Mental Health Resources for LGBTQ+ Individuals in Central PA

Pennsylvania Psychiatric Institute (PPI) is proud to advocate for accessible, inclusive mental health care for all. We understand that for the lesbian, gay, bisexual, transgender and queer (LGBTQ+) community, finding resources tailored to their unique experiences and needs can be a challenge. That’s why we’re dedicating this blog post to sharing a list of resources available in Central Pennsylvania for LGBTQ+ individuals seeking support.

Support Groups

LGBT Center of Central PA
The LGBT Center employs four full-time staff: an Executive Director, a Director of Training & Education, a Director of Youth Programs and a Youth Programs Coordinator. With this small but dedicated team, the Center serves over 2,000 people each year across Dauphin, Cumberland, York and Lancaster counties, and seeks to be responsive to the changing needs of our communities in our programming and our strategic priorities.

GLO
GLO is a community resource center for LGBTQ+ youth and young adults of color, centering the experiences and needs of LGBTQ+ men of color and trans women of color. They provide free and confidential STI/HIV testing on-site, virtual therapy, access to PrEP and a variety of other social services. GLO is committed to reducing the community’s HIV viral load by testing and linking individuals to HIV care and prevention.

Lancaster LGBTQ+ Coalition
The Lancaster LGBTQ+ Coalition is committed to building a supportive and enriching community abundant in opportunities for LGBTQ+ individuals and those with a stake in creating a more inclusive Lancaster County.

PFLAG York
Parents, Families and Friends of Lesbians and Gays, or PFLAG York promotes the health and well-being of all lesbians, gay, bisexual, transgender and other queer individuals and their parents, family and friends through support, education and advocacy. They provide the opportunity for dialogue about sexual orientation, gender identity and gender expression, and act to create a society that is healthy and respectful of human diversity. PFLAG York will not give up until society accepts all its members as equals, regardless of their sexual orientation, gender identity and gender expression.

Rainbow Rose Center
The Rainbow Rose Center fosters an environment of inclusion, equity and health where all LGBTQ+ community members thrive in York County. They envision an inclusive community where all York County individuals feel safe and welcome in their everyday lives.

TransCentralPA
TransCentralPA is committed to providing advocacy and caring support for transgender individuals, their significant others, families, friends and allies. TransCentralPA also provides gender education and information to businesses, organizations, educational institutions and governmental agencies. Their monthly gatherings provide a safe and nurturing place for members and guests to meet together to better understand, accept and take pride and joy in their transgender lives.

Mental Health Resources for LGBTQ+ Individuals

Mental Health Assistance

Call BlackLine
Call BlackLine provides a space for peer support, counseling, reporting of mistreatment, witnessing and affirming the lived experiences for folx who are most impacted by systematic oppression with an LGBTQ+ Black Femme Lens. Call BlackLine prioritizes BIPOC (Black, Indigenous and People of Color).

  • 800-604-5841

LGBT National Help Center
All of LGBT National Help Center’s support volunteers identify as part of the LGBTQ+ family, and are here to serve the entire community, by providing free and confidential peer support, information and local resources through national hotlines and online programs.

  • LGBT National Hotline: 888-843-4564
  • LGBT National Youth Talkline: 800-246-7743
  • LGBT National Senior Hotline: 888-234-7243

SAGE LGBTQ+ Elder Hotline
Talk and be heard at the SAGE LGBTQ+ Elder Hotline. They connect LGBTQ+ older people who want to talk with friendly responders ready to listen. The Hotline is available 24 hours a day, 7 days a week, in English and Spanish, with translation in 180 languages.

  • 877-360-5428

The Trevor Project
The Trevor Project’s mission is to end suicide among LGBTQ+ young people. Their counselors will listen without judgment. All of your conversations are confidential, and you can share as much or as little as you’d like.

  • 866-488-7386
  • Text ‘Start’ to 678-678

Trans Lifeline
Trans Lifeline is a trans-led organization that connects trans people to the community, support and resources they need to survive and thrive.

  • 877-565-8860

“In the journey towards mental wellness, remember you’re not alone. Reaching out isn’t a sign of defeat, but a victory over stigma. At PPI, we’re your allies, steadfast in the belief that everyone deserves understanding and compassionate care.”
– Ruth S. Moore, director of community engagement, diversity & inclusion

If you’d like to learn more about the Pennsylvania Psychiatric Institute’s approach to LGBTQ+ mental health, please don’t hesitate to contact us by phone, 866-746-2496 or through our website. We’re committed to providing an inclusive, welcoming space where everyone can access the care and support they need.

Embracing Transgender Mental Health

As Pride Month unfolds, a time dedicated to celebrating victories and acknowledging the struggles of the lesbian, gay, bisexual, transgender and queer (LGBTQ+) community, we must shine a spotlight on an issue often not spoken about enough — transgender mental health. At the Pennsylvania Psychiatric Institute (PPI), our commitment to deepening the understanding of the unique mental health challenges faced by the transgender community is unwavering. We are equally devoted to promoting strategies for resilience and personal growth.

Transgender individuals, those who identify as a gender different from their assigned sex at birth, confront unique societal, personal and systemic challenges that can significantly impact their mental health. Pervasive realities of discrimination, stigma and systemic bias can give rise to mental health issues, such as anxiety, depression and distress. Alarmingly, suicide rates among transgender individuals are higher than the general population.

