Philadelphia Crisis Response Centers

For Emergency Treatment and Hospitalization Five Crisis Response Centers are available to serve city residents requiring emergency behavioral health services, providing needed care in a safe setting.

The Crisis Response Centers are available 24-hours a day, 7 days a week. A partial list of emergency services provided includes:    Medication restraints,   Acute therapeutic intervention,    In-patient hospitalization,    Referrals for outpatient care.

They are:

1)      Einstein Crisis Response Center at Germantown

Germantown Community Health Services

One Penn Boulevard

Philadelphia, PA 19144

(Near the intersection of Chew Avenue and Olney Avenue, next to La Salle University)

215-951-8300

2)      Friends Hospital Crisis Response Center

4641 Roosevelt Boulevard

Philadelphia, PA 19124

215-831-2600

3)      Hall-Mercer Crisis Response Center (Center City/South Philadelphia)

245 S 8th Street

Philadelphia, PA  19107

215-829-5433

4)      Temple University/Episcopal Crisis Response Center (North Philadelphia)

100 East Lehigh Avenue

Philadelphia, PA 19125

215-707-2577

5)      Mercy Hospital Crisis Response Center (West Philadelphia)

5401 Cedar Avenue

Philadelphia, PA 19143

215-748-9525

6)      Children’s Crisis Treatment Center
1080 North Delaware Avenue, Suite 600
Philadelphia, PA 19125 
P: 215-496-0707

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Mental Health Self Help Resources!

Mental Illness:

National Association Mental Illness  www.nami.org , http://philadelphia.nami.org/

National Institute for Mental Health www.nimh.nih.gov/

National Coalition for Mental Health Recovery www.ncmhr.org/

Drug and Alcohol Addiction:

SAMHSA www.samhsa.gov/

AA/NA www.aa.org, www.na.org, www.justfortoday.org

National Institute on Drug Abuse http://www.drugabuse.gov/about-nida/organization

National Institute on Alcohol Abuse and Alcoholism www.niaaa.nih.gov/

Domestic Violence:

PA State Resources: http://www.aardvarc.org/dv/states/padv.shtml

National Center on Domestic Violence, Trauma and Mental health www.nationalcenterdvtraumamh.org

Philadelphia Coalition Against Domestic Violence www.pcadv.org

National Coaltion Against Domestic Violence www.ncadv.org

Domestic Violence Laws in PA: http://statelaws.findlaw.com/pennsylvania-law/pennsylvania-domestic-violence-laws.html

National Domestic Violence Hotline: 1-800-799-SAFE (7233)

Online Self Help Guides:

Helpguide.org

Crufad.org

Please do not forget to go to websites listed above for more self help information.  Please also do not hesitate to contact me for specific information that you are unable to find listed here.

Domestic Violence Resources in Philadelphia

PA State Resources: http://www.aardvarc.org/dv/states/padv.shtml

National Center on Domestic Violence, Trauma and Mental health www.nationalcenterdvtraumamh.org

Philadelphia Coalition Against Domestic Violence www.pcadv.org

Philadelphia Domestic Violence Hotline

The Philadelphia Domestic Violence Hotline (1-866-723-3014) is a free 24-hour resource for individuals with questions or concerns about domestic violence.

Counselors trained in domestic violence provide anonymous and confidential support, including crisis counseling, safety planning, referrals to appropriate community resources, and admission to Women Against Abuse’s safe haven.

Women Against Abuse leads operations for the hotline, which is also run by Congreso de Latinos Unidos, Lutheran Settlement House, and Women in Transition. WAA counselors staff the majority of the hotline’s hours, including nights, weekends and holidays. Women Against Abuse also provides backup support at all times.

For Therapy and Assistance:

Congreso De Latinos Unidos, Inc.
866-723-3014
Philadelphia PA, 19133

Lutheran Settlement House/Bilingual DV Program
866-723-3014
Philadelphia PA, 19125

Women Against Abuse, Inc. |
866-723-3014
Philadelphia PA, 19110

Women in Transition |
866-723-3014
Philadelphia PA, 19107

Women Organized Against Rape

One Penn Center
1617 JFK Boulevard Suite 1100
Philadelphia, PA 19103

Office: 215-985-3315
Hotline: 215-985-3333

National Coaltion Against Domestic Violence www.ncadv.org

Domestic Violence Laws in PA: http://statelaws.findlaw.com/pennsylvania-law/pennsylvania-domestic-violence-laws.html

National Domestic Violence Hotline: 1-800-799-SAFE (7233)

Sexual Assault Hotline
The Rape, Abuse & Incest National Network (RAINN) is the nation’s largest anti-sexual assault organization.  Among its programs, RAINN created and operates the National Sexual Assault Hotline at 1.800.656.HOPE and the National Sexual Assault Online Hotline at rainn.org . This nationwide partnership of more than 1,100 local rape crisis centers provides victims of sexual assault with free, confidential services, 24 hours per day, 7 days per week.  These hotlines have helped over 1.3 million people since RAINN’s founding in 1994.

