National Alliance on Mental Illness (NAMI) Prince George's County

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National Alliance on Mental Illness (NAMI) Prince George’s County

Mental Health Resource Guide

for Returning Citizens

May 2021

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NATIONAL ALLIANCE ON MENTAL ILLNESS

PRINCE GEORGE’S COUNTY

The County’s Voice on Mental Illness

240-487-3418

[email protected]

http://www.namipgc.org

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TABLE OF CONTENTS

Overview Congratulations and Welcome Letter Page Number 3

Introduction • About NAMI National

• About NAMI Prince George’s County

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Section A Mental Health Conditions and Dual Diagnosis Condition • What’s a Mental Illness?

o Exhibit 1 – Black Celebrities Helping to Erase Mental Health Stigma

o Exhibit 2 – Famous People with Mental Health Conditions

• How’s a Mental Health Condition Diagnosed?

• Why’s a Diagnosis Important?

• What’s a Dual Diagnosis Condition? o Exhibit 3 – Warning Signs of Mental Health Conditions

• How’s a Mental Health Conditions Treated?

5-11

Section B Crisis Planning Ahead – Preparing a Relapse Plan and Crisis Plan • What’s a Relapse? Why Do I Need a Relapse Plan?

o Exhibit 4 – Relapse Plan Template

• What’s a Crisis? Why Do I Need a Crisis Plan? o Exhibit 5 – Crisis Plan Template

• Handling a Threatening Crisis o Exhibit 6 – Crisis Hotlines/Texts and NAMI

Warmlines/Helplines

11-14

Section C NAMI Educational Programs and Support Groups Exhibit 7– NAMI Peer-to-Peer Class Description Exhibit 8 – NAMI On Our Own Presentation Description Exhibit 9 – NAMI Connection Support Group Description

15-17

Section D NAMI Facts Sheets • Mental Health Conditions, Related Conditions and Treatment Services

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Section E Self-Care –It’s Important for Your Well-Being

• NAMI Prince George’s County Mental Health Self-Care Tips for Returning Citizens

19-22

mailto:[email protected]

http://www.namipgc.org/

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Section F Mental Health Advocacy and Awareness

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Section G

What NAMI Wants You to Remember 23

Appendix A NAMI Fact Sheets ▪ Mental Health Conditions Fact Sheets: ADHD (Attention Deficit Hyperactivity

Disorder), Anosognosia, Anxiety, Bipolar Disorder, Depression, PTSD (Posttraumatic Stress Disorder), Schizophrenia

▪ Related Conditions Fact Sheets: Dual Diagnosis, Psychosis, Risk of Suicide, Self-

Harm, Sleep Disorders

▪ Treatment and Services Fact Sheets: Crisis Services, Medications Overview, Mental Health Professionals, Psychosocial Treatments, Psychotherapy, Treatment Settings

24-42

43-53

54-68

Appendix B General Maryland and Prince George’s County Resources • Benefits, Cell Phones, Crisis Services, Employment, Help Lines, Text Numbers and

Hotlines, Housing, Medical Services, Peer Support, Problem Solving Courts and Veterans Services

69-80



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Welcome Back! NAMI Prince George’s County congratulates you on your reentry

accomplishment and warmly welcomes you back into the community!

As a returning citizen who’s been diagnosed with a mental illness or think you may have one—

NAMI wants you to know You Are NOT Alone. We’re here as a local mental health resource to

support you during your transition.

We developed this Mental Health Resource Guide for Returning Citizens to help during your transition. The Guide

gives you basic information about mental health conditions, information about free NAMI educational programs and

services, and other general resources in Prince George’s County and the State of Maryland,

You’re probably asking -- What’s in the Guide about mental illness? Well, there’s basic information about mental

health conditions that can help you manage and maintain your mental wellness. Some of the topics covered include:

▪ What’s a mental illness? What are the most common ones? How do you get a diagnosis?

▪ What are the signs and symptoms? How’s it treated? What can I do to remain in recovery/stable?

▪ What’s a mental health crisis? How’s a crisis handled?

And there’s more useful information in it. Besides this Guide, NAMI has several other reentry resources that may

be helpful —the NAMI Coming Home Reentry Guide1 and the Reentry After a Period of Incarceration2 web page.

Remember that your journey of mental wellness and recovery begins with you! There are community resources to

make the journey easier; and NAMI is one. We hope you find the Guide beneficial.

Kindest regards,

JB Moore, Executive Director NAMI Prince George’s County

1 https://www.nami.org/getattachment/Find-Support/Living-with-a-Mental-Health-Condition/Navigating-the-Justice-System/Re-entering-the-Community/NAMIComingHomeReentryGuideAug2013.pdf 2 https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Reentry-After-a-Period-of-Incarceration



https://www.nami.org/getattachment/Find-Support/Living-with-a-Mental-Health-Condition/Navigating-the-Justice-System/Re-entering-the-Community/NAMIComingHomeReentryGuideAug2013.pdf

https://www.nami.org/getattachment/Find-Support/Living-with-a-Mental-Health-Condition/Navigating-the-Justice-System/Re-entering-the-Community/NAMIComingHomeReentryGuideAug2013.pdf

https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Reentry-After-a-Period-of-Incarceration

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Introduction: NAMI National and NAMI Prince George’s County

About NAMI National

NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health

organization dedicated to building better lives for the millions of Americans affected by mental

illness.

What started as a small group of families gathered around a kitchen table in 1979 has blossomed

into the nation's leading voice on mental health. Today, NAMI is an alliance of more than 700

Local Affiliates and 48 State Organizations, working in communities to raise mental health

awareness and to provide support and education to those in need.

About NAMI Prince George’s County

NAMI Prince George’s County, a local Maryland Affiliate, began in 1981. Through our

volunteers, we provide free mental health education, advocacy and support in the County. Because

of the work we do in the community, NAMI Prince George’s County was recognized and featured

as “One of the Best” Nonprofits in Our Region” in the 2020-2021 edition of the Catalogue for

Philanthropy. We strive to serve as the County’s Voice of Mental Illness to make lasting

improvements in our community.

Advocacy Education

Support Awareness

NAMI Motto: “You are not alone"



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Section A: Mental Health Conditions and Dual Diagnosis Condition3

What’s a Mental Illness? NAMI sees mental health conditions or mental illnesses as physical

conditions. Just like diabetes or high blood pressure require medical treatment--so do mental

illnesses. If you have or think you might have a mental illness, the first thing you must know is

that treatment works and there’s hope.

Mental illnesses are no one’s fault. These conditions are far more common than you think. One

may not hear much about them. People don’t like to talk about mental illnesses and/or are too

afraid to talk about them due to the stigma (shame) associated with these illnesses. Stigma is also

a major reason that people don’t get help.

Below are a few facts about adults in the U.S. who have mental health conditions. This may help

you to see how common these conditions are:

• About 1 in 5 U.S. adults experience mental illness each year;

• Approximately 60 million people in the U.S. face the day-to-day reality of managing the

symptoms of a mental health condition;

• About 2 million times each year, people with serious mental illnesses are booked into jails;

and

• About 3 in 5 incarcerated individuals have a history of mental illness.

3 3NAMI recognizes that other organizations have drawn distinctions between what diagnoses are considered

“mental health conditions” as opposed to “mental illnesses.” We intentionally use the terms “mental health conditions” and “mental illness” interchangeably.



https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR1PDFW090120.pdf

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Recovery is possible for many people with a mental illness! There are many people affected by

mental illness who live well and succeed in life. These include people in our community,

celebrities, and many other famous people. You may recognize some celebrities in Exhibit-1–

Black Celebrities – Helping to Erase Mental Health Stigmas or in Exhibit 2-Famous People with

Mental Health Conditions. The list includes a former president and a congressman, athletes,

Grammy-winning singers, song writers, actors, authors, comedians, and rappers.

Having a mental health condition does not stop you from having a meaningful role in your social

life, school, work or your community. It’s possible especially when you start treatment early,

follow your treatment plan and play a strong role in your recovery process.



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Exhibit 2 – Famous People with Mental Health Conditions4

Alicia Keys (has depression) Grammy-winning singer, songwriter

Will Smith (has ADHD) Oscar-nominated actor and Grammy-winning rapper

Jenifer Lewis “The Mother of Black Hollywood” (has bipolar disorder)

Actress, comedian, author and activist

Adele (has generalized anxiety disorder) Grammy-winning singer, song writer

Dwayne “The Rock” Johnson (had depression) Actor, singer and retired wrestler

Margaret Cho (has depression) Comedian, actress, and author

JK Rowling (has depression) Author best known for the Harry Potter Series

Lady GaGa (has depression) Singer, actress, founder of Born this Way Foundation

Terry Bradshaw (has depression) NFL Hall of Fame quarterback

Abraham Lincoln (believed to have had depression) 16th President of the U.S.

Brandon Marshall (has borderline personality disorder) Former, NFL All-Pro wide receiver, mental health activist #StrongerThanStigma

Taraji P. Henson (has anxiety and depression) Golden Globe-winning actress and mental health advocate.

Michelle Williams (has severe depression) Singer and former member of Destiny’s Child singing group

Demi Lavota (has bipolar disorder and addiction) Singer, songwriter and actress

Rick Warren (family member whose son had depressive disorder and died by suicide)

Pastor and author of The Purpose Driven Life

Mariah Carey (has bipolar disorder type 1) Singer, songwriter, record producer, and actress

Larry Sanders (has anxiety and depression) Retired professional basketball player

4 NAMI Family & Friends and Essence.com at: https://www.essence.com/lifestyle/health-wellness/black-celebs-help-erase-mental-health-stigmas-encourage-therapy/



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How’s a Mental Health Condition Diagnosed? A diagnosis is based on medical

and mental health professionals’ observations of you and a physical examination

is often recommended. Also included is input from persons close to you--like

your family, friends and others--describing their observations of changes in your

mood and thoughts, how your feelings are expressed, and differences in your

behavior.

The signs and symptoms of a mental illness differ from one person to another. Each person

responds differently. Regardless of the diagnosis--when there’s a crisis--the symptoms can be

alike and can overlap. The warning signs are listed in Exhibit 3–Warning Signs of Mental Health

Conditions. Because signs differ from one person to another, it’s important to have a physical

examination at the beginning of a psychiatric evaluation. The physical will determine if there’s a

medical condition that may be causing the symptoms.

Some of the most common mental health diagnoses are depressive disorder, bipolar disorder,

schizophrenia and anxiety disorders. However, there are many others. You can get additional

information about your diagnosis, these and other diagnoses in the NAMI Fact Sheet Section at

the end of the Guide in Appendix A.

Why’s a Diagnosis Important? A diagnosis is an important tool for you, your doctor and

therapist. Your doctor and therapist use the diagnosis to advise on your treatment options and

future health risks. Another reason is it tells health insurance companies you have a condition that

requires medical care. And, a diagnosis is also necessary for you to qualify for Social Security

disability support or job protection under the Americans with Disabilities Act.

What’s a Dual Diagnosis Condition? Dual diagnosis is a term used to refer to a condition in

which an individual experiences a mental health condition and a substance abuse problem

simultaneously. This is also called a co-occurring disorder. People who experience a mental

health condition may turn to drugs and/or alcohol to relieve the troubling symptoms that they

experience. This is called “self-medicating. The drugs and alcohol make the symptoms worse

because of the impact that these have on the person’s moods, thoughts, brain chemistry and

behavior.



https://adata.org/learn-about-ada

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If a person has a dual diagnosis, it’s important to also get treatment for the substance use condition.

