Question 1

What does PRP stand for?

Accepted Answer

Psychiatric Rehabilitation Program

Question 2

How do I make a referral to the Substance Abuse Program?

Accepted Answer

Any individual interested in receiving substance abuse treatment may call our main number to schedule an appointment- 410.777.8710. If you are a professional wishing to make a referral on the behalf of a client you may download our referral form from the “contact us” page and fax to 410.777.8710. If you have any questions about making a referral please do not hesitate to call us.

Question 3

What insurances do you accept?

Accepted Answer

Currently, we only accept Maryland Medical Assistance. We also offer sliding-scale fee for
those with no insurance or who wish to pay out of pocket. If you have any other insurance you will need to check with your insurance carrier to see if you have out of network benefits.

Question 4

About Suicide & LGBT Youth

Accepted Answer

Suicide is the act of taking one’s own life and continues to be a serious problem among
young people. Some youth may experience strong feelings of depression, stress, confusion, self-doubt, pressure to succeed, financial uncertainty, and other fears while growing up. These can be very unsettling and can intensify self-doubts. For some, suicide may appear to be a solution to their problems and stress. Research has shown that lesbian, gay, bisexual, transgendered, and/or questioning (LGBTQ) youth are more than twice as likely to attempt suicide than straight peers. However, sexual orientation is not noted on death certificates in the U.S. so exact completion rates are difficult to report. Studies have also confirmed that
LGBTQ youth have higher rates of suicidal ideation than their straight peers and often have more severe risk factors. It is important to note that being LGBTQ is not a risk factor in and of itself; however, minority stressors that LGBTQ youth encounter - such as discrimination and harassment - are directly associated with suicidal behavior as well as indirectly
with risk factors for suicide.

Question 5

Why is the initial assessment so important?

Accepted Answer

The assessment is critical in identifying dysfunctional family dynamics, trauma, medical
concerns, types of addictions, and a possible co-existing or dual diagnosis. All assessments are conducted by a skilled clinician, are used as the foundation for treatment recommendations and the individualized recovery plan.

Question 6

How does it affect my child?

Accepted Answer

Warning signs specific to LGBTQ Youth may include:
- Previous suicide attempts
- A diagnosable mental illness and/or substance use disorder
- Relationship issues
- A high rate of victimization/bullying
- Difficulties in dealing with sexual orientation
- Lack of family acceptance
- Expressing hopelessness or helplessness
- Having a plan

Question 7

Where are you located?

Accepted Answer

Parker Psychiatric Services is located on 940 Madison Ave Suite 202 Baltimore, MD 21201. PPS also offers in home therapy appointment.

Question 8

What is Psychiatric Rehabilitation?

Accepted Answer

The Psychiatric Rehabilitation Program at Parker Psychiatric Services works to assist individuals with mental illness to reach a higher level of independence. The PRP program assists consumers with accessing and coordinating services and resources in their communities and works to ensure that the client has access to the best possible treatment. Behavioral Counselors provide services within the home and the community. Our Behavioral Counselors assist the clients with learning and developing improved daily living skills (i.e. personal hygiene, organizational skills, time management skills, nutrition, and money management), as well as working towards achieving healthy coping mechanisms.

Question 9

How quickly can someone become addicted to a drug?

Accepted Answer

There is no easy answer to this common question. If and how quickly you become addicted to a drug depends on many factors, including your biology (your genes, for example), age, gender, environment, and interactions among these factors. Vast differences affect a person’s sensitivity to various drugs and likelihood of addiction vulnerability. While one person may use a drug one or many times and suffer no ill effects, another person may overdose with the first use or become addicted after a few uses.
 
There is no way of knowing in advance how quickly you will become addicted, but there are some clues—an important one being whether you have a family history of addiction.

Question 10

How can we help?

