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The Road to Treating Substance Use Disorder Starts in the Primary Care Office
For a groundbreaking offering in the treatment of substance use disorders, ChristianaCare’s Family Medicine residency program team received a Wellness Hero Award in the 2024 Delaware Lt. Governor’s Wellness Leadership Challenge. ChristianaCare was recognized for creating “a comprehensive program designed to address the pressing need for behavioral health services in Delaware.” ChristianaCare’s Family Medicine residency established a substance use disorder treatment program in 2020 to identify and provide targeted substance abuse treatment to patients in need and, importantly, to train future providers in the specific and unique issues that patients with addiction often face in primary care settings. “The purpose,” said James LaRosa, M.D., associate residency program director, “is to create an eager and competent workforce of providers ready to help this population.” LaRosa, an alumnus of ChristianaCare’s Family Medicine residency, is also lead for the Family Medicine substance use disorder treatment program. “James was intentionally recruited to our program to carry the torch for this important work,” said Erin Kavanaugh, M.D., FAAFP, chair of Family and Community Medicine. “He has taken the program and department to new heights, particularly in terms of grant-funded work and educational opportunities, all anchored in dedication to comprehensive patient care and improved outcomes.” “Family medicine practitioners take a holistic approach so patients receive personalized and consistent care for better health and well-being for them and their communities,” said Anna Filip, M.D., FAAFP, director of the residency program. “With opportunities like the substance use disorder treatment program, we are preparing the next generation of doctors to treat the whole person.” At the 2024 presentation, then-Lt. Gov. Bethany Hall-Long praised the program for “its impact on closing the gaps in treatment capacity for those with substance use disorders” and “taking measurable steps to expand access to care in our community.” The primary goal of the program is to support patients through withdrawal, LaRosa said. Patients identified for the program via ChristianaCare’s hospitals and emergency departments are connected with the Family Medicine Department to open the door to primary care. The program also provides vital social supports for these patients through the robust ChristianaCare network. “We utilize the services of our in-house social work, behavioral health and case management teams to help provide wraparound services to a population where those things are as crucial as the medical care,” LaRosa said. Third-year resident Deanna Gorgei, D.O., said she chose ChristianaCare’s Family Medicine residency for its “forward-thinking and innovative leadership” who support residents in exploring their interests in the field. One of her interests in addiction medicine. “Not only are residents like me getting this experience in how to treat different substance use disorders, but we’ve also gained exposure on how to set up a program like this,” she said. “It’s been a huge part of my training and has shaped my interest going forward.” Family medicine provides an especially effective setting to treat substance use disorders, in part because its providers are qualified to identify and treat comorbid conditions like hepatitis as well as a host of other illnesses and injuries. “Since starting the program,” said LaRosa, “we have stabilized multiple patients’ chronic medical conditions, identified and treated a patient with bladder cancer, and cured 26 cases of hepatitis C.” Combining care for substance use disorder with primary care, said Gorgei, is appealing for residents and fosters better patient experience and outcomes. “I like being able to have both opportunities,” she said. “It’s so beneficial to have addiction medicine rotate with routine primary care, because it is primary care.”
ChristianaCare is enhancing care options in Milford, Delaware, with the addition of two highly skilled physicians to better serve the community's growing health needs. Chinwe Ike-Chinwo, M.D., is a board-certified primary care physician with a special interest in preventive medicine. Thinesh Sivapatham, M.D., is a fellowship-trained neurointerventional surgeon and member of ChristianaCare's Neurointerventional Surgery team, specializing in minimally invasive techniques to treat conditions affecting the blood vessels of the head, neck and spine, including strokes and aneurysms. The practice is located at Halpern Plaza, 701 N. DuPont Blvd. To schedule an appointment, patients can call 302-725-3420. Convenient and Accessible Primary Care At the new ChristianaCare Primary Care at Milford practice, Ike-Chinwo is passionate about building long-term relationships with her patients, helping them achieve optimal health through personalized care. “I am excited to serve the Milford community and help individuals achieve their best health,” she said. “Through prevention, chronic disease management and wellness care, we aim to support our patients in leading healthier, more fulfilling lives.” Ike-Chinwo introduces herself in this video. The primary care practice offers a comprehensive range of services to adult patients, including sick visits, immunizations, physical exams, preventive screenings and treatment for both acute and chronic conditions and women’s health. The practice is open Monday through Friday, from 8 a.m. to 4:30 p.m. In March 2025, the practice will welcome a second provider. In April 2025, the Milford site will also offer ChristianaCare’s My65+ program, which focuses on preventive care and chronic disease management for patients 65 