The most common method of treatment involves the individual receiving care for both the mental

illness and substance use. Because there are many ways in which a dual diagnosis may occur,

treatment will not be the same for everyone. Some of the treatment regimens include

detoxification, inpatient rehabilitation, medications, and counseling. You can find more

information about dual diagnosis in the NAMI Fact Sheet Section at the end of the Guide.

With new and more effective treatments, services and medications being developed for mental

illness, there’s always a reason for hope.

Exhibit 3–Warning Signs of Mental Health Conditions5

5 https://www.nami.org/Support-Education/Publications-Reports/Guides/Navigating-a-Mental-Health-Crisis/Navigating-A-Mental-Health-Crisis



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How’s a Mental Health Condition Treated?

The most effective treatment for a mental illness is a combination of

supportive talk therapy/counseling and medication. There’s no treatment

that fits everyone. Being involved in planning your treatment helps to

improve your results. You have to work with your treatment team to

develop a Treatment Plan that includes the best options for you.

Treatment options can include medication, talk therapy, social support

from family/support team, self-help mental health support groups, mental

health education, faith community, other organizations, etc. For example, social support from a

family can make a difference for one person. Or, for another individual, it could be taking a NAMI

education class to learn about ways to cope and reduce the symptoms of the mental health

condition.

Having a Treatment Plan and following it is vital to recovery. You can get more information about

NAMI’s free education and support programs in Section C. Information about treatment options

can be found in the NAMI Fact Sheet section at the end of the Guide.

Section B: Crisis Planning Ahead - Prepare a Relapse Plan and Crisis Plan

So, you’re probably asking the following questions: What’s a relapse? Why

do I need a Relapse Plan? A relapse is a setback. It occurs when your mental

health symptoms return and your functioning decreases. (See Exhibit 3.) Call

your treatment provider. Let your family/support team know if you start to

experience symptoms. They can get the assistance that you’ll need.

Some situations or behaviors—called triggers—can lead to a relapse or a crisis. Knowing your

triggers can help you develop ways to deal with them and reduce the risk of relapse. Triggers are

different for everyone, but can include:

• Stopping medication or not taking medication as prescribed;

• Using drugs and/or alcohol;

• Being under stress or overwhelmed;

• Conflict in relationships;

• Illness or death of a loved one; and

• Other major life changes.



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Some ways to reduce a relapse are:

• Having social support;

• Learning about your condition and symptoms;

• Participating in supportive treatments and therapies;

• Finding a medication option that works for you;

• Taking your medication regularly, as prescribed; and

• Managing stress.

A Relapse Plan is a way to help prevent a crisis. It helps to identify telltale feelings, thoughts,

behaviors or events that may warn that a relapse coming. A template for preparing a Relapse Plan

is presented below. Exhibit 4–Relapse Plan Template

Relapse Plan

How will we know you’re going into crisis?

• List signs and symptoms of relapse, mild to severe.

What will we do if you go into crisis?

• When mild symptom appears, we will:

• When more serious symptoms appear, we will:

• When severe/potentially dangerous symptoms appear, we will:

At what point will hospitalization be considered?

• What action(s) or symptoms would prompt a trip to the Emergency Room?

• Which hospital is preferred?

At what point might emergency services or law enforcement be contacted?

• What actions or symptoms would prompt the call?



https://www.nami.org/About-Mental-Illness/Mental-Health-by-the-Numbers/Infographics-Fact-Sheets

https://www.nami.org/About-Mental-Illness/Treatments

https://www.nami.org/About-Mental-Illness/Treatments/Mental-Health-Medications/Types-of-Medication

https://www.nami.org/About-Mental-Illness/Treatments/Mental-Health-Medications

https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Taking-Care-of-Your-Body/Managing-Stress

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What’s a Crisis? Why do I need a Crisis Plan? A mental health crisis refers to any situation

where your behavior puts you at risk of hurting yourself and/or others; or prevents

you from being able to care for yourself and/or functioning effectively in the

community. As shared above, many stressful things can lead to a mental health

crisis. You can use the template below to prepare a Crisis Plan with your

family/support team or treatment team.

Exhibit 5–Crisis Plan Template6

Crisis Plan

A Crisis Plan should include:

• A person’s general information;

• Contact information for family;

• Contact information for health care professionals;

• Strategies and treatments that have worked in the past;

• A list of what might make the situation worse and a list of what might help;

• Current medications(s) and dosages;

• Current diagnoses;

• Person’s treatment preferences;

• Contact information for nearby crisis centers or emergency rooms;

• Contact information for adults the person trusts; and

• Safety plan.

Be sure the Relapse Plan and Crisis Plan are prepared with your family/support team. The plans

should be written down, shared, and stored safely. Update the Crisis Plan whenever there’s a

change in your diagnosis, medication, treatment and/or treatment provider.

6 https://www.nami.org/NAMI/media/NAMI-Media/Infographics/crisis%20guide/INFO-Preparing-for-Crisis-ENG.pdf



https://www.nami.org/NAMI/media/NAMI-Media/Infographics/crisis%20guide/INFO-Preparing-for-Crisis-ENG.pdf

https://www.nami.org/NAMI/media/NAMI-Media/Infographics/crisis%20guide/INFO-Preparing-for-Crisis-ENG.pdf

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Handling A Threatening Crisis7.

If you find yourself in a crisis situation where you’re thinking about harming

yourself of someone else, immediately call 911, or call the National Suicide

Prevention Hotline at 1-800-273-8255, or go to the nearest hospital. You’ll find

the crisis hotline numbers/texts and NAMI Warmlines/Helplines in Exhibit 6-

Crisis Hotline/Texts and NAMI Warmlines/Helplines. Save these numbers as

contacts in your phone.

The Crisis Hotlines offer immediate 24/7 support with trained crisis counselors. NAMI Prince

George’s County’s, NAMI Maryland’s Warmlines and NAMI Helpline are staffed during set

hours. The staffs are trained to answer questions, provide resource referrals, offer support, and

suggest useful next steps to callers.

Exhibit 6–Crisis Hotlines/Texts and NAMI Warmlines/Helplines

7 https://www.nami.org/Your-Journey/Living-with-a-Mental-Health-Condition/What-to-Do-In-a-Crisis

CRISIS HOTLINES For IMMEDIATE HELP

• Call 9-1-1

• Prince George’s County Crisis Services Hotline: 301-429-2185

• Substance Use Referrals: 301-298-2628 ext. 3100

• National Suicide Prevention Lifeline: 1-800-273-TALK (8255), crisis counselor 24/7.

• National Domestic Violence Hotline: 1-800-799-SAFE (7233)

• National Sexual Assault Hotline: 1-800-656-HOPE (4673), Free help, 24/7.

• Crisis Text Line: Text NAMI to 741-741, free, 24/7 support

NAMI Prince George’s County Warmline

• Call: 240-487-3418, Monday – Friday, 10 a.m. – 2 p.m. ET or Email: [email protected] to connect to the NAMI PGC Warmline, Visit: www.namipgc.org

NAMI Maryland Warmline

• Call: 1-877-878-2371 or 410-884-8691 (local), Monday – Friday, 9 a.m. – 5 p.m. ET

• Visit: http://namimd.org/

NAMI Helpline Call: 1-800-950-NAMI (6264)

• Monday – Friday, 10 a.m. – 8 p.m., ET



https://www.nami.org/Your-Journey/Living-with-a-Mental-Health-Condition/What-to-Do-In-a-Crisis



http://namimd.org/

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Section C: NAMI Educational Programs and Support Groups

NAMI Prince George’s County’s trained volunteers, bringing peer-led educational and support

programs to the community, have a unique experience. They have a mental health condition too

and are living well in their recovery. This unique experience is referred to as a “lived experience.”

It means they’ve been there and can share insights about how they achieved recovery.

NAMI classes and seminars provide an

understanding of mental health conditions,

increase coping skills, and empower

participants to become advocates for

themselves.

Exhibit 7–NAMI Peer-to-Peer Class Description

8-session educational program led by trained people with mental health conditions themselves. NAMI Peer-to-Peer helps you to:

➢ Set a vision and goals for the future; ➢ Partner with health care providers; ➢ Develop confidence for making decisions; ➢ Practice using relaxation and stress

reduction tools; ➢ Share your story; ➢ Strengthen relationships; ➢ Enhance communication skills; and ➢ Learn about mental health treatment

options.



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NAMI Presentations: The Presentations are held

for the general public to promote awareness of

mental health conditions and recovery.

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Exhibit 8–NAMI On Our Own Presentation Description

NAMI In Our Own Voice is for the

general public. It uses personal stories to

promote awareness of mental health

conditions and of the possibility of

recovery.

What an audience member said: “Amazing

presentation with amazing presenters! You

100% erased any stigma I used to associate

with mental illness.”

• 40-, 60-, or 90-minute presentations led by

leaders with lived experience who talk

openly about what it's like to have a mental

health condition. This presentation provides:

➢ An opportunity to hear open and honest

perspectives on a highly misunderstood

topic;

➢ A chance to ask leaders questions, allowing

for a deeper understanding of mental health

conditions and dispelling of stereotypes and

misconceptions;

➢ The understanding that people with mental

health conditions have lives enriched by

hopes, dreams and goals; and

➢ Information on how to learn more about

mental health and get involved with the

mental health community.



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NAMI Support Groups: Support Groups are held for

people with mental health conditions and their family

members/caregivers, partners or friends. The groups

offer participants an opportunity to share their

experiences, be heard, and hear about the challenges

and successes of others who’ve been there and/or are

facing similar experiences.

Exhibit 9–NAMI Connection Support Group Description8

NAMI Connection is open to any adult who has experienced symptoms of a mental health condition. It is:

• Free of cost to participants;

• Designed for adults (18+) with mental health conditions;

• Not an endorsement of any specific medical therapy or treatment;

• Confidential; What a participant said: "NAMI Connection has enabled me to take a good look at my illness and see that I am not alone. The program has given me additional tools to not only accept my illness, but to help others along the way."

• Held weekly or monthly for 90-minutes;

• Led by trained leaders who have a mental health condition; and

• Providing an opportunity to gain new knowledge from hearing about the challenges and successes of others, who've been there.

NAMI Connection Recovery Support Group will help you:

➢ Aim for better coping skills; ➢ Find strength in sharing experiences; ➢ Not judge anyone's pain; ➢ Forgive ourselves and reject guilt; ➢ Embrace humor as healthy; ➢ Accept that we cannot solve every

problem; and ➢ Understand that a mental health

condition is no one's fault and can be a traumatic experience.

8 Check NAMI Prince George’s website to check for schedules at www.namipgc.org.




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Section D: NAMI Fact Sheets

NAMI Fact Sheets offer clear and concise information on mental health conditions, other related

conditions, treatment and services. Reading and sharing them with your

family/support team helps everyone to get a better understanding of your mental

health condition(s) and other related topics such medication overviews,

treatment options, etc. The Fact Sheets listed below are at the end of the Guide

in the Appendix A.

Mental Health Conditions Fact Sheets

• Anosognosia Anxiety Disorders

• Bipolar Disorder

• Depression, Dissociative Disorders

• PTSD (Posttraumatic Stress Disorder)

• Schizophrenia

Related Conditions Fact Sheets

• Dual Diagnosis

• Psychosis

• Risk of Suicide

• Self-harm

Treatment and Services Fact Sheets

• Crisis Services

• Medications Overview

• Mental Health Professionals

• Psychosocial Treatments

• Psychotherapy

• Treatment Settings

Take time to read the Fact Sheets about your specific mental health condition and others that will

give you a better understanding how to manage your condition.



