Signature Health Hub

March is Problem Gambling Awareness Month

Mon, 09 Mar 2026 12:00:00 Z

Pictured from left to right: Ken, Brooke, and Bryan, some of our Signature Health counselors who are specially trained in treating problem gambling.

Updated 3/9/2026

For many people, March is a time for new beginnings. Temperatures start to climb, we spring our clocks forward, and Spring is on the horizon. However, for some, specifically those who struggle with sports betting and problem gambling behaviors, March signals the start of March Madness, the widely viewed NCAA Division I Men’s Basketball Tournament, and can be a time for falling back into old problematic gambling behaviors.

We sat down with some of our counselors at Signature Health who are specially trained in treating problem gambling to discuss what problem gambling is, how sports betting relates to problem gambling, and some tips and tricks to help combat problem gambling behaviors, especially during large-scale sporting events like March Madness.

What does problem gambling look like?

Gambling behavior occurs on a continuum. For some people, it can be a low-risk pastime, but for others, gambling presents more of a concern. Signs of a problem gambling disorder may include:

Betting more often or with more money, oftentimes to make up for previous losses
Hiding gambling behavior from friends and family
Withdrawing from relationships
Borrowing money to relieve financial distress
Legal or financial trouble because of gambling
Feeling anxious, stressed, depressed or suicidal due to gambling behavior

Historically, legal gambling has been done in areas like Las Vegas or Atlantic City. However, with over 14 active sports betting apps in Ohio, it is now easier than ever before to place bets right from your phone anywhere at any time. This ease of access, along with incentives that these apps offer, are enticing even those without a history with gambling to give it a try.

Tips to Help Combat Problem Gambling Behavior

1. Set Limits

Most all sports betting apps allow you to set daily, weekly, or monthly limits that you can set in terms of the amount of money you can bet or the amount of time you can spend on the app. If you want to increase these limits after they have been set, you often must first wait until the limit that you previously set expires. This is sometimes called a “cooldown” period.

2. Be Mindful

Reflect while you are watching a game or sporting event and be honest with yourself about the reason you’re watching. Ask yourself, “Am I watching this game to see if my bets are going to hit and see what it’s doing to my bank account, or am I watching this game because I enjoy the sport, and I want to see if my team is going to win?” Self-awareness is key!

3. If you need help, talk to others!

There are many resources available to those struggling with problem gambling. Signature Health offers support for Problem Gambling & Gambling Addiction, such as:

Problem gambling assessments for new and established patients
Problem gambling treatment including individual and virtual group therapy
A growing team of counselors who have specialized training in treating problem gambling disorder

To establish services with Signature Health, call 440-578-8200, live chat with a patient services representative, or schedule online to be seen for a new patient assessment appointment.

Other Resources

Ohio Health Centers Need HB 276 and SB 198 to Protect Access to Care

Tue, 28 Oct 2025 12:00:00 Z

Every day, community health centers like Signature Health serve on the front lines of health care for Ohioans. We serve more than 34,000 patients in Cuyahoga, Lake and Ashtabula counties, many of whom would otherwise go without affordable medical, dental, behavioral health, and pharmacy services. That access is now at risk, and the General Assembly has the power to protect it.

We strongly support House Bill (HB) 276 and Senate Bill (SB) 198, which safeguard patient access to affordable medications through the federal 340B program.

The 340B Program was a deal struck by Congress with pharmaceutical manufacturers to voluntarily provide discounts to safety net providers like community health centers in exchange for preferred access to Medicare and Medicaid and all the profits that go along with that access. But the manufacturers are trying to avoid providing those discounts. Congress created the 340B program so safety-net providers could stretch scarce resources and reinvest the savings into patient care. That’s exactly what happens at Signature Health. 340B savings allow us to:

Lower or eliminate prescription costs for patients who cannot afford them;
Provide free mailing, courier delivery, and bubble-packing options for those facing transportation, mobility, or medication adherence barriers;
Expand access to primary care, mental health/addiction treatment; and
Provide dental services in Painesville, a “designated dental shortage area."

Put simply: 340B turns discounts at the pharmacy into real programs that save lives, reduce costs, and strengthen local communities.

Health centers differ from other providers because we serve patients, regardless of ability to pay, often as the only provider in under-resourced areas of our state. Signature Health has designed programs for the people who most need us:

A 24/7 Mobile Crisis service for behavioral health emergencies
A Mobile Clinic offering screenings and care in rural Ashtabula County
A Care at Home program delivering behavioral health services to older adults where they live
Transportation support and robust telehealth capacity to reach patients who can’t come in

These are not just policy concepts; these are real, measurable supports – lifelines. One patient in our Care at Home program told us, "[This] has made such a difference for me...My case manager has been with me every step of the way. When I see the nurse practitioner, it's immensely helpful. I wouldn't be able to do it with telehealth. I only have an old-fashioned phone. If I didn't have these people, I don't know where I'd be."

Stories like this are common in our health centers. They reflect a care model that emphasizes prevention, community connection, continuity, and access for all. If HB 276 and SB 198 fail, the likely result will be fewer affordable prescriptions and points of access – especially in communities already short on care. Patients will delay treatment, conditions will worsen, and costs will rise downstream in emergency rooms and hospitals. Ohio will pay more for worse outcomes.

The choice before lawmakers is straightforward: HB 276 and SB 198 hold pharmaceutical companies to the original 340B commitment so that savings reach the patients and clinics that need them most. These bills safeguard care that is local, preventive, and affordable, reinforcing a proven public-private partnership that strengthens the safety net, supports working families, and stabilizes community health.

We urge legislators to pass HB 276 and SB 198 so community health centers remain strong, sustainable, and ready to meet rising need. Our patients, our workforce, and the health of our neighborhoods depend on it.

About the Authors:
Jonathan Lee serves as CEO, and Dr. Libbie Stansifer serves as Chief Clinical Officer at Signature Health, a community health center focused on providing integrated care and hope when patients need it most.