Accepted Answer

Some factors which may help to lower a youth’s risk of considering suicide are:
 
- Programs and services that increase social support and decrease social isolation among
LGBTQ youth (support groups, hotlines, social networking)
- Access to effective, culturally competent care
- Support from medical and mental health professionals
- Coping, problem solving and conflict resolution skills
- Restricted access to highly lethal means of suicide
- Strong connections to family
- Family acceptance of one’s sexuality and/or gender identity
- A feeling of safety and support at school
- Connectedness at school through peer groups
- Positive connections with friends who share similar interests
- Cultural and religious beliefs that discourage suicide
- Positive role models and self-esteem
 
If you are worried that a youth may be thinking about suicide ask him/ her directly if he/she is
considering suicide. Ask whether he/she has made a specific plan and has done anything to carry it out. Explain the reasons for your concerns. Listen openly. Be sure to express that you care deeply and that no matter how overwhelming his or her problems seem, help is available. All suicide threats should be taken seriously.
 
Immediately seek professional help from a doctor, community health center, counselor,
psychologist, social worker, youth worker or minister if you suspect a suicide attempt. In Maryland, call 1-800-422-0009. You can also call 1-800-SUICIDE or look in your local phone book for suicide hotlines and crisis centers. If the youth is in immediate danger, do not leave him/ her alone and seek help immediately.
 
You can call 911 or take him/her to the emergency room. If the youth has a detailed plan or appears acutely suicidal and will not talk, he or she could be in immediate danger and it is important to get help right away. Do not leave the youth alone and seek help immediately.
 
Learn warning signs, risks, and other factors associated with suicide especially if the youth has made suicidal attempts or threats in the past.
 
Offer support!

Question 11

How do I make a referral to the PRP Program?

Accepted Answer

In order to start PRP services, we must receive a signed referral from a licensed mental health professional. If you are currently receiving mental health services by a licensed professional and have Maryland Medical Assistance, please have them complete our referral form. If you are not currently in services but have Maryland Medical Assistance, consider contacting Parker Psychiatric Services to schedule an appointment with one of our therapist.
You may obtain a copy of the referral form from the “contact us” page. If you have questions
about making a referral for PRP services please call our main number at 443.434.0110.

Question 12

What are your hours?

Accepted Answer

Monday 9:00 AM – 6:00 PM
Tuesday 9:00 AM – 6:00 PM
Wednesday 9:00 AM – 6:00 PM
Thursday 9:00 AM – 6:00 PM
Friday 9:00 AM – 6:00 PM

Question 13

Do you offer transportation?

Accepted Answer

Yes, we have transportation to and from appointments with in the Baltimore Metro area.

Question 14

Maryland Department of Social Services

Accepted Answer

We are the state’s human services provider. We help vulnerable Marylanders buy healthy
foods, pay energy bills, and obtain medical assistance. We also provide stable environments
for at-risk children and adults. We may be able to help you. You can also call our main call
center at 1-800-332-6347 to reach us at anytime.

Question 15

About Substance Use and Young People

Accepted Answer

Many people don't understand why or how other people become addicted to drugs. They may mistakenly think that those who use drugs lack moral principles or willpower and that they could stop their drug use simply by choosing to. In reality, drug addiction is a complex disease, and quitting usually takes more than good intentions or a strong will. Drugs change the brain in ways that make quitting hard, even for those who want to. Fortunately,  researchers know more than ever about how drugs affect the brain and have found treatments that can help people recover from drug addiction and lead productive lives.

Question 16

What type of activities do you provide?

Accepted Answer

Each month Parker Psychiatric Services has a great deal of activities from therapeutic trainings to engaging trainings. Please see our Calendar of Events for the most current trainings. Trainings vary each month based on the needs of our clients, but may include training on social skills, communication skills, work readiness, exercise and nutrition, community living skills, art, and recovery. All trainings are planned by Parker Psychiatric Services executive team and are designed to be therapeutic in nature, allowing youth to learn, develop and/or improve their skills while having fun. Trainings are often focus on aiding in the development of the goals set by the therapist: anger management skills, grief management, age-appropriate semi-independent living skills, self care skills, social skills, educational skills and symptom management skills. PRP staff often develop trainings to focus on the targeted skill that needs to be addressed. Trainings are planned around the needs of our clients.

Question 17

Maryland Department of Juvenile Services

Accepted Answer

The Department of Juvenile Services (DJS) is an executive agency whose primary task is to
appropriately manage, supervise, and treat youth who are involved in the juvenile justice
system in Maryland.
 