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Section E: Self-Care – It’s important for Your Well-Being

Following your Treatment Plan, taking a NAMI class and going

to a NAMI support group are all great self-care tools for your

mental health. In addition to doing these things, it’s important to

protect your physical health as well.

Taking care of your physical, spiritual, and emotional health will

increase the likelihood that you will stay well. You’ll have an

easier time maintaining good mental habits when your body is a

strong foundation.9 Below are a few suggestions for building

your foundation.

• Eat well. Eating whole grains, vegetables and fresh fruit is key to a healthy body. It helps

to lower your risk for chronic diseases, and even out your energy levels and mood.

• Exercise daily. Exercising can take many forms--such as taking the stairs, walking up

escalators, running and biking. Daily exercise naturally produces stress-relieving hormones

in your body and improves your overall health.

• Get enough sleep. Get between 7-9 hours of sleep at night. A brief nap up from 15 to 30

minutes during the day can give you an energy boost. Avoid using a computer, smartphone

and TV before bed. These too are good rest habits.

• Avoid alcohol and drugs. They don’t actually reduce stress and often make it worse.

• Practice relaxation exercises. Deep breathing, meditation and relaxing your muscles are

quick and easy ways to reduce stress. These can help when conflicts develop between you

and your family/support team. Their use gives you space to think clearly about what to do

next.

• Tap into your faith & spirituality. Pray, meditate, and journal your thoughts.

9 https://www.nami.org/Your-Journey/Family-Members-and-Caregivers/Taking-Care-of-Yourself#:~:text=800%2D950%2DNAMI&text=To%20be%20able%20to%20care,support%20the%20people%20you%20love.



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Summary. The NAMI Prince George’s County’s Mental Health Self-Care Tips for Returning

Citizen summarizes the basic information shared in the Guide. It’s presented below to help you

put into action a successful mental health wellness and recovery process. Use it!

NAMI Prince George’s County Mental Health Self-Care Tips for Returning Citizens

1) Treatment Plan and Treatment Provider

Get health coverage because it also covers your mental health services –a very critical first step to take to maintain your mental wellness and stay in recovery;

Work with your treatment provider/team to develop your Treatment Plan;

Know who’s your treatment provider/team and save their contact information in your phone. Share it with your family member/caregiver;

Get involved in developing your Treatment Plan with your treatment provider/team. Share it with your family member/caregiver;

Follow your Treatment Plan which may include medication, counseling (therapy), social support, and education, other tools;

Read the NAMI Treatment and Services Fact Sheet to learn more about treatments and services. Share it with your family member/caregiver;

Request support, if needed, to help transition to the new treatment provider/team. Support can come from a case manager, peer support specialist, family member/caregiver team; and

Give written authorization to your treatment provider/team to talk with your family/support team about your mental health condition.

2) Diagnosis

Read the NAMI Fact Sheet about your specific diagnosis and share it with your family member/caregiver to learn more about your mental health condition.

Write down questions that you have about your diagnosis to ask the treatment provider. Share them with your family /support team.



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3) Medication Know the names of your medication(s), why you take them, how they work, the dosage, when to take them, what happens when you miss taking them, when to get refills, where and how the cost will be covered;

Take medications as prescribed and speak with your family/support team or treatment team BEFORE you stop taking a medication;

Share your medication information with your family member/caregiver and ask them to assist you in remembering to take them as prescribed and get refills;

Read the NAMI Medication Overview Fact Sheet to get more information about how medications work; and

Write down questions about the medications that you want to discuss with your treatment provider/team, such as how well they are working, any severe side-affects, etc.

4) Appointments Know when your appointments are scheduled, go to them, rescheduled if they are cancelled for any reason; and

Share appointment information with your family member/support team and ask them to assist you in keeping them/scheduling, if needed.

5) Crisis Planning Work with your family member/caregiver or treatment team to complete a written Relapse Plan and a Crisis Plan. Put them in a safe place;

Update the Crisis Plan when there are changes to your diagnosis, medications, treatment or treatment provider;

Identify “triggers” that can cause you to Relapse or lead to a Crisis;

Follow ways to prevent a Relapse; Listen to your family/caregiver when they tell you they’re noticing

Warning Signs of a Relapse or Crisis; Trust them to use your Relapse Plan or Crisis Plan to get you the

help needed during these critical times; and Save contacts for the Crisis Hotline/Texts and NAMI Helpline

numbers.



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6) Self-Care Advocate for yourself -- promote and support your interests and well-being when talking with your treatment team, seeing other services, etc.;

Do something positive each day for your mental, physical, and emotional well-being;

Read other NAMI resources to get tips on talking about your mental health condition—i.e. Faith and Spirituality, Romantic Relationships and When to Disclose; and

Get involved with NAMI Prince George’s County to expand your peer support network.

7) Peer Support Attend a NAMI Connection Support Group; Take a NAMI peer education class/attend a presentation; Seek other County and State peer support services; and Join NAMI Prince George’s County. There’s an Open-Door

membership fee for individuals with limited income.

8) Family/Support Team

Ask your family/support team to support you by o Attending a NAMI Family Support Group, o Taking a NAMI family education class/attend a

presentation, o Reading the NAMI Fact Sheets to get a better

understanding about your condition, o Becoming active in NAMI Prince George’s County by

becoming a member, and o Helping you to manage your mental health condition.



https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Faith-Spirituality

https://www.nami.org/Your-Journey/Living-with-a-Mental-Health-Condition/Romantic-Relationships

https://www.nami.org/Your-Journey/Living-with-a-Mental-Health-Condition/Romantic-Relationships

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Section F. Mental Health Advocacy and Awareness

NAMI believes that mental health conditions should be treated like any other health condition.

That’s why NAMI leads the nation in calling for more research and better treatment. NAMI’s

public awareness events and activities--such as Mental Health Awareness Month (May),

NAMIWalks (May), and National Minority Mental Health Awareness Month (July) -- fight the

stigma (shame) of having a mental health condition. These public awareness events and activities

encourage others to develop a greater understanding of the fact that mental health conditions are

treatable medical conditions.

Section G. What NAMI Wants You REMEMBER10

Every year people overcome the challenges of mental illness to do the things they enjoy. Many

challenges of a mental condition can be dramatically reduced by developing and following a

Treatment Plan that may include medication, counseling (therapy), social support and education.

People with mental health conditions can and do pursue higher education, succeed in their careers,

make friends and have relationships. So, never lose hope and REMEMBER:

10 NAMI Families & Friends and NAMI Ending the Silence: at https://www.naminh.org/wp-content/uploads/2018/09/NAMI-Language-Matters.pdf

YOU are NOT alone

Mental illnesses are MEDICAL CONDITIONS

It's NOT anyone's fault

TREATMENT WORKS

RECOVERY is POSSIBLE

There is HOPE!



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Appendix A

NAMI Fact Sheets



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NAMI Mental Health Conditions Fact Sheets

• ADHD (Attention Deficit Hyperactivity Disorder)

• Anosognosia

• Anxiety Disorders

• Bipolar Disorder

• Depression

• PTSD (Post Traumatic Stress Disorder)

• Schizoaffective Disorder

• Schizophrenia



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ADHD

Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, hyperactivity and

impulsivity. ADHD is most commonly diagnosed in young people, according to the Center for Disease

Control and Prevention (CDC). An estimated 9% of children between ages of 3 and17 have ADHD. This

disorder is usually diagnosed in childhood, but it does not only affect children. An estimated 4% of adults

have ADHD.

Symptoms. While some behaviors associated with ADHD are normal, someone with ADHD will have

trouble controlling these behaviors and will show them much more frequently.

Signs of inattention:

• Becoming easily distracted and jumping from activity to activity;

• Becoming bored with a task quickly;

• Difficulty focusing attention or completing a single task or activity;

• Trouble completing or turning in homework assignments;

• Losing things such as school supplies or toys;

• Not listening or paying attention when spoken to;

• Daydreaming or wandering with lack of motivation;

• Difficulty processing information quickly; and

• Struggling to follow directions.

Signs of hyperactivity:

• Fidgeting and squirming, having trouble sitting still;

• Non-stop talking;

• Touching or playing with everything; and

• Difficulty performing quiet tasks or activities.

Signs of impulsivity:

• Impatience;

• Acting without regard for consequences, blurting things out;

• Difficulty taking turns, waiting or sharing; and

• Interrupting others.

Causes. Genetic and environmental factors contribute to ADHD. Research shows that a person’s genetic

makeup may put the individual at a higher risk of developing ADHD. It often runs in families and some

trends in specific brain areas that contribute to attention. Studies also indicate that there is a linkage between

a mother’s cigarette smoking and alcohol use during pregnancy and children who have ADHD. Exposure

to lead, as a child, has also been shown to increase the likelihood of ADHD in children.



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ADHD (Continued)

Diagnosis. ADHD occurs in both children and adults, but is most often seen and diagnosed in childhood.

Getting a diagnosis can sometimes be difficult because the symptoms are like that of typical behavior in

most young children.

Teachers are often the first to notice symptoms because they see children in a learning environment with

peers every day. There is no single test that can be used to diagnose a child with ADHD. A diagnosis

requires consulting with a doctor or mental health professional. The goal is to rule out any outside causes

of symptoms--such as environmental changes, difficulty in school, medical problems—to ensure that a

child is otherwise healthy.

Treatment. A treatment plan is most effective if it is uniquely tailored to an individual's needs, and if it is

implemented early. Treatment plans should take into consideration learning style and potentially include

medication that can be prescribed by a pediatrician, general practitioner or mental health professional.

Commonly prescribed medications include both stimulants and non-stimulants. While stimulants are

usually the first choice for treating ADHD, antidepressants might be something that a doctor suggests

especially if the individual is living with ADHD in addition to depression. If effective, medications can

improve the person’s attention span, the ability to deal with frustration and ultimately lead to better

relationships with teachers, family members and peers.

A doctor or mental health professional may also want to incorporate behavioral therapy into the treatment

course. Having structure and routine--as well as clear expectations of what is allowed and not allowed in

terms of behavior and outbursts--can help a child learn and feel more in control of his or her life. Behavioral

therapy can also help improve social skills of people living with ADHD, such as sharing and interacting

with peers.

Complementary Health Approaches

• Elimination diets are based on the theory that people are sensitive to sugar and artificially added

colors, flavors and preservatives, and that eliminating these substances from the diet could improve

learning and behavioral problems.

• Nutritional supplements, such as omega-3s, are thought to help the deficiency of fatty acids that

are sometimes associated with ADHD.

• Neurofeedback (EEG biofeedback) teaches individuals how to increase arousal levels in the frontal

areas of the brain. This is important because people living with ADHD show low levels of arousal

in these areas, which results in an impaired ability to focus.

See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/ADHD



http://www.nami.org/Learn-More/Mental-Health-Conditions/ADHD

http://www.nami.org/Learn-More/Mental-Health-Conditions/ADHD

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Anosognosia

When someone rejects a diagnosis of mental illness, it’s tempting to say that the individual is “in

denial.” But someone with acute mental illness may not be thinking clearly enough to consciously

choose denial. This person may instead be experiencing “lack of insight” or “lack of awareness.”

The formal medical term for this medical condition is anosognosia, from the Greek meaning “to

not know a disease.” When we talk about anosognosia in mental illness, we mean that someone

is unaware of his or her mental health condition or that the individual can’t perceive his or her

condition accurately. Anosognosia is a common symptom of certain mental illnesses, perhaps the

most difficult to understand for those who have never experienced it.

