Something New

My name is Sydney. I just started as a intern at Inner Door Center from Cranbrook Upper School. As someone who has had friends that have struggled with eating disorders in the past, I thought I knew everything there isIMG_0004_2 to know about eating disorders. I could not have been more wrong. I thought that eating disorders stemmed from nothing more than the desire to be thin or as society deems “perfect”. Eating disorders are serious physical, mental and emotional problems that can have life threatening consequences. Eating disorders affect eleven million males and females in the United States alone.

On my first day working at Inner Door, I participated in the Partial Hospitalization Eating Disorder Program. The first thing I did was yoga with all the patients in the program. As someone who has never really enjoyed yoga, I was skeptical as to whether or not I would like it, but to my surprise, I really enjoyed myself and felt more at peace than I ever have before. If I had to choose one thing that made me feel the most at peace during the entire experience, I would say that it was the focus on breathing and how it clears your mind of anything stressful and makes you focus on yourself and why you’re here.

The rest of the day began with a snack and was followed by a variety of group therapy sessions and meals/snacks. During the group therapy sessions, I not only learned a lot about eating disorders and the individuals in treatment here, but I also learned a lot about myself as well. I felt very comfortable in a room full of people I did not know because of the type of environment the therapists provided. Everyone was so incredibly supportive and accepting of each other, which is something you do not see every day.

Inner Door Center is such a good place to come for recovery. There is zero judgement of anyone and the therapists truly care about the clients. I also saw that the clients support each other, which was really nice. They use each of their individual experiences to help and support each other.

Spending the day in this program made me think about what it means to be a woman in society and how ridiculously high the standards set for women, especially young women. After leaving the program that day, I realized that loving yourself and being at peace with who you are is more important than anything you can get from society.

Mental Health Equality & Obamacare

We recently received an email from The Law Firm of Kanter & Kanter with a legal news update about Mental Health and Obamacare. We wanted to share with you what they found! Below is the update on Mental Health Equality and if it’s working under Obamacare.

*This legal news update belongs to The Law Firm of Kanter & Kanter distributed in their newsletter. To sign up for their newsletter here. All rights and credibility belong to The Law Firm of Kanter & Kanter. Inner Door Center did not contribute to this update.

Mental Health Equality Under Obamacare: Is it Working?

According to a new survey conducted by the National Alliance on Mental Illness (NAMI), many insurance companies are failing to provide adequate mental health coverage under Obamacare. Although President Obama’s health care law has helped an estimated 62 million people access health care, policies still have a long way to go before making a significant difference in the lives of those with mental illness.

What do we need?

What we need and deserve is the opportunity to access the right treatment, at the right time, in the right setting. Unfortunately, insurance companies continue to fall short in meeting these basic needs while consistently finding ways to evade mental health parity laws. Barriers are set into place immediately for those seeking insurance coverage for mental health care. Many people experience delays and difficulties when seeking treatment, limitations in types of treatment, limitations in geographic location of treatment, or outright insurance denials. For some, these obstacles become too overwhelming to manage. Any of these barriers can be a reason to say, “Never mind, I give up. This is too hard.”

What are the issues?

The Mental Health Parity Act (MHPAEA), enacted in 2008, requires that mental health benefits be provided on the same terms as medical/surgical care. This ground-breaking law applies to employer-sponsored health plans with more than 50 employees, including self-insured and fully insured plans. The Patient Protection and Affordable Care Act of 2010 (ACA) strengthened parity requirements by extending federal parity requirements to individual and small group plans. Additionally, mental health and substance use disorder services were mandated as one of ten categories of “Essential Health Benefits” required for all plans sold though the federal health insurance marketplace, or state exchanges (NAMI). These laws indicate a huge step forward in the fight for mental health parity and mental health inclusion in insurance policies. However, the definition of parity remains elusive, allowing insurance companies to craft their own interpretations and definitions for coverage. In their survey, NAMI evaluated the experiences of those living with mental illness (and their families) with private health insurance. The following issues were reported:

▪ Serious problems in finding mental health providers in health insurance plan networks;

▪ High rates of denials of authorization for mental health and substance use care by insurers;

▪ Barriers to accessing psychiatric medications in health plans;

▪ High out of pocket costs for prescription drugs that appear to deter participation in both mental health and medical treatment;

▪ High co-pays, deductibles and co-insurance rates that impose barriers to mental health treatment;

▪ Serious deficiencies in access to information necessary to enable consumers to make informed decisions about the health plans that are best for them in ACA networks.

