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CITE THIS

American Psychological Association. (2011, October). Psychotherapy is effective and here's why. Monitor on Psychology, 42(9). http://www.apa.org/monitor/2011/10/psychotherapy

Psychotherapy works, and the science and research are there to back it up, said Bruce E. Wampold, PhD, at the APA 2011 Annual Convention symposium, 'Psychotherapy Effectiveness: What Makes it Work?'

Answering just what makes it work is complex, said Wampold, a professor of counseling psychology at the University of Wisconsin–Madison, but relationships and customized treatments play key roles.

So what makes a good therapist? According to research presented by Wampold, a good therapist:

• Has a sophisticated set of interpersonal skills.
• Builds trust, understanding and belief from the client.
• Has an alliance with client.
• Has an acceptable and adaptive explanation of the client's condition.
• Has a treatment plan and allows it to be flexible.
• Is influential, persuasive and convincing.
• Monitors patient progress.
• Offers hope and optimism (realistic optimism, not Pollyanna-ish).
• Is aware of a client's characteristics in context.
• Is reflective.
• Relies on best research evidence.
• Continually improves through professional development.

With an effective therapist, science shows that psychotherapy even works better in the long-term and is more enduring than medication. In fact, not only is it more cost-effective, but psychotherapy leads to fewer relapses of anxiety and mild to moderate depression than medication use alone—so much so that Norwegian Health Authorities have issued new guidelines concerning treatment of mild to moderate depression and anxiety, stating that psychological interventions, not medications, should be applied first. Remote desktop manager enterprise 2020 1 0 0 download.

So what's stopping psychotherapy for being the go-to treatment for nonpsychotic conditions? For one thing, major pharmaceutical companies heavily market their medications directly to the public and health professionals, said speaker Steven Hollon, PhD. While therapy is getting sharper, more effective, and more enduring, it is continuing to lose market share to medication. Camerabag photo 3 1 00 pm.

But it doesn't have to be this way, said APA officials. There is an increased effort by psychologists and APA to change attitudes and make psychotherapy a first-line treatment. With evidence-based treatment guidelines under development, and the move for an official statement by APA on psychotherapy's effectiveness, one day medication may lose its market share to psychotherapy.

—A. Brownawell and K. Kelley

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Tonawanda Coke Facility Shutdown

On October 23, 2018, DEC completed the safe shutdown of operations at the Tonawanda Coke (TCC) facility. The facility's extensive system of gas lines has been completely purged and all coke ovens are empty‎. DEC and the U.S. Environmental Protection Agency (EPA) were on-site to assess environmental conditions and investigate contamination at the site. DEC will continue to provide information and regular updates to the public on the progress of the cleanup of the site.

Press Releases:

DEC Announces Complete Shutdown of Coke Oven Production at Tonawanda Coke Facility (October 16, 2018)

Shutdown Operations at Tonawanda Coke Facility Complete (October 23, 2018)

About the Tonawanda Study

From July 2007 through June 2008, DEC initiated a year-long community air quality monitoring study in the Town of Tonawanda (Erie County). The Tonawanda Community Air Quality Study (Study) measured the concentrations of air pollutants within the community and evaluated the potential risks to public health from exposures to those pollutant concentrations. The Study community is an urban area and home to some of NY's largest industrial facilities.

DEC continues air monitoring at one location in the Study community at Brookside Terrace Residential Site (BTRS). The results from the BTRS monitor and a second monitor located at Grand Island Boulevard Industrial (GIBI), which existed through the end of 2019 after which it was shut down, were used to examine air quality and trends in air toxics in the community since the conclusion of the original Study period (2007-08). Only one of the Tonawanda monitors was kept in operation after more than a full year post-TCC closure measurements indicated the concentration levels of the air contaminants, including benzene, were substantially low enough to be considered representative of background levels for NYS. This can be observed in Figure 3 below, which presents the 2019 annual benzene concentration averages measured at the GIBI and BTRS monitors as compared to other areas of NYS where benzene measurements were recorded for the 2019 calendar year. The 2019 annual benzene concentration averages at both BTRS and GIBI were below the majority of the 2019 averages calculated for those other NYS 'Urban and City Center' and 'Suburban' monitors where benzene was also measured and comparable with the remaining few.

