2019 Spring Family to Family Registration
This class is for the family, partner, friend, or caregiver of the person with mental illness. It is not for the
person with the diagnosis. Class dates below.

Dates: Saturdays beginning March 30 through Saturday, May 4, 2019
Location:​ Macedonia Baptist Church, 3110 W Sunshine St, Springfield, MO 65807
Time: ​9:00-2:00 p.m. (The six-week class covers all material provided in the standard 12-week class.)

In the program, you'll learn about:
• How to manage crises, solve problems and communicate effectively
• Taking care of yourself and managing your stress
• Developing the confidence and stamina to provide support with compassion
• Finding and using local supports and services
• Up-to-date information on mental health conditions and how they affect the brain
• Current treatments, including evidence-based therapies, medications and side effects
• The impact of mental illness on the entire family

Email address *
Your First and Last Name *
Your answer
Physical Address (House number, street, city, state, zip) *
Your answer
Your phone number (teacher will call you) *
Your answer
Who is the person with mental illness? (For example: son, daughter, parent, spouse, sibling, grandparent, etc.) *
Your answer
What is your relationship to the person with mental illness? (For example: adult child, parent, spouse, sibling, grandparent, etc.) *
Your answer
Are you involved with their care and/or do you interact with them regularly? *
What is the diagnosis?
Your answer
How old is the person with mental illness? How long has he or she had symptoms? *
Your answer
Do you have a handicap that requires accommodation? *
Can you attend all classes? This class uses a teaching curriculum with various learning modules for each week. Each session builds upon material presented in previous weeks; weekly class attendance is of primary importance. *
How did you hear about this class? *
Your answer
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