What can we do?

Enforcement: Achieving true parity in accessing mental health care places a great deal of responsibility on us as a community (healthcare providers, advocates, patients, lawmakers etc.). It means staying vigilant and holding insurance companies accountable for their actions. Achieving true parity means continuing to challenge unfair mental health insurance denials and continuing to fight for equal access to mental health care.

Transparency: Insurers should be required to publish the clinical criteria they use to approve or deny care. In our office, we see countless insurance denials for eating disorder treatment. Insurers often use ambiguous language when referring to internal guidelines for coverage. For example, we often see insurers deny coverage claiming that a patient isn’t making enough progress, so they must step down to a lower level of care. In reality, according to American Psychological Association guidelines, when a patient isn’t making enough progress, they may need to step up to a higher level of care. We see things like, “your eating disorder is not medically necessary,” “your eating disorder is chronic and therefore cannot be treated,” or weight based denials such as “your weight is now stable and you do not need residential treatment.” These seemingly nonsensical decisions are made by insurers every single day, hindering access to life-saving mental health treatment. We need greater transparency from insurers on how these decisions are being made.

Furthermore, health plans should be required to publish accurate lists of providers, including mental health providers, participating in plan networks and to update those lists regularly. This information should be easily accessible to everyone.

Although both MHPAEA and ACA have paved the path to parity and equal access to mental health care, the road ahead remains long and complicated. Much work remains before we all understand parity in the same way, before access to mental health care is smooth and seamless, before discrimination and stigma in mental health care is eliminated.

At Kantor & Kantor, we continue to fight unfair insurance denials and challenge parity violations so that our clients can have access to the life-saving treatment that to which they are entitled.

If you have experienced a mental health related insurance denial, or have been denied coverage for the treatment of an eating disorder, please do not hesitate to contact our office for a no-cost consultation.

We understand, and we can help.
www.kantorlaw.net (800)446-7529

For more information on the NAMI survey, click here and here

Business School Sunday at IAEDP!– March 22nd, 2015 from 10:50 am – 1:50 pm  

How to Run a Successful Eating Disorder Private Practice AND Business Mind – Clinical Heart: Bridge Therapeutic Training with Financial Wisdom

Rebecca Bitzer, MS, RD, LD, CEDRD, Kait Fortunato, RD, LD and Beverly S. Price, MA, E-RYT, CEDS

Are you a psychotherapist or a registered dietitian…

Not having enough control over your destiny?

Ready to be compensated for your worth?

As a healthcare professional in a dynamic marketplace, you probably recognize that being successful today has as much to do with how well you manage your business as it does with the quality of services you offer your patients. What you may not know is how to maximize your practice’s -and your own-potential.

If you are interested in learning the secrets to creating a unique group practice to help clients with recovery, while learning how to deal with your client’s financial fears, then this double workshop is for you!

Rebecca is an award-winning Registered Dietitian who is both a seasoned nutrition counselor and successful business owner in Greenbelt and Columbia, Maryland.  Beverly currently owns and operates Inner Door Center®, a free standing partial hospitalization program for eating disorders and substance abuse, along with an outpatient mental health clinic in Royal Oak, Michigan.

Rose

The first day of school our professor introduced himself and challenged us
to get to know someone we didn’t already know. I stood up to look around
when a gentle hand touched my shoulder.

I turned around to find a wrinkled, little old lady beaming up at me with a
smile that lit up her entire being..

She said, ‘Hi handsome. My name is Rose. I’m eighty-seven years old. Can I
give you a hug?’

I laughed and enthusiastically responded, ‘Of course you may!’ and she gave
me a giant squeeze..

‘Why are you in college at such a young, innocent age?’ I asked.

She jokingly replied, ‘I’m here to meet a rich husband, get married, and
have a couple of kids…’

‘No seriously,’ I asked. I was curious what may have motivated her to be
taking on this challenge at her age.

‘I always dreamed of having a college education and now I’m getting one!’
she told me.

After class we walked to the student union building and shared a chocolate
milkshake.

We became instant friends. Every day for the next three months we would
leave class together and talk nonstop. I was always mesmerized listening to
this ‘time machine’ as she shared her wisdom and experience with me..

