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Mental Health

The funding cliff for student mental health

by Press
written by Press

Illustrated by Anneliese Caposela/Axios

Public school districts that have received large amounts of COVID relief funds for mental health services face a new dilemma. How do we sustain counseling, screening, teletherapy, and other programs when funds run out?

Important reasons: Youth mental health crisis not getting betterand schools are increasingly being called upon to serve as first responders amid rising rates of suicidal ideation, overdoses, and gun violence.

Big picture: Advocates, researchers and administrators have told Axios that schools will struggle to retain qualified mental health personnel when funding expires at the end of the 2024 academic year.

  • Not only can you not afford to pay a counselor, but in some areas the problem is so serious that Montana Behavioral Health Alliancethe Medicaid State-approved Coalition of Youth Mental Health Providers.
  • “Schools had so many needs, teachers were struggling so much to get out of COVID, and in many ways they just didn’t have enough money,” Windecker told Axios. “Children are deteriorating rapidly from a mental health standpoint.”
  • “It is very difficult to prioritize mental health services,” said Sasha Pudelsky, advocacy director for AASA, the Association of Superintendents of Schools. “That doesn’t mean they won’t try…but it’s an ominous challenge.”

News promotion: effective school solutions provide mental health services to schools nationwide, On Thursday, we launched an effort to help districts establish sustainable mental health programs using 13 different funding sources.

  • Suggestions include turning to Medicaid Helps cover eligible students Last summer’s bipartisan gun safety legislation tapped a portion of the $1 billion designated for mental health support.
  • The new team of former administrators will also act as funding consultants for schools in at least nine states, including New Jersey and California.
  • More than half of school administrators surveyed by ESS in December said they needed more information about alternative funding sources. Duncan Young, his CEO of ESS, said the support is fragmented.

Catch up soon: CARES Act of 2020 and Subsequent Spending Bills Designated as Pandemic Relief Contribute a total of $190 billion to the Elementary and Secondary School Relief Fund (ESSER) to help school districts step up their investment in mental health support.

  • The problem is that the funds expire in September 2024. This puts the school in a “spend or lose” mode with no guaranteed future flow of funds.
  • Behavioral health is already facing unprecedented pressure, with a shortage of qualified workers a barrier to care. Almost half of the US population — 47% OR 158 MILLION — LIVE IN MENTAL HEALTH labor shortage Area per KFF.
  • More than a third of the spending plans of 5,000 local educational institutions assume that the final batch of ESSER funds expiring next year will be used for mental health workers. analysis Graduated from Georgetown University’s McCourt School of Public Policy with a FutureEd.

Be smart: Schools that can’t find mental health professionals or can’t afford to keep them once aid runs out are likely to shift their focus to academic needs to avoid losing money. Pudelski told Axios.

  • Phyllis Jordan, Associate Director of FutureEd, said: “For years, teachers and schools have said they needed more mental health support, but they simply didn’t have the money for it. “And all of a sudden there was money for it, but not necessarily someone trained to do it.”

By numbers: More than 60% of public schools report a lack of mental health staff as a barrier to providing mental health services. April survey From the Institute of Educational Sciences.

  • Nearly half cite lack of funds as a factor.
  • According to the National School Psychologist-to-Student Ratio, there are 1,127 students per psychologist. data From the National Association of School Psychologists. Recommendation is 500 to 1.

What we see: Some advocates are calling on the Department of Education to extend spending deadlines so schools don’t have to shut down mental health services amid growing needs that are unlikely to diminish by next year.

  • The Department of Education has not yet notified whether it will allow extensions beyond the 120-day grace period from September 30, 2024.
  • A senior government official told Axios that any decision will be made as the expiration date approaches.

Yes, but: Appeals for more mental health funding may also come under scrutiny. conservative bristle To have schools teach social and emotional skills. Some districts allocate relief money in that direction.

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Medicine

Vitamin D Supplementation Linked to Fewer Suicide Attempts

by Press
written by Press

Oral Vitamin D Supplementation nearly halved that percentage suicide Intentional self-harm in studies of US veterans has an even stronger impact among black veterans.

A retrospective cohort study found that higher doses of daily vitamin D supplements were more likely than lower doses to prevent suicide and self-harm risk, and that the effect was greater than baseline vitamin D deficiency or deficiency. Larger people benefited from vitamin D2 (ergocalciferol) and D3 (cholecalciferol) supplementation.