12 Things You Should Know about the COVID-19 Vaccine

Thu, 14 Jan 2021 12:00:00 Z

With so much information flying around about how, when and why to get vaccinated for COVID-19, we’ve pulled together some key points from the Centers for Disease Control and Prevention (CDC) and the Ohio Department of Health (ODH). While getting a COVID-19 vaccine will not be mandatory, experts from across the nation’s public health system urge that a safe and effective vaccine is the best tool to slow the spread of COVID-19, protect our communities and save lives. Having a large portion of Ohioans vaccinated will help prevent serious hospitalizations and death, and will allow Ohioans to get closer to a sense of normalcy. Please use this information in your decision-making process and in important conversations with your loved ones about getting vaccinated.

WHAT

1. TWO AUTHORIZED VACCINES: In the United States, two COVID-19 vaccines have been granted emergency use authorization (EUA) from the Food and Drug Administration (FDA). These vaccines, manufactured by Pfizer-BioNTech and Moderna, began arriving in Ohio in December 2020. The goal of these COVID-19 vaccines is to teach our immune systems how to recognize and fight the virus that causes COVID-19 (learn more). Other vaccines are also in development.

2. TWO DOSES: Unlike the flu vaccine, both authorized COVID-19 vaccines require two shots, given a certain number of days apart. Unfortunately, vaccines for the flu, measles or other diseases will NOT protect you against COVID-19.

3. PRECAUTIONS: Even after being vaccinated, it is important to continue wearing a mask and practicing social distancing. These prevention measures coupled with the vaccine will provide the best protection from COVID-19. Not enough is known about whether or not you can still carry the virus and spread it to others after being vaccinated.

WHY

4. IT’S SAFE. The COVID-19 vaccine development process included several steps similar to what was used to create other vaccines that you have likely received, such as the flu or measles vaccine. There have been no shortcuts in the vaccine development process. The FDA and independent medical experts ensure every detail of these COVID-19 vaccines is evaluated. Evidence shows that the authorized COVID-19 vaccines are safe, with no serious safety concerns observed.

5. IT’S EFFECTIVE. Evidence shows that COVID-19 vaccines work to prevent COVID-19 and decrease the severity of illness. The Pfizer-BioNTech vaccine was 95% effective, and the Moderna vaccine was 94% effective in phase 3 clinical trials with more than 70,000 participants between the two studies.

6. SIDE EFFECTS ARE USUALLY MINIMAL. The most common side effects include fatigue, headache, soreness or redness at the injection site, and muscle or joint pain—nothing that should prevent you from getting vaccinated to protect yourself and your loved ones. These symptoms are normal and are a sign that the body is building immunity. None of the vaccines currently in development in the U.S. use the live virus that causes COVID-19. The vaccine will not give you COVID-19, and the vaccine will not cause you to test positive for COVID-19.

7. NO OR LOW COST. The federal government is committed to providing free or low-cost COVID-19 vaccines. Some providers may charge a fee to administer the shots that is either covered by most insurance plans or refundable for those who are uninsured.

WHEN and WHO

8. A PHASED APPROACH: At first, there is a limited number of vaccine doses available. As supply increases, more Ohioans who want to receive the vaccine will have access to it. Providers will first give doses to certain critical groups who are most at risk (see who is included in Phase 1a and Phase 1b). Here’s an overview of phases 1-4.

9. WHAT ABOUT KIDS?: Children are not yet eligible to receive COVID-19 vaccines. The Pfizer-BioNTech vaccine is currently recommended for patients age 16 and up, and the Moderna vaccine is currently recommended for patients age 18 and up. Additional clinical trial data is being gathered.

10. WHAT IF I’M PREGNANT? The two vaccines currently available have not been tested in pregnant women, so there is no safety data specific to use in pregnancy. However, pregnant women may choose to be vaccinated. There is also no data on the safety of COVID-19 vaccines in lactating women or on the effects on the breastfed infant or on milk production/excretion. The CDC states that people who are breastfeeding and are part of a group recommended to receive a COVID-19 vaccine, such as healthcare personnel, may choose to be vaccinated.

11. WHAT IF I’VE HAD COVID-19? Public health experts recommend that COVID-19 vaccination be offered regardless of whether a person has already been infected with COVID-19, as it is unknown how long individuals who have recovered will be protected from the virus. However, anyone currently infected with COVID-19 should wait to be vaccinated until after their illness is resolved and after they have been released from isolation.

WHERE

12. For Phase 1A, hospitals, local health departments and health systems are responsible for distributing vaccines to the critical audiences. For long-term care/nursing home residents and staff, the federal pharmacy distribution program, administered by CVS, Walgreens, PharmScript, and Absolute Pharmacy, is responsible for distribution. For Phase 1B, vaccine providers in Ohio are searchable here including Signature Health. Please visit our vaccine page for updates on availability and scheduling.

Signature Health presents the information in this blog as a resource for our community. It is not intended to replace professional medical advice, to establish a physician-patient relationship, or to endorse any particular entity or service.

23 Coronavirus Quarantine Activities for Ohioans

Fri, 27 Mar 2020 12:00:00 Z

There’s no question about it, we’re living through unprecedented times. Governor DeWine has issued a “Stay at Home” order for all Ohioans. Experts advise even those showing no symptoms of Coronavirus should stay inside to work toward “flattening the curve” and decreasing the spread of the virus. We are all navigating these uncharted territories together and day-by-day, figuring out our new normal.

Though these changes can certainly be challenging, staying positive can make all the difference in the world. Use this at-home time to accomplish something you’ve been meaning to do, but haven’t had the time for. Practice self-care. Learn a new skill or dig deep and rediscover an old passion. The opportunities are truly endless. And if you need a little inspiration, check out our list of at-home activities below.

