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Exam Code: ICDL-IT Practice test 2023 by Killexams.com team

Test Detail:
The ICDL-IT exam, also known as the ICDL Level 4 IT exam, is a certification assessment that measures an individual's proficiency in essential IT skills. The test evaluates the candidate's understanding and practical application of various IT concepts, tools, and technologies. This certification is designed for individuals who want to demonstrate their competence in using IT effectively in various professional settings.

Course Outline:
The ICDL Level 4 IT course provides participants with comprehensive knowledge and practical skills in different areas of information technology. The following is a general outline of the key areas covered in the certification program:

1. Computer Essentials:
- Understanding computer hardware and software components.
- Operating systems and their functions.
- Using productivity software (e.g., word processing, spreadsheets, presentations).
- Basic troubleshooting and maintenance.

2. Online Collaboration:
- Email communication and management.
- Working with online documents and cloud storage.
- Understanding web conferencing and collaboration tools.
- Social media and online safety.

3. IT Security:
- Understanding common security threats and vulnerabilities.
- Implementing security measures and best practices.
- Protecting personal information and data.
- Maintaining data privacy and confidentiality.

4. Database Management:
- Understanding database concepts and structures.
- Creating and managing databases.
- Querying and retrieving data from databases.
- Data integrity and security.

5. Project Planning:
- Defining project scope, objectives, and deliverables.
- Identifying project stakeholders and their roles.
- Planning project activities, timelines, and resources.
- Monitoring and controlling project progress.

Exam Objectives:
The ICDL-IT test assesses candidates' knowledge and practical skills in essential IT areas. The test objectives include, but are not limited to:

1. Demonstrating proficiency in computer essentials, including hardware, software, and operating systems.
2. Applying online collaboration tools and techniques for effective communication and document management.
3. Understanding IT security principles and implementing appropriate security measures.
4. Managing databases, including creating, querying, and maintaining data.
5. Applying project planning and management concepts for successful project execution.

The ICDL Level 4 IT certification program typically includes comprehensive training provided by authorized ICDL training centers. The syllabus provides a breakdown of the syllabus covered throughout the course, including specific learning objectives and milestones. The syllabus may include the following components:

- Computer essentials and operating systems
- Productivity software applications
- Online collaboration tools and techniques
- IT security and data protection
- Database management and querying
- Project planning and management
- test preparation and practice tests
- Final ICDL Level 4 IT Certification Exam

ICDL ICDL health
Killexams : ICDL ICDL health - BingNews https://killexams.com/pass4sure/exam-detail/ICDL-IT Search results Killexams : ICDL ICDL health - BingNews https://killexams.com/pass4sure/exam-detail/ICDL-IT https://killexams.com/exam_list/ICDL Killexams : Best Health Insurance Companies Of August 2023

UnitedHealthcare, the biggest health insurer in the country with over 26 million members, offers insurance coverage in nearly every state. That includes plans in 18 states through the Affordable Care Act marketplace: Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Louisiana, Maryland, Massachusetts, Michigan, Nevada, New York, North Carolina, Oklahoma, Tennessee, Texas, Virginia and Washington.

Beyond ACA marketplace plans, UnitedHealthcare also offers coverage through employer-based plans, Medicare, Medicaid, short-term health insurance and supplemental insurance, including critical illness insurance.

UnitedHealthcare has a wider nationwide provider network than many competitors. The company has 1.3 million physicians and care professionals at 6,500 hospitals and care facilities. That large network makes it easier to get in-network care when you’re away from home.

Some UnitedHealthcare plans offer additional benefits, including $0 primary care physician visits and copays, unlimited virtual visits, adult vision and dental and prescription drug delivery.

Read More: UnitedHealthcare Health Insurance Review

Tue, 01 Aug 2023 00:14:00 -0500 Les Masterson en-US text/html https://www.forbes.com/advisor/health-insurance/best-health-insurance-companies/
Killexams : Global Health Killexams : Global Health : NPR

Global Health NPR news on world health issues, disease control, public health and sanitation, and health education. Subscribe to the RSS feed.