1-800-656-HOPE

GLBTQ Domestic Violence Project Hotline

Hotline: 1-800-832-1901
Web site: 24-Hour Emergency Hotline

Description: The GLBTQ Domestic Violence Project Hotline is a statewide hotline for members of the GLBTQ community in Massachusetts who are affected by domestic violence. The toll-free hotline is available 24 hours a day, 7 day a week, and is staffed by trained advocates.

Services: The GLBTQ Domestic Violence Project services include crisis intervention and safety planning, an emergency safe house, counseling, emotional support and support groups, sexual-assault case management, direct legal representation, and police / court accompaniment.

GLBTQIIA friendly services at The Mazzoni Center locations at 809 Locust Street and 21 South 12th.  For medical or mental health services contact main office (215) 563-0652 or for just medical care contact (215) 563-0658.

Stress Management 101!

STRESS 101: What it is, How it effects your body, and How to manage it!

Stress is the nonspecific response of the body to any demand made upon it which requires the body to adapt, and is an automatic and immediate response.   Frightening stressful experiences can result in PTSD or anxiety conditions.

  •   Stress can be positive and motivating (called Eustress) or it can be negative and an obstacle (Distress).
  •   Stress can be short term or it can be chronic, which can then exceed our physical adaptive capacity and lead to health and emotional problems.

The Stress Response occurs in stages:

  •   Alarm (awareness of possible stressor and identification of threat)
  •   Resistance (adaptation occurs and either the stressor is resolved and the body returns to homeostasis OR stress continues and resources are depleted creating Exhaustion)
  •   Exhaustion (demands of stress exceed individual’s ability to adapt and functioning declines resulting in mental or physical symptoms).

This response has many biological and chemical components which will not be described in detail here, however it is important to know the basics!  Biologically our bodies react to stress by producing hormones (adrenaline, cortisol etc.) that trigger our survival response and tell our bodies to “fight or flee”.  Our bodies begin to take action to protect themselves through a whole series of physical reactions (quickened heartbeat, faster breathing, tensed muscles etc.) that will allow us to either “fight or flee” for survival.  Chronic stress can tire the body and can cause physical difficulties (like adrenal fatigue), making it important to understand and manage stress.  For a full description of the biological and chemical aspects of stress please look here.  (Biology of stress) (Adrenal Fatigue)

Stress Symptoms include:

  •   Physical (increased BP, HR, respirations, somatic symptoms, decreased immune response)
  •   Mental (decreased concentration, comprehension, and memory)
  •   Emotional (fear, anxiety, depression, fatigue)
  •   Behavioral (irritability, withdrawal, violence, substance use)

Stress can lead to many concerns of the mind, body, and spirit as well as interfere with daily life.

Stress Causes are internal or external “triggers”

  •  External stressors include: physical environment, social interactions, organizational limitations, major life events, and daily hassles
  •   Internal stressors include: lifestyle choices, negative self-talk or criticism, psychological defense mechanisms aka mind traps, or stressful personality traits

Take a look at your stressors, are they external to you and outside of your control, or are they internal?

 

How to manage stress:

Begin by doing the things that you know will help you feel better.  Engage in self-care by doing things that you enjoy, make you feel good, and highlight your talents and uniqueness.  This will decrease stress and increase self-esteem! Build your positive personal resources!

Create safety and security by making sure you have your basic self-care needs met such as getting enough sleep, eating nutritious food, decorating your space, staying hydrated, getting physical activity, attending to hygiene, managing your medical health, and having social support.  Knowing that we can care for ourselves can help us trust in ourselves to manage whatever obstacles we face.

Have fun and take time for your hobbies.  Learn something new, or build upon skills that you already have.  Spend time with people who make you feel good about you and who will support you through hard times.

Relax! Pay attention to your needs and wants (body, mind, and heart), reward yourself for your efforts, meditate and use relaxation exercises, and make a point of treating yourself well EVERY DAY!