and older. The providers at ChristianaCare’s new Milford location will play a crucial role in addressing the growing health care needs of Sussex County, which is experiencing rapid population growth, particularly among older adults. Sussex County has been designated as a Medically Underserved Area by the federal government, with projections showing that the population will increase from 237,378 in 2022 to over 361,000 by 2050, further intensifying the demand for primary care services. As the demand for primary and specialty care in Sussex County grows, especially among older adults, ChristianaCare is committed to meeting the health care needs of the community with personalized, patient-centered care. “Our mission is to make high-quality, compassionate care accessible to every resident of the communities we serve,” said Priya Dixit-Patel, M.D., physician executive for Core and Advanced Primary Care at ChristianaCare. “As primary care providers remain in short supply in many areas like Milford, we are focused on delivering care that can prevent disease, manage chronic conditions, and improve overall well-being, particularly for older adults.” Specialized Neurointerventional Consults Close to Home Sivapatham is excited to bring neurointerventional care to the Milford community and surrounding areas. “Neurointerventional Surgery is a highly specialized field that is often only found in larger metropolitan areas,” said Sivapatham, who speaks about treatment for stroke in this video. “I look forward to working closely with patients to ensure they receive the same high-quality care right here in Sussex County.” Kim Gannon, M.D., Ph.D., medical director of the Comprehensive Stroke Program and physician executive of the Neuroscience Service Line at ChristianaCare, highlighted the importance of improving access to physician consults for patients in Sussex County. “Providing neurointerventional care closer to home significantly improves access to specialized services for stroke patients who might otherwise need to travel to Newark,” said Gannon. “We want to ensure that patients receive the ongoing care and support essential for their recovery and long-term health at a location close to where they live.”
In another milestone commitment to community health, ChristianaCare today announced a $1.6 million investment in 25 local nonprofits, unveiling the recipients of its Community Investment Fund during a special celebration at The Ministry of Caring in Wilmington. Since 2019, ChristianaCare’s Community Investment Fund has provided more than $5.6 million to 64 organizations, addressing social, behavioral and environmental health factors. ”ChristianaCare is empowering and supporting our nonprofit partners so they can help meet the many needs of the people they serve, and work with us to improve patient health and create healthy communities and a healthy Delaware,” said Bettina Tweardy Riveros, chief health equity officer at ChristianaCare. This year’s recipients received funding to support health improvement initiatives in neighboring communities and address critical issues and community needs. “Each of these recipients is making a significant and positive impact by addressing critical health challenges throughout our communities, including food insecurity, housing insecurity and environmental health. At ChristianaCare, we are honored to be joining forces with these 25 organizations to provide them with more resources so that they do more for those in need. It is another way we care for our community,” she said. The funded initiatives will be implemented throughout the upcoming year and were selected based on the quality of applicants’ proposals and implementation plans, and on the alignment of their proposals with the critical issues prioritized by the community in ChristianaCare’s Community Health Needs Assessment and Community Health Implementation Plan. Recipient Spotlight: Healthy Food for Healthy Kids "The impact of ChristianaCare’s 2024 Community Investment Awards funds on Healthy Foods for Healthy Kids will be felt not only in 2025 but for years to come. This funding will expand our program to an additional school, serving over 600 more students, and support data and research for future growth." Healthy Food for Healthy Kids, Lydia Sarson, Executive Director. Recipient Spotlight: Project New Start “Approximately 85% of the justice-involved individuals served by Project New Start are housing and food insecure. With ChristianaCare’s 2024 Community Investment Fund Award to Project New Start, which began 11/01/24, we have already been able to assist 23 individuals with clothing and household goods; 20 individuals with transportation assistance; 17 individuals with food support; and 7 individuals with housing as of 12/31/24. The impact of these funds cannot be overstated as this investment by ChristianaCare provides Project New Start the means to provide the critical basic needs an individual requires to live with dignity without the trauma of worrying about where they will sleep, how they will eat and how they can sustain employment. We are so grateful to ChristianaCare for their ongoing support.” Priscilla Turgon, Founder and Executive Director of Project New Start, Inc. Recipient Spotlight: YMCA of Delaware - Central YMCA Supportive Housing Program “The Central YMCA Supportive Housing Program, in partnership with Christiana Care, serves low-income men at risk of homelessness who often face trauma, addiction, disabilities or lack of family support. Through stable housing, nutritious meals, welcome packages, rental assistance and supportive activities, the program fosters community wellbeing, improves health outcomes, prevents homelessness and empowers residents to achieve self-sufficiency.” Jimia Redden, Executive Director of