The Department of Juvenile Services is involved in nearly every stage of the juvenile justice
process from the moment a youth is brought into a juvenile intake center by the police or as a result of a citizen complaint to the time when a youth returns to the community after
completing treatment.Circuit Court For Baltimore City.

Question 18

Can I schedule home therapy services?

Accepted Answer

Yes, please call our main number to schedule an appointment.

Question 19

What Is drug addiction?

Accepted Answer

Addiction is a chronic disease characterized by drug seeking and use that is compulsive, or
difficult to control, despite harmful consequences. The initial decision to take drugs is voluntary for most people, but repeated drug use can lead to brain changes that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain changes can be persistent, which is why drug addiction is considered a "relapsing" disease—people in recovery from drug use disorders are at increased risk for returning to drug use even after years of not taking the drug. It's common for a person to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be ongoing and should be adjusted based on how the patient responds. Treatment plans need to be reviewed often and modified to fit the patient’s changing needs.

Question 20

Do you provide transportation?

Accepted Answer

Yes, Parker Psychiatric Services provides transportation for all PRP events.

Question 21

Do you assist with job placement?

Accepted Answer

One of the life skills for young adults and adults we focus on is job readiness and job coaching.

Question 22

What happens to the brain when a person takes drugs?

Accepted Answer

Most drugs affect the brain's "reward circuit" by flooding it with the chemical messenger
dopamine. This reward system controls the body's ability to feel pleasure and motivates a person to repeat behaviors needed to thrive, such as eating and spending time with loved ones. This overstimulation of the reward circuit causes the intensely pleasurable "high" that can lead people to take a drug again and again.
 
As a person continues to use drugs, the brain adjusts to the excess dopamine by making less of it and/or reducing the ability of cells in the reward circuit to respond to it. This reduces the high that the person feels compared to the high they felt when first taking the drug—an effect known as tolerance. They might take more of the drug, trying to achieve the same dopamine high. It can also cause them to get less pleasure from other things they once enjoyed, like food or social activities.
 
- Learning
- Judgment
- Decision-making
- Stress
- Memory
- Behavior
Long-term use also causes changes in other brain chemical systems and circuits as well, affecting functions that include: Despite being aware of these harmful outcomes, many people who use drugs continue to take them, which is the nature of addiction.

Question 23

Maryland WIC Program

Accepted Answer

The Maryland WIC Program is a supplemental nutrition program for women, infants and
children under the age 5.
 
WIC is a federally funded program that provides healthy supplemental foods and nutrition
counseling for pregnant women, new mothers, infants and children under age five. The
program has an extraordinary 40 plus year record of preventing children's health problems and improving their long-term health, growth and development. WIC serves over 8 million women, infants and children through over 10,000 clinics nationwide. In 2017, Maryland WIC served over 135,000 women, infants and children each month.
 
For more information please call 1-800-242-2942 or visit www.mdwic.org

Question 24

Maryland Department of Housing

Accepted Answer

The Maryland Department of Housing and Community Development is proud to be at the
forefront in implementing housing policy that promotes and preserves homeownership and
creating innovative community development initiatives to meet the challenges of a growing
Maryland.
 
For more information please call 301-429-7462 or toll free at 1-800-756-0119 or visit https://dhcd.maryland.gov/Pages/default.aspx

Question 25

How often are PRP services?

Accepted Answer

Parker Psychiatric Services is authorize to see adults 6 times a month and youth 4 times a month. The more you attend the greater the benefits.

Question 26

Important!

Accepted Answer

Some youth may exhibit many warning signs yet appear to be coping with their situation and
others may show no signs and yet still feel suicidal. The only way to know for sure is to ask the youth and to consult a mental health professional.

