Caring for the Mind: Providing Mental Health Information At Your Library, May 21, 2019


>>OKAY, EVERYONE, WE’RE GOING TO GET STARTED WITH THE WEBINAR. I WANT TO WELCOME YOU ALL TO CARING FOR THE MIND PROVIDING MENTAL HEALTH INFORMATION AT YOUR LIBRARY. I’M MICHAEL BALKENHOL AS YOU CAN SEE ON THE SCREEN. I’M THE HEALTH PROGRAMMING COORDINATOR AT THE NATIONAL LIBRARIES OF MEDICINE MIDDLE ATLANTIC REGION AND I ENCOURAGE YOU TO CONTACT ME WITH ANY QUESTION OR COMMENTS AFTER THE COURSE. ON THE COURSE PAGE THERE’S A FULL RESOURCE LIST YOU’RE WELCOME TO GO TO NOW AND MAKE SURE IT’S IN THE CHAT BOX. ALL ATTENDEES ARE MUTED UPON ENTRY TO THE WEBINAR SO PLEASE ENTER ANY QUESTIONS AND COMMENTS YOU HAVE IN THE CHAT BOX. DURING THE NEXT HOUR I’LL BE ASKING QUESTIONS SO WE’LL JUST USE THE CHAT BOX AS OUR WAY TO COMMUNICATE SINCE EVERYONE IS MUTED. FULL RESOURCE LIST, LIKE I SAID, IS LINKED ON THE CARING FOR THE MIND CLASS PAGE. THAT INCLUDES RESOURCES FAR BEYOND EVERYTHING WE WILL COVER TODAY. BUT BEFORE WE GET INTO THE CLASS, I KNOW SOME FOLKS HAVE ALREADY STARTED TO SHARE. I’M CURIOUS WHO IS IN THE ROOM TODAY SO PLEASE SHARE WHERE YOUR LOCATED AND WHAT KIND OF LIBRARY OR ORGANIZATION. I SEE FOLKS FROM MICHIGAN, GEORGIA. SOME ACADEMIC AND PUBLIC LIBRARIES. THANKS FOR SHARING, EVERYONE. IT LOOKS LIKE WE HAVE A GOOD MIX AND RESEARCH LIBRARIES AND PATIENT HOSPITAL. GREAT. WE DO HAVE A PRETTY BIG NATIONAL AUDIENCE. SOMEONE’S FROM QÉBEC. WELCOME. THANKS EVERYONE FOR ATTENDING TODAY. LET’S START TO GET INTO IT. BEFORE WE GET INTO OUR CLASS, A LITTLE WORD ABOUT WHO WE ARE. THOUGH YOU MAY BE FAMILIAR WITH SOME ACRONYMS MOST PEOPLE ARE CONFUSED ON WHO WE ARE. THE NATIONAL INSTITUTES OF HEALTH IS THE NATION’S LEADING MEDICAL RESEARCH AGENCY. MANY MAY HAVE HEARD OF THE NATIONAL CANCER INSTITUTE ONE OF THE MANY INSTITUTES AND CENTERS AT NIH. THE NATIONAL LIBRARY OF MEDICINE IS ALSO AN INSTITUTE AT NIH. IT’S THE WORLD’S LARGEST BIOMEDICAL LIBRARY AND MAINTAINED A MIX OF COLLECTION AND PRODUCES ELECTRONIC INFORMATION RESOURCES LIKE MEDLINE PLUS AND PUBMED AND THEY’RE LOCATED IN BETHESDA, MARYLAND ON THE CAMPUS OF NIH. NNLM IS THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE AND WE’RE MADE OF EIGHT GEOGRAPHIC REGIONS. I’M FROM THE MIDDLE ATLANTIC REGION WHICH SERVES PENNSYLVANIA, NEW YORK, DELAWARE AND THE OFFICE IS AT THE UNIVERSITY OF PITTSBURGH HEALTH SCIENCES LIBRARY IN PITTSBURGH, PENNSYLVANIA. SO AT NNLM OUR MISSION IS TO PROVIDE EQUAL ACCESS TO BIOMEDICAL INFORMATION TO HEALTH PROFESSIONALS AS WELL AS ACCESS TO QUALITY HEALTH INFORMATION FOR THE PUBLIC SO THEY’RE BETTER INFORMED ABOUT THEIR HEALTH. WE DO THIS THROUGH RESOURCES ON OUR WEBSITE, FUNDING OF PROJECTS, IN-PERSON TRAININGS AND WEBINARS LIKE THIS AND YOU MAY SEE US AT CONFERENCES AS WELL. IF YOU’RE NOT YET A MEMBER, PLEASE CONTINUE JOINING. THE MEMBERSHIP IS AT THE ORGANIZATIONAL LEVEL AND FREE OF COST. AS A LIAISON YOU SIMPLY RECEIVE POSTINGS ABOUT OUR TRAINING, FUNDING AND MORE. LET’S TALK ABOUT CARING FOR THE MIND AND OUR OBJECTIVES ARE FOR TODAY. SO FOR THE NEXT HOUR WE’LL WORK TO GAIN AWARENESS OF MENTAL HEALTH ISSUES. LEARN PRACTICES FOR RESPONDING TO CHALLENGING QUESTIONS FOR MENTAL HEALTH INFORMATION AND WE’LL COVER INFORMATION RESOURCES AND RELEVANT PROGRAMMING AND COLLECTION RESOURCE. CARING FOR THE MIND AND THIS IS WHAT I LIKE TO SAY, IT’S NOT A COURSE ABOUT SAFETY AND SECURITY, THOUGH SOMETIMES WE WILL TALK ABOUT THAT. IT’S ALSO NOT AS EXPANSIVE AS MENTAL HEALTH FIRST AID AND WE’LL TALK ABOUT WHAT THAT IS LATER. THAT SAID, I HIGHLY RECOMMEND THOSE KINDS OF TRAINING ON SAFE, SECURITY AND RESPONDING TO LIKE A SUICIDAL PATRON OR SOMEONE CREATING AN UNSAFE ENVIRONMENT BUT THAT’S NOT WHAT WE’LL BE TALKING WE’LL TALK ABOUT HEALTH INFORMATION AND HOW TO SUPPORT MENTAL HEALTH IN OUR COMMUNITIES. WE’LL ACHIEVE THAT THROUGH OUR AGENDA. FIRST WE’LL TALK ABOUT MENTAL HEALTH FACTS AND AN OVERVIEW AND THEN WE’LL GET INTO BEST PRACTICES, MENTAL HEALTH INFORMATION RESOURCES FROM THE NATIONAL LIBRARY OF MEDICINE AND OTHER REPUTABLE ORGANIZATIONS. WE’LL SO EVER YOUTH HEALTH ISSUES AND COLLECTIONS AND ADDITIONAL RESOURCES AND TOOLS TO TAKE BACK TO YOUR LIBRARIES OR ORGANIZATIONS RIGHT AWAY. FIRST OFF, MENTAL HEALTH FACTS WE’LL GET INTO STATS AND DEFINITIONS AND TERMINOLOGY TO GET US STARTED. SO LET’S SET THE STAGE WITH GENERAL MENTAL HEALTH FACT. FIRST AND FOREMOST, DEPRESSION IS THE LEADING CAUSE OF DISABILITY WORLD AND A MAJOR CONTRIBUTOR TO THE GLOBAL BURDEN OF DISEASE. NEARLY 60% OF ADULTS WITH MENTAL DISEASES DIDN’T RECEIVE SERVICED AND NEARLY 50% OF YOUTH AGE 8 TO RECEIVE MENTAL HEALTH SERVICES IN THE PREVIOUS YEAR. AFRICAN AMERICAN AND HISPANIC AMERICANS USE MENTAL HEALTH SERVICES HALF THE RATE OF WHITES IN THE PAST YEAR AND ASIAN AMERICANS AT ONE-THIRD THE RATE. NOT A LOT OF FOCUS GET THE CARE THAT THEY NEED AND IT SETS THE STAGE. EVERY PERSON HAS PHYSICAL AND MENTAL HEALTH NEEDS AND HERE’S SOME WAYS TO START LOOKING AT MENTAL HEALTH. THE DHHS THE DEPARTMENT OF HEALTH AND HUMAN SERVICES DEFINES MENTAL HEALTH PROBLEMS AS SIGNS AND SYMPTOMS OF INSUFFICIENT INTENSITY TO MEET THE CRITERIA FOR A MENTAL HEALTH DISORDER. THEY REFER TO MENTAL HEALTH PROBLEMS AS IF YOU HAVE SOME SYMPTOMS BUT INSUFFICIENT TO BE DIAGNOSED WITH A MENTAL DISORDER. THE DEFINITION OF A MENTAL DISORDER INCLUDE EATING DISORDERS AND SUBSTANCE USE DISORDERS IN ADDITION TO DEPRESSION AND ANXIETY DISORDERS. COMPLETE CLASSIFICATION OF DISORDERS IS LISTED IN THE DSM-5 WHICH MANY MAY OR MAY NOT BE FAMILIAR IT’S THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS. WHICH SERVES AS THE PRINCIPLE AUTHORITY FOR PSYCHIATRIC DIAGNOSES FOR TREATMENT AND RECOMMENDED TREATMENT. IT’S NATIONALLY ONE OF THE