National Autism Awareness Month

For over 50 years the Autism Society has provided services and programming to support individuals living with autism. National Autism Awareness Month, observed every April, has been an occasion to promote awareness of autism and work to ensure that each person with autism spectrum disorder (ASD) can achieve the highest possible quality of life.  

Autism spectrum disorder is a complex developmental disability that affects a person’s ability to communicate and interact with others. Signs of autism, which usually appear early in childhood, are: delayed learning of language; little or no eye contact with other people; lack of interest in peer relationships; lack of spontaneous or make-believe play; fixation on particular objects; difficulty with executive functioning (which relates to reasoning and planning); narrow, intense interests; poor motor skills; repetitive use of language; repetitive movements (such as hand-flapping); and sensory issues. ASD is a “spectrum condition” that affects individuals to varying degrees. A diagnosis of autism spectrum disorders reflects the number and severity of these behaviors a person shows. 

In 2016, the Centers for Disease Control and Prevention reported that the prevalence of autism in the United States was 1 in every 68 births, and 1 in every 54 boys. The overall prevalence in 2016 was twice the rate in 2004, which was 1 in every 125 births. Autism services cost U.S. citizens $236 to $262 billion annually. Most of this amount is for adult services—$175–$196 billion, compared to $61–$66 billion for children. Cost of lifelong care can be reduced by two-thirds with early diagnosis and intervention.  

Autism is treatable. Studies show that early diagnosis and intervention can change lives. Intervention plans must be unique to the individual, but they usually involve behavioral treatment, medicines, or both. Early behavioral treatment requires intensive collaboration between a child’s family and a team of professionals and may consist of parent training and individual therapy in a special center or classroom. Many people with ASD have other associated medical conditions, such as sleep disturbance or seizures, and improving these conditions can improve attention, learning, and behavior. Different interventions are needed as a child develops and acquires social and learning skills—for example, specialized social skills training may be help children with autism when they enter school. Adolescents with autism can benefit from supportive services that help them transition to employment and independence as adults.  

According to Autism Speaks (www.autismspeaks.org), a small minority of people with ASD progress to the point that they no longer meet the diagnostic criteria for autism. These individuals may have been misdiagnosed, may have “matured out” of some symptoms, or may have responded especially well to treatment. Some individuals have the “best possible outcomes”; their test scores are within normal ranges for IQ, language, functioning, school placement and personality, but they still have mild symptoms on some personality and diagnostic tests.  

This April, the Autism Society also wants to encourage people and groups to become partners in a movement toward accepting and appreciating people with ASD and including them in our schools and communities in a way that reflects true appreciation of the unique qualities of all people. “We want to get one step closer to a society where those with ASDs are truly valued for their unique talents and gifts,” says the Society’s website. 

National Alcohol Screening Day

National Alcohol Screening Day (NASD) is an initiative first launched in 1999 by the National Institutes of Health (NIH).  NASD is held annually on the first Thursday of the first full week of April. The purpose of this event is to increase public awareness that alcohol abuse and alcoholism are recognized disorders which can be treated. During this day, members of the public are encouraged to visit screening centers and asked to complete written self-assessments about their alcohol use.

According to The Community Guide, there are 2,000 alcohol poisoning deaths in the U.S. each year and alcohol abuse is higher in college students, who do tend to frequently drink in large volumes.  Excessive, fast consumption of alcohol is known as ‘binge drinking’, and this kind of alcohol abuse can lead to many recognized health problems such as anxiety, depression or sexual problems.  The long-term effects of alcohol abuse include an increased risk of developing certain cancers, liver cirrhosis, high blood pressure and heart problems.
National Alcohol Screening Day awareness continues to grow nationally, and the U.S. government is supporting programs and policies to reduce binge drinking and expand access through the Affordable Care Act to new health insurance plans to cover alcohol screening and brief counseling. The National Institute on Drug Abuse (NIDA) has launched two online screening tools that providers can use to assess for substance use disorder (SUD) risk among adolescents 12-17 years old.