Question 27

Baltimore City Public Schools

Accepted Answer

Mission - Excellence in education for every child at every level by focusing on quality
instruction, managing systems efficiently, and sustaining a culture of excellence
 
Vision - Every student will graduate ready to achieve excellence in higher education and the
global workforce
 
For more information please call 443-984-2000 or visit https://www.baltimorecityschools.org

Question 28

About Bullying

Accepted Answer

Bullying is a common experience for many children and adolescents. Teasing, ignoring or
intentionally hurting another child are all types of bullying. Harassment and sexual harassment are also considered forms of bullying. Bullies may be large and aggressive, but they also could be small and cunning. Victims of bullying have poor self–confidence and typically react to threats by avoiding the bully. Both bullies and their victims make up a fringe group within schools. Those children who bully want power over others. Both bullies and their victims feel insecure in school. Boys typically bully by using physical intimidation. Girls bully in a less obvious manner by using social intimidation to exclude others from peer interactions.

Question 29

Baltimore County Public Schools

Accepted Answer

The Department of Academics provides leadership and expertise in the development of
curriculum for students in Grades K–12, in order to empower and build capacity for all
teachers and students through the development and implementation of rigorous, relevant, and responsive curriculum and instruction. To ensure an equitable, engaging academic experience for all students. Departmental staff provide content resources and professional learning that is grounded in research and aligned to the standards.

For more information please call 443-809-4554 or visit http://www.bcps.org/system/
contactus.asp

Question 30

How does it affect my child?

Accepted Answer

Children who are bullied by their peers are:
 • more likely to show signs of depression and anxiety, have increased feelings of sadness and loneliness, experience changes in sleep and eating patterns, and lose interest in activities they used to enjoy
 • more likely to have health complaints
 • less likely to do well in school, miss, skip or drop out of class
When compared to their developmental peers, children who bully their peers are:
 • more likely to engage in criminal activity as adults
 • abuse alcohol and drugs
 • less likely to do well in school

Question 31

What are the types of bullying?

Accepted Answer

Verbal bullying is saying or writing cruel things about another person. Verbal bullying includes:
- teasing
- name-calling
- inappropriate sexual comments
- taunting
- threatening to cause harm
 
Social bullying, sometimes referred to as relational bullying, involves hurting someone’s reputation
or relationships. Social bullying includes:
- leaving someone out on purpose
- telling other children not to be friends with someone
- spreading rumors about someone
- embarrassing someone in public
 
Physical bullying involves hurting a person’s body or possessions. Physical bullying includes:
- hitting/kicking/pinching
- spitting
- tripping/pushing
- taking or breaking someone’s things
- making mean or rude hand gestures
 
Cyberbullying is bullying that takes place using electronic technology. Electronic technology such as cell phones or computers as well as social media sites, text messages, chat, and websites.
Examples of cyberbullying include:
- cruel text messages or email
- rumors sent by email or posted on social networking sites
- embarrassing pictures, videos, websites, or fake profiles

Question 32

Howard County Public Schools

Accepted Answer

Howard County, Maryland is a suburban community of over 310,000 situated midway along the Baltimore-Washington corridor. It is a county of contrasts — a blend of old and new, urban and rural, historical and progressive. The county’s borders encompass Ellicott City, one of the country’s oldest towns, and Columbia, a planned community conceived and designed 50 years ago by The Rouse Company.
 
Vision - Every student and staff member embraces diversity and possesses the skills, knowledge
and confidence to positively influence the larger community.
 
Mission - HCPSS ensures academic success and social-emotional well-being for each student in an inclusive and nurturing environment that closes opportunity gaps
 
For more information please call 410-313-6600 or visit https://www.hcpss.org

Question 33

What can we do about it?

Accepted Answer

Know your child’s routines and pay attention to any changes to that routine. Does your child
arrive home later than usual, take alternate routes to school (in order to avoid confrontation with abully), or appear more overwhelmed or sad?
 
Maintain close contact with teachers to see if your child avoids certain classes or school settings. This may also help you to understand bullying.
 
Empower your child by showing how much you value him/her. Spend time talking with him/her personal self-worth and the importance of sticking up for himself/ herself.
 
Help your child understand the difference between aggression and passive communication by showing different examples of each. Ask your school psychologist or social worker to explain the different forms of communication: aggressive (typical of bullying), passive (typical of bullying victims) and assertive (most effective means of communication).
 
