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It Takes a Community: Learning Together about Tools and Strategies to Support People through Emotional Distress May 29, 2014 http://www.promoteacceptance.samhsa .gov 1

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Page 1: It Takes a Community: Learning Together about Tools and Strategies to Support People through Emotional Distress May 29, 2014

It Takes a Community: Learning Together about Tools and Strategies to Support

People through Emotional Distress

May 29, 2014

http://www.promoteacceptance.samhsa.gov1

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Archive

This training teleconference will be recorded. The PowerPoint presentation, PDF version, video archive including closed-captioning, and written transcript will be posted to the Substance Abuse and Mental Health Services Administration (SAMHSA) ADS Center Web site at http://www.promoteacceptance.samhsa.gov/teleconferences/archive/default.aspx

.

http://www.promoteacceptance.samhsa.gov/2

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Disclaimer

The views expressed in this training event do not necessarily represent the views, policies, and positions of the Center for Mental Health Services, SAMHSA, or the U.S. Department of Health and Human Services.

http://www.promoteacceptance.samhsa.gov/3

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Questions

At the end of the speaker presentations, you will be able to ask questions. You may submit your question by pressing “*1” on your telephone keypad. You will enter a queue and be allowed to ask your question in the order in which it is received. On hearing the conference operator announce your first name, you may proceed with your question.

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Emotional CPR (eCPR) as a Tool for Individual and Community Recovery

Leah Harris, M.A.Director

National Coalition for Mental Health RecoveryeCPR Facilitator

eCPR Advisory Committee http://www.emotional-cpr.org

http://www.promoteacceptance.samhsa.gov/5

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What is Emotional CPR (eCPR)?

• A public health education and health promotion program that prepares members of the public to assist a person who is experiencing emotional distress or emotional crisis

The three phases of the practice of eCPR:

C = Connecting with Compassion and Concern to Communicate

P = emPowering to experience Passion, Purpose, and Planning

R = Revitalizing through Reestablishing Relationships, Routines, and Rhythms in the community

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Foundations of eCPR

• Developed by people with lived experience of mental health issues, emotional crises, substance use, homelessness, and the justice system who have found personal recovery

• Based on 10 components of recovery identified by SAMHSA

• Based in part on crisis counseling following disasters

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Foundations of eCPR (cont.)

• Trauma-informed care • Trauma’s impact—core experience of disconnection and

disempowerment• Suicide prevention based on restoring hope• Cultural attunement• Meeting people where they are

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eCPR Approach vs. Conventional Approach

http://www.promoteacceptance.samhsa.gov/

Orientation eCPR Approach Conventional Approach

Showing Emotions

Emotional response encouraged, but stay focused on person needing assistance

Try to maintain objectivity and attempt to suppress feelings

Uses of Power Power with—we can figure this out together

Power over—the professional will fix you

Sharing Lived Experiences

Share as a means of connecting and empowering another person

Keep experience to self— don’t share

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eCPR Approach vs. Conventional Approach (cont.)

http://www.promoteacceptance.samhsa.gov/

Orientation eCPR Approach Conventional Approach

Belief Belief that person is a whole human being who can heal with the right support

Belief that person is broken and cannot figure out what to do without professional help

Use of Labeling and Categories

Avoided Recommended

Training No therapeutic training; only eCPR certification needed

Help provided mainly by trained professionals

Accessibility Lay language, culturally attuned

Professional terms, ethnocentric

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Implications of eCPR Approach

• Fosters hope• Promotes self-determination and dignity• Puts people at the center of their treatment and

decisions about their lives• Creates a nonjudgmental and safe space for people to

express their distress

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Applications of eCPReCPR may be used to help people in these situations:•Experiencing emotional distress

•Feeling suicidal

•Going through emotional crisis

•Experiencing psychosis

eCPR may be used by these people and groups to provide assistance:•Law enforcement and all first responders

•Human service providers of all kinds

•Teachers and faith community leaders

•Families, to support their loved ones

•Friends, coworkers, and community members

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eCPR Basics in Practice

• Be humble, curious and respectful. Avoid assumptions about what a person’s behavior means. Do not label or make negative judgments. Ask open-ended questions, e.g., “What was that like for you?”

