Now is the time to recognize and honor family caregivers across the country. It is an opportunity to raise awareness of caregiving issues, educate communities and increase support for caregivers.

The burden of care is often placed on adult children or other family members, many of whom have full-time jobs and kids of their own. According to an Alliance for Caregiving and AARP Public Policy Institute survey, 40% of caregivers feel emotionally stressed, almost 20% say it caused financial problems, and about 20% feel physically strained. Unpaid-caregiver burnout among these “sandwich generation” individuals often impacts their performance and engagement at work.

Family caregivers comfort their elderly and/or ill companions, coordinate their care, help them bathe, clean their houses and shop for them. While many find the experience rewarding, it can also be frustrating and take a toll on their emotional and physical wellbeing. Over half of caregivers report elevated levels of depression and anxiety, worsened physical health and higher use of psychoactive medications.

These tips are a good reminder for caregivers and those who are close to caregivers:

• Seek support Ask family members for help and include them in caregiving decisions. See if your employer offers a program like Magellan’s Senior Caregiver Assistance, powered by DUOS, that combines human contact with technology that can give caregivers much-needed support and enable seniors to live full lives.
• Share the tasks When family or friends offer to lend a hand, be ready with specific ideas. Make a weekly list and share that list with others to help with shopping, housecleaning, etc.
• Take care of yourself Be sure to schedule and go to your medical checkups. Eat a healthy diet, exercise and get enough sleep.
• Make time for activities you enjoy Don’t neglect the things in your life that need attention. Read, listen to music, paint, play a game, etc.
• Plan for respite care Respite services provide someone who can stay with your family member while you get away for a few hours or days. Time off can help you manage your stress and be a better caretaker.

Visit our Behavioral Health Resources web page for free resources and expert advice to help our communities, client, members and providers.

Sources: CDC, Healthwise

In 2019, Time magazine listed virtual reality (VR) as one of the 12 innovations that will change health care and medicine in the 2020s. With this projection, the probability that you will use VR sometime in your life is high! VR is currently being used in a variety of fields, including

• Mental health
• Pain management
• Rehabilitation
• Training and education

VR is not a fad, as studies are underway for its potential efficacy to treat Alzheimer’s disease, depression, addiction, and other illnesses. This new field of medicine collectively referred to as medical extended reality (MXR), encompasses VR and augmented reality (AR). There are many aspects in the VR landscape including safety, regulations, and value to name a few. Let’s dive in and explore some of the clinical uses of this emerging trend.

Pediatric Intervention
Children are often under-treated and under-recognized when it comes to managing pain, fear, and anxiety. Thus, VR is utilized in children’s hospitals, such as Stanford Children’s Health, to engage and distract children during painful procedures. At the Lucile Packard Children’s Hospital Stanford, VR is used in several ways to reduce pain and stress, including the use of AR goggles for patients in the pre-op so they can watch movies and play games prior to surgery, and the use of VR games in the intensive care unit (ICU).

Mental Health Treatment
With an estimated 52.9 million adults suffering from mental illness in 2020 according to the Substance Abuse and Mental Health Services Administration (SAMHSA), one of the biggest challenges today is the rising demand for mental health treatment and a shortage of available providers. As another tool to tackle mental health conditions, VR now contributes to the availability of additional resources.

The use of VR software simulates real-world settings that closely resemble the surroundings of daily life so that triggering stimuli such as anxiety, paranoia, fear, and cravings can be assessed and treated. Anxiety disorders are already being treated using virtual reality exposure therapy (VRET) as a potentially scalable tool. In addition to anxiety-like disorders, VR is being studied for several other disorders.

There is evidence that VRET reduces post-traumatic stress disorder (PTSD) symptoms, with sustained improvements at six and twelve months after treatment. Among children with autism spectrum disorder (ASD), a recent research initiative demonstrated that VR combined with cognitive behavioral therapy (CBT) improved specific phobias. For seniors who suffer from social isolation, Rendever has developed a VR platform designed to reduce depression and loneliness.

Chronic Pain Treatment
A Centers for Disease Control and Prevention (CDC) survey in 2019 found that 20.4% of US adults have experienced chronic pain. Persistent pain is linked to depression and anxiety and can become an overlapping symptom.

In a study conducted by Cedars Sinai, VR reduced hospitalized patients’ pain scores by 24% and was most effective for patients with severe pain. In November 2021, a prescription medical device (RelieVRx) was authorized by the US Food and Drug Administration (FDA) as the first at-home VR therapeutic as an adjunct to treat chronic lower back pain.