Read a book or two- Normally, our lives are so busy running here and there that the last thing we have time for is sitting down to dig into a book. Like me, I’m sure many of you have books and magazines laying around your house that never got the love they deserved. Now is the time to give them a chance! There are also an abundance of digital reading apps available, including Amazon which is currently offering 2 months of free Kindle Unlimited. If you are more of a “books on tape” kind of person, “Audible” by Amazon is also currently offering a free trial period.
Tour a virtual museum- Thanks to Travel+Leisure, you can now tour these 12 famous museums virtually! And speaking of virtual tours…Disney World is offering up some fun entertainment for kids through virtual rides at their theme parks.
Attend a virtual concert-com is regularly updating this list of virtual performances to check out during quarantine. There’s something for everyone on this list!
Learn how to meditate- Offset anxiety by learning to practice meditation. These are some great beginner tips from Psychology Today. We also love the free app, “The Tapping Solution.” Though different than meditation, tapping is a great way to calm the mind during times of stress.
Lift your mood with daily exercise- There are endless free exercise resources you can take advantage of during this time. Taking your dog for a walk or going for a jog or a hike are all great options for both your physical and mental health. Many fitness studios are live-streaming free classes. Check out these options provided by CBS News. Additionally, YouTube has a ton of free fitness classes, including many free yoga videos, which can be exceptionally helpful during stressful times. Sarah Beth Yoga is one of our favorites. Pinterest is also a great resource for easy-to-follow workout routines. Don’t have a Pinterest account? Now is the perfect time to sign up. It’s free, easy, and filled with tons of ideas for stay-at-home activities.
Binge your favorite TV shows from start to finish- Maybe you’ll catch something you didn’t catch the first time around (except for “LOST”…no one wants to go down that rabbit hole again). AND, most exciting of all, Netflix is now offering virtual parties with friends where you can watch your favorite shows “together.” Amazon Prime is also currently offering free kids’ movies and TV shows, with no membership required. Score!
Virtually travel to a far-away land- Triple AAA is offering the opportunity to virtually tour some of the world’s most beautiful places. When the quarantine is over, maybe you’ll be able to check them off your bucket list in-person.
Try out new recipes- Yes, even the ones that seem complicated that you would NEVER normally take the time to make. You have the time now- why not try something new? Or, for those of you who don’t cook much on a regular basis and are looking to keep it simple and stress-free check out these easy recipes to make during quarantine.
Start an online blog or journal in a notebook- Grappling with all of the emotions of a pandemic is TOUGH, we get it. Expressing daily emotions through writing can really help relieve some of that stress. To get started, checkout these free blogging sites for 2020.
Engage in a little self-care- Turn off the news, rest your mind, and take care of yourself. Take a bubble bath, enjoy a hot cup of tea, create at-home “spa” time, go for a hike, the list goes on. We like these 25 self-care tips from Oprah, just disregard any that would violate social distancing, you get the idea.
Learn a new language- What a perfect time to finally learn a new language! Rosetta Stone offers a free, 3-day trial.
Organize EVERYTHING because why not? We never realized how many cupboards, closets, pantries, shelves, etc. needed to be organized, until now. HGTV’s Chip and Joanna Gaines offer some great tips
Color- Coloring books aren’t just for kids. Pull out the crayons, markers, and colored pencils, unleash some creativity and get to it!
Have a movie/TV show swap- Make a list of your top ten favorite TV shows or movies and share with friends or family. You may just discover a new favorite.
Support local businesses- Craving your favorite treat from a local restaurant but don’t feel comfortable ordering takeout? Buy a gift card to use at a future date. This goes for retail shops, your salon, barber, etc. Small businesses need our support now more than ever.
Create a bucket list- Make a bucket list of all the things you want to do and all the places you want to visit when this is all over. Tuck it away somewhere safe and pull it out after the quarantine, checking off each bucket list item one-by-one.
Bring back family game night- Let the family game night fun ensue! Some games, such as Charades, could even be played over the phone with remote friends or family. If it’s been awhile since you’ve played board games and you don’t have any sitting around, Amazon has a great selection!
Volunteer your time- Many of us feel the need to help out in any way we can right now, but we just don’t know what we can do while also keeping ourselves safe. Luckily, many organizations are offering virtual volunteer opportunities. VolunteerMatch is a great resource and a good place to start.
Pick up your yard- Spring is here and summer is around the corner. Picking up your yard and doing outside projects will make you feel accomplished. Fresh air is good for the soul.
Listen to music- Listen to new music. Listen to old music. Listen to ALL THE MUSIC. Added bonus, music is wonderful for your mental health, as per this article.
Lean on faith- If you are a spiritual person, you might be missing the comradery of going to church. Many church organizations are now offering virtual resources to get their message out. Check in with your church to see what options are available.
Remain grateful- Try and find something you are grateful for each and every day. Say it out loud or write it down. Nothing helps a negative situation more than realizing there are still things to be grateful for.
Keep your mental health in check- These are tough times. Paying close attention to your mental health is so important. If you need help, reach out. Signature Health is offering Telemedicine appointments for counseling (as well as primary care and addiction recovery). Give us a call to schedule an appointment at 440-578-8200 or learn more here.

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Coronavirus and Mental Health - How to Cope with Stress During an Outbreak

Fri, 20 Mar 2020 12:00:00 Z

If you turn on the television lately, you’ll be inundated with all things Coronavirus. Infectious disease outbreaks of any kind can be scary, especially when we don’t fully understand their potential impact. During these times, it’s important to remain calm and keep your stress levels at bay. With the help of the Substance Abuse and Mental Health Sciences Administration (SAMHSA), we’re offering tips to help you relieve stress.

Even though you may not feel physically sick, the Coronavirus outbreak may have you feeling anxious or stressed. Knowing the signs of stress in your body can help keep things under control.

According to SAMHSA, you may notice the following signs of stress during an infectious disease outbreak:

Worrying excessively
Having trouble relaxing or sleeping
An increase or decrease in energy/activity levels
Inability to feel pleasure or have fun
Being anxious or fearful
Having stomachaches or headaches
Losing your appetite
Getting tremors or muscle twitches
Feeling depressed, angry, or not caring about anything
Having trouble thinking clearly or concentrating
Feeling confused or having trouble making decisions
And more

If you do begin noticing any of these symptoms, there are ways you can relieve stress.