Housing. This year’s Community Investment Fund recipients are: • AIDS Delaware: AIDS Delaware’s mission is to eliminate the spread and stigma of HIV/AIDS, improve the lives of those living with HIV/AIDS and promote community health through comprehensive and culturally sensitive services, education programs and advocacy. • Black Mothers in Power: Black Mothers in Power seeks to eradicate racial health disparities for Black birthing people and Black babies throughout Delaware. • Boys & Girls Club of DE: Boys & Girls Clubs of Delaware inspires and enables young people, especially those most in need, to reach their full potential as productive, responsible, caring citizens. • Children and Families First DE: Children & Families First is one of Delaware's oldest and most trusted non-profit leaders in providing the supports and services children and their families need to thrive. • Claymont Community Center - Brandywine Resource Council: Claymont Community Center is a base for a variety of community organizations supporting educational, social, recreational, cultural, personal development, financial and wellness needs. • Delaware Center for Horticulture: The Delaware Center for Horticulture cultivates greener communities by inspiring appreciation and improvement of the environment through horticulture, education and conservation. • Delaware Futures, Inc: Delaware Futures empowers at-promise high school and middle school youth across the state of Delaware by providing year-round, trauma-informed curricula tailored to students at each grade level. • Delaware Nature Society: Delaware Nature Society connects people and nature to create a healthy environment for all through education, conservation and advocacy. • Do Care Doula: Do Care Doula provides grant-funded Doula training and development, subsidized Doula support and a variety of community outreach programs. • Healthy Food for Healthy Kids: Healthy Food for Healthy Kids supports educators in Delaware, bringing life-lasting benefits of gardening and good nutrition to kids. • Jefferson Street Center: The mission of JSC is to advance community-driven priorities in Northwest Wilmington that promote the conditions necessary for all residents to thrive. • Latin American Community Center: LACC seeks to empower members to become contributing members of society through advocacy and offers programs and services to anyone ages of one to 101. • Milford Housing Development Corporation: Milford Housing Development Corporation is a value-driven, nonprofit, affordable housing developer, providing services throughout Delaware. Its mission is to provide decent, safe, affordable housing solutions to people of modest means. • Ministry of Caring: Since Brother Ronald began the ministry in 1977 with the first shelter for homeless women on the Delmarva Peninsula, the Ministry has worked ceaselessly to ease the needs and struggles of our neighbors. • ONCOR Coalition: ONCOR’s vision is to build and promote spaces that connect people to the city and each other. It promotes positive relationships through community-based educational programs and recreational opportunities. • Our Daily Bread Dining Room of MOT: ODB is the only soup kitchen in the Middletown, Odessa and Townsend region. ODB is a volunteer run organization with over 300 volunteers. Volunteers help purchase and pick up food and ingredients, prepare and serve meals and clean and maintain the facility. • Project New Start: Project New Start provides a comprehensive cognitive behavioral change/workforce development initiative for individuals transitioning out of state and federal institutions. • Ray of Hope Mission Center: Ray of Hope’s mission is to recognize and address the needs of those who are struggling within our community and assist them in their efforts to provide for themselves and their families, both physically and spiritually. • St. Patrick's Center: Serving people in Wilmington’s East Side neighborhood since 1971, St. Patrick’s Center is a nonprofit organization that operates a Senior Center, and provides meals, groceries, clothing, paratransit and social service support to the public. • The Resurrection Center: The purpose of the Resurrection Center is to spread the gospel of Jesus Christ and create a spirit-filled environment that hungers for the Gospel and to serve as liberating agents in the midst of the world. • Voices of Hope: Voices of Hope’s mission is to empower lives and foster recovery. The nonprofit is dedicated to supporting individuals and families facing substance use disorder. Through compassion, education and community engagement, Voices of Hope strives to break the chains of addiction, promoting a healthier, brighter future for all. • West End Neighborhood House: At West End Neighborhood House, staff, clients, volunteers and donors work together to resolve complex social challenges throughout Delaware. Through outcomes-driven programming, the West End Neighborhood House provide support that meets community needs in finances, housing, education, employment and family services. • Westside Family Healthcare: Westside Family Healthcare is a community-minded, non-partisan health center located in Delaware. Westside opened its doors in 1988 and has maintained status as a Federally Qualified Health Center since 1994. • Wilmington HOPE Commission Inc.: The Hope Commission is a reentry program that helps formerly incarcerated men return to their community. It offers support services that address factors known to lead to repeat offenses. • YMCA of Delaware: The Central YMCA Supportive Housing Program offers housing for men aged 18 and older. Residents benefit from dorm-style accommodations, discounted access to the fitness center and connections to a range of health and human service providers in partnership with the YMCA.