MAIN TOOLS THAT PSYCHIATRISTS USE. THE FIRST OFFICIAL CLASSIFICATION OF A MENTAL DISORDER IN THE UNITED STATES WAS IN 1840 WAS A SINGLE CATEGORY FOR MENTAL DISORDERS IN THE CENSUS OF QUOTE FOR INSANITY AND FORTUNATELY MENTAL HEALTH HAS EVOLVED SINCE THEN AND A LITTLE BIT OF A HISTORY OF THE DSM. THE FIRST WAS PUBLISHED IN 1952 FOLLOWED BY EDITIONS IN 1965 AND AND ADDITIONAL ADDENDUMS WAS PUBLISHED IN 2013. SO FOR PERSONS COPING WITH MENTAL ILLNESS THERE MAY BE TIMES OF SEVERE ILLNESS AND THERE COULD BE PERIODS OF STABILITY AND THE GOAL FOR SOMEONE LIVING WITH A METH TAL ILLNESS SHOULD BE TO REACH A PERIOD OF STABILITY AND MAINTAIN A TIME OF WELLNESS AS LONG AS POSSIBLE. SO AGAIN, JUST TRYING TO GET TO A PLACE WHERE YOU ARE STABLE FOR AS LONG AS POSSIBLE. THOUGH SOME MENTAL ILLNESSES ARE CHRONIC DISORDERS SUCH AS BIPOLAR DISORDER AND SCHIZOPHRENIA. IN SUCH CASES, PERIODS OF INCREASED STRESS ELEVATE THE SYMPTOMS OF THE DISORDER AND CAN LEAD TO EPISODES. SO WITH CAREFUL ATTENTION TO TREATMENT AND PREVENTION, PERSONS WITH MENTAL ILLNESS CAN LEAD PRODUCTIVE LIVES AND THERE ARE MANY PROVEN WAYS INCLUDING MEDICATION MANAGEMENT AND THERAPY, ALTERNATIVE THERAPIES, EATING HEALTHY AND EXERCISING AS WELL AS DEVELOPING HEALTHY SLEEP. AS YOU CAN SEE ON THE SLIDE OUR LIVES ARE INFLUENCED BY MANY FACTORS AND THIS INCLUDES BUT NOT LIMITED TO THE FACTORS ON THE SLIDE. THINK ABOUT THINGS LIKE FINANCES, POLLUTION, SOCIAL ISOLATION AND HOW THOSE THINGS AFFECT YOUR PHYSICAL AND MENTAL HEALTH. MY FIRST QUESTION IS WHAT BARRIERS DO YOU THINK OR KNOW OF THAT EXIST TO ACCESSING MENTAL HEALTH SERVICES? I’M GOING TO ASK EVERYONE TO USE THE CHAT AND PARTICIPATE SO STIGMA, COST, GEOGRAPHIC, TRANSPORTATION, IT’S TABOO, INDEED. INSURANCE, LACK OF FUNDS, LACK OF INSURANCE LIMITATIONS, LIMITATION OF PROVIDERS. SOMETIMES THERE JUST AREN’T PROVIDERS ESPECIALLY IN RURAL AREAS. DENIAL AND SO THIS IS IS A LIST FROM SAMSA AND THEY DID A STUDY WHERE THEY FOUND ONLY 44% OF ADULTS WITH A DIAGNOSABLE MENTAL HEALTH PROBLEM AND LESS THAN 20% OF CHILDREN AND ADOLESCENTS RECEIVE THE NEEDED TREATMENT AND WE TALKED ABOUT COST, BELIEF THE WILL WORK WHETHER IT’S AN ACTUAL OR PERCEIVED RELIEF OR STIGMA OF TALKING ABOUT MENTAL ILLNESS OR GOING TO SOMEONE AND NAVIGATING INSURANCE, CONFIDENTIALITY AND NAVIGATION AND TRANSPORTATION AND THE LIST GOES ON AND ON. SO A GREAT CHALLENGE FOR A PERSON WITH MENTAL ILLNESS IS STIGMA AND IT CAN PREVENT PERSONS WITH A MENTAL ILLNESS FROM SEEKING THE HELP THEY NEED. WHEN WE HEAR STORIES IN THE NEWS AND MEDIA THAT STEREOTYPE PERSONS ARE DANGEROUS IT’S A STIGMA AND PASSIVELY STIGMA CAN EMBED ITSELF IN DAY TO DAY LIFE AS THE AVOIDANCE OF CONFERENCE AND AVOIDING A CUSTOMER OR FAMILY MEMBER. THERE ARE INACCURATE WAYS THAT FUEL STIGMA AS WELL AS SIMPLE AVOIDANCE. TALKING ABOUT MENTAL ILLNESS IS NOT AS EASY AS TALKING ABOUT PHYSICAL ILLNESS AS HEART DISEASE AND DIABETES AND CANCER. IT MAKES IT MORE DIFFICULT FOR FOLKS TO SEEK HELP. SO YOU CAN ENTER YOUR ANSWER IN THE CHAT, WHAT PERCENTAGE OF PEOPLE WITH MENTAL ILLNESS HAVE EXPERIENCED STIGMA? THIS IS A STUDY DONE BY DECONTSTRUCTING STIGMA? THROW YOUR ANSWER IN THE CHAT. LOTS OF FOLKS THINK 75%. SOME SAY 50%. IT’S ALWAYS HARD TO FOOL A GROUP OF LIBRARIANS BECAUSE WE’RE A PRETTY INFORMED GROUP AND THE ANSWER IS 75%. STIGMA OFTEN BRINGS EXPERIENCES OF SHAME, STRESS AND RELUCTANCE TO SEEK AND/OR ACCEPT NECESSARY HELP. I HAVE ONE MORE QUESTION. WHAT PERCENTAGE OF VIOLENT ACTS CAN BE ATTRIBUTED TO PEOPLE WITH SEVERE MENTAL ILLNESS, 5%, 20% OR 50%. THIS IS FROM MENTAL HEALTH.gov. I’M SEEING 20%, 5%. A BIT OF A MIX. THERE’S A QUESTION WITH MEDICATION? THAT’S A GOOD QUESTION. THE STUDY IS FROM MENTALHEALTH.gov. SO THE ANSWER IS ABOUT 5%. SO PEOPLE WITH SEVERE MENTAL ILLNESS ARE 10 TIMES MORE LIKELY TO BE VICTIMS OF VIOLENT CRIME THAN THE GENERAL POPULATION. SO MENTAL ILLNESS ALONE DOES NOT INCREASE THE RISK OF VIOLENCE BUT WHEN IT’S COMBINED WITH OTHER RISK FACTORS SUCH AS SUBSTANCE ABUSE, IT DOES INCREASE THE RISK OF VIOLENCE. PREVIOUS RESEARCH PRODUCED MIXED RESULTS WITH THE LINK BETWEEN MENTAL ILLNESS AND VIOLENCE AND OTHER FACTORS THAT PREDICATED VIOLENT BEHAVIOR OFTEN INCLUDE A HISTORY OF JUVENILE DETENTION OR PHYSICAL ABUSE HAVING SEEN ABUSE IN THE HOME IN THE FORM OF PARENTAL FIGHTING, RECENT DIVORCE, UNEMPLOYMENT, BEING VICTIMIZED THEMSELVES OR BEING YOUNG, MALE AND LOW INCOME. MENTAL ILLNESS HAS NO RACIAL, ECONOMIC OR INTELLECTUAL BOUNDARIES SO WE’RE TALKING ABOUT A WIDE BREADTH HERE. SIMPLY PUT, HEALTH LITERACY IS THE DEGREE TO WHICH INDIVIDUALS OBTAIN, PROCESS AND UNDERSTAND AND ACT ON HEALTH INFORMATION. SO I CAN SAY IT’S THE BEST DEFINITION I FOUND FOR IT BUT I LIKE TO EXPLAIN IT AS HEALTH LITERACY AS A PRACTICE. SO THE ANALOGY I USED IS LOVE. SO YOU CAN’T JUST ACQUIRE LOVE, YOU NEED TO CULTIVATE IT AND NURTURE IT AND THERE ISN’T AN END POINT WHEN YOU HAVE ENOUGH. EVEN PHYSICIANS WHO MAY BE CONSIDERED HEALTH LITERAL ARE IN THE OF LEARNING MORE. SO THINKING AS A PRACTICE OF NOT HAVING THE END RESULT SO THE KEY TO MANAGING ONE’S HEALTH AND THE HEALTH OF ONE’S FAMILY AND MENTAL HEALTH LITERACY SURROUNDS KNOWLEDGE, BELIEFS AND IT LEADS TO MANAGEMENT AND PREVENTION OF MENTAL HEALTH PROBLEMS AND ESSENTIAL TO INTERVENTION AND REDUCING STIGMA. AND THE BETTER THE PROGNOSIS OR THE PREDICTION OF THE COURSE OF THE DISEASE. AND WE LIKE TO SAY ONE OF THE BEAUTIFUL THINGS WITH THE PUBLIC LIBRARIES IS THE DOORS ARE OPEN TO ALL PEOPLE INCLUDING THOSE WHO NEED THE RESOURCES MOST INCLUDING THOSE WITHOUT INSURANCE AND THOSE WHO DO NOT HAVE MEDICAL CARE. SO YOU MAY BE BUSY AT WORK AND SPENDING TIME WITH ONE PERSON WHO IS MENTALLY ILL OR NOT. SO TRY TO LIMIT ONE PIECE OF ADVICE IS TO TRY TO LIMIT