Articles & Trainings

This article originally appeared in Macaroni Kid on Jan 3, 2018 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: We are not a religious family. However, my mother-in-law is quite religious. I found out recently that when my kids are at my in-laws, my MIL reads them religious books, watched religious television and recently encouraged them to talk to my husband and me about going to church. I am really uncomfortable with this and my husband thinks it is all harmless. How can I address my concerns without hurting feelings?

Answer: Good question! This is a tough area, one in which everyone can have strong feelings. The best place to start is for you and your husband to decide together what you believe. Explore how you want your children to be exposed to your beliefs and those of others. Any discussion of this is best done together as it could cause a relationship discord between you and your mother-in-law if done alone. You may be able to help her understand what your wishes are if you gain an appreciation for the genuine feelings behind the sharing of her faith. When something is very important to us, the impulse is to want to share with those we love the most. Your discussion with her may start out something like this:

We know that you have a strong faith and really love sharing it with the children. We can appreciate your efforts to teach them, and how much you love them. Since we have different beliefs, we would like to talk together first about what sort of things about your faith you want to share, and how it compliments or contrast with ours.

There are a couple of things for which to be mindful. Spiritual beliefs, no matter what they are, can be of key importance in helping your children find meaning in life. Faith traditions and values, yours and hers, can be important guiding tools to help them understanding right and wrong. Over time your children will need to learn about all kinds of religious and political views, including those that differ from yours. Our culture has roots in many faith traditions and some knowledge of those will help children in their understanding of our art and literature, as well as informing their own worldviews. Many people spent their childhoods regimented in certain religious faiths, and yet go on to make their own choices once they become adults.

Another thing to remember is that the relationship that you and your children have with your in-laws is a very important one. When it is not good, it can interfere with your marriage and your happiness. Choose wisely anytime you address concerns, and do so with love.

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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Contracted, active affiliates of Health Affiliates Maine may attend this training for FREE! Clinicians who are not contracted affiliates may attend for only $89! This includes continental breakfast, lunch, and 6 contact hours!

About the Program

Sexual orientation and gender identity/expression are related but separate developmental processes that fit within the larger framework of human sexuality development. In this training session, we review models of affirmative best practices for working with lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) individuals. Drawing from minority stress and trauma-informed practice models, we will discuss how to be inclusive with LGBTQ clients from intake through intervention. In addition, we will assist clinicians in becoming more comfortable asking questions about human sexuality in general and LGBTQ issues in particular. At the conclusion of this workshop, participants will:

  • Increase knowledge about diversity within elements of human sexuality and within lesbian, gay, bisexual, and transgender communities
  • Understand the forces of oppression and minority stress that negatively affect the psychological, physical, and emotional well-being of LGBTQ people
  • Increase the ability to utilize LGBTQ affirming treatment interventions and best practices for working with these communities
  • Identify the resilience of LGBTQ individuals and communities and the enriching effects of positive LGBTQ role models have on LGBTQ youth and adults

About the Presenters

Franklin Brooks, MSW, Ph.D.

Franklin Brooks, MSW, Ph.D., is currently teaching full-time in the University of New England School of Social Work in Portland. His research has focused on human sexuality, sexual orientation and gender identity issues. He serves on the SAGE Maine Board of Directors for whom he co-authored the recently published SAGE Maine Social Services Provider Survey Report. He has been appointed to the Maine Family Law Advisory Commission and has served on the Board of Directors of The Maine Transnet and the Kids First Center. He has also served on the Council on Social Work Education’s Council on Sexual Orientation and Gender Identity and was Chair of the Maine Chapter, National Association’s LGBT Advocacy Committee. He has a son, Sam, daughter-in-law Keisha, and a wonderful 5-year-old granddaughter who all live in Philadelphia. He lives in Portland with his partner, Marvin Ellison. He is also step-parent to Marvin’s daughter Beverly who lives in San Francisco.

Alex Roan, LCPC, Ph.D.