Research underscores the magnitude of these challenges. For instance, a sobering study conducted by the University of Pittsburgh in 2020 revealed that approximately 85% of transgender adolescents had seriously considered suicide, and over half had made at least one suicide attempt. This underscores the urgent need to address mental health issues within this vulnerable population.

Recognizing these challenges is the first step toward creating a more inclusive and supportive environment. At PPI, we believe there are three key areas that need our attention:

Lack of Acceptance
Stigma and discrimination are among the most significant obstacles to mental health for transgender individuals. These can appear in various forms, from microaggressions and harassment to explicit violence and rejection by loved ones. The persistent battle against stigma can often lead to chronic stress, exacerbating feelings of anxiety and depression.

Healthcare Inequality
Global healthcare systems often fail to meet the specific needs of transgender individuals due to a lack of training and awareness among healthcare professionals and discriminatory practices and policies. This frequently results in subpar care, delayed or inaccessible treatments and a deep mistrust in healthcare providers.

In Pennsylvania, Penn State Health offers services that help to meet the specific healthcare needs of the transgender community.

Internalized Negative Beliefs
Internalized transphobia and transmisia can stem from absorbing negative societal beliefs and attitudes about being transgender. This can lead to diminished self-esteem, self-worth and a negative impact on overall mental health.

Dealing with mental health is a complex process for everyone, and for the transgender community, it becomes even more difficult due to specific stressors like gender dysphoria. This necessitates unique coping strategies. Below are a handful of tactics that can help alleviate these challenges and promote mental well-being:

Clothing and Personal Style
Transgender individuals may find relief from gender dysphoria by dressing in the clothing of their preferred gender. This can include ‘under-dressing’ or making subtle changes to personal style, such as adopting a new hairstyle, using skincare products or applying subtle makeup. These measures can serve as a reminder of their identity and alleviate feelings of distress. It’s also worth noting that engaging in these activities gradually can help prepare for an eventual social transition.

Digital Presence
Engaging online as one’s preferred gender can be a helpful way to express oneself and interact with others in a safe and understanding environment. This can include participation in online forums, social media platforms and support groups.

Hormone Replacement Therapy (HRT)
For some, the use of gender-affirming hormone therapy can be an effective way to align physical characteristics with their chosen gender identity. This can help reduce the dysphoria experienced by individuals whose physical appearance doesn’t align with their gender identity. It is critical, however, to undertake this step under the guidance of healthcare professionals who can monitor the process and provide necessary support and advice.

What is transmisia?
Transmisia and transphobia both address negative attitudes toward transgender individuals, but they carry distinct connotations. Transphobia, meaning fear of transgender people, is seen as inappropriate due to the term's association with medical phobias, and it tends to understate the systemic oppression experienced by this community. Instead, transmisia, indicating hatred, is favored for encapsulating the prejudice central to the harmful beliefs, actions, and systems impacting transgender and nonbinary individuals.
Transmisia manifests in several ways, from policies denying transgender rights to harmful stereotypes and derogatory language. It could range from explicit denial of opportunities like jobs, housing, or healthcare to subtler, everyday biases. Often, people unconsciously hold transmisic beliefs influenced by stereotypes or myths absorbed from their surroundings, leading to widespread, sometimes unnoticed, discrimination against transgender and nonbinary people.

At PPI we promote the following strategies to create a meaningful difference:

Increasing Accessibility to Culturally Competent Healthcare
The need for healthcare services that are informed, sensitive and responsive to the unique experiences of transgender individuals cannot be overstated. This involves educating healthcare professionals about transgender health issues, creating safe and non-discriminatory healthcare environments and adopting practices that affirm and respect patients’ gender identities.

Community Support
Having a robust, supportive community can have a profound role in promoting mental health. Peer support groups, online communities and organizations dedicated to LGBTQ+ issues can offer a safe space for transgender individuals to share their experiences, feel validated and gain encouragement.

Mental Health Services
Mental health services can help transgender individuals understand their feelings and thoughts and learn effective coping strategies. Access to mental health services tailored to their specific needs can also play a key role in addressing mental health concerns.

Advocacy and Allyship
Support from allies, who might not identify as LGBTQ+ but stand in solidarity with the community, is critical. Allies can play a significant role in challenging stigmatizing attitudes, advocating for rights and inclusivity and providing emotional support to transgender individuals.

As we celebrate Pride Month, let’s also reflect on the unique mental health challenges faced by transgender individuals. Together, our collective efforts can create a world where every transgender person feels accepted, supported and free to express their identity. At PPI, we’re dedicated to this cause. Together, we can construct a safer, more inclusive world for all.

Bisexuality and Mental Health

As we navigate our way through the 21st century, we recognize that the promotion of understanding and acceptance of diverse sexual orientations is more important than ever. Among these orientations, bisexuality is one that often tends to be misunderstood or even stigmatized, leading to several misconceptions. At the Pennsylvania Psychiatric Institute (PPI), we aim to educate and empower our community about these matters, shedding light on the truth behind these stereotypes. Today, we’ll delve into the world of bisexuality, examine its relationship with mental health and provide guidance on how you can support bisexual individuals in your life.

Dispelling the Myths

Myth #1: Bisexuality is a phase or a sign of confusion.
One of the most prevalent misconceptions about bisexuality is that it is a temporary phase or an indication of confusion. This belief can trivialize and invalidate the experiences of bisexual individuals. The reality is, bisexuality, like other orientations, is a valid, enduring identity. It’s not a phase someone will “grow out of” nor is it a sign of indecisiveness.