• Believe in people’s resilience. While they may feel confused or frightened in the short term, affirm that you believe in their ability to heal. This makes such a big difference and gives people hope.

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eCPR Basics in Practice (cont.)

• Validate the person’s experience. “That sounds really terrifying.” “I’d be upset, too.”

• Listen with the heart instead of the head. Stay focused on the person in distress, rather than half-listening and half-thinking about what you will say.

• Meet people where they are. If someone is very quiet or sitting on the ground, you may want to assume the same body language and tone.

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How I Use eCPR in My Life

• Whenever and wherever I can!• With my 8-year-old son and his friends• With people I meet on the street who are currently

homeless and in distress• With colleagues at work to help resolve conflicts• Family members and friends open up to me and say, “I

can’t tell this to anyone else. I know you won’t judge me.”

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How to Schedule an eCPR Training in Your Area

For more information, or to schedule an eCPR training in your community, congregation, business, civic organization, school, or other group, visit http://www.emotional-cpr.org/training.htm.

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Resources• Comparison of eCPR and Conventional Approach,

http://www.emotional-cpr.org/downloads/Comparing-the-eCPR-Approach-and-the-Conventional-Approach.pdf [PDF 41 Kb]

• Deck, E., Riddell, E., & Spiro, L. (n.d.). Building positive relationships between mental health consumer/survivors and public safety [PowerPoint presentation]. Retrieved from http://www.emotional-cpr.org/downloads/Building-Bridges-with-eCPR.ppt [PPT 2.85 Mb]

• Emotional CPR, http://www.emotional-cpr.org

• Spiro, L., Harris, L., & Fisher, D. (2013, February 12). Emotional CPR as a way of life. Mad in America. Retrieved from https://www.madinamerica.com/2013/02/emotional-cpr-as-a-way-of-life

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Resources• Blanch, A., Filson, B., Penney, D., & Cave, C. (2012, April). Engaging women in

trauma-informed peer support: A guidebook. Retrieved from http://www.nasmhpd.org/publications/engagingWomen.aspx

• Mead, S., & Hilton, D. (2003). Crisis and connection. Psychiatric Rehabilitation Journal, 27, 87–94. Available in full text at http://mentalhealth.vermont.gov/sites/dmh/files/report/legislative/VCAPP/DMH-Futures_Peer_Support_VCA_Crisis_Article.pdf [PDF 72 Kb]

• Mead, S., & MacNeil, C. (n.d.). What makes trauma-informed peer support unique? Retrieved from http://ok.gov/odmhsas/documents/Trauma-Informed%20Peer%20Support.pdf [PDF 297 Kb]

• National Center for Trauma-Informed Care and Alternatives to Seclusion and Restraint (NCTIC), http://www.samhsa.gov/nctic

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Contact Me!

Email: [email protected]

Emotional CPR Web site: http://www.emotional-cpr.org

Personal Web site: http://www.leahidaharris.com

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Recovering Together: Helping Families Move from Hopelessness to Healing

Lisbeth Riis CooperFounder & Vice Chair

CooperRiis Healing CommunityFounding Partner

Families Healing Together

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Hopelessness to Action

• When my own family member was diagnosed with a mental health challenge, I didn’t know what to do.

• I experienced feelings of hopelessness, helplessness, anger, and shame.

• I spent 10 years navigating the mental health system, facing challenges that seemed insurmountable.

• There had to be a better way—something had to change.

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There Had to Be a Better Way . . . • These experiences led to establishing CooperRiis Healing Community in

North Carolina, a place where individuals with mental health challenges could recover and restore their lives.

• CooperRiis Healing Community was also established to serve as a place where family members would also have the benefit of recovery education and support so they in turn could support their family member in his or her recovery.