Discuss with your child the impact of being a bully and how bullying is hurtful and harmful.
Model how to treat others with kindness and respect.
 
If you suspect your child is being bullied at school, talk with your child’s teacher or principal.
Children should not be afraid to go to school or play in their neighborhood.
 
If your child sees another child being bullied, help your child report the bully to a teacher or
another adult. Saying nothing could make it worse for everyone.
 
Become familiar with the bullying prevention curriculum at your child’s school. For example, in Maryland, state law requires that all public schools include a bullying prevention component within their curriculum. See Maryland State Department of Education website for more information: http:// www.marylandpublicschools.org/MSDE/divisions/ studentschoolsvcs/student_services_alt/bullying/

Question 34

Catholic Charities of Maryland

Accepted Answer

Catholic Charities is a movement to improve lives. We are a family of more than 2,000 talented and dedicated colleagues, supported by nearly 8,000 selfless volunteers and more than 10,000 generous donors. These marvelous individuals are of all faiths, ages and ethnicities, and together, we touch the lives of hundreds of thousands of individuals and families each year. Catholic Charities is our community at its best! Through thousands of encounters each day, at our 80 programs and over 200 locations, lives are improved and our community is made stronger.
 
For more information please call 667-600-2000 or visit https://www.catholiccharities-md.org

Question 35

Sheppard Pratt

Accepted Answer

Mission - To improve the quality of life of individuals and families by compassionately serving
their mental health, addiction, special education, and community support needs.
 
Values - Since our founding in 1853, Sheppard Pratt Health System has remained loyal to our Quaker heritage. The Quaker testimonies of simplicity, peace, integrity, community, and equality drive not only our core values, but our guiding principles, as well.
 
For more information please call 410-938-3000 or visit https://www.sheppardpratt.org

Question 36

What is trauma?

Accepted Answer

A trauma is a dangerous, frightening, and sometimes violent experience that is often sudden.
Trauma is a normal reaction that occurs in response to an extreme event. It can happen to one family member or a whole family. Examples of a trauma are:
- Violence
- Fire
- Homelessness
- Natural Disaster
 
After experiencing a trauma, children, teenagers and families may feel traumatic stress. Feelings of traumatic stress include:
- Feeling scared or anxious
- Feeling numb

Question 37

How does it affect my child?

Accepted Answer

Many people who go through trauma will having trouble adjusting to life after the event. The brain of children and teenagers may be harmed and they may not develop needed skills. After trauma, some children suffer from Post Traumatic Stress Disorder (PTSD), Child Traumatic Stress (CTS) or depression. PTSD usually happens after a major trauma that was life-threatening. CTS happens after trauma is over. It is important to get help for a child or teenager after going through a trauma so he or she can continue to grow. For more  information, refer to the Anxiety Disorder Fact Sheet included in this kit.

Question 38

Signs & Symptoms

Accepted Answer

There are lots of reactions to trauma including:
- Thinking about what happened
- Aggression or irritability
- Body aches
- Having trouble at school
- Nightmares or difficulty sleeping
- Trouble concentrating
- Refusing to go to school

Question 39

What can we do about it?

Accepted Answer

It’s important to get help if children or teenagers are having signs or symptoms after a trauma. Caregivers and relatives can help children in two important ways:
1. Talking to children about what happened
2. Getting professional help
 
Recommendations for families
- Learn what trauma is
- Get help from trauma experts
- Be involved in your child’s health
 
What can caregivers say and do?
- Tell children they are safe
- Let children talk about feelings and fears
- Go back to a daily schedule
- Spend extra time with family and friends

Question 40

Resources and Links

Accepted Answer

Children’s Mental Health Matters!
Facts for Families — First Steps in Seeking Help
www.ChildrensMentalHealthMatters.org
 
American Academy of Child & Adolescent Psychiatry
This site contains resources for families to promote an understanding of mental illnesses.
www.aacap.org
 
Helping Children after a disaster– Information for parents about trauma, PTSD, and behavioral changes to look for.
http://www.aacap.org/publications/factsfam/ disaster.htm
 
Posttraumatic Stress Disorder (PTSD) – Defines PTSD and gives symptoms.
http://www.aacap.org/publications/factsfam/ ptsd70.htm
 
Talking to Children About Terrorism and War
http://www.aacap.org/publications/factsfam/87.htm
 
The Family-Informed Trauma Treatment Center (in Maryland)
http://www.fittcenter.umaryland.edu
 
Maryland Coalition of Families for Children’s Mental Health
http://www.mdcoalition.org
National

Question 41

Why do some people become addicted to drugs when others do not?