Find ways to express your emotions, use Mindfulness to be aware of your negative thoughts and their influence upon your emotions, and work to challenge and change thoughts to positive.  Positivity exercises include writing in a gratitude journal, creating an ongoing positive affirmation list to recite, repeating a positive mantra (I am tough, I can handle anything), or engaging in self-compassion exercises (see self-compassion.org).

Change lifestyle habits: less caffeine, sugar, alcohol.  Eat a well-balanced diet with lots of veggies and fruit.  Eat less junk food.  Eat slowly.  Make meal time a special time.  Exercise frequently and regularly.  Get enough sleep.  Relax and take time for leisure.

Change situations: manage time and finances, be assertive and set boundaries, work to problem solve, know when to leave a situation that is not worth the stress.

Change your thinking: Be positive, create opportunities out of problems, challenge negative and self-critical thoughts, have a sense of humor, increase self-compassion.

Resources

Stress: www.stress.org, www.selyeinstitute.com,

Anxiety and PTSD www.NIMH.com

Andrenal Fatigue: www.adrenalfatigue.com, www.mercola.com,

Self-Compassion http://www.self-compassion.org

Self-Esteem Workbook http://www.samhsa.org

Self Help Resources: www.mindtools.com, www.help-guide.org, www.crufad.com,

How to Find a Therapist

Many people only consider the cost and their insurance coverage when choosing a therapist, but it is important to find someone who is a good fit for you as it will determine the progress you make in healing.

A core part of the change that is made in the therapy process relates to the quality of the therapy relationship, for the greater the trust between therapist and client, the safer the environment, allowing the client to challenge themselves securely to change, grow, and explore emotions deeply.  If you do not trust in your therapist and feel emotionally safe in session, you will be less able to address the reasons you entered therapy.  Make sure you feel that you can trust the therapist you choose.  This means taking into consideration the traits in others that you feel are trustworthy, and seeking a therapist with those traits.  This also means taking into consideration the kinds of support you need and types of challenges that you find motivating.  Some people want more empathy and support, while others want confrontation and straightforwardness in their interactions (a good therapist should be able to balance both).  If you know yourself in your relationships, it will help you to know the kind of personality style your therapist should have.

The other thing to consider is your therapist’s theoretical orientation, or how they view emotional concerns.  Some therapists consider childhood and the psyche only, some therapists focus on thoughts and behaviors, some family and relationships, some therapists incorporate eastern techniques like meditation, some role playing and confrontation, and others art therapy, nutrition, or narration.  There are many schools of therapy today, and it can be helpful to know how your therapist will view and treat your concerns before you meet with them.  A list of therapies and their philosophies can be found here: http://en.m.wikipedia.org/wiki/List_of_psychotherapies.

So where then would you start the process of looking? I think many people find therapists through word of mouth and online.  Web sites like psychologytoday.com have therapists listed by area, specialty, orientation, and usually have a biography attached so that you can get a feel for the therapist.  Some people may choose to go to a mental health clinic, health clinic, or counseling school for free or sliding scale services and often in these situations you will not have the ability to choose your therapist, however you will be able to request a different therapist if you do not feel the fit is right.  Attached to this is a list of mental health and medical clinics that will be able to assist you if you either do not have health insurance and need low fee services, or will accept city insurance.

If your concerns are urgent and you are thinking of harming yourself or someone else, than you will want to contact your local Crisis Response Center or call 911.  There is a list of CRC’s attached to this as well. 

Once you find a therapist who you are interested in (this is in many ways like dating) you will want to reach out to them via phone or email to express your interest in meeting.  Many therapist will offer a free consultation at this point, to allow you to ask questions and to get a feel for the therapeutic dynamic.  Some clients feel comfortable enough with the initial email correspondence that they do not need the phone consultation, but feel free to get as much information as you need to make the decision about who you feel most comfortable with helping you with your emotions.

Going to therapy can be a very scary process for people (for so many reasons!) and it is important to find a therapist who knows this and can help you to feel less afraid.  That said therapy can be a difficult thing (exploring painful emotions), and can take its time, but the healing achieved is often more than worth it, and clears blockages to future progress.  Therapy is as much the responsibility of the client as it is of the therapist, and if you are not willing or ready to be fully honest and trust in the process than it will be hard for much progress to occur and last, no matter the talents of your therapist.

So choose your therapist wisely, but first and foremost know yourself, where you are in your process of emotional healing, and if you are ready to go further.