ChristianaCare Reduces Health Care Costs by $6.2 Million While Improving Care for Medicaid Patients
ChristianaCare’s Delaware Medicaid Partners Accountable Care Organization (ACO) has set the standard for innovative, high-quality care at lower cost for the State of Delaware’s Medicaid population. According to the most recent data available, ChristianaCare’s ACO reduced health care spending by $6.2 million in 2023 while improving care for nearly 30,000 Medicaid beneficiaries in Delaware, including approximately 8,000 children. “We’re demonstrating that population health works,” said Christine Donohue-Henry, M.D., MBA, chief population health officer, ChristianaCare. “Our neighbors count on us to take care of them — and we can improve their health while also helping the state reduce health care costs. We do this by delivering high-quality care that emphasizes preventive care and proactive management of health conditions, and by investing in our population health infrastructure. “In this way, we can keep people healthier and reduce the need for them to access the most expensive kinds of care, such as emergency care and hospitalization.” ChristianaCare’s Medicaid ACO includes more than 1,900 primary and specialty care clinicians who partner with patients and families to prevent illness, manage chronic diseases and help them achieve their health goals. The ACO makes it easy for adults and children to get the screenings and treatments they need, improving overall health. ChristianaCare’s Medicaid ACO is one of four authorized by the State of Delaware and the only one to voluntarily accept downside financial risk at its launch in 2021, which means that if ChristianaCare’s Medicaid ACO is not successful in reducing cost and improving care for a particular year, the ChristianaCare ACO is required to make a payment to the state. By sharing in both savings and losses, the ACO controls state health care costs while maintaining high-quality care. Bending the Cost Curve by Focusing on High-Quality Preventive Care Alongside financial savings, ChristianaCare’s Medicaid ACO has improved care quality and worked to reduce health disparities. By focusing on preventive care, the ACO has helped adults and children get the screenings and treatment they need, leading to better health outcomes and fewer unmet needs. Since launching in 2021, ChristianaCare’s ACO has met all required quality standards and consistently improved its performance each year on key measures like diabetes management, blood pressure control and breast cancer prevention. Year over year, breast cancer screenings have increased by 4%, while patients with high blood pressure (hypertension) have shown improvement in blood pressure control. Notably, healthy blood sugar levels (HbA1c less than 8%) have also improved in patients with diabetes by 7%. In collaboration with its Medicaid health plan partners, ChristianaCare primary care and imaging teams host patient-centered health and wellness day events to increase access to care, close quality gaps and improve the overall health of the communities they serve. These events help patients get preventive screenings and services, supporting the ACO’s goals of better care and health equity. The ACO’s success is driven by its focus on caring for entire families, including addressing the needs of pregnant mothers and supporting children and adults throughout their lives, according to Rose Kakoza, M.D., MPH, senior clinical network director, ChristianaCare Clinical Alliance. Key programs include enhanced maternity care to support mothers and infants, expanded mental health services and social support programs that address food and housing needs. By integrating clinical care with social support — such as help with food and housing — the ACO is working to break cycles of poor health across generations. This approach also has practical benefits. For example, the improved mental health of a parent strengthens the family environment, supporting children’s well-being and development. “By making significant investments in population health and addressing both medical needs and the social drivers of health, we’ve not only improved health outcomes but also more effectively managed costs for Delaware’s most vulnerable residents, helping to reduce state spending,” Kakoza said. About Delaware Medicaid Partners Delaware Medicaid Partners ACO, led by ChristianaCare, uses a family-centered approach to save money and improve care for Medicaid patients. By combining medical care with social support, the ACO addresses the unique needs of Medicaid patients, improving health and promoting equity. Care coordination is provided by ChristianaCare’s CareVio®, whose team of nurses, social workers, and pharmacists help patients with serious health conditions get the care they need. CareVio uses real-time data to prevent complications that could lead to unnecessary hospital stays or emergency visits. Through ongoing collaboration and innovation, Delaware Medicaid Partners ACO aims to set an example for other states working to improve care while managing costs.