Anosognosia is relative. Self-awareness can vary over time, allowing people to acknowledge their

illness at times and making such knowledge impossible at other times. When insight shifts back

and forth over time, we might think people are denying their condition out of fear or stubbornness,

but variations in awareness are typical of anosognosia.

What Causes Anosognosia? We constantly update our mental image of ourselves. When we get

a suntan, we adjust our self-image and expect to look different in the mirror. When we learn a

new skill, we add it to our self-image and feel more competent. But this updating process is

complicated. It requires the brain’s frontal lobe to organize new information, develop a revised

narrative and remember the new self-image.

Brain imaging studies have shown that this crucial area of the brain can be damaged by

schizophrenia, bipolar disorder, and diseases like dementia. When the frontal lobe isn’t operating

at 100%, a person may lose—or partially lose—the ability to update his or her self-image.

Without an update, we’re stuck with our old self-image from before the illness started. Since our

perceptions feel accurate, we conclude that our loved ones are lying or making a mistake. If family

and friends insist that they're right, the person with an illness may become frustrated or angry or

begin to avoid them.

Anosognosia affects 50% of the people with schizophrenia and 40% of the people with bipolar

disorder. It can also accompany illnesses such as major depression with psychotic features.

Treating these mental health conditions is much more complicated if the lack of insight is one of

the symptoms. People with anosognosia are placed at increased risk of homelessness or arrest.

Learning to understand anosognosia and its risks can improve the odds of helping people with this

difficult symptom.



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Anosognosia (Continued)

Why Is Insight Important? For a person with anosognosia, this inaccurate insight feels as real

and convincing as other people's ability to perceive themselves. But these misperceptions cause

conflicts with others and increased anxiety. Lack of insight also typically causes a person to

avoid treatment. This makes it the most common reason for people to stop taking their

medications. And, as it is often combined with psychosis or mania, lack of insight can lead to

reckless or undesirable behavior.



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Anxiety Disorders

Everyone experiences anxiety. However, when feelings of intense fear and distress are

overwhelming and prevent us from doing everyday things, an anxiety disorder may be the cause.

Anxiety disorders are the most common mental health concern in the United States. An estimated

40 million adults in the U.S., or 18%, have an anxiety disorder. Approximately 8% of children

and teenagers experience the negative impact of an anxiety disorder at school and at home.

Symptoms. Just like with any mental illness, people with anxiety disorders experience symptoms

differently. But for most people, anxiety changes how they function day-to-day. People can

experience one or more symptoms. These are described below.

Emotional symptoms:

• Feelings of apprehension or dread;

• Feeling tense and jumpy;

• Restlessness or irritability; and

• Anticipating the worst and being watchful for signs of danger.

Physical symptoms:

• Pounding or racing heart and shortness of breath;

• Upset stomach;

• Sweating, tremors and twitches;

• Headaches, fatigue and insomnia; and

• Upset stomach, frequent urination or diarrhea.

Types of Anxiety Disorders. Different anxiety disorders have various symptoms. This also

means that each type of anxiety disorder has its own treatment plan. The most common anxiety

disorders include:

• Panic Disorder. It is characterized by panic attacks—sudden feelings of terror—

sometimes striking repeatedly and without warning. Panic Disorder is often mistaken for

a heart attack. Accompanying physical symptoms can be powerful and can include chest

pain, heart palpitations, dizziness, shortness of breath and/or upset stomach.

• Phobias. Most people with specific phobias have several triggers. To avoid panicking,

someone with specific phobias will work hard to avoid their triggers. Depending on the

type and number of triggers, this fear and the attempt to control it can seem to take over a

person’s life.

• Generalized Anxiety Disorder (GAD). GAD produces chronic and exaggerated worrying

about everyday life. Potentially consuming many hours each day, GAD makes it hard to

concentrate or finish routine daily tasks. A person with GAD may become exhausted by

worrying and experience headaches, tension or nausea.



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Anxiety Disorders (Continued)

• Social Anxiety Disorder. Unlike shyness, this disorder causes intense fear, often driven by

irrational worries about social humiliation – “saying something stupid,” or “not knowing

what to say.” Someone with social anxiety disorder may not participate in conversations,

contribute to class discussions, or offer their ideas, and may become isolated. Panic attack

symptoms are a common reaction.

Causes. Scientists believe that many factors combine to cause anxiety disorders.

• Genetics. Some families will have a higher-than-average number of members experiencing

anxiety issues. Studies support the evidence that anxiety disorders run in families. This

can be a factor in someone developing an anxiety disorder.

• Stress. A stressful or traumatic situation such as abuse, death of a loved one, violence or

prolonged illness is often linked to the development of an anxiety disorder.

Diagnosis. The physical symptoms of an anxiety disorder can be easily confused with other

medical conditions like heart disease or hyperthyroidism. Therefore, a doctor will likely perform

a careful evaluation involving a physical examination, an interview and ordering lab tests. After

ruling out a medical illness, the doctor may recommend that a person see a mental health

professional to make a diagnosis.

Treatment. As each anxiety disorder has a different set of symptoms, the types of treatment that

a mental health professional may suggest also can vary. But there are common types of treatment

that are used. Treatment options include the following:

• Psychotherapy, including cognitive behavioral therapy (CBT);

• Medications, including anti-anxiety medications and antidepressants; and

• Complementary health approaches, including stress and relaxation techniques. See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/AnxietyDisorders



http://www.nami.org/Learn-More/Mental-Health-Conditions/Anxiety-Disorders



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Bipolar Disorder

Bipolar disorder is a chronic mental illness that causes dramatic shifts in a

person’s mood, energy and ability to think clearly. People with bipolar disorder

have high and low moods, known as mania and depressions, which differ from

the typical ups and downs that most people experience. If left untreated, the

symptoms usually worsen. However, with a strong and healthy lifestyle that

includes self-management and a good treatment plan, many people live well

with the condition.

Although bipolar disorder can occur at any point in life, the average age-of-

onset is about 25. Every year, 2.9% of the U.S. population is diagnosed with

bipolar disorder, with nearly 83% of cases being classified as severe. Bipolar

disorder affects men and woman equally.

Symptoms. A person with bipolar disorder may have distinct manic or

depressed states. Severe bipolar episodes of mania or depression may also

include psychotic symptoms such as hallucinations or delusions. Usually, these

psychotic symptoms mirror a person’s extreme mood.

Mania. To be diagnosed with bipolar disorder, a person must have experienced

at least one episode of mania or hypomania. Hypomania is a milder form of

mania that doesn’t include psychotic episodes. People with hypomania can

often function well in social situations or at work. Some people with bipolar

disorder will have episodes of mania or hypomania many times throughout their

lives; others may experience them only rarely.

Although someone with bipolar disorder may find an elevated mood very

appealing, especially if it occurs after depression, the “high” does not stop or

stabilize at a comfortable or controllable level. Moods can rapidly become

more irritable, behavior more unpredictable and judgment more impaired.

During periods of mania, people frequently behave impulsively, make reckless

decisions and take unusual risks. Most of the time, people in manic states are

unaware of the negative consequences of their actions.



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Bipolar Disorder (Continued)

Depression. Depression produces a combination of physical and emotional

symptoms that inhibit a person’s ability to function nearly every day for a

period of at least two weeks. The level of depression can range from severe to

moderate, to mild, and/or to low. This is called dysthymia when it is chronic.

Causes. Scientists have not discovered a single cause of bipolar disorder. They

believe several factors may contribute to it.

• Genetics. The chances of developing bipolar disorder are increased if a

child’s parents or siblings have the disorder. But the role of genetics is

not absolute.

• Stress. A stressful event such as a death in the family, an illness, a

difficult relationship, divorce or financial problems can trigger the first

bipolar episode. In some cases, drug abuse can trigger bipolar disorder.

• Brain structure and function. Brain scans cannot diagnose bipolar

disorder in an individual. However, researchers have identified subtle

differences in the average size or activation of some brain structures in

people with bipolar disorder. While brain structure alone may not cause

it, there are some conditions in which damaged brain tissue can

predispose a person.

Diagnosis. To be diagnosed with bipolar illness, a person has to have had at

least one episode of mania or hypomania. The Diagnostic and Statistical

Manual of Mental orders (DSM) provides a description of four types of bipolar

disorder conditions:

• Bipolar I Disorder is an illness in which people have experienced one or

more episodes of mania. Most people diagnosed with bipolar I will have

episodes of both mania and depression, though an episode of depression

is not necessary for a diagnosis. To be diagnosed with bipolar I, an

individual’s manic episodes must last at least seven days or be so severe

that hospitalization is required;



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Bipolar Disorder (Continued)

• Bipolar II Disorder is a subset of bipolar disorder in which people

experience depressive episodes shifting back and forth with hypomanic

episodes, but never a “full” manic episode;

• Cyclothymic Disorder or Cyclothymia is a chronically unstable mood

state in which people experience hypomania and mild depression for at

least two years. People with cyclothymia may have brief periods of

normal mood, but these periods last less than eight weeks; and

• Bipolar Disorder, “other specified” and “unspecified” is used when a

person does not meet the criteria for bipolar I, II or cyclothymia but has

still experienced periods of clinically significant abnormal mood

elevation.

Treatment. Bipolar disorder is a chronic illness, so treatment must be ongoing.

If left untreated, the symptoms of bipolar disorder may worsen. Diagnosing it

and beginning treatment in the early stages are important. There are several

well-established types of treatment for bipolar disorder:

• Medications, such as mood stabilizers, antipsychotic medications and, to

a lesser extent, antidepressants;

• Psychotherapy, such as cognitive behavioral therapy and family-

focused therapy;

• Electroconvulsive therapy (ECT);

• Self-management strategies and education; and

• Complementary health approaches—such as meditation, faith and

prayer.

See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder



http://www.nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder

http://www.nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder

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Depression

Depression is more than just feeling sad or going through a rough patch. It’s a serious mental

health condition that requires understanding and medical care. Left untreated, depression can be

devastating for the people who have it and for their families. Fortunately, many people do get

better with early detection, diagnosis and a treatment plan--consisting of medication,

psychotherapy and lifestyle choices.

Some people experience only one episode in a lifetime, but for most people depression recurs.

Without treatment, episodes may last a few months to several years.

An estimated 16 million American adults—almost 7% of the population—had at least one major

depressive episode in the past year. People of all ages and from all racial, ethnic and

socioeconomic backgrounds experience depression. However, it does affect some groups of

people more than others. Women are 70% more likely than men to experience depression; and

young adults, aged 18–25, are 60% more likely to have depression than people aged 50 or older.

Symptoms. Just like with any mental illness, people with depression experience symptoms

differently. But for most people, depression changes how they function day-to-day. Common

symptoms of depression include:

• Changes in sleep;

• Changes in appetite;

• Lack of concentration;

• Loss of energy;

• Lack of interest;

• Low self-esteem;

• Hopelessness;

• Changes in movement; and

• Physical aches and pains.



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Depression (Continued)

Causes. Depression does not have a single cause. It can be triggered; or it may occur

spontaneously without being associated with a life crisis, physical illness or other risk. Scientists

believe several factors contribute to cause depression:

• Trauma. When people experience trauma at an early age, it can cause long-term changes

in how their brains respond to fear and stress. These brain changes may explain why people

who have a history of childhood trauma are more likely to experience depression;

• Genetics. Mood disorders and risk of suicide tend to run in families, but genetic inheritance

is only one factor;

• Life circumstances. Marital status, financial standing and where a person lives have an

effect on whether a person develops depression, but it can be a case of “the chicken or the

egg”;

• Brain structure. Imaging studies have shown that the frontal lobe of the brain becomes

less active when a person is depressed. Depression is also associated with changes in how

the pituitary gland and hypothalamus respond to hormone stimulation;

• Other medical conditions. People who have a history of sleep disturbances, medical

illness, chronic pain, anxiety, and attention deficit hyperactivity disorder (ADHD) are

more likely to develop depression; and

• Drug and alcohol abuse. Approximately 30% of people with substance abuse problems

also have depression.