Myth #2: Bisexual individuals are promiscuous and unfaithful.
Another harmful stereotype is that bisexual individuals are inherently promiscuous or incapable of maintaining monogamous relationships. This stereotype erroneously conflates sexual orientation with personal behavior. It is important to note that sexual orientation, whether one identifies as bisexual, homosexual, heterosexual or anything else, does not predetermine one’s values, behaviors or beliefs about relationships.

Myth #3: There’s no such thing as bisexuality.
This pervasive myth, especially targeting men, asserts that bisexuality doesn’t exist and those claiming to be bisexual are simply “in transition” or pretending. This perspective erases the complexities of human sexuality, confining it to a binary.

Scientific research, such as a study from the Proceedings of the National Academy of Sciences of the United States of America, provides strong evidence against this myth. The study found that, unlike heterosexual or gay men who were predominantly aroused by one gender, bisexual men demonstrated arousal to both genders in both self-reports and objective physiological measurements.

This research underscores that bisexuality is a genuine, distinct sexual orientation. It’s vital to reject simplistic, binary views and acknowledge and respect the diverse experiences of sexuality, including bisexuality.

Bisexuality and Mental Health

The stigma and discrimination attached to these misconceptions about bisexuality can lead to minority stress, which can, in turn, impact mental health negatively. According to the National Alliance on Mental Illness, bisexual individuals are more likely to experience anxiety, depression and other mental health challenges compared to their heterosexual counterparts. It’s important to understand that these disparities are not because of bisexuality itself but rather because of societal attitudes and prejudices.

When discussing mental health and bisexuality, it’s crucial to acknowledge the unique risk factors that can affect the mental well-being of this community. These risk factors aren’t inherently tied to bisexuality but are associated with societal reactions and prejudices that bisexual individuals may encounter.

Coming Out
The process of revealing one’s bisexuality can introduce mental health risks, especially when young individuals face nonsupportive environments.

Rejection
Rejection from family, friends or community after coming out can be profoundly distressing, affecting mental well-being.

Trauma
Bisexual individuals can experience trauma due to discrimination, including homophobia and biphobia, potentially increasing their risk of PTSD.

Substance Use
Substance misuse, often used as a coping mechanism, is a significant concern in the LGBTQ+ community, including bisexual individuals.

Homelessness
Bisexual individuals, particularly youth, face a higher risk of homelessness, often stemming from family rejection and discrimination.

Suicide
Suicidal thoughts and attempts are higher among the LGBTQ+ community, including those identifying as bisexual.

Inadequate Mental Health Care
Unique mental health challenges faced by bisexual individuals are often overlooked in mental health care, and fear of discrimination can deter them from seeking help. Culturally competent, inclusive mental health providers are key to addressing these challenges.

“We recognize and value the unique mental health challenges faced by the bisexual community. We strive to ensure quality and accessible care that respects and supports the diverse identities of our patients. Our goal is to create a safe, welcoming space where no one hesitates to seek help due to fear of harassment or discrimination. Your identity is acknowledged here, your experiences are validated and your mental health is our priority.”
– Evalina Santos, Outpatient Resource Coordinator, PPI

PPI offers support to not only those who identify as bisexual but their families as well. You can learn more by contacting the admissions department at 866-746-2496.

Promoting Understanding and Support

As allies, it’s crucial to acknowledge and understand these realities. Here are some ways to support bisexual friends, family or loved ones:

Advocate
Use your voice to challenge biphobic comments or attitudes when you encounter them. Stand against discrimination and prejudice.

Education
Understand what bisexuality is and what it is not. Knowledge is the first step in dismantling stereotypes and misconceptions.

Encourage Open Conversation
Promote a safe, nonjudgmental space where your loved ones can express their feelings, fears and experiences. Active listening goes a long way in showing your support.

Mental Health Support
Understand that your loved one may face unique mental health challenges. Encourage them to seek professional help and reassure them there’s no shame in doing so.

Validate Their Identity
Bisexual individuals often face ‘bisexual erasure’ or ‘bisexual invisibility’, where their identity is dismissed or overlooked. Acknowledging and affirming their identity is a simple yet powerful act of support.

Understanding bisexuality and its relationship with mental health is a crucial part of creating a more accepting society. By dispelling myths and promoting understanding, we can all contribute to reducing the stigma and promoting mental health and well-being among our bisexual loved ones. At PPI, we stand firm in our commitment to providing comprehensive, compassionate care for all, irrespective of their sexual orientation.

Pride Month Resources

Advanced Bi+ Allyship
https://pflag.org/resource/pao-advancedbiallyshiprecording/
Embarking on the journey to become an ally requires sincere introspection about personal biases—a process that evolves as the participant matures as an ally. The PFLAG Advanced Bi+ Allyship Guide, a 201-level training module, aims to further the reader’s understanding of the bisexual+ community—those who can be attracted to more than one gender—and equip them with resources and knowledge to become a stronger bi+ ally.

Bisexual Glossary
https://bi.org/en/glossary
The bisexual glossary on Bi.org is a project of the Bi Foundation, also known as The American Institute of Bisexuality (AIB), a 501(c)(3) private foundation that supports and sponsors projects likely to promote bi visibility and improved understanding of bisexuality through education, research, training and outreach.

Resource Guide to Coming Out as Bisexual (Human Rights Campaign)
https://www.hrc.org/resources/resource-guide-to-coming-out-as-bisexual
The resource guide for coming out as bisexual from the Human Rights Campaign is designed to prepare individuals for the potential challenges of coming out as bisexual and to provide the tools to come out and live openly wherever and whenever the reader is safe, able and ready.

