A2 • The Pantagraph • Monday, June 23, 2014
HEALTH
FROM A1
Flick Fact
Question: Chicago is
Illinois’ biggest city, with
a population of nearly 2.7
million residents. But can
you name the two smallest
towns?
Answer below
State watch
SIU students question
planned smoking ban
EDWARDSVILLE —
Southern Illinois
University’s Edwardsville
campus is to be smokefree in a year, but some
students — even a few who
don’t light up — don’t think
that’s fair.
Student body President
Nasir Almasri doesn’t use
tobacco products but
believes the state’s recent
Smoke-Free Campus Act,
which is scheduled to take
effect in July 2015, wrongly
doesn’t account for the
way his campus is laid
out, the Belleville NewsDemocrat reported.
Almasri said some smokers at other colleges may
simply walk across a street
to get off campus, but he
says that’s not possible
at the 2,600-acre SIU
campus.
How Time
Flies
100 years ago
June 23, 1914:
Bloomington City Council
and the county board
carved the city into 22 voting precincts to accommodate thousands of women
voters in the future. The
new precinct lines will not
follow ward lines as they
have in the past.
75 years ago
June 23, 1939: Stanley
Simmons, a steeplejack,
was killed then he fell
down the 150-foot smokestack at the waterworks.
He apparently missed his
footing on a makeshift
scaffold inside the stack.
Mr. Simmons, 46, was a
stocky little ex-prizefighter
who was experienced at
his job.
50 years ago
June 23, 1964: Ground
was broken for the new
Chevrolet dealership facility at Routes 66 and 150.
Johnny Martin Chevrolet
will be moving from its
downtown sales lot and
showroom sometime this
fall. The first shovel of dirt
was pitched by owner John
E. Martin.
25 years ago
June 23, 1989: The
County Board voted 11-6
to approve a convenience
store at Route 150
and Towanda-Barnes
Road, also known as
Shamrock Corner for a
tavern that stood there. A
citizens group objected,
comparing the board’s
action to recent events
at Tiananmen Square in
China.
Compiled by Jack Keefe;
jkeefe@cbhoa.com. HTF
appears on the Opinion
pages Tuesday-Sunday.
Lottery
Sunday’s results
My 3
9-2-2
9-9-8
Pick 3
4-3-7
0-3-0
Pick 4
1-5-5-0
8-2-3-8
Lucky Day Lotto
Midday: 11-19-21-24-28
Evening: 6-8-16-21-39
Lotto (drawn Saturday)
4-5-14-26-28-36
Lotto jackpot
$9.75 million
Mega Millions jackpot
$25 million
Powerball jackpot
$70 million
Answer: Valley City, just
south of Quincy, is listed
as the state’s smallest
incorporated town with
23 people. The town of
Time, also in Pike County,
is the second smallest,
with an official population
of 36.
position with Chestnut
Health Systems’ Family
Health Clinic.
“I would say, right now,
we’re in a better place than
we’ve been in six to seven
years,” said Dr. Rob Lusk,
director of clinical services
for The Baby Fold.
But everyone agrees OSF
Resource Link that provides teleconferencing, and
Chu are only the start of a
long journey to improve
services for the growing
number of children with
mental illness.
“This is a massively
growing problem everywhere,” said Dr. Aaron
T ra e ge r o f A d vo c a te
Medical Group PediatricsBloomington.
As many as 20 percent of
children may have a mental illness, added Dr. David
Milligan of OSF Medical
Group-Pediatrics, Bloomington.
M a ny p e d i a t r i c i a n s
are comfortable treating
attention deficit hyperactivity disorder and mild
depression or anxiety,
said Traeger and Milligan.
But when symptoms are
more severe — like when a
child has bipolar disorder,
becomes suicidal or has
a behavioral disorder —
pediatricians prefer to refer
to psychiatrists.
But there is a nationwide
shortage of child psychiatrists.
Additional training to
become a child psychiatrist
means a psychiatrist can’t
open a practice until about
age 32. By that point, he or
she can be about $200,000
in debt and child psychiatry
is among the lower-paying
medical sub-specialties.
Child psychiatry also is
complex and patients don’t
get well immediately.
