Celebrating National Nurses Week: A Glimpse into the World of Psychiatric Nursing

National Nurses Week, held from May 6 to 12, is a time to recognize and appreciate the incredible work and dedication of nurses across the country. This year, we’re shining a light on psychiatric nursing, a vital field in healthcare that often faces unique challenges.

In an interview with Tiffany Downs, MSN RN, director of nursing at the Pennsylvania Psychiatric Institute (PPI), we learned about the impact she and her team have on their patients’ lives.

How does PPI impact the community?

Tiffany Downs, MSN RN

One of the most rewarding aspects of working at PPI for Downs and her team is the opportunity to make a difference in the lives of their patients. “We approach each individual with compassion and grace,” said Downs, “regardless of their background or circumstances, with the goal of providing them with the tools needed for a better path forward.”

PPI’s approach to patient care focuses on trauma-informed and individualized care. The patient care team collaborates closely and includes the patient in their treatment plans. The organization is constantly looking to improve access to care and expand the services they offer, such as specialty clinics and ECT treatment.

Downs is proud of her team’s ability to adapt and find solutions that work for the patient and the staff. Recently, her team demonstrated these important traits when a particularly challenging patient prompted the charge nurse and therapist to collaborate and revamp the patient-focused communication plan. They devised a color-coded chart that outlined boundaries and protocols for the patient, improving the process and ensuring better care for the individual. This example and many others like it showcase the initiative, dedication and commitment to providing exceptional care that nurses at PPI bring to the job every day.

When discussing the patient care team at PPI, Downs said, “I am proud of my team’s ability to adapt and find solutions that work for both the patient and the staff.”

How does PPI support the patient care team?

In addition to developing new processes for patient care, PPI has also focused on professional development for its staff. Under Downs’ direction, they have recently revamped their preceptor program, which involves training and mentoring new staff members. The program was developed in conjunction with experienced staff members who wanted to ensure a consistent and effective onboarding process for new hires. This program has become a source of pride for the staff and has proven to be a valuable retention tool.

As a leader, Downs prioritizes the well-being of her staff, ensuring they have the necessary tools, resources, and support to provide exceptional care to their patients. By engaging her team in decision-making processes, she fosters a culture of collaboration, trust and open communication.

“It’s important for nurses to stay updated with evidence-based practices, continuing education and adapting to new developments in healthcare,” said Downs in relation to the ongoing training efforts offered to the staff. These programs are offered alongside initiatives to ensure the safety and well-being of the PPI team by providing them with tools and measures to mitigate fatigue, lessen burnout and avoid over-scheduling.

Lastly, Downs actively encourages an open-door policy with leadership at PPI. This approach ensures the nursing team consistently delivers high-quality care. “By actively listening to concerns and resolving them before they become problems,” said Downs, “PPI is able to maintain a proactive approach to addressing issues.”

What is the Future of PPI?

“My vision for the future is for PPI to be known as the best place to receive behavioral health care,” said Downs, “A positive and supportive environment where staff can explore creative and unique approaches to care.”

The dedication of the nursing staff to the behavioral health specialty and the unique patient population sets PPI apart. The nurses are highly compassionate and creative when managing the needs of their patients. They also take good care of each other, which contributes to their ability to provide the best possible care for their patients.

As we celebrate National Nurses Week, let’s recognize the invaluable work of psychiatric nurses like Tiffany Downs and her team, who provide compassionate care to those facing mental health challenges. Their unwavering commitment to improving the lives of their patients truly makes a difference in our healthcare community. Through innovative approaches, professional development and a focus on collaboration, the staff at PPI exemplifies the best of what the nursing profession has to offer.

Are you interested in working with the patient care team at PPI? Visit ppimhs.org/careers to learn more about the opportunities available.

Resources for Sexual Assault Survivors in Central Pennsylvania

April is Sexual Assault Awareness Month, and it’s essential to recognize the impact that sexual violence has on survivors and their communities. At the Pennsylvania Psychiatric Institute (PPI), a Penn State Health Enterprise owned by Penn State Health, we understand that healing from sexual assault is a complex and deeply personal process. To support survivors in Central Pennsylvania, we’ve compiled a list of local resources that can provide help and guidance during these difficult times.

Sexual assault statistics

Resources in Central Pa
Resources in Central Pa

Domestic Violence Services of Cumberland & Perry Counties (DVSCP)
DSSCP.org
Crisis Line: 800-852-2102
Domestic Violence Services of Cumberland & Perry Counties (DVSCP) is committed to providing comprehensive support services for survivors of domestic violence and sexual assault. Their offerings include a 24-hour crisis hotline, emergency shelter, counseling, support groups and legal advocacy. DVSCP strives to empower survivors while raising awareness about the prevalence of domestic violence and sexual assault within the community. If you or someone you know is seeking help and support after a sexual assault, DVSCP is a valuable resource that can provide assistance during the healing process.