As the New Year begins, millions are embracing "Dry January" – a challenge to abstain from alcohol for 31 days. This growing global movement is more than just a trend; it highlights the broader conversation about health, wellness, and lifestyle choices. Participating in Dry January has been linked to significant benefits, including improved physical and mental health, financial savings, and a greater awareness of alcohol's role in daily life. By exploring this topic, journalists can engage audiences in discussions about healthier living while addressing larger societal and cultural themes, such as: The short- and long-term health benefits of reducing alcohol consumption How sobriety challenges promote mental health and mindfulness Financial impacts of abstaining from alcohol for a month The rise of non-alcoholic beverage trends and innovations Societal perceptions of alcohol and shifting drinking norms Stories of personal transformation inspired by Dry January Covering - we can help! Connect with an expert about Dry January To search our full list of experts visit www.expertfile.com
Veronica Chandler’s north Wilmington home is her sanctuary, and it shows. From the soft instrumental music to the scent of lavender to the comfy seats that invite visitors to put up their feet, the message is clear – rest, relax, recharge. Original artwork by Veronica Chandler In this space, Chandler celebrates her rediscovered self, and it’s a journey she shares with all who visit. Part of the cozy feeling in her home comes from the artwork that lines the walls – mostly her own paintings and drawings created over the last six years as she navigates the challenges and triumphs of motherhood and discovers new ways to care for herself and those she loves. After experiencing anxiety, panic attacks and profound depression following the birth of her daughter in 2018, Chandler sought help at the ChristianaCare Center for Women’s Emotional Wellness, where a combination of medication and therapy helped her feel healthier and reconnected. She also returned to a former passion – art. “When I started painting, I found a way of silencing my brain, of calming it down. Being able to just focus on one thing on its own let my body regulate my nervous system,” she said. “I didn’t know what was happening to me. I just felt amazing.” More than ‘baby blues’ Perinatal mood and anxiety disorders are among the most common complications that occur in pregnancy or in the first year after delivery, according to the American College of Obstetricians and Gynecologists. Although many parents experience feelings of anxiety, fatigue and sadness in the first days with a new baby, postpartum depression can occur several months after childbirth. Symptoms are often more severe and can include extreme stress. Despite increased awareness efforts in recent years, perinatal mood and anxiety disorders – including postpartum depression, which occurs in up to 20% of all births – remain underdiagnosed, untreated or undertreated, even though the health impact extends beyond the person giving birth, said Malina Spirito, Psy.D., MEd, director of the Center for Women’s Emotional Wellness. The center opened in 2013 to help patients and their loved ones understand the challenges associated with perinatal mood and anxiety disorders. Since then, the program has tripled the number of clinicians and expanded services to include inpatient and outpatient consultations, ongoing psychotherapy and psychiatric medication management. “Just because we know something is common does not mean we have to put up with it, especially because the effects will be lasting if we don’t address them,” Spirito said. “Perinatal mood disorders have an impact on the overall health of a family. When a mom feels better, the relationships they have with the people around them are better as well.” Breaking the ‘super mom’ stereotype Looking back, Chandler recognizes her struggles with sleeping and anxiety following the birth of her first child may have been signs of postpartum depression. The symptoms went away only to return after her daughter was born two years later. Veronica Chandler sought help from the ChristianaCare Center for Women’s Emotional Wellness for postpartum depression. Caring for herself helped her rediscover her love of creating art. Although overjoyed by her growing family, Chandler deeply missed her mother, who lived in her native Ecuador. Added to those challenges were longer stays in the hospital for Chandler, who had a Caesarean section birth, and for her daughter, who had some minor health issues. In the weeks after giving birth, Chandler battled dizziness caused by anemia. Though exhausted by caring for a newborn, she couldn’t sleep. She constantly felt on edge, and her skin itched without relief. Worried when her symptoms didn’t abate after three months, Chandler’s husband broached the idea of postpartum depression. For Chandler, it was a relief another person noticed something was wrong, but she was scared to think about what might be needed to get better. “I think we’re programmed by our cultures and by our beliefs to think that we need to be ‘super moms’ and give everything we have,” said Chandler, who grew up in Ecuador and moved to the United States after marrying her husband. “I was in such a fog that I didn’t know I could still shine and be happy and content. The default for so many moms is to pour until there’s nothing left.” ‘Rediscovering who I was’ Chandler sought help at the Center for Women’s Emotional Wellness and soon began taking an anti-depressant as part of her treatment. She also saw a therapist to talk about the feelings she was experiencing. “Therapy was such a big part of this whole journey of rediscovering who I was. When you talk and someone listens, you figure things out,” Chandler said. While on a trip to Arizona with a cousin, Chandler discovered kachina dolls, a Native American art form often used to provide guidance to young people and instill the connection between nature and the spirit. The intricately designed images further fueled Chandler’s reignited passion for art. That passion helped Chandler manage the additional challenges brought on by the COVID-19 pandemic when her anxiety and depression resurfaced. Using painting, sculpture and other media, she has examined her own feelings relating to motherhood, family and society. Her work has been featured internationally in Vogue and closer to home in local art galleries. “Some people like to cook, and some people like to write. Art is my creative outlet that allowed me to come back to who I am,” she said. “We all have to release that creativity in some way.” Entering care sooner While the Center for Women’s Emotional Wellness has always focused on pregnant and postpartum patients, it has grown to address mental health needs related to preconception health, including artificial reproductive technology such as in vitro fertilization, Spirito said. The center also sees patients grieving a pregnancy or neonatal loss. More people are thinking about their mental health before they give birth, said Malina Spirito, Psy.D., MEd, director of the ChristianaCare Center for Women’s Emotional Wellness. “One of the most notable observations I’ve seen over the years is that birthing people are entering care sooner. It isn’t uncommon for women to seek out consultation prior to getting pregnant about how to manage their mood disorder should they become pregnant,” said Megan O’Hara, LCSW, a behavioral health therapist with the Center for Women’s Emotional Wellness. “Patients are educating themselves now and expecting their providers to consider their mental health as well as their physical health when getting care.” Women’s mental health care also has become more accessible, said Cynthia Guy, LMSW, MSCC, a women’s health behavioral consultant with the Center for Women’s Emotional Wellness. Behavioral health services are available in every ChristianaCare women’s health practice, including virtual and in-person care. “I can be the bridge connecting the patient with the resources they need to help them manage symptoms and what they are going through,” Guy said. Filling the cup As a result of her own experiences, Chandler teaches classes to help other mothers create their own art as a means of expression. It’s a small way of helping them to fill their own cup. The woman who once hid in her own closet to hide her feelings speaks openly about mental health with the hope people will lose their preconceived ideas about depression and anxiety. “I am so thankful for the journey and the many people I’ve met that have postpartum depression,” she said. “When we talk about what makes the best moms, I think the best mom is a healthy mom who is in balance and harmony.”
