Mental Health First Aid in Miami - Employee Conference Day

1. Employee Conference Day: Mental Health First Aid in Miami Miami Dade College Feb. 16, 2017

2. Mental Health First Aid in Miami -Sessions: GT4:3A and GT4:3B -Disclaimer: There are no relevant financial interest with the providers of any commercial products or services discussed in this presentation. ***

3. WelcomeRita Tybor, Miami Dade College

4. Collaborators • Facilitator: Rita Tybor, Miami Dade College, • Office of Student Wellness • -Nathaniel Chapman, University of Akron, • Counseling and Testing Center • -Robin Cole and Kathy Coppola, • National Alliance on Mental Illness (NAMI) Miami • --Demian Laudisio, Jewish Community Services, • Mental Health First Aid Grant • Helen Muniz, Miami Dade College,(Session B) • ACCESS Disability, Wolfson • --Renee Lambert, MDC Mental Health First Aid Grant • ***

5. National: U.S. Adults with a Mental Disorder in Any One Year Only __?%___ of people with a mental illness use mental health services in any given year

6. National: U.S. Adults with a Mental Disorder in Any One Year Only 41% of people with a mental illness use mental health services in any given year

7. 1. An International Program Mental Health First Aid 2. With National Impact 3. Our Miami Mission Together, Let’s take a journey through mental health literacy 4. At Miami Dade College 5. You!

8. Today’s • Travel Guides • 1. Nathaniel • 2. Robin & Kathy • 3. Demian • 4. Helen • 5. Renee 1. International Impact of Mental Illness 2. National Alliance on Mental Illness 3. Suicide Prevention in Miami, Florida 4. MDC: ACCESS and Mental Health How do we fit into the big picture? 5. Your Role?

9. Mental Health First Aid • An 8-hour, face-to-face, mental health literacy program • Learn to recognize onset of mental illness • Apply the 5-step action plan • Refer to community resources

10. Mental Health First Aid Literacy Program • Mental Health First Aid • is the help offered to a person developing a mental health problem or experiencing a mental health crisis. • The first aid is given until appropriate treatment and support are received or until the crisis resolves.

11. The University of Akron Counseling & Testing Center Welcome Back Nate! • Nathaniel Chapman, M.S, Doctoral Psychology Intern Counseling Center (330) 972-7082 • Website: www.uakron.edu/counseling

12. Travel Guide: International International Impact of Mental Illness The World Heath Organization compared the relative impact of different illnesses. Exercise: How would you arrange these illnesses? What is the impact of different illness across the globe?

13. International Impact of Mental Illness After the group exercise: Did anything surprise you? According to the World Health Organization, mental disorders rank as the biggest health problem in North America, and are ahead of both cardiovascular disease and cancer. International perspective Mental illnesses can be more disabling than many chronic physical illnesses

14. Impact of Mental Illness • Examples: • The disability from moderate depression is similar to the impact from relapsing multiple sclerosis, severe asthma, or chronic hepatitis B. • The disability from severe depression is comparable to the disability from quadriplegia. • “Disability” refers to the amount of disruption a health problem causes to a person’s ability to:  • Work • Carry out daily activities • Engage in satisfying relationships . Take Away from the Activity?

15. Travel Guides: National Robin Cole and Kathy Coppola National Alliance on Mental Illness (NAMI) Miami Websites: namiofmiami.org/ www.nami.org/

16. Introducing NAMI

17. WE AREThe Miami-Dade affiliate of the largest mental health organization in the US with over 1,100 local affiliates and 220,000 members.

18. Mental illness: The facts • One in four adults has a mental illness in any given year • Most mental illness is undiagnosed and untreated • Average delay between onset of symptoms and treatment is 10 years, resulting in serious brain damage and ensuing disability in young adulthood. • Mental illness onset occurs in youth • It is poorly understood and manifests often with no warning

19. Mental illness: The facts • 20% of youth ages 13-18 live with a mental health condition • 50% of lifetime cases begin by age 14 and 75% by age 24 • 50% of students with mental illness drop out of high school • 70% of youth in state/local juvenile system have a mental illness • Suicide is the 3rd leading cause of death in youth ages 10-24 • 90% of those who take their lives have an underlying mental illness • Hispanic/African Americans have similar incidence of illness but seek treatment less than half as often as whites

20. WE ARE A key to the solution Of insufficient resources for: Early identification Treatment support Post crisis recovery Care integration

