Novel Coronavirus (COVID-19)
Submitted by tomrue on
Practices In This Counseling Office
CDC guidance updated 5/13/2021: When You’ve Been Fully Vaccinated - How to Protect Yourself and Others
Group therapy at this office is conducted online. Individual sessions are available online or in-person under circumstances recommended by the CDC (see above).
Don't Miss Your Shot!
Everyone over age 16 is now eligible. Select a medical provider below (or see Westchester Medical Center's interactive map) for more for detailed information on how to schedule your COVID-19 vaccination. If your preferred healthcare provider is not listed here, call your doctor's office directly and ask.
- Garnet Health
- Middletown Medical
- Crystal Run Health Care
- Wallgreen's Pharmacy
- NYS DOH : Am I Eligible?
- Upcoming Sullivan County, NY vaccine clinics
- Homebound? We'll Bring the Vaccine to You! press release, Sullivan County Department of Public Health, Liberty, New York, 5/18/2021
- Business Safety Plan of Choices Mental Health Counseling PLLC July 12, 2020
- Office Policy on Social Distancing and Hygiene: Informed Consent Concerning Public Health Precautions in Counseling Services During a Pandemic
- Mass email update to current clients via ConstantContact: Changes in our office practices due to the COVID19 emergency 3/21/2020
Here are some mitigation strategies we began taking on March 13, 2020 to protect our clients and the community:
- Starting 3/20/2020, our office was physically closed to the public pursuant to the Governor's executive order.
- Individual therapy relmain available by video conference. In New York State, telehealth is required to be covered by most insurances to the same extent as in-person care, and in some cases more.
- We stopped shaking hands for the time being.
- We offer online group therapy via GoToMeeting and Zoom platforms.
- We disinfect commonly used surfaces such as doorknobs, chairs, remote devices, phones, keyboards, etc. twice a day using disinfectant spray or wipes.
- We posted a reminder and a friendly graphic of how to appropriately wash hands in our bathroom.
- We are washing our hands for a minimum of 15 seconds (humming to the tune of the Happy Birthday is a good timer) with appropriate friction. We also use a single-use paper towel to turn off the faucet and open the bathroom door after hand-washing.
- We posted a notice outside our office informing clients that if they have a fever or flu-like symptoms they should not enter the office and should instead call their physician and get in touch with us afterward.
- We created a flyer and a web page for clients explaining the precautions we are taking and letting them know about telehealth options.
“The virus is the enemy, not the person who is infected.”
Prevention practices recommended by the NYS Department of Health:
- Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
- Avoid touching your face with unwashed hands.
- Avoid close contact with people who are sick.
- Stay at home when you are sick.
- Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
- Clean and disinfect frequently touched objects and surfaces.
Symptoms
Novel coronavirus may cause mild to severe respiratory symptoms including:
- fever
- cough
- trouble breathing and
- pneumonia
CDC states symptoms may appear in as few as 2 days or as long as 14 days after exposure to the virus. On April 27th, the CDC announced findings that the following additional symptoms may appear 2-14 days after exposure to the virus:
- chills
- repeated shaking with chills
- muscle pain
- headache
- sore throat
- new loss of taste or smell
How Does Novel Coronavirus Spread?
Most cases are likely to be spread from person to person by droplets when coughing. Since this virus is very new, health authorities continue to carefully watch how this virus spreads.
Current Metrics and Trends
- Sullivan County Public Health COVID-19 dashboard
- Johns Hopkins University of Medicine Cases by County
- CovidActNow Sullivan County, NY
Mental Health and Recovery
“Social distancing” does not mean to go it alone. Use your telephone to stay in touch with close friends and family. Supports are available.
Telehealth
Choices Mental Health Counseling provides telehealth individual counseling services via Doxy.Me/ChoicesMHC, and group therapy via GoToMeet.Me/ChoicesMHC, allowing anyone with access to a computer and a private space in their home to connect via video conferencing software. Ask your insurer what telehealth coverage apps or other benefits they make available for accessing counseling services as well as general medical care without leaving the safety of your home. In New York State, telehealth is required to be covered by most insurances to the same extent as in-person care.
Internet Connectivity
If you qualify for Medicaid, you may be eligible for a Federally funded $50.00 per month credit on your broadband bill. See Charter Communications to Participate in FCC’s Emergency Broadband Benefit Program. Please call and text family and friends who may need this service, as they may not be able to see this message.
Online Sober Support Meetings
If you can't get out or don't have a ride, these are a few links for online meetings that you can attend with a computer or a smartphone. You can also call Sullivan County AA Intergroup at 845-234-4841 for information or other contacts.
- Online Meetings Directory aa-intergroup.org
- Online 12-Step Meetings 12step.org
- Online AA onlinegroupaa.org
- Never Alone Club neveraloneclub.org
- Virtual NA: Meetings Online and By Phone virtual-na.org
- LifeRing LifeRing Secular Recovery online support
- In The Rooms online support live meetings and discussion groups
- Marijuana Anonymous virtual support
- Narcotics Anonymous a variety of online and skype meeting options
- Reddit Recovery a virtual hang out and support during recovery
- Refuge Recovery online and virtual support
- Self-Management and Recovery Training (SMART) Recovery global community of mutual-support groups, forums including a chat room and message board
- SoberCity online support and recovery community
- Sobergrid online platform to help anyone get sober and stay sober
- Soberistas a women-only international online recovery community
- Sober Recovery online forum for those in recovery and their friends and family
- We Connect Recovery daily online recovery groups for those with substance use
and mental illness - Unity Recovery + WEconnect + Alano Club daily virtual meeting for those in recovery and their family members
Mental Health Emergencies
Sullivan County Mobile Mental Health crisis hotline is always available, 24 hours a day, 7 days a week, for free telephone counseling or personal outreach, at 845-790-0911 (adults) or 845-701-3777 (youth).