Over the course of the year, Rose became a campus icon and she easily made
friends wherever she went. She loved to dress up and she revelled in the
attention bestowed upon her from the other students. She was living it up.

At the end of the semester we invited Rose to speak at our football banquet.
I’ll never forget what she taught us. She was introduced and stepped up to
the podium. As she began to deliver her prepared speech, she dropped her
three by five cards on the floor.

Frustrated and a little embarrassed she leaned into the microphone and
simply said, ‘I’m sorry I’m so jittery. I gave up beer for Lent and this
whiskey is killing me! I’ll never get my speech back in order so let me just
tell you what I know.’

As we laughed she cleared her throat and began, ‘ We do not stop playing
because we are old; we grow old because we stop playing.

There are only four secrets to staying young, being happy, and achieving
success. You have to laugh and find humour every day. You’ve got to have a
dream. When you lose your dreams, you die.

We have so many people walking around who are dead and don’t even know it!

There is a huge difference between growing older and growing up.

If you are nineteen years old and lie in bed for one full year and don’t do
one productive thing, you will turn twenty years old. If I am eighty-seven
years old and stay in bed for a year and never do anything I will turn
eighty-eight.

Anybody! Can grow older. That doesn’t take any talent or ability. The idea
is to grow up by always finding opportunity in change. Have no regrets.

The elderly usually don’t have regrets for what we did, but rather for
things we did not do. The only people who fear death are those with
regrets..’

She concluded her speech by courageously singing ‘The Rose.’

She challenged each of us to study the lyrics and live them out in our daily
lives. At the year’s end Rose finished the college degree she had begun all
those months ago.

One week after graduation Rose died peacefully in her sleep.

Over two thousand college students attended her funeral in tribute to the
wonderful woman who taught by example that it’s never too late to be all you
can possibly be.

These words have been passed along in loving memory of ROSE.

REMEMBER, GROWING OLDER IS MANDATORY. GROWING UP IS OPTIONAL. We make a
Living by what we get. We make a Life by what we give.

God promises a safe landing, not a calm passage. If God brings you to it, He
will bring you through it..

‘Good friends are like stars….. …..You don’t always see them, but you
know they are always there.’

New Year, New Beginnings

imagesIt’s that time of year again, time to make those New Year Resolutions…bring on the groans. It’s easy to get excited about starting something new, but it’s easier to get discouraged when those resolutions don’t last very long. How long do your resolutions last for? Two weeks? A month? Don’t get me wrong, resolutions are a great thing! They help you better yourself and can make you try something new. But before you get discouraged and give up completely, use these tips to make and keep your resolutions:

1. Quantity- Don’t make too many resolutions. Make one or two so you can focus on them. Having too many resolutions can cause distraction and forget about other ones.

2. Realistic- Make sure you’re able to accomplish your resolution. Don’t make it something that can never be reached.

3. Be Mindful- Be mindful when creating a resolution and throughout the year. Listen to what your mind and body are telling     you. If you focus on yourself, it’ll be easier to accomplish your goal.

4. Accountability- Have an accountability partner, someone who will keep you on track and might even create this change         with you! It’s easier to change something in your life when you have your friend doing it with you. You keep each other           accountable.

5. Know you’re not perfect- It’s important to go into the New Year knowing you’re not perfect, mistakes will happen. Maybe         you’ll miss a day or you’ll do something wrong. That is okay! Just keep going. It’s better to get back up and keep going,         then giving up all together.

The trick is to make it a lifestyle change, not a resolution. Don’t put so much pressure on yourself to keep this resolution. Maybe you have a problem with substance abuse, have an eating disorder or struggle with something in your life. The New Year is a great way to create that new beginning for yourself. You can start fresh and make a change in your life, and you don’t have to do it alone. If you struggle with any of the things I just mentioned, Inner Door Center® can help you. We can help you change your life around and become a stepping stone to improving your life.

If you would like to talk to someone about other ways to improve your life, contact the Inner Door Center® at 248-336-2868 for more information on our treatment programs or visit www.innerdoorcenter.com

You’ve hit rock bottom…now what?

You have a problem with substance abuse, whether it be drugs or alcohol, and have gotten in serious trouble with the law; could be DUI, drug possession, trafficking, or distribution. You know that you’ve hit the lowest low and you don’t know what to do next.

