PA York County FEBRUARY 2015 NAMI is a non-profit, grassroots, self-help, support and advocacy organization, founded in Wisconsin in 1979. Its membership is composed of consumers, families and friends of people with severe mental illness. NAMI is represented in all 50 states, with over 1000 local affiliates. NAMI recognizes that the key concepts of recovery, resiliency and support are essential to improving the wellness and the quality of life of all persons affected by mental illness. NA MI PA York County 140 Roosevelt Avenue, Suite 200, York, PA 17401 Office Hours: M-F 8-4 w w w. n a m i y o r k . o r g n a m i y c @ g m a i l . c om Do You Know Your OMHSAS? Inside this issue: Get Educated! 2 What’s Your Secret? 3 Technology for the Brain 4 CCBH Meetings 5 Mental Health Care in Prison 6 What is Love? 7 Support Groups 9 “it’s better to forget and smile than to remember and be sad.” Unknown Board of Directors Tim Grumbacher President Gregory Roussey Treasurer Susan Wisotzkey Secretary Debra Dudley Donna Zmijewski 717-848-3784 OMHSAS stands for the (Pennsylvania) Office of Mental Health and Substance Abuse Services. The Deputy Secretary of OMHSAS is Dennis Marion, who was the Grand Marshal for our Walk in 2013. OMHSAS is a part of the Department of Human Services-formerly known as the Department of Public Welfare. Their mission and vision is: Every individual served by the Mental Health and Substance Abuse Service system will have the opportunity for growth, recovery and inclusion in their community, have access to culturally competent services and supports of their choice, and enjoy a quality of life that includes family members and friends. One of the ways they accomplish this is by having individuals (or family members), who receive-or have received– mental health and/or substance abuse services serve on various committees and sub-committees, which help OMHSAS make informed decisions about your care in the community. If you would like to be involved, or would like to learn more about OMHSAS and what they are doing to promote recovery, go to PArecovery.org. 6th Annual Mental Illness Awareness Walk October 10, 2015 It’s time to get started! Our first walk planning meeting will be held in February. Would you like to be involved in the planning of this important event or volunteer in some other way? Call us at 717-848-3784 to find out more or to attend the meeting. Our First Sponsor Is…... The Hawk Gunning Club, who donated $2,000!! Thank you for your support! Bryan Lease Andrew Norfleet Ike Hileman The NAMI office will be closed on February 16 in observance of Presidents’ Day. N A M I PA Y O R K C O U N TY FE B R U A R Y 2 0 1 5 PA G E 2 Free Education Classes! Sign Up Now! Space is Limited!! The Family-to-Family education course is for family members who have a loved one with a serious mental illness. The 12-week course will be held every Thursday evening from 6:30 to 9:00 pm at Luther Memorial Lutheran Church, 1907 Hollywood Drive, York 17403, beginning March 5 through May 21. The Peer-to-Peer course is for those who are living with mental illnesses and working on their recovery. Individuals will focus on creating a recovery plan that works for them. Classes will be held on Wednesdays, March18– May 20 from 1:00-3:00 pm in the 2nd floor conference room at the NAMI office, 140 Roosevelt Avenue, York, PA 17401. Both classes are designed to: Educate and create understanding for individuals and their family members to help build a successful recovery plan. Give individuals the opportunity to interact with others who are experiencing the same challenges. Some of the topics covered are: diagnosis and treatment, medications, understanding mental illness, rehabilitation and recovery, communication skills and advocacy. Class materials for both courses are furnished at no charge. Pre-registration is required as there is a limit to the class size and seats fill up fast. Call the NAMI office at 717-848-3784 or email Danielle at [email protected] From the Director’s Desk Dear NAMI Friends, How are you enjoying this winter? There have certainly been many challenges! And how do we manage to work through these challenges, many of which are out of our control? There’s clearing snow, rearranging your schedule, buying sufficient food, navigating slippery roads, etc. I think getting through challenging times requires resilience. What is resilience? According to the Thesaurus, resilience can mean: flexibility spirit strength toughness It’s hard not to compare this to our own lives, Isn’t that what all of us, who experience mental illness challenges, have to do every day? So if you have already been using these skills, give yourself a pat on the back for being “resilient”; and