21. NAMI: Targeted, proven signature programs: • NAMI Family-to-Family Education Program • NAMI Family Support Group • NAMI Peer-to-Peer Recovery Education Program • NAMI Connection Peer Support Group • NAMI Basics Education Program • NAMI Parents and Teachers as Allies • NAMI Ending the Silence • NAMI In Our Own Voice • NAMIHomefront Education Program for Veterans • NAMI Provider Education Program • NAMIFaithnet • NAMI Smarts for Advocacy

22. SUPPORT GROUPS Grupo de Apoyo para Familiares • Groups in English and Spanish • Develop coping skills • Tools and resources to manage illness • Find strength in shared experiences • Reject stigma and not tolerate discrimination • Work for a better future in a realistic way • Eliminate shame: Know that mental illness is a brain disorder, not a weakness of character

23. CURRICULUM Class 1: Principles, Goals, Learning About FeelingsClass 2: Schizophrenia, Major Depression & Mania; Critical PeriodsClass 3: Types & Subtypes Of Bipolar Disorder; Diagnoses of Panic Disorder & OCDClass 4: Basics About The Brain & Biology Of RecoveryClass 5: Problem Solving WorkshopClass 6: Medication ReviewClass 7: Empathy Workshop: Defensive Strategies To Protect Self-esteemClass 8: Communication Skills WorkshopClass 9: “Relative Groups” Experience & Self-careClass 10: Rehabilitation & RecoveryClass 11: Fighting Stigma; AdvocacyClass 12: Graduation; Evaluation; Engaging with NAMI Find Help. Find Hope.

24. Family to Family Outcomes • Recognize the signs and symptoms of mental illness • Empowerment of family caregivers as effective advocates for their children/adult members • Understand the types of services needed • Develop plan to manage crises that may result from the illness • Manage the stress and negative impact on the family

25. Family to Family Outcomes • Problem solving and coping • Communication skill with the patient and treatment team • Less tension: family/ ill loved one/treatment team • Reduction in family’s anger, depression, despair, and stress • Productive collaboration toward recovery

26. Evidence-based curriculum in English and Spanish Monumental NIMH study led by Dr. Lisa Dixon (Columbia Univ.): randomized control trial in 5 ethnically diverse counties in Washington DC and Baltimore in 2006-2009 Conclusion: "Family to Family increases knowledge and empowerment within the family, the service system and the community." SAMHSA National Registry of Evidenced Based Programs and Practices, 2013. Largest family psycho-education program in the US Clinically tested: immediate and lasting benefits to family and patient Family to Family: Proven Efficacy

27. The Goal: Consumer/Family Centered Best Practices IDENTIFY/ INTERVENE INTEGRATEDMEDICAL CARE CONSUMER & FAMILY PSYCHOSOCIAL REHAB FAMILY AND PEER SUPPORT

28. We invite you to join the NAMI partnership Together we can succeed….. Thank you!

29. Travel Guide: Miami Suicide Prevention in Miami Demian Laudisio, Jewish Community Services What we have learned about suicide prevention in Miami-Dade County

30. 234 deaths annually in Miami-Dade 2015 261 2014 235 2013 215 2012 222 2011 206 2010 221 2009 239 2008 234 2007 266 attributed to suicide

31. Rank & CauseNumber of deaths 1. Diseases of the heart 5,299 2. Malignant neoplasms (cancer) 4,199 3. Chronic Lower Respiratory Disease 907 4. Alzheimer's Disease 832 5. Unintentional Injury 796 6. Diabetes mellitus 714 7. Nephritis, nephrosis 347 8. Parkinson's Disease 269 9. Suicide (Intentional Self-Harm) 261 10. Chronic Liver Disease & Cirrhosis 205 Homicide ranks 12th 233 Suicide: A leading cause of death in Miami–Dade (2015)

32. 25 attempts for each documented death (Note: 261 suicides translates into 6,525 attempts annually in Miami-Dade) Estimates of attempted suicide

33. Question? Why does reducing access to lethal means prevent some suicides?

34. Why Means Matter See: www.meansmatter.org for studies examining these concepts. • Suicidal crises are often relatively brief. • Suicide attempts are often undertaken quickly with little planning. • Some suicide methods are far more deadly than others. “Case fatality” ranges from 1% for some methods to 85-90% for the most deadly, like firearms. • 90% of those who survive even nearly-lethal attempts do not go on to later die by suicide.