National Sexual Violence Resource Center (NSVRC)
NSVRC.org
The National Sexual Violence Resource Center (NSVRC) is a key organization offering support to individuals affected by sexual assault. As a comprehensive information and resource hub, NSVRC aims to provide guidance and promote understanding about sexual violence and its prevention. Through collaboration with local, state and national partners, the organization disseminates valuable resources, raises public awareness and supports survivors on their healing journey. If you or someone you know is seeking assistance after a sexual assault, NSVRC can help connect you with the resources and support you need.

Pennsylvania Coalition Against Rape (PCAR)
PCAR.org
Crisis Line: 888-772-7227
Founded in 1975, the Pennsylvania Coalition Against Rape (PCAR) is dedicated to ending sexual violence and advocating for victims’ rights. By partnering with a network of rape crisis programs, PCAR provides help and healing across Pennsylvania. The organization ensures access to quality victim services, prevention education, resources and training on sexual assault-related issues. PCAR promotes protective public policies, holds offenders accountable and enhances community safety. Additionally, they offer holistic legal services through the Sexual Violence Legal Assistance Project and work with the media to raise public awareness.

Rape, Abuse & Incest National Network (RAINN)
RAINN.org
Crisis Line: 800-656-4673
The Rape, Abuse & Incest National Network (RAINN) is a valuable resource for individuals seeking support after experiencing sexual assault. As the nation’s largest anti-sexual violence organization, RAINN operates the National Sexual Assault Hotline that provides confidential, 24/7 support for survivors. By connecting callers with a local sexual assault service provider, RAINN ensures that individuals in need receive crucial assistance during their healing process.

Sexual Assault Resource and Counseling Center Lebanon
SARCCHeals.org
Crisis Line: 570-628-2965 (Schuylkill County) or 717-272-5408 (Lebanon County)
The Sexual Assault Resource and Counseling Center (SARCC) is dedicated to providing a safe, confidential space for individuals in need of support after experiencing sexual assault. Offering a range of services, including a 24-hour crisis hotline, individual and group counseling and medical and legal advocacy, SARCC aims to help survivors navigate the healing process. Their compassionate staff is committed to working alongside survivors, ensuring they receive the care and support needed during their journey toward healing. If you or someone you know is seeking assistance, reach out to SARCC to access their valuable resources and guidance.

YWCA Carlisle & Cumberland County
YWCACarlisle.org
Crisis Line: 888-727-2877
YWCA Carlisle & Cumberland County provides support to individuals affected by sexual assault in their community. Offering a range of services, such as a 24-hour crisis hotline, counseling, support groups and medical and legal advocacy, YWCA Carlisle & Cumberland County is committed to assisting survivors in their healing process. Their compassionate staff works tirelessly to empower and guide survivors, ensuring they receive the care and support needed.

YWCA Greater Harrisburg
YWCAHBG.org
Crisis Line: 800-654-1211
The YWCA Greater Harrisburg’s Violence Intervention and Prevention Programs (VIP) offer comprehensive crisis and counseling services to victims of domestic violence, sexual assault and human trafficking, as well as their non-offending family members. These services, available to individuals of all ages and genders, include a 24-hour crisis hotline, individual and group counseling, medical and court accompaniments, and are provided free and confidentially. The YWCA also offers prevention education services, with staff delivering free age-appropriate workshops in various settings, covering topics such as dating violence, date rape, sexual harassment and personal safety. Additionally, they provide support groups for survivors and their loved ones.

YWCA Lancaster
YWCALancaster.org
Crisis Line: 717-392-7273
YWCA Lancaster is committed to providing essential support to individuals seeking help after experiencing sexual assault. Their services include a 24-hour crisis hotline, counseling, support groups and medical and legal advocacy designed to assist survivors during their healing process. YWCA Lancaster’s dedicated staff is focused on empowering survivors and offering the care and guidance needed on the path to recovery.

Sexual Assault Awareness Month Statistics

At PPI, we are committed to supporting survivors of sexual assault and helping them navigate the healing process. We hope these resources can guide and support those in need during Sexual Assault Awareness Month and beyond. Remember, healing is a journey; you don’t have to face it alone.

For more information on our services, visit PPImhs.org or call 866-746-2496, available 24 hours a day, seven days a week to schedule an appointment.

Understanding the Psychological Impact of Sexual Assault: From Immediate to Long-term Effects

April is Sexual Assault Awareness Month, and the Pennsylvania Psychiatric Institute (PPI), a Penn State Health Enterprise owned by Penn State Health, is committed to shedding light on the far-reaching psychological consequences of sexual assault. Survivors often face many challenges as they navigate the aftermath of such a traumatic event. We will explore the short and long-term effects of sexual assault on survivors, including post-traumatic stress disorder (PTSD), depression, anxiety and other mental health challenges.

The immediate aftermath
In the hours and days following a sexual assault, survivors may experience a wide range of emotions and psychological symptoms. These can include shock, disbelief, numbness, fear and anger. Additionally, they may suffer from acute stress disorder (ASD), which can manifest in various ways such as intrusive thoughts, nightmares and dissociation. While some individuals may experience a rapid decline in symptoms, others might continue to struggle with their emotional and psychological well-being.

