Southern Iowa Mental Health Center has openings for full-time mental health therapists or counselors (ie: LMSW, LISW, LMHC, LMFT etc.). We have office locations in Ottumwa and Oskaloosa. We are hiring staff for both locations.
This position is responsible for providing outpatient mental health counseling/therapy services to patients of all ages, to include: clinical assessment and diagnosis, development of treatment plans, individual, family and/or group therapy, and maintaining appropriate documentation. This position would also be responsible for completing assessments on clients who are in the Access Center to help determine best level of care as well as create a treatment plan for the client in order to best meet their needs. Ongoing training and certification opportunities available. Licensing supervision available for non-independent licensure.
We offer a competitive salary and an excellent benefit package that includes: health insurance for the employee (100% paid by the Center), 11 paid holidays, a generous PTO system, life insurance, 403 (B) retirement plan and support for continuing education units (CEUs). Starting salary based on license status and years of experience. In addition, as a designated “community mental health center”, we qualify for several student loan repayment programs.
Requirements for the position include: current Iowa license to practice therapy/counseling and a minimum of a Master’s degree in social work, counseling or closely related field. Experience preferred, but not required.
Southern Iowa Mental Health Center is seeking applicants for a full time Outreach and Enrollment Coordinator in the Integrated Health Home (IHH) department. This position will handle all referrals, intakes and some minimal cases. This position will have travel to all 11 of the counties we serve. This position is a full time, hourly paid and reports directly to the Community Services Team Lead.
The IHH Outreach and Enrollment Coordinator will be responsible for providing support of coordination and care management activities within the Integrated Health Home team for individuals with serious mental illness. An Integrated Health Home is a best practice model for coordinating the mental health and physical care for individuals with chronic health conditions. Health Coordination services may take place either: at SIMHC, in a satellite office, client home setting or other community organization setting. This position will work collaboratively with staff members throughout SIMHC, as well as, with community partners. This position is an hourly paid position and reports directly to the Community Services Team Lead.
Bachelor’s Degree in Social Work or related field is required.
To apply, please send: Cover Letter and Resume to: Melia Mura: firstname.lastname@example.orgLearn More
FRIDAY, June 11, 2021 (HealthDay News) — Sleep disorders may increase the odds for dementia in survivors of traumatic brain injury, new research suggests.
The study included nearly 713,000 patients who were free of dementia when they were treated for traumatic brain injury (TBI) between 2003 and 2013. The severity of their brain injuries varied, and nearly six in 10 were men. Their median age was 44, meaning half were older, half younger.
Over a median follow-up of 52 months, about 33,000 of these patients developed dementia. Those diagnosed with a sleep disorder were 25% more likely to develop dementia, the study found. The results were similar for men and women — a sleep disorder was associated with a 26% increase in men’s dementia risk and a 23% increase among women.
“Our study’s novelty is its confirmation of sleep disorders’ association with incident dementia in both male and female patients, independently of other known dementia risks,” said lead author Dr. Tatyana Mollayeva, an associate director of the Acquired Brain Injury Research Lab at the University of Toronto, in Canada.
“We are also the first to report on the risks that sleep disorders and other factors pose separately for male and female patients with TBI,” she added in an American Academy of Sleep Medicine news release.
Mollayeva said the findings suggest a need for greater awareness of sleep disorder risk in TBI patients.
In the study, the researchers controlled for age, sex, income level, injury severity and other health problems that could affect the results.
A study abstract was recently published in an online supplement of the journal Sleep. The findings are also scheduled to be presented Sunday during a virtual meeting of the Associated Professional Sleep Societies.
The American Academy of Family Physicians has more on dementia.
SOURCE: American Academy of Sleep Medicine, news release, June 8, 2021Learn More
FRIDAY, June 11, 2021 (HealthDay News) — The old double standard lives on.
A new study finds that many people still believe — incorrectly — that women who engage in casual sex have low self-esteem. And they don’t think the same is true of men.
