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Call **CRISIS (**274747) from a cell phone to talk to a team of professionals who can help you. Text “MN” to 741741. Crisis Text Line offers free help for those who are having a mental health crisis or are contemplating suicide. Services are available 24/7 across Minnesota. Pine County Services: Pine County provides case management services to assist eligible children and their families. Children's Mental Health Case Management services are voluntary and may be accepted or refused by the parents. The case manager can assist in the coordination of a comprehensive mental health assessment, if one is not currently available, to determine the child's mental health needs. The case manager will assist the child and the child's family in obtaining needed services by coordinating with other agencies and assuring continuity of care for the child. The case manager will work together with the family to continually assess and reassess the delivery, appropriateness, and effectiveness of these services. The case manager will connect with the people involved in the care, counseling, education, and treatment of the child in an effort to coordinate and monitor services. Parents or legal guardians will be asked to participate in developing a comprehensive plan called an IFCSP (Individual Family Community Support Plan), based on the child's unique needs. These plans will be reviewed on a regular basis to determine if the goals for the child are being met and if other services are needed. A variety of services available through Children’s Mental Health Case Management may be provided based on the individual needs of the child and family. Available services include: Referral to Children’s Therapeutic Support Services (CTSS) and/or Community Skills Program Referral for Diagnostic Assessment/Needs Assessment Referral for Psychological Evaluations Referral for Psychiatric Care/Medication Monitoring Coordinated Treatment Planning School Consultation and Support Assistance in Securing Respite Care Services (examples include extended family, friends, or a paid provider) Referral for Individual or Family Therapy Providing number for Crisis Assistance Advocacy for Child and Family Financial Assistance Referrals Referrals to Workforce Programs and/or Vocational Assistance Referral to Appropriate Support Groups Referral for Personal Care Attendant (PCA) Assistance in Development of Independent Skills Transitional and Adult Mental Health Referral and Support Coordination To make a referral please call 320-591-1570 or email at cps@co.pine.mn.us Source: Pine County Health and Human Services

Check for ticks frequently while in tick habitat and for 1-2 days after potential exposure. Promptly remove and save attached ticks in a re-sealable container so your doctor can examine them. Pets that go outdoors can bring ticks indoors; check them for ticks and use appropriate, veterinarian-approved tick products. The risk of contracting Lyme disease depends on how long the tick was attached and how likely it is to be infected. Few infected ticks transmit Lyme in less than 24 hours. At 48 hours, roughly 15% will transmit; at 60 hours, 50% pass on the infection and when infected ticks feed until full, 94% will transmit Lyme disease. In many high-risk areas, half of the deer ticks are infected with Lyme. Deer ticks may be infected with other diseases and these infections, often called co-infections, are also transmitted through bites. Anaplasmosis, babesiosis and Powassan disease are known co-infections; bartonellosis may also be transmitted by ticks. Transmission times for Babesia and Bartonella are unknown; anaplasmosis is transmitted more rapidly than Lyme disease (in less than 24 hours). Lyme Prevention: Antibiotic Treatment of Deer Tick Bites Certain antibiotics may reduce the risk of Lyme disease if taken within 2 days of a bite. Contact your doctor immediately after a bite to discuss this strategy. Basing treatment decisions on blood tests done shortly after a bite is a bad idea because the results are unreliable. Antibiotic approaches are changing; ask your doctor. Source: Center for Disease Control

Cases of tickborne disease continue to rise in Minnesota with Pine County having the 3rd highest level of Lyme Disease. The blacklegged tick, also known as the deer tick, is the main tick of public health concern as it can spread several diseases such as Lyme disease, anaplasmosis, and babesiosis. Recommended Treatment for Ehrlichiosis or Anaplasmosis Doxycycline and other antibiotics are the first-line treatment for adults and children of all ages: Adults: 100 mg of doxycycline every 12 hours. Children under 45 kg (100 lbs.): 2.2 mg/kg body weight given twice a day of doxycycline. Patients with suspected ehrlichiosis should be treated with doxycycline until at least 3 days after the subsidence of fever and until evidence of clinical improvement, typically 5-7 days. Treatment Duration When treated with doxycycline, fever generally subsides within 24–48 hours. The use of doxycycline to treat suspected rickettsia disease in children is standard practice recommended by both CDC and the American Academy of Pediatrics Committee on Infectious Diseases. A recent study found that short courses of doxycycline (5–10 days) did not result in staining of permanent teeth or enamel hypoplasia. Use doxycycline as the first-line treatment for suspected ehrlichiosis in patients of all ages. Sources: MN Dept. of Health, Centers for Disease Control and Prevention Image Courtesy of Unsplash Photographer: Erik Karits

Medicare is the national health insurance program to which all Social Security recipients who are either over 65 years of age or permanently disabled are eligible. In addition, individuals receiving railroad retirement benefits and individuals living with end stage renal disease are eligible to receive Medicare benefits. Medicare has two substantive coverage components, Part A and Part B. Part A covers inpatient hospital care, hospice care, inpatient care in a skilled nursing facility, and home health care services. Part B covers medical care and services provided by doctors and other medical practitioners, home health care, durable medical equipment, and some outpatient care and home health services. Supplemental insurance, is referred to as Part C and Part D. The following is a brief description of each. What is Original Medicare Part A? Medicare Part A covers hospital stays and at-home care. Part A is important in case you have an unexpected injury or sudden illness that requires inpatient care. What is Original Medicare Part B? Medicare Part B includes doctor visits, medical tests, X-rays, medical supplies and long-term preventive care. Part B is your coverage for health care visits that help you stay healthy. What is Medicare Part C (also known as Medicare Advantage)? Medicare Part C (also called Medicare Advantage Plans) is an all-in-one plan that combines Part A, B and usually Part D to give you more health care options. Simply Healthcare Medicare Advantage plans include coverage for prescription drugs, dental, vision and hearing aids, and also have benefits such as fitness programs, transportation and more. What is Medicare Part D? Medicare Part D covers prescription drugs, something Part A and Part B do not cover. Part D is important if you have regular medications for conditions such as high blood pressure. All of Simply Healthcare’s Medicare Advantage plans include prescription drug coverage (Part D). Find and compare them to see which one is the best fit for you. Source: www.simplyhealthcareplans.com Plans Available in the Hospital District Territory In the zip codes of the Hospital District there are the following plans available. Medicare Advantage Plans include: United Healthcare/AARP Medicare Advantage programs: 1-888-662-1300 Humana Medicare Advantage Plans: 1-888-782-3891; www.shop.humana.com Medica Advantage Plus – 1-888-503-6072; www.medica.com/shop/medicare/2023 Medicare Supplement Insurance Plans: Aetna Medicare Solutions: 1-833-521-2823 (TTY: 711); 8 AM to 8 PM, Monday to Friday Humana Medicare Advantage: 1-844-584-2493 | (TTY: 711) 24/7 Mutual of Omaha: 833-582-1524 Medicare Part D Plans: Prescription Drug Program (PDP) Wellcare Value Script (PDP): 833-578-1605 / TTY: 711 M-F 9:00am-9:00pm | Sat 9:00am-3:00pm EST Mutual of Omaha RX Essential (PDP): 833-582-1524 / TTY: 711 United Healthcare/AARP Medicare RX Walgreens (PDP): 1-877-361-0387 / TTY: 711 (toll-free)