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WCSEA Fall Conference�Mary Mason, NAMI Brown County Board

Tracy Schiesser, President NAMI Brown County

Presentation created by:

Mary Kay Battaglia, Executive Director

Stacey Mohr-Johannsen, Associate Director 

Understanding and Responding to people with Mental Illness

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WHAT ARE WE LEARNING TODAY?

  • Who is NAMI?�

  • Mental Health & Mental Illness 101

  • Stigma

  • Active Listening

  • De-escalation Tips

  • Supporting Your Families

  • Resources

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Who is NAMI?

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NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)

Nation’s largest grassroots nonprofit organization founded in 1979

Over 600 local affiliates and 48 state affiliates across the United States

Find your Local NAMI or State Chapter

https://nami.org/findsupport

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The mission of NAMI Wisconsin is to improve the quality of life of people affected by mental illnesses and to promote recovery. 

WHO WE ARE...�NAMI WISCONSIN

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NAMI HISTORY & STATE AFFILIATES

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Our education programs ensure individuals get the support and information they need.

Education

We provide no-cost, peer-led support groups offered by trained volunteers.

Support

We advocate at all levels of government to improve mental health care in Wisconsin.

Advocacy

We work hard to promote public education and understanding of mental illnesses.

Awareness

NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)

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Local NAMI Affiliate serving Brown County

Family Support Group & Peer Support Group

8- week, Peer to Peer Education Classes

Presentations

Educational Events, including CIT & CIP Training

Mental Health Chat - Elementary Program

Lead by BODs, all volunteers in the community

Office located 1234 Main Street in Green Bay

Annual Picnic at Bay Beach

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Educational Classes

Support Groups

SUPPORT & EDUCATION FROM LOCAL �NAMI AFFILIATES

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Exercise:�Write down any words that come to mind when you hear and think of the term:

MENTAL ILLNESS

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HOW DOES STIGMA EFFECT MENTAL ILLNESS?

When someone has a heart attack, breaks their leg, or is diagnosed with a physical illness they are usually showered with support, messages of kindness, and food from friends and family. 

Unfortunately, that is not always the case when someone is diagnosed with a mental illness.

Join the ‘casserole club’

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Avoid stigmatizing language

  • The mentally ill
  • Psycho
  • Crazy 
  • Lunatic
  • Schizophrenic
  • Bipolar
  • Mental

Person-first Language

  • Person who lives with a mental health condition or mental illness
  • A person living with Schizophrenia or Bipolar Disorder
  • Experiences a mental health condition
  • You would never say: “He’s a cancerous person."
  • People-first language allows you to avoid labeling individuals as or by their illness. 

Be aware of how your language affects those living with a mental illness. Decreasing stigma through language helps to increase support and awareness for people living with a mental illness. “Mental Health Language” matters

�Seeing the person first and not defining someone by their illness. 

CHECK YOUR LANGUAGE

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Mental Health

&

Mental Illness 101

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Mental health can be defined as the way we think, feel, and how we relate to others. 

Each day your mental health can be good or bad. We all have bad mental health days but that does not mean we have a mental illness. 

Everyone has mental health, but not everyone has a mental illness. 

WHAT IS MENTAL HEALTH?

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WHEN DOES MENTAL HEALTH BECOME MENTAL ILLNESS?

A person may be diagnosed with a mental illness when their symptoms are

  • ongoing for an extended period of time
  • they are distressing and cause a significant disruption in ability to function
  • decreases the quality of their life

It’s helpful to think of mental health and mental illness as separate entities working independently.

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SIGNS & SYMPTOMS OF MENTAL ILLNESS

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Mental illnesses are NOT caused by personal weakness, lack of character or poor upbringing.

Mental illnesses ARE medical conditions.

Mental illness should be viewed and treated the same as a physical illness.

MENTAL ILLNESS

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1 in 5 people live with a mental illness (1 in 25 lives with a serious mental illness). The other 4 out of 5 people will know someone living with a mental illness.

MENTAL ILLNESS IS COMMON

6.9% Depression

2.6% Bipolar Disorder

1.1% Schizophrenia

18.1% Anxiety Conditions

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There are many tools that can improve the experience on the journey of recovery: medication, counseling (therapy), coping skills, social support and education.

  • Education: learn about your diagnosis

  • Support: professionals, peers, groups

  • Understanding your health care options (insurance and medication)

  • Involve family and friends in treatment

  • Earlier the better!

MENTAL ILLNESS IS TREATABLE

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MENTAL ILLNESS & OUR FAMILIES

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& the workplace

Caregivers may live with a mental illness.

The people we serve may have friends or family members who live with a mental illness.

Family members may live with a mental illness.

We want to be able to respond appropriately

MENTAL ILLNESS & THE FAMILIES WE SERVE

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IMPACT OF UNTREATED MENTAL ILLNESS

ON THE FAMILY

Untreated mental illness costs the US economy $200 billion in lost earnings each year.

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    • Families cannot afford to not talk about this issue.
    • Mental illness is the single greatest cause of worker disability worldwide.
    • 62% of missed workdays can be linked to mental illness.
    • Turnover rates are higher for depressed employees who are approximately 30% more likely to become unemployed due to their condition.

THE COST OF

STAYING SILENT

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    • Increased investment from the caretakers
    • Improves retention to programming
    • Contributes to families success
    • Family morale will increase
    • The whole family is dependent on healthy caregivers
    • It is the right thing to do for children and families

WHY HAVE A“MENTAL WELLNESS” FRIENDLY ENVIRONMENT?