“As a relatively safe, accessible, and affordable pharmaceutical, vitamin D supplementation is [Veterans Administration] If clinical trials confirm that it prevents suicide attempts and suicides, it could be promising,” write Dr. Jill E. Lavigne and Dr. Jason B. Gibbons in their study. publish online February 1 PLoS One.

While these confirmatory tests are pending, they advise: [recommended dietary allowance] Levels of 600 IU per day, without screening, in patients with a history of suicidal behavior or suicidal ideation, or who show warning signs of suicidal behavior. ”

The U.S. Preventive Services Task Force recommends against routine vitamin D screening. depression in various groups.

However, “the subjects in these studies had adequate levels of vitamin D, so they were not deficient. That is a major limitation and the reason why further research was sought. data from,” said Lavigne’s VA Suicide Prevention Center of Excellence in Canandaigua, New York. Medscape medical news.

One-third of military personnel are vitamin D deficient

It has been shown that about one-third of US military personnel have 25-hydroxyvitamin D. [25(OH)D] Levels below 20 ng/mL are considered deficient.

Vitamin D deficiency is especially common in men and dark-skinned people. At the same time, suicide attempts and suicide rates among military and veterans are rising, Lavigne and Gibbons said in their article.

Gibbons, a postdoctoral student in the School of Health Policy and Management at Johns Hopkins University in Baltimore, Maryland, said: Medscape Medical News: “There are at least some indications for vitamin D. Potential Supplements for Depression And those with more severe depression benefited more. So some of what we’re seeing in these large impacts may be contingent on this being the more severely depressed population at baseline.”

When asked for comment, Michael F. Holick, M.D., Ph.D., Professor of Medicine, Chovanian and Avedisian School of Medicine, Boston University, Massachusetts, said: Medscape Medical News: “In my opinion, this is a very important publication for many reasons. One of them is the sheer number.”

Dr. Holrick said that although there has been some controversy in the literature as to whether vitamin D2 (ergocalciferol) is as effective as D3 (cholecalciferol), this study confirms that they have comparable activity. “This also shows that vitamin D2, like vitamin D3, reduces the risk of suicide.”

Furthermore, Horik said, “When you look at the plot showing the suicide rate versus the control group, it’s dramatic… almost a 50% reduction in risk… this study is very strong.”

The rate of suicide attempts in the vitamin D and control groups was “dramatic”

Lavigne and Gibbons conducted a retrospective cohort study of 1.3 million US veterans from 2010 to 2018 using electronic health data. Approximately 490,885 veterans who received vitamin D3 (cholecalciferol) and 169,241 veterans who received vitamin D2 (ergocalciferol) had similar demographics and medical histories and received supplementation. A one-to-one comparison was made with no veterans.

The unadjusted rate of attempted suicide/intentional self-harm in the D2 sample was 0.27% for those who received treatment compared to 0.52% for those who did not. The corresponding percentages of D3 were 0.20% vs 0.36%, respectively.

Vitamin D2 supplementation was associated with a 48.8% reduction in suicide/self-harm risk and vitamin D3 supplementation was associated with a 44.8% reduction, both highly significant (P. < .001). These risk reductions were similar between men and women.

However, there were racial differences. The effect of the supplement was greater among black and white veterans, with vitamin D2 reducing suicide/self-harm risk by 57.9% vs. 46.3%, respectively, and vitamin D3 by 63.8% vs. 38.7%, respectively.

According to baseline serum vitamin D levels, patients with vitamin D3 deficiency (0-19 ng/mL) had a significant 64.1% reduction in vitamin D3 compared to untreated controls. Each 1-point increase in mean daily dose was associated with a 13.8% reduction in risk, which was also significant.

Among veterans with baseline blood vitamin D levels between 20 and 39 ng/mL, the overall association was not significant, although vitamin D3 supplementation was associated with a significant 9.6 reduction in suicide attempt and self-harm risk. It is associated with a % decrease and each percentage point increases. Average daily dosage.

There was no significant overall or dose-response association between vitamin D2 or D3 and suicide/self-harm risk in patients with adequate vitamin D (>40 ng/mL).

This research was supported in part by resources from the VA Suicide Prevention Center of Excellence. Support for the VA/CMS data was provided by the Department of Veterans Affairs, VA Health Services Research and Development Service, and the VA Information Resource Center awarded Lavigne and Gibbons. Holick has received research grants from Carbogen and Solius and is a consultant to Pulse and Solius.

