journey to pathways

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Community-Based Opportunities

Lunch and learn.

If you would like to know more about Pathways and its services, our friendly staff can come on site and share Pathways’ story and information about services. Gather your staff, associates, civic group, or friends – a group of 10-20 – we’ll provide lunch and a presentation. Call the Lunch and Learn Facilitator at (606) 329-8588, extension 4128.

Pathways to Bright Futures Foundation

Pathways to Bright Futures is an operating foundation supporting the consumers and communities served by Pathways. The funds raised by the Pathways to Bright Futures Foundation are used to support activities in one of three areas: expansion of autism services, youth substance abuse prevention, or special projects. The Foundation Board is comprised of primarily community volunteers who are interested in seeing these causes funded. Samples of the Foundation’s projects include, but are not limited to, assisting in the educational development of persons serving in autistic treatment, annual provision of anti-substance abuse curricula in area schools, and placement of tablets in special needs classrooms. For more information, contact the Board Facilitator at (606) 329-8588, extension 4128.

PATHWAYS TO GO

PATHWAYS TO GO is a mobile behavioral health clinic that travels to remote and other designated locations to offer high-quality services to individuals who may be struggling to get services through traditional means. Lack of transportation or high-speed internet and/or family or cultural stigma may be reasons individuals don’t seek services at a brick and mortar locations. Pathways can provide telehealth services on the mobile clinic and is partnering with healthcare providers, health departments, and organizations representing underserved populations.

Crisis/Emergency and Residential Services

A mother's journey.

A Mother’s Journey Recovery Center is a six-bed transitional residential facility for adult pregnant and parenting mothers seeking recovery from substance use disorders. The program is a minimum of five months, depending upon the specific needs of each resident. A Mother’s Journey offers four phases which incorporate the Recovery Dynamics Curriculum, individual counseling services, peer support services, case management, including housing and other basic needs, mental health services, group counseling, life skills, financial planning, parenting classes, Relapse Prevention, and 12-Step Recovery meetings to educate residents about their addiction. All residents are provided a safe, therapeutic, and structured environment that promotes recovery, hope, and healing. Eligibility criteria include: 18 years or older with a history of alcohol/substance use disorder, currently pregnant, or parenting mother. This facility is intended for mothers and will permit mothers to bring one child under the age of six months. For more information or to complete a pre-screen assessment, contact A Mother’s Journey at (606) 475-0200. A Mother’s Journey is located at 41 Cribbs Hill in Grayson, Kentucky. Referrals are accepted from all ten counties served by Pathways.

Journey House

Journey House Women’s Recovery Center is an eight-bed transitional residential facility for adult women seeking recovery from substance use disorders. The program is a minimum of five months depending upon the specific needs of each resident. The Journey House offers four phases which incorporate the Recovery Dynamics Curriculum, individual counseling services, peer support services, case management, including housing and other basic needs, mental health services, group counseling, life skills, financial planning, parenting classes, relapse prevention, and 12-Step Recovery meetings to educate the residents about their addiction. All residents are provided a safe, therapeutic, and structured environment that promotes recovery, hope, and healing. Eligibility criteria include: females 18 years or older with a history of alcohol/substance use disorder. For more information or to complete a pre-screen assessment, contact Journey House at (606) 326-2873. Journey House is located at 57 Dora Lane in Greenup, Kentucky, and referrals are accepted from all ten counties served by Pathways.

Evidence Based Practice

Acceptance commitment therapy (act).

ACT encourages people to embrace their thoughts and feelings rather than fighting or feeling guilty for them and is paired with mindfulness-based therapy. Medical conditions such as anxiety, depression, OCD, addictions, and substance abuse can all benefit from ACT and Mindfullness-Based Cognitive Therapy. ACT develops psychological flexibility and is a form of behavioral therapy that combines mindfulness skills with the practice of self-acceptance.

Child-Parent Psychotherapy (CPP)

Child-Parent Psychotherapy (CPP) is an intervention for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including post-traumatic stress disorder. The treatment is based in attachment theory but also integrates psychodynamic, developmental, trauma, social learning, and cognitive behavioral theories. Therapeutic sessions include the child and parent or primary caregiver. The goal of CPP is to support and strengthen the relationship between a child and his/her caregiver as a vehicle for restoring the child’s cognitive, behavioral, and social functioning. Treatment also focuses on contextual factors that affect the caregiver/child relationship.

Eye Movement Desensitization and Reprocessing (EMDR)

Eye Movement Desensitization and Reprocessing (EMDR) is a fairly new, nontraditional, evidenced-based practice psychotherapy that works by using a patient’s own rapid, rhythmic eye movements to dampen the power of emotionally-charged memories of past traumatic events. Research shows that EMDR is rapid, safe, effective, and does not involve the use of drugs or hypnosis. It has shown to be effective in the treatment of anxiety and panic disorders and has an 80 percent success rate in the treatment of Post-Traumatic Stress Disorder (PTSD). EMDR is an eight-phase treatment method: history taking, client preparation, assessment, desensitization, installation, body scan, closure, and reevaluation of treatment. It works by activating both hemispheres of the brain at the same time through bilateral stimulation.

Individual Placement and Job Supports (IPS)

Individual Placement and Job Support is an evidence-based model of supported employment providing a high standard of service to individuals with disabilities who would like to obtain gainful employment. Services provided include exploration of person-centered employment interests, rapid job search, zero exclusion (i.e., all consumers are eligible for IPS services regardless of their progress or recovery status). IPS provides long-term individualized supports to ensure ongoing employment success.

Matrix Model

The Matrix Model is a structured, multi-component behavioral treatment model that consists of evidence-based practices, including relapse prevention, family therapy, group therapy, psycho-education, and self-help, delivered in a sequential and clinically coordinated manner. The model consists of 16 weeks of group sessions held 3 times per week, which combine cognitive behavioral therapy, family education, social support, individual counseling, and urine drug testing. The Matrix Model is an easy-to-use manualized treatment protocol that gives patients the skills and understanding they need to overcome substance use disorder. It has been refined over the past 30 years to integrate cognitive behavioral therapy, contingency management, motivational interviewing, 12 Steps facilitation, family involvement, and other elements to successfully treat individuals struggling with substance use.

Motivational Interviewing (MI)

Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it is more focused and goal-directed, and departs from traditional Rogerian client-centered therapy through this use of direction, in which therapists attempt to influence clients to consider making changes, rather than engaging in non-directive therapeutic exploration. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal. MI is most centrally defined not by technique but by its spirit as a facilitative style for interpersonal relationships.

Parent-Child Interaction Therapy (PCIT)

PCIT is a treatment for young children with behavioral problems and is conducted through coaching sessions during which the parent and child are in a playroom while the therapist is in an observation room watching the interaction through a one-way mirror and/or live video feed. The parent wears a bug-in-the-ear device through which the therapist provides in-the-moment coaching skills to help parents learn to manage their child’s behavior.

Play Therapy

While it may look like an ordinary playtime, play therapy can be much more than that. Play therapy is a form of therapy used primarily for children because of their inability to process their own emotions or articulate problems to parents or other adults. A trained therapist can use playtime to observe and gain insights into a child’s problems. The therapist can then help the child explore emotions and deal with unresolved trauma. Through play, children can learn new coping mechanisms and how to redirect inappropriate behaviors.