Also, few psychiatrists
see Medicaid patients,
not only because the doctors are overwhelmed and
reimbursement is low, but
because, with children
IRAQ
FROM A1
Jordanian capital on Sunday, also weighed in. The
Islamic State, he warned,
is a “threat not only to Iraq,
but to the entire region.”
The U.S. is looking for
ways to work with Middle
www.pantagraph.com
exposed to trauma or in
foster care, there may be
court proceedings, said
Lisa Pieper, regional vice
president for Children’s
Home & Aid.
“That adds a complicating factor to something
that already is not attractive to a lot of providers,”
Pieper said.
Children on Medicaid
who are 12 years and older
may be served by the Center for Human Services, but
the wait list is long, noted
Kelly Barnes, OSF Resource
Link care coordinator.
For children under 12
with private insurance,
there are three child psychiatrists in BloomingtonNormal.
For young children on
Medicaid, the options are
Chu and another child
psychiatrist who is seeing
a limited number of Medicaid patients, but doesn’t
wa n t h i s n a m e u s e d
because he’s concerned
about becoming inundated.
A couple other child
psychiatrists come to
McLean County one day
a week, Barnes said, while
the Center for Youth and
Family Solutions provides
emergency crisis services.
But children not in crisis
frequently need to travel to
other cities to see psychiatrists.
That’s why OSF Healthc a r e Sy s t e m s t a r t e d
Resource Link. “My job is
to help families navigate
the system,” Barnes said.
Families are referred to
Barnes by pediatricians
and family practice doctors. She meets with families and helps to schedule
appointments with psychiatrists and counselors and
follows up with families.
Barnes also coordinates
teleconferences between
primary care doctors and
two psychiatrists (one from
Peoria, the other from the
Chicago area) so they can
collaborate on diagnoses,
treatments and medications.
“About 80 percent of
my clientele is on Medicaid and the rest is private
insurance,” she said.
Since Resource Link
expanded to McLean and
Livingston counties three
years ago (Barnes also
serves families in six other
counties), the program has
grown. In the fiscal year
that ended Sept. 30, 232
children in the two counties were served; 139 have
been served so far this fiscal year. Sixteen medical
practices in the two counties have referred children
to the program.
“For parents who follow
through, most of the children get better,” she said.
“That service (Resource
Link) is absolutely wonderful,” Traeger said. Milligan agreed.
“I don’t call this a solution,” Barnes said. “But
it provides assistance to
help fill the gap. A solution
would be more child psychiatrists.”
A n o t h e r te l e p h o n e
consultation service used
locally is Illinois DocAssist
that connects primary care
physicians with child and
adolescent psychiatrists
and other behavioral health
clinicians, said Maureen
Sollars of the McLean
County Health Department’s All Our Kids Early
Childhood Network.
The first step to getting
more people interested in
psychiatry is for society to
change its attitude about
mental illness, physicians said.
“These are not personality weaknesses or shameful
problems, but real diseases
that occur,” said Dr. Paul
Pedersen, vice president
and chief medical officer
of OSF St. Joseph Medical Center.
“You wouldn’t tell someone with diabetes, ‘Stop
doing it,’ “ Traeger said.
“So why do we say that to
people who can’t control
their behavior? People
need to view mental health
like they view physical
health: as conditions that
need to be treated.”
Eastern nations, most of
them led by Sunni governments, to curb the Sunni
militant group’s growth.
Officials in the United
States and the Middle East
have suggested privately
that al-Maliki must leave
office before Iraq’s Sunnis
will believe that their complaints of marginalization
by the Shiite-led government in Baghdad will
be addressed.
Al-Maliki, in office
since 2006, has shown no
sign he is willing to step
down. However, he has
been silent since Obama
and Iraq’s top Shiite cleric
both urged him to form an
inclusive government.
Navigating the system
DNA hearing in McNeil
murder case set for Aug. 1
Edith Brady-Lunny
eblunny@pantagraph.com
BLOOMINGTON — A
hearing on the request of a
Bloomington man for DNA
testing that he contends
will show he is innocent
of the 1998 death of his
daughter has been reset to
Aug. 1.