Teenage girl writes her school work under the tree while watching over the tuck shop. Atang L.S Arnold for NPR hide caption

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A patient infected with chikungunya looks out from mosquito netting at a hospital in San Lorenzo, Paraguay. The country has counted over 100,000 cases of the mosquito-borne virus this year. Jorge Saenz/AP hide caption

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Jorge Saenz/AP

Chikungunya virus surges in South America. But a new discovery could help outfox it

An illustration of the head and mouth parts of Anopheles sp. female and male mosquitoes. The hairs (or fibrillae) on the antenna of the male enable them to hear the buzz of females in a swarm. Joe Brock/Francis Crick Institute hide caption

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Joe Brock/Francis Crick Institute

Nurse and public health official Rukaya Mumuni and community health worker Prossy Muyingo are among the "heroines of health" honored this year. Heidi de Marco for NPR hide caption

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Heidi de Marco for NPR

It was scorching hot across much of the planet this summer. Asia, Africa, and South America had their hottest July's ever. Temperatures in Beijing and other parts of northern China hovered around 100 degrees Fahrenheit for weeks, with some cities topping 120 F on the worst days. Kevin Frayer/Getty Images hide caption

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Kevin Frayer/Getty Images

Just how hot was July? Hotter than anything on record

Erica Lacerda de Souza, Bruce Lee Sousa and son Henrique of São Paulo, Brazil, lost their home during the pandemic but got a fresh start from a program that offers tiny houses to homeless people. At first they said no — it seemed too good to be true. Felipe Iruata for NPR hide caption

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In a hot room, you're told to play a vicious game. Will heat make you behave badly?

A COVID booster is administered in Jakarta, Indonesia. Eko Siswono Toyudho/Anadolu Agency via Getty Images hide caption

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Trash collectors from Marsabit Safi Services offload waste at the Dadach Boshe dump. Even though Kenyan banned single-use plastic bags in 2016, they're still piling up at the dump and blowing off to litter the landscape and bodies of water. Scovian Lillian for NPR hide caption

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Protesters march outside the White House to call attention to those who have long COVID and those who have the disabling disease Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Nathan Posner/Anadolu Agency via Getty Images hide caption

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Yogurt-based drinks such as the lassi from India are go-to beverages for cooling down in the hot summer. The glasses at left add mango to the recipe. Chona Kasinger for NPR hide caption

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Why India's yogurt drink lassi is the perfect drink for the hottest summer on record

Shaimaa Ali Ahmed, 12, lost her leg at age 6 after happening upon an unexploded rocket. Yemeni children like her bear an outsized burden from the civil war, where land mines and ordnance litter the landscape. Claire Harbage/NPR hide caption

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Claire Harbage/NPR

She's 12. A rocket took her leg. She defines the pain and resilience of Yemen

Ambassador-at-Large John Nkengasong, who will lead the State Department's Bureau of Global Health Security and Diplomacy, speaks to the press about the new agency. He told NPR that the pandemic "taught us three key lessons. We are collectively more connected than we thought. We are more vulnerable than we thought. And we have [vast] inequities" when it comes to disease threats. Celal Gunes/Anadolu Agency via Getty Images hide caption

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A new U.S. agency is a response to the fact that nobody was ready for the pandemic

Don't worry, this six-foot-tall tsetse fly didn't bite anyone. He was part of a performance to teach Malawians about preventing sleeping sickness. Hannah Bialic hide caption

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Hannah Bialic

Karl Ohiri: Untitled, from "The Archive of Becoming." Ohiri features old negatives and prints that have been transformed by heat, humidity and time. Karl Ohiri hide caption