PLoS One. Published online on February 1, 2023. full text

Miriam E. Tucker is a freelance journalist based in Washington, DC. She is a regular contributor to her Medscape, and her other work appears in her The Washington Post, her Shots blog on NPR, and Diabetes Forecast magazine. She uses @MiriamETucker on her Twitter.

Follow us for diabetes and endocrinology news twitter and Facebook.

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Health Care

GoodRx pays $1.5 million to settle health privacy allegations

by Press
written by Press

(Reuters) – Healthcare company GoodRx Holdings will pay $1.5 million to settle claims it failed to notify customers it shared personal health information with Alphabet’s Google, Meta’s Facebook and others. It agreed, the Federal Trade Commission said Wednesday.

Under the terms of the settlement, GoodRx is prohibited from sharing user health data with other companies for advertising purposes.

“Digital health companies and mobile apps should not make use of consumers’ highly sensitive and personally identifiable health information,” said Samuel Levine, director of the FTC’s Office of Consumer Protection, in a statement. .

With more than 55 million people using its website or app over the past six years, GoodRx is a platform that offers discounts on medicines while collecting health information from users and pharmacy benefits managers.

GoodRx promised users that it would never share health information with advertisers, but did provide information to Google, Facebook, Criteo and others, the agency said in its complaint.

GoodRx said in a statement that the settlement issue was resolved three years before the agency began its investigation.

“We do not agree with the FTC’s allegations and do not admit wrongdoing.

The settlement is the first under the FTC’s health violation notification rule, the FTC said.

Under the settlement, the company is also required to set limits on how long it retains personal and health information and to publish its retention schedule, the agency said.

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Mental Health

Mom charged with murder sparks mental health conversation

by Press
written by Press

Knoxville, Tennessee (WVLT) – Massachusetts mother Lindsay Clancy has been charged with murdering her three children. Experts speculated that Clancy may have suffered from her postpartum psychosis.

“Postpartum depression is a depressive condition that usually begins after the baby is born,” says Dr. Michael Caucci, a postpartum psychiatrist at Vanderbilt University Medical Center.

Postpartum psychosis is rare, but according to the CDC, 1 in 8 mothers suffer from postpartum depression.

New mothers often feel guilty or confused about their negative emotions after giving birth, so they rarely speak up.

“If it’s not that serious, she may be out of touch and hiding symptoms,” Dr. Caucci said. “She might have the insight, ‘Okay, this is weird, she doesn’t want to report it to anyone.’ Build, build.”

It’s important for new mothers to have a strong support system around them, especially during the first few months.

Copyright 2023 WVLT. all rights reserved.

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Medicine

A Joyful Pause for Premature Baby on Heart Transplant List

by Press
written by Press

Sky Mattan Gopin is a miracle baby. He went from needing a heart transplant to nearly normal heart function in just a few months without heart surgery. Everyone agrees that it’s amazing and rarely happens to a sick baby. bottom.

A carefully coordinated approach to care, combined with the love and devotion of her family, allowed Sky to survive. And, of course, his strong spirit.

“A big part of Skye’s survival was that he had doctors who knew what to do, but the biggest reason he survived was his own fighting spirit,” said Skye’s mother, Brittany, or Britt. “When I was pregnant and got the news about his heart defect and other health problems, I put my hand on my belly and asked him, ‘You know what? Do you want to be born?” A loud and clear “Yes!” echoed throughout my body. ”

After his birth, every time Sky raised his right arm above his head, Britt was reminded of his strong will and desire to live. It became a symbol for her and her husband Adam to fight together.

listening to painful news during pregnancy

When Britt was pregnant, she and Adam learned from a specialist near their home in Mill Valley, California that Skye had heart disease in addition to other health conditions. He was given a 1% survival rate.

“That’s when we decided to transfer care to the hospital. fetal cardiology program so Stanford Medicine Children’s Healthwhere we met Teresa Tacey, M.D., Director of the Fetal Cardiology Program. “She and her team gave me a more hopeful prognosis in her prenatal counseling,” says Britt.

The sky was diagnosed as rare congenital heart disease called Ebstein anomalyThe tricuspid valve, which regulates blood flow between the upper right and lower right ventricles of the heart, does not form properly during early pregnancy. It is a rare condition that cardiologists describe as unpredictable. Some babies with Ebstein’s anomaly become adults before symptoms appear. Some people experience heart failure in utero or shortly after birth. Even during the prenatal period and after birth, it is not always easy to determine which direction a child will go.