YOUR ACTIONS OR INTERVENTIONS TO RELATIVELY SHORT PERIOD OF TIME BUT REALIZE TAKING TIME TO COMMUNICATE EFFECTIVELY WITH THE PERSON MAY SAVE YOU A LOT OF TIME IN THE LONG RUN. YOU ARE TRYING TO HELP SOMEONE. AND WE’LL TALK ABOUT BEST PRACTICE FOR REFERENCE INTERVIEWS. LET ME CHECK THE CHAT BOX TO SEE IF WE HAVE ANY QUESTIONS AND SO WE’RE GOOD SO FAR. SO A QUICK DISCUSSION IN THE CHAT BOX, WHAT STRATEGIES MAY WORK WITH CONDUCT REFERENCE INTERVIEW WHEN SOMEONE IS ASKING FOR SENSITIVE INFORMATION AND HOW ABOUT POSSIBLY IF THEY’RE EXHIBITING SIGNS OF HAVING A MENTAL ILLNESS OR HOW DO YOU SUPPORT OR HOW CAN YOU SUPPORT YOUR COLLEAGUES WHO MIGHT BE HEADING THAT DIRECTION. USE THIS TO ANSWER ONE, TWO OR THREE OR A COMBINATION OF THE QUESTIONS. CURIOUS TO HEAR WHAT PEOPLE HAVE TO SAY. OKAY, KAREN SAYS TAKE THEM SOMEWHERE PRIVATE TO TALK AND WE’LL TALK ABOUT A PRIVATE AREA BUT WHERE YOU CAN STILL BE SEEN BY THE PUBLIC IS ALWAYS IDEAL. HAVING WELL THOUGHT OUT POLICIES IN PLACE. YOU SAW THE SLIDES ARE AHEAD, MOLLY. THANKS FOR SHARING THAT. JOINING THE COLLEAGUE IN
THE CONVERSATION. LETTING THEM ASK SENSITIVE QUESTIONS AND SPEAKING CALMLY AND SLOWLY AND FUNNY YOU SAY THAT BECAUSE WHEN I TEACH MY WEBINARS I TRY TO SLOW DOWN SO THANKS FOR THAT MESSAGE. SAYING YOU’RE NOT A PROFESSIONAL BUT THAT YOU CAN PROVIDE INFORMATION. HAVE A LIST OF LOCAL RESOURCES READILY AVAILABLE. THINGS ON YOUR BOOK MARKS AND MAKING EYE CONTACT IF THEY SEEM COMFORTABLE WITH IT. THAT’S A GOOD READ. THANK YOU FOR THAT. LET’S TALK A LITTLE BIT ABOUT SOME BEST PRACTICES. SO A COUPLE PRACTICES FOR RESPONDING TO HEALTH INFORMATION. I’VE BROKEN IT DOWN TO CONFIDENTIALITY WHICH A COUPLE OF FOLKS ALREADY BROUGHT UP. RESPECTING CONFIDENTIALITY BY LOWERING YOUR VOICE OR BRING PATRON TO A QUIET AIR BUT WHERE YOU CAN STILL BE SEEN BY OTHER STAFF OR THE PUBLIC. ACTIVE LISTENING INCLUDES USING OPEN-ENDED QUESTIONS AND NEUTRAL QUESTIONS. BE AWARE OF YOUR BODY LANGUAGE IF YOU TEND TO CLAM UP OR CLOSE YOUR ARMS ACROSS YOUR BODY. THOSE ARE THINGS PEOPLE WILL SEE AND IT’S GOOD TO BE AWARE OF THOSE. LET THE PATRON FINISH THEIR QUESTION BEFORE RESPONDING. THAT SOUNDS LIKE COMMON SENSE BUT ACTUALLY IT’S REALLY DIFFICULT IN A FAST PACED ENVIRONMENT YOUR WHERE YOU’RE HOPING TO MOVE ON TO THE NEXT TASK. WHENEVER POSSIBLE LETTING FOLKS FINISH THEIR QUESTION. AND BEING AWARE OF POTENTIAL IMPACT OF THE SERIOUSNESS OF HIS OR HER DISORDER AND THIS CAN GO TO FISCAL OR MENTAL CONDITIONS AND THERE’S STORIES OF FOLKS BEING DIAGNOSED WITH A SERIOUS ILLNESS AND NOT REALIZING IT WAS SERIOUS UNTIL THEY WENT TO THE LIBRARY TO RESEARCH IT. THERE MAY BE EMOTIONAL REACTIONS FOR SURE. EXAMPLES OF SOME POSSIBLE INTERACTIONS, PATRONS COULD BE STRESSED, NERVOUS, EMBARRASSED, UPSET. EVEN FOR MYSELF VERY CONFUSED AND FRUSTRATED WITH MEDICAL TERMINOLOGY. PATRONS MAY HAVE REASONABLE EXPECTATIONS AND I WISH WE WERE ALL UNMUTED BECAUSE THIS IS WHEN I EXPECT EVERYONE WOULD JUMP OFF AND BE CONFUSED ABOUT THE ROLE OF THE LIBRARIAN. PUBLIC LIBRARIANS ARE ASKED TAX QUESTIONS AND WE’RE NOT TAX ATTORNEYS AND WE’RE NOT MEDICAL DOCTORS AND WE CAN PROVIDE THE BEST INFORMATION WE CAN AND THERE’S THINGS THAT CREEP INTO OUR MINDS AND FRANKLY YOU COULD ALWAYS BE INTERACTING WITH SOMEBODY HALLUCINATING OR HAVING A HARD TIME. SO SOME EXAMPLES OF OPEN-ENDED QUESTIONS. WE CREATED A PRINTER-FRIENDLY HANDOUT FOR YOU TO POST IN STAFF ROOMS AND LATER I’LL SHARE THE LINK AND SHOW YOU HOW TO GET TO THAT. OPEN-ENDED QUESTIONS REALLY GIVE A HARD TIME FOR SOMEONE TO RESPOND WITH A YES OR NO. LET’S THINK MORE DEEPLY ABOUT WHAT YOU’RE TRYING GET OUT OF THEM. SOME EXAMPLES WE HAVE HERE, WHAT KIND OF INFORMATION ARE YOU LOOKING FOR? WOULD YOU TELL ME MORE ABOUT BLANK? JUST LEAVING THINGS ALSO DOING A QUICK ASSESSMENT OF WHAT YOU MIGHT KNOW AND DID YOUR DOCTOR GIVE YOU SOMETHING AND MAYBE FIND A SPELLING AND THINK OF OPEN-ENDED QUESTIONS AND IF YOU HAVE A LIST OF THEM YOU MAY WANT TO POST. WHEN IT COMES TO USING FIRST-PERSON LANGUAGE THE INDIVIDUAL IS MORE THAN THE FIRST ILLNESS. THE ILLNESS DOES NOT DEFINE THE PERSON. WE SHOULD BE CAREFUL WITH OUR DISCOURSE, LANGUAGE AND EXPRESSION AND IT COULD MAKE ALL THE DIFFERENCE IN SOME CASES. SO MAKING THE SHIFT IN EXPRESSIONS AND SCHIZOPHRENIC OR ALCOHOLIC. IN FAVOR OF SOMEONE SAYING A PERSON WITH SCHIZOPHRENIA OR ALCOHOL DEPENDENCE. SIMILARLY SEEING SOMEONE USES A WHEELCHAIR IS THE FIRST WAY OF DESCRIBING SOMEONE, IT’S IMPORTANT TO NOTE DSM-5 ENCOURAGES FOLKS TO AVOID THOSE WORDS SUCH AS A SCHIZOPHRENIC. SO THOUGHTFULNESS IN LANGUAGE EMPOWERS THE INDIVIDUAL BEYOND THEIR STEREOTYPES. AND I WANT TO SAY THERE’S A CAVEAT. THE DEAF COMMUNITY AND AUTISM COMMUNITY WITHIN THOSE COMMUNITIES SOME PEOPLE BELIEVE A PERSON CAN’T BE SEPARATED FROM THEIR DISABILITY. SO THEY WILL ALWAYS BE SEEN WITH IT AND THEY’RE IDENTIFY IS A SENSE OF PRIDE. SO IT GIVES YOU SOMETHING TO THINK ABOUT AND DECIDE ON YOUR OWN WHAT IS BEST BUT MUCH LIKE ANYTHING, FOLKS CAN HAVE DIFFERENT KINDS OF OPINIONS BUT IT’S SOMETHING TO THINK ABOUT OR BE THOUGHTFUL ABOUT. THESE ARE GUIDELINES FOR LIBRARY SERVICES FOR PEOPLE WITH MENTAL ILLNESS AND THESE ARE GUIDELINES THAT WERE DEVELOPED BY THE ASSOCIATION OF SPECIALIZED GOVERNMENT AND COOPERATIVE LIBRARY AGENCIES AND THIS TIP SHEET WAS ADAPTED FROM THE FULL LIST BUT THE LINK FROM THE FULL LIST IS ON THE RESOURCE PAGE AND THE SLIDE. WE CAN GO THROUGH THEM QUICKLY. THEIR ADVICE WAS TO TREAT PEOPLE WITH MENTAL ISSUES AS OTHER PATRONS. AVOID MAKING ASSUMPTIONS BASED ON BEHAVIOR. SO JUST REMEMBER IF A PATRON IS JUST AS LIKELY TO BE TALKING ON THE PHONE AS THEY ARE TO TALKING TO HIM OR HERSELF. REMEMBER, MENTAL ILLNESS IS NOT THE SAME AS UNUSUAL, DEVIANT OR COGNITIVE DISABILITY AND HAVE