• http://www.CooperRiis.org

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The Power of Healing Community

• A physical (or virtual) community of people learning and supporting each other based on a person-centered approach

A Place Where . . . • Someone believes in you even when you don’t believe in yourself• Hope flourishes • Our actions make a difference• Change happens one person at a time• Change happens one family at a time

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Families Also Need a Healing Community

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Supportive Families CAN Make a Difference

Families can be the main support, or the main impetus, in someone’s recovery and yet 80 percent of families I have met over the past 11 years do not know that recovery is possible nor do they get support for themselves.

This awareness led to developing “FAMILIES HEALING TOGETHER,” a family recovery education program and virtual community, to make recovery education and support more widely available (offered online).

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Families Healing Together Is . . .

• A safe, nonjudgmental virtual community where feelings and experiences can be shared

• A place where all expressions—hopelessness, despair, even shame—can be validated

• A community with others who have had similar experiences, which helps families get out of the victim mode and out of the blame game

• The opportunity to listen and learn from others and practice new skills

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You Are No Longer Alone• Families Healing Together . . . Empowers family members to be advocates and supporters for their

loved one Builds trust with the person in distress Helps people live lives where hope is again present

• Being in, or part of, a community is one the most important aspects of healing.

• You cannot recover for someone else, but you can recover for yourself.

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Did You Know That . . .

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“Extensive research shows that implementing family psychoeducation in mental health settings dramatically improves the lives of consumers and family members . . . [with] up to 75% reduction in relapse and re-hospitalization after two years.” (University of Kansas, School of Social Welfare, Center for Mental Health Research and Innovation)

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What We Must First Learn . . .

• Listen without judgment.

• Validate emotions in the moment.

• Set healthy boundaries.

• Build or rebuild a healthy, respectful, mutual relationship with our family member.

• Set expectations and realistic goals together.

• Allow your family member to grow and learn from personal experiences.

• Become an ally rather than an adversary.

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The Recovery Path

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The recovery path is not always linear . . .

You may encounter twists

and turns along the way.

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Recovery is a Journey From . . .

• Seeing oneself as a diagnosis to a positive personal identity• Hopelessness to hope• Alienation to meaning and purpose• Withdrawal and isolation to participation in meaningful

activities

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Families Healing Together

Eight-Week Recovery Course, Offered Online

Course Outline: 1. Sharing our Experiences 2. Exploring Recovery Fundamentals 3.

Understanding Mental Health 4. Harnessing the Power of Hope 5. Using a Strengths-Based

Approach 6. Building Relationships amidst Psychosis 7. Creating Healthy Boundaries

8. Celebrating Recovery Stories

Course participants may also partake in an online forum.

To learn more about our online recovery course and register for the next one, which starts

June 13, 2014, go to http://family.practicerecovery.com.

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Resources• American Residential Treatment Association, http://www.artaUSA.org• CooperRiis Healing Community, http://www.cooperriis.org• Emotional CPR, http://www.emotional-cpr.org• Families Healing Together, http://family.practicerecovery.com • Foundation for Excellence in Mental Health Care, http://www.FEMHC.org • Hearing Voices Network USA, http://www.hearingvoicesusa.org• Independent Educational Consultants Association, http://www.iecaonline.com• Recovery Innovations, http://www.recoveryinnovations.org• Substance Abuse and Mental Health Services Administration, http://www.SAMHSA.gov• University of Kansas, School of Social Welfare, Center for Mental Health Research and

Innovation. (n.d.). Overview of FPR: Family psychoeducation; A Kansas partnership of families [Web page]. Retrieved from http://mentalhealth.socwel.ku.edu/overview-fpe

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Contact Me!

