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Prioritizing Your Well-Being: Wellness at the Heart of Residency

SBH is committed to prioritizing resident wellness by offering a range of programs and activities designed to support physical, mental, and emotional well-being

While hospitals often talk about how important it is to take care of our patients, which it certainly is, we can’t do this unless we take care of ourselves. Our mission at SBH is to transform resident burnout to resident wellness.

The Resident Wellness Committee at SBH, comprised of residents, residency program directors and attendings, meets regularly with the goal of maximizing these efforts. In addition, the Committee of Interns and Residents (CIR/SEIU), the largest house staff union in the U.S., offers a range of benefits VHHSBP Benefits.

The hope is that by focusing on wellness, we can both help residents during these difficult years and allow them to become better physicians and role models for their patients now and in the future.

Workouts relieve stress and produce the endorphins that trigger positive feelings in the brain. Regular exercise can increase your confidence, improve your mood, help you relax and alleviate symptoms of mild depression and anxiety. It can also improve your sleep, which most residents don’t get enough of.At SBH, we’re fortunate to have access to the
Healthplex Fitness Center, which is located at the SBH Health and Wellness Center, just across the street from St. Barnabas Hospital. All residents are encouraged to join the new and state-of-the-art fitness center to get or stay in shape and to build camaraderie with fellow residents and hospital staff.

Hospitals can no longer merely respond to the symptoms of illness and injury. They must deal with the causes. The goal of the medical fitness center is to expand the limits of lifestyle and wellness modification through customized, closely monitored exercise programs for the staff, as well as patients.

In addition to offering state-of-the-art equipment, the center provides:

  • Group classes including boxing, body contouring and yoga
  • Complete health risk assessments
  • Medically supervised programs

All fitness center members receive an initial fitness assessment, a functional movement screening and a demo of equipment in the strength training and cardiovascular areas. In addition, a wide range of exercise classes are available in the two studios. Trained and certified exercise specialists offer workout advice and guidance to center members on an as-needed basis. This includes those who require a smooth transition from the clinical setting to the wellness center in supporting lifestyle management and optimal health. Personal training sessions are available for those interested.

Healthplex Fitness Center is a partnership between SBH and Healthplex Associates, a national company that teams up with hospitals, universities and medical facilities around the country to create clinically integrated fitness facilities. All Healthplex-managed fitness centers follow the Exercise is Medicine initiative, which views physical activity as a standard part of medical treatment and the patient care process as a means of preventive medicine.

SBH Healthplex Fitness Center Schedule

In a community besieged by obesity, diabetes, high blood pressure, and cardiovascular disease, the goal of our team of nutritionists and chefs in the Teaching Kitchen is to demonstrate the clear link between food and health by teaching people how to cook in a healthy and tasty way. After all, you are what you eat.

The Teaching Kitchen is also available to our residents, who take classes there to learn how to cook healthy for themselves and for their patients.

The Teaching Kitchen provides cooking classes for community residents as well as medical students and healthcare professionals. Beginners classes cover the basics, including how to hold a knife, cut an onion, read a recipe, and roast just about anything. All classes cost just $5.

Intermediate classes build on the culinary nutrition principles learned during the beginner classes and focus on more advanced cooking techniques and recipes. Students learn how to eat healthy and well by following recipes that use oil instead of lard, substituting brown for white rice, baking goods with whole grains, and relying on homemade seasoning blends to build flavor without going overboard on salt.

Those who want, for example, to continue eating the Latin-style foods they grew up with in a healthier fashion, for example, might be taught how to create homemade salt-free Adobo or Sazon seasoning blends rather than use store-bought varieties that tend to be very high in salt. A tostones recipe might be baked rather than fried, and a locrio de pollo dish would likely find an increased amount of vegetables (e.g. onions, pepper garlic), with tomato sauce and olives added for flavor, with lower sodium content.

Research, after all, has shown that food can fight disease, reduce medical costs and heal broken communities. Students learn that healthy food can also taste good. Armed with the right knowledge, residents and students learn to treat chronic conditions like hypertension and diabetes in their families and their community more effectively with a recipe and a cooking pan than with a prescription.

A look at our classes and schedule

SBH Teaching Kitchen Class Schedule


 

Farm Stand

All residents can take advantage of the weekly farm stand that provides fresh produce every week during the spring and fall at the SBH Health and Wellness Center.

