Brain Science and Updates From the Field

Conference highlights important topics

Wednesday, June 21, 2017
Earlier this month, the expertise of an impressive collection of distinguished mental health professionals was on display for the benefit of their peers.

On June 22, Erie hosted the fourth annual Challenges & Innovations in Rural Psychiatry Conference at the Bayfront Convention Center. The conference is a way for professionals, students, consumers and family members to discuss important topics relating to mental health.

The keynote on the topic of the opioid epidemic was given by Dr. Donald S. Burke, Dean of the University of Pittsburgh Graduate school of Public Health. Burke was also part a roundtable panel discussion on the topic of the opioid epidemic that included County Executive Kathy Dahlkemper and drug and alcohol professionals from Stairways Behavioral Health.

In addition to the opioid epidemic, additional issues were discussed during the conference, including a case study examining the importance of art in recovery given by BLOOM Collaborative Director Lee Steadman, right, and Rochelle Youkers, director of Assertive Community Treatment at Stairways; best practices in Medication-Assisted Treatment (MAT); and a look at how peers have been effective in helping treat substance use.

Speakers who presented at the conference possessed diverse experience from clinical, academic and government backgrounds.

Stairways medical director Dr. Penny Chapman has spearheaded the annual event that made its debut in Erie. Dr. Chapman is also the Director of Rural Psychiatry Fellowship for the University of Pittsburgh’s Western Psychiatric Institute and Clinic, the main sponsor of the conference.

The conference was free of charge for individuals who use services and their families, as well as medical residents and students.

Occupational Therapy celebrates 100 years

Thursday, April 27, 2017

Each April is Occupational Therapy Month, but in 2017, the commemoration carries with it a little more significance.

That’s because this year marks the 100th anniversary since occupational therapy was established by the National Society for the Promotion of Occupational Therapy, now called the American Occupational Therapy Association.

Occupational therapists provide treatment to individuals through the therapeutic use of everyday activities, or occupations (AOTA).

It’s a charge at the forefront of Stairways’ Psychiatric Rehabilitation program’s mission, according to Christine Linkie, the program director.

“Both Psych Rehab and occupational therapy focus on skill-building and aim to develop fulfilling life goals,” Linkie said. “The idea behind OT is that people need meaningful activity. Every human being needs it and if you don’t have it, you start to falter.”

The modern version of occupational therapy traces its roots back to World War I, when soldiers suffering from physical and emotional trauma worked on handicrafts and vocational skills as a means of distraction as well as a way to increase physical activity and improve morale.

Since then, OT has developed into a science-driven, evidence-based profession whose goal is to help clients live meaningful lives. And a century later, the therapy is still predicated on the blending of physical and mental health.

“OT is a very holistic profession in that it’s not just physical but emotional and mental as well,” Linkie said, noting that low occupational activity is directly correlated with decreases quality of life.

“The holistic approach lends itself very well to the mental health population because it focuses on quality of life, which is a particularly important part especially since we know people with serious mental illness live, on average, shorter lives than average,” she said.

Stairways’ Psych Rehab makes this integrated approach a priority in its programming.

The clinical department holds group classes at BLOOM Collaborative year-round aimed at developing skills, increasing engagement and improving the quality of life for clients. These classes as well as all of Psych Rehab’s efforts help people develop skills for living, education, vocation and socialization in the home and in the community.

Linkie, who has made presentations on the topic of Psych Rehab and its relationship to occupational therapy at multiple events including this year’s AOTA national conference, said Psych Rehab’s focus on helping clients perform activities that allow them to reach their potential draws from the efficacy of occupation therapy.

“It’s really about providing the meaning that we all strive to achieve,” she said. “That is the piece that is most important.” 

March marks self-harm awareness month

Thursday, March 16, 2017

For millions of Americans, inflicting pain upon themselves seems like the only way to alleviate tension and gain some semblance of control over their lives.

Unfortunately, many of these people who engage in self-harm are often left unnoticed, misunderstood or neglected. The silence surrounding such self-harm makes increasing our understanding all the more vital to addressing the problem.

It’s what makes March’s designation of Self-Harm Awareness Month all the more important.

What is self-harm?

Each year, two million cases of self-harm are reported among Americans, who often carry out the act by cutting and burning their skin and pulling out hair. But despite its destructive nature, self-harm is not necessarily suicidal behavior. On the contrary, the act of hurting oneself serves as a way to feel in control when they otherwise feel as though they possess no control in their lives. Although many people carry out the act at instant relief, self-harm is fueled by emotional distress that could lead to suicide attempts in the future. At a time of great emotional pain, the physical pain brought on by self-harm is often easier to deal with and might feel less acute by comparison.