Understanding Bisexuality
https://www.thetrevorproject.org/resources/article/understanding-bisexuality/
The Trevor Project provides a comprehensive guide to understanding bisexuality.

Pride Month and Mental Health

Celebrating Love and Self-Acceptance

As we enter Pride Month this June, it is a time to commemorate the leaps in progress that have been made since the Stonewall Riots of 1969, but also to remind ourselves of the challenges that remain. It is also essential to recognize the intersection of mental health and the LGBTQ+ community. At the Pennsylvania Psychiatric Institute (PPI), we provide high-quality behavioral health services, which include recognizing and addressing the unique mental health concerns within the LGBTQ+ community in Central Pennsylvania.

The Importance of Self-Acceptance

During Pride Month, the focus is often on acceptance from others – ensuring legal rights, combating discrimination and creating an inclusive society. But at the heart of this fight is a deeply personal journey towards self-acceptance and self-love.

Coming out to oneself is often the first, and sometimes the most challenging step for many within the LGBTQ+ community. This journey of self-acceptance involves recognizing, understanding and embracing one’s sexual orientation or gender identity. It’s about breaking free from societal norms or expectations and embracing one’s own truth. It’s a brave endeavor, one that requires strength, resilience and love – love for oneself.

Self-acceptance is not only about accepting one’s sexuality or gender identity but also about embracing every part of oneself, including one’s mental health. The stigma surrounding mental health can sometimes add an extra layer of challenge, which is why it’s crucial to promote self-love, acceptance and support for mental health within the LGBTQ+ community.

The Connection between Pride and Mental Health

Studies show that LGBTQ+ individuals are more likely to experience mental health issues compared to their heterosexual counterparts. This disparity is largely due to the minority stress experienced by this community – the unique strain related to the stigma, prejudice and discrimination encountered by minority groups.

LGBTQ+ individuals are more than twice as likely as heterosexual individuals to have a mental health disorder in their lifetime. They are 2.5 times more likely to experience depression, anxiety and substance misuse compared with heterosexual individuals.
– American Psychiatric Association

During Pride Month, we seek to lessen this burden by promoting an atmosphere of acceptance and inclusivity, celebrating diversity and advocating for equal rights. By doing so, we hope to reduce the minority stress experienced by the LGBTQ+ community and improve mental health outcomes.

Embracing one’s identity wholeheartedly contributes significantly to one’s overall mental health. Positive identity formation, which comes from a place of self-love and acceptance, can lead to improved self-esteem, decreased anxiety and lower instances of depression.

The Stonewall Riots (June 28, 1969)

The year 1969 marked a significant shift in the narrative of LGBTQ+ civil rights, sparked by what later became known as the Stonewall Riots. While tangible records detailing the specific events of the raid on the Stonewall Inn and the ensuing uprising remain scant, the personal testimonies of participants, both from the protestors and law enforcement, have stitched together a vivid tapestry of the historic event.

Today, the echoes of the uprising ring loud and clear as it is commemorated through annual Pride parades. These celebrations, now held worldwide, serve as a powerful reminder of the courage and resilience of the LGBTQ+ community and an enduring symbol of the ongoing fight for equality.

How PPI Supports the LGBTQ+ Community

As part of our commitment to meet the changing behavioral healthcare needs of the region, PPI seeks to create a safe, supportive environment for all. We believe in a comprehensive approach to mental health care, ensuring that our services are inclusive and welcoming to all individuals, regardless of their sexuality or gender identity.

Supporting the LGBTQ+ community

Promoting LGBTQ+ acceptance can be a personal journey as much as a collective endeavor. It is about making the world safer and more inclusive for people of all sexual orientations and gender identities.

Below are three practical tips you can follow to support the LGBTQ+ community and improve the mental health of your LGBTQ+ friends and family in Central Pennsylvania:

Education
The first step toward acceptance is understanding. It’s crucial to educate oneself about the LGBTQ+ community, its struggles, history and culture. This can involve reading books and articles or watching documentaries and movies that accurately represent the community’s experiences. In the process, you can learn about important concepts such as sexual orientation, gender identity and the difference between these two. Also, familiarizing yourself with correct terminology and language is key to respectful and inclusive communication.

Promote Visibility and Representation
Supporting and advocating for the representation of LGBTQ+ individuals in all aspects of life is crucial. This could involve supporting LGBTQ+ artists, authors, politicians or businesses. In your workplace or school, it might mean advocating for inclusive policies or representation in leadership roles. Representation validates identities and challenges stereotypes, leading to broader acceptance in society.

Active Allyship
Beyond passively accepting, it’s important to be an active ally. Stand up against homophobic or transphobic comments and behaviors, support LGBTQ+ rights legislation and participate in local Pride events. Use your voice to amplify LGBTQ+ concerns but remember to let them lead the conversation about their own experiences. And importantly, listen and learn – being an ally often means being open to being corrected and educated.

Remember, promoting acceptance is not a one-time act, but a consistent practice of empathy, respect and support. Each step taken contributes to creating a world that respects and cherishes diversity.

You can learn more by connecting with the following organizations:

Anti-Violence Project
AVP empowers lesbian, gay, bisexual, transgender, queer and HIV-affected communities and allies to end all forms of violence through organizing and education and support survivors through counseling and advocacy.

LGBT Center of Central PA
The LGBT Center of Central PA offers a variety of programming for LGBTQ+ communities. Their mission is to foster inclusive communities and holistic well-being for LGBTQ+ people through social, educational and cultural engagement.