Accepted Answer

No one factor can predict if a person will become addicted to drugs. A combination of factors influences risk for addiction. The more risk factors a person has, the greater the chance that taking drugs can lead to addiction. For example:
• Biology. The genes that people are born with account for about half of a person's risk for
addiction. Gender, ethnicity, and the presence of other mental disorders may also influence
risk for drug use and addiction.
• Environment. A person’s environment includes many different influences, from family and
friends to economic status and general quality of life. Factors such as peer pressure, physical and sexual abuse, early exposure to drugs, stress, and parental guidance can greatly affect a person’s likelihood of drug use and addiction
• Development. Genetic and environmental factors interact with critical developmental stages in a person’s life to affect addiction risk. Although taking drugs at any age can lead to addiction, the earlier that drug use begins, the more likely it will progress to addiction. This is particularly problematic for teens. Because areas in their brains that control decision-making, judgment, and self-control are still developing, teens may be especially prone to risky behaviors, including trying drugs.

Question 42

Can drug addiction be cured or prevented?

Accepted Answer

As with most other chronic diseases, such as diabetes, asthma, or heart disease, treatment for drug addiction generally isn’t a cure. However, addiction is treatable and can be successfully managed. People who are recovering from an addiction will be at risk for relapse for years and possibly for their whole lives. Research shows that combining addiction treatment medicines with behavioral therapy ensures the best chance of success for most patients. Treatment approaches tailored to each patient’s drug use patterns and any          co-occurring medical, mental, and social problems can lead to continued recovery.
 
More good news is that drug use and addiction are preventable. Results from NIDA-funded
research have shown that prevention programs involving families, schools, communities, and the media are effective for preventing or reducing drug use and addiction. Although personal events and cultural factors affect drug use trends, when young people view drug use as harmful, they tend to decrease their drug taking. Therefore, education and outreach are key in helping people understand the possible risks of drug use. Teachers, parents, and health care providers have crucial roles in educating young people and preventing drug use and addiction.

Question 43

Points to Remember

Accepted Answer

• Drug addiction is a chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.
• Brain changes that occur over time with drug use challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. This is why drug addiction is also a relapsing disease.
• Relapse is the return to drug use after an attempt to stop. Relapse indicates the need for more or different treatment.
• Most drugs affect the brain's reward circuit by flooding it with the chemical messenger
dopamine. This overstimulation of the reward circuit causes the intensely pleasurable "high"
that leads people to take a drug again and again.
• Over time, the brain adjusts to the excess dopamine, which reduces the high that the person feels compared to the high they felt when first taking the drug—an effect known as tolerance. They might take more of the drug, trying to achieve the same dopamine high.
• No single factor can predict whether a person will become addicted to drugs. A combination of genetic, environmental, and developmental factors influences risk for addiction. The more risk factors a person has, the greater the chance that taking drugs can lead to addiction.
• Drug addiction is treatable and can be successfully managed.
• More good news is that drug use and addiction are preventable. Teachers, parents, and health care providers have crucial roles in educating young people and preventing drug use and addiction.

Question 44

Learn More

Accepted Answer

For information about understanding drug use and addiction, visit:
• www.MDDestinationRecovery.org
• www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-abuseaddiction
• https://teens.drugabuse.gov/drug-facts/brain-and-addiction
• https://easyread.drugabuse.gov
• For more information about the costs of drug abuse to the United States, visit:
www.drugabuse.gov/related-topics/trends-statistics#costs
• For more information about prevention, visit: www.drugabuse.gov/related-topics/prevention
• For more information about treatment, visit: www.drugabuse.gov/related-topics/treatment
• To find a publicly funded treatment center in your state, call 1-800-662-HELP or visit: https://findtreatment.samhsa.gov/

Question 45

How Do I Know if I or Someone Else Needs Mental Health HELP?