Self-harm occurs nearly evenly among males and females. According to the Healthy Place, one-in-five females and one-in-seven males engage in the behavior. The practice often starts during adolescence, when a reported 90 percent of self-harm occurs, but can start and continue to occur later in life as well. Many young people feel encouraged to use self-harm as a coping method and learn techniques to do so from websites and peers.

Indeed, media portrayal of self-harm has had an effect on perceptions of the behavior. Not only has it influenced younger people to engage in it, but it has also led to generalizations that the act is commonplace among some social cultures and the assumption that those who self-injure are simply seeking attention.

While self-harm itself is not a mental illness, it is often an indication of underlying depression and personality disorders. Some signs can help shine a light on whether or not a loved one is engaging in self-harming behaviors. If you have noticed them often wearing bandages and bruises or if they insist on wearing long sleeves and pants even in hot weather, perhaps they are trying to hide scars and injuries. In addition, be aware of potential self-endangering behaviors and any sharp objects they might be concealing at unusual times.

But most of all, be sure to ask questions and listen. It is important to refrain from judgement and to remember that there is an underlying issue behind the self-harm that is causing the behavior.

Seek help by calling the national self-injury hotline, 1-800-DONTCUT, or contacting Stairways Behavioral Health at 814-453-5806.

Resources: http://www.mentalhealthamerica.net/self-injury

http://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Self-harm

http://www.selfinjury.com/

Could you be a Mental Health First Responder?

Tuesday, May 17, 2016

Ethan Call, a college student, was worried when he noticed that his friend—who normally attended church every Sunday—didn’t show up to teach Sunday School that day. He knew she had been struggling with depression and anxiety. So, he texted her and asked if she was okay. She wasn’t.

Gwen Cubit, a mother from Texas, was worried when her son texted her from Maryland asking her to call him—that it was urgent. She picked up the phone and found him in the throes of an emotional crisis—he wasn’t sure if he wanted to kill himself or someone else.

Think about the last time you worried about a friend, a family member or a neighbor. Many of us can sense when something isn’t quite right, but the fear of being intrusive, overstepping our bounds or saying the wrong thing can prevent us from acting. So, far too often, we do nothing to help.

Luckily, Ethan and Gwen knew exactly what to do. They had both recently been trained in Mental Health First Aid where they learned how to recognize when someone might be experiencing a mental health or substance use problem, and mastered an action plan to help.

Noticing the red flag, Ethan left church and drove to his friend’s house. Immediately, the Mental Health First Aid action plan kicked in. He sat with her and listened to her talk about her feelings—without judgment—over milk and cookies. He gave her information about where and how she could access professional help. He encouraged her to turn to her friends, family and faith community for support. Now, Ethan’s friend is working with a counselor and doing much better.  She got help.

Gwen immediately recalled an important strategy from her Mental Health First Aid training: stay calm. She kept her son talking, asked questions about what he was doing, where he was and where his family was. She took his risk of suicide seriously and encouraged him to go to the hospital with his father-in-law, who lived in the area. Her son agreed, and she stayed on the phone with him until she heard him check in with the administrative nurse at the ER. Her son was diagnosed with depression, and is doing much better today. He got help.

Each of these stories begins the same way: a person trained in Mental Health First Aid notices that something isn’t right. And each story ends with a person in distress getting the help they need.

But when people don’t know what they’re supposed to do when confronted with a difficult situation—when they don’t have an action plan for stepping in when someone is experiencing a mental health or substance use problem—the stories can end much differently.

Mental Health First Aid takes the fear and hesitation out of offering support to someone in an emotional crisis. It provides critical tools for helping people that can mean the difference between life and death.

Today, more than 550,000 Americans are trained in Mental Health First Aid. That’s 550,000 people who would know when and how to react to a person in crisis. And Stairways is proud to be a partner in that progress. But in a nation of more than 318 million, 550,000 is not enough.

All month, we have been celebrating Mental Health Month. We recognize the incredible strides we’ve made in promoting understanding, increasing opportunities and improving the lives of people living with mental health and substance use problems. Mental Health Month is an opportunity to reflect on how far we’ve come.

But Mental Health Month is also an opportunity to acknowledge how much more work there is to do.