A DISCREET AND SAFE PLACE TO TALK, WHICH WE’VE ALREADY COVERED. ALLOWING ENOUGH TIME TO MEET THE NEEDS OF PATRONS WHO MIGHT HAVE SPACIAL ORIENTATION ISSUES. OR FOLKS WHO MAY NEED TO SIT DOWN WHILE THEY READ. BE AWARE THERE’S A WIDE RANGE OF BEHAVIORS ASSOCIATED WITH MENTAL HEALTH ISSUES. HAVING SUFFICIENT SIGNAGE FOR PATRONS TO BE INDEPENDENT. WE TALK ABOUT COLLECTIONS AND OTHER THINGS AND THERE’S SOME IDEAS THERE. HAVING DISPLAYS OF BOOKS AND PROGRAMS THAT SUPPORT MENTAL HEALTH AND SELECT AND RECOMMEND TITLES BASED ON COMMUNITY NEEDS AND REQUESTS. SO DON’T ASSUME. YOU CAN DO A LITTLE BIT OF A COMMUNITY SURVEY. IF I COULD ADD TO THIS LIST I’D SAY DON’T PUT ON A SHOW FOR OTHER PATRONS. I THINK IT’S ALWAYS FOR THE BEST. THIS ONE IS REALLY HARD FOR ME BUT REALLY IMPORTANT. WHEN I WAS FIRST READING THROUGH THESE I THOUGHT, THIS IS REALLY SMART. IT’S REALLY COMMON TO SAY, OH, ME TOO WHEN SOMEONE IS SHARING SOMETHING ABOUT THEMSELVES. BUT IT IS NOT ENCOURAGED FOR YOU TO SHARE ANECDOTAL STORIES TO DEMONSTRATE YOU UNDERSTAND OR THAT YOU HAVE A CONNECTION WITH THE PERSON. AND THEY CONVEY THE WRONG MESSAGE. EACH SITUATION IS A LITTLE BIT DIFFERENT SO TRY TO RESPECT THAT. THINK ABOUT YOUR PARTNERSHIPS WITH OTHER PROFESSIONALS AND AGENCIES. WORK PERSONALLY AND ON THE WHOLE TO TAKE CARE OF THE CORRECT NEGATIVE STEREOTYPES. THERE’S DEFINITELY LOTS OF REALLY SOLID GUIDELINES HERE FROM THE ALA. SO WHAT ARE THE KEY ELEMENT TO EMPATHETIC LISTENING? IT’S IMPORTANT TO KNOW THE DIFFERENCE BETWEEN PROVIDING HEALTH INFORMATION AND GIVING HEALTH ADVICE WHICH ALREADY CAME UP IN OUR CHAT. SO IT’S IN OUR BEST INTEREST AS LIBRARIANS WE ARE VERY CLEAR WE ARE NOT GIVING THE MEDICAL ADVICE AND THAT WE REFER INDIVIDUALS TO HEALTH CARE PROVIDERS IF THEY ASK QUESTIONS THAT ARE BEYOND THE SCOPE OF HEALTH INFORMATION. SO IF SOMEONE APPROACHES YOU WITH A HEALTH QUESTION, BE SMUR TO LISTEN TO WHAT THEY’RE SAYING AND REMAIN NON-JUDGMENTAL BUT IT’S IMPORTANT YOU’RE NOT DISTRACTED OR LET DOWN THE PATH TO ATTEMPT TO LEARN MORE ABOUT THE PERSON OR TRY TO OFFER WHAT COULD BE CONSTRUED AS ADVICE. ONE INTERESTING POINT FOR THOSE LISTENING, IF YOU EVER ASSISTED SOMEONE WITH A CONSUMER HEALTH ACQUISITION AND ALL OF A SUDDEN THERE’S AN ODD SILENCE. IT’S OKAY TO EMBRACE IT AND DON’T FEEL THE NEED TO FILL IN THE SILENCE RIGHT AWAY. SOMETIMES FOLKS JUST NEED TIME TO PROCESS. AND THAT IS QUITE ALL RIGHT. SO INTERACTING WITH EMOTIONAL PATRONS. I GUESS I HAVE A QUESTION FOR THE CLASS. DOES ANYONE HAVE TIPS THAT THEY’VE FOUND HELPFUL FOR SOMEONE WHO IS EMOTIONAL AS WE GO INTO THIS FOUR-STEP APPROACH? LISTENING FIRST. ASK THEM TO TAKE A DEEP BREATH. ACKNOWLEDGE THE DISCOMFORT. I THINK THAT’S REALLY GREAT. STAY CALM. KEEP CALM AND TELL THEM TO EXPRESS THEMSELVES. CREATE A BIT OF STRUCTURE AROUND THE CONVERSATION. AFFIRM THEIR FEELINGS. GIVE THEM TIME TO THINK. BE KIND. OFFER THEM A DRINK AND SEE IF THEY CAN COME BACK LATER. TAKE A MINUTE TO GET A DRINK AND SEE IF THEY’LL COME BACK LATER. USE “I SEE “INSTEAD OF “YOU ARE” PHRASING. SEPARATE THEM FROM THE AUDIENCE. YES, IT IS NOT A SHOW FOR THE WHOLE LIBRARY. SO IF IT GETS EMOTIONAL, MICHELLE SPOTS WHO’S ACTUALLY A CONSUMER HEALTH COORDINATOR AT THE NATIONAL LIBRARIES OF MEDICINE WROTE A BOOK IN 2008 AND SHE OUTLINES A FOUR-STEP APPROACH TO REGAINING CONTROL IN INTENSE SITUATIONS. THE FIRST ONE IS TO STOP AND CUT OFF ALL THE THOUGHTS RUSHING THROUGH YOUR MIND AND TELL YOURSELF TO STOP ANXIOUS SELF-TALK WHETHER THIS IS SOMETHING YOU’RE ABLE TO DO SO BREATHE TO CALM YOURSELF AND ENSURE YOU CONTINUE TO BREATHE AND DON’T HOLD YOUR BREATH. SO STEP THREE IS TO REFLECT. SO ASK YOURSELF WHAT IS REALLY GOING ON HERE? WHAT AM I PROTECTING? DO I NEED TO DO X, Y OR Z. KNOW SOMETIMES THERE’S PERSONAL BUTTONS THAT COULD BE PUSHED IF SOMEONE IS DISPLAYING A BEHAVIOR TOO CLOSE TO YOUR PERSONAL LIFE OR EXPERIENCE, YOU MAY HAVE TO EXCUSE YOURSELF FROM THE SITUATION. ALSO, REFLECTING HOW IMPORTANT IS IT FOR KNOW ANSWER THIS RIGHT NOW OR CAN I GET BACK TO THIS PERSON. SO STEP FOUR IS CHOOSING. CHOOSING TO RESPOND VERSUS REACT AND THAT’S EASIER SAID THAN DONE. NOW THAT HOPEFULLY YOU HAVE BY STEP FOUR, CALMED DOWN ENOUGH, THERE’S MORE CLARITY, YOU CAN SAY SOMETHING LIKE I’D LIKE TO HEAR WHAT YOU HAVE TO SAY OR RIGHT, HOW CAN WE WORK THIS OUT AND WHAT DO YOU NEED RIGHT NOW? THOSE ARE BITS OF ADVICE. SO THIS IS FROM PSYCHOLOGY TODAY. THEY HAVE PUT TOGETHER SOME STEPS FOR DEALING WITH FOLKS WITH MENTAL ILLNESS. A GOOD START IS TO ASK IS EVERYTHING OKAY? A SECOND APPROACH TO THE SHOULD BE GENTLE BUT FIRM STATEMENT ABOUT WHAT YOU PERCEIVE THE PROBLEM TO BE. SO AGAIN, JUST EXPLAINING WHAT YOU SEE IS HAPPENING. YOU’RE BEHAVIOR IS MAKING OTHERS UPSET, IS THERE ANYTHING WE CAN HELP YOU WITH TODAY OR I SEE THAT YOUR BEHAVIOR IS MAKING OTHERS UPSET CAN I HELP YOU. REMIND THEM AND THIS IS SOMEONE EXHIBITING SIGNS OF MENTAL ILLNESS, IT’S ALWAYS AN OPTION TO CALL IN CO-WORKERS AND ADMINISTRATORS AS WELL AS SECURITY AND YOU’RE NOT A BAD PERSON FOR WANTING YOUR PLACE OF WORK FEEL LIKE A SAFE SPACE FOR OTHERS. IT’S OKAY TO HAVE LIMITS AND BOUNDARIES AND IT’S OKAY TO BE ASSERTIVE ABOUT IS GOING HAPPEN IN YOUR SPACE. I HAD A SUPERVISOR WHILE I WORKED AT PUBLIC LIBRARIES WHO SAID WE SHOULD NEVER FEEL LIKE WE HAVE TO WALK ON EGGSHELLS HERE. SOMETIMES THAT’S EASIER SAID THAN DONE BUT YES, IT’S PRETTY IMPORTANT TO CONSIDER. YOU’RE ALLOWED TO SET BOUNDARIES. SO TEACH-BACK IS A FUN THING I LEARNED ABOUT. AS I SAID, I STARTED AS A PUBLIC LIBRARIAN IN ANY BACKGROUND, NOT A HEALTH PROFESSIONAL BUT TEACH-BACK IS ALSO IS A COMMUNITY CONFIRMATION METHOD USED BY HEALTH CARE PROFESSIONALS USE TO CONFIRM WHETHER A PATIENT UNDERSTANDS WHAT IS BEING EXPLAINED. SO IF A