Alex Roan, LCPC, Ph.D., is a therapist in private practice in Portland and also teaches in the Human Services and Psychology departments at Southern Maine Community College. Alex was the founder of MaineTransNet (Maine Transgender Network), a nonprofit that provides support and advocacy for the Maine transgender community. His current role at MaineTransNet is providing consultation and supervision to group leaders who meet in seven locations across Maine. He has been facilitating peer support groups with MaineTransNet since 2007 and currently co-leads the Brunswick group. Alex has also served on the Board of Directors of Equality Maine, GLSEN Southern Maine, and the Maine Mental Health Counselors Association. He lives in Westbrook with his partner, Lindsay, two delightful guinea pigs, and a temperamental dog.

PortlandFri, February 9, 2018 from 8:30am – 4:00pm
Italian Heritage Center
40 Westland Ave
Portland, ME
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LewistonFri, March 9, 2018 from 8:30am – 4:00pm
Franco Center
46 Cedar Street
Lewiston, ME
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BangorFri, April 13, 2018 from 8:30am – 4:00pm
Spectacular Event Center
395 Griffin Road
Bangor, ME
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This article originally appeared in Macaroni Kid on Dec 6, 2017 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: I have always been a giver. This is especially true at Christmas. I tend to overbuy for those I love and over give for those that I probably shouldn’t. What I mean by that is I will often buy gifts for everyone in the office even though it is not expected. I buy far too many gifts for our kids. It is embarrassing but I am still paying on credit cards from gifts I bought last year. I am really trying hard this year to not over give but I feel like I should lay the groundwork for those I have over-given to in the past. How do I best do that without hurting feelings? This will be an especially hard message to give to my kids.

Answer: The best part about this is that you recognize what you are doing and that you want to change. Good for you; that is often the hardest part! Gift giving has been a way you express your affection. Knowing that you need to get it under control doesn’t mean you have to stop, but you will need to modify. Gifts for co-workers, if allowed in your workplace, are usually a handwritten card with meaningful sentiments, a home-baked treat, a delicious jelly, chocolate or the like. More elaborate and expensive gifts can put your co-workers in an uncomfortable situation, especially if they can’t afford or are not inclined to buy for workmates. Remember, because you are creating debt, you cannot afford it either. If you are the only one doing it, you may want to explore why. 

Shopping for the holidays can be a time that pulls at our heartstrings. Retailers know this and make their merchandise talk to us. Some ways to combat this is to leave the store before buying or go to your car and think about your prospective purchases without the influences of the holiday atmosphere. If you do buy, leave the tags on for a while, and evaluate the cost and appropriateness of the gift for each receiver. You can always make a return. You will get better at doing this on the spot, as you make changes.

When it comes to your children, as with all parenting, you are modeling for them how to give and receive gifts, the meaning behind the giving, and also healthy financial management. Talk with them. One of the big gifts parents can give their kids is to teach them how to live within their means. Choose a budget figure of what you can spend on each child. Focus on the one most important gift on their list if it is financially reasonable. Then fill in with smaller, less expensive items which might be fun and challenging. Stay within the budget! If it is a big change from past years, you may want to add a family activity which will help the celebrating move past the gift giving. 

Lastly, if this is not something you feel you can get under control without help, and your spending is causing problems in other areas of your life and relationships, seek the help of a counselor. Sometimes there are reasons we overspend and over-give. A counselor can help you gain the insight you need to make important changes. 

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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This article originally appeared in Macaroni Kid on Nov 15, 2017 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: My husband and our son do not get along very well. My husband has recently been saying some damaging things to my son such as calling him a loser and an idiot. I know my husband is frustrated with our son but I can see the name-calling is hurting their relationship. When I speak up to my husband he says I’m choosing sides and letting our son get away with bad behavior. I feel stuck in the middle. What do I do?

Answer: It is hard to be in the middle in this kind of situation. Thank you for asking this question because many parents identify with this sort of problem. Your husband’s behavior may be based on a true desire to help your son become a healthy, functioning adult. Or, he may have been treated the same way as a child and he is replicating the behavior with his child. Either way it is not helping, it is hurting your son. Unrealistic expectations on the part of parents can also create the misbehavior or underachievement in the child. It is the “which came first question.” There are many ways to help children and teens get their behavior under control without insults. Insults, like calling a child “loser” or “idiot” actually are a form of emotional abuse. Emotional abuse refers to any act by an adult which results in injury to a child’s health and wellbeing. 