Diagnosis. To be diagnosed with depression, a person must have experienced a major depressive

episode that has lasted longer than two weeks. The symptoms of a major depressive episode

include:

• Loss of interest or loss of pleasure in all activities;

• Change in appetite or weight;

• Sleep disturbances;

• Feeling agitated or feeling slowed down;

• Fatigue;

• Feelings of low self-worth, guilt or shortcomings;

• Difficulty concentrating or making decisions; and

• Suicidal thoughts or intentions.



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Depression (Continued)

Treatments. Although depression can be a devastating illness, it often responds to treatment. The

key is to get a specific evaluation and a treatment plan. Treatment can include any one or

combination of:

• Medications including antidepressants, mood stabilizers and antipsychotic medications;

• Psychotherapy including cognitive behavioral therapy, family-focused therapy and

interpersonal therapy;

• Brain stimulation therapies including electroconvulsive therapy (ECT) or repetitive

transcranial magnetic stimulation (rTMS);

• Light therapy, which uses a light box to expose a person to full spectrum light and regulate

the hormone melatonin;

• Exercise;

• Alternative therapies including acupuncture, meditation, and nutrition;

• Self-management strategies and education; and

• Mind/body/spirit approaches such as meditation, faith, and prayer.

See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression



http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression

http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression

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Post Traumatic Stress Disorder (PTSD)

Traumatic events--such as military combat, assault, an accident, or a natural disaster--can have

long-term negative effects. Sometimes our biological responses and instincts, which can be life-

saving during a crisis, leave people with ongoing psychological symptoms because they are not

integrated into consciousness.

PTSD affects 3.5 % of the U.S. adult population-- about 7.7 million Americans. Women are more

likely to develop the condition than are men. About 37 % of those cases are classified as severe.

While PTSD can occur at any age, the average age of onset is in a person’s early 20s.

Symptoms. The symptoms of PTSD fall into the following categories:

• Intrusive Memories, which can include flashbacks of reliving the moment of trauma, bad

dreams, and scary thoughts;

• Avoidance, which can include staying away from certain places or objects that are

reminders of the traumatic event. A person may also feel numb, guilty, worried or

depressed; or have trouble remembering the traumatic event;

• Dissociation, which can include out-of-body experiences or feeling that the world is “not

real” (derealization); and

• Hypervigilance, which can include being startled very easily, feeling tense, trouble

sleeping or outbursts of anger.

Since 2010, research on children from the ages of one through six found that young children can

develop PTSD. The symptoms, however, are quite different from those of adults. These findings

also saw in increase in PTSD diagnosis in young children by more than 8 times when using the

newer criteria. Symptoms in young children can include:

• Acting out scary events during playtime;

• Forgetting how to or being unable to talk;

• Being excessively clingy with adults; and

• Extreme temper tantrums, as well as overly aggressive behavior.

Diagnosis. Symptoms of PTSD usually begin within 3 months after a traumatic event, but

occasionally emerge years afterward. Symptoms must last more than a month to be considered

PTSD. PTSD is often accompanied by depression, substance use or another anxiety disorder.

Because young children have emerging abstract cognitive and limited verbal expression, research

indicates that diagnostic criteria need to be more behaviorally anchored and developmentally

sensitive to detect PTSD in preschool children.



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Post Traumatic Stress Disorder (Continued)

Medications. There is no single medication that will treat all cases of PTSD. The effective

combination of psychotherapy and medication should be used together to reduce its symptoms.

Given common co-occurrence of depression, related anxiety disorders, aggression and

impulsivity, selecting medications that address these related problems is recommended. Common

categories of medications include antidepressants, antipsychotics, and mood stabilizers.

Psychotherapy. People with PTSD respond better to select, structured interventions than to

unstructured, supportive psychotherapy. In addition to the following therapies, research is being

conducted on dream revision therapy, also known as Imagery Rehearsal Therapy (IRT).

• Cognitive Behavioral Therapy (CBT) helps change negative thinking and behavior

associated with depression. The goal of this therapy is to recognize negative thoughts

and replace them with positive thoughts, which leads to more effective behavior.

• Eye Movement Desensitization and Reprocessing (EMDR) is an eclectic psychotherapy

intervention designed for trauma that employs exposure to traumatic memories with

alternating stimuli (eye movements are one of several options) in structured sessions with

an individual certified to perform EMDR.

• Exposure Therapy helps people safely face what they find frightening so that they can

learn to cope with it effectively. For example, virtual reality programs allow a person to

experience the situation in which he or she experiences trauma.

Other forms of therapy include the use of service dogs and support groups.

Complementary and Alternative Methods. Recently, many health care professionals have

begun to include alternative treatments into their regimens. Some methods that have been used

for PTSD include:

• Yoga;

• Aqua therapy, such as floatation chambers and surfing;

• Acupuncture; and

• Mindfulness and meditation.



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Schizophrenia

Schizophrenia is a serious mental illness that interferes with a person’s ability to think clearly,

manage emotions, make decisions and relate to others. It is a complex, long-term mental illness,

affecting about 1% of the population of the U.S. Although schizophrenia can occur at any age,

the average age of onset tends to be in the late teens to the early twenties for men, and the late

twenties to early thirties for women. It is uncommon for schizophrenia to be diagnosed in a person

younger than 12 or older than 40.

Symptoms. Just like with any mental illness, people with schizophrenia experience symptoms

differently. Symptoms include:

• Hallucinations, which can include a person hearing voices, seeing things, or smelling

things that others can’t perceive;

• Delusions, which are false beliefs that don’t change even when the person who holds them

is presented with new ideas or facts;

• Disorganized thinking, such as struggling to remember things, organize thoughts or

complete tasks;

• Anosognosia, which means they are unaware that they have an illness; and

• Negative symptoms, such as being emotionally flat or speaking in a dull, disconnected way.

Causes. Research suggests that schizophrenia may have several possible causes.

• Genetics. Schizophrenia isn’t caused by just one genetic variation, but a complex interplay

of genetics and environmental influences. While schizophrenia occurs in 1% of the general

population, having a history of family psychosis greatly increases the risk. Schizophrenia

occurs at roughly 10% of people who have a first-degree relative with the disorder, such

as a parent or sibling.

• Environment. Exposure to viruses or malnutrition before birth, particularly in the first and

second trimesters, has been shown to increase the risk of schizophrenia. Inflammation or

autoimmune diseases can also lead to increased immune system disfunction.

• Brain chemistry. Problems with certain brain chemicals, including neurotransmitters

called dopamine and glutamate, may contribute to schizophrenia. Neurotransmitters allow

brain cells to communicate with each other. Networks of neurons are likely involved as

well.



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Schizophrenia (Continued)

• Drug use. Some studies have suggested that taking mind-altering drugs, during teen years

and young adulthood, can increase the risk of schizophrenia. A growing body of evidence

indicates that smoking marijuana increases the risk of psychotic incidents and the risk of

ongoing psychotic experiences. The younger and more frequent the use, the greater the

risk. Another study has found that smoking marijuana led to an earlier onset of

schizophrenia and often preceded the manifestation of the illness.

Diagnosis. Diagnosing schizophrenia is not easy. The difficulty of diagnosing this illness is

compounded by the fact that many people who are diagnosed do not believe they have the

condition. Lack of awareness is a common symptom of people diagnosed with schizophrenia. It

greatly complicates treatment. To be diagnosed with schizophrenia, a person must have two or

more of the following symptoms occurring persistently in the context of reduced functioning:

• Delusions;

• Hallucinations;

• Disorganized speech;

• Disorganized or catatonic behavior; and/or

• Negative symptoms.

Treatment. The symptoms of schizophrenia can be reduced with medication, psychosocial

rehabilitation and family support. People with schizophrenia should get treatment as soon as the

illness starts showing, because early detection can reduce the severity of their symptoms.

Treatment options are described below.

• Antipsychotic medications. Typically, a health care provider will prescribe antipsychotics

to relieve symptoms of psychosis, such as delusions and hallucinations. Due to lack of

awareness of having an illness and the serious side effects of the medications used to treat

schizophrenia, people who have been prescribed them are often hesitant to take the

medications.

• Psychotherapy. Treatment options in this category include cognitive behavioral therapy

(CBT) or cognitive enhancement therapy (CET).



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Schizophrenia (Continued)

• Psychosocial Treatments. People who engage in therapeutic interventions often see

improvement and experience greater mental stability. Psychosocial treatments enable

people to compensate for or eliminate the barriers caused by their schizophrenia and learn

to live successfully. If a person participates in psychosocial rehabilitation, they are more

likely to continue taking their medication and less likely to relapse. Some of the more

common psychosocial treatments include assertive community treatment (ACT).

See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia



http://www.nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia

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NAMI Related Conditions Fact Sheets

▪ Dual Diagnosis

▪ Psychosis

▪ Risk of Suicide

▪ Self-Harm



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Dual Diagnosis

Dual diagnosis is a term used to describe to a condition in which someone experiences a mental

illness and a substance abuse problem simultaneously. Dual diagnosis is a very broad category. It

can range from someone developing mild depression because of binge drinking, to someone’s

symptoms of bipolar disorder becoming more severe when that person abuses heroin during

periods of mania.

Either a substance abuse problem or mental illness can develop first. A person experiencing a

mental health condition may turn to drugs and alcohol, as a form of self-medication, to improve

the troubling mental health symptoms they experience. Research shows that drugs and alcohol

only make the symptoms of mental health conditions worse.

Abusing substances can also lead to mental health problems because of the impact that drugs have

on a person’s moods, thoughts, brain chemistry and behavior.

How Common is a Dual Diagnosis? About a third of all people experiencing mental illnesses

and approximately half of people living with severe mental illnesses also experience substance

abuse. These statistics are mirrored in the substance abuse community, where about a third of all

alcohol abusers and more than half of all drug abusers report experiencing a mental illness.

Men are more likely to develop a co-occurring disorder than women. Other people who have a

particularly high risk of dual diagnosis include individuals of lower socioeconomic status, military

veterans and people with more general medical illnesses.

Symptoms. The defining characteristic of dual diagnosis is that both a mental health and substance

abuse disorder occur simultaneously. Because there are many combinations of disorders that can

occur, the symptoms of dual diagnosis vary widely. The symptoms of substance abuse may

include:

• Withdrawal from friends and family;

• Sudden changes in behavior;

• Using substances under dangerous conditions;

• Engaging in risky behaviors when drunk or high;

• Loss of control over use of substances;

• Doing things that you wouldn’t normally do to maintain your habit;

• Developing tolerance and withdrawal symptoms; and

• Feeling like you need the drug to be able to function.



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Dual Diagnosis (Continued)

The symptoms of a mental health condition also can vary greatly. Knowing the warnings signs--

such as extreme mood changes, confused thinking or problems concentrating, avoiding friends

and social activities and thoughts of suicide--can help identify if there is a reason to seek help.

How Is Dual Diagnosis Treated? The most common method of treatment for a dual diagnosis

today is an integrated intervention, where a person receives care for both a specific mental illness

and substance abuse condition. Because there are many ways in which a dual diagnosis may occur

treatment will not be the same for everyone.