Two Screening Options: Providers can select the tool that makes sense for their clinical practice.

CAGE Questionnaire  

The CAGE can identify alcohol problems over the lifetime. Two positive responses are considered a positive test and indicate further assessment is warranted.

The questionnaire takes less than one minute to administer and is often used in the primary care of other general settings as a quick screening tool rather than as an in-depth interview for those who have alcoholism.  The CAGE questionnaire does not have a specific intended population and is meant to find those who drink excessively and need treatment. The CAGE questionnaire is reliable and valid for assessment of alcohol abuse; however, it is not valid for diagnosis of other substance use disorders, although somewhat modified versions of the CAGE questionnaire have been frequently implemented for such a purpose.

AUDIT-C Overview 

The Alcohol Use Disorders Identification Test (AUDIT) can detect alcohol problems experienced in the last year. A score of 8+ on the AUDIT generally indicates harmful or hazardous drinking. Questions 1–8 = 0, 1, 2, 3, or 4 points. Questions 9 and 10 are scored 0, 2, or 4 only. The Audit-C is a 3-item alcohol screen that can help identify persons who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence). The AUDIT-C is a modified version of the question AUDIT instrument.

Bizzell’s Tips for Having a Healthy Spring Season

The official day of spring is on March 20th, and after being cooped up inside the house all winter, this is the best time to plan activities for the new season. Feel the new energy of spring! Take a look at where you are and how you feel; use this new season to set new goals and plan where you want to go moving forward. 

Here are a few tips for having a healthy and purposeful spring season:

Get outdoors more:  The spring season is one of the best times to be outdoors. The weather is not too hot nor too cold, and the days are longer. Some examples of outdoor activities include hiking, bike riding, swimming, sports activities, and running. 

Spring cleaning: Take this time to clean your home to air out dust and remove unnecessary clutter. Rearranging your furniture can also provide a “new energy” for the season. Also, let’s not forget to clean out the pantry and fridge to get rid of expired foods or foods that are not good for you. 

Eat for the season: Spring is probably one of the easiest times of the year to eat healthily. There are many fruits, vegetables, and herbs that are in season, you can also take the time to enjoy some of your favorite healthy meals such as pasta salad or stir-fry dishes.  

Workplace Diversity

Workplace Diversity 

By: Anton C. Bizzell, M.D.

It seems like such a simple word, but it can cause such anxiety.

What do you immediately think of when you hear that word? Do you roll your eyes? Do you dismiss it as just another politically correct term? I doubt that you think that companies with diverse teams outperform industry standards by 35% as reported by Forbes. I doubt that you think of all the wonderful benefits, professionally and personally, that you can obtain by working in a diversified setting. Workplace diversity “refers to the variety of differences between people in an organization. Diversity encompasses race, gender, ethnic group, age, personality, education background, and more. Diversity not only involves how people perceive others but also how those perceptions affect their actions.” Diversity isn’t just another HR buzzword. Diversity helps to propel us forward and it is one of The Bizzell Group’s (Bizzell) most essential core values.

Companies are made better by drawing upon the collective wisdom and strength honed from a workforce that is comprised of many differences. The Small Business Chronicle reports that “in an era of economic globalization, many companies are making efforts to achieve workplace diversity. Understanding the advantages of workplace diversity helps establish an organization with a competitive edge. Companies that cultivate a diverse workforce reap the benefits of increased productivity and creativity and gain the reputation of an employer that hires talented people without regard to race, ethnicity or gender.”

Companies should embrace the notion of diversity and not just for the sake of diversity, but because there are real and tangible benefits associated with having a workforce that is more reflective of American society. As you stroll through your office and see your colleagues in the hallways, it’s clear that you don’t all look alike. You don’t all share the same religion or culture. You don’t all think or act the same. And, that is good. The world is changing. But, change can sometimes bring pain. It is everyone’s job to mitigate that discomfort by helping to create an environment where everyone can feel safe and secure in bringing their full selves and their complete experiences to work every day. The whole is greater than the sum of its parts, and I know that we are better because of our differences, not in spite of our differences.