Post-Traumatic stress disorder (PTSD)
One of the most common and long-lasting consequences of sexual assault is PTSD. Survivors may experience intrusive memories or flashbacks of the assault and persistent fear. They may also avoid situations, people or places that remind them of the traumatic event. PTSD can significantly impair a person’s ability to function in daily life and maintain healthy relationships.

Dr. Ritika Baweja
Psychological Impact

Depression
Survivors of sexual assault are at an increased risk of developing depression. They may experience persistent sadness, hopelessness and a loss of interest in activities they once enjoyed. Depression can lead to changes in sleep and appetite, fatigue and even thoughts of self-harm or suicide.

Anxiety
Anxiety is another common mental health challenge faced by survivors of sexual assault. They may develop a generalized anxiety disorder, panic attacks, or social anxiety, which can interfere with their ability to work, socialize or maintain relationships. Additionally, survivors may develop a specific phobia related to the assault, such as a fear of being alone or in specific environments.

Dissociation and dissociative disorders
In some cases, survivors may experience dissociation as a coping mechanism to distance themselves from the traumatic event. Dissociation can manifest as feelings of detachment from one’s body, emotions or surroundings. In more severe cases, survivors may develop dissociative disorders, such as dissociative amnesia, which involves the inability to recall important information about the traumatic event.

Substance use and abuse
To cope with the emotional pain and distress, some survivors may turn to alcohol or drugs to escape. Unfortunately, this can lead to substance abuse and addiction, further complicating their path to recovery.

Self-esteem and self-worth
In the short term, survivors may struggle with shame, guilt and self-blame. These emotions can erode their self-worth, leading to long-lasting self-esteem issues. As a result, they may question their judgment, feel unworthy of love or respect and have difficulties asserting their needs in relationships.

Trust and intimacy issues
Survivors may experience difficulties in forming and maintaining close relationships. In the short term, they may withdraw from friends, family and romantic partners. As time passes, they may develop trust issues or fear of intimacy, making it challenging to establish and maintain healthy connections with others.

Sleep disturbances
Sleep disturbances, such as insomnia, nightmares or night sweats, are common after a sexual assault. These disruptions in sleep patterns can contribute to fatigue, irritability and difficulty concentrating. Sometimes, sleep disturbances may persist for months or years, significantly impacting a survivor’s quality of life.

Eating disorders
Sexual assault can trigger disordered eating behaviors to cope with emotional turmoil. In the short term, survivors may experience changes in appetite, weight loss or gain and emotional eating. However, these behaviors can develop over time into eating disorders, such as anorexia, bulimia, or binge eating disorder, which carry physical and mental health risks.

Physical health consequences
In addition to psychological effects, sexual assault can have long-lasting physical health consequences. Chronic pain, headaches and gastrointestinal issues are common complaints among survivors. The stress and anxiety associated with the trauma can also weaken the immune system, making individuals more susceptible to illness.

Re-victimization
Survivors of sexual assault are at an increased risk of being victimized again. This may be due to low self-esteem, impaired judgment or engaging in high-risk behaviors. Re-victimization can exacerbate the psychological effects of the initial trauma and make recovery even more challenging.

Sexual assault can have a profound and long-lasting impact on a survivor’s mental health. We must acknowledge these challenges and provide survivors with the support and resources they need to heal. PPI is dedicated to offering comprehensive care for individuals affected by sexual assault. If you or someone you know is struggling with the psychological aftermath of sexual assault, please get in touch with our experienced professionals. We are here to help.

For more information on our services, visit PPImhs.org or call 866-746-2496, available 24 hours a day, seven days a week to schedule an appointment.

The Crucial Role of Mental Health Professionals in Healing Sexual Assault Survivors

April is Sexual Assault Awareness Month, a time dedicated to raising awareness about sexual assault, promoting education on prevention and supporting survivors. This month, we at the Pennsylvania Psychiatric Institute (PPI), a Penn State Health Enterprise owned by Penn State Health, would like to highlight mental health professionals’ significant role in the healing process for sexual assault survivors. Below, we will delve into the importance of mental health professionals in helping survivors work through trauma and reclaim their lives.

Understanding Trauma

Dr. Ritika Baweja
Dr. Ritika Baweja

Sexual assault is a deeply traumatic experience that can have long-lasting emotional, psychological and physical effects on survivors. However, the healing process is unique to everyone, and the trauma may manifest in various ways, such as depression, anxiety, PTSD, substance use or feelings of guilt and shame. Mental health professionals are trained to understand the complexities of trauma and provide specialized care to help survivors cope, heal and ultimately thrive.

Because of the stigma associated with sexual assault and limited access to mental health services which has worsened further since the COVID-19 pandemic, survivors of assault often do not seek help.