Sport and Study: Villanova University Faculty Offer Academic Lens to Paris Olympics Storylines
All eyes are on Paris: more than 10,000 athletes from 206 nations are set to compete in the Games of the XXXIII Olympiad, the third Olympics in the City of Love and the first since 1924. Below, Villanova University faculty members provide their academic expertise on the unique storylines and narratives already taking place as Paris 2024 gets underway. Portraying a National Image in the Opening Ceremony Étienne Achille, PhD Director of French and Francophone Studies After months of speculation, the daily Le Parisien has officially confirmed that renowned French-Malian singer Aya Nakamura will lend her vocals to an opening ceremony featuring an iconic backdrop steeped in history. “Nakamura is the most-streamed Francophone singer in the world, embodying France’s culture on a global stage, and she’ll be paying homage to one of the most cherished representatives of the chanson française,” said Dr. Achille, referring to reports she will sing one of beloved French crooner Charles Aznavour’s greatest hits. According to Dr. Achille, the pop star’s presence is significant and symbolic. “A performer, or even a flagbearer, can easily become the face of a global event like the Olympics,” he said. The details of the setting for the ceremony – in the heart of Paris, along the Seine – are just as intentionally symbolic. “Not only will this be the first opening ceremony to take place entirely outside of a stadium; its location along the river and the fact the delegations will be on boats are key. “It represents movement and connection to the world,” Dr. Achille said. “And Nakamura’s performance projects the image of a modern, multi-ethnic nation building on tradition while proudly marching into the future.” Swimming in the Seine: Safe or Not? Metin Duran, PhD Professor of Civil and Environmental Engineering It is, perhaps, the most-asked question of the last few weeks. Is the Seine River, set to host multiple swimming events, safe? The river has been illegal to swim in for a century due to the presence of harmful bacteria such as E. Coli, and recent testing has reaffirmed this concern. The Seine, which had undergone an expensive cleaning to mitigate this issue, received the endorsement of Paris Mayor Ann Hidalgo, who personally took a dip in the water herself to attest to its safety. The stunt did little to convince experts such as Dr. Duran, who studies wastewater, to abandon concern about the potential health risks of athletes being exposed to pathogens in the water. “When we have fecal pollution, there is a high likelihood of pathogens being present,” Dr. Duran said. “Those could be viral, like a norovirus, or protozoan. “If you’re swimming in that water, you run the risk of ingesting it. Once you ingest that polluted water, you’re likely to contract some of those disease-causing pathogens. Ingesting this water doesn’t mean you’re necessarily going to get sick, but based on the number of people in a big city like Paris, there is a very high likelihood of some of these pathogens existing now in the river.” Accommodations for Breastfeeding Athletes Sunny Hallowell, PhD, APRN, PPCNP-BC Associate Professor of Nursing The IOC and Paris 2024 Organizing Committee is providing support to all breastfeeding athletes competing in the Games. A few national governing bodies, like the French Olympic Committee, are going a step further and offering hotel rooms near the Village for their country’s breastfeeding athletes to share with their children and spouses. “A few decades ago, the idea of a female athlete who also wanted to breastfeed their child was so taboo it may have prevented an athlete from competing,” said Dr. Hallowell. “Now, many female athletes who choose to breastfeed their newborns or toddlers conceptualize breastfeeding as another normal function of their remarkably athletic bodies.” Accommodation for breastfeeding athletes and increased awareness are needed more than ever. Dr. Hallowell notes that in addition to changing views on breastfeeding, the needs for such accommodations are increasing as the age of peak athletic performance also increases. “Advances in sports nutrition, wellness and lifestyle have extended the longevity and performance of many athletes into adulthood,” she said. And while some athletes with rigorous training regimens might feel “frustrated incorporating breastfeeding into the routine,” Dr. Hallowell says that