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INJURED NOT BROKEN: ADDRESSING MENTAL HEALTH NEEDS WITH A WHOLE-LIFE RECOVERY APPROACH. Brain Injury Alliance Annual Conference April 11th, 2013 Brooklyn Center, MN. YOUR PRESENTERS TODAY. Sonja Kruse, MA, CBIS, ARMHS Specialist Shannon Campbell, MS, ARMHS Specialist. COURAGE CENTER.
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INJURED NOT BROKEN: ADDRESSING MENTAL HEALTH NEEDS WITH A WHOLE-LIFE RECOVERY APPROACH Brain Injury Alliance Annual Conference April 11th, 2013 Brooklyn Center, MN
YOUR PRESENTERS TODAY • Sonja Kruse, MA, CBIS, ARMHS Specialist • Shannon Campbell, MS, ARMHS Specialist
COURAGE CENTER • MISSION • COURAGE CENTER EMPOWERS PEOPLE WITH DISABILITIES TO REALIZE THEIR FULL POTENTIAL IN EVERY ASPECT OF LIFE.
ARMHS • ADULT REHABILITATIVE MENTAL HEALTH SERVICES (ARMHS) ARE REHABILITATIVE SERVICES: • 1. MENTAL HEALTH DIAGNOSIS (AND BARRIERS TO FUNCTIONING) • 2. SKILL BASED: • MANAGEMENT OF MENTAL HEALTH • INVOLVEMENT IN THE COMMUNITY • INDEPENDENT LIVING • 3. COMMUNITY-BASED (HOME, LOCAL COMMUNITY) • 4. MEDICAL SERVICE- (NOT WAIVER FUNDED) www.psychologytoday.com/.../u92/Teaching%202.jpg
OUTLINE • 1.WHY “BROKEN”? (LOSS AND TBI) • 2.THE MENTAL HEALTH RECOVERY MOVEMENT • 3.THE WHOLE-LIFE APPROACH • 4.CLIENT EXAMPLES • 5. IDEAS AND RESOURCES
EXAMPLE • I WOULD: • I AM:
INTRODUCTION • TBI AND “BROKEN”
CONTRIBUTING FACTORS GRIEF AND LOSS FOCUS ON DEFICITS MENTAL HEALTH CONCERNS FAMILY SYSTEMS AND CLOSE RELATIONSHIPS CHANGING ROLES QUESTIONING IDENTITY CONSTANT COMPARISONS LIFESTYLE/HOBBIES FINANCIAL PROBLEMS
TBI AND “BROKEN” • IRREPARABLE DAMAGE • INCOMPLETE • “LESS THAN” (COMPARISON) • (NOT A PHILOSOPHICAL STANCE)
CO-OCCURRENCE OF BRAIN INJURY AND MENTAL HEALTH DISORDERS • 1.7 MILLION/TBI/YEAR (est.) • DEPRESSION IS THE MOST FREQUENT PSYCHIATRIC ILLNESS OBSERVED AMONG CLIENTS WITH TBI • 18-40% • Immediate or several years later • May resolve or be ongoing • ANXIETY DISORDERS FOUND TWICE MORE OFTEN IN INDIVIDUALS WITH TBI THAN IN THE GENERAL POPULATION (36% VS 18%) • CO-MORBID MENTAL HEALTH DISORDERS ARE COMMON (DEPRESSION/ANXIETY MOST COMMON CO-MORBIDITY)
HISTORY OF MENTAL HEALTH RECOVERY MOVEMENT • RECOVERY MOVEMENT IN THE US • 1800’S • CONCEPT OF RECOVERY • 1900’S • NATIONAL MENTAL HEALTH ACT (1946) • 2000’S • NEW FREEDOM COMMISSION ON MENTAL HEALTH
PIONEERS OF MENTAL HEALTH RECOVERY MOVEMENT • DOROTHEA DIX • CLIFFORD BEERS • PAT DEEGAN • MARY ELLEN COPELAND • MARTIN SELIGMAN
PRINCIPLES OF MENTAL HEALTH RECOVERY • SELF-DIRECTION • INDIVIDUALIZED & PERSON-CENTERED • ENPOWERMENT • HOLISTIC • NONLINEAR • 6. STRENGTHS-BASED • 7. PEER SUPPORT • 8. RESPECT • 9. RESPONSIBILITY • 10. HOPE
RECOVERY PROGRAMS, TREATMENTS & THERAPIES • WRAP • KEY CONCEPTS • STRENGTHS-BASED PSYCOLOGY • EXAMPLE: PROBLEM VS. STRENGTH • NARRATIVE THERAPY • KEY PRINICIPLES • ADDITIONAL THERAPIES • CBT, SUPPORT GROUPS, OT, PT, S/LT, VIDEO GAMES
NEW DEVELOPMENTS & FUTURE RESEARCH • TBI, THE MILITARY AND MENTAL HEALTH • PREVELANCE • TREATMENTS • CURRENT RESEARCH • FUTURE TRENDS • TBI, SUBSTANCE ABUSE AND MENTAL HEALTH • PREVELANCE • TREATMENTS • CURRENT RESEARCH • FUTURE TRENDS
A WHOLE-LIFE APPROACH MIND BODY SPIRIT
CLIENT EXAMPLES • VIDEO
CLIENT EXAMPLES PHOTOS
THANK YOU! CONTACT INFO: COURAGE CENTER ARMHS PROGRAM 763-520-
BIBLIOGRAPHY • Copeland, Mary Ellen (1997) Wellness Recovery Action Plan, Peach Press, http://www.mentalhealthrecovery.com. • Moore and M. Stambrook. Cognitive moderators of outcome following traumatic brain injury: A conceptual model and implications for rehabilitation. 1995, Vol. 9, No. 2 Pages 109-130 • UBM Medica Psychiatric Times: Mood and Anxiety Disorders Following Traumatic Brain Injury Ricardo E. Jorge, MD | June 1, 2008 http://www.psychiatrictimes.com/display/article/10168/1163519 • Brain Injury Association of America: http://www.biausa.org/ • www.brainline.org • www.nami.org • www.asha.org/aud/articles/currentTBI.htm • www.samhsa.gov • www.apa.org • Photo images courtesy of: http://www.freedigitalphotos.net/