In January, the National Council for Behavioral Health launched the Be 1 in a Million campaign—a national effort to train one million people in Mental Health First Aid. Since the launch of the campaign, more than 50,000 new first aiders have been trained.

This Mental Health Month, we encourage everyone to become part of the Be 1 in a Million movement. Get trained in Mental Health First Aid. Spread the word. Offer support to someone in need. Because—as Ethan, Gwen and so many like them know—recognizing how and when to step in and offer help can change, even save, a life.

Follow this link to find a Mental Health First Aid course near you.

(http://www.mentalhealthfirstaid.org/cs/take-a-course/find-a-course/)

Do you know what mental illness feels like?

Wednesday, April 27, 2016

Do You Know What Mental Illness Feels Like?

We often hear the clinical terms used by doctors and other professionals to identify the symptoms of mental illnesses…but if someone hasn’t gone through it, would they know how to recognize it?

So often, clinical terms don’t do justice to what life with a mental illness feels like. We know that two people with the same diagnosis can experience the same symptom and describe it in very different ways. Understanding the signs of a mental illness and identifying how it can feel can be confusing—and sometimes can contribute to ongoing silence or hesitation to get help.


The 4 Stages of Mental Health Conditions


It’s important for people to talk about how it feels to live with a mental illness. We know that mental illnesses are common and treatable, and help is available. But not everyone knows what to look for when they are going through those early stages, and many simply experience symptoms differently. We all need to speak up early — 
Before Stage 4 (see the 4 stages of Mental Health Conditions graphic, left) — and in real, relatable terms so that people do not feel isolated and alone.


May is Mental Health Month

Next month is Mental Health Month. Stairways Behavioral Health is raising awareness of the importance of speaking up about mental health by joining Mental Health America in asking individuals to share what life with a mental illness feels like by tagging social media posts with #mentalillnessfeelslike. Posting with thishashtag is a way to speak up, to share your point of view with people who may be struggling to explain what they are going through—and to help others figure out if they too are showing signs of a mental illness.

Life with a Mental Illness is meant to help remove the shame and stigma of speaking out, so that more people can be comfortable coming out of the shadows and seeking the help they need. Whether you are in Stage 1 and just learning about those early symptoms, or are dealing with what it means to be in Stage 4, sharing how it feels can be part of your recovery.

Stairways wants everyone to know that mental illnesses are real, that recovery is always the goal, and that the best prospects for recovery come when we act Before Stage 4 (B4Stage4).

Addressing mental illnesses B4Stage4 means more than burying feelings and refusing to talk about them, and waiting for symptoms to clear up on their own. B4Stage4 means more than wishing that mental health problems aren’t real, and hoping that they will never get worse. B4Stage4 means more than thinking that someone on the edge of a crisis will always pull himself or herself back without our help, and praying that someone else will intervene before a crisis occurs.

B4Stage4 means, in part, talking about what mental illnesses feel like, and then acting on that information. It means giving voice to feelings and fears, and to hopes and dreams. It means empowering people as agents of their own recovery. And it means changing the trajectories of our own lives for the better, and helping those we love change theirs. So let’s talk about what life with a mental illness feels like, to voice what we are feeling, and so others can know they are not alone.

Peer Specialist speaks on important issue

Monday, January 25, 2016

Certified Peer Specialists serve a vital role in Stairways Behavioral Health’s mission of recovery, providing the valuable resource of having directly experienced mental illness.

This personal understanding serves not only as an asset for Stairways’ clients but also a wealth of knowledge for clinicians and other mental health professionals to tap into.

Peer Specialist Edna Lingenfelter’s recent work is an example of just that type of resource.

Lingenfelter (left, with colleague Theresa Abbey) works with 10 different peers who struggle with various mental health issues, such as self-esteem, depression and anxiety among others. And her insight into one specific issue—self-injury— has been the particular focus of Stairways staff recently.

Lingenfelter has recently made presentations on the topic to Stairways’ Board of Directors and the Assertive Community Treatment team.

“I shared ideas with our Board and staff about the work I'm doing with clients. And as a consumer, I spoke to how I’d want to be approached,” said Lingenfelter, who said she has a history with self-injury. Lingenfelter said having the credibility as someone who understands through experience why clients cut themselves has helped her establish trust with clients.

Self-harm, specifically cutting, is a difficult subject to understand for many, and treating the behavior can be challenging for clinicians, as each case is unique, she said.