“Doctors caring for Ebstein babies can be heartbroken by how difficult the disease can be. Some are able to adapt over time and behave like babies with more normal physiology,” says Dr. Tacy.

Associated gene variants and novel gene discovery

In the womb, Skye received a fetus echocardiogram (cardiac ultrasound) showed Ebstein’s anomalies in him, but not all. He also underwent genetic testing before birth that revealed genetic mutations associated with heart failure in adults, the abnormally formed heart muscle that is sometimes seen thanks to Sky and several other children in the world. may provide insight into the reason for the Ebstein anomaly.

A gene called ” TNNC1is responsible for making one of the proteins that builds the heart. TNNC1 A variant meant he had multiple heart conditions.” brendan floydMD, PhD, Pediatric Cardiology Fellow, Medical Geneticist, and Member cardiac genomics care team.

Second heart disease found at birth: left ventricular decompression

A second heart condition was discovered after birth. Left ventricular non-compression (LVNC)a kind of Cardiomyopathymaking the left side of Skye’s myocardium spongy and weak, instead of smooth and strong.

“Sky was born prematurely at 35 weeks, not only was he born with two heart problems. Seth Hollander, M.D.a pediatric cardiologist and medical director of heart transplantation at the Betty Eileen Moore Children’s Heart Center at Stanford Medicine Children’s Health.

For Skye, the condition on both sides of his heart meant that his heart wasn’t pumping properly and wasn’t pumping enough blood to his lungs, body and brain. It was done. Luckily he was at Stanford Children’s Hospital. Cardiologists have treated countless Ebstein’s anomalies and other complex heart defects and are experts in the care of premature babies with difficult heart conditions.

Bumpy Six Weeks in the Cardiovascular Intensive Care Unit

Skye and mother in hospital

Sky wasn’t big enough or big enough, heart surgery— decision made after a thoughtful conversation with Frank Hanley, M.D.Chief of Cardiac Surgery, Heart Center, Heart Failure/Heart Transplantation Pediatric Advanced Cardiac Therapy (PACT) the team recommended that he go heart transplant list. This was difficult news for the family, as premature-sized donor hearts are rare.

“We wondered if this was really his best chance to survive,” Britt says.

After lengthy discussions with the care team and consideration of options, the couple decided to put Skye on the list for a heart transplant.

But Sky had other plans altogether. He decided to become a Miracle Baby, and surprisingly, his heart began to grow stronger on its own. It helped the plan take root.

“We are able to take in premature babies with rare and high-risk conditions and offer them the best possible path from a strong cardiac team in all areas. critical care and heart surgery To heart transplantsays Dr. Hollander.

Knowing when to act and when to refrain defines professional care. For Sky, this includes when to remove breathing tubes, feeding tubes, and IVs for troubled hearts. Helped Sky grow on her own.

“Our job is to give newborns with Ebstein’s malformation only what they need, nothing more, and support them carefully. To me, it’s exceptional care,” says Dr. Tacy.

“There were so many doctors working together as a team, but their egos weren’t part of it,” Britt adds. I have figured out a puzzle.”

Britt appreciated the way the doctors and nurses handed over certain aspects of Skye’s care to her, helping her to hold him despite the tube and breastfeed.

“Britt and Adam were dedicated to treating him like a normal baby. When he started breastfeeding, I knew he was getting stronger,” says Dr. Hollander. says.

Babies born with Ebstein’s anomaly often have one or more ventricular septal defects (VSDs). Sky had her VSD, which fortunately closed on its own over time. This is common.

of Betty Eileen Moore Children’s Heart Center It uses an unusual approach in which a cardiologist and a neonatologist (specialists who care for sick newborns) work together. cardiovascular intensive care unit (CVICU) determines the best next steps to support premature babies. newborn care at Stanford Children’s is currently ranked in the top 10 in the nation. US News & World Report.

“Having a neonatologist in the CVICU, focusing on the premature infant and considering the best course of action for the baby’s underdeveloped lungs, growth and development is essential for a positive outcome,” he said. increase. Sonia Bonifacio, MD, Skye’s Neonatologist. “While a cardiologist focuses on repairing the heart, a neonatologist’s perspective is more global, helping to support and protect babies so they can live healthy lives.”

empty smile

Dr. Tacy will follow Sky’s life as chief cardiologist. Britt appreciated Dr. Tacey’s positive outlook during her pregnancy, despite her surprise during her pregnancy. In the end, we had Sky, a baby with nearly normal heart function today. Skye is the first child for a couple who have struggled to have healthy babies in the past.

