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.

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.

Holiday Blues

The holidays can be a time for merriment and joyous occasions, but for some it can bring stress, sadness and even depression. Pennsylvania Psychiatric Institute’s (PPI) Licensed Counselor and Unit Therapist, Nikki Fogle, educates us on the “Holiday Blues” and provides advice on how to work through it.

“The holiday blues consist of feelings of depression, sadness, loneliness or can be noticed as more anxiety or fatigue that are exacerbated during, or appear relative to, the holidays. These feelings are more temporary and connected to the holiday season” explains Fogle, LPC.

Getting further into the signs of holiday blues, Fogle describes that there are both mood and physical symptoms:

“When it comes to mood, typically there’s feeling of angst, being personally frustrated, noticing more stress or anxiety, feeling often tired or edgy and not knowing why, feeling more depressed and unmotivated or noticing an increase in sadness. Physically, we see changes in behavior patterns like an increase in headaches, more isolation, not answering the phone, over or under eating and drinking or smoking more.”

Usually, the reason for the holiday blues can be tied to loss. “Loss doesn’t necessarily mean that of a loved one. It can also mean loss of support or a breakup or non-conventional loss, such as: loss of function due to a medical condition, loss of expectations or loss of finances” notes Fogle. “It can also be connected to wanting something and not having it, whether through your own choice or life circumstances.”

“The holiday blues is not an official diagnosis, but a circumstantial time period that can be stressful. Like a death anniversary, it is a timed calendar event that acts as a routinely occurring situational stressor. Though many of us think of the holidays as Thanksgiving though the New Year, the holiday blues can be relevant to values of the person and their culture, so it can appear during other religious times of the year.”

Some people are more likely to be affected than others. “If someone already has a mental health illness, they can be pre-disposed to notice an increase, in frequency or severity of symptoms. Major life changes that happen prior to the holidays, like significant losses of people or pets, relationship statuses, or even the loss of a job or big move can also predispose someone. And it’s not always a negative experience that can bring about the blues. Sometimes having a baby – which is a wonderful thing – can exacerbate the blues for some due to the process of dealing with that change.”

If you or a loved one might have the holiday blues, what can you do?

“The best thing to do is find ways to meet your needs. We need to nurture what we need within ourselves, without punishment or judgement.”

“Isolating? Find ways to be proactive to set up social connections. Feeling sad? Find space to grieve but create space to put it away and continue to function. With loss, find time to grieve and remember them but remember to also give yourself space. With loneliness, sometimes by giving of ourselves through volunteering we can give back to ourselves. You can visit a neighbor, pet-sit, try smiling at three people a day or give someone a compliment.”

It’s the “season of giving” but the holiday blues can also happen from over-extending. Make sure to find time for yourself: create quiet time, like a couple extra minutes in the shower. Know that saying no to someone is okay and be realistic with what can be done with your time, energy and money.

Being with family can also be stressful. Having a family that is dysfunctional can put a lot of stress on someone because they don’t have what they wish they had. “If you know that your family or a partner triggers you, plan for it to keep yourself safe. Go in with your eyes open: how much time can you spend before it becomes too much or before you drink too much? Can you limit your time, limit substance intake, bring a buffer or find support after you leave?

“Therapy isn’t always needed to get through the holiday blues. Most of the time people can take care of themselves by being aware and planning for it. However, it never hurts to reach out – unfortunately the issue is the 9-month waiting list for therapists. The holiday blues is a temporary phase that most people know will suck but can work through it. But for those depressed to begin with, it can deepen to potential suicidal thoughts. If this is the case, they should reach out for help.”

Post-holiday blues can happen too. The holidays create energy, and after, in the middle of winter, when the excitement is gone, you may have overspent and are dealing with bills or overate and face the repercussions of those extra cookies and slices of pie.

The holiday blues isn’t the only seasonal disorder, “Seasonal Affective Disorder, or SAD, is often associated with the holiday blues, and they can sometimes be mistaken for each other. Because of the interplayed timeline, they could be mistaken for the other. The holiday blues typically go away once the holidays are over, when structure comes back. SAD has a correlation with light, so those living where there are shorter days and longer nights may notice the affect to their moods continuing past the holidays, until the days once again become longer.”

There was a huge increase in the holiday blues during the pandemic. “People had change thrust upon them without their permission. There was lots of depression, isolation and loneliness from not having social connectiveness. There was a change in the routine and structure that provides us safety; it was removed. Though waiting lists have grown as a residual from the pandemic, we’re moving back towards pre-pandemic levels.”