Email: [email protected]

CooperRiis Web site: http://www.CooperRiis.org

Families Healing Together Web site:

http://family.practicerecovery.com

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University of North Carolina School of the Arts (UNCSA): One University’s Response to Distressed Students

http://www.promoteacceptance.samhsa.gov/

Tom Murray, Ph.D., LMFT, LPC-SDirector of Counseling and Testing Services

University of North Carolina School of the ArtsPrivate Practice

http://www.tommurrayphd.com/

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General Mental Health Trends in Higher Education • A student experiencing distress must initiate seeking help at a time

when he or she may be least able to reach out.• There is an assumption that people who are distressed are dangerous,

and so the focus becomes avoiding risk rather than supporting the student.

• Cross-departmental Threat Assessment Teams have been convened to evaluate these situations, without the student of concern present in the meeting. This compromises student confidentiality; perpetuates stigma; and

fosters misinformation, misunderstanding, and isolation at a time when greater understanding of the situation is most needed.

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Adverse Impacts of These General Trends

• Hospitalization may be seen as the first, rather than the last, resort.

• Students who are hospitalized often experience stigma and a lack of support when they return to campus, which results in a heightened risk of suicide in the 24 to 48 hours after they are discharged from the hospital.

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Current Attitudes That Contribute to the Problem

• A fear-based mentality about students on campus who experience mental health issues or emotional distress

• A disease-centered model, which is often the framework for viewing students experiencing distress

• Risk aversion, which leads officials to assume a paternalistic approach to avoiding risk

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University of North Carolina School of the Arts (UNCSA)—Creating a Supportive Campus Community

• Meet students in a way that honors their voices.

• Invite students to be part of any conversation about their mental health.

• Focus on supporting students in the campus community, including peer-to-peer matching.

• View counseling services as a partnership to support the student in moving in the direction in which he or she wants to go.

• See hospitalization as a last resort.

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UNCSA Campus Mental Health Initiatives

• Training of students (including consumers), faculty, and staff in Emotional CPR (eCPR)

• Acknowledgment of faculty and staff through annual Mental Health Hero Award

• Students’ response• Partners in Change Outcome Management System

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Emotional CPR Training • In 2013, UNCSA began eCPR training of faculty, staff, and students (including

consumers). In May 2013, 20 faculty and staff were trained. In January 2014, 6 students, all of whom have experienced mental health challenges,

were trained. eCPR teaches people to learn how manage their own anxiety in the face of others’

distress so that they can listen and provide support to the person who is distressed. eCPR equips those closest to students with skills they can use to recognize a student

in distress and assist students sooner, before significant distress occurs. eCPR helps people manage crises effectively and support students through crisis

resolution. Future eCPR trainings are planned.

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Emotional CPR Training Outcomes• Staff trained continue to use eCPR effectively, as reported by their directors.• A faculty member trained was recognized through the Mental Health Hero Award.• The UNCSA Provost is eager to undergo eCPR training.• Students who have been trained are now creating a student organization, with Dr. Murray

serving as their advisor.• Students trained have hosted events during the last several weeks, a time of high stress

due to exams and performances. These events have attracted 100 students and provided a place to relax, unwind, and get support in a safe environment.

• Of students who complete suicide, 90 percent have never been seen at campus counseling centers, so approaches such as eCPR are critical.

• When support is available through these informal support networks, it is not only a better practice but also saves campus funds.

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Partners in Change Outcome Management System

• In 2006, UNCSA’s Counseling Center became the first university counseling center to implement this client-directed, outcome-informed approach. Provider measures own effectiveness based on clients’ feedback. The system defines effectiveness as change in the client’s distress level, i.e.,

the client is moving in the direction in which he or she wants to go. The provider and student collaborate on the student’s time schedule, i.e.,

data from client guides the treatment process vs. establishing an arbitrary number of sessions.

The system involves no one-size-fits-all treatment modality.

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Partners in Change Outcome Management System—Outcomes

• The Counseling Center serves 27 percent of students, compared to 10 percent, the national average.

• Staffing has grown since 2006 and now includes three full-time therapists, one intern, one clinical case manager, and two part-time psychiatrists.

• In 2009, the Counseling Center was accredited for the first time by the International Association of Counseling Services.

