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Clinical Accuracy Spoken Here
Behavioral Health: Lithium Treatment
The benefit of using long-term maintenance treatment with lithium salts for patient with recurrent bipolar disorder as well as major depression disorder can be shown in the major reduction of both suicide and suicide attempts. Although suicide rates are still high in comparison to the general population, lithium maintenance treatment is associated with an 80-90% decrease in risk.

[Reference:Behavioral Health: High Risk Behavior, Module D: Suicide, Page 16] www.athenaforum.com

Rheumatoid Arthritis: Diagnosing RA
During the diagnostic phase, the goals of treatment would include: decreasing inflammation, reducing pain, retard/stop joint tissue destruction, and improving their overall function. The patient, physician and pharmacist are key players in helping to develop a plan of treatment. The Arthritis Impact Measurement Scale (AIMS) is an excellent assessment tool that can be used both on the initial evaluation as well as for periodic evaluations to determine improvement or changes noted in the disease process.

[Reference: RA, Module D: The Case Manager’s Role, page 11]
Excellence in Case Mgmnt
CM Listening is the Key
Are you a good listener? Did you know that it takes a tremendous amount of discipline to be an effective listener? Roadblocks are plenty that can get in the way including: 1) just not listening to your patient, 2) interrupting them, or 3) assuming you know what they will say before they have the chance to speak. Make the time to really concentrate on your patient’s words/thoughts. They hold the keys that will aid you in your interactions and collaborations. Remember: words may be plentiful but deeds completed are more precious.

National Health Education Week
In the Headlines . . .
“Victory on Parity – A Triumph for Consumers and Families”
“Tens of millions of people will be able to get the treatment they need because mental-health parity became law this month…” as stated by U.S. Rep. Brian Baird, a clinical psychologist and co-sponsor of the bill. This new legislation requires insurance providers to cover mental health and addiction treatment on an equal footing with medical care. The bill was attached to the massive financial rescue bill recently signed by the President and will help to prevent “depression.” For further information, the National Alliance on Mental Illness provides greater details on the long sought after legislation.

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“Everyone’s Excited about CMSA”
Eleven thousand members, ~ twenty years, and heading in an exciting direction, the Case Management Society of America continues to making a difference for all of us. A vision…mission…and a plan that continues to this day with each new member, helps to make a difference. Participating in the organization as a member of your chapter can be expanded to serving on the Board. Think about the possibilities…the opportunities…the thrill….you have a chance right now! We are living the ‘change’ that is happening right before our eyes. Get started - at this website.

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Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum


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