Virtual Rehabilitation
While the benefits of physical therapy have long been established, some patients who would benefit from PT do not have access to it. In recent years, VR rehabilitation has been gaining traction with a host of conditions from chronic pain, stroke, and Parkinson’s disease to multiple sclerosis, dementia, and cerebral palsy. VR-assisted rehab may offer advantages for patients such as improved patient engagement and motivation, poststroke functional recovery, and improved mobility in Parkinson’s patients.

Training and Education
It can be challenging for educators to meet learning objectives through standardized medical training, especially as healthcare systems evolve. VR training and education, allow personnel, students, and residents to learn in a controlled environment while minimizing risks to real patients. As a result, VR systems are increasingly used in hospitals to train residents, assist surgeons with surgical planning, and educate patients. In a UCLA study, participants using the Osso VR platform significantly improved their overall surgical performance compared to conventional training methods.

Health Inequities
The healthcare system continues to be affected by structural racism, affecting the well-being of all people, especially those who have historically been marginalized. The use of VR as a training tool is currently being explored for a better understanding of the cultural needs of patients, with the possibility of VR becoming a tool for increasing empathy and giving people a broader perspective when interacting with individuals of different racial and economic backgrounds.

With VR technology developing at record speed and its potential to transform healthcare, we are keeping VR on our radar. We encourage you to learn more about VR and the world of MXR by visiting our website to explore our latest white paper: Virtual Reality – An Emerging Paradigm in Healthcare

This is just the beginning!

Written by Noushin Izadifar Hart, MD

As the second leading cause of death among U.S. women, most of us know someone who has or have experienced breast cancer ourselves. One in eight of us will develop it in our lifetime, and every 13 minutes one of us dies from it. Understanding breast cancer and early screening can increase survival and help us all live happier, healthier lives, including men, who have a 1 in 833 lifetime risk.

What factors increase my breast cancer risk?

In women, the risk of breast cancer increases with age, with the average woman being diagnosed at age 63. Other contributing factors are:

• Personal and family history of breast cancer, including ductal cancer in situ

• Benign (non-cancerous) breast conditions, including lobular cancer in situ

• Radiation treatments to the chest before age 30

• Physical inactivity, alcohol use and obesity

• Inherited gene mutations

• Risk factors for men are similar, and also include liver disease, Klinefelter’s syndrome, estrogen treatment and testicular conditions.

What are the signs and symptoms of breast cancer?

Breast cancer is caused by a growth of abnormal cells in the breast, which should die but don’t. It is often found when a new lump or mass is discovered. Signs and symptoms of breast cancer include:

• Lump or mass in the breast area

• Persistent changes to the breast, including:

Skin thickening
Nipple abnormalities/discharge
Skin redness or swelling

While most early-stage breast cancer does not have symptoms, it is important to quickly identify any changes to your breasts.

How do I screen for breast cancer?

Monthly self-breast exams are one way you can detect any breast changes that may need to be reported to or discussed with your healthcare provider. Self-screening is easy to do and can be incorporated into a regular routine. Learn how here.

Yearly mammograms are another way to identify any abnormalities. These low-dose breast X-rays are used to set a baseline and determine if changes have occurred. From 1989 to 2019, mammograms decreased breast cancer death rates in the U.S. by 42%. The American Cancer Society recommends the following mammography screening guidelines for women:

• 40-44 years old—Option of yearly mammograms
• 45-54 years old—Yearly
• 55 years and older—Yearly or every other year, and continue with overall good health and a life expectancy of 10 or more years

If you have a higher risk of developing breast cancer, you should create a screening plan based on your family history and risk level with your doctor, regardless of your age. This may include adding magnetic resonance imaging as part of regular screening.

What advancements are being made in breast cancer screening?

The FDA recently approved, iSono Health wearable 3D breast ultrasound, an automated whole-breast ultrasound system and intuitive software for image acquisition and analysis. The 3D breast ultrasound unit can automatically scan and analyze your entire breast in under two minutes. This unique system does not require a trained sonographer (someone who uses imaging equipment and soundwaves to form images of parts of the body) and allows for 3D visualization of the breast tissue. Breast ultrasound is a useful supplement to mammography to improve breast cancer detection in women with dense breasts. This system has the potential to improve breast cancer screening worldwide, especially in countries with limited resources.

Currently, iSono Health is conducting prospective case studies to validate the deep learning software that aids clinicians in localization and classification of breast lesions. This up-and-coming technology made for point-of-care physicians should be monitored by healthcare professionals as it could potentially be performed during an in-office visit by a breast surgeon or gynecologist.

What treatment options are available if I am diagnosed with breast cancer?

The earlier a diagnosis is made, the greater the options for treatment. This is another reason why self-screening and yearly mammograms are so important. Healthcare providers review each case for individual factors that assist in selecting the best treatment plan for each patient. Treatment options include the following, or a combination of them.