“Before birth, we talk a lot about hope, rational and clear hope,” says Dr. Tacy. “Skye’s parents were very dedicated day and night to help him improve. I’m sure it was as good as any medicine they gave me.”

stanford children Cardiogenomics program— A dedicated team of cardiologists and genetic counselors dedicated to identifying hereditary heart diseases — Publishing the genetic findings Sky helped confirm, giving other patients a clearer path in the future We would like to make it available.

go home and grow up like a normal baby

When Skye was six weeks old, his parents received incredible news. Skye has moved from the top of the heart transplant list to the bottom. It’s time for him to go home. His heart transplant is on hold and may be permanent. So far, this miracle baby is growing stronger every day.

“He started laughing. It’s really sweet. He laughs a lot and likes to talk,” Britt says. “Every day he increases his ability to exist in this world.”

Skye may need surgery to repair his tricuspid valve in the future, but for now his heart is functioning fairly well.

“There are many cheerleaders at Sky’s Heart Center who are waiting, watching and wanting to see Sky in action,” Dr. Tacy concludes.

Learn more about cardiac care for children with complicated heart conditions >

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Mental Health

Committee advances bill to let psychologists prescribe medications in Colorado | Legislature

by Press
written by Press

A legislative commission in Colorado introduced a bill Wednesday that would allow licensed psychologists to be licensed to prescribe and administer psychotropic drugs.

If a psychologist currently providing treatment or counseling determines that a patient needs a drug such as an antidepressant, the patient must be referred to a psychiatrist or doctor for a prescription. But due to the shortage of prescribers in Colorado, the process can take months to complete, and the patient will have to pay for the treatment twice.

If House Bill 1071 passes full Congress, more than 3,000 psychologists working in Colorado will soon be eligible to prescribe themselves. By comparison, there are only about 600 psychiatrists currently active in Colorado.

“Not having access to medicine when you need it is not the slightest inconvenience,” said Rep. Judy Amabile of D-Boulder, which sponsored the bill. “It is a life-changing outcome for many people. It can mean job loss, divorce, custody battles, criminal justice involvement, hospitalization, ER visits, suicide. Too many people can’t.”

This commitment comes as the 2022 State of Mental Health in America. report ranked Colorado as the worst adult mental health state in the country. The year before, Children’s Hospital Colorado emergency For Youth Mental Health, as suicide is the leading cause of death for children ages 14 to 19 in Colorado.

In Denver, the city with the highest concentration of psychiatrists in the state, wait times for prescribers are more than six months, said the bill’s other sponsor, Rep. Mary Bradfield (R-Colorado Springs). said.

Additionally, in Colorado, only 12% of patients sent to another office for mental health care completed treatment, Bradfield said, while those who were provided the same care at their current office was 77%.

“At the heart of this bill is expanding access to care, access to life-saving medicine,” said Bradfield. “Access to mental health care in our state is strained and insufficient to meet the growing need in every corner of Colorado. It’s about ensuring that people get the mental health treatment and services they need, when they need them.”

The House Public and Behavioral Health and Human Services Committee voted 10 to 1 in favor of the bill on Wednesday and forwarded it to the House as a whole for consideration.・Story It was only Congressman.

The bill has received bipartisan support from lawmakers, but the mental health community is divided. Dozens of psychiatrists and psychologists testified at Wednesday’s committee meeting and debated the bill’s effectiveness for more than four hours.

Opponents in the psychiatric industry have expressed concern about allowing psychologists without medical training to prescribe drugs, questioning how drugs affect the body or how physical illness can affect mental health. He said he didn’t understand how it manifested itself as a health problem.

“Psychiatric drugs affect every system in the body,” says Dr. Nadia Haddad of the Colorado Psychiatric Association. It can cause diabetes, high blood pressure, thyroid problems, liver and kidney problems.”

Under the bill, psychologists would be conditionally eligible if they had a doctorate in psychology, a master’s degree in clinical psychopharmacology, passed the national psychopharmacology exam, and had professional liability insurance. You can apply for authorization to prescribe drugs. State psychologist examination boards decide whether to be certified.

Psychologists held conditional certification for two years, during which they could prescribe and administer medications only under the supervision of a doctor or nurse. After two years, the psychologist maintains her license and insurance and can apply for full certification and work unsupervised, as long as she completes at least 20 hours of her continuing education per year.