why not share some of your strategies and successes with others? So what do you do, and how do you react, when you: Experience a relapse Try a plan that doesn’t work Struggle, and maybe fail, at a goal we have set for ourselves? Do you work at trying to think positively about a situation? Positive emotions can enhance a person’s ability to bounce back from difficulty. Do you seek support from family and/or friends? Sometimes just verbalizing your concerns to someone who cares can help to put things in perspective. Whatever you do, just keep on doing it! Don’t give up. Setbacks are inevitable. If you react to them productively you’ll make the most progress. Good luck and keep up the good work! Spring is just around the corner!! Rose NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 3 Advocacy From the Homeless to Soldiers, Gaps in Mental Healthcare Persist In the last two years, more service members have died by suicide than in combat, despite numerous efforts by both the Department of Veterans' Affairs (VA) and the Department of Defense (DoD). More than twenty American soldiers and veterans take their own lives each day. Rep. Tim Murphy has been working to reverse this alarming trend, in part by increasing the mental health professional workforce within the military medical system. Towards that end, the House of Representatives this week passed the Clay Hunt Suicide Prevention for American Veterans Act (H.R. 203). The bill, which Mr. Murphy was an original cosponsor of, requires an annual review of VA and DoD programs that treat soldiers for post-traumatic stress (PTS) or traumatic brain injury (TBI). It also directs the VA to hire additional psychiatrists to fill a shortage gap and establishes programs to help soldiers transition to civilian life and access appropriate mental health services. (See our January 2015 newsletter for an Action Alert from NAMI National. Advocacy does work!) Rep. Murphy expanded on the need to rebuild the entire mental health system during a speech on the House floor in which he discussed the staggering number of homeless individuals suffering from a serious mental illness. He told the tragic story of 21-year-old Ronald Hunter Jr. who died from hypothermia in Buffalo, New York last month. Ronald, 6-foot, 3-inches yet only 150 pounds at the time of his death, was homeless and mentally ill. According to police reports, he had discarded his jacket and attempted to remove his shirt before he died. The temperature had been two degrees, with the wind chill at 20 degrees below zero at the time. Ronald parents had attempted to get their son help, but "because he was 18, it was up to him if he wanted help," said Sharon Hunter, his stepmother. "In other words we allowed him to die with his rights on. Do you understand, America, that this is a brain disease, not a choice?" Murphy told the members in the House chamber. Rep. Murphy has vowed to continue to push for an extensive overhaul of the mental health programs and policies in the 114th Congress and will be reintroducing the Helping Families in Mental Health Crisis Act in the early part of the congressional session. Source: January 16, 2015 e-news from Congressman Tim Murphy (Editor’s Note: PA Congressman Tim Murphy has been chosen to receive the 2014 Treatment Advocacy Center’s highest honor in recognition of his courageous efforts to make treatment possible for more people with severe mental illness. Congratulations, Congressman Murphy!) Is it Time to Tell YOUR Secret?? Twenty-five year old pop singer, Mary Lambert, isn’t embarrassed or ashamed about telling HER story. In her single “Secrets,” the 25-year-old leads by example, talking about her bipolar disorder, her weight and other parts of her identity that she has learned to embrace. Lambert calls “Secrets” the “first fun song” that she has recorded. Having nothing to hide is liberating. She tells others to be happy in their own skin and to “be unapologetic” about who we are. Be Brave Like Mary Lambert. Be Part of the “NAMI Effect” Share your story or experience about living with mental illness. Go to www.nami.org for more information and to read the stories others have submitted. NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 4 Practices for our local comedians will begin this month in preparation for the big show in April. David Granirer, founder of Stand Up for Mental Health, will be coaching participants. At the show, David will also be performing his own stand-up act, and will talk about how Stand Up for Mental Health began and how it has affected people’s lives- both those in the show and those in the audience. Spread the word! Invite your friends and family to this FREE evening of entertainment at