for others, “breastfeeding provides both physical and socio-emotional benefits for the mother and the infant that allow the athlete to focus on the job of competition.” Protecting Against the Parisian Heat Ruth McDermott-Levy, PhD, MPH, RN, FAAN Professor of Nursing The potential for extreme heat in Paris has been a topic of concern for athletes and organizers, prompting certain outdoor events to be proactively scheduled at times to avoid the day’s worst heat. Current forecasts predict temperatures in the 90s for several days early on in the Games, which could be exacerbated by Paris’ reputation as an urban heat island, unable to cool due to lack of green space and building density. Dr. McDermott-Levy says the athletes are inherently vulnerable, because “the added stress of physical exertion during their events puts them at greater risk of heat-related illness.” But she also notes that many of the athletes have likely undergone pre-competition training in extreme heat conditions to acclimate and will have trainers and health professionals monitoring them frequently. “The group of concern are the workers at the stadiums, outdoor workers and spectators who are there to enjoy or work at the events and may have had little to no acclimation,” Dr. McDermott-Levy said. “They need to follow local instructions and take frequent breaks from the heat, seek shade and maintain hydration by avoiding alcohol and sugary drinks and drinking water.” How Nature Can Inspire Future Use of Olympic Infrastructure Alyssa Stark, PhD Assistant Professor of Biology Gone, hopefully, are the days of abandoned Olympic Villages and venues, overrun with weeds and rendered useless soon after the Games conclude. The IOC’s commitment to sustainability has been transparently relayed ahead of the 2024 Games, featuring a robust range of initiatives and programs. Dr. Stark is particularly interested in one aspect of ensuring a sustainable Olympics. “How will the structures, materials and systems they developed for the Olympics be re-used, re-shaped or re-worked afterward?” she posed. “This could include re-using buildings to larger scale or re-working transportation systems set in place for the Games that could then integrate into day-to-day life post Olympics.” At the root of her interest is the concept of biomimicry. “A lot of the way we think about designing, if we’re using this biomimicry lens, is how do we learn from nature to solve problems that we have in a sustainable way, keeping in mind the environment we are in?” Dr. Stark said. In this case, consider how something like a dwelling of a living creature might be repurposed to fit the needs of another creature, or serve another natural purpose, without harming the ecosystem. Could that inspire a way to re-use the Olympic infrastructure? “There are a ton of examples of [biomimicry] being used and working in products,” Dr. Stark said. “But I would say the next step is looking at the social levels of these big ecosystems – building architecture, city planning, flow of information and, in this instance, repurposing what was created for the Olympics.” Paris Could Be a Transportation Model for Major City Events in the United States Arash Tavakoli, PhD Professor of Civil and Environmental Engineering Paris has invested 250 million Euro the last several years to transform the city to a 100% cycling city, making it one of the most bike-friendly municipalities in the world. Currently, more trips are being made by bicycles in Paris than by cars (11% vs. 4%), a trend that has permeated to the surrounding suburbs as well. With an influx of travelers in Paris for the Games, Dr. Tavakoli, an expert in human transportation, said, “The Olympics will be a test for how well these kinds of systems respond to high fluctuations in the population as compared to vehicle-centric systems.” While Paris is thousands of miles away from the United States, how bicycle, pedestrian and vehicle systems work during the Games could provide helpful insight ahead of major events in American cities. “With the World Cup coming to the U.S. in a few years, it will be interesting to compare [Paris] with how our own system responds to people’s needs,” Dr. Tavakoli said. “Not just based on traffic data and congestion, but also considering factors like how comfortable the transportation system is, how much it affects our well-being and how much it attracts a nonresident to enjoy the U.S. when their only option, for the most part, is a vehicle.”