• Surgery to remove breast cancer involves two main types:

Breast-conserving surgery, also known as a lumpectomy, quadrantectomy, partial mastectomy or segmental mastectomy, is used to remove the part of the breast containing the cancer. It depends on where and how large the tumor is, as well as other factors, how much breast is removed. Sometimes surrounding normal tissue may also be removed as a precaution.

Mastectomy involves removing the entire breast, including the breast tissue and sometimes adjacent tissues. Some individuals may have both breasts removed. This is called a double mastectomy.

• Chemotherapy is the use of drugs to target and destroy breast cancer cells. The drugs can be administered intravenously or taken orally in the form of a pill. Chemotherapy can help those with breast cancer live longer and have a better quality of life, including increasing the chances of a cure, decreasing the risk of breast cancer returning and alleviating symptoms. Depending on the type and dose of chemotherapy drugs given, and the length of treatment, chemo drugs may cause side effects. Some of the most common side effects include hair loss, nail changes, mouth sores, loss of appetite or weight changes, nausea and vomiting, diarrhea, fatigue and nerve damage.

• Radiation therapy is a localized treatment that destroys cancer cells with high-energy rays delivered directly to the cancer. Potential side effects include skin changes and feeling tired, which can be managed with skincare techniques and creams, and rest and hydration to aid in the body’s repair and recovery process. Three types of radiation therapy utilized to treat breast cancer are:

External beam radiation therapy uses a machine called a linear accelerator that produces a radiation beam administered to the cancerous region outside of the body. The machine has parts that shield the normal organs from exposure, and others that target and focus the beam on the treatment site. Depending on the breast cancer’s stage and other factors, 5-36 treatments could be prescribed and are usually given five days a week.

Brachytherapy, or radiation inside the body, usually consists of 1-10 treatments administered over a couple of days.

Intraoperative radiation therapy is a less common treatment type consisting of a dose of radiation delivered at the time of breast cancer surgery.

What are the survival rates for breast cancer?

Survival rates are directly correlated with the stage of the disease. While the five-year survival rates for localized breast cancer (i.e., no cancer has spread outside of the breast) and regional (i.e., cancer has spread to nearby structures or lymph nodes) are 99% and 89%, respectively, the survival rate drops dramatically to 29% for distant disease (i.e., cancer has traveled to the bones, liver, lungs, etc.). Therefore, early screening, detection and diagnosis are extremely important and greatly improve your chances of breast cancer survival.

This article was co-authored by Toby Shutters, CMD, R.T.(R)(T) and Carrie Carter, RT (T).

Resources:

• Breast Cancer Statistics | How Common Is Breast Cancer?
• Breast Cancer | Breast Cancer Information & Overview
• Cancer Facts & Figures 2022| American Cancer Society
• Chemotherapy for Breast Cancer | Breast Cancer Treatment
• Chemotherapy for breast cancer – Mayo Clinic
• Get Involved to Stop Breast Cancer – National Breast Cancer Coalition
• Radiation Therapy | Radiation Treatment for Cancer
• Stop the Clock! – National Breast Cancer Coalition (stopbreastcancer.org)
• Surgery for Breast Cancer | Breast Cancer Treatment
• What Is Breast Cancer? | American Cancer Society

November is National Diabetes Awareness Month. Perhaps you, a family member, or a friend has diabetes. By reading this article, you can share this information and/or use it yourself to help manage diabetes. The first step to effective management is a good understanding of the diabetes disease process. From there, you can build upon that foundation to know signs or symptoms, how to monitor, knowing when to call your provider before symptoms worsen, importance of provider follow up, and most importantly adhering to the non-pharmacological (diet and exercise) and pharmacological prescribed regimens. This article will focus on four key questions surrounding diabetes and diabetes management.

1) How does diabetes affect Americans?
In 2019, 37.3 million Americans, or 11.3% of the population, had diabetes. Nearly 1.9 million Americans have type 1 diabetes, including about 244,000 children and adolescents.1 1.4 million Americans are diagnosed with diabetes every year, making the U.S. #3 in countries with the highest rate of Diabetes.2

2) What are the different types of diabetes?