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    • Educate caretakers and children
    • Talk openly about mental health
    • Promote a healthy home environment
    • Provide training to staff on ways to respond to families in a mental health crisis

LET’S START THE MENTAL HEALTH CONVERSATION

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Active Listening

�Verbal De-escalation

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    • Active listening is the process by which an individual secures information from another individual or group. The “active” element involves taking steps to draw out details that might not otherwise be shared.

    • Use a calm reassuring voice when responding. Try not to show or express alarm. Have a nonjudgmental demeaner. 

    • Active listeners avoid interrupting at all costs, summarize and repeat back what they have heard, and observe body language (non-verbal cues) to give them an extra level of understanding.

ACTIVE LISTENING

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Validation that what they are experiencing is difficult and there is someone on the other end that understands.

The most important thing you can do is listen

They should feel that you tried to help them.

WHAT IS THE MOST COMMON THING PEOPLE ARE SEEKING?

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Steps to Active Listening

Stop : Listen : Respond : Ask

    • Stop whatever you are doing physically and mentally--focus on the person in front of you.
    • Listen mentally and physically to what they are saying.
    • Respond physically and verbally.
    • Ask open ended, who, what, where, and how.

ACTIVE LISTENING

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1. Stop whatever you are doing physically and mentally and focus on the person in front of you. Turn off your phone, stand sit still, remove thoughts from your brain and direct all attention to them.

2. Listen mentally and physically to what they are saying. Listen with your eyes, uncross your arms, lean in, be engaged.

3. Respond physically and verbally. Nod your head, keep eye contact, make VALIDATING statements.

4. Ask open ended, who, what, where, and how. How can I help you, who should we contact to help, what would help you, where would you like to go?

ACTIVE LISTENING

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What Active Listening is NOT

  • Judgment
  • Advice
  • Your ethics or values

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Influencing Behavioral Change

Active listening is the foundation for each step.

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BUILDING TRUST

“Yes" or "uh-huh"  

 “I hear you.” "That is a lot to deal with"

PARAPHRASING

“So, what I hear you saying is that the uncertainty about your living situation is creating stress for you.”

BRIEF VERBAL AFFIRMATION

“You’re completely valid in feeling that way.” “Thanks for being such a great advocate for your son.”

“You’re doing the best you can…hang in there, Sara.”

DEMONSTRATING CONCERN

“I know you are going through some tough challenges.” 

"That must be really hard" 

“This must be really difficult”

ACTIVE LISTENING EXAMPLES

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DE-ESCALATION

De-escalation is a process that uses your active listening skills and body language for a result-based approach to safely de-escalate someone experiencing crisis.

If you feel unsafe, skip de-escalation and call 911.

Goals when verbally de-escalating:

    • Open-up clear lines of communication.
    • Build trust and validate the person’s situation.
    • Get the individual talking about their situation.
    • Gathering the necessary information to share.
    • Resolution.

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DE-ESCALATION TIPS

  1. Secure a safe place to focus on maintaining two-way attention. Eliminate distractions and distractive people, sit or stand at same level. Body language is important.
  2. Listen for the cues for an understanding of the person in crisis. They usually tell you what they want. Active Listening.
  3. Check your Attitude: “I am here to help you”.
  4. Lower you voice: Speak softer and slower when responding.
  5. Be aware of your facial expressions. An appropriate smile or warm expression can make the difference.
  6. If a person is threatening to harm themselves do not leave them alone.
  7. Use active listening skills, validate and empathize, do not argue.

*Always call 911 if the situation escalates physically or you feel that you are in danger.

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Result Based Approach

Slow down

Be patient

Remain calm

Be empathetic

Everyone has a story. They just want to be heard.

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Result Based Approach

  • Call a family member or friend

  • Reach out to a mobile crisis unit, a co-responder team or call 911 to ask for a CIT Trained officer (Mental Health Officer) and explain someone is experiencing a mental and behavioral health crisis and needs help�
  • If able to calm the person down, work towards a plan- leave the store, go home, call your loved ones and provider

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Resources

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MENTAL ILLNESS EDUCATION FOR PROFESSIONALS

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988 SUICIDE &

CRISIS LIFELINE

  • The 988 Suicide & Crisis Lifeline is the new name for the National Suicide Prevention Lifeline, which has been available since 2005.

  • This new three-digit number will be an easy-to-remember way for people to connect with help and support during a mental health, substance use or suicide crisis, providing free and confidential support.�
  • People of all ages who need help for themselves or a loved one can access the 988 Suicide & Crisis Lifeline by:
    • Calling 988 (multiple languages).
    • Sending a text message to 988 (English only).
    • Using the chat feature at 988lifeline.org

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988 SUICIDE & CRISIS LIELINE IN WI

As we communicate about 988, it is important that we establish trust for this new resource but also push people to continue to advocate for increased funding and commitment to a standard of care for crisis response. An ideal crisis system includes mobile crisis teams responding when in-person care is needed, rather than relying on law enforcement. It also means crisis stabilization options to provide an effective, appropriate place for people in crisis to go. These additional services will vary community-by-community, but if we work together, it is possible for us to reimagine crisis response.

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NAMI RESOURCES

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NAMI RESOURCES

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  • EAP – Employee Assistance Programs
  • Family Doctor – Make the call
  • 988 – direct line to Family Services Life Line
  • Crisis Center – 24/7 Free help at 920-436-8888
  • Hope Line – Text 741741
  • Life Line – 920-433-8550 or 1-800-273-8255
  • ADRC – 920-448-4300
  • Connections for Wellness – MyConnectionsNEW.org
  • Police social workers
  • Chaplain

LOCAL RESOURCES

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Thank you!