“It’s instant—I guess you would say satisfaction,” she said. “People think the people who do it are suicidal when it’s actually the people who feel like their life is out of control and this is one thing that they can control.”

In her presentations, Lingenfelter offered alternative ways of addressing clients who often hide their cutting for fear of misunderstanding. She presented practical examples of coping mechanisms that have been effective with clients she has worked with, such as applying temporary tattoos, drawing on your arm and consulting a 1-800 self-injury hotline.

Lingenfelter said she sees helping clients find the proper tools such as these as the most important part of her job.

“I want people to see they can make the change in their lives or see that they already have the skills,” she said.

Lingenfelter’s work with self-injury is just one example of how Stairways’ use of its peer specialists program helps complement not only mental health treatment, but those providing that treatment as well.

Peer Specialist Program presents, makes impression at SCI Albion

Wednesday, August 19, 2015

On July 24, 2015, SCI Albion employees hosted a Community Day for the inmates housed in the Residential Treatment Unit (RTU) and  Stairways Behavioral Health’s Certified Peer Specialist program was selected as the only provider  program to present at this event.

Marilyn Goss and Jason Young represented Stairways by giving a presentation to an audience of about 200 inmates.

Goss offered inmates information on the peer specialist program and other services the organization offers.

“It’s important to see peers as people who can assist others who might be facing the same issues,” Goss said.

Young, a certified peer specialist, delivered an impassioned talk in which he addressed the common issues  people with mental illness face despite personally never having had any legal problems himself .

“Even though I have no direct experience with the criminal justice system, it appeared from the feedback I received after the speech overall and from individual audience members that I had made a real connection,” he said.  “I explained to them that hope is real; this was my message to them.”

Every inmate that participated in Community Day signed a Community Pledge, an agreement written by inmates that has 11 actions and values they swore to honor.

Community Day, was developed to demonstrate a healthy sense of respect for social situations and to establish a sense of belonging among the inmates, and coincides with a renewed focus on the value of peer specialists within the state.

Starting last year, SCI Albion has trained inmates as Peer Support Specialists. On June 19, 18 inmates graduated from the program, bringing the total number of CPSS at the prison to 33. Following release from prison, these inmates are eligible for employment based on their training and experience.

Following Stairways’ presentation at Albion, Goss received a positive response from the inmates in attendance.

In a letter voicing his appreciation, one inmate wrote, “Please don’t forget the incarcerated in prison. We are human beings too with heart and feelings.”

Recovery Project Seeks Family Involvement

Monday, June 29, 2015

Lloyd Wertz, center, with Stairways staff during Family Inclusion standards Project training.

When Lloyd Wertz was 8 years old, his father was hospitalized with an ulcer. After medical treatment and after-care, the ulcer was cured and his father was back to normal. “
Normal,” for the Wertz family, however, included the symptomology of mental illness.

“Back then they called it manic depressive illness,” said Wertz, following a recent workshop with Stairways staff. “After his manic phases, my father would sink into a deep, deep depression. He’d be like this for months, and it would get bad.”

At the ripe young age of 14, Wertz found himself the petitioner for his father’s involuntary commitment to a mental hospital – ample motivation for what became a life-long journey toward family awareness and inclusion in the mental health treatment of loved ones.

Wertz first visited Stairways in April of 2012 and returned for the final time in June, 2015, as part of a related research project and to train staff on his organization’s Family Inclusion Standards Project. The project is both professional and personal for him.

“I didn’t understand what was happening with my dad,” Wertz explained. “For his ulcer, he went to the hospital and the doctors fixed him. Shouldn’t it be the same for his depression?” The bipolar disorder eventually claimed Wertz’s father’s life.

What would he do differently then, given what Wertz knows now? The heartbreaking answer to this question comes quickly. “I wouldn’t have blamed my dad for his symptoms for the rest of his life. I thought he should be able to control it. I thought he wasn’t trying. I thought he was a drunk. Now I know he was self-medicating because he was really hurting.”

Wertz would have liked the opportunity to approach his father’s illness in an entirely different way. With greater awareness and information, he could have made things better at home – more comfortable – to assist in his father’s recovery.

This experience is “shared history” for millions of families, says Dr. William Beardslee of Harvard Medical School. In his book, Out of the Darkened Room (Little, Brown, 2002), Beardslee writes, “In far too many families, depression is neither recognized as a serious illness nor understood, and many of the misunderstandings are compounded by guilt and blame, by trying to make sense of the sufferer’s behavior and not knowing how to.”