Type 1 Diabetes:
Type 1 diabetes is a disease that starts when the pancreas stops making enough of a hormone called insulin. Insulin helps the body use sugar from food as energy or store it for later use. If there isn’t any insulin, too much sugar stays in the blood. Over time, high blood sugar can harm many parts of the body. These include the eyes, heart, blood vessels, nerves, and kidneys.
Type 1 diabetes can occur at any age, but it usually starts in children or young adults. It’s a lifelong disease. But with treatment and a healthy lifestyle, people can live a long and healthy life.3

Gestational Diabetes:
Gestational diabetes is high blood sugar that first occurs during pregnancy. High blood sugar can cause problems for you and your baby. But with treatment, most women can control their blood sugar and have healthy babies. Blood sugar levels usually go back to normal after the baby is born.4

Prediabetes:
Prediabetes is a warning sign that you are at risk for getting type 2 diabetes. It means that your blood sugar is higher than it should be, but not high enough to be diabetes. Prediabetes is also called impaired glucose tolerance or impaired fasting glucose. Most people who get type 2 diabetes have prediabetes first.5

Type 2 Diabetes:
Type 2 diabetes is a condition in which you have too much sugar (glucose) in your blood. Glucose is a type of sugar produced in your body when carbohydrates and other foods are digested. It provides energy to cells throughout the body. Normally, blood sugar levels increase after you eat a meal. When blood sugar rises, cells in the pancreas release insulin, which causes the body to absorb sugar from the blood and lowers the blood sugar level to normal.When you have type 2 diabetes, sugar stays in the blood rather than entering the body’s cells to be used for energy. This results in high blood sugar. It happens when your body can’t use insulin the right way. Over time, high blood sugar can harm many parts of the body, such as your eyes, heart, blood vessels, nerves, and kidneys. It can also increase your risk for other health problems (complications).6

3) What are some potential complications associated with diabetes?
There is no cure for diabetes. Management of diabetes is important to prevent and/or delay long term complications (risk for getting other health problems). This is especially true if your blood sugar levels stay high. Over time, high blood sugar can damage many parts of your body. It can lead to a variety of problems, including problems with your:

Eyes: High blood sugar levels may cause temporary blurred vision. Blurry vision, floaters, or flashes of light may be a sign of diabetic retinopathy, which can lead to severe vision loss. Having diabetes also puts you at risk for cataracts and glaucoma.
Heart and blood vessels: High blood sugar damages the lining of blood vessels. This is called hardening of the arteries, or atherosclerosis. It can lead to stroke, heart attack, peripheral arterial disease, or heart failure. Erection problems can be an early warning sign of blood vessel disease and may mean a higher risk of heart disease.

Nerves: High blood sugar levels can damage nerves throughout your body. This damage is called diabetic neuropathy. There are different types of neuropathy. They may be caused by damage to nerves that sense things like pain or touch or that control things like your heartbeat, digestion, or blood pressure. Nerve damage can be painful, especially in the feet.
Feet and skin: You may have less feeling in your feet. This means that you can injure your feet and not know it. Common infections from blisters, ingrown toenails, small cuts, or other problems can quickly become more serious when you have diabetes.

Kidneys: High blood sugar can damage tiny blood vessels in your kidneys that help filter waste from your blood. This kidney damage is called diabetic kidney disease (sometimes called diabetic nephropathy). You may not have any symptoms until the damage is severe. Then you may notice swelling in your feet or legs or all over your body.

Infections related to diabetes: High blood sugar from diabetes can affect the body’s immune system. The immune system is the body’s natural defense system that helps fight infections.
People with high blood sugar from diabetes can be more severely affected by common infections, such as influenza and pneumonia. They also are more likely to be infected with unusual organisms, such as Gram-negative bacteria or fungi.7

4) What can you or someone you know do to help prevent and/or manage diabetes?

Prevention – You can help prevent or delay complications by keeping your blood sugar in a target range. You also need regular medical checkups to look for early signs of complications. If complications are treated early, the damage may be stopped, slowed, or reversed. 7

Management of diabetes –
• Follow up with your physician. Your physician will monitor lab values (hemoglobin A1C) (defined below), kidney function tests, and others as needed/warranted] on a routine basis. Eye and foot exams are also recommended to be performed every year.
• Stay up to date with recommended vaccinations.
• Keep up on latest education, treatments for diabetes. Diabetic educators are available to assist and educate with diabetes. The ADA (American Diabetic Association) is a great resource.
• Monitor your blood sugar based on your physician’s treatment plan.
• Understand the signs and/or symptoms of low and/or high blood sugar.
• Diet, nutrition, exercise – follow your physician’s suggestions. Coaches, Dieticians, Care managers, and/or Diabetic educators are available to assist, check with your health plan for benefit coverage.
• Take your medications/insulin as prescribed by your physician.
• Utilize your smart phone application(s) that help with managing Diabetes.
• Joining a support Group (online and/or in person sessions) may be beneficial in connecting with others that are affected by Diabetes.