Race-Based Trauma

Race-Based Trauma is a promising practice related to the treatment of post-traumatic stress disorder where the traumatic response to stress follows a racial encounter. Race-based traumatic stress combines theories of stress, trauma, and race-based discrimination to describe a particular response to negative racial encounters. Despite the limited research that examines race-based traumatic stress specifically, trauma research suggests that an individual’s response to a stressor is highly dependent on that person’s perception of the stressor; what one person may experience as traumatic, another person may not experience as such.

Trauma Focused-Cognitive Behavioral Therapy (TF-CBT)

Trauma-focused cognitive behavioral therapy (TF-CBT) is an approach shown to help children, adolescents, and their parents (or other caregivers) overcome trauma-related difficulties, including child maltreatment. TF-CBT helps children address distorted or upsetting beliefs and attributions and learn skills to help them cope with ordinary life stressors. It also helps parents who were not abusive to cope effectively with their own emotional distress and develop skills that support their children.

Intellectual and Developmental Disabilities Support Services

Case management services.

Case management is a collaborative process of planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s needs. Case managers assist with accessing social, medical, educational, and other identified needed services and supports.Case management involves comprehensive service planning that involves the individual and family to ensure that needs are identified and appropriately met. Services are available in all ten counties served by Pathways.

Center for Autism and Developmental Disabilities

Pathways’ Center for Autism and Developmental Disabilities (CADD) provides a continuum of treatment options for those consumers with Autism and related neuro-developmental disorders. Treatments available include occupational and speech therapies with the goal to soon integrate physical therapies as well. Trained and supervised behavioral health associates target behavioral interventions to develop intensive behavioral treatment programs utilizing Applied Behavior Analysis. Diagnostic services in Ashland include a comprehensive psychological assessment and are offered as a means to achieve differential diagnoses when Autism Spectrum Disorder is suspected. CADD is located at 3701 Lansdowne Drive in Ashland, Kentucky, and takes referrals from all ten counties served by Pathways.

Day Training

Day Training is a program for adults with intellectual and developmental disabilities which provides support for these individuals during the day from 8am –3pm. In Day Training, individuals are assisted in developing and honing the necessary skills to become more independent in the community. This service also offers prevocational skills to aid individuals in seeking and reaching employment. Day Training services are offered in Carter and Rowan counties.

Horizon Village

Horizon Village is a HUD group living complex which consists of 15 individual apartments as well as a 15-bed group living unit in Morehead, Kentucky. Horizon Village specializes in providing housing for individuals with intellectual and developmental disabilities. Individuals must be able to live semi-independently and qualify for HUD housing. Contact the Homeland Property Management site supervisor at 606-780-0047 to start the application process.

Participant Directed Services (PDS)

This service provides the participant and family with an opportunity to design and direct their self-identified community support needs. Services are available in all ten counties served by Pathways.

Respite Care

Respite care provides temporary care for a family member with intellectual or developmental disabilities. Respite care provides vital supportive services to help keep families together, giving families and caregivers relief from their daily routine. These services allow family members and caregivers to engage in activities outside the home without worrying about adequate, appropri- ate care for their loved ones. Respite care can be used in case of emergency, vacations, shop- ping, routine business, or to simply allow the family some time to visit friends or go out for the evening. Services can be provided for a few hours, a day, a week, or longer, if needed. If de- sired, families may choose to train their own personal respite provider for in-home respite ser- vices. Respite can be provided in the family’s home or in the respite provider’s home. In-home respite services are available in all ten counties served by Pathways

Supported Employment (J.O.B.S.)

The Supported Employment Program seeks to promote growth of individuals with developmental and intellectual disabilities toward higher levels of functioning, greater self-esteem, increased emotional maturity, development of greater general competence, and a sense of personal responsibility. The Supported Employment Program seeks out paid positions in the community, in regular work settings, for persons with disabilities. The goal is to place and support individuals in competitive work settings. Some of the services offered are person-centered job selection, job development, job placement, on-site training, ongoing one-on-one employment support and follow-up, advocacy and training, employment counseling, social skills training, and other supports as appropriate. Supported Employment opportunities for individuals with intellectual and developmental disabilities are based in Boyd, Greenup, Montgomery, and Rowan counties; services are available in all ten counties served by Pathways.

Nursing and Medical Services

Care coordination.

Care coordination synchronizes the delivery of a consumer’s health care from multiple providers and specialists, both within Pathways and with external providers. The goals of care coordination are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce healthcare costs by reducing hospital admissions and emergency department visits.

Primary Care

Pathways offers a variety of primary care services including: physicals (including sports physicals); treatment of cold or flu symptoms; treatment of chronic conditions like diabetes and high blood pressure; prescribing medications such as antibiotics, birth control, etc.; treatment of minor illnesses and injuries like seasonal flu, sinus infections, and sleep issues; and screening for common health problems. The benefits of utilizing Pathways primary care include management of chronic conditions, lower health costs, saving time, gaining a health advocate, and staying healthier. Primary care services are available at the Crisis and Residential Recovery Units – East and West, Carter County Outpatient, and Greenup County Outpatient.

Outpatient Services

Assertive community treatment (act).

Assertive Community Treatment is a team treatment approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious mental illness. A team of professionals whose backgrounds and training include social work, rehabilitation, counseling, nursing, and psychiatry provide assertive community treatment services. Among the services ACT teams provide are case management, initial and ongoing assessments, psychiatric services, employment and housing assistance, family support and education, substance abuse services, and other services and supports that are critical to an individual’s ability to live successfully in the community. ACT services are available 24 hours a day, 365 days a year. ACT services are provided in Boyd and Greenup counties.

Community Support Services

Community Support Services provide activities necessary to allow adults or children identified with a serious mental illness or co-occurring mental illness and substance use disorder to live with maximum independence in the community. These activities are intended to assure successful community living through utilization of skills training as identified in the individual’s treatment plan. Community support is designed to reduce mental disability and restore a recipient to the highest possible level of functioning. Services are provided using a variety of psychiatric rehabilitation techniques to improve daily living skills, such as hygiene, meal preparation, and medication adherence as well as self-monitoring of symptoms and side effects. Consumers are also helped to improve emotional regulation skills, crisis coping skills, and developing and enhancing interpersonal skills. All Community Support Services must be provided in the consumer’s home or in the community. Services are available in all ten counties served by Pathways.

Dual Diagnosis Program

The Dual Diagnosis program is designed for adult individuals who have both an alcohol and/or drug problem and a behavioral health problem. Commonly occurring behavioral health problems for individuals with a dual diagnosis include depressive disorders (depression, bipolar disorder), anxiety disorders (panic disorder, obsessive-compulsive disorder, phobias), and other psychiatric disorders (schizophrenia, personality disorder). For an individual with a dual diagnosis, the first step in treatment is detoxification – a period of time during which the body is allowed to cleanse itself of alcohol or other drugs. Once detoxification is completed, the consumer will participate in individual and group therapy dealing with relapse prevention, cognitive distortions, illness management and recovery, skill building, emotional regulation, and contingency management. Dual Diagnosis services are available in Boyd County.