What is Farm Share?

A Farm Share is a type of community supported agriculture. As a Farm Share member, you are supporting the Project EATS farmers for the full growing season. In return for your weekly contribution, they will provide you with a bountiful share of the harvest.

How much does it cost?

Full Shares:
$20 weekly
(a $27-$35 weekly value!)

Discounted* Shares:
$12 Weekly
*applies to EBT/SNAP recipients or others who may qualify

What do I get?

A Typical Summer Share Includes:

  • 2-3 pounds: tomatoes, cucumbers, eggplants, peppers, melons
  • 2-3 greens: summer salads, kale, swiss chard, collard greens, bok choy, and more
  • 2-3 bunches: carrots, beets, turnips, radishes
  • 1-2 bunches: herbs and flowers

Fall Shares may also include: onions, garlic, winter squash, and more!

1. The SBH Department of Psychiatry through
SBH Behavioral Health

(“SBHBH”) Clinic is available to provide residents with counseling, psychiatric evaluation and psychiatric outpatient treatment.  Our aim is to provide the best clinical care for trainees and provide a convenient way to provide more information on mental health services.

The SBHBH Clinic offers initial evaluations, psychotherapy (supportive psychotherapy, cognitive behavioral therapy, stress reduction management), medication management and referrals.

To speak confidentially to a counselor via phone, text, or chat, contact NYC Well at 1-888-NYC-WELL (1-888-692-9355) 24/7/365 or text WELL to 65173. For more information: https://nycwell.cityofnewyork.us/en/


 

2. Montefiore Einstein Psychiatry Associates

Montefiore Einstein Psychiatry Associates provides diagnostic evaluations, individual psychotherapy and pharmacotherapy in person or via telepsychiatry. Click here to request an initial appointment.


 

3. Collegiate Counseling Centers

Rutgers University:

Name: Center for Psychological Services – Rutgers

Website: About Us | Center for Psychological Services | GSAPP (rutgers.edu)

Phone: 848-445-6111

Services offered: individual therapy, group therapy, and assessment services;  specialty clinics for couples therapy, youth anxiety and depression, anxiety disorders, DBT program, ADHD

Sliding scale: community member sliding scale:

Household Income before Taxes 

(including spouse/domestic partner’s income)

Below $30,000 – – – – – – – – – – – – – – $20.00

$ 30,001 – 40,000 – – – – – – – – – – – – $25.00

$ 40,001 – 50,000 – – – – – – – – – – – – $30.00

$ 50,001 – 60,000 – – – – – – – – – – – – $35.00

$ 60,001 – 70,000 – – – – – – – – – – – – $40.00

Over $70,000 – – – – – – – – – – – – – – – $50.00

Yeshiva University (Ferkauf Psychology Program):

Ferkauf has a community clinic called the Parnes clinic that offers therapy and assessment services to children, adolescents, and adults. The clinic offers a sliding scale payment that, according to the website, ranges from $5-45.

The clinic is located on the 5th floor of the Van Etten building, 1225 Morris Park Ave, Bronx, NY 10461. Services are being offered virtually and in person.

Appointments can be made by calling 646-592-4399 or emailing cliniccoordinator@parnesclinic.hush.com


 

4. Resource Links

Mental Health Foundation – mentalhealthfoundation.org

CDC – Emotional Well Being
https://www.cdc.gov/emotional-well-being/about/?CDC_AAref_Val=https://www.cdc.gov/populationhealth/well-being/

What is emotional well-being?
https://www.psychologytoday.com/us/blog/the-empowerment-diary/201910/what-is-emotional-wellness

Emotional well-being, it matters more than you think — https://www.fingerprintforsuccess.com/blog/emotional-well-being#toc-section-1

Symptoms of resident and fellow burnout: Know the warning signs
https://www.mywellbeingindex.org/blog/symptoms-of-resident-and-fellow-burnout-know-the-warning-signs