York College April 10 at 7:30 pm. Get ready to laugh “like crazy”! Neuroscience ‘Do It Yourself’ Tools Source: Open Minds, January 21, 2015 | Monica E. Oss The world’s largest consumer technology trade show, the 2015 International Consumer Electronics Show (CES) took place in Las Vegas in January. This is the place where all the hot new tech products are announced before they are released to the market. Here are a few that may be affecting your life in the future: Melomind – This wearable device from myBrain has electrodes that measure your brain waves just like an electroencephalogram (EEG), and then transmits that data through an app that determines which “relaxing” music to play in response. It is expected to be on sale by the end of the year. Thync – This wearable device is devoted to mood control, and uses “neurosignaling algorithmswaveforms that signal neural pathways…to activate specific parts of the brain to achieve a desired mood state”. The price and release dates are currently unavailable. Muse – This headband was developed for “guided meditation,” by analyzing brain waves and then playing pre-programed sounds to help you relax. It can also connect to your smart phone via Bluetooth, guide you through attention training, and track your progress with the Muse app. Quell – This over-the-counter medical device uses transcutaneous electrical nerve stimulation (TENS) technology to signal your brain to release pain-relieving opioids. The device can be used to help patients with conditions such as sciatica, rheumatoid arthritis, and fibromyalgia. It will be available some time in 2015. The interesting thing about this list of health-related CES exhibitors is how the devices focus on “mood management”, and the direct-to-consumer approach. Both factors are game-changers in the health care field. NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 5 Adult Advisory Committee Meetings Scheduled ( for Consumers & Family Members) Adams County: February 11, 2015, 1:00–2:30 p.m. at TrueNorth Wellness Services, 33 Frederick Street, Hanover, PA 17331 York County: February 12, 2015, 2:30–4:00 p.m. at York County Human Services Center, Beaver Street Meeting Room, 100 West Market Street, York, PA 17401 Who can attend? Adult Community Care Members* Family Members of Adult Community Care Members *Members of Community Care are individuals who are currently enrolled in Pennsylvania HealthChoices for behavioral health services. The purpose of these meetings is to get feedback from members about the quality of services they receive. Eligible Members who attend the meeting will receive: Free refreshments $25 for attending the entire meeting Mileage reimbursement for traveling to the meeting, if applicable To register, call 1-800-860-7041 at least 1 week in advance. Start Saving Your Money! Temper is a valuable NAMI National Conference possession; don’t lose it. July 6 - 9, 2015 Anonymous San Francisco Go to www.nami.org/convention/slides to access PowerPoints and slides from presentations that were held at the 2014 NAMI Conference. Inclement Weather Policy Winter is here! If any NAMI meetings or activities are scheduled and you are unsure if they will be held because of the weather, call the office. There will be a recording on the answering machine to let you know if the meeting or activity has been cancelled. If in doubt, or if you are uncomfortable driving, play it safe and don’t come out! Lime Green is the IN Color Brandon's dream - to paint the world lime green to show that we are stronger than stigma. We're onboard! Bring Change 2 Mind and Project 375 #StrongerThanStigma. Let's get the conversation going. #BC2M Brandon Marshall Chicago Bears Wide Receiver Going Green Saves Paper and Postage! Do your part for the budget ( and the environment) by receiving your copy of the newsletter electronically. Your copy will be in color, and gets to your mailbox quicker! Just send your e-mail address to: [email protected]. NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 6 PENNSYLVANIA DEPARTMENT OF CORRECTIONS PROMISES CHANGES IN ADDRESSING MENTAL ILLNESS Submitted by: Andrew W. Norfleet, Esquire On January 6, 2015, the Pennsylvania Department of Corrections (“DOC”) settled a lawsuit with the Disability Rights Network of Pennsylvania. The Disability Rights Network (“DRN”), a non-profit organization advocating for the rights of Pennsylvania citizens with mental illnesses, filed the action in March, 2013 in the United States District Court for the Middle District of Pennsylvania “to stop the cruel and unusual punishment of prisoners in Pennsylvania diagnosed with serious mental illness.” The suit alleged that the Department of Corrections placed mentally ill prisoners