• The Dean of Students, the Provost, and other UNCSA leadership stand fully behind the new approaches being implemented.

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Resources• Boucher, L. A., & Campbell, D. (2014). An examination of the impact of biological antistigma

message for depression on college students. Journal of College Student Psychotherapy, 28(1), 74–81.

• Brauser, D. (2013, April 12). Early postdischarge period linked to very high suicide risk. Medscape. Available at http://www.medscape.com/viewarticle/782436

• Crawford, M. J. (2004). Suicide following discharge from in-patient psychiatric care. Advanced in Psychiatric Treatment, 10, 434–438. doi: 10.1192/apt.10.6.434 Available at http://apt.rcpsych.org/content/10/6/434.full

• Davis, D. C., & Humphrey, K. M. (2000). College counseling: Issues and strategies for a new millennium. Arlington, VA: American Counseling Association.

• Deisinger, G., Randazzo, M., O’Neill, D., & Savage, J. (2008). The handbook for campus threat assessment & management teams. Applied Risk Management, LLC.

• Glasser, W. (2005). Defining mental health problems as a public health issue. Available at http://wglasserbooks.com/assets/DefiningMentalHealth.pdf [PDF 446 Kb]

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Web Site Resources• Emotional CPR, http://www.emotional-cpr.org • Partners in Change Outcome Management System,

http://www.heartandsoulofchange.com

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Contact Me!

Email: [email protected]

UNCSA Counseling and Testing Services Web site: http://faculty.uncsa.edu/ncsacounseling

Personal Web site: http://www.tommurrayphd.com/

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What is Your Vision?

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Leah’s Vision

• Emotional CPR would become as widespread as regular CPR. The health of the “emotional heart” is as important as physical heart health. Both are needed to stay alive.

• When people and families are in distress and crisis, they and their supporters would be able to easily access voluntary community resources.

• Police, all first responders, and providers would be equipped to respond in ways that don’t further traumatize people, and facilitate individual and community recovery.

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Lisbeth’s Vision

• To use the healing power of community, support, and education to enrich the lives of families touched by mental health challenges and emotional distress

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Tom’s Vision

• Colleges and universities encourage a community-based, collaborative response that empowers college students who are experiencing significant emotional distress.

• A student is never punished or given barriers (e.g., expulsion) to receiving an education because of his or her mental health history or diagnosis. Rather, the college campus is a nurturing, educational environment for everyone.

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Additional Resources—Organizations • Active Minds, http://www.activeminds.org

• Café TA Center, http://cafetacenter.net

• Family Outreach and Response, http://familymentalhealthrecovery.org

• Jed and Clinton Health Matters Campus Program, http://www.myhealthyu.org

• The Jed Foundation, https://www.jedfoundation.org

• National Coalition for Mental Health Recovery, http://www.ncmhr.org

• National Empowerment Center, http://www.power2u.org

• National Mental Health Consumers’ Self-Help Clearinghouse, http://www.mhselfhelp.org

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Additional Resources—Organizations (cont.)

• Peerlink National Technical Assistance Center, http://www.peerlinktac.org/about-peerlink

• Practice Recovery, http://practicerecovery.com

• Saks Institute for Mental Health Law, Policy, and Ethics, http://weblaw.usc.edu/centers/saks/mission.cfm

• STAR Center, http://www.consumerstar.org/index.html

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Additional Resources—Publications • Boston University Center for Psychiatric Rehabilitation. (2009). Higher education support

toolkit: Assisting students with psychiatric disabilities. Retrieved from http://cpr.bu.edu/wp-content/uploads/2011/09/Higher-Education-Support-Toolkit.pdf [PDF 230 Kb]

• The Devon Recovery Group. (2008). Putting recovery at the heart of all we do: What does this mean in practice? Retrieved from http://www.devonpartnership.nhs.uk/fileadmin/user_upload/publications/info/Putting_Recovery_at_the_heart_of_all_we_do.pdf [PDF 289 Kb]

• Francolini, J. (2014, April 16). Simple math. The Huffington Post. Retrieved from http://www.huffingtonpost.com/janine-francolini/simple-math_b_5146501.html?utm_source=042314news&utm_medium=email&utm_term=returning&utm_content=20140423&utm_campaign=news

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Additional Resources—Publications (cont.)• Mollica, R. (2008). Healing invisible wounds: Paths to hope and recovery in a violent world.