Burn Out Test
https://mind.help/assessments/burnout-test/

The Fried Quiz
https://www.oprah.com/inspiration/burnout-quiz-assessment-test-fried-book_1

https://www.psychiatry.org/psychiatrists/practice/well-being-and-burnout/assess-yourself

https://www.ted.com/playlists/245/talks_for_when_you_feel_totall

Hotlines & Support Lines

• COVID-19 Emotional Support Hotline for New Yorkers: (844) 863-9314
• National Suicide Prevention Lifeline: (800) 273-8255
• Crisis Text Line: Text “HOME” to 741741
• Long Island Crisis Center: (516) 679-1111
• Disaster Distress Helpline: (800) 985-5990; (800) 846-8517
• LGBT National Hotline: 1-888-843-4564 https://www.glbthotline.org/national-hotline.html Hours: Monday-Friday 4pm to midnight; Saturday: Noon to 5pm
“We speak with callers of all ages about coming-out issues, gender identity, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!”
• Domestic Violence Hotline: 1-800-621-HOPE (4673) https://www.thehotline.org/
• National Sexual Assault Telephone Hotline: 1-800-656-HOPE (4673) Or visit https://hotline.rainn.org/online/ to receive support via confidential online chat.

Apps For Emotional Wellbeing

• Headspace: Free for health care providers through 2020 and all New Yorkers during the COVID-19 pandemic
• Calm: Seven-day free trial; resources provided specifically for coping with COVID-19 anxiety
• Stop, Breathe & Think: Always free and kid-friendly
• Insight Timer: Free library of meditations varying in type and length
• 10% Happier: Free and paid options available; health care providers can use redemption code HEALTHCARE to unlock all content
• Mindfulness Coach: Gradual, self-guided mindfulness training program
• Sanvello: Clinically validated techniques for reducing stress and treating anxiety and depression; free premium access during COVID-19 pandemic
• Happify: Some free content, including stress reduction and cognitive techniques to address anxiety
• MindShift CBT: Free content, including cognitive behavioral therapy strategies to address general worry, social anxiety and panic

What are the benefits of emotional well being?

Emotional wellness inspires self-care, relaxation, stress reduction and the development of inner strength. It is important to be attentive to both positive and negative feelings and be able to understand how to handle these emotions. Emotional wellness also includes the ability to learn and grow from experiences.

Inspiring Quotes:

“Emotional health isn’t about being happy all of the time.. Our emotional health is defined by our ability to understand and to be responsive to our emotional experiences”

“It is not what happens to you that determines how far you will go in life; it is how you handle what happens to you” – Zig Ziglar

Have the courage and intuition to follow your heart and intuition” — Steve Jobs

Migdalia Pannullo, Director
Pastoral Care Department
Chaplain’s Office (1St Floor next to the Main Elevators)
(718) 960-6280 or (347) 534-6247 (cellphone)

Pastoral Care at SBH

Being sick or injured can be frightening and emotionally draining.  In addition to your medical care, SBH Chaplains offer emotional and spiritual care for you and your loved ones.  Our chaplains are available to listen, to comfort, and to help you draw upon your personal strengths.

FAQ

How many patients and families benefit from pastoral care services?

Healing includes the whole person, body, mind, and spirit. With a serious illness, the body as well as the spirit may need attention, and seeking support and spiritual guidance can help you take control of the situation. The chaplain’s goal is to ensure patients and their families receive the spiritual support they need to cope with your diagnosis and treatment.

What pastoral care services are offered at SBH/SBCCC?

Your hospital chaplain respects your religious tradition and personal experiences.  Whatever our own denomination may be, chaplains come to support rather than persuade.  We also welcome the involvement of your home clergy while you are hospitalized.  The chaplain for St. Barnabas Hospital and Rehabilitation Center may be reached Monday through Friday, 8:00am-4:00pm by calling (718) 960-6280.

How can a chaplain serve you?

Chaplains follow the lead of the patient/resident and intervene in appropriate ways unique to the needs and desires of the individual. This includes support and help in accessing the patients and/or family’s resources through compassionate listening. Chaplains are there to be with you especially as you go through difficult moments.

What if I’m not religious or don’t have a religious affiliation?

Pastoral care services offered at SBH are non-denominational and independent of any particular religious’ affiliation.  It is not necessary to belong to a congregation or even consider yourself religious to consult a chaplain.  Pastoral care is provided with sensitivity to specific religious needs and confidentiality about your own thoughts and concerns.

What if I’m not religious or don’t have a religious affiliation?

Pastoral care services offered at SBH are non-denominational and independent of any particular religious’ affiliation.  It is not necessary to belong to a congregation or even consider yourself religious to consult a chaplain.  Pastoral care is provided with sensitivity to specific religious needs and confidentiality about your own thoughts and concerns.