into “Restricted Housing Units” or isolated cells under horrific conditions that did not take into account their mental illness. Once placed in the “Restricted Housing Units,” prisoners were confined in the cells for 23 hours per day on weekdays and 24 hours per day on weekends. While confined to the isolated cells, where the lights are typically on at all times, the suit alleged that the prisoners would have very little or no human contact and would not have access to mental health treatment. The suit also alleged that these conditions exacerbate symptoms associated with mental illness, including hallucinations, paranoia and self-harm actions, including head banging. Finally, the suit alleged that, unlike correctional systems in in other states, the Pennsylvania DOC did not adequately consider prisoners’ mental illness before forcing them into the Restricted Housing Units, did not provide sufficient beds in units designed for prisoners with mental illness and did not take sufficient measures to reduce the risk of serious harm to the prisoners. In announcing the settlement, the parties acknowledged that the DOC has implemented improvements and that the improvements have been ongoing during the course of the litigation and independent of the litigation. While the Department of Corrections expressly denied violating any constitutional rights, Department of Corrections Secretary John Wetzel (the named defendant in the action) acknowledged that the Pennsylvania prison system must continue to improve the manner in which the system identifies and treats mentally ill inmates. “Unfortunately, prisons and jails have become the delegated system responsible for treating the mentally ill. While we continue to step up and face this challenge, we also must continue to call for better and more abundant mental health services in the community,” Wetzel said while also noting that specialty courts, such as mental health and veteran courts, are “vital” to providing treatment services and diverting mentally ill patients from the prison system. As part of the settlement, every inmate entering the custody of the Department of Corrections will be given a psychological evaluation to determine whether the inmate has a serious mental illness. An inmate with evidence of a serious mental illness will receive a comprehensive psychiatric evaluation conducted by a psychiatrist or Certified Nurse Practitioner – Psychiatric Services. Most importantly, the settlement calls for the DOC to ensure that all inmates identified as suffering from a serious mental illness will receive clinically appropriate mental health care that is consistent with the inmates identified needs and that all clinical contacts will be documented. In a press release, the Department of Corrections identified a number of improvements to its mental health system, citing: The establishment of a Constitutional Office for the Administration of Mental Healthcare The development of new treatment units and the implementation of misconduct diversionary procedures for inmates diagnosed with serious mental illness; and Updating the Department of Corrections’ definition of serious mental illness to better capture and track individuals suffering from severe mental illness and in need of the most treatment services. While these changes and improvements are welcomed, the Commonwealth of Pennsylvania must continue to make mental healthcare available to men, women and children in need of treatment and continue to invest in alternatives to incarceration for mentally ill individuals. About the Author: Andy Norfleet is a York County attorney representing men, woman and children with claims for Social Security disability, with a special interest in representing men, women and children with mental illnesses in criminal and civil matters. Andy may be contacted at (717) 737-7574 or at www.norlaflaw.com. NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 7 Love is Not about You In the month of February many people celebrate Valentine’s Day. It is a day people celebrate their love for other people. I’d like to give you another angle on Love. I’ve met some people who are hungry for love and, as the song goes, they look for love in all the wrong places. Love is a word that is thrown around like it is yesterday’s dirty laundry. Young men compliment young ladies with smooth words and kind gestures in order to gain their affection while some young ladies are so afraid of being alone will resort to unsafe habits to attract men that don’t have their best interest at heart. Love is something that is to be given away. First, let me share an ancient definition of love. Eugene Peterson paraphrases these ancient words: “Love never gives up.” Love