Matthew Shepard Foundation
The Matthew Shepard Foundation’s mission is to amplify the story of Matthew Shepard to inspire individuals, organizations, and communities to embrace the dignity and equality of all people.

Out & Equal
Out & Equal is the premier organization working exclusively on LGBTQ+ workplace equality. Through their worldwide programs, Fortune 500 partnerships and annual Workplace Summit conference, they help LGBTQ+ people thrive and support organizations in creating a culture of belonging for all.

Parents, Families and Friends of Lesbians and Gays (PFLAG)
PFLAG is the nation’s largest organization dedicated to supporting, educating, and advocating for LGBTQ+ people and those who love them.

Straight for Equality
Straight for Equality is a national outreach and education program created to empower new allies who don’t necessarily have a family connection to the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community.

As we move through this Pride Month, let’s celebrate the strides we’ve made in the journey towards acceptance, both from others and within ourselves. Let’s continue to work towards a society where everyone feels loved, accepted and proud of who they are.

PPI offers support to not only those who identify as bisexual but their families as well. You can learn more by contacting the admissions department at 866-746-2496.

A Tribute to Women’s Enduring Legacy in Psychology

As we celebrate Women’s History Month, the Pennsylvania Psychiatric Institute (PPI) honors the extraordinary contributions of women in health care who have been instrumental in advancing our understanding of mental health and humanity. Their pioneering work challenged the conventions of their time and laid the groundwork for future research and therapeutic practices.

Mary Whiton Calkins

Despite facing institutional sexism that denied her a Harvard PhD, Mary Whiton Calkins made indelible marks in psychology. The first female president of the American Psychological Association (APA), Calkins’ innovative research in memory and self-psychology challenged and expanded the boundaries of psychological understanding. Her development of the paired-association technique has had lasting implications for the study of memory, showcasing her resilience and dedication to science.

Read more about Calkins at Harvard.edu.

Margaret Floy Washburn

Margaret Floy Washburn’s contributions to psychology were equally groundbreaking. As the first woman to earn a doctorate in psychology, Washburn’s research in animal behavior and cognition bridged the gap between biology and psychology. Her tenure as APA president and her work, particularly “The Animal Mind,” has significantly influenced the study of comparative psychology, demonstrating the profound impact of meticulous research and scholarly rigor.

Read more about Washburn at APA.org.

Christine Ladd-Franklin

Christine Ladd-Franklin’s journey in psychology was marked by her fervent advocacy for women’s rights and her significant contributions to color vision theory. Her research challenged prevailing views and advocated for a more evolutionary perspective. Ladd-Franklin’s persistence in fighting for academic recognition highlights the importance of diversity in scientific inquiry and the value of perseverance.

Read more about Ladd-Franklin at Vassar.edu.

Eleanor Maccoby

Eleanor Maccoby’s influential research on gender roles has fundamentally altered our understanding of child development and family dynamics. Her work emphasized the nuanced interplay between biological and environmental factors in developing gender identities, enriching the dialogue on sex differences and promoting a more inclusive understanding of human psychology.

Read more about Maccoby at Harvard.edu.

Mary Ainsworth

Mary Ainsworth, renowned for developing the attachment theory, illuminated the crucial role of early emotional bonds in child development. Through her meticulous observational studies, Ainsworth identified the various attachment patterns and their implications for emotional and social development. Her insights into the nature of caregiver-child relationships have profoundly influenced theoretical and practical approaches to parenting and childcare.

Read more about Ainsworth in this article from Inge Bretherton, University of Wisconsin-Madison.

These women, through their unwavering dedication and pioneering research, have advanced modern health care and paved the way for future generations of mental health professionals. At PPI, we draw inspiration from their legacies as we strive for excellence in the care we provide, embodying the spirit of innovation and compassion they exemplify.

Expert Opinions

Learn more about the team at PPI by reading these expert opinions:

Advancing Mental Health Care for BIPOC Communities in Central Pennsylvania by Janet Passley-Clarke, PhD, DNP

Art Therapy: Embracing Innovative Therapeutic Approaches by Vanessa Clough, MA, ATR-P

Bridging Mental Health and Substance Abuse: PPI’s Holistic Approach to Recovery by Sarah Kawasaki, MD

Child and Adolescent Partial Hospitalization Program, Shannon Rudy, MS, MBA, LPC

A Glimpse into the World of Psychiatric Nursing, Tiffany Downs, MSN, RN

The Power of Dialectical Behavior Therapy at PPI by Shana Rivera, LSCW, C-DBT

Psychiatric Care for Mature Adults, Julie Graziane, MD

Helping Women to Reach Their Full Potential: How to Access Mental Health Resources in Central PA


Pennsylvania Psychiatric Institute (PPI) is proud to advocate for accessible, inclusive mental health care for all. The information below is aimed to highlight mental health resources that focus on women.

Online Resources

  • Depression Among Women: On their website, the Centers for Disease Control and Prevention share facts about women and depression, such as depression risk factors and how it affects new parents.
  • Office on Women’s Health: Learn more about the factors that affect women’s mental wellness on the U.S. Department of Health and Human Service’s Office on Women’s Health website.
  • Women’s Health: The National Library of Medicine’s MedlinePlus offers resources on the unique health issues women experience (Español).
  • Maternal Health: The Health Resources and Services Administration offers programs and resources on maternal health, including depression during and after pregnancy.
  • Mom’s Mental Health Matters: Learn more about the risk factors of depression and anxiety during and after pregnancy.
  • Pennsylvania 211: PA resource that helps with mental health crisis lines, counseling and treatment. Includes support groups, case management and mentoring programs.