Accepted Answer

- You cannot cope with daily life
- You feel sad, stressed or worried
- You are not sleeping or eating well
- You want to hurt yourself or others
- You are troubled by strange thoughts (e.g., hearing voices)
 
If you are not sure what to do, just call Parker Psychiatric Services (410) 777-8710.

Question 46

Getting Help for a Substance Use Disorder (SUD)

Accepted Answer

A range of Substance Use Disorder Services are available in Maryland through your Local Health or Human Services Departments for individuals with Medical Assistance or who are uninsured. There may be a sliding fee or co-pay required for individuals non-eligible for Medicaid. All services within the public system are provided based on eligibility and medical necessity criteria. Maryland Crisis Connect SUD Services Call 211, Press 1
 
Maryland Crisis Connect is available 24 hours/7 days a week to provide support, guidance and assistance on how to access SUD services, in addition to the current mental health crisis services provided by this hotline. Callers will also be given information about naloxone, recovery support and family services as available/appropriate in the individual’s local area.

Question 47

How Do I Know if I or Someone Else Needs Substance Use Disorder Help?

Accepted Answer

You may need help if you are:
- Feeling that you have to use the drug regularly — this can be daily or even several times a day
- Having intense urges for the drug
- Over time, needing more of the drug to get the same effect
- Making certain that you maintain a supply of the drug
- Spending money on the drug, even though you can't afford it
- Not meeting obligations and work responsibilities, or cutting back on social or recreational
activities because of drug use
- Doing things to get the drug that you normally wouldn't do, such as stealing
- Driving or doing other risky activities when you're under the influence of the drug
- Focusing more and more time and energy on getting and using the drug
- Failing in your attempts to stop using the drug
- Experiencing withdrawal symptoms when you attempt to stop taking the drug

Question 48

About Early Childhood Mental Health

Accepted Answer

Learning doesn’t begin when children start school, it begins at birth. By the time children turn three, they have already begun to lay the foundation for the skills and abilities that will help them succeed in school. Problem solving, toleration frustration, language, negotiating with peers, understanding routines, and self-control are all skills that are developed early in life. The pace of brain development in this stage of life far exceeds growth in subsequent life stages. Research tells us that early experiences can, and often do, impact brain development. Supporting a child’s social and emotional development is a critical component of school-readiness. Parents and caregivers can help children to identify and express emotions, foster secure relationships, encourage exploration, and provide a secure base for the child.

Question 49

Behaviors that warrant concern

Accepted Answer

Infants and Toddlers (birth to age 3)
- Chronic feeding or sleeping difficulties
- Inconsolable “fussiness” or irritability
- Incessant crying with little ability to be consoled
- Extreme upset when left with another adult
- Inability to adapt to new situations
- Easily startled or alarmed by routine events
- Inability to establish relationships with other children or adults
- Excessive hitting, biting and pushing of other children or very withdrawn behavior
 
Preschoolers (ages 3 to 5)
- Engages in compulsive activities (e.g., head banging)
- Throws wild, despairing tantrums
- Withdrawn; shows little interest in social interaction
- Displays repeated aggressive or impulsive behavior
- Difficulty playing with others
- Little or no communication; lack of language

Question 50

What is Traumatic Stress?

Accepted Answer

Research has shown that exposure to traumatic events early in life can have many negative effects throughout childhood and adolescence, and into adulthood. Children who suffer from child traumatic stress are those who have been exposed to one or more traumas over the course of their lives and develop reactions that persist and affect their daily lives after the traumatic events have ended.

Question 51

What Is Resilience?

Question 52

Factors that contribute to childhood trauma:

Question 53

Symptoms of Traumatic Stress:

Question 54

What does it look like?

Question 55

Suggested Activities to Promote Social Emotional Development:

Question 56

What is Grief?

Question 57

How does it affect my child?

Question 58

What can we do about it?

Question 59

Resources/ Links

Frequently Asked Questions

QUICK LINKS

INFORMATION