The BTRS air monitor is located in a residential neighborhood on Brookside Terrace West, 8,000 feet northeast of the facility. The GIBI air monitor was located on Grand Island Boulevard, 1,500 feet northeast of TCC and near Interstates 190 and 290 and other industrial facilities. In 2009, the Study documented high levels of benzene released from TCC's operation. The facility was ordered to make repairs and operational modifications to address the releases of this pollutant.

Major Findings of the Tonawanda Study

• The results of the Study provided a strong basis for further compliance monitoring and regulatory actions to reduce the risk associated with exposures to air pollution in the Tonawanda community.
• Elevated concentrations of benzene and formaldehyde were found at the GIBI monitor. Higher daily concentrations of benzene were found when the wind came from the direction of the largest known point source of benzene, the TCC. The formaldehyde evaluation indicated that the measured concentrations were influenced by local facilities and mobile sources.
• The annual average concentrations for six air toxics (1,3-butadiene, acetaldehyde, acrolein, benzene, carbon tetrachloride, and formaldehyde) exceeded their respective health-based DEC Annual Guideline Concentrations (AGCs).
• Observed benzene reductions were the result, in part, of operational modifications made by TCC in response to DEC's and EPA's inspections of the facility and subsequent federal and state enforcement actions against TCC, along with a reduction in overall production in the years following the Study year.

Benzene Monitoring Update July 2020

Figure 1a. Time-series of benzene concentrations at the GIBI monitor from July 2007 through the completion of 2019.

Figure 1b. Time-series of benzene concentrations at the BTRS monitor from July 2007 through the completion of 2019.

Figures 1a and 1b present the 1-in-6-day 24-hour benzene concentrations measured at the GIBI and BTRS monitors, respectively. Substantial reductions in the concentration peaks from the first several years of measurements (2007-09) to the subsequent years can clearly be observed. The concentration measurements have decreased even further since TCC permanently ceased operations in late October 2018, as seen in the most recent data. How does bovada pay you. The slight rise in the benzene concentrations measured during 2018 at the GIBI monitor resulted from operational problems experienced at TCC.

Figure 2. Annual benzene concentration averages from the initial Study year (2007-8) through the end of 2019 at the two Tonawanda monitoring locations. The black horizontal line represents the DEC AGC of 0.13 µg/m³.

Figure 2 presents the annual benzene concentration averages at the BTRS and GIBI monitors in Tonawanda for the Study year (7/5/07 to 6/29/08) and the subsequent 11.5 years post-Study, incorporating all the processed air monitoring data to date. Please note that the same date range as the Study year was used for 11 years post-Study but then the most recent data was used for the final year of the analyses which was the full 2019 calendar year. Therefore, there is an overlap of roughly six months for which the same data are included in both the '2018-19' and '2019' averages. The annual benzene concentration averages in 2019 were 0.34 µg/m³ and 0.38 µg/m³ at the BTRS and GIBI monitoring locations, respectively. These most recent annual benzene concentration averages represent reductions of 83% and 96% for BTRS and GIBI, respectively, when compared to the 2007-08 Study year.

The annual benzene concentration averages have decreased substantially within the Tonawanda community as seen above in Figure 2. The much reduced BTRS and GIBI annual benzene concentration averages for 2019 were at levels which represent background concentrations for New York State (NYS) as seen below in Figure 3 (which depicts the concentrations measured at the two Tonawanda monitors compared to the rest of the NYS monitors where benzene was measured).

Figure 3. Comparisons between the 2019 benzene concentrations at the Tonawanda monitors (GIBI and BTRS) and the rest of the Statewide monitors measuring benzene. The black horizontal line represents the DEC AGC of 0.13 µg/m³.

Figure 3 presents the 2019 annual benzene concentration averages measured at the GIBI and BTRS monitors as compared to other areas of NYS where benzene measurements were recorded for the 2019 calendar year. The 2019 annual benzene concentration averages at both BTRS and GIBI were below the majority of the 2019 averages calculated for those other NYS 'Urban and City Center' and 'Suburban' monitors where benzene was also measured and comparable with the remaining few. The 2019 annual benzene concentration averages at every one of the NYS monitoring locations where benzene was measured, including the two rural sites, exceeded the AGC.