“We were surprised that this stereotype was so widely held,” said study first author Jaimie Arona Krems, an assistant professor of psychology at Oklahoma State University. “This stereotype was held by both women and men, liberals and conservatives, and across the spectrum in terms of people’s levels of religiosity and sexism.”
The finding was consistent in six experiments involving nearly 1,500 participants. The results were recently published in the journal Psychological Science.
In one experiment, participants were asked to make a snap judgment about an unspecified person in their mid-20s who had one-night stands, monogamous sex or no sex.
Women who had casual sex were judged as having lower self-esteem, but participants made no similar link between men’s behavior and their self-esteem.
Participants also were asked if a person who had casual sex was more likely to have been an English major or an English major with low self-esteem.
Most chose the second one, even though it was statistically less likely to be true, the researchers noted.
Even when presented with evidence to the contrary, participants’ views didn’t change.
“When we explicitly told participants that the women who had casual sex were enjoying it and were satisfied with their sexual behavior, participants still stereotyped them as having lower self-esteem than women in monogamous relationships who were unsatisfied with their sexual behavior,” Krems said in a journal news release.
Previous research has suggested that people who are viewed as having low self-esteem are less likely to get hired, elected to public office, or be sought as friends or romantic partners.
“Although not grounded in reality, the stereotype documented in this work may have harmful effects,” Krems said. “Stereotypes like this can have serious consequences in the real world.”
The Mayo Clinic has more on self-esteem.
SOURCE: Psychological Science, news release, June 8, 2021Learn More
FRIDAY, June 11, 2021 (HealthDay News) — Antibody treatments are safe and effective for transplant patients with mild to moderate COVID-19, a new study shows.
Monoclonal antibodies help prevent the SARS-CoV-2 virus from attaching to cells, which helps block the spread of infection.
The findings are important, researchers said, because transplant patients with COVID are more likely to be severely ill or die.
“Monoclonal antibody therapy is really important for the transplant population because they are less likely to develop their own immunity,” said senior author Dr. Raymund Razonable, an infectious diseases specialist at the Mayo Clinic in Rochester, Minn. “Providing them with these antibodies helps them recover from COVID-19.”
The study included the first 73 solid organ transplant patients at the Mayo Clinic who received monoclonal antibody infusions for treatment of mild to moderate COVID-19.
Eleven patients had an emergency department visit and nine were hospitalized. None required mechanical ventilation, died or developed organ rejection, according to findings published June 10 in the journal Open Forum Infectious Diseases.
“While we expected monoclonal antibody therapy would be beneficial for patients, we were pleasantly surprised by the results,” Razonable said in a Mayo news release. “Only one patient required care in the ICU for non-COVID-19 indication, and, most importantly, there were no deaths.”
Last fall, the U.S. Food and Drug Administration authorized emergency use of the monoclonal antibody therapies bamlanivimab and casirivimab-imdevimab to treat mild to moderate COVID in patients at high risk for serious illness.
But many health care institutions hesitated to use them because their safety and effectiveness for transplant patients was unknown due to limited clinical data, Razonable said.
“It is important that these patients have early access to monoclonal antibody treatment,” Razonable said. “Our data show the outcomes for patients are better if they get infused earlier.”
The American Society of Transplantation has more on COVID-19.
FRIDAY, June 11, 2021 (HealthDay News) — Suffering for fashion is nothing new. Researchers in the United Kingdom have unearthed new evidence that stylish pointed shoes caused a “plague” of bunions in the late medieval period.
Investigators from the University of Cambridge analyzed 177 skeletons from cemeteries in and around the city of Cambridge. Included were a charitable hospital, the grounds of a former Augustinian friary where clergy and wealth benefactors were buried, a local parish graveyard that held the working poor and a rural burial site by a village.
Researchers inspected foot bones for the bump by the big toe that is the hallmark of hallux valgus, known to millions of sufferers as bunions.
They found that those buried in the town center, particularly in plots for wealthier citizens and clergy, were much more likely to have had bunions.
Only 3% of the rural cemetery showed signs of bunions, 10% of the parish graveyard, 23% of those on the hospital site and 43% of those at the friary.