Proponents of the bill noted that the two-year supervision period for prescribing psychologists and the permanent requirement to inform patients’ doctors of what they are prescribing makes the program safe.

“These psychologists can enhance the care they provide to patients in a proven and safe manner and are of great value to the state as a whole,” said Brian Bourmund, Ph.D., president of the Colorado Psychological Association. increase.

Five states—New Mexico, Louisiana, Illinois, Iowa, Idaho—and the U.S. military already allow psychologists to prescribe mental health medications. According to Healthier Colorado, in New Mexico and Louisiana, giving psychologists prescriptive powers reduced deaths from suicide by 5% to 7%.

There are currently about 250 prescribing psychologists working nationwide. From 2005 to 2021, he had only 14 board complaints against psychologist prescriptions. Half of those cases were dismissed, and he was the only one paid out to the plaintiff, according to Trust Risk Management Services, which provides liability insurance to psychologists.

Proponents of the bill defended the data as evidence of the program’s success in other states, but opponents argued that, given that there are only 250 prescribing psychologists nationwide, the program could be used by Colorado prescribers. did not significantly increase access to

“This bill is an implementation to address the complex needs of children and families who struggle to get the quality behavioral health care they deserve,” said Kathy Littler, M.D., president of the Colorado Chapter of the American Academy of Pediatrics. It does not offer a possible solution.

But many Coloradoans struggling to find mental health care testified Wednesday that lawmakers need to do something to improve the current system.

Amelia Federico, a college student in Denver, sought treatment for severe depression in high school and searched for months until she found a therapist who accepted insurance, was available, and felt at ease. was recommended anti-anxiety medication. I was then told I would have to start the process of finding a provider all over again.

While researching psychiatrists, Federico learned that the average out-of-pocket expense, not including the cost of medication, was about $100. She said that’s a month’s worth of groceries for her.

“In the end, I couldn’t afford to pay for both a psychiatrist and a therapist, so I couldn’t afford the luxury of medication that I desperately needed,” Federico said. , is a reality we continue to live in … we have to work together to pass this bill.”

Colorado House Passes First Bill of the Year

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Medicine

Goodwill Vision Enterprises, UR Medicine Team Up to Expand Eye Care

by Press
written by Press

Goodwill Vision Enterprises’ Sterns Center for Low Vision

Good intentions of the Finger Lakes and UR Medicine Fraum Eye Institute – Two leaders in vision care in the Rochester area – working together to improve access to best-in-class vision care in the city of Rochester.

Goodwill Vision Enterprises (formerly known as the Association for the Blind and Visually Impaired) and the Flaum Eye Institute have teamed up to expand low vision care within the Sterns Center for Low Vision at 500 S. Clinton Ave. , improve eye care. On February 13, a comprehensive eye care center was opened to serve residents in areas with limited access to this care.

Goodwill CEO and President Jen Lake said: “This is a very important time for our organization and we are proud of our history of serving people with low vision and blindness. , represents a new chapter for us.”

In addition to providing low vision assessments to individuals referred to Goodwill Vision Enterprises, Fraum also offers comprehensive eye care in the heart of downtown Rochester. There are eye exams, diabetes, cataract and glaucoma screening tests, and opportunities to get glasses and contact lenses.

“This is a joint effort that makes sense for both organizations. It advances our shared mission of providing eye care to our community and working to preserve sight.” Dr. David DiloretDirector of the Flaum Eye Institute and Chair of the Department of Ophthalmology at the University of Rochester Medical Center.

In a newly renovated 5,300-square-foot suite with six examination rooms, treatment rooms, an optician, and a spacious waiting area, Flaum has introduced technology upgrades, including electronic medical records, to improve continuity of care. Secure. Four rooms are dedicated to comprehensive eye care and two rooms are dedicated to daily low vision examinations.

“This new site will allow us to increase our capacity for low vision assessments and minimize delays for Goodwill participants. will have equal access to eye care.” Dr. Christine Cowarddirector of the new center and head of the Fraum Eye Institute’s Comprehensive Eye and Cataract Services.

This collaboration will allow Flaum to reduce delays in low vision care at the Sterns Center for Vision Care from approximately six weeks to two weeks and expedite referrals to low vision rehabilitation services offered by Goodwill.

The Low Vision Clinic is open from 8:30 AM to 5:00 PM. Call 585-232-1111 to make an appointment. For more information, see: here.

The General Eye Care Center is open from 8:30 am to 5:00 pm and reservations can be made by calling 585-273-3937 (EYES.).

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