35. Why Focus on Firearms? • Firearms are the leading suicide method in the U.S. • Gun owners and their families are at about 3 times higher risk of suicide than non-gun owners. • This isn’t because they’re more suicidal. Gun owners are NO more likely to be mentally ill, to think about suicide, or to attempt suicide than non-gun owners. • Rather, they’re more likely to die in a suicide attempt because guns are more lethal than most other methods. Sources: Betz M, Suicide Life Threat Behavior, 2011. Miller M, Injury Prevention, 2009. Ilgen M, PsychiatrServ, 2008. Sorenson & Vittes, Eval Rev, 2008.

36. Reducing a Suicidal Person’s Access • A simple step to increase a suicidal person’s safety is to reduce access to firearms at home. • Many counselors, providers, and family members of at-risk people don’t think to do this. • This temporary safety intervention is not anti-gun.

37. Questions to Ask Questions to Ask Ask the person directly whether he or she is suicidal: • “Are you having thoughts of suicide?” • “Are you thinking about killing yourself?” • Ask the person whether he or she has a plan: • “Have you decided how you are going to kill yourself?” • “Have you decided when you would do it?” • “Have you collected the things you need to carry out your plan?” • Ask if there are firearms in the home. Questions to

38. To keep him safe… … when, as a young man, Abraham Lincoln was depressed and suicidal, a friend said of him, “Lincoln told me that he felt like committing suicide often.” Seeing suicide warning signs, Lincoln’s neighbors mobilized to keep him safe, watching over him, and removing his knives and pistol. They pulled together the same kind of safety net gatekeepers can build today – and which included making sure our President did not have access to the means of suicide. It was said that when he again became depressed later in life he “dared not carry even a pocket knife…” Source: Lincoln’s Melancholy, A.W. Shenk, Houghton, Mifflin, Co. 2005

39. Miami Dade College: ACCESS Overview Travel Guide: Helen Muñiz Bermudez, LCSW Director, ACCESS (Disability Services) & MEED • ACCESS Overview • Purpose • Ensure equal access and opportunity • Advocating for accessibility • Faculty and Staff Support Miami Dade College MDC: ACCESS Services

40. Top five things to know…. What you need to know about ACCESS services • Student Eligibility + Referrals to Campus ACCESS Office 2. Support Services 3. Compliance Responsibilities of Postsecondary Institutions (e.g., Section 504, ADAAA)

41. Top five things to know…. 4. Hot Topics in Disability Services and Higher Education • Web accessibility • Service Animals v. Assistance Animals 5. Faculty and Staff Resources

42. Travel Guide: Renee Lambert, MDC Mental Health First Aid Grant Your Role? Mental Health First Aid National Website: www.mentalhealthfirstaid.org

43. Mental Health First Aid Grant • Attend an MDC Mental Health First Aid Training • Email: Renee Lambert • Administrative Coordinator • Mental Health First Aid Grant • E-mail: rlambert@mdc.edu • Or, schedule a training for your entire group • On SharkNet: Type in search field: • Mental Health First Aid Grant Your Role?

44. Travel Guide: • Rita’s Travel Review • If you see something, • say something • How can we connect • to others? • How do we increase • help-seeking behavior? Your Role?

45. Let’s Review • Increasing protective factors • Helping others connect to resources. • Learning more Your Role?

46. Travel Guide: New resources At MDC: Learn about ACCESS. Learn to schedule Mental Health First Aid for yourself or a group. MDC: ACCESS and Mental Health Your Role?

47. Testimonials and Resources Currently, MDC has a GREAT opportunity to offer FREE Mental Health First Aid Classes MDC: ACCESS and Mental Health Your Role?

48. Learn More • 2017 Suicide Prevention Conference: http://www.nicklauschildrens.org/suicideprevention Suicide Prevention Training Learn More about Suicide prevention to increase your knowledge. MDC: ACCESS and Mental Health Yourrole?

49. Guide to Learning More Miami chapter of National Alliance on Mental Illness Suicide Prevention training in Miami NAMI in Miami has regular trainings and meetings. This is a helpful, robust organization. MDC: ACCESS and Mental Health Yourrole?

50. Guide to Learning More International research, work to overcome stigma Miami chapter of National Alliance on Mental Illness Find ways to increase knowledge and compassion. Suicide Prevention training MDC: ACCESS and Mental Health First Aid Yourrole?