There are countless stories of individuals who were deep in substance abuse, but changed their life around through rehab, jail time, or becoming spiritual. We commend those who are able to overcome their substance abuse, but sometimes relapse happens.

Let’s create a scenario: You are involved in heavy drug use and the police pull you over during a traffic stop and they find drugs in your possession. They arrest you and charge you for drug possession. You never thought you would end up arrested and face jail time. What are you supposed to do now?

If you’re in the Metro Detroit area, many people call Jack Jaffe, Criminal Defense and Family Lawyer. He fights for those who are facing felony and misdemeanor charges. A lot of his clients suffer from substance abuse.

A good friend of Inner Door Center®, Jaffe sends a lot of his clients to Inner Door Center to get helphoto (1)p with their substance abuse.

“The knowledge, experience and expertise of the staff at Inner Door Center has been helpful for my clients to address their issues and start a path of recovery,” stated Jaffe.

Inner Door Center® is a licensed substance abuse treatment program with a highly skilled Certified Advanced Alcohol and Drug Counselor on staff. It’s time to reclaim your own life and Inner Door Center® is ready to help you.

Whatever you are struggling with, it’s possible for a change. Change won’t be easy; it’ll be scary and require hard work. Jaffe explains that it’s not that clients are hesitant to get help, it’s more that they are afraid of the change. They have fallen into this routine and have become comfortable in it, even though their world around them is falling apart.

David Price, COO and Program Director at Inner Door Center® works with Jaffe often. “He refers his clients to me often. He’s very tenacious and an advocate for people.”

You don’t have to go through through recovery alone. Jack Jaffe and Inner Door Center® are here to help you and devoted to help and represent you.

The Legal Center of Jack L. Jaffe is located in Madison Heights, MI and can be reached at 248-556-2705. He offers free initial consultations for prospective clients. For more information on Jack Jaffe, visit his website.

Visit our website for more information about our outpatient substance abuse support programs.

Yoga Is More Than Posing.

“If you can control the fluctuations of the mind you will experience Yoga,” says one yoga Sutra.

When I found out that I would be going through the treatment program here at Inner Door for a week, I was excited. I get to do yoga for a week for work! How awesome is that?

I came to my first yoga session very anxious. I was starting a new job and I was nervous about the yoga. But after I walked into that yoga room and spent an hour on that mat, I discovered that yoga is more than just physically demanding, it is a mentally focused exercise that challenges your body and mind simultaneously.

During my week in the Inner Door program, I learned that yoga is all about non-judgement of yourself and others. It’s meant to clear your mind and challenge you to become present in the very moment you’re in. This is often difficult to do in today’s world. We’re constantly surrounded by so much noise that it’s hard to be present, especially when you’ve got your smartphone in your hand and your tablet in the other.

The week that I was in treatment program, they were focusing on the sixth chakra-the third eye. It was all about being mindful and present in the moment, focusing on how you feel in that moment. By the end of the session I realized how relaxed I was. My mind wasn’t racing a million words a minute and I was able to be in the moment. I wasn’t worried about responding to all the texts and emails on my phone. I was just able to enjoy where I was right then and there.

While yoga relaxes you and you have this moment of calmness and relaxation, it also brings you to a point of confrontation with yourself. You’re forced to face your feelings in that moment and confront them, whether they be good or bad. It may become an emotional time, having to deal with certain feelings. Although at that moment it may be hard or uncomfortable dealing with those feelings, afterward it is very rewarding.

For example, at times I was feeling insecure and I was forced to examine those feelings and get to the root of them. Why was I feeling insecure? What am I feeling insecure about? And after the session, we were able to talk about these feelings. We were able to process them and overcome them.

It also helps you to restore a relationship with your body. You’re able to become aware of your thoughts and feelings, and eventually be able to understand and trust them.

I encourage everyone to try yoga at least once, even if you are skeptical of the idea. Get outside of your box and try something new. Take a group of friends to try it out, or even watch a video and do it in the privacy of your own home. You don’t have to become a master of yoga or even like it. It may teach you something about yourself, or just give you an hour or relaxation. Let the practice of yoga help you uncover feelings that you didn’t know were there and deal with those feelings. Don’t let the fear of trying something new and the way you might look from letting you experience the feelings that are within you.

Namaste.