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Karl Ohiri

Vichitra Rajasingh had 80 Barbies as a kid. Living in a small town at a time when there wasn't much entertainment, she says Barbie was a source of limitless imagination. At the bakery she now runs, she bakes about half-a-dozen Barbie cakes a week. She says the dolls remind her of her grandmother, who passed away at age 87 in January and who used to surprise her by sewing outfits for her dolls. Anushree Bhatter for NPR hide caption

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Anushree Bhatter for NPR

An image of the hepatitis C virus Image made from a transmission electron microscopy. The virus is adept at evading the immune system. BSIP/Universal Images Group via Getty Images hide caption

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BSIP/Universal Images Group via Getty Images

Jacqueline Trejo, mayor of Macuelizo, walks past one of the town's murals. The pink flowering tree that's depicted is the source of the town's name. She wanted to Excellerate the quality of life there but lacked the funds to fulfill her plans. Tomas Ayuso for NPR hide caption

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Tomas Ayuso for NPR

Migrants onboard the Adriana, during a rescue operation before the boat capsized on the open sea off Greece on June 14. Egypt is the country with the highest number of illegal migrants heading to Europe. Hellenic Coast Guard/Reuters hide caption

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Hellenic Coast Guard/Reuters

Egypt's vanishing village men: Risking it all to get to Europe

This colorized transmission electron micrograph of a human white blood cell (bottom) shows the HLA antigen — the uneven red areas on the cell's exterior surface. A variant of the HLA gene could play a role in warding off COVID symptoms. CNRI / Science Source hide caption

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CNRI / Science Source

You know those folks who had COVID but no symptoms? A new study offers an explanation

Sun, 20 Aug 2023 12:00:00 -0500 en text/html https://www.npr.org/sections/global-health/
Killexams : Health/Life Sciences No result found, try new keyword!Seattle-area health tech startup Viome Life Sciences closed a $86.5 million Series C round and announced a deal with CVS to sell its gut microbiome test in 200 CVS locations… Read More by ... Fri, 18 Aug 2023 02:21:00 -0500 en-US text/html https://www.geekwire.com/health/ Killexams : Mental Health News

Receiving therapy for problematic social media use can be effective in improving the mental wellbeing of people with depression, a new study ...

A new talking therapy for depression has shown encouraging early signs of being more effective and cheaper to deliver than the current best practice of Cognitive Behavioural Therapy (CBT). A pilot ...

Brand new research has revealed that even moderate daily physical activity can reduce the risk of ...

In-person mindfulness courses help Excellerate mental health for at least six months, study shows. Adults who voluntarily take part in mindfulness courses are less likely to experience symptoms of ...

A new study suggests that depression after traumatic brain injury (TBI) could be a clinically distinct disorder rather than traditional major depressive disorder, with implications for patient ...

New research has found that the way childhood abuse and/or neglect is remembered and processed has a greater impact on later mental health than the experience itself. The authors suggest that, even ...

Children taking a prescription stimulant to manage ADHD symptoms are not at a higher risk of substance use disorder as adolescents or young adults, according to new ...

Major depressive disorder (MDD) is not only among the most common mental illnesses, affecting over 8% of Americans, but it is also extremely variable from one person to another. Researchers have ...

A new study of a brain region called the rostro-medial prefrontal could potentially advance diagnosis and therapies for Borderline Personality Disorder ...

Children who begin studying for pleasure early in life tend to perform better at cognitive tests and have better mental health when they enter adolescence, a study of more than 10,000 young ...

In a study that followed more than 2,000 community-dwelling older adults over eight years, researchers say they have significant new evidence of a link between decreased sense of smell and risk of ...

Using surveys, cognitive tests and brain imaging, researchers have identified a type of depression that affects about a quarter of patients. The goal is to diagnose and treat the condition more ...

Researchers have identified a group of nerve cells in the mouse brain that are involved in creating negative emotional states and chronic stress. The neurons, which have been mapped with a ...