PATIENT UNDERSTANDS IDEALLY THEY CAN QUOTE BACK THE INFORMATION ACCURATELY, THIS IS EYE COMMUNICATION METHOD ATTEMPTING TO IMPROVE HEALTH LITERACY AND WHILE IT’S A METHOD FOR HEALTH CARE ADVISORS THIS COULD HELP FOR LIBRARIANS, CAREGIVERS, CHILDREN, ANYONE WHO WORKS WITH THE PUBLIC AND COMMUNICATION IS PART OF THE KEY HERE. SO THEY HAVE 10 ELEMENTS OF COMPETENCE FOR USING TEACH-BACK EFFECTIVELY. AND AGAIN, WE’RE NOT NECESSARILY TEACHING BUT OFFERING MEDICAL ADVICE. I STILL THINK THESE ARE EXCELLENT PRACTICES. USING A CARING TONE OF VOICE, ATTITUDE, DISPLAY COMFORTABLE BODY LANGUAGE AND MAKE EYE CONTACT AND USE PLAIN LANGUAGE AND USE NON-SHAMING OPEN-ENDED QUESTIONS AND USING READER-FRIENDLY MATERIALS TO SUPPORT LEARNING AND WE’LL TALK ABOUT GOOD ONLINE RESOURCES THERE. AS YOU CAN TELL, AS WE’VE GONE THROUGH THIS BEST PRACTICES PART, THERE IS SOME CONTRADICTION BUT MOSTLY OVERLAPPING A LOT OF THINKING ABOUT YOUR EYE CONTACT AND YOUR BODY LANGUAGE AND YOUR VOICE AND WHAT YOU CAN CONTROL USING PLAIN LANGUAGE AND OPEN-ENDED QUESTIONS AS MUCH AS POSSIBLE AND LEADS US TO Q&A AN INFORMAL SURVEY WHAT DO YOU THINK THE MOST COMMON HEALTH ACQUISITIONS ARE IN PUBLIC LIBRARIES ARE? THIS WAS DONE TO A SERVE FROM THE MEDICAL LIBRARIES FOUNDATION. PEOPLE RESPONDED WITH THE NUMBER ONE AND NUMBER TWO AND NUMBER THREE MENTAL HEALTH QUESTIONS THEY CAN. SO FEEL FREE TO THROW IN WHAT THE TOP QUESTIONS ARE YOU THINK. WE SEE SOME ABOUT DEPRESSION, DEPRESSION OR SUICIDE. CHILDHOOD DEPRESSION, EATING DISORDERS, HOW TO HELP FAMILY MEMBERS. WHERE CAN I GET HELP ABOUT X, Y OR Z. QUESTIONS ABOUT ADDICTION OR ANXIETY. POSSIBLY QUESTIONS ABOUT WITH AUTISM, PTSD. HOMELESSNESS, DRUG ADDICTION, STRESS, SO MUCH STRESS IN OUR WORLD. MEDICATION, BURNOUT, ALCOHOL USE. LET’S LOOK AT THE TOP ONES. THIS IS THE RESULT TO THE SURVEY. QUESTION FAMILY SUPPORT, ANXIETY, AUTISM SPECTRUM DISORDER, BIPOLAR DISORDER. QUESTIONS ABOUT BUILDING SELF-ESTEEM OR FINDING SELF-HELP MATERIALS. COMMUNITY RE-ENTRY. FOLKS THAT HAVE BEEN HOSPITALIZED OR IN A PRISON SYSTEM. SELF-ABUSE. REFUSAL TO TAKE MEDICATIONS, TEEN SUICIDE. SO COMPREHENSIVE LIST OF THINGS THAT FOLKS HAVE BEEN ASKED. SO ONE QUICK THING TO CONSIDER IS MENTAL HEALTH PARODY. THIS INFO GRAPHIC GIVES STEPS ON WHAT TO DO WHETHER SOMEONE ISN’T SURE IF THEY HAVE MEDICAL COVERAGE FOR MENTAL HEALTH SERVICES. ESSENTIALLY COVERAGE FOR PHYSICAL AND MENTAL HEALTH CARE SHOULD BE COMPARABLE. AND IF YOU EVER HAVE A CUSTOMER CONCERNED THEY CAN KIND OF LOOK UP OR IF YOU’RE CONCERNED FOR YOURSELF ABOUT WHAT THE PARODY IS. ESSENTIALLY THE IDEA IS THAT PHYSICAL AND MENTAL HEALTH CARE SHOULD BE COMPATIBLE WHEN IT COMES TO COVERAGE IF YOU HAVE COVERAGE WHICH OF COURSE IS A CHALLENGE. SO LET’S GET INTO MENTAL HEALTH INFORMATION RESOURCES AS WE HAVE ABOUT 20 MINUTES LEFT. I’LL GO THROUGH A BUNCH OF RESOURCES. AND AGAIN, I’M GOING ASK EVERYBODY WHERE DO YOU FIND HEALTH INFORMATION EITHER FOR YOURSELF, YOUR FAMILY OR THE COMMUNITY THAT YOU SERVE? FEEL FREE TO ADD THOSE INTO THE CHAT. MEDLINE PLUS. I FEEL LIKE I HAVE A REALLY GREAT GROUP TODAY. A LOT OF PEOPLE FIND INFORMATION ON GOOGLE AND WE’LL TALK A BIT ABOUT HOW GOOGLE PULLS SO MUCH INFORMATION AND NOT NECESSARILY THE MOST ACCURATE INFORMATION. SO MEDLINE PLUS, IT SEEMS A LOT OF YOU ARE FAMILIAR BUT MEDLINE PLUS IS THE NATIONAL LIBRARY OF MEDICINE’S HEALTH INFORMATION PORTAL. IT INCLUDES LINK TO RELIABLE, AUTHORITATIVE HEALTH WEBSITES. THERE’S HEALTH TOPICS ON ALL KINDS OF ISSUES, PHYSICAL AND MENTAL HEALTH FROM ASTHMA TO DEPRESSION AND VIDEOS, QUIZZES, HEALTH QUIZZES AN AND GAMES. IF YOU HAVE MEDICAL ENCYCLOPEDIAS AND CAN’T UPDATE KNOW THE MEDICAL ENCYCLOPEDIA IS SEARCHABLE AND BROWSABLE AND THERE’S INFORMATION TO GET TO CLINICAL TRIALS HAPPENING AND LINK TO HEALTH MAGAZINE AND THE BOTTOM LEFT-HAND CORNER EASY TO READ HEALTH INFORMATION AND NO INFORMATION TO MY SECTION IS ABOVE A FOURTH-GRADE READING LEVEL SO ACCESSIBLE TO HELP FOLKS. YOU CAN USE MEDLINE PLUS FOR YOURSELF OR AS A TOP RESOURCE FOR YOUR STUDENTS OR YOUR LIBRARY PATRONS IT ONLY LINK TO RELIABLE SOURCES AND THERE’S NEVER ANY ADVERTISEMENTS OR ENDORSEMENTS ON MEDLINE PLUS SO IF YOU WERE TO SHOW THIS TO A PATRON, YOU DON’T HAVE TO WORRY ABOUT THEM CLICKING OFF AND GOING DOWN A RABBIT HOLE OF SOMETHING MORE PREDATORY. SO WHEN SEARCHING METH TAL HEALTH INFORMATION ON MEDLINE PLUS START WITH THE HEALTH TOPICS FOR BASIC INFORMATION USE THE MEDICAL ENCYCLOPEDIA. THERE’S WAY TO FIND DOCTORS AND HOSPITALS AND SUPPORT GROUPS IN THE DIRECTORY AND THERE’S LOTS TO LEARN ABOUT DRUG INFORMATION AND SUPPLEMENTS AND INTERACTIONS. WE HAVE A FEW MORE RESOURCES LIKE THOSE TWO. AND SO THIS IS JUST AN EXAMPLE OF THE AUTISM SPECTRUM DISORDER PAGE FOR MEDLINE PLUS. AS YOU CAN SEE THIS IS ON THE LEFT-HAND SIDE THE TOP OF THE SCREEN AND WHEN YOU SCROLL DOWN. IF YOU CHECK OUT THE TABLE OF CONTENTS, IT CAN QUICKLY SKIP TO SUBJECTS, SYMPTOMS, DIAGNOSES, HOW TO FIND AN EXPERT AND ON AND ON. IF YOU NOTICE ON THE RIGHT-HAND SIDE UNDER THE START HERE, WHENEVER THERE IS AN NIH LOGO, THAT IS COMING FROM THE NATIONAL INSTITUTES OF HEALTH OR THE NATIONAL LIBRARY OF MEDICINE AND IF IT DOESN’T HAVE THAT LOGO, IT’S GOING TO AN OUTSIDE ORGANIZATION SO JUST AN FYI WHAT THAT STANDS FOR BUT IT’S FOR THE AMERICAN ACADEMY OF PEDIATRICS AND OTHER REPUTABLE GROUPS. I THINK IT’S A GREAT PORTAL AS WELL SO THERE’S A LOT OF IN THERE. AS WITH ANY GOOD RESOURCE IT’S THE DETAILS THAT MATTER. MEDLINE PLUS IS A PRINTER FRIENDLY OPTION THAT INCLUDES LINK WHILE A PRINTOUT OF HYPERLINK IS NOT IDEAL, SOMETIMES IT’S A TOOL THAT IS USEFUL. IF YOU HAVE TO PRINT OFF AN ARTICLE THE FULL LINKS SO THAT SOMEONE CAN FIND IT LATER WOULD BE THERE. HEALTH REACH IS ANOTHER RESEARCH FOR