What is the SBH Spiritual Room?

The Spiritual room is a nondenominational space offered to persons who may need a moment of quiet.  The only thing we ask is to respect others who may be in the room at the same time and maintain a quiet place.  The mediation room is located on the ground floor between the main elevators and the hallway leading to the exit.  The Spiritual Room is located on the Ground Floor of the hospital and is open 24/7.

How can I access pastoral care services or speak to a chaplain?

For more information about the services described in this brochure or to contact a chaplain, call this number: (718) 960-6280. You may also call the Operator (after normal business hours??) who can call the chaplain for you. The chaplain will make every effort to meet the spiritual needs of each patient in the hospital and resident in the continuing care and rehabilitation center.


Definitions:

“Spirituality is a dynamic and intrinsic aspect of humanity through which persons seek ultimate meaning, purpose, and transcendence, and experience relationship to self, family, others, community, society, nature, and the significant or sacred. Spirituality is expressed through beliefs, values, traditions, and practices.” Puchalski, CM, Vitillo, R, Hull, S.K., Reller, N. Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus, Journal of Palliative Medicine. 2014: 17(6); 642-656.

“Interventions, individual or communal, that facilitate the ability to express the integration of the body, mind and spirit to achieve wholeness, health, and a sense of connection to self, others, and[/or] a higher power.” American Nurses Association and Health Ministeries Association, Faith and Community Nursing:Scope and Standards of Practice (Silver Spring,MD: American Nurses Association, 2005)

It is clear from these definitions that spiritual health is much more than having a religious faith and attending church/temple/mahjid. In fact, the importance of having meaning and purpose cannot be overstated (Victor Frankel, Man’s Search for Meaning).

What is Spiritual Distress?

  • Questions meaning/purpose of life/illness
  • Asks “Why me?”
  • Expresses hopelessness/despair
  • Withdraws
  • Grieves
  • Is not coping
  • Is not accepting
  • Expresses abandonment by God or Faith Organization
  • Feels guilty or deserving of punishment
  • Feels self to be bad, sinful or unlovable
  • Stops spiritual practices
  • Raises religious issues
  • Calls out for help from God
  • Experiences a sudden death, crisis or trauma

Spiritual Practices

There is power in having a daily spiritual practice. It can be as short as 1 minute; the power comes in doing it every day.

  • Read a daily reader – quotes, inspirational ideas.
  • Meditate
  • Do a breathing exercise.
  • Chant a mantra.
  • Do a metta meditation: May I be happy, May I be healthy, May I be safe and at ease.
  • Go through a relaxation exercises.
    Here is Autogenics training: https://www.va.gov/WHOLEHEALTH/veteran-handouts/docs/AutogenicTraining-508Final-9-5-2018.pdf
  • Instead of sun bathing try tree bathing right here in our Sycamore Grove!
  • Join a spiritual community.
  • Have a practice of gratitude, kindness or compassion.
  • Practice social justice!
  • People pray in so many ways.
  • Develop a personal relationship the Divine – whatever that means for you.
  • Sing and/or dance.
  • Listen to music.

Many residents leave medical school with concerns about their current and future financial well-being. This may include making decisions on school debt to more long-term goals. The residency wellness program looks to provide strategies for student loans, spending, investments and savings.

https://sbhmedicine.org/maintaining-flexibility-in-an-uncertain-world/
https://sbhmedicine.org/the-difference-between-rich-and-wealthy/
https://sbhmedicine.org/dont-let-the-investment-tail-wag-the-financial-planning-dog/

Lincoln Financial

Use these educational seminars and videos in one-on-one or group settings to help engage and motivate your retirement plan participants. They focus in a variety of financial topics including:

  • Financial wellness and life events
  • Take charge of change
  • Social Security and Medicare
  • Investment topics
  • Retirement Reality seminar series
  • Online experience
  • Additional retirement planning topics

Participant Seminars and Videos

Relocation to the Bronx/ NYC can be a challenge. We provide residents with resources to help them navigate the different facets of the personal and professional life: real estate/rentals; immigration attorneys; discounts; etc

Real estate

Immigration attorneys

 

PlumBenefits is a website for SBH employees to access a ton of discounts for a variety of things such as cars, hotels, sporting events etc.

  • Below is the link to PlumBenefits and the company code is BHS718.
  • PlumBenefits