Cognitive deficits accompany mood disorders and other psychiatric conditions, often with debilitating effects. Limited treatments currently exist, but studies in animals and humans have pointed to ...

Women who used combined contraceptive pills were at greater risk of developing depression than women who did not, according to a new study. Contraceptive pills increased women's risk by 73 per ...

For the first time, cells involved with the communication between stress responses in the brain and inflammation in the gastrointestinal (GI) tract have been identified in animal models. Glial cells, ...

Being obese significantly increases the chances of also developing mental disorders. This applies to all age groups, with women at higher risk than men for most ...

A new study has revealed how magnetic stimulation treats severe depression: by correcting the abnormal flow of brain ...

A study found changes in patients' brain activity along with improved depression and anxiety symptoms after using ...

Depression is a condition affecting millions across the globe. However, efficient drugs with minimal adverse effects are scarce. Now, researchers have reported how KNT-127, a delta opioid receptor ...

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Sun, 20 Aug 2023 12:00:00 -0500 en text/html https://www.sciencedaily.com/news/mind_brain/mental_health/
Killexams : University of Utah Health

Navigating your health can be difficult. HealthFeed is here to help. As the official blog of University of Utah Health, we are here to offer you information on the latest in medicine, research, nutrition, exercise, and more. We not only will deliver you the facts, but help you understand them in today’s world where headlines are changing every day.

Tue, 22 Aug 2023 02:00:00 -0500 en text/html https://healthcare.utah.edu/
Killexams : 10 Best Online Therapy Services: Reviewed In 2023

Mary Alvord, Ph.D., a psychologist in Maryland who teaches mental health professionals about telehealth, Jay Shore, Ph.D., a psychiatrist and director of telemedicine at the Helen and Arthur E. Johnson Depression Center at the University of Colorado Anschutz Medical Campus and Henderson offer these pros and cons for online therapy.


Circumvents mental health stigma. “For people whom stigma is a concern, especially if they live in a tight-knit community, parking their car outside a counseling center or therapy office can really violate their privacy,” says Henderson. “But online therapy is really discreet and can protect people’s privacy and confidentiality in ways that in-person [therapy] simply cannot.”

Convenience and safety. If you’re unable to travel safely during bad weather or can’t take time out of your workday to travel to and from a mental health professional’s office, a virtual visit can be a good substitute.

Sense of intimacy. Dr. Shore says some patients may prefer their familiar at-home surroundings versus an “artificial clinic environment.” Henderson echoes these sentiments. “In some ways, video is more intimate than being in the same room because we’re in each other’s space,” she says. “You might be in my office, but it’s in my home, so it feels like you’re in my home just as I am in your home. That really bridges a gap, as opposed to being on my turf when you come into my office.”

Similar outcomes. In-person and video visits hold the potential to deliver similar results, according to Dr. Shore. Henderson agrees: “We see just as much, if not more, improvement in online therapy settings. Apples to apples, in-person therapy versus telehealth, there’s really no difference between which one is more effective.”

Easier access. For people who live far from the nearest therapist’s office or counseling center, online therapy can provide a readily available alternative.

Little to no wait time. A virtual appointment may be able to begin on time while an in-office appointment may be delayed by paperwork and other bureaucratic hurdles.


Nonverbal communication. A therapist may not pick up on a patient’s nonverbal cues during a virtual appointment. Dr. Alvord explains that much of our communication is nonverbal. However, Henderson points out that the proximity of the camera lens during video appointments can provide more visual communication through facial expressions than in an in-person appointment where a greater physical distance exists between the therapist and the client.

Limited effectiveness for some. Certain patients, such as some children or people with autism spectrum disorder, may not respond well to virtual therapy, Dr. Alvord notes. Individuals with dementia or other cognitive issues also may not do well in virtual sessions without modifications, such as a caregiver being with the patient, explains Dr. Shore.

Technology. Some people’s homes may not be equipped with high speed internet service, or the patient may not be comfortable with technology, making virtual therapy difficult or even impossible to carry out.