Set limits- Sure, it’s good to be informed about what’s going on around you, but watching the news or reading about the outbreak all of the time can be consuming. Take a break and focus on things that you can control in your life. Keeping a positive attitude also helps!
Understand the facts- During times of an outbreak, misinformation can spread quickly and easily. Don’t rely solely on the news media for the most up-to-date, correct information. Instead, talk to your primary medical provider, visit the Center for Disease Control website or the World Health Organization website, or check in with local resources such as the Ohio Department of Health. These are trusted sources and you can rely on them for accurate, timely health information.
Stay healthy- Keeping yourself healthy during times of stress should be a top priority. Eat healthy foods, drink plenty of water, avoid excessive amounts of alcohol or tobacco, try and get plenty of sleep, and exercise! When you feel better physically, you’ll feel better emotionally too.
Try and relax- Actively try and relax your body during times of stress. Doing things such as yoga, meditation, taking deep breaths, or doing any other activity that brings you joy and calms your mind is a great idea. Reading, listening to music you enjoy, taking a walk, or even just talking to family or friends can also be therapeutic.
Monitor how you are feeling- Stay in tune with your body and your feelings during times of stress. If you do begin exhibiting any signs of stress-related behavior, take note, and know its ok to reach out for help if the stress becomes too overwhelming. Feeling stressed or anxious during an outbreak is completely normal and very common. You are not alone. Connecting with others who may be experiencing similar feelings can also be helpful.

Also important to note in the wake of all the Coronavirus-related news, is how an outbreak can impact children. Kids absorb information from the TV and radio just as adults do, and they can experience stress the same way adults can. As scary as this is for adults, it can be much scarier and much more confusing for children, particularly in light of school cancellation and increased social distancing. Talking with kids and helping them understand the facts is important and will help them to feel safe. For a full list of tips for caregivers, parents, and teachers on how to talk to children about an infectious disease outbreak, visit this link from SAMHSA.

While the Coronavirus remains a concern, there are things you can do to stay healthy. Similar to cold and flu prevention, the CDC recommends doing the following:

Wash your hands with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available.
Avoid touching your mouth, eyes, or nose.
Cover coughs/sneezes with your arm or a tissue.
Avoid exposure to others who are sick.
Stay home if you are ill (except to visit a health care professional) and avoid close contact with others.
Limit movement in the community to reduce exposure to individuals who may have been infected.
Get adequate sleep and eat well-balanced meals to ensure a healthy immune system.
Clean and disinfect frequently touched objects and surfaces.

If you do become ill or experience fever, cough, or shortness of breath, call your primary medical provider right away. If you don’t currently have a primary care doctor, contact Signature Health. We’re here to help.

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The Correlation Between Dogs and Improved Mental Health

Wed, 08 Jan 2020 12:00:00 Z

As a society, we refer to dogs as “man’s best friend,” and there’s good reason for that. Every time we walk through the door they greet us with unparalleled excitement, they never judge any of the ridiculous things we do, and they remain by our sides through the toughest of times. Dogs are incredible, loyal animals, but most amazing of all, they have the ability to make us healthier versions of ourselves!

From lowering stress levels to increasing feelings of self-worth, dogs are the real deal. Research has shown that owning a dog can affect our mental health in the following ways:

Dogs can increase our dopamine, serotonin, and oxytocin levels. These are the “feel good” chemicals our brains release that improve mood and affect happiness. According to Veterinarian, Dr. Marta Vieira (petable.care), petting a dog releases serotonin and dopamine, while staring in the eyes of a dog you know can release oxytocin.

Owning a dog can better your fitness routine. All dogs, but especially more active breeds, need walked one to two times each day. According to the National Alliance on Mental Health (NAMI), “exercise increases endorphins, which fight depression.” Dogs need consistency, which will help make exercise a daily routine. “Research has shown that consistency can help reduce stress levels and lead to better sleep patterns and overall health.”

Dogs are known to lower stress levels by decreasing cortisol. Cortisol is the body’s primary stress hormone that can lead to anxiety and depression. Spending as little as ten minutes petting a dog can have an immediate positive effect on your mood. (sciencedaily.com)

All dogs, but especially trained therapy dogs, can help people of all ages with mental disabilities function better day-to-day. New research has shown children with ADHD, Autism, or other learning disabilities, or those suffering from PTSD or other traumas, can greatly benefit from seeing a therapy dog.
Dogs force us to be more social. For those who suffer with social anxiety, dogs can act as a “buffer” in social situations. Dogs give us a reason to talk with new people whether on a walk, or at a dog park, and interacting with others, especially face-to-face, can ease symptoms of depression (NAMI).

Dogs come with responsibility, which can be a good thing for those suffering from depression. Taking care of an animal makes us feel needed and can bring about additional feelings of self-worth.

We would be remiss if we didn’t mention dogs and companionship! Dogs provide infinite amounts of companionship, combatting feelings of loneliness, sadness, and other depressive thoughts/feelings.

Needless to say, we think dogs are pretty awesome and the benefits they provide our mental health are endless. It’s important to keep in mind, however, that dogs are a commitment and may not be right for everyone. If you are considering bringing a dog into your home, we know you’ll enjoy all the love and happiness they bring!

If you are struggling with mental health or addiction, reach out for help. To make an appointment at Signature Health, call 440-578-8200 or stop in any of our locations during drop-in hours.

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The Importance of Annual Health Screens

Tue, 07 Jan 2020 12:00:00 Z

The Importance of Annual Health Screens

A new decade is here and with it comes ample opportunity to set new goals and aspirations. For many of us, our goals may have something to do with leading healthier lifestyles. So, where to begin?

Our Director of Primary Care, Dr. Todd Wagner, suggests starting your health journey with an annual physical exam. “If your goal is to improve your health, getting a physical exam is a great place to start. A physical will give both you and your primary care provider a better idea of where you need to focus your time and efforts to reach your ultimate health goals.”

You may be wondering what a physical exam actually entails and if you really need to get one each year, and well, that depends on a few factors.

What to expect during an annual well exam?