DUI (Driving Under the Influence) Program

DUI services provide instructional programs for individuals convicted of driving under the influence of substances. The program is offered in accordance with Kentucky Revised Statutes and Kentucky Administrative Regulations to provide all convicted offenders within Pathways’ ten-county area with an assessment by a certified assessor and specific treatment plans. Offerings include assessment, Crisis and Residential Recovery Unit services, case management, 20-hour educational classes, outpatient counseling, intensive outpatient counseling, and other referrals as necessary within the counties of Boyd and Rowan on a bi-weekly basis. Individuals in this program may self-refer or be referred through the legal system. DUI assessments are available in all ten counties served by Pathways. The DUI 20-hour educational program is available in Boyd and Montgomery counties.

Early Childhood Mental Health (ECMH)

Early Childhood Mental Health is a specialized program that works in cooperation with local childcare centers and other early childhood providers to improve the childhood experience of children ages birth to five by addressing their cognitive, emotional, social, and relational needs. The program creates a seamless system that incorporates birth-to-five-year-old children with social and/or emotional issues through early identification, education, and treatment in order to prevent delayed intervention. Services include assessment of behavioral needs, therapeutic treatment services, case management, family supports, collaboration with other state, local, and private agencies, fostering community awareness of the need for behavioral services, and providing outreach and instructional programs to caregivers and families. ECMH referrals can be made by parents, childcare providers, physicians, and early educators. Services are available Monday through Friday from 8:30am until 5:00pm. Early Childhood Mental Health services are available in all ten counties served by Pathways.

Group Therapy

Group therapy is a form of psychotherapy that involves one or more therapists or peer support specialists working with several people at the same time and is often integrated into a consumer’s treatment plan coupled with individual or family therapy. Group therapy can be very effective, especially for individuals suffering from substance abuse, depression, and traumatic stress. Pathways employs a variety of evidence-based practices when working with individuals in a group setting, including dialectical behavioral therapy, mindfulness-based cognitive therapy, Matrix Model, and CORE. Common groups include Illness Management and Recovery, Anger Management, Parenting, Substance Abuse, and gender-specific groups. Pathways offers groups at all outpatient locations. Services are available in all ten counties served by Pathways.

High Fidelity Wraparound (HiFi)

High Fidelity, an evidence-based practice driven by the National Wraparound Initiative, is a youth-guided and family-driven planning process that follows a series of steps to help youth and their families realize their hopes and dreams. Pathways employs two HiFi case managers; one in the Gateway Region (Bath, Menifee, Montgomery, Morgan, and Rowan counties) and one in the FIVCO Region (Boyd, Carter, Elliott, Greenup, and Lawrence counties). These two case managers can have up to ten consumers each on their caseloads serving the most intense youth with serious and complex needs. For more information on this service, call (606) 324-3005 in the FIVCO Region or (606) 784-4161 in the Gateway Region, toll free in Kentucky at (800) 562-8909. Services are available in all ten counties served by Pathways.

iHOPE (Helping Others Pursue Excellence)

iHOPE is a collaborative effort between the Department of Behavioral Health and Pathways to identify and serve youth and young adults with symptoms of psychosis as early as possible and provide support and treatment based up-on current research. To be eligible for iHOPE services, the consumer must be ages 15-30, at risk of experiencing a psychotic episode (prodromal symp-toms), or have been diagnosed with a psychotic disorder within the last year. Confirmation is needed that symptoms are not caused by a medical condition or substance use disorder. Services available in iHOPE are psycho-education, family education and support, medication evaluation and management, individual psychotherapy, supported employment, peer support, community support, case management, and safety planning. Services are available in all ten counties served by Pathways.

In Bloom offers Cognitive Behavioral Therapy to women who are pregnant or parenting a child under two years of age who are experiencing anxiety, depression, Post Traumatic Stress Disorder (PTSD), or substance use disorder (or in recovery). The program offers in-home therapy and attachment parenting sessions, peer groups for mothers, case management, and connects participants to educational and employment services and resources. Services are available in all ten counties served by Pathways.

Individual Placement and Job Support is an evidence-based model of supported employment providing a high standard of service to individuals with disabilities who would like to obtain gainful employment. Services provided include exploration of person-centered employment interests, rapid job search, zero exclusion (i.e., all consumers are eligible for IPS services regardless of their progress or recovery status). IPS provides long-term individualized support to ensure ongoing employment success. To make a referral, please call 606-324-3055, extension 4163, or ask for the IPS Supervisor. Services are available in Bath, Boyd, Carter, Greenup, Lawrence, Montgomery, Morgan, and Rowan counties.

Individual Therapy

Individual therapy is a form of therapy in which the consumer is treated in a one-on-one basis with a therapist. This treatment setting allows the therapist and consumer to focus on rapport building and working together to solve the presenting problem. Pathways utilizes evidenced-based models such as cognitive-behavioral therapy, reality therapy, rational-emotive therapy, acceptance commitment therapy, and brief therapy, among many others. Pathways offers individual treatment in all outpatient offices. Services are available in all ten counties served by Pathways.

Intensive Outpatient Program

Pathways’ Intensive Outpatient Program (IOP) meets in a group setting and is therapeutic counseling for individuals in need of a more rigorous substance use disorder treatment program. IOP consumers meet with a therapist at least six hours each week and complete a minimum of 24 sessions. During the sessions, clients complete the Matrix Model curriculum which is an effective, evidence-based practice. The sessions focus on early recovery skills, relapse prevention, group therapy, and counseling. Group members are asked to read, complete handouts, and participate in activities. Before attending IOP, all consumers receive a comprehensive assessment with an individualized treatment plan. IOP services are available in Bath, Carter, Greenup, Lawrence, Montgomery, and Rowan counties.

KSTEP (Kentucky Strengthening Ties and Empowering Parents)

The KSTEP program integrates best practice in substance use disorder (SUD) treatment services, child welfare practice, and family preservation services into an approach to deliver services that address the special needs of SUD affected families involved with the Department of Community Based Services (DCBS). DCBS partners with Pathways to implement a continuum of care for adults and children that includes mental health services and substance abuse services through the KSTEP program. KSTEP services are available in Bath, Boyd, Carter, Elliot, Greenup, Lawrence, Menifee, Montgomery, Morgan, and Rowan counties.

KY-Moms MATR (Maternal Assistance Towards Recovery)

KY-Moms MATR is a program designed to educate the public about the impact of substance abuse on pregnancy and child rearing. The program emphasizes the importance of smoking cessation and positive lifestyle choices to help babies be born healthy and drug-free. It also links expectant mothers to services that will help them have healthier babies. Mothers seeking recovery assistance will receive preference for admission into recovery related programs. The goal of the program is to help pregnant women get the services they need during and after pregnancy in an effort to foster a happier, healthier pregnancy and baby. Case managers who understand family issues are available to help direct women to services for themselves and the baby. Expectant mothers can become involved at any time during the pregnancy, and case managers will follow up with the mother and baby for up to 60 days post-partum. Services are available in all ten counties. Individuals interested in services may contact (606) 326-2875 to be linked with a provider.