• Detoxification. The first major hurdle that people with a dual diagnosis will have to pass

is detoxification. During inpatient detoxification, a person is monitored 24/7 by trained

medical staff for up to 7 days. Inpatient detoxification, providing a consistent environment

for treatment, is generally more effective than outpatient treatment for initial sobriety. It

removes the person battling addiction from exposure to people and places associated with

using.

• Inpatient Rehabilitation. A person experiencing a serious mental illness and dangerous

or dependent patterns of abuse may benefit most from an inpatient rehabilitation center

where he or she can receive concentrated medical and mental health care 24/7. These

treatment centers provide the patient with therapy, support, medication and health services

with the goal of treating the individual’s addiction and its underlying causes. Supportive

housing, like group homes or sober houses, is another type of residential treatment center

that is most helpful for people who are newly sober or trying to avoid relapsing.

• Medications are very useful for treating a variety of mental illnesses. Depending on the

mental health symptoms a person is experiencing, different mental health medications may

play an important role one’s recovery. Certain medications are also helpful for people

experiencing substance abuse. These medications are used to help ease withdrawal

symptoms and/or to promote recovery. Medications to ease withdrawal are used during

the detoxification process.

• Psychotherapy is almost always a large part of an effective dual diagnosis treatment plan.

Education regarding a person’s illness and how the individual’s beliefs and behaviors

influence his or her thoughts has been shown in countless studies to improve the symptoms



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• Dual Diagnosis (Continued)

of both mental illness and substance abuse. Cognitive Behavioral Therapy (CBT), in

particular, is effective in helping people with dual diagnosis learn how to cope and to

change ineffective patterns of thinking.

• Self-Help and Support Groups. Dealing with a dual diagnosis can feel challenging and

isolating. Support groups allow members to share their frustrations and successes, make

referrals to specialists, and receive information regarding important community resources

and about what works best when trying to recover. Members also form friendships and

provide encouragement to stay clean.

See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/RelatedConditions/Dual-Diagnosis .



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Psychosis

Most people think of psychosis as a break with reality. In a way, it is. Psychosis is characterized

as disruptions to a person’s thoughts and perceptions making it difficult for them to recognize what

is real and what isn’t. These disruptions are often experienced as seeing, hearing and believing

things that aren’t real; or having strange and/or persistent thoughts, behaviors and emotions. While

each individual’s experience is different, most people say psychosis is frightening and confusing.

Psychosis is not an illness, but a symptom. A psychotic episode can be the result of a mental or

physical illness, substance use, trauma or extreme stress.

Symptoms. Symptoms of a psychotic episode can include incoherent speech and disorganized

behavior such as unpredictable anger, but psychosis typically involves one of two major

experiences.

Early Warning Signs. Most people think of psychosis as a sudden break from reality, but there

are often warning signs that precede an episode of psychosis. Knowing what to look for provides

the best opportunity for early intervention. Some indications are:

• A worrisome drop in grades or job performance;

• Trouble thinking clearly or concentrating;

• Suspiciousness or uneasiness with others;

• A decline in self-care or personal hygiene;

• Spending a lot more time alone than usual; and

• Strong, inappropriate emotions or having no feelings at all.

Causes. Several factors can contribute to psychosis.

• Genetics. Many genes are associated with the development of psychosis, but just because

a person has a gene doesn’t mean they will experience psychosis.

• Trauma. A traumatic event such as a death, war or sexual assault can trigger a psychotic

episode.

• Substance use. The use of marijuana, LSD, amphetamines and other substances can

increase the risk of psychosis in people who are already vulnerable.

• Physical illness or injury. Traumatic brain injuries, brain tumors, strokes, HIV and some

brain diseases such as Parkinson’s, Alzheimer’s and dementia can sometimes cause

psychosis.



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Psychosis (Continued)

Diagnosis. Psychosis is a symptom. It is not an illness. A diagnosis identifies an illness, and

symptoms are components of an illness.

Health care providers draw on information from medical and family histories along with a physical

examination to make a diagnosis. If causes such as a brain tumor, infection or epilepsy are ruled

out, a mental illness might be the reason.

Treating Psychosis. Identifying and treating psychosis as early as possible leads to best

outcomes. Early intervention is always the preferred approach to treating a mental health condition,

because there is a chance of preventing the illness from progressing.

There are many specialized centers that focus exclusively on psychosis and crisis treatment in

youth. The American Psychiatric Association (APA), your state chapter of the APA, primary

doctor, insurance carrier, and state and county mental health authorities are other resources that

can help secure assistance.

Treatments for psychosis can include a combination of psychotherapy, medication,

complementary health approaches and/ or hospitalization. It’s important to work with a mental

health care professional to determine the right treatment path.

See more at: https://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Pscyhosis



https://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Pscyhosis

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Risk of Suicide

If you or someone you know is experiencing an emergency, call The National

Suicide Prevention Lifeline at 1-800-273-TALK (8255) or call 911 immediately.

Each year, more than 34,000 individuals take their lives, leaving behind thousands of friends and

family members to navigate the tragedy of their loss. Suicide is the 10th leading cause of death

among adults in the U.S. and the 3rd leading cause of death among adolescents.

Suicidal thoughts or behaviors are both damaging and dangerous and are therefore considered a

psychiatric emergency. Someone experiencing these thoughts should seek immediate assistance

from a medical health care or mental health care provider.

Know the Warning Signs. Identifying the suicide warning signs is the first step towards

protecting individuals at risk to suicide. These are described below.

• Threats or comments about killing themselves, also known as suicidal ideation, can begin

with seemingly harmless thoughts like “I wish I wasn’t here”, but can become more overt

and dangerous;

• Increased alcohol and drug use;

• Aggressive behavior. A person who’s feeling suicidal may experience higher levels of

aggression and rage than normal;

• Social withdrawal from friends, family and the community;

• Dramatic mood swings indicate that the individual is not feeling stable and may feel

suicidal;

• Preoccupation with talking, writing or thinking about death; and

• Impulsive or reckless behavior.

Is There Imminent Danger? Any person exhibiting behaviors described below should get care

immediately:

• They are putting their affairs in order and giving away their possessions;

• They are saying goodbye to friends and family;

• Their mood shifts from despair to calm; and

• They start planning, possibly by looking around to buy, steal or borrow the tools they need

to commit suicide such as a firearm or prescription medication.



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Risk of Suicide (Continued)

A licensed mental health professional can help assess risk.

Who’s at Risk for Suicide? Research has found that about 90% of individuals who die by suicide

experience mental illness. Oftentimes, it is undiagnosed or untreated. Experiencing a mental

illness is the number one risk factor for suicide. A number of things may put a person at risk of

suicide:

• Substance abuse, which can cause mental highs and lows that exacerbate suicidal

thoughts;

• Intoxication (more than one in three people who die from suicide are found to be

intoxicated;

• Access to firearms (the majority of completed suicides involve the use of a firearm);

• Chronic medical illness;

• Gender (though more women than men attempt suicide, men are 4 times more likely to

die by suicide);

• History of trauma;

• Isolation;

• Age (people under age 24 or above age 65 are at a higher risk for suicide);

• Recent tragedy or loss; and

• Agitation and sleep deprivation.

Can Thoughts of Suicide Be Prevented? Important interventions can be employed to prevent

suicides.

• Psychotherapy such as cognitive behavioral therapy and dialectical behavior therapy,

can help a person with thoughts of suicide recognize unhealthy patterns of thinking and

behavior, validate troubling feelings, and learn coping skills.

• Medication can be used, if necessary, to treat underlying depression and anxiety and can

lower a person’s risk of hurting himself/herself. Depending on the person’s mental health

diagnosis, other medications can be used to alleviate symptoms.

See more at: https://www.nami.org/Learn-More/Mental-Health-Conditions/RelatedConditions/Risk-of-

Suicide



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Self-harm

People often keep their habit a secret, but the urge to self-harm isn’t uncommon, especially in

adolescents and young adults. Many overcome it with treatment.

Whether a person has recently started hurting his or herself or has been doing it for a while, there

is an opportunity to improve health and reduce harmful behaviors. Talking to a doctor or a trusted

friend or family member is the first step towards understanding your behavior and finding relief.

What is Self-harm? Self-harm or self-injury means hurting oneself on purpose. One common

method is cutting oneself with a knife. Self-harm occurs when individuals deliberately hurt

themselves. Some people feel an impulse to burn themselves, pull out hair or pick at wounds to

prevent healing. Extreme injuries can result in broken bones.

Hurting oneself—or thinking about hurting oneself—is a sign of emotional distress. These

uncomfortable emotions may grow more intense if a person continues to use self-harm as a coping

mechanism. Learning other ways to tolerate mental pain will make you stronger in the long term.

Self-harm also causes feelings of shame. The scars caused by frequent cutting or burning can be

permanent. Drinking alcohol or doing drugs while hurting oneself increases the risk of a more

severe injury than intended. And it takes time and energy away from other things that a person

holds dear. Skipping classes to change bandages or avoiding social occasions prevents others

people from seeing his or her scars is a sign that the individual’s habit is negatively affecting work

and relationships.

Why People Self-harm. Self-harm is not a mental illness. It is a behavior that indicates a lack of

coping skills. Several illnesses are associated with it--including borderline personality disorder,

depression, eating disorders, anxiety and posttraumatic distress disorder.

Self-harm occurs most often during the teenage and young adult years, though it can also happen

later in life. Those at the most risk are people who have experienced trauma, neglect or abuse. For

instance, if a person grew up in an unstable family, it might have become a coping mechanism. If

a person binge drinks or does drugs, he is also at greater risk of self-injury because alcohol and

drugs lower self-control.

The urge to hurt oneself may start with overwhelming anger, frustration or pain. When a person is

not sure how to deal with emotions, or learned as a child to hide emotions, self-harm may feel like

a release. Sometimes, injuring oneself stimulates the body’s endorphins or pain-killing hormones



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Self-harm (Continued)

In order to raise the person’s mood. Or if an individual doesn’t feel many emotions, he or she

might cause the pain in order to feel something “real” to replace emotional numbness.

Once a person injures himself or herself, the individual may experience shame and guilt. If the

shame leads to intense negative feelings, that person may engage in self-harm again. This

behavior can thus become a dangerous cycle and a long-term habit. Some people even create

rituals around it.

Self-harm isn’t the same as attempting suicide. However, it is a symptom of emotional pain that

should be taken seriously. If someone is hurting himself or herself, the individual may be at an

increased risk of feeling suicidal. It’s important to find treatment for the underlying emotions.

Treatment and Coping. There are effective treatments for self-harm that can allow a person to

feel in control again. Psychotherapy is important to any treatment plan. Self-harm may feel

necessary to manage emotions, so a person will need to learn new coping mechanisms.

The first step in getting help is talking to a trusted adult, friend or medical professional who is

familiar with the subject, ideally a psychiatrist. A psychiatrist will ask that person questions about

their health, life history and any injurious behaviors in the past and present. This conversation,

called a diagnostic interview, may last an hour or more. Doctors can’t use blood tests or physical

exams to diagnose mental illness, so they rely on detailed information from the individual. The

more information that person can give, the better the treatment plan will be.

Depending on any underlying illness, a doctor may prescribe medication to help with difficult

emotions. For someone with depression, for instance, an antidepressant may lessen harmful urges.

A doctor will also recommend therapy to help a person learn new behaviors, if self-injury has

become a habit. Several different kinds of therapy can help, depending on the diagnosis.

• Psychodynamic therapy focuses on exploring past experiences and emotions.

• Cognitive behavioral therapy focuses on recognizing negative thought patterns and

increasing coping skills.