“But reaching out for professional help is a vital step in the healing journey for many sexual assault survivors. Acceptance to sexual trauma has expanded over the years in our society. At PPI, our compassionate and experienced therapists work closely with each individual to create a personalized treatment plan based upon race, ethnicity, and gender that addresses their unique needs and fosters a sense of empowerment. Remember, you don’t have to face this alone; we’re here to support and guide you toward recovery and reclaiming your life.”
– Dr. Ritika Baweja, PPI


The Role of Mental Health Professionals

Role of Mental Health Professionals
Role of Mental Health Professionals

Creating a safe space
Mental health professionals provide a secure and confidential environment where survivors can openly express their feelings and emotions. They offer empathy, understanding and validation, allowing survivors to feel heard and supported during their healing journey.

Providing psychological treatment
Mental health professionals utilize various evidence-based therapeutic approaches to address the psychological effects of trauma. Techniques such as cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR) and trauma-focused treatment can help survivors reframe negative thoughts, process traumatic memories and develop coping strategies.

Facilitating emotional healing
Survivors of sexual assault often grapple with intense emotions such as anger, fear, sadness and guilt. Mental health professionals can help survivors navigate these emotions, develop self-compassion and work toward emotional healing and resilience.

Addressing PTSD symptoms
Post-traumatic stress disorder (PTSD) is a common consequence of sexual assault. Mental health professionals can help survivors identify triggers, manage symptoms and work through traumatic memories to reduce the impact of PTSD on their lives.

Empowering survivors
Mental health professionals aim to empower survivors by helping them regain control over their lives. They work with survivors to set realistic goals, rebuild self-esteem and develop healthy coping mechanisms to foster a stronger sense of self-worth and autonomy.

Connecting with resources and support networks
Mental health professionals can also connect survivors with additional resources and support networks. For example, they may recommend support groups, legal assistance or medical care to ensure a comprehensive approach to healing.


Local resources are available 24 hours a day, seven days a week, in Central Pa:

  • National Sexual Violence Resource Center, call 717-909-0710
  • PPI Admissions Department, call 866-746-2496
  • YWCA Carlisle & Cumberland County, call 888-727-2877
  • YWCA Greater Harrisburg, Violence Intervention and Prevention Services, call 800-654-1211
  • YWCA Lancaster, call 717-392-7273



Statewide and national resources are also available:

  • Pennsylvania Coalition Against Rape, call 888-772-7227 or visit their service directory
  • Pennsylvania 211, call 211 or text your zip code to 898-211
  • The Rape, Abuse, & Incest National Network (RAINN), call 800-656-4673 or visit RAINN.org to access a live chat

Sexual assault can leave survivors with profound emotional and psychological wounds. Mental health professionals are pivotal in helping survivors work through their trauma and reclaim their lives. During Sexual Assault Awareness Month, we at PPI reaffirm our commitment to providing compassionate, culturally sensitive and specialized care for survivors as we continue to raise awareness, promote education and support the healing process.

For more information on our services, visit PPImhs.org or call 866-746-2496, available 24 hours a day, seven days a week to schedule an appointment.

Healing and Recovery: Empowering Sexual Assault Survivors with Therapeutic Approaches and Coping Strategies

April is Sexual Assault Awareness Month, and at the Pennsylvania Psychiatric Institute (PPI), a Penn State Health Enterprise owned by Penn State Health, we are dedicated to providing resources, support and healing to those affected by sexual assault. Survivors of sexual assault may experience various emotions and challenges as they navigate the path toward recovery. Today, we would like to discuss some therapeutic approaches and coping strategies to help survivors regain control, heal and rebuild their lives.

Seeking Professional Help

Recovering from sexual assault can be a complex and individual journey, and many survivors benefit from professional support. In addition, psychotherapy, specifically trauma-focused therapy, is effective in helping survivors process their traumatic experiences.

Dr. Ritika Baweja
Dr. Ritika Baweja

Local resources are available 24 hours a day, seven days a week, in the capital region:

  • PPI Admissions Department, call 866-746-2496
  • YWCA Greater Harrisburg, Violence Intervention and Prevention Services, call 800-654-1211


Because of the stigma associated with sexual assault and limited access to mental health services which has worsened further since the COVID-19 pandemic, survivors of assault often do not seek help.

“But reaching out for professional help is a vital step in the healing journey for many sexual assault survivors. Acceptance to sexual trauma has expanded over the years in our society. At PPI, our compassionate and experienced therapists work closely with each individual to create a personalized treatment plan based upon race, ethnicity, and gender that addresses their unique needs and fosters a sense of empowerment. Remember, you don’t have to face this alone; we’re here to support and guide you toward recovery and reclaiming your life.”
– Dr. Ritika Baweja, PPI


Healing and Recovery
Healing and Recovery

Building a support system
Having a solid support system is crucial for healing. Reach out to friends, family or support groups to share your feelings, gain encouragement and connect with others who have had similar experiences.