• List of Sources:
  1) American Diabetes Association. Website url: https://diabetes.org/about-us/statistics/about-diabetes. Accessed 10/19/22
  2) Medical News Today. Website url: https://www.medicalnewstoday.com/articles/diabetes-rates-by-country#type-2. Accessed 10/23/22
  3) Healthwise: Website url link: Type 1 Diabetes (healthwise.net). Accessed 10/19/22
  4) Healthwise: Website url link: Gestational Diabetes (healthwise.net). Accessed 10/19/22
  5) Healthwise: Website url link: Prediabetes (healthwise.net). Accessed 10/19/22
  6) Healthwise: Website url link: Type 2 Diabetes (healthwise.net). Accessed 10/19/22
  7) Healthwise: Website url link: Diabetes Complications (healthwise.net). Accessed 10/19/22
  List of additional Resources:
  1) https://www.heart.org/en/health-topics/diabetes/diabetes-tools–resources
  2) https://professional.diabetes.org/search/site?f%5B0%5D=im_field_dbp_ct%3A32&retain-filters=1

Nikki Walker is the director of Federal Program Management with a focus on business innovation for the Magellan Federal Military and Family Life Counseling (MFLC) program. Walker, who has been with Magellan since 2012, oversees innovation projects and pilot initiatives that are either directed by our government customer or in collaboration with Magellan Health. Currently, Walker is working on the NeuroFlow pilot and the Arammu Relationship Checkup, a web-based counseling tool that allows military couples to check the status of their relationship health. They also learn how to manage strengths and challenges in their relationship with help from MFLC counselors. Continue reading to learn more about other innovative projects and pilot initiatives Walker is working on at Magellan Federal.

What sort of innovation projects are you currently working on at Magellan Federal?

I’m currently working on two exciting pilots that are moving the MFLC program forward into a digital dimension. The NeuroFlow wellbeing application is part of Magellan Healthcare’s eMbrace employee assistance program. Magellan Federal has also collaborated with NeuroFlow on a pilot program tailored specifically for the military population that incorporates additional safety features. Our relationship with the NeuroFlow team has allowed for a successful rollout at three military installations.  This is truly innovative work within the Magellan Federal business, and we’re excited to be able to offer this type of resource to our military members.

Another pilot we’re working on is the Arammu Relationship Checkup. It’s a digital-based questionnaire that allows military couples to rate their relationship health. Couples can go online and confidentially complete the questionnaire. The results of the questionnaire are immediately presented to the couples and provides concrete techniques to help them enhance their relationship wellbeing. The Relationship Checkup has had a positive impact on how we conduct non-medical counseling. Our MFLC counselors can use the Relationship Checkup in their non-medical counseling sessions to talk with couples about their strengths and any challenges they may work on to build their relationship. The pilot has been successful, and military couples have been very receptive of the checkup.

Why is Magellan Federal the best place to do these projects?

I believe Magellan Federal emphasizes collaboration as well as delivery. We deliver what’s expected of us when innovative programs are requested. Also, when we are working on business development, we are very good at identifying its key partners and stakeholders who are critical to successfully execute and deliver the product or the service that is expected. This collaboration is at all levels and within different arenas: government, military, community, greater Magellan Health, and internal Magellan Federal teams. We’re good at collaboration and building relationships, which help us deliver value to the customer.

What are your thoughts on the culture at Magellan Federal?

The Magellan Federal culture thrives on precision and accuracy. Getting things done right is very important. That supports what I’ve said about delivery. Our culture is about getting it right, which speaks to our professionalism, attention to detail, and the quality of the work we deliver. It’s that high level of professionalism that’s really rooted in delivering consistently. This is engrained in our culture. It speaks to the high level of quality work that our partners, the government, and the military want to see and why they continue to come back to us.

What exciting trends in the healthcare industry, related to military healthcare, have you noticed? In what direction do you see healthcare going? What lessons are there to learn in other industries that can be applied to healthcare?

One of the biggest trends is self-directed wellbeing or self-directed care. Many of our military members and families want something at their fingertips that allows them to easily access and navigate their healthcare. It’s mobile first. Cell phones and the web are readily available to service members, so being able to deliver wellbeing and healthcare services by phone or web gives them the opportunity to get the care they need, when and where they need it. This is especially important with our younger service members and spouses.

Lessons from other industries we can learn from include how to diligently explore the best way to operationalize research-based work. Pilot programs are often based on clinical and research studies, which is good because you do want evidence-based work. But we must also have due diligence in properly translating evidence-based work into daily operations. That takes time and skill. We must be able to think through how to manage and mobilize the workforce to be able to deliver the product and the service. Being able to successfully transition from a clinical study to operations is a big task. Having a plan of action on how to mobilize your team and how to operationalize that clinical study is especially important.

Learn more about the various solutions provided by Magellan Federal here.

