PA Psychiatric Institute: Opioid Epidemic

Pennsylvania Psychiatric Institute is helping in the fight against the opioid epidemic by opening a new treatment facility that will offer a range of services to address the complex causes of addiction.

Penn State Health to establish medication-assisted opioid treatment program at PPI

Initiative funded by $1 million grant aimed at combating opioid epidemic across the state

Penn State Health is leading creation of a new system to ensure people in south central Pennsylvania with opioid use disorder receive the treatment they need. The new system’s ”hub-and-spoke” model is aimed at revolutionizing the way the disease is managed by recognizing medication-assisted treatment as the gold standard of care and providing a way to fast-track people with the disorder into treatment.

The ”hub” will be located at Pennsylvania Psychiatric Institute (PPI) in Harrisburg, and will provide a wide range of services to address physical and mental health along with case management and legal services. It will serve as a resource for the ”spokes,” which include primary care practices that may not be able to treat those with severe opioid use disorder.

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A Conversation with Elisabeth Kunkel

Chief Medical Officer, Pennsylvania Psychiatric Institute

Elisabeth Kunkel, 59, was named chief medical officer of Pennsylvania Psychiatric Institute in April.

She also serves on the faculty of Penn State College of Medicine and Penn State Milton S. Hershey Medical Center. She had been with Thomas Jefferson University in Philadelphia since 1989, serving as its vice chairwoman for clinical affairs from 2002-17.

Kunkel earned both her bachelor’s degree in psychobiology and doctorate in medicine from McGill University in Canada. She completed her residency at New York University Medical Center and a psychosomatic medicine fellowship at Memorial Sloan Kettering Cancer Center, Cornell University Medical College and the American Cancer Society.

She is in self-described ”transition” between Philadelphia and Harrisburg with her husband, George, and two children.

Q: Your role will include developing new programs related to patient-focused care. What goes into this development?

A: New programs require adequate staffing both from a provider point of view as well as the staff who support the care. Once you have your team, you can think about where you are best going to serve the people you’re taking care of. Many of our patients get psychiatric care with us but don’t have physical health care, so they might not get their blood pressure checked or their diabetes monitored and so forth. We’re looking at something called reverse integration, where we would bring primary and specialty care into PPI.
Patient-centered care is doing things that are helpful to patients. Traditional medical care is delivered 9 to 5, Monday through Friday. If your patients work, that is not the most convenient time for them. We think about what they might want, either before work or after work hours for patients who want to maintain employment at the same time they’re taking care of their psychiatric and psychosocial needs.

Q: PPI helps people with mental health and psychiatric disorders achieve stability in their lives. What are some keys to this balance everyone can apply to their lives?

A: We teach patients and staff how to deal with crises in a way that calms people down, that doesn’t get them more agitated or stressed. Managing stress is very relevant to the business community. The other thing we talk about is trauma-informed care. If you look at people and, for example, what they post on social networks, they post what is good about their lives, and when you talk behind the scenes you find out people experience a variety of forms of trauma. Understanding what kind of traumatic events they’ve been through can help teach them coping strategies.

To talk about work-life balance on a bigger scale we need to talk about health-disease balance. In medicine and from a business perspective, to help our employees, we need to shift to thinking about helping people maintain health, prevent disease instead of treating disease once it’s there. That kind of stability has a myriad of payoffs.

Q: What makes you smile?

A: In the middle of one of my busiest days I was on our children’s unit, and wound up having a conversation with a young boy. He asked for his Bible, and read me the passage ”yea though I walk through the valley of the shadows”¦.” He was struggling with some words, but we stood there in the middle of what was very busy all around us and just focused on him and what he needed to help calm himself down. Then we talked about, what does this mean? It means keeping yourself calm when it’s easy to become part of the chaos. He enjoyed it and I enjoyed it because that’s really what health care is about.

‘Mom, I didn’t steal your dentures’: Coping when dementia turns to delusion

Pennsylvania Psychiatric Institute’s Mature Adult Outpatient Clinic Coordinator, Linda Shumaker, is interviewed.

Many people think of dementia solely as a condition that causes memory loss.

That’s one reason family caregivers may be so surprised and upset when older relatives start having major psychiatric symptoms such as hallucinations, delusions or paranoia, even though they are common features of dementia.

Another reason, said Linda Shumaker, a nurse who works with older adults with behavioral health problems, is that stigma has kept advocates and caregivers from talking openly about psychiatric problems that can increase stress and result in earlier placement in a nursing home.