Physical exams vary depending on age, gender, and past medical history. They typically include the following:

An update on your medical history
A vital signs check (blood pressure, heart rate, respiratory rate)
Physical examination
Lab tests, depending on medical history
Vision test
And more

Physical exams may also include a variety of other tests, screenings, or evaluations. For more details, check out this article.

How often should I get a physical exam?

How often one gets a physical varies depending on a number of factors including age, overall health, and previous medical history. If you are generally healthy, you may only need occasional physical exams, depending on what your doctor suggests.

Risk factors such as smoking, diabetes, heart disease, or depression may increase how often you should receive a physical exam. Work with your primary care physician to determine a check-up schedule customized just for you.

Exams for Children

Children should also go to the doctor regularly to monitor overall health and growth.

Well child check-ups are a great way to track your child's mental and physical development. Regular check-ups will also keep your child healthy into the future.

During a well child check-up, you'll receive information on a variety of topics including: childhood diseases, child safety, wellness, what to expect as your child grows, information about the importance of sleep, and more. Click here for a full schedule of recommended well child check-ups from birth to 18 years of age.

In addition to annual physical exams, there are a handful of gender-specific screenings to keep in mind as well.

Regular Screenings for Women

Talk with your doctor regarding when to schedule the below screenings and tests (this list is not extensive, rather, a starting point of regular screenings for women).

Blood pressure screening
Cholesterol check
PAP smear
Mammogram (breast cancer screenings)
Bone density screening
Cervical cancer screening
Colon cancer screening
Body mass index test
Skin exam
STI (sexually transmitted infection)

Regular Screenings for Men

Talk with your doctor regarding when to schedule the below screenings and tests (this list is not extensive, rather, a starting point of regular screenings for men).

Abdominal aortic aneurism
Blood pressure screening
Cholesterol check
Colon cancer screening
Depression
Diabetes
Obesity
STI (sexually transmitted infection)
Prostate Cancer

Regardless of age or gender, it’s important to establish care with a primary care physician, not only for annual exams, but for quick treatment of basic illnesses and accidents, etc.

Signature Health offers primary care at each of our locations. To schedule an appointment, call 440-578-8200. To learn more, visit our primary care page.

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Understanding the Benefits of 12-Step Recovery

Mon, 06 Jan 2020 12:00:00 Z

Understanding the Benefits of 12-Step Recovery

There are a variety of recovery approaches out there, but the most trusted, widely-used approach with more than 74% of treatment centers taking part, is the 12-Step Recovery Model.

Many mental health and substance use disorder facilities, including Signature Health, use 12-step programs because they are evidence-based. Over the years, research has shown that the 12-step approach to recovery has helped patients abstain from drug and alcohol use.

Before diving into why the 12-step recovery approach works so well, let’s take a look at how it started and what it actually is.

History of the 12-Step Recovery Model

The 12-Step Recovery Program originated in 1938 as part of Alcoholics Anonymous, thanks to a man named Bill Wilson. Wilson had been struggling with alcoholism when he developed the idea that those dealing with addiction could be positively affected by sharing their stories with one another.

The steps were further developed through concepts/teachings he came across, including a six-step program that came from a Christian organization known as the Oxford Group. The Christian influence formed the overarching idea that seeking help from a greater power (any greater power), as well as leaning on peers suffering from similar addictions, could ultimately lead to addiction maintenance/recovery. Wilson wrote his ideas down in the Big Book, which would later become the model for the entire program.

What are the 12 Steps of Recovery?

The 12 steps of the program as outlined in the original Big Book used by Alcoholics Anonymous are:

Admitting powerlessness over the addiction
Believing that a higher power (in whatever form) can help
Deciding to turn control over to the higher power
Taking a personal inventory
Admitting to the higher power, oneself, and another person the wrongs done
Being ready to have the higher power correct any shortcomings in one’s character
Asking the higher power to remove those shortcomings
Making a list of wrongs done to others and being willing to make amends for those wrongs
Contacting those who have been hurt, unless doing so would harm the person
Continuing to take personal inventory and admitting when one is wrong
Seeking enlightenment and connection with the higher power via prayer and meditation
Carrying the message of the 12 Steps to others in need

Though originally founded from a Christian standpoint, there are other variations of the 12-step recovery program available for those uncomfortable with specific, religious beliefs or affiliations.

Why is the 12-Step Recovery Model Successful?

Research has shown that patients who take part in 12-step programs decrease their drug and/or alcohol intake compared to those who don’t attend self-help groups. According to a recent report by the Connecticut Department of Mental Health and Addiction Services, treating patients with similar problems in a group setting is the most effective form of treatment.

Additionally, a recent article from the Addiction Research and Theory journal, stated that those who abstain completely from substances (as advised in 12-step programs) have better, longer-term mental health outcomes than those who continue to use.

“The 12-step approach works because it gives those struggling with addiction an opportunity to surrender the addiction, fully process every step of the recovery journey, and continue moving into the future with new, healthier habits,” noted Dr. William Fikter, Associate Medical Director at Signature Health.

12-Step Recovery Resources

The most popular 12-step programs, Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), host meetings across the United States every day. Signature Health also uses a 12-step approach to recovery for alcohol and substance use disorders.

Additional 12-step resources include (but are not limited to):

To review the Big Book through PDF or by listening to it, check out this free online version.

If you or a loved one are struggling with drug or alcohol addiction, call Signature Health at 440-578-8200 to make an appointment, or stop by during our drop-in hours if you need help now. We’re here for you.

Sources:

American Addiction Centers (americanaddictioncenters.org)
DrugRehab.com

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Everything you need to know about the flu this season

Thu, 21 Nov 2019 12:00:00 Z

It’s that time of year again! The time of year where cold and flu viruses seem to explode, parents run around making last-minute arrangements for their kids’ sick days, and we’re all extra cautious about washing our hands a little longer than we normally would.

That’s right. It’s officially flu season. We understand that this time of year can be challenging and even dangerous for higher risk individuals such as children under the age of 5, the elderly population, and those with chronic health conditions. So, we sat down with our Director of Primary Care, Dr. Todd Wagner, to bring you some helpful tips regarding this year’s flu season. Check out the video with additional tips below!