Practicing self-care
Taking care of your physical, mental and emotional well-being is an essential part of the healing process. Engage in activities that bring you joy, relaxation and a sense of accomplishment. This may include exercise, meditation, journaling or pursuing hobbies and interests. It’s important to prioritize self-care and self-compassion during this time.

Establishing boundaries
Setting boundaries with others and being aware of your needs and limits can help you regain control. Communicate your needs clearly and respectfully, and make sure to respect the boundaries of others as well. Establishing healthy boundaries can foster a sense of empowerment and self-confidence.

Mindfulness and grounding techniques
Mindfulness practices such as meditation, deep breathing and grounding techniques can help you stay present and manage anxiety, stress or other emotions that may arise during recovery.

Develop a safety plan
Creating a personalized safety plan can provide a sense of control and empowerment. A safety plan includes identifying safe spaces, people to contact in times of crisis, and strategies for coping with triggers. Work with your therapist or support group to develop a plan that best suits your needs.

Be patient with yourself
Healing is a process that takes time and effort. Be patient with yourself as you navigate this journey and remember that everyone’s path to recovery is unique. Give yourself the time and space to heal at your own pace, and know it’s okay to seek help and support.

The road to recovery after sexual assault can be challenging, but many therapeutic approaches and coping strategies can help survivors regain control, heal and rebuild their lives. At PPI, we support you every step of the way.

For more information on our services, visit PPImhs.org or call 866-746-2496, available 24 hours a day, seven days a week to schedule an appointment.

Caring for Someone with a Mental Health Condition

Bettering one’s mental health is not a solo journey. Apart from the providers and care team involved, the unsung heroes are the family and friends who are there to support and take care of that person outside of a clinical setting. With over 44 million Americans with mental health conditions, it’s easy to see how much of the population can also be affected by helping to care for their loved ones.

Dr. Hiren Patel
Dr. Hiren Patel

“Most people caring for those with a mental health condition don’t identify as caregivers; it’s something they just do. As many as one in three adults provide care as informal caregivers” explains Hiren Patel, MD. “Caregiving affects someone psychologically and emotionally, not to mention is a burden financially. It’s challenging, stressful and can lead to burnout.”

Hiren Patel, MD, now the Assistant Professor of Psychiatry and Behavioral Health on November 1, 2021, started at Pennsylvania Psychiatric Institute (PPI) as a Fellow in our Child and Adolescent Psychiatry program. He is board certified in Child and Adolescent Psychiatry with his primary responsibility being providing outpatient psychological care for children as young as three and transitional-aged adults up to 24.

Caregiving differs when dealing with children than with adults. “There are more resources for children who have a diagnosis or disability. There are home health, family services and care options for children. Unfortunately, there are fewer resources for adults. Once children turn 18 or 19, many services disappear, and parents don’t know what to do. So, patients can end up with a 360-degree change in their care. There are very limited community options like respite care – which can be expensive and not feasible for some families. FMLA as an option is temporary (12 weeks), but unfortunately, chronic illness takes longer to treat.”

From seeing a wide range of mental health issues in his patients, he has also seen what that means for those taking care of his patients outside of his appointments.

Dr. Patel notes what the effects of caregiving can feel like: “It is natural for someone providing care to feel angry, alone, sad or stressed. They can even experience vulnerable changes in their own health. Too much stress over long periods of time affects one’s health, like with heart problems, diabetes and substance abuse.”

Signs of stress:

  • Easily feeling overwhelmed
  • Constantly worrying
  • Sleeping too much or too little
  • Weight fluctuation
  • Becoming easily irritated
  • Losing interest in activities that were previously enjoyed
  • Body aches, headaches
  • Substance use
    • Like alcohol, tobacco and pain medication
    • Frequently using substances like these can increase/exacerbate overall issues



Some are more at risk from struggling with caregiving than others. Dr. Patel describes, “Factors that increase risk are:

  1. Living with the person you care for. This can cause you to compromise your life and health. Your physical, financial and social health tends to suffer when living with them, especially if it is 24/7.
  2. Lower levels of education.
  3. Lack of coping skills and lack of choice in caregiving.
  4. Being female. Females may display more stress and burnout and have a higher level of depression than male caregivers.”



“In a national survey, one in five caregivers struggles with anxiety and depression when caregiving. Caregivers also suffer from high levels of frustration. They can feel like they’ve lost their self-identity, have less self-acceptance, feel less in control of their own life, or feel like they lack progress. One in five report exhaustion. Caregivers need to regularly receive help themselves as chronic stress causes health issues like cognitive decline,” reports Dr. Patel.

What can help?

Caregiving is emotional, physical and can strain even the most resilient person. Families who struggle put their own health in danger. Dr. Patel outlines a few tips to help:

  1. Accept help, from anyone who is willing to help, no matter how small the task.
  2. Focus on what you can provide. You are not superman. It’s not sustainable to do everything. Make the best decisions you can. No one is perfect.
  3. Make realistic goals. Learn how to say no to requests that drain you.
  4. Get connected. Join support groups and find community resources that can help with transport, mail and even housekeeping!
  5. Make time for yourself. Aim to plan at least one hour of social interaction per week.
  6. Create health goals. One in ten caregivers reports that their health suffers from caregiving. Make sure to drink water, eat healthy food and exercise if possible.