While just 6% of individuals buried between the 11th and 13th centuries had evidence of bunions, 27% of those from the 14th and 15th centuries were hobbled by the affliction.
That’s likely because shoe style changed significantly during the 14th century, when it shifted from a functional rounded toe box to a lengthy pointed tip.
“The 14th century brought an abundance of new styles of dress and footwear in a wide range of fabrics and colors. Among these fashion trends were pointed long-toed shoes called poulaines,” said study co-author Piers Mitchell, from Cambridge’s archaeology department.
“We investigated the changes that occurred between the high and late medieval periods and realized that the increase in hallux valgus over time must have been due to the introduction of these new footwear styles,” Mitchell said in a university news release.
Hallux valgus is a minor deformity in which the largest toe becomes angled towards the second toe and a bony protrusion forms at its base, on the inside of the foot. Though genetics and muscle imbalance can predispose a person to bunions, the most common contemporary cause is restrictive boots and shoes.
In the 13th and 14th centuries, it was increasingly common for those in clerical orders in Britain to wear stylish clothes — a cause for concern among high-ranking church officials, Mitchell noted.
Across late medieval society, the pointiness of shoes became so extreme that in 1463 King Edward IV passed a law limiting toe-point length to less than 2 inches within London.
The majority of remains with signs of bunions in the study, 20 of 31, were male.
Lead author Jenna Dittmar, who conducted the work while at Cambridge, also found that skeletal remains with hallux valgus were more likely to show signs of fractures that usually result from a fall.
“Modern clinical research on patients with hallux valgus has shown that the deformity makes it harder to balance, and increases the risk of falls in older people,” Dittmar said in the release. “This would explain the higher number of healed broken bones we found in medieval skeletons with this condition.”
The paper appears in the June 10 issue of the International Journal of Paleopathology.
The American College of Foot & Ankle Surgeons has more on bunions.
SOURCE: University of Cambridge, news release, June 10, 2021Learn More
FRIDAY, June 11, 2021 (HealthDay News) — People over 70 are far less likely to be considered for or to receive a new heart — even though new research suggests their survival rates after transplant are similar to those of younger patients.
For the study, the researchers analyzed data on more than 57,000 adults (aged 18 and older) listed as heart transplant surgery candidates in the United States between January 2000 and August 2018, and they found that only one in 50 was aged 70 or older.
The rate was the same among the more than 37,000 patients who actually had a heart transplant during the study period. However, the researchers did find that the number of older patients receiving a heart transplant each year rose from 30 in 2000 to 132 in 2017.
There was no significant difference between age groups in death rates in the first year after heart transplant, even though older patients were more likely to receive hearts from older donors with chronic diseases, like diabetes and high blood pressure.
The difference in death rates between older and younger patients within five years after heart transplant disappeared when the researchers accounted for factors like patients’ body mass index (or BMI, which is an estimate of body fat based on weight and height) and the time patients spent on the transplant waiting list.
Older patients were more likely to have a stroke after a heart transplant, but the risk was still very low (3.5%). Most strokes in older patients occurred in the third year after their transplant, according to study author Dr. Abhishek Jaiswal, of the Hartford Hospital in Connecticut, and colleagues.
The study, published online June 8 in the Journal of the American Geriatrics Society, shows that older age alone should not prevent people from being considered for heart transplants, the researchers said.
In addition, people 70 and older with heart failure should consider asking their cardiologist if they could be a candidate for a heart transplant, the study authors suggested in a journal news release.
The researchers noted that most of the older patients in the study who received heart transplants were white, not frail, and didn’t have other chronic diseases, and that this group of patients doesn’t represent most older adults who have heart failure.
The U.S. National Heart, Lung, and Blood Institute has more on heart transplantation.
SOURCE: Journal of the American Geriatrics Society, news release, June 9, 2021Learn More
FRIDAY, June 11, 2021 (HealthDay News) — In a finding that confirms healthy habits make for healthy hearts, new research shows that smokers and obese people must have their clogged arteries cleared at much younger ages than nonsmokers or people who are a normal weight.