Insurance coverage. In some cases, your health insurance provider may cover an in-person therapy session but may not cover a virtual session. Such policies are constantly changing, though, especially in light of the COVID-19 pandemic. Speak to an agent at your insurance company to confirm what your coverage currently includes.

Mon, 21 Aug 2023 22:10:00 -0500 en-US text/html https://www.forbes.com/health/mind/best-online-therapy/ Killexams : Zuckerberg College of Health Sciences

Are you driven to solve health care problems and make a difference in the world? Then earn your degree from the Zuckerberg College of Health Sciences. You'll receive an outstanding education from faculty members who are experienced professionals, dedicated teachers and champions for your success.

Explore our Programs of Study

UMass Lowell College of Health Sciences offers programs for the modern health-care professional, many of which lead directly to licensure. Check them out.

What questions do you have for the Zuckerberg College of Health Sciences in regard to our programs or future undergraduate admissions at UMass Lowell?

Juana Guerrero


Juana Guerrero came to UML with strong academic credentials. A support program helped boost her confidence and leadership skills, too.

Diane Grimaldi

Doctor of Nursing Practice

After many years of counseling clients in her private psychotherapy and psychopharmacology practice, Diane Grimaldi decided to enrich her knowledge by enrolling in UMass Lowell’s Doctor of Nursing Practice program.

Susan Mullaney


Susan Mullaney, who earned a doctorate in nursing practice in 2015, is a vice president at UnitedHealth Group, where she focuses on keeping seniors healthy. She joined the board of the American Association of Colleges of Nursing, which sets curriculum standards for nursing degrees.

Maribel Ortiz

Doctor of Nursing Practice

Maribel Ortiz is learning leadership skills in the DNP program that are helping her evaluate the quality of treatments, analyze processes and find ways to provide equal care for all populations.

Fri, 04 Aug 2023 07:21:00 -0500 en text/html https://www.uml.edu/Health-Sciences/
Killexams : Health Tech No result found, try new keyword!Tracking how tech is transforming health care and the life sciences. To get the latest delivered to your inbox, sign up for our free STAT Health Tech newsletter. And subscribe to STAT+ for ... Wed, 28 Jun 2023 08:32:00 -0500 en-US text/html https://www.statnews.com/category/health-tech/ Killexams : Health Benefits of Apricots

Apricots are small stone fruit or drupes—thin-skinned fruits with a stone in the center that holds a seed—popularly consumed fresh or dried. Their petite size makes them great for snacking, while the dried version is great for throwing in a trail mix for a fiber boost on the go. 

Besides fiber, their vitamin and antioxidant profile promotes various facets of health. Here are the benefits of apricots, their nutrition facts, risks, and tips for making them a regular part of your diet. 

One of apricots’ key nutrients is fiber; each cup of fresh apricot has 3.1 grams (g) which is almost 11% of the daily value (DV). The fiber content is split pretty evenly between soluble and insoluble fiber, which are both important for digestive and overall health.

Soluble fiber helps soften the stool so it can move more easily through the digestive tract, while insoluble fiber adds bulk to the stool to keep things moving and prevent constipation

As a bonus, fiber also helps reduce cholesterol levels, manage blood sugars, and promote satiety.

Each cup of apricots has about 15 g of vitamin C—17% of the DV. Vitamin C is an important nutrient for various facets of health, especially immune and skin health. It promotes innate and adaptive immunity to fend off harmful pathogens. 

Plus, it helps with collagen synthesis, an important component of connective tissue. Since the skin is also part of our immune system, vitamin C’s skin health benefits have immune boosting benefits, too.

Carrots are good for eye health, and so are apricots. Their shared orange color is a result of similar nutrients. Apricots are a good source of vitamin A—a group of fat-soluble retinols—arguably most known for its role in promoting eye health. That’s primarily because vitamin A is an essential part of rhodopsin, a protein in your eyes that helps them respond to light. Vitamin A also plays a role in the optimal functioning of other parts of the eye—the cornea and conjunctival membranes. 