Here is a list of kinds of emotional abuse:

  • Yelling or swearing 
  • Name calling or insults; mocking
  • Threats and intimidation
  • Ignoring or excluding
  • Isolating
  • Humiliating
  • Denial of the abuse and blaming of the victim

These are the effects of this sort of emotional abuse: lowered self-esteem (hinders success in life); increases rebellion in the child or teen; teaches the child to become aggressive toward others; increases depression (fosters feelings of worthlessness) and, causes the child to lose respect for the parent.

It is important that you help your husband to understand the damage that he is doing. If you are unable to do this, consider that you may also feel intimidated by him. If you feel you need help figuring out how to help your husband and your son, please talk to a counselor. Change can happen. Counselors can help the whole family. Your husband may just need to learn about another way to relate to his son. Children need parents to set realistic expectations, to respect them, to be consistent, and to model appropriate behavior and coping. This is the tough, but important part of parenting.

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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James Bellmore (Jimi) is reaching out to the community to share his endeavor to educate professionals by offering his personal perspective about living with mental illness. Jimi hopes to continue to grow his motivational speaking by extending his services to more providers locally. Health Affiliates Maine (HAM) has been utilizing Jimi’s presentations to support new providers upon orientation monthly. Consistently HAM gets the feedback that he is the best part of the orientation process and truly outlines the needs of our consumers with real examples.

So far, Jimi has reached over 3,000 providers. Jimi currently speaks for the CMMC residency program annually, Ascentria Community Alliance and HAM on a monthly basis; Jimi shares his experiences with providers as a person who was diagnosed with schizophrenia unspecified type in 1976. Jimi went into remission in 2003- having no psychotic symptoms. He had a brief relapse in 2013 but because of his previous experiences was able to reach out to supports and go into remission again quickly.  He attributes his success to understanding his triggers and managing them, to having a great network of friends he considers his family, and honoring his friends and experiences through painting. He helps others by his example. Jimi wants to continue to reach providers, educate them on what it is like to be a consumer, as well as, how to look for and encourage recovery. He also shares how to support consumers with relationships, how to not judge lifestyles and individual choices, and engage consumers in hobbies. It is through his story Jimi is able to express constructive criticism that resonates with the providers.

During his engagements, he explains how he had good providers, not so good providers and amazing natural supports, referred to as “street people” who were often discouraged by his providers. Jimi recalls his “homies” being the biggest part of his recovery and offering encouragement and he often turned to this support even when providers thought they were the wrong crowd. Jimi first and foremost reminds providers that natural supports are the people that consumers can turn to all of the time. These relationships are crucial to success so do not talk badly about people’s friends and offend them. Second, he states, “don’t look for recovery and then deny it!” Jimi found at times that his medication and counseling providers would look to identify and treat symptoms when he it was clear he was in recovery. Third, he suggests that providers,  “be honest and compassionate, be real, do not trick, do not go in with a desired outcome, listen to the consumer and work on their goals; tell the consumer about mandates, answer questions and listen to feedback”. 

Jimi continues to look for ways to grow his motivational speaking opportunities and share his experiences to help shape the future of mental health care and bring a consumer perspective to the discussion at local agencies. Jimi can be reached for additional questions and scheduling for speaking engagements at bellmorejames61@gmail.com

Below is Jimi pictured with Health Affiliates Maine staff as he donates art work that he has created as a reminder of the work he is doing with Health Affiliates Maine Staff.

From left to right Trena Jackson, Compliance & Privacy Officer, Alan Holbrook, Case Management Supervisor, James Bellmore, Motivational Speaker, Kate Marble, Director of Case Management Services, Janet Verrill, Utilization Review Supervisor.

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This workshop will help clinicians and behavioral health organizations identify and respond to common ethical issues in the context of family and intimate partner violence.  Since technology plays a significant role in clients’ lives and in or practices, we include ethical guidelines for technology use and responses to digital abuse.

At the conclusion of this workshop, participants will:

  • Be aware of the ethical standards for common issues that arise in the behavioral health response to clients with current or past exposure to violence and abuse;
  • Have a summary understanding of ethical issues in: scope of practice; IPV risk assessment; confidentiality and privilege; safety planning; record management; justice system liaison; digital/technological risk, as well as best practice policy recommendations for behavioral health agencies or practices;
  • Have trauma-informed, safety-focused behavior health strategies for clinicians and practices for ethical concerns arising in the context of intimate partner violence;
  • Know where to find additional resources and advocacy services as needed.

