Halloween 2023: Trick-or-TREAT and Play it Safe

The holidays can be challenging, especially for those struggling with mental health. Familial factors, unrealistic expectations, past trauma, and grief/loss can all play a role in why sometimes the holidays can be more stressful than joyful.

Physical and behavioral health outcomes are intertwined and provide a holistic view of our health. Physicians refer to assessing depression as “a vital sign” -- like checking blood pressure and heart rate. Considering the assessment of depression is essential for a person’s overall health status.

With nearly one in five Georgians struggling with mental illness yearly, treating mental health conditions and assessing suicide risk is a group effort between health professionals and state, local, and community partners. Wellstar’s director of adult & pediatric primary care behavioral health integration, Dr. Janna Williams-Pitts, helps us to understand why the holidays can be so stressful.

“When the stress response becomes activated due to something we are excited or concerned about, it can have a physiological and psychological impact. This occurs for those with and without a diagnosed mental health condition. The stress response, and more specifically chronic stress, can play a role in the onset of a depressive episode or the recurrence of heightened anxiety symptoms.”

Women are about twice as likely as men to be diagnosed with an anxiety disorder. In speaking with Dr. Williams-Pitts, we wanted to understand how specific risk factors like age and gender can make facing these holiday stressors more challenging.

“Research suggests that there are gender differences in the stress response due to biological factors, specifically hormonal differences. Women appear to be more likely to experience depression due to chronic stress, whereas men may be more likely to develop substance use disorders due to chronic stress. The APA completed a survey to assess for Stress in America in 2022. The results of this survey indicate that inflation, concerns about violence, and the racial climate in America are a few of the factors that contribute to differing experiences with stress for participants. Age differences emerged as well. Forty-six percent of adults under 35 reported feeling so stressed that it impacted their functioning whereas 42% of adults aged 35-44, 16% 45-64, and 4% of adults 65+ reported the same.”

People respond to stress in a variety of ways. Often, individuals can hide their symptoms from those closest to them. But we learned there are signs to look for in loved ones who might be experiencing stress blues during the holidays. Social withdrawal, increased substance use, change in hygiene/self-care, shifts in sleep, and experiencing feeling anxious, overwhelmed, and poor concentration can all be signs that chronic stress is starting to have an impact.

It's common for people to notice increased fatigue and feeling down due to less exposure to sunlight during the winter months. So, it’s only natural to wonder if environmental changes during winter months play a role in the onset of depression.

“Some people experience debilitating depressive episodes during the fall and winter months with significant improvement in the spring and summer months. When depressive episodes occur in a seasonal pattern, this is consistent with the diagnosis of Seasonal Affective Disorder.”

Dr. Williams-Pitts added that it is “important to identify a range of meaningful, enjoyable activities to engage in during the winter months to help reduce the likelihood of worsening depressive symptoms.”

Rescheduling appointments with your behavioral health clinician before the holidays can be tempting. Still, keeping that appointment is helpful for those who experience stress during this season. It serves as an opportunity to review your stress management plan and identify meaningful coping mechanisms, which may help the holiday season go more smoothly.

If you are wondering where to turn if you need help during the holidays but don’t have a behavioral health clinician, scheduling an appointment with your primary care provider can be a great way to connect with a behavioral health clinician.

According to the American Hospital Association, “Shortages of health care workers in all roles will persist well beyond the pandemic given today’s highly competitive labor market.” To help meet this need, the Cobb County School District and Wellstar Health System are introducing high school students to healthcare careers through the healthcare pathway at the Cobb Innovation Technology Academy (CITA). CITA is an innovative Career, Technical, and Agricultural Education (CTAE) program inside the Cobb County School District (CCSD).

Wellstar Health System and Wellstar Foundation recently awarded Cobb Schools Foundation a $2 million grant to expand the Cobb Innovation and Technical Academy (CITA) over the next five years. The CITA program is a beacon of opportunity for students seeking hands-on learning experiences and career prospects in healthcare through district, post-secondary and industry partnerships.

"This program seeks to inspire, educate, and nurture the next generation of healthcare professionals,” said David Jones, Executive Vice President and Chief Human Resources Officer for Wellstar. “We’re thrilled with the opportunity to help enhance the education of our community’s students and offer them rewarding career pathways."

Cobb students will have direct access to healthcare professionals from Wellstar who will make their classroom experience more practical and prepare them for their real-world jobs. All CCSD students can apply for the opportunity to enroll in CITA, which serves as one of the District’s seven magnet programs. Once enrolled, the Cobb students will be able to:

• Participate in the new Wellstar Healthcare Pathway Program
• Access cutting-edge equipment and technology
• Engage with Wellstar clinical team members and professionals before they graduate from high school
• Apply for two $2,500 college scholarships funded by Wellstar

"The Wellstar Healthcare Pathways Program will offer students exposure to training and potential job opportunities,” said Tiffany Barney, Director, CITA. “The Cobb Schools Foundation appreciates this investment in students who will go on to have careers in healthcare. It will further enhance the quality of education we provide our students in Cobb.

The Centers for Medicare & Medicaid Services (CMS) announced the 2022 results for the Medicare Shared Savings Program (MSSP) and Wellstar Clinical Partners (WCP) Medicare Accountable Care Organization (ACO) helped CMS save over $16 million for the entire performance year. 
 
“These latest results from CMS clearly demonstrate how Wellstar is committed to providing world-class care for every person, every time. Our teams never waiver from that commitment – even during some of the most challenging times in healthcare,” said Dr. Alan Muster, senior vice president, Specialty Division for Wellstar Medical Group. Dr. Larry Hornsby, chairman of the board for WCP added, “At Wellstar, we all work together to keep our communities healthy. We provide the highest-quality care, at an appropriate cost, and ensure each patient has an exceptional experience while maintaining a laser focus on our caregiver well-being.”
 
Even after CMS revised its methodology for calculating the annual Quality score, Wellstar maintained a competitive rating compared to other Georgia systems that participate in the Medicare ACO. The System also saw an increase in patient satisfaction compared to 2021. The WCP Medicare ACO performed in the top 16 percent of ACOs for 2022 based on generated savings, out of more than 480 other ACOs.
 
“The health and well-being of every patient remain our top priority,” said Barbara Corey, president of the Wellstar Clinical Partners Medicare ACO. “The hard work and dedication of our WCP physicians is clearly reflected in our latest accomplishments, and we are proud of the compassionate care we consistently provide for the communities we serve.”
 
As one of the largest and most experienced ACOs in Georgia, the WCP Medicare ACO is consistently named one of the top ACOs in the country. Additionally, the ACO is the only one in Georgia to help Medicare bend the healthcare cost curve for nine of the last ten years. Medicare Shared Savings Program (MSSP) ACOs are groups of doctors, hospitals, and other healthcare providers who come together voluntarily to provide coordinated high-quality care to their Medicare patients.
 
The WCP Medicare ACO leverages its internal resources, infrastructure, and partnerships with employed and affiliated physicians to deliver high quality, cost-effective healthcare to the communities it serves. Since 2012, the WCP Medicare ACO has been a consistent, high-quality, top performing ACO and it is among the top MSSP ACOs when measured by cumulative savings to Medicare of nearly $150 Million.