Besides vitamin A, the vitamin C in apricots helps protect against cataracts and slows the progression of age-related macular degeneration and visual acuity loss. Plus, their antioxidant profile, which we’ll get to next, helps protect against chronic eye diseases. 

Apricots are a great source of antioxidants including vitamin C, vitamin A, and beta carotene. They’re also rich in phenolic compounds, another kind of antioxidant that’s associated with lower rates of cancer and cardiovascular disease.

Antioxidants help neutralize free radicals that cause oxidative stress in our bodies. We can be exposed to free radicals from a number of sources including cigarette smoke, air pollution, sunlight, and even exercise. Oxidative stress is linked to diseases such as cancer, cardiovascular disease, diabetes, Alzheimer's, Parkinson's, and certain eye diseases.

We can hydrate ourselves with more than just water; fruits and vegetables are another great way to hydrate since they have a high water content (if you notice craving fresh fruit and veggies more in the summer, this may be why!). Apricots are about 85% water, so not only do they provide important nutrients, but they also provide hydration. 

Staying hydrated helps with temperature regulation, joint lubrication, and waste removal (through urine, sweat, and bowel movements). After all, our bodies are about 50–60% water.

Note that this is only the case for fresh apricots. Dried apricots have their water removed, so they don’t provide hydrating benefits. 

The nutrition profile of one fresh apricot (35 g), per the USDA, is:

  • Calories: 17 calories
  • Fat: 0.14 g
  • Sodium: 0.35 g
  • Carbohydrates: 3.9 g  
  • Fiber: 0.7 g
  • Added sugars: 0 g
  • Protein: 0.5 g
  • Vitamin C: 3.5 g
  • Vitamin A: 33.6 g 

Since apricots are a small fruit, their nutrition may seem minimal, but eating more than one will amplify their benefits, specifically when it comes to fiber, vitamin A, vitamin C, and other antioxidants.

Those with diabetes should be mindful of the fact that they contain about 4 g  of carbohydrates per fruit with minimal protein and fat. So, you may need to pair them with a source of protein and/or fat to prevent blood sugar spikes.

Besides fresh apricots, dried apricots are popular. These are another great option for boosting your fiber and vitamin intake, especially since they have a much longer shelf life and are easy to take on the go. However, dried fruits are essentially concentrated versions of fresh fruit, so they will have more carbohydrates in a smaller volume, which may warrant greater caution for those with diabetes. 

Furthermore, some dried fruits have added sugars, an ingredient the Dietary Guidelines for Americans recommend limiting to less than 10% of your daily intake (12 teaspoons for a 2,000-calorie diet). If you’re trying to limit your added sugar content, check the nutrition facts label before purchasing dried apricots to ensure there are no added sugars.

Apricots can be eaten in a bunch of ways, which makes them versatile and fun to experiment with in the kitchen. Here are some tips for consuming apricots:

  • Leave fresh apricots on the counter to let them ripen.
  • Once they are ripe, refrigerate fresh apricots to extend their shelf life.
  • Cut fresh apricots up and freeze them if you won’t use them before they go bad. 
  • Use frozen apricots to make refreshing smoothies.
  • Enjoy fresh apricots on their own for a refreshing snack.
  • Make fresh jam, scones, or oatmeal bars using fresh apricots.
  • Use dried apricots as a yogurt topping or trail mix ingredient.
  • Pack dried apricots on a road trip or flight for a fiber boost on the go.
  • Pair apricots with sources of fat and protein like nuts, seeds, or cheese to prevent rapid blood sugar spikes, especially if you have diabetes.
  • Included dried apricots on a charcuterie board at your next gathering.

Apricots make for a great snack, whether fresh or dried. They’re a great source of key nutrients for skin, eye, immune, and digestive health, plus the high water content in fresh apricots promotes hydration.