Wilmington Campus Receives $1 Million Donation From the Rocco A. and Mary Abessinio Foundation
ChristianaCare has received a $1 million gift from The Rocco A. and Mary Abessinio Foundation Inc. in support of ChristianaCare’s Wilmington Campus. “All families and communities deserve the excellent care that Wilmington Hospital and ChristianaCare provide,” said Rocco and Mary Abessinio. “It is an honor for our family to support the health and wellbeing of the Wilmington community.” The funds will support areas of greatest need, including the expansion of patient care initiatives aimed at reducing disparities in screening and treatment for cancer and cardiovascular disease in the city of Wilmington. “We are tremendously grateful to the Rocco A. and Mary Abessinio Foundation for their continued, generous support of the Wilmington Campus – a vital resource serving the greater Wilmington community,” said Janice Nevin, M.D., MPH, ChristianaCare president and CEO. “With their help, we are closing gaps in health disparities and improving health for everyone, including some of Delaware’s most vulnerable populations.” The Rocco A. and Mary Abessinio Foundation provided a $1 million gift in 2014 for the redesign and renovation of the health center, which was then named the Rocco A. Abessinio Family Health Center at Wilmington Hospital. The health center is home to three primary care practices and other programs and services that offer high-quality health care, wellness and preventive health visits for people of all ages, regardless of their income or ability to pay. “As a result of the Abessinio family’s longstanding partnership and investment in our mission of service, we are making significant progress in addressing disparities and building strong and healthy communities,” said LeRoi S. Hicks, M.D., MPH, FACP, campus executive director of ChristianaCare’s Wilmington Hospital. A Wilmington landmark in the heart of the city, the ChristianaCare Wilmington Hospital has been serving the diverse medical needs of the city and surrounding region for over 125 years. “Philanthropy is essential to ChristianaCare’s mission of service to our community, and we extend our heartfelt thanks and appreciation to Rocco and Mary Abessinio for their inspiring and visionary philanthropic leadership in support of the Wilmington Campus,” said Dia Williams Adams, MPA, vice president of philanthropy at ChristianaCare. “Their gift is a legacy that not only allows us to increase our ability to make a positive impact on patients and community, but honors the incredible work that our caregivers do every day.” For more information about ways to support ChristianaCare’s mission of service to the community, visit: https://christianacare.org/us/en/make-a-gift.
Demystifying Relapse: 2-part series on substance use disorder recurrence and treatment
CARF International Senior Managing Director of Behavioral Health Michael Johnson is a contributor of this terrific two-part series on substance use relapse from the National Council for Mental Wellbeing. NATCON and partnering contributors from CARF International, National Association of Addiction Treatment Providers (NAATP), and the Recovery Research Institute are excited to release the Demystifying Relapse series, which includes two issue briefs that explore the complex dynamics of substance use disorder recurrence and the difficulty of reengaging individuals in the recovery process. “I’m grateful to the National Council for Mental Wellbeing for the opportunity to work with them on these two important documents. The U.S. is facing unprecedented challenges in treating persons with substance use disorders, with access to care continuing to be difficult for many. The field, the payers, and the public at large needs to take time to recalibrate how treatment and return to use are viewed in order to have realistic expectations for care, to destigmatize what it means for a person to return to use, and to ensure there is appropriate types of care available to those who need to re-enter the treatment systems,” said Senior Managing Director of Behavioral Health Michael Johnson. “Only when we recognize that persons who return to use need to have care that is individualized to assist them to stabilize, not start over, can we better ensure that treatment systems are more accessible based on the needs of persons served. The treatment for any chronic illness can be difficult as the path to wellness is often not linear. I hope these two papers can start a dialogue on how to reframe the systems to better meet the needs of those who continue with the recurrence of symptoms.” Michael Johnson is the CARF International Senior Managing Director of Behavioral Health. If you are looking to know more or connect with Michael, view his profile below to arrange an interview today.
Oh, Ozempic … Is THIN Back In?
After decades of what seemed like progress away from the obsession for “wellies” and “thigh gaps” the thin-is-in mentality seems to be creeping back into the spotlight to weigh on women’s minds – especially on social media. Channeling the renewed fascination with and focus on slimness, University of Mary Washington Assistant Professor of Communication Emily Crosby, and Associate Professors of Communication Adria Goldman and Elizabeth Johnson-Young, presented a talk titled "Social Media and the Changing Current of Health Messaging and Debates." Crosby's presentation, "Ozempic is Cheating!: Articulating a Digital Turn in Diet Culture," looks at the discourse surrounding Ozempic on social media. Employing feminist rhetorical criticism, Crosby analyzes posts and commentary to identify themes and conventions of analog and digital diet culture. This research articulates the digital turn in the "cult of thinness," to expose how medical injectable weight loss drugs undermine the body positive movement by invoking clinical technology as ethos. Goldman's presentation, "#SocialSupport: Examining the Informative and Emotional Functions of Bariatric Surgery Support Groups on Facebook," investigates the functions of digital support groups in assisting with mental well-being and emotional regulation for people considering, undergoing or recuperating from weight loss surgery. This research examines Facebook’s ability to function as both an informative and emotional resource for the bariatric surgery community. Johnson-Young's presentation, "Sugar, Snacks and Weight: An Examination of Posts and Parent Reactions to the Challenges of Nutritional Health Norms on the Growing Intuitive Eaters Instagram," examined posts and comments on an influencer's account. The research is rooted in both health behavior theory and non-evaluative and trust-based communication around food and nutrition. Preliminary findings show a variety of themes regarding reactions to the influencer's posts, from anger and resistance to relief and excitement. Weight loss, wellness and the enormous amount of attention this topic is getting has journalists looking for answers. And if you're covering or are looking to know more - we can help. All three University of Mary Washington experts are available to speak with media - simply click on an icon now to arrange an interview today.