Helplines

  • National Maternal Mental Health Hotline: This hotline offers free, confidential mental health support for parents and their families before, during and after pregnancy. Call or text 833-852-6262 to connect with counselors 24 hours a day, 7 days a week. English- and Spanish-speaking counselors are available.
  • 988 Suicide & Crisis Lifeline: The lifeline provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week, across the United States. Call or text 988 to connect with a trained crisis counselor. Support is also available via live chat.
  • Pennsylvania Psychiatric Institute Admissions Department: If anyone other than a doctor is making a referral to one of our treatment programs, please know that a patient must be willing to sign in for voluntary treatment. To begin the process, contact the Admissions Department at: 866-746-2496 or 717-782-6493.
  • Disaster Distress Helpline: This helpline from the Substance Abuse and Mental Health Services Administration provides immediate crisis counseling for people experiencing emotional distress related to any natural or human-caused disaster. The helpline is free, multilingual, confidential and available 24 hours a day, 7 days a week. Call or text 800-985-5990. (Oprima 2 para español)

“In the journey towards mental wellness, remember you’re not alone. Reaching out isn’t a sign of defeat, but a victory over stigma. At PPI, we’re your allies, steadfast in the belief that everyone deserves understanding and compassionate care.”
– Ruth S. Moore, Director of Community Engagement, Diversity & Inclusion

If you would like to learn more about the Pennsylvania Psychiatric Institute, please do not hesitate to contact us by phone, 866-746-2496 or through our website.

We’re committed to providing an inclusive, welcoming space where everyone can access the care and support they need.

Breaking the Silence on Postpartum Depression

In the journey of parenthood, the arrival of a new baby is often met with joy, celebration and a deep sense of fulfillment. However, for many new parents this transformative period can also bring about unexpected feelings of sadness, anxiety and isolation, signaling the onset of postpartum depression (PPD). The Pennsylvania Psychiatric Institute (PPI), a leading authority in mental health care in central Pennsylvania, is dedicated to breaking the silence around PPD, offering support, understanding and comprehensive treatment to those affected.

Understanding Postpartum Depression

Postpartum depression is a complex mental health condition that can affect anyone after giving birth and is characterized by persistent negative feelings. Affecting approximately one in eight new gestational parents, PPD can significantly impact their ability to care for themselves and their newborn. Unlike the more common and milder “baby blues,” which resolve within two weeks, PPD symptoms are more intense and can last much longer, requiring professional intervention.

Postpartum Depression / Perinatal Depression: Perinatal depression encompasses the period during pregnancy and after childbirth, recognizing that depression can start before the baby is born. This term broadens the understanding of when maternal depression may occur, highlighting its potential onset during pregnancy itself. Postpartum depression refers explicitly to depression that occurs after the birth of a child. Both terms address critical phases of maternal mental health but at different times in the motherhood journey.

Symptoms and Causes

Symptoms of PPD can range from mild to severe, including but not limited to:

  • Feeling angry or moody.
  • Feeling sad or hopeless.
  • Feeling guilty, shameful or worthless.
  • Eating more or less than usual.
  • Sleeping more or less than usual.
  • Loss of interest, joy or pleasure in things previously enjoyed.
  • Withdrawing from friends and family.
  • Possible thoughts of harming the baby or yourself.

These symptoms are often compounded by sleep deprivation and the physical recovery from childbirth, making it challenging for new parents to seek help.

The exact causes of PPD are not fully understood but are believed to involve a combination of hormonal, biochemical, environmental, psychological and genetic factors. Rapid hormonal changes after childbirth, personal or family history of depression and stress are significant contributors.

Understanding Risk Factors for Postpartum Depression

Awareness of the risk factors associated with PPD is crucial in identifying and supporting those at higher risk. According to the Office of Women’s Health, certain conditions and experiences can elevate the risk of developing PPD. These include:

  • Gestational parents who have had depression before or during pregnancy are at a higher risk.
  • A family history of depression increases the likelihood of experiencing PPD.
  • Those who have experienced abuse or adversity in childhood may be more susceptible.
  • A difficult or traumatic birth, problems with a previous pregnancy or childbirth or having a baby with special health care needs can contribute to the development of PPD.
  • The lack of a strong support network from family, friends or partners can heighten the risk.
  • Experiencing domestic violence now or in the past is a significant risk factor.
  • Relationship struggles, financial issues or other stressful life events can increase the risk.
  • Younger gestational parents especially those under the age of 20, are more at risk.
  • Difficulties with breastfeeding can lead to feelings of inadequacy and stress, contributing to PPD.
  • Having a premature baby or one with health issues can be overwhelming and stressful, leading to PPD.
  • An unplanned pregnancy can increase the risk of PPD due to the potential for added stress and emotional turmoil.

Addressing Postpartum Depression

Recognizing the impact of PPD on gestational parents and their families, PPI emphasizes a multifaceted approach to support and treatment, drawing on recommendations from the Office of Women’s Health. Understanding that everyone’s journey with PPD is unique, PPI advocates for personalized care plans that may include a combination of therapy, support groups, self-care, social support and medication.

Therapy and Counseling
Engaging in therapy or counseling with a mental health professional is pivotal in navigating the emotional and psychological challenges of PPD. These sessions provide a safe space to explore feelings, understand the underlying causes of distress and develop coping strategies.