Medication For Opioid Use Disorder

Pathways offers Vivitrol and Suboxone products for consumers who have been diagnosed with an Opioid Use Disorder and are agreeable to follow the treatment protocol including individual and group therapy, Case Management and Peer Support Services along with Care 9 Coordination. Pathways recognizes the need for quality Substance Use services and is commitment to be a part of the solution by helping consumers gain sustainable recovery. Services are available in all ten counties served by Pathways.

Opportunities for Women

The Opportunities for Women program addresses the problems that keep women from providing for their families, such as holding down a job or going to school to get a certificate or degree. Case Managers may be able to assist in providing helpful resources which are needed for a better future for women and their children. Opportunities for Women offers assessment, education, and case management. The program assesses for substance use disorder, domestic violence, co-dependency, sexual abuse, and other issues in order to make referrals to get the needed help. It also educates participants in ways that may help women end problems from the past. Support sources help change old habits, improve self-image, and address problems that may be preventing clients from becoming self-sufficient. Finally, the program also provides case management services by identifying help needed or linking participants with the necessary resources. Providers assist in applying for emergency protective orders, if warranted, and going to court for domestic violence order hearings. Opportunities for Women services are available in Boyd, Carter, Greenup, and Lawrence counties. Providers offer free weekly parenting classes to interested participants in Boyd, Carter and Lawrence counties, and a women’s education class in Lawrence county. Individuals interested in services may contact (606) 326-2875 to be linked with a provider.

Parents United for Support and Help (PUSH)

PUSH provides a support network for parents needing help with childhood behaviors, school issues, education laws, disability laws, the provision of local resources, and the skills to advocate, when needed. In particular, it provides support from other parents who understand the special issues surrounding children with disabilities. Discussions often focus upon techniques that have worked for others. Speakers are invited to present on various topics related to disability laws and educational laws regarding special education and 504 regulations. A lending library is also available to members. PUSH support groups are available in Boyd, Carter, Elliott, Greenup, and Lawrence counties.

Peer Support (Family, Youth, and Adults)

Peer Support services are the social and emotional support provided by persons with lived experience of a mental health and/or substance abuse condition to others sharing a similar mental health and/or substance abuse condition to bring about a desired social or personal change. Peer support is an emerging evidence-based practice that helps people recover from mental illness or addiction with assistance from someone who has experienced mental illness or addiction and is in recovery. Services are available in all ten counties served by Pathways.

School-Based Services

Pathways offers integrated behavioral health and substance abuse treatment for children and adolescents at every school in all ten counties served. School-based services offer individual therapy, group therapy, anger management, risk assessments, presentations on various topics (suicide prevention, dealing with bullies, etc.), professional development trainings (ADHD in the classroom, recognizing abuse, etc.), collateral services, and crisis management. School-based therapists work in conjunction with school counselors, Family Resource Center staff, teachers, and others to ensure successful educational outcomes. A minor may sign consent for treatment when in crisis, but a parent/guardian’s authorization must be obtained once stable. Services are available in all ten counties served by Pathways.

START (Sobriety Treatment and Recovery Teams)

START teams serve families with young children who have experienced child neglect or abuse due to parental substance use disorders, with a focus on helping parents overcome their substance use disorder and promoting parental capacity to care for their children. Highly-trained family mentors and child protective service workers assist families having children five years or younger, often including substance-exposed newborns with substantiated abuse or neglect and child safety risks. Key START partners include judges, foster parents, mental health providers, and substance abuse treatment providers. START services are available in Boyd County.

Supported Housing for the Seriously Mentally Ill

Targeted case management, therapeutic rehabilitation program, transition age youth launching realized dreams (taylrd), pathways porchlight.

Women’s Services

Women's Services

Adult prevention services, community prevention, kentucky agency for substance abuse policy (ky-asap), prevention resource and information services, prime for life.

Prime for Life is an evidence-based motivational prevention, intervention, and pretreatment program specifically designed for people who might be making high-risk choices. It is designed to change drinking and drug use behaviors by changing beliefs, attitudes, risk perceptions, motivations, and the knowledge of how to reduce risk of alcohol and drug related problems throughout a lifetime. Prime for Life includes both prevention and intervention content; it is also designed in a way that serves universal, selective, and indicated audiences with program delivery options for each. Services are available in all ten counties served by Pathways.

Suicide Prevention Training - Question, Persuade, Refer (QPR)

QPR is an educational program designed to teach lay and professional “gatekeepers” the warning signs of a suicide crisis and how to respond. Gatekeepers can include anyone who is strategically positioned to recognize and refer someone at risk of suicide (e.g., parents, friends, neighbors, teachers, coaches, caseworkers, police officers). The process follows three steps: (1) question the individual’s desire or intent regarding suicide, (2) persuade the person to seek and accept help, and (3) refer the person to appropriate resources. Services are available in all ten counties served by Pathways.

Youth Mental Health First Aid

Youth prevention services, zero tolerance program (zt), transportation services, helpful links.

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Journey Pathways to Healing

Pastoral Counselor , Dr , Phy , PhD , Rev

Practice at a Glance

Greenville, SC 29617

• Pay by Cash, Check, Mastercard, Paypal, Visa
• Out of Network

Qualifications

• Verified by Psychology Today Certificate from Christian National Church Phyllis Ericson Davis
• Certificate from Drug and Alcohol Certificate
• Certificate from American Hypnosis Association Certificate
• Attended Union Institute , Graduated 1995

Specialties and Expertise

Top specialties.

• Relationship Issues
• Trauma and PTSD
• Family Conflict
• Alcohol Use
• Anger Management
• Behavioral Issues
• Bipolar Disorder
• Borderline Personality (BPD)
• Career Counseling
• Christian counseling trauma specialist
• Chronic Impulsivity
• Chronic Pain
• Chronic Relapse
• Codependency
• Coping Skills
• Developmental Disorders
• Dissociative Disorders (DID)
• Domestic Abuse
• Domestic Violence
• Dual Diagnosis
• Eating Disorders
• Education and Learning Disabilities
• Emotional Disturbance
• Geriatric and Seniors
• Impulse Control Disorders
• Internet Addiction
• Life Coaching
• Marital and Premarital
• Mood Disorders
• Obsessive-Compulsive (OCD)
• Oppositional Defiance (ODD)
• Peer Relationships
• Personality Disorders
• Self Esteem
• Self-Harming
• Sexual Abuse
• Sexual Addiction
• Sleep or Insomnia
• Spirituality
• Substance Use
• Suicidal Ideation
• Teen Violence
• Thinking Disorders
• Video Game Addiction
• Weight Loss

Client Focus

Participants, treatment approach, types of therapy.