cares more for others than for self. Love doesn’t want what it doesn’t have. Love doesn’t strut, Doesn’t have a swelled head, Doesn’t force itself on others, Isn’t always “me first,” Doesn’t fly off the handle, Doesn’t keep score of the sins of others, Doesn’t revel when others grovel, Takes pleasure in the flowering of truth, Puts up with anything, Trusts God always, Always looks for the best, Never looks back, But keeps going to the end.” So, when you look at it this way, LOVE is about other people and not about you at all. Decide to love people using the definition above and watch your life blossom. “I Believe in you!” ® John W. Carver, LUTCF Email: [email protected] Website: johnwcarver.com Disclaimer: The views expressed in the newsletter are not necessarily the views of NAMI, NAMI PA or NAMI PA York County. Groups and events mentioned in the newsletter are for informational purposes and are not necessarily endorsed by NAMI. NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 8 Calendar of Events February 11/12, 2015 CCBH Adult Member Advisory Meeting (details on page 5) February 20, 2015 12:00-2:00 pm MH-IDD Advisory Board Meeting at the Holidome. Call 771-9618 to sign up to attend. March 30, 2015 Celebrate World Bipolar Day and the birthday of Vincent Van Gogh April 10, 2015 7:30 pm Stand Up for Mental Health (SMH) Comedy Show at York College. Check out the listing for this event in the York College Cultural Series Booklet! (Extra copies available at the office.) April 16, 2015 Deb Bixler’s Spring Cooking Classes sponsored by UPMC for You NAMI “Ask the Doctor” teleconference calls are held monthly. The adult conference calls are on the 4th Friday of each month; and the adolescent conference calls are held the 3rd Friday. The calls are scheduled from 11:00 am to 12:00 pm. Call (toll-free) 1-888-858-6021; access number 309918#. Calls are recorded and posted on the NAMI website. The NAMI office will be closed on February 16, 2015 for Presidents’ Day. NEW! Veterans Spiritual Support Group This new group meets every Monday at 7:00 pm at St. Joseph School, 271 E. Main Street, Dallastown in the school cafeteria. Everyone is welcome! You don’t need to be a member of the church, or any church at all, for that matter. The group is facilitated by Deacon Dan Bernardy, who is a Vietnam Veteran. Contact Deacon Dan at 717-880-3730 or at [email protected]. Can You Help Us? Is NAMI a household word? Not yet. NAMI York County wants to spread the word about who we are and what services we offer; and you can help us. The next time you go to your primary care doctor, ask if you can leave some of our pamphlets. The primary care doctor is often the first one who finds out that a person needs mental health care. Why not start helping people at that point, maybe even before-or if- a psychiatrist is needed. Call the office at 717-848-3784 to receive a supply of our FREE pamphlets. Important Contact Information: TrueNorth Wellness Services (formerly AHCS) 717-632-4900 Assertive Community Treatment (ACT) 717-792-2976 Bell Socialization Services 717-848-5767 Catholic Charities Counseling 717-717-845-2696 Crisis Intervention Hotline 1-800-673-2496 Crisis Intervention (York) 717-851-5320 Crisis (mobile) 1-866-325-0339 or 717-637-7633 Dept. of Public Welfare 717-771-1100 Disability Rights Network 1-800-692-7443 HopeLine, The NEW 24/7 Help Line 1-855-HOPE-611 Mental Health America 717-843-6973 NAMI York County 717-848-3784 NAMI Pennsylvania 1-800-223-0500 http://nami-pa.org NAMI National 1-800-950-NAMI (6264) e-mail: [email protected] www.nami.org PA 2-1-1 (formerly FIRST) Resource Directory 2-1-1 SAM (Service Access & Management) 717-848-8744 Social Security Adm. 1-800-772-1213 or 717-767-1600 Suicide Hotline 1-800-SUICIDE (784-2433) WellSpan– Edgar Square 717- 851-1500 WellSpan- Meadowlands 717-851-6340 York/Adams MH-IDD 717-771-9618 Pa.networkofcare.org Strengthofus.org (social networking site for young adults) http://www.bphope.com http://www.hopetocope.com www.pahousingsearch.com www.trueacceptance.com, a free relationship community for adults with mental illness Iwilllisten.org #IWILLLISTEN NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 9 NAMI Support Group Meetings YORK: Luther Memorial Church,1907 Hollywood Drive, York, PA 17403 The first Tuesday of each month, 7:30-9:00 pm HANOVER: St. Mark Lutheran Church, 129 Charles Street, Hanover, PA 17331 The first Wednesday of each month, 7:00-9:00 pm Contact: Doris Bange @ 717-632-0435 NEW FREEDOM: St. John Evangelical Lutheran Church, 175 E. Main Street, New Freedom, PA 17349 The third Monday of each month, 7:30- 9:00 pm Contact: Susan Blum @ 717-309-1354 NEW CUMBERLAND: New Life Church, 530 Big Springs Rd, New