• Dialectical behavioral therapy can help a person learn positive coping methods.



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Self-harm (Continued)

If your symptoms are overwhelming or severe, a doctor may recommend a short stay in a

psychiatric hospital. A hospital offers a safe environment where one can focus on treatment.

What to Do When Someone Self-harms? Perhaps you have noticed a friend or family member

with frequent bruises or bandages. If someone is wearing long sleeves and pants even in hot

weather, they may be trying to hide injuries or scarring.

Keep in mind that this is a behavior that might be part of a larger condition. There may be

additional signs of emotional distress. He or she might make statements that sound hopeless or

worthless, have poor impulse control, or have difficulty getting along with others.

If you’re worried a family member or friend might be hurting himself or herself, ask the individual

how he or she is doing and be prepared to listen to the answer, even if it makes you uncomfortable.

This may be a hard subject to understand. One of the best things is tell the person that while you

may not fully understand, you’ll be there to help. Don’t dismiss emotions or try to turn it into a

joke.

Gently encourage someone to get treatment by stating that self-harm isn’t uncommon. Doctors

and therapists can help. If possible, offer to help find treatment. Don’t go on the offensive; and

don’t try to make the person promise to stop, as it takes more than willpower to quit.

See more at: http://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Self-harm



http://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Self-harm

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NAMI TREATMENT AND SERVICES

FACT SHEETS

▪ Crisis Services

▪ Medications Overview

▪ Mental Health Professionals

▪ Psychotherapy

▪ Psychosocial Treatments

▪ Treatment Settings



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Crisis Services

Mental health crisis response services are a vital part of any mental health service system. A well-

designed crisis response system can provide backup to community providers, perform outreach by

connecting first-time users to appropriate services and improve community relations by providing

reassurance that the person’s needs are met in a mental health crisis.

Effective Mental Health Crisis Service Components. Mental health crisis services vary

depending on where the individual lives. Becoming familiar with available services and how to

access them is an important step towards being prepared for a psychiatric crisis. The better

prepared a person is when faced with a crisis situation, the better the outcome. Described below

are major elements that together make up an effective response system.

• 24-Hour crisis lines are often the first point of contact for a person in crisis or their loved

one. Telephone crisis services provide assessment, screening, triage, preliminary

counseling, information and referral services.

• Walk-in crisis services, such as clinics or psychiatric urgent care centers, offer immediate

attention. They focus on resolving the crisis in a less intensive setting than in a hospital,

even though hospitalization may be recommended when appropriate. Walk-in clinics may

serve as drop-off centers for law enforcement to reduce unnecessary arrests.

• Mobile crisis teams intervene wherever the crisis is occurring--often working closely with

the police, crisis hotlines and hospital emergency personnel. Mobile teams may provide

pre-screening assessments or act as gatekeepers for inpatient hospitalization. They can

also connect an individual with community-based programs and other services.

• Respite Care and Residential Services. Crisis respite and residential services can help a

person stabilize, resolve problems and connect with possible sources of ongoing support.

Services that may be provided include physical and psychiatric assessment, daily living

skills training, social activities, counseling, treatment planning and connecting to services.

Crisis residential services can either be an alternative to hospitalization or a step-down

setting on leaving a hospital.

Crisis respite services are also beneficial because they provide short-term relief to

individuals who are caring for family members who might need more support outside of

the home.



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Crisis Services (Continued)

There are various models for providing respite care depending on how much support is needed.

Three are presented below.

➢ Family-based crisis home support describes a situation where the person in crisis

lives with a screened and trained “professional family.” In addition to practical and

emotional support from “family” members, mental health professionals visit the

home daily for planning treatment.

➢ Crisis respite centers and apartments provide 24-hour observation and support by

crisis workers or trained volunteers until a person is stabilized and connected with

other supports. Peer support specialists provide encouragement, assistance, and

serve as role models in a non-threatening atmosphere in some locations.

➢ In-home support is like a crisis apartment but provided in the person’s own

residence and may be used if separation from the everyday environment is not

necessary.

• Crisis Stabilization Units. Crisis Stabilization Units (CSU) are small inpatient facilities of

less than 16 beds for people in a mental health crisis whose needs cannot be met safely in

residential service settings. A CSU may be designed to admit an individual on a voluntary

or involuntary basis when the person needs a safe, secure environment that is less restrictive

than a hospital. Crisis Stabilizations Units try to stabilize the person and get the individual

back into the community quickly.

• Extended Observation Units (23-Hour Beds). The 23-hour beds, also known as extended

observation units (EOUs), can be a offered as stand-alone service or embedded within a

CSU. Admission to an EOU is appropriate when the crisis can be resolved in less than 24

hours. Extended Observation Units are designed for persons who may need short and

intensive treatment in a safe environment that is less restrictive than a hospital.



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Medications Overview

Medication decisions are best discussed and decided by a patient and their mental healthcare

provider. Information presented in this fact sheet may be included in those discussions.

Medications can be an important part of a treatment plan. However, certain medications may work

better for one person than for another. Doctors usually review clinical records and see if there is

any evidence for recommending one type of medicine over another. Family history and side effects

also come into play when prescribing medication.

Finding out what works best for an individual takes time and trying a different medication or

combinations of medications. If a person feels that a medication doesn't work or if the individual

experiences side effects, a provider should be consulted to adjust the treatment plan. Some

medications can be prescribed “off-label,” which means they haven’t been approved by the FDA

for a given condition. A doctor should justify his or her thinking in recommending any treatment

as well as be clear about the limits of the research around that medication.

Brief summaries of categories of mental health medications, identified by the American College

of Psychiatric and Neurologic Pharmacists, are presented below.

Types of Medications. Psychiatric medications work by influencing the brain chemicals

regulating emotions and thought patterns. Following your doctor’s instructions will reduce

side effects and discomfort. Whenever stopping a medication, it's necessary to work with a

doctor to taper off the dosage while brain chemicals get used to the change.

Antipsychotics. These medications reduce or eliminate the symptoms of psychosis

(delusions and hallucinations) by impacting the brain chemical called dopamine.

Antipsychotics play an important role in treating schizophrenia and schizoaffective

disorder.

Antipsychotics are divided into two groups: first-generation and second-generation

antipsychotics. The main differences between the two groups are the areas of the brain that they

affect and their side effects. Second-generation antipsychotics aren’t necessarily better or worse

than first-generation ones, but these have different side effects.

1. First-generation medications may cause a side effect known as tardive dyskinesia. This

is an uncomfortable, potentially embarrassing condition in which the brain misfires and

causes random, uncontrollable muscle movements or tics.



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Medications Overview (Continued)

2. Second-generation antipsychotics are more likely to result in weight gain. The important

thing is to find the medication that works best for you. People who have difficulty

remembering to take daily pills, or people who have a history of discontinuing medication,

may experience better results by taking medication as a shot at the doctor’s office once or

twice a month. This shot is called a long- acting injectable antipsychotic medication

(LAI). It has the same effects as medication taken in pill form.

Antidepressants. These improve the symptoms of depression by impacting the brain

chemicals associated with emotion--such as serotonin, norepinephrine and dopamine.

Newer medications, SSRIs and SNRIs (selective serotonin reuptake inhibitors and selective

norepinephrine reuptake inhibitors), have fewer side effects than older drugs. No medication is

free from side effects. Many people won't experience these side effects or will see them go away

within a few weeks.

Older types of antidepressants, which include tricyclics and MAOIs (monoamine oxidase

inhibitors), may be prescribed by a mental health professional if newer medications do not seem

to be effective. Monoamine oxidase inhibitors (MAOIs) are the least prescribed antidepressants

because they can cause dangerously high blood pressure if combined with certain foods or

medications.

Many antidepressants may also be useful for treating depression that is mixed with anxiety. Some

antidepressants may be useful for treating PTSD, generalized anxiety disorder and OCD, but may

require higher doses. Depression that is part of bipolar disorder requires more careful assessment

because antidepressants may increase the risk of mania and provide little help for depression

associated with bipolar disorder.

Anti-Anxiety Medications. Certain medications work solely to reduce emotional and physical

symptoms of anxiety. Benzodiazepines such as alprazolam (Xanax) can treat social phobia,

generalized anxiety disorder and panic disorder. Heart medications known as beta-blockers are

also effective at treating the physical trembling and sweating that people with phobias experience

in difficult situations.

Benzodiazepines work quickly and are very effective in the short-term. However, people prone to

substance abuse may become dependent on them. It also may be necessary to increase the dosage

over time.



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Medications Overview (Continued)

Mood Stabilizers. Mood stabilizers are the most common medications prescribed for treating the

mood swings of bipolar disorder. The oldest of them, Lithium, has been in use for over 50 years

and has proven to be very effective, particularly for treating Bipolar-I disorder. However, regular

blood tests are a requirement if you’re taking Lithium, which has potential serious side effects to

the kidneys and thyroid.

Mood stabilizers can prevent highs (manic or hypomanic episodes) and lows (depressive episodes).

All have important side effects to one must be knowledgeable about and monitor. See more at: http://www.nami.org/Learn-More/Treatment/Mental-Health-Medicationscaused



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Mental Health Professionals

There are many types of mental health care professionals who can help you to achieve your

recovery goals. Finding the right professional is easier when you know about their different

treatment roles. If you have a health insurance, your plan needs to offer you the care providers

you need. If one doctor does not accept insurance, they are obligated to find you another. Contact

your health insurance provider for more information.

Prescribing and Monitoring Medication. The following professionals can prescribe medication.

They may also provide assessments, diagnoses and therapy.

Primary Care Physicians. Primary care physicians and pediatricians can prescribe medication,

but it may be wise to consider a visit to someone who specializes in mental health care. Primary

care and mental health professionals should work together to determine the best treatment plan for

each person. Shortages of health care professionals are not uncommon in many parts of the

country. Consequently, more primary care physicians are being trained and equipped to provide

mental health care.

Psychiatrists. Psychiatrists are licensed medical doctors with medical and psychiatric training.

They can diagnose mental health conditions and prescribe and monitor medications. Psychiatrists

are also able to offer counseling and provide therapy. Some have special training in children and

adolescent mental health, substance use disorders or geriatric psychiatry.

In some states, physician assistants and/or nurse practitioners are also qualified to prescribe

medication.

Therapy and Assessment. A therapist can help someone better understand and cope with his

thoughts, feelings and behaviors. They provide guidance and help improve the ability to reach

recovery goals. These mental health professionals may also help in the assessment and diagnosis

of mental illness.

Clinical Psychologists. Clinical psychologists, with a doctoral degree in psychology, are trained

to make diagnoses and provide individual and group therapy. Some may have training in specific

forms of therapy like cognitive behavioral therapy or dialectical behavior therapy, along with other

behavioral therapy interventions.

Psychiatric or Mental Health Nurses. Psychiatric or mental health nurses may have various

degrees ranging from a registered nurse with an associate degree to a nurse with a doctorate degree

as a Doctor of Nursing Practice. Depending on their education and licensing, they provide a range



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Mental Health Professionals (Continued)

of services--including assessment and treatment of mental health conditions, case management and

therapy.

School Psychologists. School psychologists, with advanced degrees in psychology, are trained

to make diagnoses, provide individual and group therapy and work with parents, teachers and

school staff to insure a healthy school environment. They may also participate in the

development of individualized education plans (IEP) to help improve the school experience of

the student with a mental health condition.

Counseling. Working with a counselor can lead to better ways of thinking and living. Counselors

assist with developing life skills and improving relationships.