• Art Therapy
• Cognitive Behavioral (CBT)
• Emotionally Focused
• Expressive Arts
• Family / Marital
• Family Systems
• Forensic Psychology
• Hypnotherapy
• Integrative
• Interpersonal
• Intervention
• Neuro-Linguistic (NLP)
• Play Therapy
• Psychoanalytic
• Psychodynamic
• Right brain unified field theory approach, Journey
• Trauma Focused

Christian growth, maturity, accountability

Christian maturity: Application of the scriptures to problems and challenges of life in a fallen world. Combines sound principles of psychology with the teachings of the Master. Provides a safe, biblical based approach to treatment that has received world wide acclaim. The Journey techniques resolve issues at the root cause rather than treating symptoms only. Confidential issues for pastors, church leaders, and ministers taught by pastor(s). We address most all issues that pastors and their congregations face in a fallen world. Learn how to recognize early signs for intervention before its too late. Male / Female group break-out groups

Session Cost

Group meets.

2 Old McElhaney Road

Couples Group

Couples group treats the relationship as three separate clients: the husband, the wife, and the relationship. Utilizing our specialized treatment approach, we treat the "root cause" of issues rather than treating symptoms only for problem resolution. Our techniques have received world wide acclaim in Who's Who in the World. These techniques combine proven psychological principles under direct authority of the words of the Master to offer a fresh approach that is safe to resolve the problems we all face in a fallen world. We specialize in trauma resolution and dual diagnosis.

Greenville, South Carolina

101 Seattle Slew Lane

Trauma Group

Trauma Group: Addresses issues of sexual abuse, physical abuse, emotional, intellectual and spiritual abuse, domestic violence, and addictions: gambling, alcohol, drugs, pornography, prescription medication, work a holism, codependency, and co-addiction. Break out groups: Men / Women. Utilizes the proven techniques of the JOURNEY combining sound psychological principles with the words of the Master to resolve problems at the root cause rather than treating only the symptoms. Different than most "talk therapy techniques" JOURNEY is a fresh approach that is safe and proven effective. Christian counseling taught by pastor(s), psychologist trained in these techniques that have received world wide acclaim.

Primary Location

Nearby areas.

• Greenville, SC
• Simpsonville, SC

12 episodes

Join us as we demystify the tech landscape, offer guidance on educational pathways, and showcase inspirational stories of individuals who have successfully transitioned into tech careers. We address challenges, celebrate triumphs, and equip you with the knowledge and motivation to take your first steps or advance further in the tech world.

Tech Woke Podcast Tech Woke Network

• APR 9, 2024

Journey to 6 Figure GRC Analyst ft. Kyree Fuller | #TechWokePodcast Ep. 13

Welcome to the Tech Woke Podcast! In this episode, we dive deep into the world of cybersecurity with Kyree Fuller, a seasoned professional in the GRC (Governance, Risk, and Compliance) field. Join us as Kyree shares his invaluable insights and experiences, offering a unique perspective on navigating the complex landscape of cybersecurity. Don't miss out on this enlightening conversation packed with expert advice and real-world anecdotes!

• APR 3, 2024

From Army To Cybersecurity Subject Matter Expert (SME) ft. Huralain Mohamed

Join us for an enlightening episode of the Tech Woke Podcast as we delve into the world of cybersecurity with Huralain Mohamed, a distinguished subject matter expert (SME) in the field. Huralain shares her fascinating journey within cybersecurity, offering invaluable insights and tips for aspiring professionals looking to carve their path in this dynamic industry. Tune in for an enriching discussion that promises to inspire and empower!

• MAR 26, 2024

From Pool Cleaner to Network Engineer ft. Robert Lott

• MAR 15, 2024

Nigel Boston Journey To Cyber Threat Intelligence Analyst in One Year

Join us on this compelling podcast episode as we delve into the inspiring journey of Nigel Boston, who achieved the remarkable feat of becoming a Cyber Threat Intelligence Analyst in just one year. Gain invaluable insights, hear firsthand experiences, and uncover the secrets behind Nigel's rapid ascent in the world of cybersecurity. Don't miss out on this insightful conversation!

• FEB 22, 2024

Are Cybersecurity Bootcamps Worth It?

Curious about whether cybersecurity bootcamps are worth your time and investment? In this video, we delve into the pros and cons of enrolling in a cybersecurity bootcamp to help you make an informed decision. With the increasing demand for skilled cybersecurity professionals, bootcamps have emerged as a popular option for individuals looking to break into this field or advance their careers. We'll discuss the advantages, such as accelerated learning, hands-on experience, and networking opportunities, that bootcamps offer. However, it's essential to consider the potential drawbacks as well. From the financial commitment to the intensity of the curriculum and the variability in the quality of programs, there are factors to weigh before diving into a cybersecurity bootcamp. Join us as we explore the various aspects of cybersecurity bootcamps, including their relevance in the job market, the skills they impart, and the return on investment you can expect. Whether you're a newcomer to the cybersecurity field or a seasoned professional looking to upskill, this video will provide valuable insights to help you determine if a cybersecurity bootcamp is the right path for you.

• FEB 15, 2024

Unveiling the Secrets: Tameka Kirk's Path to Information Security

Join us on the Tech Woke podcast as we delve into the remarkable journey of Tameka Kirk, who rose through the ranks to achieve the prestigious position in Information Security. Discover the challenges she overcame, the skills she honed, and the lessons she learned along the way. Tameka's story is a testament to resilience, determination, and the power of diversity in the tech industry. Tune in to gain insights, inspiration, and actionable advice for your own career path. Don't miss this empowering episode!"

• © 2024 Tech Woke Podcast

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News / April 19 2024

Expanding Pathways into Tech: Angelique Taylor’s Journey

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Despite initially majoring in architecture when she was in high school – a unique program allowing students to specialize in specific fields – it didn’t take long for Angelique Taylor to realize that she was more interested in the hands-on electrical engineering classes down the hall.

Now an Assistant Professor at Cornell Tech and in the Information Science Department at Cornell University, Taylor is the one developing those hands-on research experiences as she leads the Roosevelt Island campus’ Artificial Intelligence & Robotics Lab (AIRLab).

Of equal importance to her research, which focuses on building robots that can help people in real-world environments, is her role as faculty advisor for the Black Cornell Tech Student Association (BCTSA), where she helps students navigate and succeed in academia and the tech industry.

As an active mentor to the BCTSA she connects students to other faculty members and administrators, supports them to overcome challenges and even recently participated in their flash mentoring session at the Queens Tech and Career Expo 2.0, hosted by the Office of the Queens Borough President Donovan Richards Jr. Taylor’s involvement at the event included reviewing resumes and advising participants about acquiring internships and entering the job market.

This was the second year in a row the group joined the Queens Tech and Career Expo, which in addition to Taylor, was led by BCTSA President Liam Albright; alumnus Isaiah Murray who now works at the New York City Department of Small Business Services; and Omari Keeles, Director of Diversity, Equity, Inclusion and Belonging at Cornell Tech.

The event, which brought together more than 850 attendees from a wide range of age groups, provided an opportunity to see the different life paths that led to a career in tech. Taylor, who graduated from community college before pursuing her four-year degree at the University of Missouri – Columbia and her Ph.D. from UC San Diego, saw herself in some of the attendees, which included representatives from the Borough of Manhattan Community College.