Wertz, along with mental health providers like Stairways, are determined to change this shared history. Through workshops and trainings, professionals learn to expand their definition of “family” to include all significant persons (friends, roommates, clergy, etc.), and to enhance mental health recovery plans by actively enlisting the support and assistance of all who can affect the life of a recovering person.

Data collection, from routine audits Wertz performs on Stairways’ records, validates research findings and sought-after recovery outcomes. These include more accurate diagnosis, improved protection against relapse or re-hospitalization, lower risk for arrests or homelessness; and improved vocational goals. For families, benefits include a better understanding of their loved one’s recovery process, more realistic expectations, and opportunities to become leaders in advocacy – with health care providers and with the community.

During his training, Wertz reminded staff of more global benefits of deliberately enlisting the help of family or significant persons. “The reality is, the mental health work force is shrinking, even as the number of individuals seeking treatment increases.” With fewer psychiatrists, therapists and social workers entering the field, “We need to expand our resources. This means we need to look to peers. We need to look to family for help.”

Stairways staff attending Wertz’s workshop underscored the benefits of family inclusion with stories from their own experience.

Lisa Peters, mental health worker with Stairways’ new long term structured residence program, recalled a family she formerly worked with as a blended case manager. A daughter found her unresponsive mother, who had attempted suicide. Said Peters, “The daughter and her father stepped in, helped to coordinate coverage, and advocated with available social services.” The result was a strong partnership between family and Stairways staff which promoted all the supports needed for recovery.

Sharon Sandberg, while a therapist through Stairways’ personal care home, credits one resident’s sister with providing crucial information to staff when faced with a medication dilemma. “Our resident required a medication that was very expensive. Through normal coverage and the insurance information we were given, we couldn’t figure out how she could afford them, much less how we could continue to provide them.” The sister gave information about a pension fund the personal care home staff didn’t know about. It was a missing piece of information only her sister could provide.

Such stories are common, said Wertz. “Whether it’s notifying care workers that Johnny only wears sneakers. Ever. Or that Jimmy once lost a girlfriend on July 3rd and struggles with the memory at the same time every year, successful inclusion in recovery always comes down to family members who truly understand their loved one’s needs.”

How does Stairways as an organization measure up with its inclusion efforts? Favorably, according to Wertz’s professional assessment as a researcher and trainer of Family Inclusion Standards. “There are a few agencies in Philadelphia – then Stairways Behavioral Health – who stand out across the whole state for family inclusion,” Wertz said. “Stairways has intentionally made family engagement part of its operational effort. Institutionally, Stairways stands out in the field.”

While Wertz’s assessment is gratifying, the bar only rises as increasing need meets a diminishing workforce. Diminishing funding also means that workforce must continually do more with less. Families and significant others provide an essential part of the equation, said Wertz. “In the end, we are all ‘merchants of hope’ to individuals and their families. ‘Hope’ is the key word, and recovery specialists and family members alike share those same hope-full desires for the future.”

Learn more about the Family Training & Advocacy Center (FTAC) and the PA Psychiatric Leadership Council (PPLC) here: www.pmhcc.org

Out of the Darkened Room: When a Parent is Depressed; Protecting the Children and Strengthening the Family, by William R. Beardslee, M.D., is available through Amazon.com.

May is Mental Health Month: Addressing Mental Health B4Stage4

Friday, May 29, 2015

When we think about cancer, heart disease, or diabetes, we don’t wait years to treat them.

When people are in the first stages of those diseases, and are beginning to show signs of symptoms like a persistent cough, high blood pressure, or high blood sugar, we try immediately to treat these symptoms.

We don’t ignore them. In fact, we develop a plan of action to reverse and sometimes stop the progression of the disease.

So why aren’t we doing the same for individuals who are dealing with potentially serious mental illness?

May marks Mental Health Awareness month, a time when millions of Americans across the country become mindful of the prevalence of mental illness and its many means of treatment. This May, the theme has been B4Stage4, focusing on how people can address their mental health in its beginning stages, rather than waiting until symptoms are more severe and recovery is made a longer process.

When you or someone close to you starts to experience the early warning signs of mental illness, knowing what the risk factors and symptoms are will help to catch them early. Often times, family and friends are the first to step in to support a person through these early stages. Experiencing symptoms such as loss of sleep, feeling tired for no reason, feeling low, feeling anxious, or hearing voices shouldn’t be ignored or brushed aside in the hopes that they go away.