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Focused on quality clinical care: Department of Psychiatry, Penn State College of Medicine

The Penn State Department of Psychiatry and the Pennsylvania Psychiatric Institute are vibrant, academic settings focused on quality clinical care, research and education. At Penn State Health Milton S. Hershey Medical Center, we provide innovative care for patients, educate the healthcare providers and academicians of the future, and produce and disseminate new knowledge in our research programs. Our research mission includes leaders in the fields of addiction, autism, ADHD, mood, and sleep. We are a growing department, and seek faculty to participate in developing premier mental health care for central Pennsylvania.

Dr. Kawasaki interviewed by Smart Talk on The midstate’s opioid crisis: Where are we now?

What to look for on Smart Talk Monday, May 8, 2017:

The opioid crisis has killed thousands in Pennsylvania over the past three years.

On Thursday, WITF is hosting a forum at the Public Media Center: The Midstate’s Opioid Crisis: Where are We Now?

Today, we talk about the epidemic, and dig into the challenges in getting help to those who need it.

At the state and federal level, the crisis has been getting a lot of attention.

But drug overdose deaths continue to rise.

Dr. Sarah Kawasaki with the Pennsylvania Psychiatric Institute will offer information about treatment, what the evidence says, and how people who are ready to recover from addiction can stabilize their life.

Matthew Toth is in recovery after years of addiction – he’ll be here to share his story.

And Lancaster County District Attorney Craig Stedman will talk about what his staff is seeing, and how the justice system has been handling the crisis.

Click here to hear the live interview

PRESS RELEASE – April 2017

Elisabeth J. Kunkel, MD Joins Pennsylvania Psychiatric Institute.

April 6, 2017 – Pennsylvania Psychiatric Institute Harrisburg PA. is pleased to announce that after a comprehensive search process, Elisabeth J. Kunkel MD. has been named Chief Medical Officer (CMO) of Pennsylvania Psychiatric Institute. In addition to this role, Dr. Kunkel is also Professor of Psychiatry, the Joyce D. Kales University Chair in Community Psychiatry, Vice Chair of Community Behavioral Health and Director of Population Behavioral Health, Department of Psychiatry, Penn State College of Medicine and Penn State Milton S. Hershey Medical Center.

Dr. Kunkel replaces Ehsan Ullah Syed, MD, interim Chief Medical Officer who served in this position for three years while the search progressed. Kunkel will be responsible to the Chief Executive Officer for the clinical management of the hospitals’ inpatient and outpatient services and will have responsibility for assessing, enhancing and developing new programs related to exceptional patient-focused care.

Dr. Kunkel completed her undergraduate and medical training at McGill University, residency at New York University Medical Center, and a psychosomatic medicine fellowship at Memorial Sloan Kettering Cancer Center, Cornell University Medical College and the American Cancer Society. In 1989, she joined the faculty at Thomas Jefferson University in Philadelphia, and served as its Vice Chair for Clinical Affairs from 2002-2017.

“Dr. Kunkel will bring a wealth of clinical expertise and leadership experience and I am delighted that she has joined PPI; remarked Chief Executive Officer William Daly. Dr. Kunkel shares our vision of PPI as a community-academic partnership that will enhance the clinical care of patients in our region, allow the development of new knowledge in our field, and provide an outstanding interdisciplinary training environment for the next generation of providers.

About the Pennsylvania Psychiatric Institute.
Pennsylvania Psychiatric Institute, a Penn State Health enterprise, is a specialty provider of inpatient and outpatient behavioral health services, in Harrisburg, Pa. PPI helps children, adolescents and adults with mental health and psychiatric disorders achieve and maintain stability in their daily lives. Its comprehensive team of specialists provide sensitive, compassionate care and personalized treatment plans to meet each patient’s unique needs. PPI includes an 89-bed inpatient facility and two outpatient locations.

Dr Ehsan Syed interviewed by Smart Talk on Mental Health in Children and Adolescents

It’s estimated that one in five children between the ages of 6 and 17 have some type of mental disorder. Anxiety disorder is the most prevalent but behavioral disruption disorders like ADHD are also widespread. It’s also estimated that 79% of those kids do not receive any mental health care. What can be done to ensure these young people get the treatment they need and what kind of treatment is that? That’s what the discussion focuses on during Monday’s Smart Talk. Dr. Ehsan Syed, who specializes in child and adolescent psychiatry with the Pennsylvania Psychiatric Institute, is on the program.
click here for part 1 of the live interview
click here for part 2 of the live interview