Cumberland, PA 17070 Exit 36 (Fishing Creek) off I-83 The third Thursday of each month, 6:30-8 :00 pm Contact: Beverly Riggins @ 717-979-0519 WEEKLY Support Groups for Consumers WellSpan Behavioral Health, 1101 S. Edgar Street, York, PA 17403 Mondays, 6:00-7:30 pm NAMI York County office, 140 Roosevelt Avenue, York, PA 17401 Thursdays, 10:00-11:30 am First United Methodist Church, 200 Frederick St., Hanover, PA 17331 Fridays, 12:00-1:30 pm Other Support Groups Depression Support Group at Hanover Hospital (chapel), 300 Highland Avenue, Hanover, PA, Tuesdays, 7:00 pm . Young Adult Depression Group meets 6:00-7:00 pm. Contact Erick Stenmore at 717-316-6905. PTSD support groups VA Outpatient Clinic, 2251 Eastern Blvd., Suite 101, York Call 717-840-2730 for days and times Holy Trinity Church, 2285 Plank Road, Stewartstown, PA 17363, Mondays, 6:00-7:30 PM. Contact Lloyd Crowder at [email protected] or call 717-819-8982. For those with military OR any type of previous trauma. Autism Support Group at St. Matthew Evangelical Lutheran Church, 839 West Market Street, York, 1st Thursday of each month, 7:00- 8:30 pm Autism York South (AYS) Stewartstown Elem. School, 17945 Barren Rd. North, Stewartstown, PA., the 2nd Wednesday of the month from 7:00-8:30 pm See the Autism York calendar for details about any of these Autism groups at http://autismyork.com Suicide Survivors Support Group at Southern Community Services, 44 S Main St., Shrewsbury, the 3 rd Thursday of each month from 6:30-8:00 pm. NEW LOCATION ADDED: Dover United Church of Christ, 45 W. Canal Road, Dover (across from the HS) 1st Tuesday of the month from 6:30-8:00. Contact Cindy at 717-227-0048 for information for either group.. Mending the Spirit, support group for grieving parents at law office of Attorney Rich Reilly 2nd floor, 54 N. Duke Street, York, 2nd & 4th Tuesdays from 7:00 pm - 8:00 pm. Contact Cheryl Peterson at 717-668-6685 or at [email protected] for more information. HOPE (help, options, process, education) for families of addicts meets at Colonial House, 1 East Market Street, York. Call 717-843-8444 for more information. If you need of a specific support group, not listed, call 211 for an up-to-date listing of special interest support groups. NAM I -THE NAT ION ’S VO ICE ON MENTAL ILLNESS NAMI PA York County 140 Roosevelt Avenue, Suite 200 York, PA 17401 Office Hours: Monday-Friday, 8:00 am-4:00 pm Rose Alberghini, Executive Director Danielle Dennis, Program Assistant Our office is located in the Industrial Plaza of York on the corner of Philadelphia and Roosevelt Avenue, across from the Roosevelt Tavern. Parking is available in the lot facing Philadelphia Street. Enter through the front door (facing Roosevelt) of the building. Please call ahead to make sure there is someone in the office. NAMI PA YORK COUNTY FEBRUARY 2015 PAGE 10 Pearls of Wisdom Gathered at our Annual Meeting in November: “The peeps who make the difference are not always the ones with the credentials, but the one with the concern.” “If you always do what you’ve always done, you’re always get what you’ve always got.” “Love heals.” Joining NAMI Helps EVERYONE! Thank you to the following who joined or renewed their memberships last month: Debra Dudley, Phyllis Kroupa, Susan Shaw, Judith Cushing, Marcus Allias, and Andrew Schneider. When you become a member, you are supporting NAMI on all three levels. Of the $35 Family/Individual membership, NAMI National receives $10; NAMI PA, $10; and NAMI PA York County, $15. If you choose the Open Door membership at $3, each level of NAMI receives $1. All memberships receive the same recognition and privileges. Thank you for joining our NAMI family! Membership Application Name______________________________________ ________ Date___________________ Address_____________________________________________________________________________ City______________________State______________Zip______________________________________ Phone (home) __________________ (cell)______________________________________________ NAMI Affiliate-York County_______________________________________________________________ E-mail _(Please include so we can email your newsletter)_______________________________________ Check type of membership: Individual or Family $35.00 ___ Open Door ( for individuals with limited incomes) $3.00 ___ Additional Contribution $________ Members names are published in our monthly newsletter. If you would like to remain anonymous, please check here ___ If you do not wish to receive the newsletter, check here ____ Thank you for your support! Mail this form with payment to: NAMI PA York County, 140 Roosevelt Avenue, Suite 200, York, PA 17401
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