Taylor noted that the Queens Tech and Career Expo 2.0 even included high schoolers seeking internships. “If I had industry mentorship experiences like this, I may have been able to pursue tech industry opportunities from an earlier age.”

While she may not have had a high school internship, Taylor personally knows the importance of being exposed to different tech careers early. She unintentionally became involved in research when looking for summer opportunities and finding the National Science Foundation-funded Research Experiences for Undergraduates. Her research project focused on how to predict network traffic using machine learning in order to identify new and trending popular topics in media.

Following the BCTSA’s second appearance at the event, Taylor is excited to help drive future opportunities for the organization and Cornell Tech to find the next generation of researchers and graduate students.

“A lot of people left The Queens Tech and Career Expo 2.0 feeling inspired,” said Taylor. “These types of events are a great way for Cornell Tech to get out into the community, develop a pool of potential students, and build pipelines to improve the diversity of our communities.

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Montgomery County to Host Virtual Forum on ‘Journey to Recovery: Exploring Pathways to Healing from Mental Health and Substance Use’

The Montgomery County Alcohol & Other Drug Addiction Advisory Council (AODAAC) will host a virtual forum on Thursday, May 9.

Per the news release: Montgomery County’s Alcohol and Other Drug Addiction Advisory Council will host its 2024 virtual spring forum from 6-9 p.m. on Thursday, May 9. The free event, Journey to Recovery: Exploring Pathways to Healing from Mental Health and Substance Use, will include a focus on different pathways to healing from mental health and substance use disorders.  There will be sessions for adults and concurrent sessions planned by Montgomery County’s Youth Ambassador Program members.

Youth will participate in youth-led sessions, exploring ways to access support for mental health or substance use. Youth will then rejoin the adults in the main Zoom room so all attendees can ask questions during a live question and answer panel. The evening will conclude with links to various resources for mental health and substance use prevention, intervention and treatment.

“Discussions and conversations are essential parts of the solution to reduce youth substance misuse and address mental health concerns,” said County Executive Marc Elrich.  “This annual forum is a good opportunity for teens and adults to learn about the resources and support available and to offer their experiences and suggestions. I urge residents to take advantage of the free virtual event.”

Montgomery County Public School students who attend the full two-hour event will receive student service-learning hours. *

The forum is hosted by AODAAC, the Mental Health Advisory Council and the Citizen’s Review Panel for Children.

Registration is required and attendees will receive the Zoom link after registering. Register  here .

Anyone with accessibility needs who wants to participate in the event (e.g., an interpreter for ASL, Spanish, Chinese, Amharic or another language) should e-mail Diane Lininger at  [email protected]  by May 6 to request accommodations.

*Parent/guardian consent form, student ID, grade and school name required.

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Admission is free, and attendees will also be able to explore a marketplace of books and food offerings from local vendors.

Not your average book festival! This festival offers something for everyone!

Sunday, April 21, 2024, 11am-4pm (held rain or shine!)

Howard Avenue, Kensington, MD 20895

www.dayofthebook.com

Instagram: @kensingtonbookfestival

Contact: Elisenda Sola-Sole, Festival Director

[email protected]

301-949-9416 (text preferred)

FEST OF SPRING Caribbean Wine Food & Music Festival

Get ready to experience the vibrant colors, tantalizing flavors, and infectious rhythms of the Caribbean at the FEST OF SPRING Caribbean Wine Food & Music Festival! Hosted by RHU LLC, this exciting festival is set to take place on May 18, 2024, at the picturesque 16700 Barnesville Rd in Boyds, MD.

Step into a world where the Caribbean spirit comes alive! From 12:00 PM onwards, immerse yourself in a sensory journey that celebrates the unique culture, cuisine, and music of the Caribbean. Whether you're an African American, a Reggae or Soca music enthusiast, a wine lover, or part of the vibrant Caribbean diaspora, this festival promises to delight and captivate you in every way.

Let the enticing aromas of mouthwatering Caribbean dishes tantalize your taste buds. Feast on traditional delicacies prepared by expert chefs, showcasing the rich and diverse culinary heritage of the Caribbean. Indulge in flavorful jerk chicken, succulent seafood, and delectable plantain dishes that will transport you straight to the islands.

Accompanying the culinary extravaganza is a carefully curated selection of premium wines, ensuring the perfect pairing for your palate. Sip on fine wines from renowned vineyards, each sip a reflection of the Caribbean's vibrant spirit. Discover new flavors, expand your wine knowledge, and savor unforgettable moments with every glass.

As the sun sets, get ready to groove to the infectious rhythms of Caribbean music. Feel the pulsating beats of reggae, soca, dancehall, and calypso, moving your body to the lively melodies. Live performances by talented musicians and performers will keep the energy high, ensuring a night of unforgettable entertainment.

Don't miss this opportunity to embrace the Caribbean spirit and celebrate the arrival of spring in style! Tickets are available on AllEvents, so secure your spot today. Join us at the FEST OF SPRING Caribbean Wine Food & Music Festival, where cultures collide and unforgettable memories are made.

LIVE PERFORMANCES By: CULTURE Feat. Kenyatta Hill, EXCO LEVI, IMAGE BAND, RAS LIDJ REGG'GO with Special Guest SUGAR BEAR FROM E.U. & MORE! & MORE!

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2 NIGHT Camping packages available: RV/CAMPER $200 | TENTS $150 Starting on Friday May 17 @ 5pm | 30 RV SPACES | 30+ TENT SPACES

KIDS 12 & UNDER FREE!!!

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A Guide To Care Pathways With Three Examples Demonstrating Their Implications in Practice

The core aim of a health system is to improve people’s health. To accomplish this, it must be capable of providing care at the right time, at the right place, and to the right patient. 

However, doing this can be challenging. This especially holds in the fragmented care system we are in. Many health systems are adapting care pathways to map the ideal steps in a patient’s journey to address these problems.

Care pathways are planned according to the stages of care and include interventions offered at each stage. These pathways aid in prioritizing interventions based on importance, resources, and outcome for optimal care delivery.

When used appropriately, care pathways can be the best tool to provide quality care for patients. 

What is a care pathway? 

The European Pathway Association defines a care pathway as a complex intervention for the mutual decision-making and organization of care processes for a well-defined group of patients during a well-defined period.

Components of a good pathway include:

• Having clear goals and key elements based on best practice, evidence, and patients’ expectations
• Allowing communication among team members and with patients and their relatives
• Supporting coordination of roles and sequencing the activities of the multidisciplinary care team
• Offering monitoring, documentation, and evaluation of outcomes
• Identifying important resources

The ideal pathway includes adherence to the following four criteria :

• A structured multidisciplinary plan of care
• The translation of guidelines or evidence into an algorithm
• Detailed steps within the pathway along with a timeframe in the course of treatment/care plan
• Standardized care for a specific population.

All in all, a care pathway defines what happens, when it happens, and who is responsible at a stage. All this holds true at all stages of health care, including diagnosis, treatment, and follow-up.

Care pathways also allow the translation of clinical guidelines or evidence in other forms into local protocols. While clinical guidelines offer generic recommendations, care pathways offer one or more specific treatment recommendations based on a hierarchy of selection criteria. You can think of it as the difference between "could" and "should": guidelines tell oncologists what they could do, pathways tell them what they should. 