MULTI LANGUAGE AND MULTI CULTURAL INFORMATION. IT’S A NATIONAL COLLABORATIVE THAT CREATED A RESOURCE FOR MULTILINGUAL, MULTICULTURAL PUBLIC HEALTH INFORMATION FOR THOSE WORKING WITH OR PROVIDING CARE TO INDIVIDUALS OF LIMITED ENGLISH PROFICIENCY. THERE’S NOT EVERYTHING BECAUSE IT’S CROWD-SOURCED AND THE FORMATS INCLUDE BROCHURES, FACT SHEETS AND VIDEOS AND PROVIDER TOOLS THAT INCLUDE BEST PRACTICES AND CULTURAL INFORMATION OR HOW TO EFFECTIVELY USE INTERPRETERS. AND THERE’S INFORMATION ON 45 LANGUAGES YOU CAN SEARCH BY HEALTH TOPIC OR LANGUAGE. IF YOU SERVE A COMMUNITY THAT’S SPANISH SPEAKING OR ANOTHER LANGUAGE YOU CAN SEE WHAT’S AVAILABLE THAT WAY TOO. IT’S A PRETTY GREAT COLLABORATIVE. AS FAR AS LOOKING FOR MEDICATION, THE DRUG INFORMATION PORTAL GIVES USERS A GATEWAY TO USER INFORMATION FROM THE U.S. LIBRARY OF MEDICINE AND OTHER GOVERNMENT AGENCY. THERE’S OVER 30,000 DRUGS THAT CAN BE SEARCHED. IT COVERS DRUGS FROM THE TIME THEY ENTER CLINICAL TRIALS TO THE MARKETPLACE AND PILL BOX IS A TOOL TO HELP YOU IDENTIFY UNKNOWN PILLS. WITH PILL BOX YOU CAN SEARCH THE IMPRINT. IN MY EXAMPLE HERE I SEARCHED A FOUND A ROUND PINK PILL AND YOU CAN ADD IMPRINT OR IF YOU KNOW AN INGREDIENT AND YOU CAN SEARCH TO IDENTIFY A PILL AND IF SOMEONE WHO TAKE MULTIPLE MEDICATIONS SAY A PARENT OR SOMEONE YOU’RE CARING FOR KNOCKS OVER THEIR PILL CASE, THIS IS A POSSIBLE WAY TO IDENTIFY WHAT HAS SPILLED. IT’S A GREAT RESOURCE AND MOBILE FRIENDLY AS WELL. GET SMART ABOUT DRUGS IS A DEA DRUG ENFORCEMENT ADMINISTRATION RESOURCE FOR PARENTS, EDUCATORS AND CAREGIVERS. IT’S NOT AN NLM RESOURCE. BUT IT INCLUDES PHOTOS AND INFORMATION ABOUT ILLEGAL DRUGS. SO IF YOU WERE TO CLICK ON A PICTURE OF A SUBSTANCE TO HELP YOU IDENTIFY AND HOW IT’S USED AND HOW SOMEONE CAN FIND TREATMENT AND THERE’S HELPFUL INFORMATION HERE ESPECIALLY SEEING IF SOMEONE IS CONCERNED ABOUT A FAMILY MEMBER TRYING TO LEARNING ABOUT DRUGS AND TRYING TO IDENTIFY THINGS THEY’RE SEEING THAT MAY NOT BE SO OBVIOUS. DRUGS AND BREAST MILK POSE A THREAT TO THE BREAST-FED INFANT AND LACTMED PROVIDES HEALTH CARE PRACTITIONERS AND NURSING MOTHERS AND FAMILY WITH DATA AND INFORMATIONAL DRUGS AS TO WHICH BREAST FEEDING MOTHERS MAY BE EXPOSED AND THE EFFECTS OVER THE AGENTS ON NURSING AGENT. THERE’S ABOUT 1,000 DRUGS ON RECORD INCLUDING HERBAL AND DIETARY SUPPLEMENTS. THERE’S VERY LIMITED RESEARCH AS FAR AS A STUDY ON DRUGS IN BREAST MILK. SO A LOT OF THE INFORMATION IS THE BEST WAY TO PUT IT IS THERE’S A LOT OF SUMMARIES OF EXPERIENCES BUT NOT REALLY COMING FROM STUDIES PER SE. SO LACTMED IS ENDORSED BY THE AMERICAN ACADEMY OF PEED PEDIATRICS AND AVAILABLE AS A DOWNLOADABLE TOOL. AND PITT’S CLINICAL E-COMPANION HAS THE ACCESS OF A UNIVERSITY OR HOSPITAL RESOURCE. MY FAVORITE FEATURE IS THE DRUG INTERACTION CHECK PERP IT’S A MEDSCAPE CHECKER AND I ADDED COMMON PRESCRIPTIONS AND INTERACTIONS WERE CHECKED. ADDITIONALLY THERE ARE HEALTH TOPICS YOU CAN FIND AND SEARCHABLE BY DEMOGRAPHICS LIKE AGE, SEX, PREGNANCY STATUS AND SEXUAL ACTIVITY. THERE’S GOOD PATIENT INFORMATION AS WELL. THIS IS ALSO DOWNLOADABLE FRIENDLY AND FREE FOR ANYONE IN THE COUNTRY TO USE IDEALLY FOR FOLKS NOT AFFILIATE WITH A HOSPITAL OR UNIVERSITY AND AREN’T ABLE TO BUY AN EXPENSIVE RESOURCE OR DATABASES. SOME FOLKS MENTIONED NAMI. IT’S THE NATIONAL ALLIANCE OF MENTAL ILLNESS. THE NATION’S LARGEST GRASSROOTS ORGANIZATION DEDICATED BUILDING BETTER LIVES FOR AMERICANS AFFECTED BY MENTAL ILLNESS. YOUR CITY OR STATE LIKELY HAS A LOCAL CHAPTER AND THEY CAN BE AN EXCELLENT PARTNER. IN DISSATISFACTION, THERE’S A LOT OF PRINTER FRIENDLY FACT SHEETS, EDUCATIONAL MATERIALS AND NAMI HAS A GUIDE IN NAVIGATE MENTAL HEALTH CRISIS. AND RESOURCES I ENCOURAGE YOU TO CHECK OUT. SAMHSA IS A DID GOOD SITE FOR INFORMATION AND TRAUMAS AND SUBSTANCE ABUSE AND CHILDREN AND FAMILY AND RECOVERY SUPPORT AND NATIONAL MENTAL HEALTH INFORMATION CENTER ALSO HAS A TREATMENT CENTER LOCATER AND THE LINK TO THE NATIONAL SUICIDE PREVENTION LIFE LINE AND THERE’S DISASTER DISTRESS HELP LINE. AND ON THE RIGHT THERE’S A WAY TO SEARCH FOR TREATMENT CENTERS WHETHER IT’S BEHAVIORAL HEALTH OR SOMEONE IS LOOKING FOR AN EPINEPHRINE PHYSICIAN OR EARLY SERIOUS MENTAL ILLNESS TREATMENT OR OPIOID TREATMENT. WE’LL GO THROUGH SEARCH TIPS. FOR EXAMPLE, SOMETIMES BIPOLAR DISORDER IS STILL REFERRED TO AS MANIC DEPRESSION. SOMETIMES THERE’S MULTIPLE THINGS FOR DISORDERS AND THERE’S THE MIXING OF DISEASE DISORDER SYMPTOM AND SPECTRUM. THEY’RE OFTEN INTERCHANGEABLE WHEN WE’RE SEARCHING AND I RECOMMEND USING THOSE TERMS INTERCHANGEABLY WHEN DOING A SEARCH. SO WE DON’T HAVE A LOT OF TIME AND I FIGURED WE’D HAVE ABOUT EIGHT MINUTES LEFT WHEN WE GOT TO THIS PART SO WE WON’T GET TOO DEEP INTO YOUTH HEALTH ISSUES. THERE’LL PROBABLY BE A FOLLOW-UP WEBINAR THAT FOLLOWS UP ON MENTAL HEALTH AND YOUTH. THIS WAS A JOURNAL ARTICLE THAT WAS DISHEARTENING AND STATE THE NUMBER OF CHILDREN AND TEENS IN THE UNITED STATES WHO VISITED EMERGENCY ROOMS FOR SUICIDAL THOUGHTS AND SUICIDE ATTEMPTS DOUBLED BETWEEN 2007 AND 2015. THAT’S ACCORDING TO A NEW ANALYSIS. AND ACCORDING TO DATA FROM THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY THE MAJORITY OF THE UNITED STATES FACES THE SEVERE SHORTAGE OF PRACTICING CHILD AND ADOLESCENT PSYCHIATRISTS AND THIS NUMBER IS REALLY DISHEARTENING. WITH FEWER THAN 17 PROVIDERS PER SO THERE IS A SEVERE SHORTAGE OF HIGHLY QUALIFIED PSYCHIATRISTS TO TREAT THIS INCREASE. THE NATIONAL HOSPITAL AMBULATORY AND MEDICAL CARE SURVEY ADMINISTERED BY THE U.S. CENTER FOR DISEASE CONTROL AND PREVENTION HELP FACILITATE THIS STUDY. SO NAMI HAS A HUGE ARRAY OF FACT SHEETS AND INFO GRAPHICS YOU CAN USE AND THIS IS ABOUT CHILDREN AND TEENS. OUT OF SCHOOL AND DEPRESSION