Meeting Your Communities Behavioral Health Needs Delta Region - - PowerPoint PPT Presentation

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Meeting Your Communities Behavioral Health Needs Delta Region - - PowerPoint PPT Presentation

Meeting Your Communities Behavioral Health Needs Delta Region Community Health Services Development: 2020 Virtual Summit September 16, 2020 Objectives Learn about the mental health ecosystem and collaborative care Learn how to


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Meeting Your Communities’ Behavioral Health Needs

Delta Region Community Health Services Development: 2020 Virtual Summit September 16, 2020

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Objectives

  • Learn about the mental health ecosystem

and collaborative care

  • Learn how to engage family members as

partners in collaborative care

  • Learn about no-cost peer support
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What is NAMI?

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What does NAMI do?

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What makes NAMI different?

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NAMI’s Approach

Mental health conditions are no one’s fault Catastrophic stressors Bio-Psycho-Social Model Collaborative care

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Collaborative Care

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STAGES of Treatment Adherence

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Wheel of Care Coordination

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Crisis Care

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Inpatient Care

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Outpatient Care

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Social Support

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Peer and Family Supports Care Coordination Peer/Family Support and Care Coordination

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SELF-CARE for family members

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FEELINGS Reported by Family Members as REACTIONS to a Loved One’s Mental Health Condition

DENIAL

APPREHENSION ABOUT THE FAMILY

FEAR

CONFUSION

SORROW

EXHAUSTION OF SPIRIT & RESOURCES DIFFICULTY ACCEPTING THE CONDITION

GRIEF

SLEEPLESSNESS

RAGE ANGER

SHAME

ISOLATION

GUILT

FRUSTRATION

DEPRESSION DISRUPTION OF FAMILY RELATIONSHIPS

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STAGES of Emotional Reaction

DEALING WITH CATASTROPHIC EVENTS Crisis, chaos, shock, denial, hoping against hope LEARNING TO COPE Anger, guilt, resentment, recognition, grief MOVING INTO ADVOCACY Understanding, acceptance, advocacy, action

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Important Points about the STAGES

None of these stages are “wrong”

  • r “bad”

This process is ongoing - for most

  • f us it takes years to navigate

Different family members are often at different places in the cycle This cyclical process is not about expectations With time, you will begin to recognize these stages and emotional reactions

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MISINTERPRETATIONS

  • f Natural Reactions to Trauma

Natural trauma response people have In family, response may be viewed as In individual, response may be viewed as Shut down Withholding, cold Uncommunicative Angry Demanding, unreasonable Out of control Dazed Disinterested, aloof Fragile Worried Enmeshed Bothersome Blaming others Dysfunctional Irresponsible Withdraws Something to hide Lacks motivation Cuts off contact They’re the real problem Uncooperative

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SECONDARY TRAUMAS for Families

OVERWHELMING RESPONSIBILITY

FEEL CONFINED

UNINFORMED

EMOTIONALLY EXHAUSTED

INADEQUATE SUPPORT

Families assume overwhelming responsibility Families feel confined Families remain uninformed Families are emotionally exhausted Families find inadequate support

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Secondary Traumas for the Person in RECOVERY

Making treatment decisions Medication side effects Self-harm Co-occurring mental health condition and substance abuse Criminalization

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BURNOUT

is not just for professionals

  • Emotional and physical

exhaustion

  • Emotional stress
  • Absenteeism; decline in

performance

  • Increased escape behaviors
  • Lowered self-regard
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Self-Care

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DIAPHRAGMATIC breathing

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Setting LIMITS

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Empathy

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Empathic GUIDELINES

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Basic Communication GUIDELINES

Use short, clear, direct sentences Keep the content simple Do what you can to keep the stimulation level as low as possible If your loved one appears withdrawn and uncommunicative, back off for a while Assume that much of what you say may not be heard the first time Be pleasant and firm Communications form our boundaries with

  • thers; make sure your boundaries are sturdy

and clear

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I – Statements

  • I am speaking in a very specific, direct

manner

  • I am at the center of the communication
  • I take complete responsibility for my

feelings and opinions

  • I don’t waver
  • I say what I mean

Example: “I don’t like it when there’s smoking in the house.”

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YOU – Statements

When we move away from I-Statements with

  • ur loved one, we tend to:
  • Feel defensive
  • Blame and become judgmental
  • Make assumptions about the other

person’s motives

  • Generalize a specific problem

to other situations and accusations begin to snowball

  • Vent our negative feelings
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Sustaining POSITIVE Outcomes

Increased help-seeking behaviors Empowerment

Reduced family stress

Improved problem solving skills

Improved coping

Changed attitudes toward mental health Increased knowledge

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Presentations, support groups, classes

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IMPACT of NAMI Programs

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What’s NEXT?

www.nami.org

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CALL THE NAMI HELPLINE 800-950-NAMI info@nami.org M-F, 10 AM - 6 PM ET OR TEXT "NAMI" TO 741741

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Remember

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Acknowledgements

Photos & Stock Art

Images used were purchased under a license agreement with iStockPhoto.com. These images can be used only by NAMI within the context of this project and it’s various materials. For information regarding the license agreement and restrictions, visit: www.istockphoto.com/help/licenses Any other images are the exclusive property of NAMI.