This workshop has content relevant for clinicians who are preparing to meeting Maine licensing requirements for ethics and for family and intimate partner violence education.

AGENDA

8:30 – 9:00 Continental Breakfast and Registration
9:00 – 10:30 Setting the Frame: Ethical standards and common ethical issues when violence and/or abuse are present.
10:30 – 10:45 Break
10:45 – 12:00 Ethical policy and protocol for the clinical/technology interface when abuse is present.  Orientation to current technology: the use and potential abuse of social media, texting, sexting, GPS and more.
12:00 – 1:00 Lunch and networking discussions.
1:00 – 1:30 Defining the scope of practice: Risk Assessment and safety strategies.
1:30 – 3:00 Clinical response pathways for survivors and abusers; Diagnosis, treatment modalities, documentation, confidentiality.
3:00 – 3:45 Self Care: Ethical requirements for self-care; is your organization/practice trauma-influenced or trauma-informed?
3:45 – 4:00 Conference Summary and Certificate Distribution.

BangorFri, December 1, 2017 from 8:30am – 4:00pm
Spectacular Event Center
395 Griffin Road
Bangor, ME 04401
Register
LewistonThu, December 7, 2017 from 8:30am – 4:00pm
Franco Center
46 Cedar Street
Lewiston, ME 04240
Register
PortlandFri, December 8, 2017 from 8:30am – 4:00pm
Season’s Event Center
155 Riverside Street
Portland, ME 04101
Register

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This article originally appeared in Macaroni Kid on Oct 10, 2017 by Mary Gagnon, LMFT; Health Affiliates Maine

Question: I have a thirteen-year-old son. He brought up his desire to go trick-or-treating with friends this year. My husband immediately jumped in to say he is far too old to go trick-or-treating. I disagree. I think kids grow up too fast and should enjoy the pleasures of childhood while they can. My husband thinks the idea is immature and not healthy for a kid his age. I know adults that still enjoy dressing up in costumes and they aren’t immature. Is it wrong for us to allow our son to trick or treat?

Answer: It’s not really a question of right or wrong, but rather a question of perspective. While you value the playfulness of childhood, your husband may see your son as a person who is working on becoming an adult and leaving childhood behind. Developmentally, your son is straddling the two worlds of childhood and adulthood, and sometimes he may want to do things that are considered more “childish,” and other times he may assert himself as if he is already an adult. It can be a confusing time for adolescents and parents alike!

Why does he want to go trick-or-treating? Is it dressing up, getting candy, the independence of being with his friends, or something else that is appealing? Knowing why he’d like to go may help you and your husband understand his point of view and come up with a solution that feels right for all of you. 

There’s no age at which a person is no longer allowed to go trick-or-treating, although in our culture it is frowned upon more and more as a child gets older. Some adults may see an adolescent trick-or-treating as “not acting their age,” while others may be concerned about greediness or the possibility that the adolescents are out to cause mischief or trouble of some sort. If, after discussing it with your husband, you allow your son to go trick-or-treating, make sure he understands the rules you set (such as curfew, neighborhoods he can go to, and trick-or-treating “etiquette”) and some of the possible reactions he may receive at the neighbors’ doors and how he should respond. 

Happy Halloween!

Mary Gagnon, LMFT is a professional marriage and family therapist and the Training and Clinical Development Specialist at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children, and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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This article originally appeared in Macaroni Kid on Sep 21, 2017 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: My son’s friend has ADHD. He often comes to our house to play and sometimes spends the night. He seems not to have much of a filter and says some inappropriate things for his age. He is also impulsive. I get concerned about him using good judgment. I don’t want to discourage the friendship but am not sure how to best talk to my son about what’s appropriate and what’s not when his friend is over. I’ve talked to the parents and they are aware of the issues and have spoken to their son but they have left the parenting up to me when he is at our home. What’s the best way to deal with this when it’s not my kid?

Answer:

 This is a bit difficult to answer without knowing the age of the children. I will give you some general interventions which I hope will apply in your situation. I think you have taken an important first step in talking with the parents. In this way you have already communicated your concerns and they have an expectation that you will address what might come up. 