Like other diseases, we need to address these symptoms early, identify the underlying disease, and plan an appropriate course of action on a path towards overall health. Mental health conditions should be addressed long before they reach the most critical points in the disease process.

Many people do not seek treatment in the early stages of mental illnesses because they don’t recognize the symptoms. Up to 84% of the time between the first signs of mental illness and first treatment is spent not recognizing the symptoms.

Stairways Behavioral Health is raising awareness of the important role mental health plays in our lives and encouraging members of the community to learn more about their own mental health and to take action immediately if they are experiencing symptoms of a mental illness.

Mental illnesses are not only common, they are treatable. There is a wide variety of treatment options for mental illnesses ranging from talk therapy to medication to peer support, and it may take some time for a person to find the right treatment or combination of treatments that works best for them. But when they do, the results can be truly amazing and life changing.

Stairways wants to help people learn what they can do both to protect their mental health and know the signs of mental illness.

It’s up to all of us to know the signs and take action so that mental illnesses can be caught early and treated, and we can live up to our full potential. We know that intervening effectively during early stages of mental illness can save lives and change the trajectories of people living with mental illnesses.

If you or someone you know is struggling, talk about it! Call us at 453-5806.

Navigating College Emotions

Wednesday, April 29, 2015

The Prevalence of College Student Mental Health Concerns and Where to Find Help.

College years are filled with a constant ebb and flow of emotions, from hopefulness and exhilaration to frustration and chaos. As finals week approaches, these emotions become even more heightened. Thankfully, professional help stands at the ready. Awareness and recognition is the key for family, roommates and friends to encourage students to seek help.


The Research


Since 1920, the American College Health Association (ACHA) has linked the nation’s college health professionals, serving to advance the health and wellness of college students through advocacy, education and research.

The most recent (Spring 2014) ACHA-National College Health Assessment (NCHA)* surveyed 79,266 students from 140 college, universities and post-secondary institutions across the nation, revealing the following statistics:

The Top Five Health-Related Factors Which Affected Students’ Academic Performance, e.g. lowered grade on exam or project; course dropped or incomplete; significant disruption in thesis or practicum work:

Percentage of students reporting disruptive health factor:

30.3%   Stress
21.8%   Anxiety
21.0%   Sleep difficulties
15.1%   Cold/flu/sore throat
13.5%   Depression

While a full 91.2% of surveyed students described their over-all health as good, very good, or excellent, they also reported the following felt experiences in the previous year:

86.4%   Felt overwhelmed by all you had to do
82.1%   Felt exhausted (not from physical activity)
62.0%   Felt very sad
59.2%   Felt very lonely
54.0%   Felt overwhelming anxiety
46.4%   Felt things were hopeless
37.4%   Felt overwhelming anger
32.6%   Felt so depressed it was difficult to function

Where to Find Help


For students attending 4-year colleges and universities here in Northwestern Pennsylvania, help is as close as a phone call or a short walk across campus. Families, friends and roommates can use the following list to encourage students to the seek professional help available on campus:

Crawford County Crisis Hotline 814-724-2732
Erie County Crisis Services 814-456-2014
National Suicide Prevention Lifeline 1-800-273-TALK

Allegheny College Counseling Center
Phone number: 814-332-4368
Location: Reis Hall, 3rd Floor, room 304
http://sites.allegheny.edu/counseling/

Edinboro University Counseling and Psychological Services (CAPS)
Phone number: 814-732-2252
Location: Ghering Health and Wellness Center, McNerney Hall, 1st Floor
http://www.edinboro.edu/directory/offices-services/caps/

Gannon University Counseling Services
Phone number: 814-871-7622
Location: below Harborview House Apartments, 210 W. Sixth St.
http://www.gannon.edu/About-Gannon/Services-for-Students/Counseling-Services/

Mercyhurst College Counseling Center
Erie Campus - Phone number: 814-824-3650
Location: Cohen Health Center, 4118 Briggs Avenue
North East Campus - Phone number 814-725-6136
Location: Miller Hall 7B
http://www.mercyhurst.edu/campus-life/counseling-center

PSU Behrend Personal Counseling Office
Phone number: 814-898-6504
Location: Reed Union Building, First Floor, Room 1
https://psbehrend.psu.edu/student-life/student-services/personal-counseling


* See the full data for the ACHA-National College Health Assessment survey here: http://www.achancha.org/

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