Nashville, TN: Vanderbilt University Press. Additional information available from http://hprt-cambridge.org/human-spirit/healing-invisible-wounds

• The National Child Traumatic Stress Network. (2008, October). Child trauma toolkit for educators. Retrieved from: http://nctsn.org/sites/default/files/assets/pdfs/Child_Trauma_Toolkit_Final.pdf [PDF 3.5 Mb]

• Office of National Drug Control Policy. (2014, March 25). Recovery movement endorsed by United Nations. The White House Blog. Retrieved from http://www.whitehouse.gov/blog/2014/03/25/recovery-movement-endorsed-united-nations

• Spiro, L., Fisher, D., & Harris, L. (2013, November 22). eCPR: A health promotion approach. Mad in America. Retrieved from http://www.madinamerica.com/2013/11/ecpr-health-promotion-approach

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Additional Resources—Publications (cont.)

• SAMHSA. (2009). Family psychoeducation: Getting started with evidence-based practices (HHS Pub. No. SMA-09-4423). Available from http://store.samhsa.gov/product/Family-Psychoeducation-Evidence-Based-Practices-EBP-KIT/SMA09-4423

• SAMHSA. (2014). The toolkit for community conversations about mental health. Retrieved from http://www.samhsa.gov/communityconversations

• Wahl, O. F., Susin, J., Kaplan, L., Lax, A., & Zatina, D. (2011). Changing knowledge and attitudes with a middle school mental health education curriculum. Stigma Research and Action, 1(1), 44–53. doi: 10.5463/sra.v1i1.17 Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124704

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Additional Resources—ADS Center Archived Teleconferences

• Building Community Resiliency and Healing: Preparing for, Responding to, and Recovering From Community Trauma and Disasters http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference07232013.aspx

• Demystifying Trauma: Sharing Pathways to Healing and Wellness http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference09262011.aspx

• Ensuring Access and Inclusion in Higher Education: Rights, Rules, and Responsibilities http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference06062012.aspx

• Peer Support and Peer Providers: Redefining Mental Health Recovery http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference09212010.aspx

• Complete List of Archived Teleconferences http://www.promoteacceptance.samhsa.gov/teleconferences/archive/default.aspx

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Questions

You may now submit your question by pressing “*1” on your telephone keypad. You will enter a queue and be allowed to ask your question in the order in which it is received. Upon hearing the conference operator announce your first name, you may proceed with your question.

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For More Information, Contact

• Leah Harris, [email protected]• Lisbeth Riis Cooper, [email protected]• Tom Murray, [email protected]

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SpeakersLeah Harris, M.A., is a mother, activist, writer, and a person with a psychiatric history. She is also the daughter of two parents who were diagnosed with severe mental illness, both of whom died very young as a result of their disabilities. This depth of personal experience fuels Ms. Harris' unstoppable commitment to ensuring human rights and a meaningful life in the community for people experiencing emotional distress and extreme states. Ms. Harris has been a nationally recognized leader in the consumer/survivor movement for over a decade. She has written and spoken widely about her own experiences of trauma and healing, and as a family member of people diagnosed with mental health issues. She is currently the Director of the National Coalition for Mental Health Recovery. Additionally, she consults on trauma-informed practice for the National Center for Trauma-Informed Care, and on new innovations in suicide prevention with the Center for Dignity, Recovery and Empowerment, a project of the Mental Health Association of San Francisco. She is an Emotional CPR facilitator, and she promotes alternative approaches to supporting individuals through distress and crisis and into recovery.