It found that angioplasty and/or stenting to widen coronary arteries and restore blood flow had to be performed in smokers nearly a decade sooner than in nonsmokers, and that obese patients who had these procedures were four years younger than patients who weren’t obese.
Women also typically had their first procedure to clear blocked arteries at a later age than men, according to the researchers.
The study included more than 108,000 patients without a history of heart attack who were treated at hospitals across Michigan participating in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium.
Nearly all of the patients had at least one risk factor for heart trouble — including smoking, obesity, high blood pressure, high cholesterol and diabetes — and most of them had three or more risk factors.
Over the past decade, rates of obesity and diabetes have increased among patients undergoing their first angioplasty or stent procedure, while rates of smoking and high cholesterol have decreased, according to the researchers.
“Smoking is a completely preventable risk factor,” said senior study author Dr. Devraj Sukul, an interventional cardiologist and a clinical lecturer at the University of Michigan Health Frankel Cardiovascular Center.
“If we direct additional efforts at preventing smoking and obesity, we could significantly delay the onset of heart disease and the need for angioplasty and stenting,” Sukul said in a university news release.
“In Michigan, we will work to help every smoker quit at the time of cardiac care because it is an unmatched teachable moment for patients,” said Dr. Michael Englesbe, a surgeon and professor at Michigan Medicine.
The findings were published June 9 in the journal PLOS ONE.
The U.S. National Library of Medicine has more on angioplasty and stent placement.
SOURCE: Michigan Medicine-University of Michigan, news release, June 9, 2021Learn More
THURSDAY, June 10, 2021 (HealthDay News) — Nearly 200 employees of the Houston Methodist hospital system in Texas have been suspended without pay for refusing to get COVID-19 vaccines.
Nearly 25,000 workers met Monday’s deadline to be fully immunized, but 178 failed to do so and were suspended, including 27 who had received one dose of a two-dose vaccine, CBS News reported. The hospital system previously warned that unvaccinated employees would be fired as of June 21.
The policy has triggered a court challenge by a group of unvaccinated workers who claimed they are being used as “human guinea pigs,” CBS News reported. But Houston Methodist said in a statement that, “It is legal for health care institutions to mandate vaccines, as we have done with the flu vaccine since 2009.”
“As the first hospital system to mandate COVID-19 vaccines, we were prepared for this,” Marc Boom, M.D., the chief executive officer of Houston Methodist, said in a statement. “As of today, several other major health care centers have followed our lead and have announced their own vaccine mandates, with many more to follow soon.”
That includes the University of Pennsylvania Health System (UPHS), which is requiring all employees be vaccinated by Sept. 1, 2021, CBS News reported. More than 33,000 of approximately 44,000 workers are fully vaccinated, UPHS said in announcing its mandate in late May.Learn More
THURSDAY, June 10, 2021 (HealthDay News) — Excessive levels of arsenic in some samples of Single Grain Rice infant cereal sold across the United States have prompted Beech-Nut Nutrition to recall the product.
“We are issuing this voluntary recall because we learned through routine sampling by the State of Alaska that a limited quantity of Beech-Nut Single Grain Rice Cereal products had levels of naturally occurring inorganic arsenic above the FDA guidance level, even though the rice flour used to produce these products tested below the FDA guidance level for inorganic arsenic,” Jason Jacobs, Beech-Nut’s vice president of food safety and quality, said in a statement.
No illnesses related to the recalled products have been reported, according to Beech-Nut.
Testing showed that levels of naturally occurring inorganic arsenic were higher than the guidance level set by the U.S. Food and Drug Administration last year.
The recall is for Beech-Nut Single Grain Rice infant cereal with the UPC Code number 52200034705, an expiration date of May 1, 2022, and product codes 103470XXXX and 093470XXXX. Consumers should discard the recalled product and can get more information on exchanges or refunds by going to the company’s website or by calling (866) 272-9417, Monday through Friday from 8 a.m. to 8 p.m.Learn More