Passionate about helping his patients and their families, Dr. Patel speaks on what he wishes to see happen: “This is becoming a public health issue. We need to be available for caregiver education, respite care, primary care intervention and financial support to alleviate the stress on caregiving families. Improving recognition and treatment of symptoms of caregivers should be a public health priority.”


PPI can help find referral programs for nursing homes, adult care centers and respite care.

To learn more about the child and adolescent psychiatric programs at PPI, click here, or call the Admissions Department at: 717-782-6493 or 866-746-2496.

Don’t risk a gap in your Medicaid or CHIP coverage. Get ready to renew now.

Medicaid Unwinding Checklist

Important Changes Coming to the Pennsylvania Medical and CHIP Program Eligibility

Pennsylvania Psychiatric Institute (PPI) has identified that you or a family member are receiving services at PPI and are covered through Medicaid or the Children’s Health Insurance Program (CHIP). Soon, the Pennsylvania Office of Medical Assistance will resume Medicaid and CHIP eligibility reviews. This means that some people with Medicaid or CHIP could be disenrolled from those programs.

What Can You Do Now?

  • Make sure your address and phone number are up-to-date with the PA Medicaid Program.
  • Check your mail for an important letter regarding your Medicaid or CHIP coverage. This letter may include a renewal form. It is important that you complete the form and return it promptly.

Important Dates

  • April 2023 – First month Medicaid enrollees can be removed.
  • May 2023 – End of the Public Health Emergency.
  • May 2024 – Last month to complete all unwinding activities.

Federal Resources

Renew Your Medicaid or CHIP Coverage (Medicaid.gov)

State Resources

Medical Assistance & CHIP Renewals (pa.gov)

You can update your information by contacting the Customer Service Center at 1-877-395-8930 or reporting it online through your COMPASS account. Visit compass.state.pa.us to update your information and sign up for alerts, updates, and renewal reminders.

PPI staff are available to help if you have any questions or need assistance with your enrollment.

Remembering Keiko Okami: The Trailblazing Japanese Woman Who Became a Doctor in a Western World

This year for Women’s History Month, we want to highlight women who have impacted the daily lives of Pennsylvanians and improved our world.

Keiko Okami, the first Japanese woman to obtain a medical degree from a Western university, paved the way for future generations. As we celebrate Women’s History Month, it’s important to remember the incredible accomplishments of women like her.

Keiko Okami was born as Keiko Nishida on September 11, 1859, in Tokyo, Japan. During her childhood, Japan was going through a period of intense change, transitioning from feudalism to a modern, industrialized society. As a young girl, Keiko was knowledgeable and deeply interested in education. She attended a school for girls run by the American missionary Sarah Prudden, where she learned English.

In 1878, Keiko graduated from the Sakurai Girls’ School and became an English teacher. During this time, she met her future husband, an art teacher named Frank Okami. Frank was also deeply interested in Japanese culture, and they fell in love. In 1880, they got married and moved to the United States.

While living in the U.S., Keiko pursued her dream of becoming a doctor. She applied to the Women’s Medical College of Pennsylvania, which would later merge with other schools to become a part of Drexel University. She was accepted, partly thanks to financial aid from the Women’s Foreign Missionary Society of the Presbyterian Church. Keiko studied hard and excelled in her classes, eventually graduating with a medical degree and becoming one of the first Japanese women to obtain a degree in Western medicine in 1889.

After graduation, Keiko moved back to Japan, where she became the first Japanese woman to practice Western medicine. She opened a clinic in Tokyo and focused on treating women and children. Her clinic became extremely popular, and she was widely respected for her medical expertise and dedication to her patients.

Throughout her career, Keiko faced many challenges as a woman in a male-dominated field. She had to fight against societal expectations that women should not work outside the home, let alone become doctors. But she persevered, and her example inspired many other women to pursue careers in medicine.

Keiko Okami passed away on September 2, 1941. Her legacy, however, lives on. She was a trailblazer who paved the way for future generations of women to pursue their dreams and break down barriers in male-dominated fields.

In honor of Women’s History Month, remember Keiko Okami and the countless other women who have made significant contributions to society. Let us celebrate their achievements and continue to fight for gender equality and women’s rights.

Anandibai Joshee, Kei Okami, and Sabat M. Islambouli
Kei Okami. (2021, July 26). In Wikipedia. https://en.wikipedia.org/wiki/Kei_Okami

Photograph of Anandibai Joshee (left) from India, Kei Okami (center) from Japan, and Sabat M. Islambouli (right) from Ottoman Syria, students from the Woman’s Medical College of Pennsylvania. All three were the first woman from their respective countries to obtain a degree in Western medicine from a Western university.