Tips to avoid getting the flu:

Get the flu shot. Getting vaccinated is the single most important thing you can do to avoid getting the flu this season. We recommend patients get the flu shot starting in October, but it’s never “too late” to get the shot. Flu season starts in November, peaks in January and February, and cases have even been reported into the month of May. If you live in the Northeast, OH, area, stop by and see us to get yours today! We also do free flu shots for children.

Wash your hands thoroughly, and more often! The flu can be spread indirectly. For example, if someone coughs in their hand and opens the microwave door in your lunch room, and then you touch the microwave door, you could be at risk. It’s especially important to wash your hands before or after eating, after coughing (if you can remember, it’s best to not cough directly into your hands), and of course after using the restroom.

Minimize touching your face. Germs can easily spread by touching your eyes, nose, or mouth- and most of us do this without even realizing it. Try and be extra conscious to avoid this area, especially during flu season.

Disinfect common surfaces. Viruses that cause the cold and flu can live on common surfaces such as phones, door knobs, countertops, computer keyboards, etc. for up to 72 hours.

Common symptoms to watch out for

The flu usually comes on quickly and feels more severe than the common cold. Watch out for these symptoms:

Muscle aches
Fatigue (tiredness outside of the normal)
Headache
Sore throat
Fever
Runny or stuffy nose
Some, especially children, may experience nausea, vomiting, or diarrhea

What to do if you come down with the flu

If you are experiencing signs or symptoms of the flu, call your primary care provider right away. It’s especially important for those with chronic health conditions such as asthma, COPD, or diabetes, to get treated right away.
Stay home and rest. The best thing you can do for your body to recover from the flu is to rest and get as much sleep as you can.
Drink extra fluids. It’s easy to get dehydrated when suffering from the flu. Getting extra liquids rehydrates you and cleanses your system of toxins.
Wash your hands some more! Remember, when you have the flu, you are contagious to others. It’s important to wash your hands often to prevent the flu from spreading.

Signature Health’s primary care department offers treatment for common cold and flu viruses. If you are feeling like you may have the flu, schedule an appointment, or stop by to be seen during our walk-in hours.

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Treating the Mind and Body as One

Wed, 13 Nov 2019 13:57:36 Z

Our bodies and our minds are intricately intertwined in what many refer to as the “mind-body connection.” How we manage our physical bodies can directly impact how we think and feel. How much we exercise, what we eat, how much sleep we get, etc., can have a positive, or negative, effect on our mental state.

When our mental state is weak, those who deal with addiction may struggle more. This is a vicious cycle, which is why it’s so important for everyone to see a primary care doctor, but especially those struggling with mental health concerns or substance use disorder.

To learn more about this topic, check out the video interview below with Signature Health Physician, Dr. Ajlouny, as he dives into our holistic approach to treating patients.

As Dr. Ajlouny notes in the video, oftentimes those dealing with mental health and substance concerns don’t take care of their physical health for a variety of reasons:

Some people have a fear of doctors if it’s been a long time since they’ve seen one.
Some worry they won’t have the means to pay for a physical or regular check-ups at the doctor.
Others may not prioritize seeing a primary care doctor if they have had a negative experience in the past.

Regardless of past reasoning, we urge every patient that comes through our doors to see a primary care doctor as a part of their health care routine, whether it’s with us or another doctor’s office of their choice. An ideal routine is seeing a doctor once a year for a check-up. Dr. Ajlouny suggests appointments may be recommended more often by your doctor, depending on health factors. If you have diabetes, high blood pressure, etc., more frequent visits may be necessary to manage symptoms and keep you healthy.

At Signature Health, our goal is to treat each patient as a whole, mind and body. In primary care, our focus is preventing disease by catching concerns early. Making sure patients are getting regular well check-ups, in addition to the counseling or addiction recovery services that they may need, is key. Our team of counselors, case managers, nurses, and doctors work together to treat each patient comprehensively.

If you are currently receiving counseling or addiction recovery services at Signature Health, but are not seeing a primary care doctor, please let us know. We’ll connect you with the care you need. We accept Medicare and Medicaid for primary care, too.

If you are new to Signature Health or looking to see a primary care doctor only, drop-in today do one of the following to schedule a new patient appointment.

- Call 440-578-8200
- Live chat with a patient services representative

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How to Maintain a Healthy Diet Year-Round While Improving your Mental Health

Wed, 13 Nov 2019 13:56:45 Z

A new year is just around the corner, which has us thinking about, yes, you guessed it, New Year’s Resolutions. Many of us make them. Sometimes we stick to them, sometimes we don’t. Often times they have something to do with diet, or losing weight. We want to feel confident about ourselves when we look in the mirror. But did you know that there are greater, more impactful benefits to a healthy diet, besides an improved outward appearance? And... these benefits are longer lasting than the short-term reward we experience from resolutions, which typically expire by the time February rolls around.

Choosing the right foods to put on your plate (year-round) can greatly improve your mood, and overall mental health function. How? Simply stated, good nutrition can improve your brain function, while poor nutrition can have the opposite effect, impacting your physical health and worsening conditions such as depression or anxiety.

According to Signature Health Wellness Nurse, Michele Radovanic, there is an actual science that explains the close relationship between our brain and gastrointestinal tract. “Our gastro tracts are filled with billions of bacteria that affect the production of neurotransmitters, substances that relay messages from the gut to the brain (Serotonin, the “feel good” hormone, is a common example). Eating a healthy, well-balanced diet of fruits, vegetables, and protein enables the “good” bacteria to grow,” explained Michele. “On the other hand, eating an unhealthy diet consisting of refined sugars and other junk foods that lead to inflammation, causes the bacteria to become unbalanced. When this happens, your mood can become unbalanced too, and nobody wants that,” she added.

