, cause, event et. Cetera
SO i with. IT i know it is hard.
Speaker 3 (22:05):
To keep, up but this one's important for.
Speaker 1 (22:07):
Us, yes So may is mental Health month has been
around for quite a few. Years for whatever that's worth,
audience it has been around for a. While we did
not make this one up like some Of david's made up,
holidays but there's a few things that are going on
through the month Of. May and again why Mental Health Awareness.
Month the whole idea is we believe that's why we're
(22:28):
doing the. Podcast in part is that we think it's
impossible to really have a good quality of life if
you have a poor quality of mental. Health so mental health,
wellness emotional wellness is key to. That so we want
to draw attention to that, issue the critical component that
is mental health awareness and mental health in. General so
(22:53):
we do. That several different things are going on in the.
Month we are going to have a. Newsletter Sandy hoffman
here's at our, office works with us and our other
partners to assemble that it's a good comprehensive newsletter that'll
get released right at the first of the month with
a lot of the information we're talking. About if folks
aren't already under mailing this and are receiving, that please
(23:14):
please what what's going? On? Uh call us four one
nine two eight one three one three, nine or just
go to a Website ashland M hrb dot org uh
and sign up for the. Newsletter and again we'll put
this information in the episode. Description if you're, driving, uh
you can pull over if you, want but you probably
need to get to where you're, going so, uh but,
yeah get the, newsletter sign up for the, newsletter and
(23:38):
Then may seventh is one of the events we're doing
a Question persuade refer down With step. Two that's a you,
know obviously a large manufacturing company In, Perrysville South. County.
Uh you you did the first step two TRAINING qpr
a year or two. AGO i can't remember was that
last year the year, before but, anyway you did. That
and kudos to the company the leadership there that they
(24:00):
said we want to have this on an ongoing.
Speaker 3 (24:02):
Basis, yes and this one is for their management. Team
SO i think that's.
Speaker 1 (24:05):
Great, yeah so we'll be doing that TRAINING u two
SHIFTS i think one in the, morning one later on
to try to get all three of their. Shifts, Yes
may fourteenth is The Senior Health Fair Asha. County Asha
County council On aging is the lead on. This, uh
it is NOT i think too much of an exaggeration
(24:27):
to say we'll see over six hundred. Seniors oh, yeah
that's a big. Event it's AT au at The Convo Upper.
Convo there's a kind of a tabling opportunity for a
couple hours in the morning and then there's a nice
lunch with some entertainment and some. Giveaways so that's a.
Day so if you are an organization that's listening to
the podcast that serves seniors and any capacity and you've
(24:49):
not been involved with the tabling piece of, that get
a hold OF i guess it'd Be nicole at The
council on The console On, aging so you can get a.
Spot they may all be, gone but if double, check
and if they, are you just need to get in
line for next year because it's it's a wonderful opportunity
(25:11):
to get information to seniors In Ashton. County may, seventeenth
our good friends over In Richland, County jeff and Donnah
heck are doing their thirty Three Forever Birthday walk in
honor of their Daughter danny that they lost to suicide
some years. Ago we always table at that because there's
such a crossover Between richmond And Ashton county in terms
(25:32):
of people that live and work between the two. Counties
we love supporting that. Event so we'll be over There may.
Seventeenth that's down at The Carousel district right. Downtown and
you know That carousel, music you Know Doctor ashley the first,
HOUR i liked. It the third, hour, right didn't they
have snakes last? Year, yeah there's a lot of vendors
(25:54):
that show, up including some some folks that breed bring the. Snakes, yeah,
yeah that's why kids like.
Speaker 3 (26:00):
That, lizards there's, Snakes there's.
Speaker 1 (26:03):
All kinds of amphibians. There there's always a great turnout
for that. Event Appreciate jeff And. Donna they always support
Our suicide And Awareness walk that we do later on In.
September we you, know certainly support their work bringing attention
to the issue of, suicide but also just a crisis
care and emotional health and, wellness.
Speaker 3 (26:24):
And isn't it it's on their daughter's. Birthday, yes their
daughter that died by suicide at the age of thirty,
three and that's what the organization is named.
Speaker 1 (26:32):
After, YEAH i love. That also on the, Seventeenth so
folks might have to make a. DECISION i don't know
if they can do them. Both one of our, Partners
appleseed on one of their programs is the Safe haven,
program which is their domestic violence in partner violence. Program
Safe haven has a run with The stars FIVE. K
(26:53):
Now Jerry, straswald the executive, director has clearly said you
don't have to, run you can, walk you can, skip
and he SAID i Think jerry was quoted as, saying in,
fact you don't have to do anything except give us
your money if you just want to sit, there WHICH
i thought was A t, shirt which is pretty. Cool
so but if you want to, run, skip, jump sit
with The stars five k ash And, fairgrounds you know
(27:14):
that is the safe a is a program Of appleseed
that starts at seven point thirty at the Fair Grounds may,
seventeenth The Ashy County Sheriff's. OFFICE i know sponsors that
they try to make it. Fun they get some of
the staff they're in competition with each other and they
competitive they. Are they've got some GREAT i think videos On.
(27:35):
Facebook i've seen it on social media. That, yeah the
rivalries they, are and again a lot of, This Doctor,
ashley will we be for the month as we continue
to advertise all the, DETAILS i won't be able to
put all of these in the episode, description BUT i
will refer folks to the. Website but then you said
something about social, media.
Speaker 3 (27:54):
So, yeah we're also going to be sharing information to
raise awareness about mental health related topics and also reduce,
stigma which is kind of The states theme this year
is reducing. Stigma so we'll be sharing some information on
Our facebook page And. Instagram so if you've not followed
and liked us on those, things please do it Before
may so you can get that.
Speaker 1 (28:14):
Information, yep, Awesome, Well Doctor ashley, again three more great
programs Plus May's Mental Health. Month we're. Excited we're always
excited that here at The Mental.
Speaker 3 (28:24):
Health like thirty more agos.
Speaker 1 (28:26):
Right, well stay, tuned. Audience we do appreciate you joined
us weekend and week out for this. Program hopefully it
is helping to raise your awareness of not only the
issues of mental health and emotional health and substance use,
recovery but also the service is available on how to
access Those.
Speaker 3 (28:45):
Yes thanks so much for.
Speaker 2 (28:46):
Listening thank you for listening to another episode of The
Keeping national And healthy. Podcast the podcast is a production
of The Mental health And Recovery board Of Ashland, County.
Ohio you can reach the board by calling four one
nine two eight one three one. Three please remember that
The board funds a local twenty four to seven crisis
line Through Applese Community Mental Health.
Speaker 1 (29:06):
Center it can be reached by.
Speaker 2 (29:07):
Calling four one nine two eight nine sixty one one.
One that's four one nine two eight nine sixty one one.
One until next, Time please join us in Keeping Ashland.
Speaker 1 (29:19):
Healthy
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