IS THE HIGHEST DROP OUT YOUTH AND HAVE A MENTAL ILLNESS. OFFERING VOLUNTEER OPPORTUNITIES AND A VARIETY OF PROGRAMS COULD BE A WAY TO SUPPORT MENTAL HEALTH AMONG TEENS. I’M ALWAYS AN ADVOCATE OF DEDICATED SPACES AND PROGRAMMING ONLY FOR TEENS BECAUSE THEY CAN OFFER A SPACE THAT IS NOT HOME. ANOTHER INFO GRAPHIC FOR NAMI AND THEY’RE READY TO BE PRINT AND POSTED IN YOUR TEEN SPACE TODAY IF YOU WORK WITH YOUNG ADULT. SINCE WE ONLY HAVE AN HOUR, WE’RE BARELY GOING TO SCRAPE THE SURFACE BUT THE FULL SLIDES AND FULL RESOURCE GUIDE THAT ARE ON THE CARING NOR MIND PAGE INCLUDE RESOURCES FOR YOUTH, SUICIDE PREVENTION, ANTI-BULLYING AND COPING WITH VIOLENCE AND OTHER HEALTH TOPICS. THE SLIDES ARE MUCH MORE EXTENSIVE YOUTH IS YOUR ISSUE OR YOUR POPULATION AND YOU WANT TO DISCOVER MORE. SO OUR LAST STOP IS ADDITIONAL RESOURCES AND COLLECTIONS. WE’LL TALK ABOUT NATIONAL HEALTH OBSERVANCES, GRAPHIC MEDICINE, THE NLM EXHIBITION PROGRAM AND A LITTLE BIT ABOUT BIBLIOTHERAPY AND THERE’S RESOURCES FOR PUBLIC LIBRARIES THAT ALIGN WITH THE NATIONAL HEALTH OBSERVES THROUGHOUT THE CALENDAR YEAR PROVIDING PROGRAMMING RESOURCES IS ONE WAY A COMMUNITY ENGAGEMENT NETWORK REFERRED TO AS THE C.E.N. SUPPORTS COMMUNITY WITH CONSUMER HEALTH INFORMATION AND EDUCATION TO INCREASE HEALTH LITERACY AND RAISE THE AWARENESS OF THE PROGRAM AND MAY IS MENTAL HEALTH MONTH AND WE CREATED TWO PRINTER-FRIENDLY HANDOUT FOR PUBLIC LIBRARIES WHICH I THINK CAN BE USED ALTERNATELY WITH OTHER LIBRARIES BUT I DESIGNED THEM WITH PUBLIC LIBRARIES IN MIND AS WELL AS GRAPHICS FOR SOCIAL MEDIA. AND THIS IS PRINTER FRIENDLY AND LISTS LIKE THE TOP SIX OR SEVEN RESOURCES THAT SOMEONE FROM THE PUBLIC MIGHT NEED. THESE ARE EDUCATIONAL FLYERS AND THEY INCLUDE LINK TO THE NATIONAL CENTER FOR PTSD THE NATIONAL ALLIANCE ON MENTAL ILLNESS, NAMI, THE MEDLINE PLUS MENTAL HEALTH PAGE AND PILL BOX AND THE PSYCHOLOGY LOCATER FROM THE AMERICAN PSYCHOLOGICAL ASSOCIATION IS EXCELLENT. THIS IS ACTUALLY A PRINTOUT WE DESIGNED AS A HANDOUT FOR PUBLIC LIBRARIANS FOR STAFF. THIS COULD BE PRINTED OFF AND USED IF YOU’RE GOING TO BRING THIS BACK TO YOUR COLLEAGUES FOR A MINI TRAINING. IT INCLUDES THE OPEN-ENDED QUESTIONS, FINDING INFORMATION ON MEDLINE PLUS AND THE NATIONAL INFORMATION CENTER AND INCLUDES THE MENTAL HEALTH DATABASE SEARCHING TIPS AND THEY’RE FRESH IN DESIGN AND ON THE PAGE AND ON THE NATIONAL HEALTH OBSERVANCES PAGE FOR NNLM. I HOPE THEY’RE A NICE ADDITION TO YOUR LIBRARY. SO IF YOU ALREADY HOST A BOOK CLUB OR DO COLLECTION DEVELOPMENT, CONSIDER EXPLORING GRAPHIC MEDICINE. IT’S ONE OF MY FAVORITE THINGS AND I WISH WE HAD MORE TIME TO TALK ABOUT IT BUT I COMBINES VISUAL STORY TELLING AND MEDICINE CREATE ING A UNIQUE WAY TO LEARN THROUGH COMICS. THE NNLM NEW ENGLAND REGION CIRCULATES BOOK CLUB KITS. SO IF YOU’RE IN THAT REGION IN MAINE, NEW HAMPSHIRE, VERMONT, MASSACHUSETTS AND CONNECTICUT YOU CAN OR A KIT. BUT THE DISCUSSION MATERIALS AND GUIDES ARE COMPLETELY FREE ONLINE FROM ANYONE TO ACCESS TOPICS INCLUDE ADDICTION, EPILEPSY, GRIEF, MENTAL HEALTH, CANCER AND OTHERS. THERE’S RECORDING OF WEBINARS HOW TO BRING GRAPHIC MEDICINE INTO YOUR LOCATIONS AND AN EXTENSIVE BOOK LIST BROKEN DOWN BY TOPIC. ONE OF MY ALL-TIME FAVORITE BOOKS FUN HOME IS LISTED HERE AND FEATURED IN THE BOOK CLUB DISCUSSION KITS. A QUICK WORD ABOUT THE EXHIBITS. THE NATIONAL LIBRARY OF MEDICINE PRODUCES TRAVELLING EXHIBITIONS WHICH ARE MADE AVAILABLE FREE OF CHARGE TO UNIVERSITIES, MEDICAL LIBRARIES, CULTURAL INSTITUTIONS AND ALL KINDS OF ORGANIZATIONS ACROSS THE COUNTRY. THERE’S A SMALL SHIPPING FEE. WELL, NOT THAT SMALL BUT YOU CAN CONTRACT YOUR NNLM MEDICAL LIBRARY ABOUT A POSSIBLE FUNDING SOURCE AND THE EXHIBIT IS ABOUT SIX ABOUT SIX-FEET TALL ABOUT A PARTICULAR TOPIC. THERE’S THE ONLINE EXHIBITIONS WHICH HAS INFORMATION FOR K-12 AND COLLEGE AND UNIVERSITIES INCLUDING LESSON PLANS IN HOW TO ADAPT THESE INTO YOUR DISCIPLINES. ONE OF MY FAVORITE ONES IS THE GRAPHIC MEDICINE NNLM TRAVELLING EXHIBIT THAT USES COMICS AND GRAPHIC NOVELS TO COMMUNICATE ABOUT HEALTH-GRAPHIC MEDICINE IS THE USE OF COMICS TO TELL PERSONAL STORIES OF ILLNESS AND HEALTH. THERE’S AMAZING TITLES. GRAPHIC NOVELS ARE A GROWING GENRE, OF COURSE. A LOT OF ARTISTS AND WRITERS ARE EXPRESSING THEMSELVES IN THIS VERY ACCESSIBLE MEDIUM. IF YOU WANT MORE INFORMATION ABOUT THE EXHIBITS PROGRAM, CHECK OUT THE HANDOUT ON THE CLASS PAGE. WE’RE GETTING CLOSE TO THE END HERE. PROBABLY GOING TO GO A MINUTE OR TWO OVER. YOU’RE WELCOME TO EXIT IF YOU NEED TO BUT I’M GOING TO FINISH A FEW SLIDES AND I HOPE YOU’RE INTERESTED ENOUGH TO STAY ALONG. PUBMED’S MEDICAL SUBJECT HEADINGS DEFINES BIBLIOTHERAPY AS A FORM OF PSYCHOTHERAPY WHERE THE PATIENT IS GIVEN SELECTED MATERIAL TO READ AND THE LIBRARY MAY TAKE ON A BIBLIOTHERAPY ROLE WHEN A PATRON IS GIVEN A BOOK TO A CHILD WHO IS GRIEVING OVER THE LOSS OF A PARENT OR DEALING WITH THE DIAGNOSIS OF A MAJOR ILLNESS. MANY PUBLIC LIBRARIES HAVE LISTS TO SUPPORT PATRONS IN NEED IN THE RESOURCE LIST. THERE’S SEVERAL LINKS TO ARTICLES AND LISTS IN BIBLIOTHERAPY AND THE LIBRARY I WORKED FOR WAS THE LIBRARY OF PITTSBURGH THEY BRANDED IT AS HERE TO HELP AND THERE’S BOOKS LISTED. THIS IS A GREAT WAY TO THINK OUTSIDE THE BOX WHEN IT COMES TO MEETING PHYSICAL AND MENTAL HEALTH NEEDS. THIS IS THE TEEN HYGIENE CENTER IN PORTLAND, OREGON AT THE ROCKWOOD MAKERSPACE. THEY HAVE PROVIDED HEALTH INFORMATION AND BASIC HYGIENE WIPES AND AS YOU CAN SEE ALL KINDS OF FEMININE HYGIENE PRODUCTS AND TOOTH BRUSHES AND THINGS LIKE THAT FOR TEENS WHO NAY NOT BE IN A SAFE SPACE AND IT’S A CREATIVE WAY TO THINK OF MEETING THE NEEDS OF THE FOLKS WHO NEED US MOST. ALWAYS THINKING OF POTENTIAL PARTNERS, DEVELOPING SPECIAL SUPPORTS AND SOCIAL