Influenza (flu) season can be unpredictable. In the United States (US), flu activity typically begins in October and peaks between December and February, but activity can even continue into May. Australia recently finished their winter where they experienced the most severe flu season in five years, and the season started earlier than usual. Although flu forecasting is not perfect, the Southern Hemisphere serves as a barometer for what might happen in the Northern Hemisphere. In the US, flu activity is elevated across the country.

COVID-19, which is still circulating, is generally mild for children. During the pandemic flu was virtually non-existent. This can be partly attributed to mitigation measures such as handwashing, masking, distancing, as well as remote school, work, and limited travel. The flu hiatus also translates into less pre-existing immunity to influenza due to lack of exposure – from natural infection or vaccines – particularly notable in younger children who may have never been exposed to flu. Further, there is currently a surge in pediatric respiratory syncytial virus (RSV) cases and hospitalizations. Children and the elderly are among the populations at higher risk of influenza complications. With pre-pandemic activities resuming and school back in-person, flu is making a comeback this season.

According to the Center for Disease Control and Prevention (CDC)’s FluView (a weekly US influenza surveillance report), influenza-like illness (ILI) activity is elevated across the country. The CDC’s interactive map offers a visual picture of outpatient ILI activity in the US and links out to state-level information. Additional data such as hospitalization and mortality surveillance are also captured on the CDC’s site.

The best protection against the flu is prevention. The CDC recommends an annual flu vaccine for everyone ages ≥6 months old with rare exceptions. The ideal time for the flu shot is in September or October, and it can be offered throughout the season, as long as flu viruses are circulating. It takes about two weeks after vaccination to develop protection against the flu. New this year, all available flu vaccines in the US are quadrivalent, meaning they contain two influenza A and two influenza B virus antigens, thus designed to protect against four flu viruses. The dominant strain is currently influenza A (H3N2), which is especially tough on the elderly. Also new this year, is a preferential recommendation from the CDC Advisory Committee on Immunization Practices (ACIP) for high-dose, adjuvanted, or recombinant vaccine over other flu vaccines for adults ≥65 years old.

To find a flu vaccine provider, visit vaccines.gov. The flu and COVID-19 vaccines can be given at the same time. Prescription flu antiviral medications to treat flu are currently available. Remember, good hygiene and self care are critical in fighting the flu and a number of other viruses, so wash hands, cover your cough, rest, and stay home when sick.
As the flu continues to unfold this winter, prevention, awareness, and health literacy are key to being prepared.

Disclaimer: The content in this blog is not a substitute for professional medical advice. For questions regarding any medical condition or if you need medical advice, please contact your healthcare provider.

Introduction

Given these extraordinary times, “resilience” has become a very popular word used to refer to a capacity that can be developed in people to withstand disruption or recover from adversity more quickly and completely. It is important to ensure teams remain ready and able to adapt to increasing demands. Historically, more pressure is put on leaders, especially those who need their teams to continue to perform at a high level when it matters most.

In our experience, organizations and their leaders truly care about their employees and understand that while some individual skills can be self-developed, leaders themselves need tangible strategies to create conditions for resilience development and thriving. If a leader has the tools first, then it is easier to set a good example and have a foundation for transferring these skills to their teams.

Magellan Federal delivers cognitive training and coaching services to over 700,000 Department of the Army personnel and civilians each year. We have gained valuable expertise and insights on implementation strategies that can enhance resilience development. In this white paper, we will detail our unique approach based on experience implementing systems that embolden leadership to invest in their most important asset—their people.

The Problem

Quite often, people are promoted into leadership positions because they excel at their job, which intuitively makes sense since they are likely to be top performers at what they do. What we find overlooked is whether people are ready to lead and influence other people. When they get into a leadership role something shifts and they can’t quite do what you thought and hoped they could.

Additionally, leaders face higher demands than the general worker population because they are responsible for their own performance plus those they lead. It is not uncommon to observe these individuals with higher levels of cortisol, an indication that their bodies are not adapting well to these demands. The ability to respond favorably following increases in demands is an essential quality for sustained readiness in a leadership position. Resilience is a term often used to label this quality, but resilience is a complex concept that is often misunderstood, and therefore treated reactively, not proactively within organizations.

Resilience is personal

Resilience can be defined as resources and processes that combine to restore equilibrium, counter challenges, or transform an individual or group. Resilience is a dynamic construct made up of personal and environmental factors such as hardiness, grit, self-efficacy, social support and other lived experiences and learning that combine uniquely for an individual response. Essentially, we all respond very differently to demands and challenges based on a multitude of individual and social resources. Given that these unique resources and processes are able to be influenced, resilience can change and develop over time.