So, what CAN you do to maintain a healthy diet beyond the first couple months of the year? We’ve got a few ideas:

Never skip meals. Though fasting is a popular fad, skipping meals can throw off your hormone production, and can even lead to binge eating.
Choose whole foods. Fill your plate with fresh fruits, vegetables, and protein. Avoid packaged foods when you can, aiming to eliminate preservatives, additives, or other harsh chemicals from your diet.
Limit refined carbs (think white flour, pastries, sugary treats, etc.). Refined carbs are directly correlated to obesity and obesity has been directly linked to higher rates of depression.
Limit (or completely avoid) caffeine and alcohol, both of which can worsen anxiety and depression. Try substituting coffee with herbal teas or decaf and swap out alcoholic beverages for soda water.
Exercise regularly (another great, natural mood booster!) and don’t overthink it. Your exercise routine can be as simple as taking your dog for a walk or playing with your kids. You don’t need a gym membership to stay active.
Hold yourself to realistic expectations. Nobody is perfect, your diet doesn’t have to be either. Do the best you can with what you have.
Eat the rainbow! Choosing whole foods with a variety of color is the best way to ensure you’re getting all of the vitamins and minerals your body needs.
Avoid completely restricting certain foods and avoid fad diets that are all about restriction. A healthy diet that is sustainable is about balance. If you completely restrict the foods that bring you joy, it will be harder to stick with it in the long run.
With guidance from your doctor, consider adding supplements into your regular health care routine. Sometimes, especially during the winter months, we need an extra boost of vitamins to stay healthy and improve our mood.

We hope you’ll find these tips helpful. As always, consult with your primary care doctor if you plan to begin a new health care regimen. Signature Health also offers diet and wellness services. If you are interested in learning more, let your doctor or nurse know.

To learn how to eat healthy on a budget, check out these tips: https://www.nia.nih.gov/health/10-tips-eating-healthy-budget.

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6 Ways to Resist Substance Temptation During the Holidays

Wed, 13 Nov 2019 13:55:00 Z

An Interview with Dr. William Fikter, MD, Associate Medical Director at Signature Health

Reviewed 12/19/2024

The holidays are a stressful time of year for many people. All of the hustle and bustle, get-togethers with friends and family, and holiday work parties can be fun, but they can also have the opposite effect, especially for those battling alcohol or drug addiction.

We understand that the holiday season can bring about a lot of anxiety for our patients. So, we sat down with our Associate Medical Director, Dr. William Fikter, to chat about avoiding substance temptations this time of year. In the below video, he offers a handful of helpful tips. Also, be sure to check out the below list for additional details.

Completely avoid tempting situations

For those actively struggling with addiction or for those in recovery, being in an environment where there is alcohol or drugs present can be triggering. If you know you have a relative who will try and talk you into a drink or a friend who hasn’t been the greatest influence, avoid the situation completely. You can also choose to make a quick appearance, but be sure to know your limits. Remaining sober (or becoming sober) is your number one priority.

Lean on your sober support team

As Dr. Fikter mentions, surrounding yourself with supportive individuals this time of year, and whenever you can, is so important. Whether these people are family members, friends, or your “created family,” knowing you have someone in your corner can make all the difference. Maybe you have a friend who has gone through addiction recovery and understands the stress of the holidays? Lean on that person. It’s perfectly normal to need a little extra support this time of year.

Know your limitations

Knowing your limits and understanding your triggers will help you stay sober during the holidays. When you are aware of the people, places, or things that could lead to a relapse, you’ll be able to plan better and avoid substance temptation all together. Put yourself first. Others may not understand why you can’t make it to Thanksgiving at grandma’s house or why you only stay for an hour at your company’s holiday party, but that’s OK. This is your journey and you need to do what’s in your best interest.

Have your sponsor’s number on speed dial

Be sure to have your sponsor’s phone number readily available. This person is your ultimate source of sober support. They will be there for you in the moments you need it most. Another good idea is having a sober friend lined up that you can call in a pinch as a backup. Additionally, if you don’t have accessible transportation available, be sure to plan ahead for that as well. If you do encounter an uncomfortable situation, you want to be sure you are able to leave right away.

Practice self-care

Enjoy your sobriety through the holidays by paying extra attention to your needs. Eating a healthy diet, getting some gentle exercise in each day, or even spending a few minutes meditating can do wonders for your mind and body. Try getting solid, uninterrupted sleep at night. Take your dog for a walk and get some sunshine. These are all great ways to practice self-care. The better you feel physically and emotionally, the better you’ll be able to maintain sobriety.

If you need treatment for substance abuse or a mental health issue, consider going to rehab during the holidays

If you or someone you love are dealing with a mental health issue or drug/alcohol addiction and have yet to seek help, consider doing so during the holiday season. As we mentioned, the holidays can be a stressful and tempting time for those struggling, so why not use it as an opportunity to get the help you need? Remember that the greatest gift you can give yourself and your loved ones is your sobriety.

If you need immediate help or help during the holidays, we’re here for you. At Signature Health, you don’t need an appointment. Stop by during our walk-in hours and we’ll get you on the road to recovery.

For more information about Signature Health's addiction recovery services, click here.

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Seasonal Depression (SAD) - Are Clevelanders More at Risk?

Wed, 13 Nov 2019 11:46:41 Z

Here in Northeast, Ohio, we’re accustomed to winter and all of the snow, frigid temps, and gray skies that come along with it. The days get shorter, though they tend to feel longer. It’s dark outside when we leave for work and its dark by the time we head home. If it’s a particularly rough winter here in Cleveland, we may get snow into March, April, or begrudgingly…even May.

If these circumstances leave you feeling down in the dumps, you are not alone. You may be dealing with seasonal affective disorder, or “SAD.”

What is seasonal affective disorder (SAD)?

According to the National Institute of Mental Health, seasonal affective disorder (SAD), is “a type of depression that comes and goes with the seasons, typically starting in the late fall and early winter and going away during the spring and summer.” SAD can occur during the summer months, but episodes are much less common.