GROUPS, WELCOMING CAREER PARTNERS AND FAITH BASED ORGANIZATIONS AND LOCAL HEALTH DEPARTMENTS. YOU NEVER KNOW WHERE YOU MIGHT ABLE TO FIND YOUR NEXT PARTNERSHIP. SO THINK ABOUT LARGE RESOURCES LIKE NAMI AND THERE’S LOCAL CHAPTERS OF NAMI AND GOING INTO YOUR COMMUNITY TO SEE WHAT PEOPLE CAN HELP YOU IF YOU WANTED TO DO SOME PROGRAMING ONE QUICK TIP IS BE PREPARED TO WORK WITH YOUR ADMINISTRATORS TO HAVE AN INSTITUTIONAL PLAN AND EVERYONE INCLUDING PARKING STAFF KNOW WHAT TO DO IF SOMEONE IS EXHIBITING MENTAL ILLNESS. MENTAL HEALTH FIRST AID IS EXCELLENT. IF YOU’RE LOOKING FOR DEVELOPMENT OPPORTUNITIES FOR COLLEAGUES OR STAFF, IT’S AN EIGHT-HOUR TRAINING AND IT’S A CERTIFICATION ORGANIZED BY THE NATIONAL INSTITUTE OF HEALTH IT’S NOT ENDORSED OR IS IT A PROGRAM OF THE NATIONAL LIBRARY OF MEDICINE AND IT HELPED ME IN MY DAY TO DAY WORK WORKING IN PUBLIC LIBRARIES. A FEW QUICK TAKE HOME POINTS AND I’M HAPPY TO TAKE QUESTIONS AS WELL. FIGHTING STIGMA, BE PROACTIVE ABOUT YOUR MENTAL HEALTH
AND CULTIVATE YOUR KNOWLEDGE AND PLEASE TAKE AREA OF YOURSELF AS WELL. DO YOUR BEST IN ASSISTING THOSE WITH MENTAL HEALTH ISSUES AND DO THE BEST YOU CAN AND THAT’S REALLY ALL WE CAN ASK OF OURSELVES. KEEP THE DIALOGUE DOING AT YOUR LIBRARY OR ORGANIZATION AND COMPLY WITH YOUR TEAM AND OF COURSE PLEASE FEEL FREE TO REACH OUT AT ANY TIME AND MY E-MAIL IS LISTED HERE AND OUR REGION IS NEAR NEW JERSEY, DELAWARE, PENNSYLVANIA FOR IN-PERSON TRAININGS BUT I’M HAPPY TO CONNECT YOU WITH OTHER COLLEAGUES. THE COURSE PAGE AND RESOURCE LIST, AGAIN IS IS FAR MORE EXTENSIVE THAN THIS HOUR AND LOOKS LIKE WE WENT JUST OVER. I KNOW WE COVERED A LOT OF MATERIAL SO LET ME TAKE A PEEK AND SEE IF WE HAVE SOME QUESTIONS. SOME EXHIBITS ARE THROUGH 2021 BUT THEY OPEN OCCASIONALLY. IF YOU’RE AN NNLM MEMBER OCCASIONALLY WE’RE ABLE TO PUT OUT WORD THAT DIFFERENT ONES ARE AVAILABLE. SO MAYBE LONG TERM. IF ANYONE IS LOCATED NEAR PITTSBURGH THE HEALTH SCIENCES LIBRARY IN PITT IS HOST AN EXHIBITION AND THERE’S A GREAT CALENDAR TO FIND EVERYTHING. AND THERE’S THE NNLM CONTROLLED VOCABULARY THESAURUS FOR ACCESSING PUBMED SO IT’S A COOL TOOL. THANKS FOR THE POSITIVE COMMENTS. I APPRECIATE IT. I’LL BE AT A.L.A. I SEE SOMEONE TALKING ABOUT A.L.A., IN D.C. AND JUNE. FEEL FREE TO FIND ME. I’LL PROBABLY BE AT THE EXHIBIT BOOTH OR THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE. I HOPE THE TAKEAWAY WOULD TO BE PRINT OFF THE HANDOUTS AND POST THEM FOR STAFF AND THE PUBLIC. I KNOW WE COVERED A LOT OF MATERIAL SO MY APOLOGIES FOR TALKING FAST AND TRYING TO GET THROUGH IT. I THINK WHEN WE TEACH THE NEXT TIME WE’LL GO TO 90 MINUTES AND WE’LL INCLUDE MORE HEALTH ISSUES. BUT PLEASE FEEL FREE TO LOOK AT THE HANDOUT. THERE’S AN IMMENSE ARRAY OF RESOURCES. I DID NOT PUT THEM ALL TOGETHER. THIS HAS BEEN A COURSE THAT’S BEEN IN DEVELOPMENT FOR IN YEARS AT THE NETWORK. AND I’M FORTUNATE TO BE AN INSTRUCTOR FOR IT. THERE’S A LOT OF CHATS, IF I HAPPEN TO MISS YOUR QUESTION, PLEASE FEEL FREE TO SHARE IT NOW. IT LOOKS LIKE I DON’T HAVE ANY ADDITIONAL QUESTIONS. A QUESTION FROM JANE SAYS MY BIOMEDICAL STUDENTS NEED TECHNICAL REPORTS AND CASE STUDIES OTHER THAN PUBMED. WHAT CAN YOU RECOMMEND? THERE IS A CLASS THAT IS OFFERED OCCASIONALLY HERE AT NNLM CALLED PUBMED AND BEYOND. IF YOU HAVE TROUBLE AND IF YOU GO THROUGH OUR TRAININGS AND SEE THAT ONE IF IT’S BEING OFFERED OR IF THERE’S A PAST RECORDING THAT’S WHERE I’D LOOK FIRST IT’S BEYOND OTHER DATABASES THAT ARE FREE AS WELL. IF HAVE YOU ANY TROUBLE FINDING IT, PLEASE FEEL FREE TO FOLLOW-UP UP WITH ME AND GOING INTO THE NNLM MAIN PAGE AND LOOKING FOR TRAININGS AND THE ONE COURSE IS PUBMED AND BEYOND IS PROBABLY WHERE I’D GO FOR INFORMATION. TWO CREDITS OFFERED FOR THIS CLASS. THERE’S THE CONSUMER HEALTH INFORMATION SPECIALIZATION AND ONE CREDIT AVAILABLE FOR TODAY. AND FOR ANYONE WHO IS A MEMBER OF THE MEDICAL LIBRARY ASSOCIATION, YOU CAN ALSO EARN A FREE CREDIT AND THE INSTRUCTIONS FOR IT WHEN YOU EXIT THE SCREEN YOU’LL GET A SURVEY. AT THE BOTTOM OF THE CODE TO USE FOR THE MLA. ANY RESOURCES YOU KNOW OFF THE TOP OF YOUR HEAD MENTAL HEALTH RELATE AND CULTURALLY SENSITIVE TO TRIBAL HEALTH COMMUNITIES? THAT’S AN EXCELLENT QUESTION. I’D FIRST START IN HEALTH REACH TO SEE IF ANYONE HAS CROWD SOURCED OR PUT INFORMATION IN THERE. THAT’S A GREAT QUESTION. IF YOU WOULD E-MAIL ME PERSONALLY IF THAT DIDN’T ANSWER YOUR QUESTION, I’M HAPPY TO FOLLOW-UP UP FOR YOU AND OFF THE TOP OF MY HEAD I DON’T KNOW AND CURIOUS TO FIND OUT FOR YOU. AND UNIVERSITY OF WASHINGTON SOCIAL WORK HAS TRIBALLY SPECIFIC RESOURCES. THANKS, GRACE FOR SHARING THE PUBMED SPECIAL QUERIES. THANKS, ANITA. I’LL FOLLOW-UP WITH COLLEAGUES. I THINK WITH THAT WE’RE 10 MINUTES OVER. I APPRECIATE YOUR TIME. I TRY NOT TO GO OVER BUT IT WAYS HARD COURSE TO PARE DOWN SINCE THERE’S SO MUCH CONTENT. IF YOU RECOMMEND IT TO A COLLEAGUE IN THE FUTURE, I HOPE YOU DO, WE’LL HAVE IT LONGER. THIS IS WONDERFUL. AT ONE POINT I THINK WE HAD ABOUT 100 PEOPLE OR MORE ATTEND SO THANKS FOR COMING TODAY AND I’LL END THE RECORDING. OUR AMAZING ASSISTANT HERE SHARED WE HAD OVER 120 PEOPLE ATTEND SO THAT’S REALLY GREAT. I HOPE YOU HAVE SOME WONDERFUL THINGS TO TAKE BACK. THANKS. ANY FOLLOW-UP QUESTIONS, PLEASE FEEL FREE TO E-MAIL ME. ANYTHING I CAN’T ANSWER AND WE’LL DO THE BEST A LIBRARIAN CAN DO AND TRY TO GET YOU THE ANSWER FROM SOMEONE WHO CAN. THANKS FOR THE TIME. I’LL END THE RECORDING NOW. HAVE A GREAT DAY. THANKS FOR WATCHING. THIS VIDEO WAS PRODUCED BY THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE. SELECT THE CIRCULAR CHANNEL ICON TO SUBSCRIBE TO OUR CHANNEL. SELECT A VIDEO THUMBNAIL TO WATCH ANOTHER VIDEO FROM THE CHANNEL.

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