Since leaders generally experience higher demands and resilience is malleable, Magellan Federal believes it is essential to equip leaders with methods to enhance positive adaptation following adversity, laying a solid foundation for increased resilience across the entire workforce.

Our Solution — Human-Centered Leader Training

Resilience is teachable

Research is clear that leaders play a significant role in the performance, resilience, and wellbeing of their people. Therefore, targeted training and coaching for leaders can be a force multiplier for a resilient workforce.

Our depth of knowledge in the science of cognitive performance is broad and deep, particularly in the psychophysiological mechanisms of learning, thriving, and resilience. We have learned it is valuable to first train leaders, so they are equipped to be resilient themselves and better positioned to support their teams. Leaders then need to be supported and coached how to transfer resilience principles to their peers and subordinates.

Our successful coach-the-coach approach has three tenets: Leading Self, Leading Others, and Leading Teams.

• Leading Self: Helps ensure a wider swath of potential future leaders has the self-management skills which are foundational for Leading Others, particularly through volatility, uncertainty, complexity, and ambiguity. Principles include:
  • Personal philosophy, values, and core beliefs (self-awareness)
  • Fueling behaviors and restoration (diet, hydration, movement, sleep)
  • Presence (mindfulness, authenticity, confidence)
  • Psychophysiological regulation (readiness for the task and situation)
  • Mental rehearsal (intentionality, deliberate practice, imagery)
  • Self-motivation
• Leading Others: Provides new and seasoned leaders the opportunity to develop a deeper understanding of the human side of leadership and how to have the most beneficial impact on the lives of those they lead. Principles include:
  • Build trust (consistent discipline and follow-through through the ability to lead self)
  • Develop psychological safety (transparency and vulnerability, applying presence in communicating with others)
  • Promote growth (feedback, mentoring, peer support)
  • Foster motivation (autonomy, supportive leadership, behavior)
• Leading Teams: Provides senior leaders a necessary opportunity to reflect and recalibrate their internal compass, adjust their approach to leading others at a larger scale, and align both with the goals of the organization so they can move forward with increased intentionality and commitment. Principles include:
  • Executive messaging, modeling, implementing and promoting performance psychology principles across the enterprise
  • Building trust in relationships (consistency in Leading Others across the organization)
  • Mental agility, situational awareness, pattern recognition (consistent yet adaptive)
  • Authenticity & Alignment
  • Cultural awareness and sensitivity

Guidance for Organizations

Focus on manager training and support

Meaningful growth requires the transfer of knowledge, demonstration, practice, feedback, adjustment, and repetition. Expertise is accelerated with the support of a coach who can provide both the right level of challenge or adversity and effective feedback to unlock solutions to overcome these challenges and facilitate growth. We have found our greatest success when we take a human-centered approach, arming leaders not only with foundational knowledge communicated with stories and science, but coaching through authentic interactions.

Organizations should support their leaders by:

• Training leaders on general learning principles and how to effectively teach psychological and interpersonal skills to their teams.
• Providing leaders ongoing coaching support in the following areas for improved thriving and resilience:
  • Establishing a secure base
  • Facilitating connection
  • Building and sharing meaning
  • Enabling growth
  • Reinforcing work-life flow
• Using a holistic approach that values principles of physical fitness, mental fitness, social fitness, and spiritual fitness, as well as targeting opportunities for change by leading self, leading others, and leading teams.

Providing growth opportunities in these areas will fill an often much-needed gap—the human dimension of leadership.

Guidance for Leaders

Based on our experience, we recommend starting with these individual steps to build a more resilient workforce:

• Develop deep personal awareness (e.g., purpose, vision, mission, motives, beliefs)
• Develop personal and team mindfulness practices
• Build systems and practices that help you be intentional with time, both yours and your team members
• Establish regular, if not daily, check-ins with team members
• Develop an understanding of what drives your team members
• Celebrate, cultivate, and grow team members strengths
• Express gratitude authentically and liberally
• Learn and respect team members’ boundaries
• Recognize and address the role of emotion and empathy in the workplace
• When facing change or adversity, reinforce a sense of community and shared meaning

Innovating for the Future: Digital Coaching & Mentoring

Many thought leaders in human performance and resilience lead with high-tech solutions and simulation exercises to accelerate learning and optimize performance. While there is utility in technological advancements, we firmly believe in the power of trusted relationships and high-touch engagement.

Magellan Federal recently piloted a digital training and coaching intervention with midlevel managers in the corporate space. The overwhelming majority noted a desire for ongoing human engagement both with an outside expert coach and with a community group. Unsurprisingly, these leaders felt a strong sense of investment in themselves as people but understood how the content, strategies, techniques, and skills would apply in both their work and personal lives.