Support Groups
Joining a support group offers the invaluable benefit of shared experiences and mutual understanding. Connecting with others facing similar struggles can foster a sense of community and reduce feelings of isolation.

Self-Care
Self-care is a cornerstone of managing PPD, emphasizing rest, nutrition and physical activity. Prioritizing sleep, consuming a nutrient-rich diet and exercise can significantly impact one’s mental health and overall well-being.

Social Support
The role of social support cannot be overstated. Reaching out to family, friends or trusted individuals for help and guidance provides emotional comfort and practical assistance, which is crucial during this challenging time.

Medication
For some, medication is a necessary component of treatment. Antidepressants, for example, can help alleviate symptoms of depression.

Breaking the Silence

One of the most significant barriers to seeking help for PPD is the stigma and silence surrounding the condition. Many parents feel ashamed or guilty for not experiencing the happiness they believe is expected of them, fearing judgment or being labeled as unfit parents. PPI is committed to changing this narrative by promoting open discussions about PPD, emphasizing that it is a common and treatable condition, not a failure.

Effects on Parenting and Personal Well-being

Parents experiencing untreated PPD may find themselves struggling with the following:

  • Feeling perpetually tired, which can significantly impact their ability to engage in daily activities and care for their child.
  • PPD can make it hard to concentrate on the baby’s and one’s own needs, affecting decision making and prioritization.
  • The overwhelming feelings of sadness or hopelessness associated with this condition can hinder a parent’s ability to care for their baby adequately.
  • PPD can lead to heightened irritability or moodiness, affecting interactions with the baby and others.
  • In severe cases, untreated PPD can escalate to thoughts of harming oneself or the baby highlighting the need for immediate intervention.

The repercussions of untreated PPD on children can manifest in various developmental areas:

  • There may be delays in language development and challenges in learning, impacting academic achievement.
  • Difficulties in parent-child bonding can lead to behavior problems, increased crying or agitation and challenges in social interactions.
  • Research indicates a potential link between PPD and physical outcomes for the child, such as shorter stature and a higher risk of obesity in preschoolers.
  • Children may face difficulties dealing with stress and adjusting to school and other social situations, affecting their resilience and coping mechanisms.

PPI’s Role in Supporting Parents

As part of its mission, PPI provides a compassionate and understanding environment for people facing PPD. With a comprehensive team of specialists, including psychiatrists, psychologists and counselors, PPI offers a range of services tailored to each individual’s needs. Treatment options may include therapy, medication, support groups and holistic approaches to wellness, ensuring that everyone receives the care and support necessary for recovery.

Seeking Help and Support

If you or someone you know is experiencing symptoms of PPD, it’s crucial to seek help. Early intervention can lead to better outcomes for the parents and the child. At PPI, we encourage new parents to seek support without fear of judgment. Our team is here to guide you through your recovery journey, offering the tools and resources needed to regain your strength and well-being.

Postpartum depression is a condition that no one should have to face alone. By breaking the silence and providing a supportive community, PPI aims to empower people to seek the help they need. Remember, reaching out for support is a sign of strength and the first step towards healing. Together, we can ensure that everyone can experience parenthood’s joy to its fullest.

For more information on PPI’s services and resources for postpartum depression, or if you or someone you know needs help, please don’t hesitate to contact PPI’s Admissions Department. Assistance is available 24 hours a day, seven days a week, at 717-782-6493. Your call will be handled with confidentiality and compassion by our dedicated professionals, who are here to guide you through your recovery journey.

Congratulations Dr. Passley-Clarke, Vice Chair of Diversity

Congratulations Dr. Passley-Clarke, Vice Chair of Diversity

We are excited to announce that Dr. Janet Passley-Clarke has accepted the Vice Chair of Diversity role for the Department of Psychiatry and Behavioral Health! Dr. Passley-Clarke began her career at Penn State Health in 2017 and holds the role of Psychiatric Nurse Practitioner, Advanced Practice Manager and Assistant Professor of Psychiatry and Behavioral Health. She earned both a Doctor of Nursing Practice and a PhD. Dr. Passley-Clarke serves as a National Advisor for the American Nurses Association Minority Fellowship Program, where she mentors professionals in minoritized communities pursuing graduate degrees in psychiatry and behavioral health. She is also mentoring a nurse practitioner of diversity at Hamilton Health Center, to foster collaboration between health systems. Recently, she was featured in the Penn State Health News Spotlight, which discussed advanced practice providers (APPs) and the lack of diversity within the ranks at Penn State Health and across the United States. She is coauthoring a book on the challenges experienced by health care professionals who face prejudice from patients and others in the workplace. Dr. Passley-Clarke is an active member of the DEI committee and has assisted in recruiting appropriate diverse providers here at Penn State Health.

Dr. Passley-Clarke’s extensive experiences in health care organizations and interpersonal interactions bring a wealth of knowledge and viewpoints that promote equal opportunity, diversity, equity, inclusion and belonging to the workplace. She is eager to get started in her new role. She plans to involve the PPI team in productive activities addressing complex topics, conveying a forward-thinking mission and vision and implementing creative solutions/initiatives to bring positive changes to our health system. She recognizes the need for respectful discussions about implicit/explicit biases rather than completing annual compliance training that checks a box. Her goal is to develop metrics to measure progress toward meaningful goals and lead the team to address and close the gap in health care disparities.