Barton McNeil, scheduled to be in court Tuesday,
is seeking
forensic
testing
of nine
i te m s o f
evidence
from his
1 9 9 9
murder
trial in the
Barton
death of
McNeil
3-yearold Christina McNeil.
Lawyers from the
Springfield-based Illinois
Innocence Project have
argued that the clothing,
sheets and other items hold
information on who killed
the child.
McNeil said he wants
authorities to seriously
consider his former girlfriend Misook Nowlin,
who is also a convicted
murderer, as a suspect in
his child’s death. Nowlin
was sentenced in March to
55 years in the death of her
mother-in-law Linda Tyda
after an argument in 2011
in Bloomington.
A lawyer who defended
Nowlin in the Tyda
case said she maintains
h e r i n n o ce n ce o f t h e
McNeil killing.
McLean County State’s
Attorney Jason Chambers has agreed to testing on blood and urine
samples from bed sheets
collected as evidence in
McNeil’s case.
KID
FROM A1
she would throw temper
tantrums, but it would be
a triple-dose temper tantrum,” Faust said. “She’d
throw stuff around. She’d
break everything in sight.”
After she killed the
kitten, Briel was taken
to a hospital where she
was evaluated by SASS
(Screening Assessment
and Support Services), a
program providing crisis
care for people on Medicaid. Briel saw a psychiatrist at the behavioral
health center and was
prescribed medication for
bipolar disorder (which
causes unusual shifts in
mood and energy) and
anxiety disorder.
“After that, she was OK
to get through the day.
She’d hold it together at
school,” said her mother,
adding Briel, developmentally, is about a year
behind her classmates.
“But if she had a rough day
at school, we’d know it.
“We’d have to get out
of her way and she’d head
straight to the bathtub.
The water would calm
down her nerves.
“She would still have
o u t b u rs t s , b u t t h e y
weren’t nearly as bad,”
her mother said. “And she
wasn’t attacking things
or people.”
Earlier this year, the
behavioral health center
made changes so Briel
saw a counselor monthly
ra t h e r t h a n we e k l y,
and she was placed in
group therapy.
“Sitting with a group
talking about problems
was unbearable for her,”
Faust said. Briel left the
group two months ago.
Because Briel no longer
had a psychiatrist, Faust
went to Dr. James Mikeworth, a pediatrician
with OSF Medical Group
in Pontiac and Streator.
“She was shy and experiencing high anxiety,”
said Mikeworth.
After discussing her
m e d i c a l h i s to r y a n d
symptoms, Mikeworth
decided he needed to
discuss Briel’s case with
a psychiatrist. He called
Kelly Barnes with OSF
R e s o u rc e L i n k , w h o
arranged for a psychiatrist in Joliet to evaluate
Briel. Barnes also referred
B r i e l to a c o u n s e l o r
in Pontiac.
The psychiatrist met
with Briel and verified
her bipolar disorder and
anxiety disorder, but
also diagnosed her with
primary thinking disorder, which means Briel
has trouble with a logical sequence of ideas and
has delusions.
“That explained
why she killed the cat
and her other destruct i v e b e h a v i o r,” h e r
mother explained.
The psychiatrist gave
Faust strategies to work
with Briel to reduce her
destructive behavior and
re-orient her thinking,
and prescribed Quetiapine
for bipolar disorder and
Oxcarbazepine for anxiety
and mood disorder.
Briel will see the psychiatrist every three months
and sees the counselor
every two weeks.
“She hasn’t destroyed
anything in three weeks,”
Faust said. “She has fewer
outbursts.”
“The last time I saw
her, she was sitting on
an exam table, smiling,
laughing and interacting,” Mikeworth said. “It
was amazing.”
Asked whether she’s
fe e l i n g b e t te r, B r i e l
smiled, gave her mother a
high-five and a hug.
“I didn’t get hugs and
kisses before,” Faust
said. “She still has some
anxiety and trouble with
socializing and we’re
working on that. But she’s
a completely different kid.
I’m so thankful.”
Using a stick, Briel
wrote, “I love mommy” in
the dirt, smiled, then went
to play with her sisters.
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ItRight
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