We are engaged in product development of digital coaching and mentoring technology that will allow for follow-on support with tactical personnel as they rotate duty stations, deploy, or otherwise distribute geographically. We understand that trust is the bedrock of personal and professional development, and that trust is a uniquely human, high-touch phenomenon. Our vision for the near future is service provision that begins human-centered, customized to the client, augmented with technology that allows our coaches and mentors to remain connected and engaged beyond the training environment, affording individual leaders more timely, relevant coaching feedback.

If you are interested in learning more about Magellan Federal’s Resilience training program, please contact our director of human performance, Dr. Jon Metzler, at metzlerjn@magellanfederal.com.

For a downloadable version of this whitepaper, visit MFed Inform.

The role of being a leader is one that is of foremost importance to Paul Messier. As Senior Director of Federal Program Management, Messier, who has been with Magellan Federal since April 2014, works on programs that provide HR services to military members and their families. He is one of three Senior Directors assigned to the Human Readiness Division (HRD), where he leads six contracts that include 310 people located at 75 Army and Navy military bases around the world.

Messier shows pride in his leadership role by pointing out that everything in the Federal service delivery contracts is designed to ensure the human readiness of Service members and their families. He also points out that the same elements of human readiness that apply in delivering operational excellence to customers are relevant when engaging with Magellan’s own employees in a culture of servant leadership. “Just as military members and their families are serving our Nation; our federal employees and their families are also serving our Nation in their respective military communities. If we expect our employees to address the human readiness needs of their customers, then we as leaders have an obligation to attend to the basic human readiness needs of our work force. From that perspective, human readiness has a double meaning to me – one is operational and the other is organizational.”  Continue reading to learn more about Messier’s work with the Human Readiness Division and what being a leader means to him.

What cool, innovative projects are you currently working on?

Right now, I’m focused on developing a new leadership model for our division. This is a reality-based, relationship-driven leadership approach that emphasizes bringing our most authentic selves to the workplace and creating more welcoming environments for our employees that foster trust and transparency. It’s an intentional effort to promote the health, well-being, and overall human readiness of our employees by integrating leadership principles and practices across four key domains:

• Practicing authentic servant leadership that emphasizes emotional and cultural awareness.
• Promoting a healthy work environment that fosters unity and cohesion for world-class service delivery.
• Providing continuous professional development through mentoring and coaching of the workforce.
• Encouraging shared governance that empowers employees to inquire, innovate and make decisions to the maximum extent within their professional scope of practice, and recognize them for their achievements.

I think there is a need for a model that offers a framework and training tool for sharing these leadership principles with our mid-level and junior leaders.

Why is Magellan Federal the best place to do these kinds of innovative projects?

I believe that when we consider our overall strategy of bringing products and services to the marketplace, we should always focus on being compelling, contemporary, and competitive. So, when I think about our collective role as leaders, I think about how we can apply these same principles to leadership. In these uncertain times, employees are asking for more from their leaders and seeking a healthier work-life balance. If we want to reach the hearts and minds of our employees and retain our human capital, we’ve got to find the courage to show them our own hearts and minds…show them who we are and how much we care for them.  If we can do that, then our message will indeed be compelling, contemporary, and competitive.

What are your thoughts on Magellan’s culture? How has the culture impacted your projects?

Magellan Health and Magellan Federal leaders have enhanced our culture by opening an atmosphere of transparency. That culture will be propagated if leaders replicate positive messaging by flowing it down the chain and engaging with our employees. Leaders cope with change, and more change always demands more leadership. We have the right leaders in place and the messaging channels and mediums are fully evolved and robust.  The stars are aligned for a new leadership model that we can share with our junior leaders and employees. Our corporate vision emphasizes leading humanity to healthier, vibrant lives, so I believe our organizational culture should also emphasize leading our own employees to help them achieve healthier, vibrant lives.  That’s what gets me excited about leading my projects.

What trends are you noticing in the healthcare industry that are related to the work being done at Magellan Federal? Are there any lessons from other industries that can be applied to the work happening at Magellan Federal?

I see many positive trends, but I also see that the healthcare industry faces many of the same challenges as an industry in general. There are remarkable things happening with innovative technologies such as artificial intelligence and digital apps that show great promise to improve healthcare outcomes.  But there are also issues and trends involving burnout of physicians and caregivers, politicization of healthcare, and issues of diversity, equity, and inclusion. What I try to do is learn the lessons I can from what I see happening around me and apply what I’ve learned as best I can when I engage with my own employees. To me, the common denominator when we look at these issues always seems to circle back to the need for authentic, reality-based leadership.

Learn more about the various solutions provided by Magellan Federal here.