Advancing Mental Health Care for BIPOC Communities in Central Pennsylvania

The Pennsylvania Psychiatric Institute (PPI) is at the forefront of addressing mental health challenges in the Black, Indigenous and people of color (BIPOC) communities, with Dr. Janet Passley-Clarke leading significant initiatives. With over 25 years in mental health, Dr. Passley-Clarke brings a wealth of experience and insight to her work for the central Pennsylvania community and the people PPI serves.

“Our patient population extends far and wide. We have clients in Dauphin, Cumberland, Columbia, York, Lebanon and Perry counties,” said Passley-Clarke when discussing the wide range of people served by PPI. “Through our telehealth services, we have people from different places across Pennsylvania.”

Passley-Clarke’s role at PPI includes managing advanced practice providers in psychiatry and behavioral health, providing care for adult mental health clients and advocating for diversity, inclusion and equity within the organization. Her dedication to cultural competency in health care is evident, emphasizing the therapeutic value of patients finding culturally similar providers while acknowledging that effective care often transcends ethnicity.

Addressing Unique Challenges and Health Care Disparities

In a recent interview, Dr. Passley-Clarke highlighted the unique challenges facing the BIPOC communities such as communication barriers, language and cultural differences, generational trauma and navigating of the health care system. She discussed the importance of inclusivity in treatment and the need for providers to be aware of biases and microaggressions that could make patients feel undervalued.

From her clinical experience, Passley-Clarke highlighted the benefits of being made aware of the concerns facing the BIPOC community and working with a proactive mental health provider: “You have increased therapeutic value when you’re able to find a provider who is culturally similar to you.”

Based on data provided by the National Institute of Mental Health, nearly one in five U.S. adults live with a mental illness (52.9 million people in 2020). While people of color (POC) have rates of mental health disorders similar to Whites, these disorders are more likely to last longer and result in more significant disability for POC. Most mental illness goes untreated, especially in BIPOC communities. Fifty-two percent of Whites with acute mental illness received mental health services in 2020, compared to 37.1% of Blacks and 35% of Hispanics.

According to the American Psychiatric Association, the following factors can impact the ability of individuals from various ethnic, racial and socioeconomic backgrounds to access mental health treatment:

  • Insufficient or absence of health insurance coverage
  • Greater prevalence of stigma associated with mental illness within minority communities
  • Limited representation of diverse ethnicities and races among mental health care professionals
  • A shortage of mental health care providers who are culturally sensitive and competent
  • Challenges arising from language differences
  • A general mistrust toward the health care system.

PPI addresses these challenges through various means, including hiring diverse staff and offering specialized services and programs. These efforts reflect a commitment to understanding and meeting the needs of the BIPOC communities in central Pennsylvania.

When pairing providers with clients, Passley-Clarke advises looking at their experiences and their understanding of the experiences shared with new clients. In her work at PPI, she has observed this additional level of care resonating with patients, “You want to make sure that that client knows that you are culturally aware.”

Holistic and Comprehensive Care Approach

PPI’s holistic approach addresses mental health and other aspects of patients’ lives that could impact their well-being. She mentioned the role of community health workers like Cristel Woodcock, who assists BIPOC individuals in navigating health care, and the availability of mental health support groups open to all community members.

Moreover, PPI tackles socioeconomic factors by offering financial assistance programs and employing resource coordinators to help with housing, language barriers and access to specialized services. The institute’s commitment to recovery-oriented care involves the patient at every stage of their treatment, ensuring they feel valued and heard.

“As a Penn State enterprise, we can look at care beyond what we have at PPI. If our patients need more specific or specialized services, we can access it from entities as the client’s need dictates.” Stressing the importance of the relationship between providers and patients, Passley-Clarke said, “Sometimes that just means picking up the phone and being their advocate” and securing the resources they need to improve their mental health.

Empowering Patients and Embracing Community

Dr. Passley-Clarke advised BIPOC individuals who are hesitant about seeking mental health treatment to reach out and seek support, emphasizing the importance of taking that first step toward mental health stability. PPI’s efforts in staff education and training, diverse program offerings and patient-specific care demonstrate a deep commitment to serving and empowering the BIPOC communities.

Advising on the first step, Passley-Clarke emphasized, “Reach out to someone. It doesn’t matter who that person is. But reaching out is important.”

With a focus on inclusivity, representation and comprehensive care, PPI and Dr. Janet Passley-Clarke play a critical role in advancing mental health care for BIPOC communities in central Pennsylvania. Their dedication to evolving and meeting the changing needs of the region’s diverse community sets a benchmark in behavioral health services.

If you need help, please call the PPI Admissions Department at 717-782-6493 or 866-746-2496. The Admissions Department is available 24 hours a day, seven days a week.

Happy Veteran’s Day

Happy Veteran's Day. Honoring All Who Served.

Today, we would like to take a moment to express our heartfelt gratitude and appreciation to all the employees and clients who have served in the military. We want to thank you for your dedication, sacrifice and commitment to our country.

Without your bravery and selflessness, we would not be able to enjoy the freedoms and opportunities that we have today. Your service has protected our nation and ensured our safety.

We are grateful for the skills, discipline, leadership and resilience that you bring to our organization. Your experiences in the military have shaped you into exceptional individuals who continue to make a positive impact in both personal and professional capacities.

To all our veteran employees and clients, we want you to know that your contributions are valued and appreciated. Your unique perspectives enrich our company culture and inspire us all.

On this special day, we extend a heartfelt thank you for your service. We honor you not only on Veteran’s Day but every day.