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SpeakersLisbeth Riis Cooper is the founder, Vice Chair, and visionary behind CooperRiis Healing Community in Western North Carolina, a residential community where individuals with mental illness and emotional distress learn how to recover and thrive through a comprehensive program that addresses mind, body, spirit, and heart. Ms. Riis Cooper saw a need to establish a new kind of mental health organization, a therapeutic community where individuals could become whole and regain self-esteem, following 10 years of navigating a fragmented mental healthcare system trying to help a close family member who struggled with mental illness. She had become frustrated and angered by the system. She chose to turn her anger into action, creating from the ground up, with her husband, Don Cooper, a healing community where people could truly recover and go on to lead meaningful lives. The CooperRiis Healing Community takes a holistic recovery approach. Residents focus on realizing their dreams and goals rather than on the limitations of diagnoses. “Three things we all need more than anything in this world are hope, purpose, and community,” Ms. Riis Cooper says. “In our community, we help residents restore hope and purpose.”

Ms. Riis Cooper and her husband are also strong advocates for a new kind of learning for families that goes beyond educating about just symptoms and medication and instead really gets to the heart of the matter. With this resolve, Lisbeth is a Founding Partner who helped launch "Families Healing Together," an online family recovery education community, which offers two classes that focus on possibilities, strengths, role clarification, letting go, communication, boundaries, and hope.

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SpeakersTom Murray, Ph.D., LMFT, LPC-S, is the Director of Counseling and Testing Services at the University of North Carolina School of the Arts. Dr. Murray is a licensed marriage and family therapist and licensed professional counselor. He received his graduate training from the University of Florida’s Department of Counselor Education in 2001 and 2005. Currently, Dr. Murray remains professionally engaged by serving on faculty within Walden University's School of Counseling and within Wake Forest University's Department of Psychiatry and Behavioral Medicine as a voluntary clinical assistant professor. In addition, he serves on the editorial board of the Journal of Mental Health Counseling, published by the American Mental Health Counselors Association. In addition, Dr. Murray is a certified trainer and facilitator of the Partners in Change Outcome Management System and Emotional CPR, respectively; both approaches aim at elevating and privileging the voices of those in distress.

As a self-proclaimed professional gadfly, Dr. Murray addresses systemic factors within the mental health industry that diminish the quality of care. Specifically, his professional writing, lectures, and other speaking engagements have examined the role and ethical implications of psychopharmacology on the profession and those whom mental health care providers serve. Dr. Murray's current interests also include the adoption of client-directed, outcome-informed mental health delivery within college and university counseling centers, as well as bringing to light the negative impact that the belief in the disease model has on the psychology of clients.

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SurveyWe value your suggestions. Within 24 hours of this teleconference, you will receive an email request to participate in a short, anonymous online survey about today’s training material that will take 5 minutes to complete. Survey results will be used to determine resources and topic areas to be addressed in future training events.

Survey participation requests will be sent to all registered event participants who provided email addresses at the time of their registration. Each request message will contain a Web link to our survey tool. Please call 800–540–0320 if you have any difficulties filling out the survey online. Thank you for your feedback and cooperation.

Written comments may be sent to the SAMHSA ADS Center via email at [email protected].

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Archive

This training teleconference was recorded. The PowerPoint presentation, PDF version, video archive including closed-captioning, and written transcript will be posted to the SAMHSA ADS Center Web site at http://www.promoteacceptance.samhsa.gov/teleconfer

ences/archive/default.aspx.

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Also of Interest

If you enjoyed this training teleconference, we encourage you to:

Join the ADS Center listserv to receive further information on recovery and social inclusion activities and resources including information about future teleconferences.

http://promoteacceptance.samhsa.gov/main/listserve.aspx

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Contact Us

SAMHSA ADS Center4350 East West Highway, Suite 1100Bethesda, MD 20814

Toll-free: 800–540–0320Fax: 240–744–7004Web: http://www.promoteacceptance.samhsa.gov Email: [email protected]

The moderator for this call was Jane Tobler.

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