Having family ground rules for behavior is good for children. This also means that when kids come to play they are under your rules. When behavior starts to cause problems, review the rules of the house, and the consequences for not following. You can say, “We really like it when you come to play, but we have rules in our house about jumping on the sofa. I need you both to find another activity.” Rules can be “no ‘potty’ talk” “no roughhousing inside” “no backtalk to adults,” and the like. When rules are broken it is important to speak up and to have a number of consequences to fit the situation, like having to play separately for a short period, to having to go home. Sometimes finding out that you mean what you say can make better behavior the next time. Kids thrive with rules and boundaries; ultimately they make them feel safe. 

Children with ADHD get lots of negative messages around their behavior which can cause problems with self-esteem. Along with enforcing rules, try to also make a point to reinforce positive behavior. Look for those times to reward positive play by adding extra time to an activity or by giving positive praise. As to your concern about this child’s impulsiveness and judgment; again this can mean very different things at different ages. Adult supervision may be really appropriate for the young ones, with repeated focus on acceptable behavior. Older children need to know to come and talk about behaviors or topics which make them feel uncomfortable. 

The most important thing is to be clear about what the expectations are in your home and to follow through when discipline or positive reinforcement as needed. Lastly, sometimes it is appropriate to discourage friendships that you do not feel are right for your child.

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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This article originally appeared in Macaroni Kid on Aug 24, 2017 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: My 13-year-old daughter recently told me that she is gender fluid. I’ve heard the term before but am not that familiar. I want to be supportive but don’t know where to start to learn more. The web has a lot of conflicting information. Please assist.

Answer: Gender fluid describes a person who identifies with both genders, and moves between expressing themselves as male and female. They can have characteristics and traits of both sexes. Many are comfortable not being either/or, but both. For young people with developing bodies, perspectives, and personalities, it can be confusing. Our culture is also confused, and messages about gender can be hurtful sometimes.

It is great that your first impulse is to be supportive and learn more. That is really good parenting! While your daughter explores her gender identity, provide time of open conversation without judgment and “shoulds.” Let her know you want to understand. Each child is individual and all kinds of uncertainties and insecurities are common. Some children try on different identities while they are finding their way, ultimately settling into one as they develop. 

Counseling is an important option for her to learn more about herself and form healthy self-esteem in the process. Look for a counselor who specializes in these issues. Counseling can also be helpful for you, as you try to understand. Sometimes the picture in our head of how life will go, for us and for our children, doesn’t match the current reality. Sharing this journey with a counselor can give you the information you need going forward.

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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This article originally appeared in Macaroni Kid on Jul 19, 2017 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: My husband and I do not agree politically. It has never been too much of an issue before but after the November election, it has become one. We actually have had yelling fights in front of the kids. Afterward, we came to an agreement as a family that we would just not discuss politics. However, I am rethinking this as I’m not sure it’s healthy to demonstrate to our kids that if we cannot agree, we just won’t discuss. What are some other options we might consider trying?

Answer: This is a challenging time for lots of people. As a country, we are polarized in our political views. You are already thinking appropriately to want to be able to discuss in front of, and with, the children things about which you and your husband disagree. It is also a good sign that you have already come together as a family to try to solve this issue. Arguing and expressing anger is normal and healthy; children need to see it and learn about it in a safe environment. Your children will encounter many people who get angry and disagree with them throughout their lives. It is the parent’s job to teach them that disagreements can happen and people can still love and work together. 

When you discuss political things you will need to be able to do it mindfully, recognizing that you are symbolically “walking through a minefield.” Choose words carefully and remember that you are modeling for the children.

Both of you should agree that your points should not belittle or make a mockery of the other’s viewpoint or resort to snide comments on someone’s physical attributes; to do so is not helpful and supports the bullying mentality.

Present your side of the discussion calmly and supported by facts and intelligent, thoughtful opinions. Once you do that, it will be your turn to be quiet and listen. This shows respect, even when disagreeing. Inject humor when possible and decide together when it is time to put the conflict away for a while. For the sake of sanity, make a habit of also looking for the topics or points about which you agree. When marital conflict becomes too pronounced and it is “sucking the air out of the room,” it is time to get some help from a counselor in sorting it out. Good luck.

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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