Women’s Medical College of Pennsylvania

Keiko Okami was one of many trailblazers to graduate from the Women’s Medical College of Pennsylvania. Founded in 1850, the school maintained a long history of notable women who have made an indelible mark on the medical profession:

  • Caroline Still Anderson (class of 1878), one of the first African American female physicians
  • Anna Broomall (class of 1871), professor of obstetrics and founder of the first outpatient maternity and prenatal care clinic in the United States
  • Susan Hayhurst (class of 1857) was the first woman to receive a pharmacy degree in the United States
  • Agnes Kemp (class of 1879) was the first woman to practice medicine in Dauphin County, Pennsylvania
  • Susan La Flesche Picotte (class of 1889), the first Native American female physician
  • Mildred Mitchell-Bateman (class of 1946) was the first African American woman to hold an office in the American Psychiatric Association as vice president. Founded the Marshall University Department of Psychiatry and namesake of Mildred Mitchell-Bateman Hospital, West Virginia’s state psychiatric hospital.


Women’s History Month

Women’s History Month was established in 1981 as a national celebration, with Congress passing Pub. L. 97-28 authorizing the President to designate the week beginning March 7, 1982, as “Women’s History Week.” Congress continued to pass joint resolutions over the next five years, designating a week in March as “Women’s History Week.” In 1987, Congress passed Pub. L. 100-9 after being petitioned by the National Women’s History Project, officially designating March 1987 as “Women’s History Month.” From 1988 to 1994, Congress passed additional resolutions requesting and authorizing the President to declare March of each year as Women’s History Month. Since 1995, each year, Presidents have issued proclamations recognizing and celebrating the contributions women have made to the United States and highlighting the specific achievements women have made in various fields throughout American history.

Learn more at WomensHistoryMonth.gov.

Rachel Carson: A Trailblazing Environmentalist from Pennsylvania

This year for Women’s History Month, we want to highlight women who have impacted the daily lives of Pennsylvanians and improved our world.

Rachel Carson was a writer and environmentalist born in the small town of Springdale, Pennsylvania. Her impact on the world of environmentalism is still felt today, and her pioneering work in the field helped to launch the modern environmental movement. As we celebrate Women’s History Month, we want to recognize her remarkable achievements and significant impact on history.

Carson is best known for her book “Silent Spring,” which was published in 1962. The book is a powerful critique of pesticides’ indiscriminate use and harmful effects on the environment and human health. It helped launch the modern environmental movement and inspired a new wave of activism and concern for the health of our planet.

Before “Silent Spring,” Carson was already an accomplished writer and scientist. She won the Pulitzer Prize in 1952 for her book “The Sea Around Us,” which explores the mysteries and wonders of the ocean. Her writing was known for its lyrical beauty and ability to capture the awe-inspiring complexity of the natural world.

“Eventually man, too, found his way back to the sea. Standing on its shores, he must have looked out upon it with wonder and curiosity, compounded with an unconscious recognition of his lineage. He could not physically re-enter the ocean as the seals and whales had done. But over the centuries, with all the skill and ingenuity and reasoning powers of his mind, he has sought to explore and investigate even its most remote parts, so that he might re-enter it mentally and imaginatively.”
– Rachel Carson, The Sea Around Us

Carson’s work was groundbreaking because it challenged the prevailing attitudes of the time, which viewed the environment as a resource to be exploited for economic gain. Instead, she argued that we need to take a more holistic and compassionate approach to nature and that we need to recognize the interconnectedness of all living things.

Born and raised in Pennsylvania, Carson’s love for nature was shaped by the region’s rolling hills and lush forests. She attended college at nearby Chatham University and went on to work for the U.S. Fish and Wildlife Service in Pittsburgh. Her experiences in her home state helped shape her worldview and commitment to environmental protection.

Despite facing criticism and pushback from powerful interests, Carson continued to speak out for the environment and to advocate for a more sustainable and compassionate approach to nature. Her work inspired a new generation of environmental activists and helped lay the foundation for many of the environmental protections we take for granted today.

“Never silent herself in the face of destructive trends, Rachel Carson fed a spring of awareness across America and beyond. A biologist with a gentle, clear voice, she welcomed her audiences to her love of the sea, while with an equally clear determined voice she warned Americans of the dangers human beings themselves pose for their own environment. Always concerned, always eloquent, she created a tide of environmental consciousness that has not ebbed.”
– President Jimmy Carter, remarks from the Presidential Medal of Freedom Presentation Ceremony

Rachel Carson passed away in 1964, but her legacy lives on. Her pioneering work in environmentalism and her impact on Pennsylvania’s history serves as a reminder of the power of one person to make a difference. As we celebrate Women’s History Month, we are inspired by Rachel Carson and her commitment to protecting the planet and promoting a more sustainable and compassionate world.