However, neither of them tells the oncologist what they must do. Every patient is unique and has their own medical background, so not all care pathways will be appropriate for all patients. Pathways are designed to accommodate about 80% of patients with an on-pathway condition. In their professional judgment, if a doctor does not believe that the pathway recommendation is appropriate for that patient, they may go off-pathway.  

Examples of care pathways

Let’s see how care pathways can be used in different treatment specialties.

Care Pathway In Mental Health

Care pathways in mental health are different from other physical health disorders. A mental health care pathway aims to improve mental health and not just coordinate multidiscipline experts.

A team manages mental health problems, such as counselors, physicians, and psychologists. The focus of a care pathway is also to inform professionals, patients, and families, similar to pathways used in hospitals.

However, mental health pathways are created around health problems such as depression and anxiety. A care pathway may include:

• Reason for seeing a patient (symptoms of the problem)
• Diagnostic tools to be used
• Involvement of experts at different steps
• Referral treatment at appropriate steps

As you see in the image above, the care pathway outlines steps for patients with depression. It assigns responsibilities at each stage (for instance, primary care provider or nurse), actions taken and diagnoses made (for instance, a depression patient is suicidal), and the indicated treatment (such as medicine or behavioral modifications)

The bottom of the pathway offers to monitor and measure progress.

Care Pathway In Musculoskeletal Conditions

Usually, a patient suffering from musculoskeletal pain gets treatment from a primary care physician . If the patient needs further assessment, they will be referred to a specialist. This is a point of interface between primary and secondary care.

The patients may be recommended for further imaging, investigations, medical devices, physiotherapy, or injections in secondary care. It is seen that a lack of pathway results in inconsistency to manage patients, without uniformity across different regions. This significantly affects patient outcomes.

For the same reasons, care pathways are gaining popularity. It ensures that the patient sees the right expert at the correct stage in their treatment journey.

The pathways are designed keeping the patients’ values and beliefs in mind. For instance, patients with osteoarthritis see surgery as an unattractive treatment. So, pathways are built in a way where patients get to explore conservative treatment options first.

Care Pathway in Oncology

Oncology treatments have seen important developments in recent years. Innovations in tumor detection, advancement in drug discovery, and an increase in targeted therapies have improved outcomes.

However, these breakthroughs have also created complexity in care delivery. Oncologists are spending more time staying updated to offer value-based care. The care pathway is an excellent tool to help professionals achieve this goal by predicting practice patterns and care standardization.

Health professionals must take appropriate actions at each stage of a patient’s journey to deliver high-quality care. However, a fragmented care system may make it difficult to deliver the required interventions. This is exactly where a care pathway comes in. With a care pathway you can easily manage the full patient journey. It will guide the care team to deliver the right care at the right time for the right patient and eventually improve patient outcomes. All in all, a care pathway defines what happens, when it happens, and who is responsible at a stage. It's a proven intervention to improve the patient journey.

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Our journey along the Pathway to Excellence®

A rural community hospital shares its story of designation and re-designation. .

• Pathway to Excellence ® is an evolving process that roadmaps opportunities to enhance nursing recruitment and retention, nursing autonomy and satisfaction, interdisciplinary collaboration, strategic focus, team engagement, ownership and accountability, well-being, and community awareness/presence.
• From an administrative viewpoint, Pathway to Excellence is a significant investment of time, money, effort, and emotion that provides an immense return.

What began at Sterling Regional MedCenter as a vision to enhance the nursing culture and innovate nursing beyond its historical foundation has become a reality that exceeds the expectations of everyone involved. The organization’s 9-year journey along the American Nurses Credentialing Center Pathway to Excellence ® may serve as a guide to other organizations ready to take this step.

About our organization

Sterling Regional MedCenter is a 25-bed, prospective-payment, non-profit, Level III trauma designated, rural referral acute care hospital on the northeastern plains of Colorado. Our scope of care compares with that of a suburban community hospital and includes full-scale emergency and trauma services; full-scale digital imaging, nuclear medicine, and PET/CT; full-scale perioperative services; the David Walsh Cancer Center (a comprehensive program with medical and radiation oncology); a full range of rehabilitation therapies; a family birthing center; an 18-bed medical surgical unit; an intensive care unit; a hospitalist program; and full range of support services.

Sterling, a member of Phoenix-based Banner Health, was the first hospital to accept Banner Health leadership’s 2020 challenge for every hospital in the system to achieve either Pathway to Excellence or Magnet ® designation. Sterling received its first Pathway to Excellence designation in late 2013.

The process

Sterling’s journey began in early 2011 when the organization experienced a great deal of change in leadership and scope as well as nursing turnover. The work environment was stressed because of nurse anger and doubt as a result of these changes. A visionary group of frontline nurses and nurse leaders took the opportunity to make positive change by enhancing the role of nursing and energizing the nursing culture. The biggest decision group members faced was how to accomplish and sustain these results. Through literature searches and networking, they discovered the Pathway to Excellence framework and formed the inaugural Pathway to Excellence Committee. Initially, the members experienced some uncertainty, but as they moved deeper into the process, they became more sure that what they were embarking on would change the organization’s future.

Through ongoing planning and breakout sessions with our nursing team, the Pathway to Excellence framework became the road map for change and innovation. Clear communication prompted engagement and helped the committee gain nursing support. Newsletters, all-RN meetings, committee members visiting unit staff meetings to provide updates, and team building exercises to promote Pathway to Excellence standards and elements of performance reinforced our progress and ongoing momentum.

As the strategy to build and implement the various performance elements of the framework continued, frontline nurses saw gradual changes and had the opportunity to participate in the process, have their voices heard, become an integral part of decision-making, integrate education and innovation, and witness improved processes and outcomes. Although the committee remained the driving force, the nurses were the deciding force that made Sterling a Pathway to Excellence organization.

When interviewing for the chief nursing officer (CNO) role in late 2013, I remember sensing an energy I hadn’t experienced elsewhere. I wasn’t sure if it was the rural setting or the size of the organization. While meeting with various groups and team members, I learned about the decision to seek Pathway to Excellence designation and the positive effects the process had on nursing and the organization.

Three years later, I had the opportunity to witness the process from the beginning when Sterling sought redesignation. The focus, drive, and hard work behind the effort remains a part of our culture today.

Ongoing journey

From an administrative viewpoint, Pathway to Excellence requires a significant investment of money, hard work, and emotional energy. However, it results in immense returns. Pathway to Excellence isn’t a one-and-done designation. Rather, this evolving process roadmaps opportunities to enhance nurse recruitment and retention, nurse autonomy and satisfaction, interprofessional collaboration, strategic focus, team engagement, ownership and accountability, well-being, and community awareness and presence.

The submission of the document for our first re-designation in late 2016 represented many hours of focus, intensity, angst, celebration, growth, and achievement. At times, this redesignation felt easier than the original submission, but then we realized that wasn’t the case. Rather, we were better prepared; we had grown with the Pathway to Excellence experience. Although the standards and elements of performance had not changed, the Pathway to Excellence framework provided us with the opportunity to demonstrate the growth and advancement of our nursing culture since our initial designation.