Public health interpretations of measured air concentrations

Overall, the excess cancer risk estimate from benzene exposure has decreased substantially in the Tonawanda community. At the conclusion of the Study, the excess cancer risk estimate from benzene was 75-in-one-million and 15-in-one-million at the GIBI and BTRS monitoring locations, respectively. For the 2019 calendar year, these estimated excess cancer risks for benzene were substantially decreased to 2.9-in-one-million at GIBI and 2.6-in-one-million at BTRS. 2019 represents the most recent full year of data post-Study available.

Historical presentations and information

Additional information from the original Tonawanda Community Air Quality Study conducted from July 2007 through June 2008, updates about the improvements observed in local air quality since the original study concluded, and information on the state/federal civil and criminal enforcement actions undertaken at TCC are available below.

Asus Monitor 2011

2018:

• Benzene Monitoring Data Update - December 2018 (PDF)

2016:

• Fact Sheet - December 2016 (PDF)
• Status Report Presentation - December 2016 (PDF)
• Study Update: An Evaluation of 8 Years of Post-Study Air Toxics Results (PDF)
• December 2016 Data Analyses Update Graphs (PDF)

2013:

• Update - January 2013 (PDF)
• Data Analyses Update Graphs - January 2013 (PDF)

2011:

• Fact Sheet - October 2011 (PDF)
• Public Presentation - October 2011 (PDF)

2009:

• Final Report - October 2009 (PDF)
• Fact Sheet - October 2009 (PDF)
• Public Presentation - June 2009 (PDF)
• EPA Air Toxics Webinar - June 2009 (PDF)

2008:

• Facilities and Air Monitoring Location Map (PDF)
• Public Presentation - March 2008 (PDF)
• Public Presentation -November 2008 (PDF)

Links leaving the DEC Website: https://pinoyfree.mystrikingly.com/blog/can-t-play-minecraft-offline.

• USEPA Tonawanda Coke Corporation (TCC) Site

Decreasing exposure to air pollutants in the Tonawanda community

• The benzene concentrations found in the Study varied greatly across the community. The highest concentration was found at the GIBI monitor adjacent to the industrial site. The benzene concentrations found at the Sheridan Park Water Tower (SPWT) and Beaver Island State Park (BISP) monitors, both in residential neighborhoods, were similar to outdoor air concentrations found in the NYC area. The BTRS monitor, in a residential neighborhood, measured benzene concentrations slightly higher than concentrations found in the NYC area.
• In 2008 and 2009, DEC increased compliance inspections of all air pollution sources within the Study community and also inspected additional sources outside the Study area. These inspections focused on known facilities releasing benzene and other air toxics.
• In April 2009, EPA and DEC conducted a comprehensive compliance inspection of TCC. Civil enforcement actions were issued to TCC for violations of the Clean Air Act, the Clean Water Act, and the Resource Conservation and Recovery Act. Through the enforcement actions, the agencies continued efforts to further reduce emissions from the TCC facility.
• In December 2009, the US Attorney's Office for the Western District of NY led federal investigators on a raid of TCC and subsequently commenced a criminal action against TCC.
• In March 2014, TCC was ordered to pay a $12.5 million penalty and make $12.2 million in community service payments for criminal and civil violations of the Clean Air Act and the Resource Conservation and Recovery Act. For a summary of the criminal actions, visit EPA's enforcement page (2014 Major Criminal Cases) (leaves DEC's website).
• In the beginning of 2018, the TCC facility began to encounter operational problems with the coke oven batteries, causing opacity (dark smoke) violations from its waste heat stack. Benzene concentrations also increased at the GIBI monitoring location during 2018. Later that same year, TCC permanently ceased operations with the facility's shutdown occurring from October 14-21, 2018.
• After TCC's closure, the benzene concentrations were at the lowest levels that have ever been observed at both the GIBI and BTRS monitoring locations. The 2019 annual benzene concentration averages at both BTRS and GIBI were below the majority of the 2019 averages calculated for those other NYS 'Urban and City Center' and 'Suburban' monitors where benzene was also measured and comparable with the remaining few.

Questions about Emission Sources

NYS DEC
270 Michigan Avenue
Buffalo, NY 14203
(716) 851-7130
Email: region9@dec.ny.gov https://cooljfil985.weebly.com/dream-palace-reviews.html.

Questions about the Tonawanda Study

NYS DEC
Division of Air Resources
625 Broadway
Albany, NY 12233
(518) 402-8402
Email: DAR.Web@dec.ny.gov

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