Unlike many who focused on the negatives, Fogle noticed good things from the pandemic as well. “Sometimes we stay in our comfort zone as much as we can. People learned adaptive skills. There was time for self-reflection and reassessing values. People reconnected with hobbies and interests, found more creative and expressive explorations, reconnected with those in their lives and found more creative ways to be social and to connect.”


At PPI, Fogle works as a therapist in the inpatient unit, providing group and individual counseling as a member of the multidisciplinary treatment team. She has been at PPI for 23 years, starting out as a psych tech before going back to school and getting her degree allowing her to provide therapy for the past 12 years. She also runs trainings and does drug and alcohol work for the commonwealth of PA on the side as a CADC certified (drug and alcohol) counselor.

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

If you would like to speak to someone about better managing your stress and anxiety, or to make an appointment, please call (717) 782-6493 for more information.

Setting a New Standard for Psychosis Patients, CAPSTONE Helps Psychosis Patients Live a Normal Life

CAPSTONE Helps Psychosis Patients Live a Normal Life

Setting a New Standard for Psychosis Patients, CAPSTONE Helps Psychosis Patients Live a Normal Life

The word ”psychosis” is a powerful term that sometimes carries a frightening social stigma. But while psychosis is a serious condition, the Pennsylvania Psychiatric Institute’s CAPSTONE program is redefining its treatment and giving patients hope.

”It’s important for people to know that psychosis can be treated,” said Amanda Fooks, LCSW, Clinical Supervisor, CAPSTONE. ”With the right treatment and support, individuals can live a normal life even with active symptoms.”

CAPSTONE is an outpatient program designed to provide comprehensive treatment and support for young adults ages 16 to 30 experiencing early psychosis. ”The program focuses on early psychosis because, like any illness, the earlier you start treating it the better the outcome,” explained Fooks.

Psychosis can present like a break with reality. It can make it difficult for patients to recognize what is real and what isn’t. These disruptions are often experienced as seeing, hearing and believing things that aren’t real or having unusual and persistent thoughts.

It’s a common misconception that patients experiencing psychosis need to be hospitalized. But a person only needs to go to the hospital if they are unable to keep themselves or other people safe.

”If possible, we want to avoid hospitalization,” said Fooks. ”We want to help them live as normal a life as possible. Hospitalization can be a traumatic experience in and of itself.”

Providing Comprehensive Care

What makes the outpatient CAPSTONE program so effective is the comprehensive nature of the services it offers. The program includes two components. The clinical component includes individual therapy, group therapy, psychiatry, peer support, and family education. The support component includes services like helping patients get a job or return to school and providing case management which helps them get to appointments and manage their mental health.

”This comprehensive care is possible through the close collaboration of three organization,” said Fooks. The Pennsylvania Psychiatric Institute provides the clinical care, and for individuals living in Dauphin County the YWCA of Greater Harrisburg provides the employment and education assistance, and Case Management Unit provides case management support. For individuals living in Cumberland and Perry counties, they would also utilize the YWCA of Greater Harrisburg to utilize supported employment and education and Penn State Holy Spirit for case management support.

”Staff from all three organizations, including psychiatrists, are in constant communication about the patient’s condition,” Fooks said. ”We work very closely together to provide complete care.”

Overall, the program aims to reduce symptoms or help patients managed their symptoms by teaching different skills and coping strategies. But the program is successful because it is centered on the participants.

”People set their own goals,” Fooks noted. ”If they are not working, they might set the goal to enroll in HACC and complete the entire semester. That’s success by their measure.”

For some, the symptoms may never completely go away. But the program recognizes that there is a livable amount of symptoms – which may vary by the person – and that’s the balance the program aims to find for each patient.

If you would like to speak to someone about better managing your stress and anxiety, or to make an appointment, please call (717) 782-6493 for more information.

Who CAPSTONE Helps
Due to grant limitations, CAPSTONE is only available to current residents of Dauphin, Cumberland, and Perry County between the ages of 16 and 30. It is designed for persons experiencing their first episode of psychosis, and requires the individual and their family to participate in services. Even if a person isn’t sure they are experiencing is psychosis, they should contact the Pennsylvania Psychiatric Institute as soon as possible and we can help, whatever the diagnosis.


”It’s important for people to know that psychosis can be treated. With the right treatment and support, patients can live a normal life even with symptoms.”
— Amanda Fooks, LCSW – Clinical Supervisor CAPSTONE