Signs and Symptoms

If you are experiencing seasonal affective disorder, you may show signs or symptoms of major depression including [NIH, 2019]:

Feeling depressed most of the day, nearly every day
Feeling hopeless or worthless
Having low energy
Losing interest in activities you once enjoyed
Having problems with sleep
Experiencing changes in your appetite or weight
Feeling sluggish or agitated
Having difficulty concentrating
Having frequent thoughts of death or suicide

Symptoms of the winter pattern of SAD include [NIH, 2019]:

Having low energy
Hypersomnia
Overeating
Weight gain
Craving for carbohydrates
Social withdrawal (feel like “hibernating”)

How common is seasonal affective disorder (SAD)?

Seasonal depression is relatively common in the United States, affecting at least 10 million people. Ten to 20% of people may suffer from mild SAD. Women are diagnosed with SAD four times as often as men, and the depression typically begins early in adulthood. Children and teens may be affected by SAD, but it’s less likely. Seniors and older adults are least likely to experience it [psychologytoday.com].

Is seasonal affective disorder worse in Cleveland?

Though we currently have no hard and fast evidence to show that seasonal depression is worse among those living in the Cleveland area, we do know that geography plays an important role. The further north or south of the equator someone lives, the greater the chance they will experience seasonal depression. Also, people living in regions with more cloud cover are more likely to experience seasonal depression. So, if you have ever thought that the lack of sunshine during the winter months affects your mood, you are spot on—it absolutely does.

How is seasonal affective disorder (SAD) treated?

Luckily, there are ways to treat and manage seasonal affective disorder. The main types of treatment include medication, light therapy, psychotherapy, and vitamin D. Depending on the severity of the seasonal depression, a combination of these treatment options may be used. For further explanation of treatment types available, give us a call or visit nimh.nih.gov.

In addition to medication or therapy, there are several things you can do on your own to feel better. Make sure your blinds and curtains are open during the day to let natural daylight in. Try to get outside each day to benefit from natural sunlight. Though you’ll have to bundle up to face the cold temps, you’ll still benefit from the sun’s rays. Exercise also helps to increase your overall energy, decreasing stress and anxiety, both of which can make SAD symptoms worse. Staying active can help you feel better about yourself, which is a natural mood booster.

If you struggle with any of the signs or symptoms of seasonal depression, reach out for help. Seasonal affective disorder is often downplayed as “just a case of the winter blues,” but this is a real disease that often requires treatment. We’re a tough bunch here in Cleveland, but seasonal affective disorder can effect anyone. You are certainly not alone.

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9 Tips for Families Affected by Substance Addiction

Wed, 13 Nov 2019 10:56:22 Z

What is addiction?

According to the American Psychiatric Association, “Addiction is a complex condition, a brain disease that is manifested by compulsive substance use despite harmful consequence. People with addiction (severe substance use disorder) have an intense focus on using certain substances, such as alcohol or drugs, to the point that it takes over their life. They keep using alcohol or a drug even when they know it will cause problems.”

Who does addiction effect?

According to a 2017 report, 1 in 7 Americans suffer from a substance addiction and approximately 21 million have at least one addiction.

Those fighting addiction likely suffer from both mental and physical issues, but it’s important to recognize that the friends and family members of addicts are directly affected as well.

Living with a drug or alcohol-addicted loved one can cause a large amount of stress and tension, feelings of guilt and blame, etc. We fully understand how difficult it can be, so with the help of our behavioral health doctors, we’ve put together a list of helpful tips for anyone experiencing this type of situation.

Tips to cope when a loved one has an addiction:

Learn about addiction

Understanding what your loved one is going through can be helpful to both you and them. Recognizing characteristics of their addiction will allow you to better help them. As a part of your research, look up local recovery programs, especially those with 12-step programs. These types of programs have had great success in helping people get sober by involving family members too.

Reach out for professional help… for YOU

The individual struggling with addiction will likely benefit from counseling...but don’t forget about yourself! Seeking professional help is nothing to be ashamed of. There are family therapy programs available that can address everything you are going through. Reach out for help. Seeking help via counseling for yourself or through a support group like Al-anon can help you navigate boundaries.

Think positively

Though it can be difficult to do, try and think positively. When you are emitting positivity and encouragement, not only will you feel better, the person struggling will too. Let them know addiction is treatable and go over any potential treatment options with them.

Protect yourself

Your safety matters! Never put yourself in potentially dangerous situations. If something doesn’t feel right, say something. Call a friend for help, or if the matter is urgent, don’t hesitate to call 911.

Practice self-care

As we mentioned, supporting someone who is addicted to drugs or alcohol can cause a great deal of stress. Stress affects the body in a variety of negative ways. Weight gain, lack of sleep, anxiety, and depression are just a few examples of what stress can lead to. Take care of yourself and schedule time for you. Make time for yoga, a massage, meditation, going for a walk, or any activity that brings you joy and gives your mind a break.

Never blame yourself

Its human nature to blame ourselves when things aren’t going right, but please remember, this is NOT your fault. You can’t control another person’s addiction, you can only control how you respond. Be supportive, but allow the person with the addiction to take responsibility.

Set boundaries

Setting personal boundaries is important when dealing with addiction and allows for supportive and respectful communication from both parties. If the addicted family member or friend lives with you, set boundaries around money and handing out resources. Let them know if they are not willing to get help or willing to work on their sobriety, you will no longer pay for things they need, give them cash, etc. To learn more about setting boundaries for addiction recovery, check out this article: https://www.hazeldenbettyford.org/articles/boundaries-in-addiction-recovery.

Don’t be an enabler

Making excuses for a person struggling with addiction doesn’t help anyone. There’s a difference between wanting to help and engaging in behavior that fosters the addiction. Be careful not to cross that line.

Join a support group

You are not alone on this journey. There are many other families struggling with addiction, likely in your area. Research local support groups, or virtual support groups (Facebook is a great place to start!), and get involved. Talking with other people who are going through the same or similar things as you can be very therapeutic. Signature Health also provides support for family members.

If you or a loved one need help with an addiction now, call Signature Health. We’re here for you.

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Seasonal Depression (SAD) - Are Clevelanders More at Risk?

9 Tips for Families Affected by Substance Addiction