If you have diabetes, you may need to be mindful of their carbohydrate content by pairing them with sources of fat and protein. They go great in baked goods, oatmeal, yogurt bowls, or homemade jam.

Wed, 09 Aug 2023 04:36:00 -0500 en text/html https://www.health.com/apricots-benefits-7564194
Killexams : Parents see own health spiral as their kids' mental illnesses worsen

If you or someone you know may be experiencing a mental health crisis, contact the 988 Suicide & Crisis Lifeline by dialing "988," or the Crisis Text Line by texting "HOME" to 741741.

After her teenage daughter attempted suicide and began to cycle through emergency rooms and mental health programs during the past three years, Sarah Delarosa noticed her own health also declined.

She suffered from mini strokes and stomach bleeding, the mother of four in Corpus Christi, Texas, said. To make things worse, her daughter's failing behavioral and mental health caused Delarosa to miss hours from her job as a home health aide, losing out on income needed to support her family.

"Access to help, when it's needed, it's not available," said Delarosa, about the hopelessness she felt as she sought support for Amanda, 16, who has been diagnosed with bipolar disorder, oppositional defiant disorder, and attention-deficit/hyperactivity disorder. Amanda has at times lashed out in anger or shattered light bulbs and used the broken glass to cut herself.

Delarosa often feels overwhelmed, and she has noticed her youngest son acting out. "Now we have a whole family that needs help," she said.

A national shortage of mental health care providers, and the search for affordable care, has exacerbated strain on parents, often the primary caregivers who maintain the health and well-being of their children. Their day-to-day struggle has led to its own health crisis, say psychologists, researchers, and advocates for families.

As parents navigate the mental health care system's shortcomings, stress can start to take a physical and mental health toll that disrupts their ability to continue providing care, said Christine Crawford, the associate medical director at the National Alliance on Mental Illness, an advocacy group that helps families find care. Parents pour their energy into helping their kids, often at the expense of their own health, Crawford said.

"When you are worrying about whether or not your child is going to survive the day, you are constantly living on edge," she said. "Your fight-or-flight is constantly activated."

And the number of parents in crisis is greater than it seems.

Recent reports from the Centers for Disease Control and Prevention, the surgeon general's office, and medical providers all show an alarming number of kids in the U.S. are experiencing severe mental health challenges. About 40% of U.S. parents with children younger than 18 say they are extremely or very worried their children might struggle with anxiety or depression at some point, according to a January study from the Pew Research Center.

Evidence-based therapies to address a child's mental health should include the parents, say researchers and pediatric mental health specialists. But the focus on the adult caregivers and their anxiety and stress too often falls short. For example, parent-child interaction therapy coaches parents to manage their young child's behavior to prevent more severe problems in the child later on. While this may help the child, it doesn't directly support the parent's health.

"I have so many parents sit across from me on the couch and cry," said Danielle Martinez, a behavioral health specialist at Driscoll Children's Hospital in Corpus Christi. The hospital is creating peer support groups, to launch by the fall, for family members whose children are under the facility's care.

"They felt so alone, felt like bad parents, felt like giving up," Martinez said, "and then felt guilty for wanting to deliver up."

When the parent's mental and physical health deteriorates, it complicates their ability to prevent the child's condition from getting worse, said Mary Ann McCabe, a member of the board of directors at the American Psychological Association, an associate clinical professor of pediatrics at the George Washington University School of Medicine, and a psychologist in independent clinical practice. Parents are a kid's most important resource and need to be a concern, she said.

Delarosa said many residential treatment centers cited a shortage of providers in refusing to admit her daughter. Amanda, who is covered through Medicaid, would be on weeks-long waiting lists while she "spiraled out of control," running away from home and disappearing for days, said her mom.