Rebecca Lukens
Rachel Louise Carson
National Portrait Gallery, Smithsonian Institution

A reading list from Rachel Carson

  • Under the Sea-Wind
    • 208 pages
    • Originally published in 1941
  • The Sea Around Us
    • 288 pages
    • Originally published in 1951
  • The Edge of the Sea
    • 304 pages
    • Originally published in 1955
  • Silent Spring
    • 400 pages
    • Originally published in 1962
  • The Sense of Wonder
    • 112 pages
    • Originally published in 1965
  • Lost Woods: The Discovered Writing of Rachel Carson
    • 288 pages
    • Originally published in 1998
  • Women’s History Month

    Women’s History Month was established in 1981 as a national celebration, with Congress passing Pub. L. 97-28 authorizing the President to designate the week beginning March 7, 1982, as “Women’s History Week.” Congress continued to pass joint resolutions over the next five years, designating a week in March as “Women’s History Week.” In 1987, Congress passed Pub. L. 100-9 after being petitioned by the National Women’s History Project, officially designating March 1987 as “Women’s History Month.” From 1988 to 1994, Congress passed additional resolutions requesting and authorizing the President to declare March of each year as Women’s History Month. Since 1995, each year, Presidents have issued proclamations recognizing and celebrating the contributions women have made to the United States and highlighting the specific achievements women have made in various fields throughout American history.

    Learn more at WomensHistoryMonth.gov.

Rebecca Lukens: Pioneering CEO in Steel Manufacturing

This year for Women’s History Month, we want to highlight women who have impacted the daily lives of Pennsylvanians and improved our world.

Rebecca Lukens
Rebecca Lukens, from the collections of the National Iron and Steel Heritage Museum, Coatesville, Pennsylvania

Rebecca Lukens was a leader in the male-dominated field of steel manufacturing. She has been recognized as the first female CEO in the United States, and she ran the Brandywine Iron Works and Nail Factory in Coatesville, Pennsylvania, for over three decades. Her remarkable career and impact on Pennsylvania history are worth celebrating during Women’s History Month.

Born in 1794 in New Jersey, Rebecca married Isaac Pennock in 1813 and moved to Coatesville, where her husband’s family owned the Brandywine Iron Works and Nail Factory. When her husband died in 1824, Rebecca took over the management of the factory. At the time, it was rare for women to hold positions of power in the workplace, especially in such a male-dominated industry as steel manufacturing.

Despite the odds against her, Rebecca proved to be a capable and visionary leader. Under her guidance, the Brandywine Iron Works and Nail Factory flourished, becoming one of the largest and most successful ironworks in the United States. She was known for her innovative ideas and willingness to invest in new technology, which helped improve the factory’s efficiency and profitability. One of Lukens’ most significant achievements was her development of the hot-rolled iron process. This process involved heating iron to a high temperature and then rolling it into sheets or bars. It was a breakthrough in steel manufacturing, and it helped to make the Brandywine Iron Works and Nail Factory one of the most successful businesses of its time.

“I must have possessed some energy of character, for now I look back and wonder at my daring. I had such strong, such powerful incentives for exertion that I felt I must succeed.”

– Rebecca Lukens, America’s first female CEO

Despite her success, Rebecca faced significant challenges as a female CEO in the 19th century. She was often subjected to discrimination and sexism from her male colleagues and was not always taken seriously as a business leader. Nevertheless, she persisted. Rebecca Lukens passed away in 1854, but her impact on Pennsylvania’s history and the steel industry is still felt today. Her pioneering work paved the way for future generations of women to succeed in the workplace, and she is remembered as a trailblazer and an inspiration to women everywhere.

On January 6, 1994, the 200th anniversary of Lukens’ birth, the Pennsylvania Legislature and City of Coatesville declared her “America’s first woman industrialist.”

As we celebrate Women’s History Month, it is essential to recognize the contributions of women like Rebecca Lukens, who have significantly impacted their communities and industries. Her groundbreaking work in the steel industry and her role as the first female CEO in the United States serve as a reminder of the importance of diversity and inclusion in the workplace. Her legacy inspires women to break through barriers and achieve their dreams.

Interested in learning more about Rebecca Lukens? Listen to this episode of “From the Stacks” by the Hagley Museum and Library.


Embedded Video – The Life & Times of Rebecca Lukens – https://youtu.be/jTBqZ214W50

Women’s History Month

Women’s History Month was established in 1981 as a national celebration, with Congress passing Pub. L. 97-28 authorizing the President to designate the week beginning March 7, 1982, as “Women’s History Week.” Congress continued to pass joint resolutions over the next five years, designating a week in March as “Women’s History Week.” In 1987, Congress passed Pub. L. 100-9 after being petitioned by the National Women’s History Project, officially designating March 1987 as “Women’s History Month.” From 1988 to 1994, Congress passed additional resolutions requesting and authorizing the President to declare March of each year as Women’s History Month. Since 1995, each year, Presidents have issued proclamations recognizing and celebrating the contributions women have made to the United States and highlighting the specific achievements women have made in various fields throughout American history.

Learn more at WomensHistoryMonth.gov.