Resources and Readings On Mental Health and COVID-19
COVID-19 ANXIETY SUPPORT MEETINGS
"These Are Not Substance Recovery Meetings. Support meetings hosted by Lion Rock Recovery for people struggling with anxiety related to the COVID-19 pandemic. Structured as an on-going workshop (it is not psychotherapy), the COVID-19 Anxiety Support Meeting will teach coping skills and be a place to share and connect with others also feeling the effects of this crisis."
- Feeling Stressed About Coronavirus (COVID-19)? Managing Anxiety in an Anxiety-Producing Situation NYS OMH, 3/16/2020
- Resources and Information on Coronavirus (COVID-19) US Substance Abuse and Mental Health Administration
- Tips For Social Distancing, Quarantine, And Isolation During An Infectious Disease Outbreak (PDF, 4 pp.) US Substance Abuse and Mental Health Administration
- Mental Health and Coping During COVID-19 US CDC
- Stigma and Resilience In the Face of COVID-19 US CDC
- COVID Sex Guidance NYC DOH
- Impact of COVID-19 and Pandemics on Mental Health Psychiatric Times, 2/20/2020
- How COVID-19 May Impact Mental Health: When anxiety about a coronavirus becomes a problem Psychology Today, 3/2/2020
- Coronavirus Is Wreaking Havoc On Our Mental Health Rolling Stone, 3/4/2020
- Coronavirus Anxiety - Helpful Expert Tips and Resources Anxiety and Depression Association of America
- Managing Fears and Anxiety Around Coronavirus [PDF] Berkeley Health Services
- Coronavirus Anxiety: How To Prepare, Not Panic Psychom, 3/6/2020
- How To Sensibly Prepare For a Worst-Case Coronavirus Scenario Vice UK, 3/6/2020
- The psychological impact of quarantine and how to reduce it: rapid review of the evidence The Lancet, 2/26/2020
- Quarantine At Home - Coping Tips Better Health Channel, Victoria, Australia
- Caronavirus/COVID-19 anxiety, depression, mental health, OCD
- What Caronavirus fears are doing to people with anxiety disorders Washington Post, 3/11/2020
- Managing OCD about Caronavirus
- Coping with Caronavirus anxiety Time
- Caring for your mental health despite Caronavirus, McLean Hospital
- Caronavirus and our communities NAACP
- NAMI updates on the Caronavirus NAMI
- Caronavirus, OCD, and Anxiety Chicaco Tribune, 3/9/2020
- I have OCD. Here's how I'm dealing with coronavirus fears Vox, 3/10/2020
- The National Alliance for Mental Illness (NAMI) HelpLine Coronavirus Information and Resources Guide
- Shatterproof: “How I’m Coping with COVID-19 and Social Isolation as a Person in Long-Term Recovery”
- The Chopra Center: “Anxious About the Coronavirus? Here Are Eight Practical Tips on How to Stay Calm and Support Your Immune System.”
Housing
Prevention
Wear a Mask
Unvaccinated visitors to this office are asked to wear a mask pursuant to CDC guidance, as well as New York Codes, Rules & Regulations § 66-3.2 (Face-Coverings); Public Health Law § 201 and § 206; and Executive Order 202.14. Thank you.
Privacy Rights and COVID-19
- HIPAA Privacy and Novel Coronavirus US HHS Office of Civil Rights
- Public Health vs. Patient Privacy – How Coronavirus Is Putting HIPAA to the Test National Law Review, 3/4/2020
- Responding to the Coronavirus (2019-nCoV) Outbreak: Best Practices for Employers blog post 1/30/2020, Epstein-Becker-Green Law LLC
Trusted Government Sources:
- Facts About the 2019 Novel Coronavirus (COVID-19) Sullivan County, New York
- Information on Novel Coronavirus NYS Department of Health
- Responding to the Novel Coronavirus Outbreak US Centers for Disease Control
- Caronavirus Updates NYS Office of Addiction and Support Services (OASAS)
- Disaster Resources NYS Office of Mental Health (OMH)
- Information and Guidance for Schools NYS Department of Education
- Recent Guidance and NYC Case Data NYC Department of Health
- Caronavirus and Marketplace Health Insurance Coverage US HHS, healthcare.gov
- Call NYS DOH Coronavirus Hotline with any questions at 888-364-3065
Declarations of Emergency
- Executive Order No. 202: Declaring a State of Emergency in the State of New York Gov. Andrew M. Cuomo, 3/7/2020
- Sullivan County (NY) declares State of Emergency by County Manager Joshua Potosek, 3/13/2020
- Proclamation on Declaring a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak The White House, 3/13/2020
Updated regularly.