When submitting our first redesignation document, we compared it to the previous one from 2013. It was an emotional and humbling experience. We were impressed by our growth, talent, achievements, and outcomes. Each day, as we awaited redesignation document review, we shared one element of performance with our nursing team to increase their awareness of the document’s content and recognize the growth and success we’d achieved together.

As work began on our second redesignation, new standards and elements of performance that focused on staff well-being and community interaction and contribution required stronger nursing inclusion in new areas. As our hospital grew in scope and service, it became more difficult to maintain nursing team participation in the redesignation process. Using open and transparent communication, the Pathway to Excellence Committee and nursing leaders kept team members well informed about our pro­gress, which added depth and substance to our established program.

Similar to previous designations, all-RN meetings, staff meetings, team huddles, CNO and staff time sessions, emails, leadership rounding, and nursing events helped to maintain awareness, momentum, and enthusiasm.

We received our second designation in 2017 and are currently awaiting our third designation.

Voices from the journey

Sterling Regional MedCenter nurses share their thoughts about the or­ganization’s Pathway to Excellence ® journey.

“We all learned to do things differently—and better! Over time, from those initial meetings until now, we have created and nurtured a positive work environment, greater staff engagement, greater staff retention, nursing participation on interdisciplinary teams, improved patient safety and quality outcomes, and greater job satisfaction.”

—Nancy Zwirn, RN, a founding member of the Pathway to Excellence Committee (now retired and serving as a volunteer)

“Pathway to Excellence has positively impacted nursing by allowing our staff to gain an appreciation for the elements that were already being provided to us that we viewed as ‘normal.’ It has given nursing better awareness that we can be change agents and participate in decisions that impact us, whenever possible. Personally, it has been amazing to watch the changes that have occurred and to be a part of building nursing’s impact on our future.”

—Elizabeth Kuntz, BSN, RN, who was an emergency department RN when the journey started and is now a senior RN house manager

“The Pathway program empowers nurses to participate in decision-making within their environment. Since becoming a Pathway to Excellence designated facility, our nursing culture continues to grow and improve—nurses are at the heart of the hiring process, the orientation process, and obviously the retention of our nurses. As an RN, it is very important to me that nurses participate in the creation of policies and procedures that directly affect the way we provide care. Pathway to Excellence has done an excellent job in creating the opportunity for us to do just that, and to voice our opinions and concerns about everything that affects us, our coworkers, and our patients. It was the platform our hospital needed to move nursing forward and create a safe, proactive culture in our workplace.”

—Emily Hidalgo, BSN, RN, CMSRN, who joined Sterling as a new graduate over 5 years ago and is now a member of the Pathway to Excellence Committee and the Daisy Award Committee

Pathway to Excellence outcomes

Our journey to Pathway to Excellence have resulted in several achievements. Our voluntary nursing turnover rate has remained at zero for 5 of the 6 years of our designation. We’ve seen year-over-year improvement in our individual unit-based National Database of Nursing Quality Indicators, and we achieved the highest overall nursing Practice Environment Score of all 28 Banner Health acute care facilities during the 2018 and 2019 surveys. Nursing engagement and leadership effectiveness scores have demonstrated year-over-year increases in our annual VOICE ® Survey (our system’s employee satisfaction survey). In our 2019 survey, we achieved the highest score within Banner Health for “great place to receive care”—a significant improvement over previous years.

More than half of our nurses are cross-trained in more than one care area, and we’ve efficiently expanded our service lines to add additional nursing team members. Within the community, we’ve created activities to support awareness, well-being, safety, and preparedness. In addition, for the past 4 consecutive years, we’ve achieved “Top 100 Rural and Community Hospital” status by the Chartis Group, LLC. This status indicates top performance in managing risk, achieving higher quality, securing better outcomes, increasing patient satisfaction, and operating at a lower cost. (See Adapting to a pandemic .)

Adapting to a pandemic

Sterling Regional MedCenter was first affected by the COVID-19 pandemic in mid-March 2020, far ahead of most of the other Banner Health hospitals. We encountered many challenges, including restricted points of access, team screening, drastically decreased patient volumes in ambulatory care and the emergency department, and a complete shutdown of elective surgery. As nursing leaders worked to balance operations with the workforce, we had to sharply reduce hours or furlough many of our highly valued team members.

To support each other, Sterling nurses

• retrained to provide care in our acute respiratory unit and other areas
• flexed hours using paid time off to help those who couldn’t take paid time off
• provided childcare assistance for those whose children no longer had day care because of a state public health order.

These and other actions demonstrate Pathway to Excellence at its best—accountability, autonomy, collaboration, education, energy, focus, resilience, strength, support, and community.

We’ve purposefully kept our nursing organizational chart flat with only a single line of leadership

between team members and the senior operations team. This helps to support the Pathway to Excellence framework and ensure close communication, collaboration, knowledge-sharing, strategic planning, transparency, support, a culture of safety, and exceptional outcomes.

Looking ahead

The foundation the Pathway to Excellence process has provided continues to strengthen us, and we’re confident it will continue to for many years to come. I’ve been asked by many of my peers if we could have achieved our growth and success without the Pathway to Excellence framework as our partner. My quick response is, “Not as quickly, not as successfully, and definitely not as sustainably.”

Wade Tyrrell is chief executive officer/chief nursing officer at Sterling Regional MedCenter in Sterling, Colorado.

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Diverse perspectives, combined with an inclusive culture and equitable opportunities, drive better decision-making, stimulate innovation, increase organizational agility and strengthen resilience to disruption.

Diverse perspectives, combined with an inclusive culture, drive better decision-making, stimulate innovation, increase organizational agility and strengthen resilience to disruption.

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EY US 2022 DEI report</p> "> EY US 2022 DEI report

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EY Neuro-Diverse Centers of Excellence (NCoEs) have been recognized by  World Economic Forum 's Global Parity Alliance as a leading Diversity, Equity & Inclusiveness initiative. 

EY Neuro-Diverse Centers of Excellence (NCoEs) have been recognized by World Economic Forum's Global Parity Alliance as a leading Diversity, Equity & Inclusiveness initiative.

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• Journey to extremism in Africa: Pathways to recruitment and disengagement pdf (8.2 MB)

Journey to extremism in Africa: Pathways to recruitment and disengagement

February 7, 2023.

The surge in violent extremism in sub-Saharan Africa undermines hard-won development gains and threatens to hold back progress for generations to come. The need to improve understanding of what drives violent extremism in Africa, and what can be done to prevent it, has never been more urgent.

Against this backdrop of the surge in violent extremism in sub- Saharan Africa, and the continued prioritization of security-driven responses, UNDP initiated a follow-up study, Journey to Extremism in Africa: Pathways to Recruitment and Disengagement in 2020.

The research was developed to strengthen and refine the evidence base established in 2017, as well as to update and expand the scope of the research, tracking variations in relation to the findings of the first report: Journey to Extremism in Africa: Drivers, Incentives and the Tipping Point for Recruitment

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This policy brief analyses the possible convergence of SDG indicators for Colombia.