In April, Amanda was admitted to an inpatient residential treatment facility nearly 200 miles away, in San Marcos, Texas. With Amanda away, Delarosa said, she had a "chance to breathe," but the reprieve would be temporary. She wants to see a therapist but hasn't had time amid the demands of caring for Amanda and her youngest child, a son. Before Amanda left for treatment, her 7-year-old brother started cussing, throwing and breaking objects in the home, and saying things like he wished he weren't alive, though his behaviors settled down while his sister was away.

Other parents also said they are feeling the strain on their mental and physical health.

"The children are in crisis. But the families are also in crisis," said Robin Gurwitch, a professor in psychiatry and behavioral sciences at Duke University. "They are struggling to figure out how best to help their children in a system that doesn't come with a manual."

Brandon Masters, a middle school principal in San Antonio, developed a rash on the back of his arms and neck last year that he says his doctor told him was connected to stress.

Brandon Masters
Brandon Masters at his home in San Antonio. Masters spent about $22,000 last year caring for his teenage son Braylon, who has bipolar disorder. When Masters developed a rash on the back of his arms and neck last year, his doctor told him it was connected to stress. Lisa Krantz for KFF Health News

Even though he is insured through his job, Masters estimates he paid about $22,000 last year on care for his teenage son Braylon, who spent 60 days in residential treatment centers in Texas and California following a diagnosis of bipolar disorder. Braylon spent an additional month in juvenile detention later in 2022 after he bit his dad and brandished a knife. So far this year, Braylon, now 17, has attempted suicide twice, but Masters has been unable to find a residential treatment center he can afford and that will admit Braylon.

"There is this huge wave of anxiety that comes over me that makes it difficult to be around him," Masters said.

Anne Grady's 20-year-old son has autism, severe mood disorder, developmental delays, and other conditions. For nearly 17 years he has been on a Texas waiting list to receive full-time care.

Grady, who lives in a suburb of Austin, Texas, developed a tumor in her salivary glands and temporary facial paralysis, which added to the stress she faced navigating care for her son.

"It's mentally exhausting for families," Grady said. The lack of care is "punishing the kids and punishing for families," she said.

Medicaid is the state-federal program that pays medical and other health-related bills for low-income and disabled people. Yet while many state Medicaid programs pay for family therapy and parenting programs, they don't address the parent as an individual patient affected by their child's health under a child's plan, said Elisabeth Burak, a senior fellow at Georgetown University's Center for Children and Families. Parents who live in one of the 10 states that haven't expanded Medicaid, including Texas, face an additional challenge getting care for their own mental health.

Still, states are starting to recognize that caregivers need more support. Many states allow Medicaid to cover services from certified family peer specialists or navigators, who have experience raising a child with mental illness and additional training to guide other families. In July, California awarded money to support parents as part of a child mental health initiative.

"The most important thing that we should deliver families is a sense of hope that things will get better," said Gurwitch. Instead, the lack of quality mental health care services for youth exacerbates their risk for illnesses. Without appropriate help, these conditions follow a child — and their parents — for years, she said.

With Amanda returning home from the residential treatment program this month, Delarosa worries she won't be equipped to manage her daughter's bouts of depression.

"It's the same thing over and over, nonstop," Delarosa said. "I have driven myself crazy."

When Grady's son turned 18, she acquired continued guardianship so she could continue arranging his care outside their home. "I love him more than anything in the world, but I can't protect him," she said.

Masters, whose skin conditions have worsened, is just trying to get Braylon through his final year of high school, which starts this month. He's also renewing his search for a residential treatment center, because Braylon's negative behaviors have escalated.

"When they are born, you have all these dreams for your kids," said Masters. Instead, health professionals who have cared for Braylon told Masters, he needs to be prepared to look after his son even after he finishes high school. "No parent wants to hear that," he said.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.

Wed, 09 Aug 2023 00:05:00 -0500 en-US text/html https://www.cbsnews.com/news/parents-health-caregivers-kids-mental-illnesses/
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