Clinical Social Workers. A clinical social worker, with a master’s degree in social work, is

trained to make diagnoses and to provide individual and group counseling, case management and

advocacy. Clinical social workers often work in hospitals, clinics or in private practice. Licensed,

independent social workers (LICSW) have undergone an extra certification process.

Counselors. Counselors are trained to diagnose and provide individual and group counseling.

Counselors may focus on different areas: Licensed Professional Counselor, Mental Health

Counselor, Certified Alcohol and Drug Abuse Counselor, Martial and Family Therapist.

Pastoral Counselors. Pastoral counselors are clergy members with training in clinical pastoral

education. They are trained to diagnose and provide counseling.

Peer Specialists. Peer specialists have lived experience with a mental health condition or

substance use disorder. They have often received training and certification and are prepared to

assist with recovery by developing strengths and setting goals.

Social Workers. Social workers (B.A. or B.S.) provide case management, inpatient discharge

planning services, placement services and other services to support healthy living.

See more at: http://www.nami.org/Learn-More/Treatment/Types-of-Mental-Health-Professionals



http://www.nami.org/Learn-More/Treatment/Types-of-Mental-Health-Professionals

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Psychotherapy

Psychotherapy, also known by some as “talk therapy,” is used to describe techniques that are

employed to facilitate a person working with a trained therapist in a safe and confidential

environment to explore and understand feelings and behaviors and to gain coping skills.

Studies have found individual psychotherapy to be effective at improving symptoms in a wide

array of mental health conditions, making it both a popular and versatile treatment. It can also be

used with families, couples or groups. Best practice for treating many mental health conditions

includes a combination of medication and therapy.

Types of Psychotherapy. Therapists offer many different types of psychotherapy. Some people

respond better to one type of therapy than to another. As a result, a psychotherapist will consider

the nature of the problem being treated and take the person’s personality into account when

determining which treatment will be most effective.

• Cognitive Behavioral Therapy. Cognitive behavioral therapy (CBT) focuses on

exploring the relationship between a person's thoughts, feelings and behaviors. During

CBT, a therapist will actively work with a person to uncover unhealthy patterns of thought

and how these may be causing self-destructive behaviors and beliefs. By addressing these

patterns, the person and therapist can work together to develop constructive ways of

thinking that will produce healthier behaviors and beliefs.

• Dialectical Behavior Therapy. Dialectical behavior therapy (DBT) was originally

developed to treat chronically suicidal individuals with borderline personality disorder

(BPD). Over time, DBT has been adapted to treat people with multiple mental health

conditions. However, most people--treated with DBT-- have BPD as a primary diagnosis.

DBT is heavily based on CBT with one big exception: it emphasizes validation or

accepting uncomfortable thoughts, feelings and behaviors instead of struggling with them.

Change no longer appears to be impossible when an individual comes to terms with the

troubling thoughts, emotions or behavior with which they have struggled. Then, they can

work with their therapist to create a gradual plan for recovery.



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Psychotherapy (Continued)

• Eye Movement Desensitization and Reprocessing Therapy. Eye movement

desensitization and reprocessing therapy (EMDR) is used to treat PTSD. Several studies

have shown that it can reduce the emotional distress resulting from traumatic memories.

EMDR replaces negative emotional reactions to difficult memories with less-charged or

positive reactions or beliefs. Performing a series of back and forth, repetitive eye

movements for 20-30 seconds can help individuals change these emotional reactions.

• Exposure Therapy. Exposure therapy is a type of cognitive behavioral therapy that is

most frequently used to treat OCD, PTSD and phobias. During treatment, a person works

with a therapist to identify anxiety triggers. The individual learns techniques to avoid

performing rituals or becoming anxious when exposed to them. The person then

confronts the triggers in a controlled environment where the individual can safely

practice using these techniques.

• Interpersonal Therapy. Interpersonal therapy focuses on the relationships that a person

has with others with the goal of improving the individual’s interpersonal skills. The

therapist helps people evaluate their social interactions and recognize negative patterns,

like social isolation or aggression. These mental health professionals ultimately help

them to learn strategies for understanding and interacting positively with others.

Interpersonal therapy is most often used to treat depression, but may be recommended

for other mental health conditions.

• Mentalization-Based Therapy. Mentalization-based therapy (MBT) can bring long-

term improvement to people with BPD, according to randomized clinical trials. MBT is

a kind of psychotherapy that engages and exercises an important skill called

“mentalizing”. Mentalizing refers to the intuitive process that gives us a sense of self.

People also use this skill to perceive the behavior of others and to speculate about their

feelings and thoughts. Mentalizing thus plays an essential role in helping us connect

with other people.



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Psychotherapy (Continued)

• Psychodynamic Psychotherapy. The goal of psychodynamic psychotherapy is to

recognize negative patterns of behavior and feelings that are rooted in past experiences

and to resolve them. This type of therapy often uses open-ended questions and free

association enabling people can discuss whatever is on their minds. The therapist then

works with the person to sift through these thoughts and identify unconscious patterns of

negative behavior or feelings and how they have been caused or influenced by past

experiences and unresolved feelings. By bringing these associations to the person’s

attention, the individual can learn to overcome the unhelpful behaviors and feelings that

negative thought patterns have caused.

Therapy Pets. Spending time with domestic animals can reduce symptoms of anxiety,

depression, fatigue and pain for many people. Hospitals, nursing homes and other medical

facilities sometimes make use of this effective approach by offering therapy animals. Trained

therapy pets, accompanied by a handler, can offer structured animal assisted therapy or visit to

people to provide comfort.

See more at: http://www.nami.org/Learn-More/Treatment/Psychotherapy.



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Types of Psychosocial Treatments

Supported Employment. Work can be an essential step on the path to wellbeing and recovery,

but challenges that often accompany mental health conditions can make it more difficult. There

are programs, however, designed specifically to help with work readiness, searching for jobs and

providing support in the workplace.

Vocational Rehabilitation (VR). VR provides career counseling and job search assistance to

people with disabilities, including mental illness. VR programs vary from state to state.

Individual Placement and Support (IPS) Supported Employment. IPS programs are evidence-

based programs that help people with mental illness locate jobs that match their individual

strengths and interests. Once a person locates a job, IPS programs provide continuous support to

help them succeed in the workplace. IPS Supported Employment teams include employment

specialists, health care providers and the individual with mental illness. If the person agrees,

family members or a significant other may be part of the team.

Clubhouses. Clubhouses are community-based centers open to anyone with a mental health

condition. Clubhouse members have an opportunity to gain skills, locate a job, find housing and

pursue continuing education. Members work side-by-side with staff to make sure the program

operates smoothly. Members also have the opportunity to take part in social events, classes and

weekend activities.

Case Management. Case managers possess knowledge of local medical facilities, housing

opportunities, employment programs and social support networks. They are also familiar with

many payment options--including local, state and federal assistance programs. Case managers

can serve an important role by helping people get the best treatment possible.

A case manager will assess a person’s needs and identify available resources. He or she will

explain the process of applying for services and help with the necessary documents to prove

eligibility. Case managers also help with questions about filling out official forms, accessing

transportation to appointments, etc. A case manager stays in touch to ensure that a person’s

treatment needs are met. See more at: http://www.nami.org/Learn-More/Treatment/Psychosocial-Treatments



http://www.nami.org/Learn-More/Treatment/Psychosocial-Treatments

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Treatment Settings

Treatment is not a “one size fits” all approach. Where you go for mental health care treatment

depends on your situation and recovery needs. Knowing where to look for treatment and what to

expect can help reduce confusion and stress. Mental health care professionals that provide services

include psychologists, psychiatrists, psychiatric or mental health nurses, social workers and

counselors. A professional who accepts your health insurance can help cover the cost of services.

However, some psychiatrists and other doctors do not accept insurance.

Private Practice. Individual, family and group therapy sessions are held in a variety of settings,

a common one being private practice. A professional in private practice may work out of a variety

of places, from an office to his or her home. Meeting with a care provider—on a weekly, bi-

weekly or monthly basis--can provide a patient with a better understanding of relationships,

feelings, behaviors and enable the individual to manage symptoms and reduce the risk of relapse.

Community or County Mental Health Centers. A community or county mental health care

center often provides public mental health care services when a referral to a private doctor or

therapist is not possible. Centers are operated by local governments to meet the needs of people

whose mental health conditions seriously impact their daily functioning. Some of the services a

person might receive from a community or county mental health center include outpatient services,

medication management, case management services and intensive community treatment services.

Often centers manage contracts with mental health service providers and refer clients for

employment, day program services, residential treatment services, therapeutic residential services

and supportive residential services.

Psychiatrists, psychologists, social workers, counselors and peer support specialist work at centers

to provide the range of services that clients need. Some centers use the Assertive Community

Treatment (ACT) team-based care model to coordinate a client’s care including psychiatry, case

management services, and provide help with employment and substance use issues.

Most of the people getting services from a community or county mental health care center receive

Social Security Disability benefits and rely on Medicaid to fund their treatment needs.



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Treatment Settings (Continued)

Emergency Rooms. A visit to an emergency room might be the only option when it isn't possible

to get treatment from a mental health center or a private doctor, or a situation escalates into an

emergency and safety is a concern.

Situations that might require a trip to the emergency room include:

• A suicide attempt;

• Assault or threatening actions against another person;

• Hearing voices, paranoia, confusion, etc..; and

• Drugs or alcohol escalating a person’s mental health issue.

If you are calling 911, be sure to tell the operator that it is a “mental health emergency”. Ask for

assistance from emergency responders with Crisis Intervention Team (CIT) training. Many first

responders will approach a mental health situation differently, if they know what to expect.

Hospitalization. There may be times when a person is admitted to the hospital for intensive

treatment. Private psychiatric hospitals, general hospitals with a psychiatric floor or state

psychiatric hospitals are designed to be safe settings for intensive mental health treatment.

Hospitalization can involve observation, diagnosis, changing or adjusting medications, ECT

treatments, stabilization, correcting a harmful living situation, etc.

If a person and their doctor agree that inpatient treatment is a good idea, they will be admitted on

a voluntary basis--meaning that they choose to go. Some private hospitals will only take voluntary

patients. If a person is very ill and refuses to go to the hospital or accept treatment, involuntary

hospitalization is an option. The legal standard for an involuntary hospitalization requires that a

person be considered a “danger to self or others.” This type of hospitalization usually results in a

short stay of up to 3 days, but can occasionally last a week or longer.

Partial Hospitalization or Day Hospitalization. Partial hospitalization provides care and

monitoring for a person who may be having acute psychotic symptoms without being a danger to

self or others. It allows a patient to return home at night and is much less disruptive. Day

hospitalization can also be used as a transition from inpatient hospital care before a complete return

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Treatment Settings (Continued)

Substance Abuse Centers. Some people with mental health conditions also have substance abuse

concerns. The most widely used form of treatment is an integrated intervention. With this treatment

a person receives care for both a specific mental illness and substance abuse. Types include:

• A detoxification facility;

• Acute Residential Treatment (ART); and

• Intensive Outpatient Programs (IOP).

See more at: http://www.nami.org/Learn-More/Treatment/Treatment-Settings



http://www.nami.org/Learn-More/Treatment/Treatment-Settings

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APPENDIX B

NAMI Prince George’s County

Maryland and Prince George’s County General

Resources

• Benefits

• Cell Phones

• Crisis Services

• Employment

• Help Lines, Text Numbers and Hotlines

• Housing

• MD Department of Disabilities

• Medical Services

• Peer Support

• Problem Solving Courts

• Veteran Services



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Maryland and Prince George’s County General Resources

Services Area Information and Contacts

BENEFITS AND RE-ENTRY SERVICES

The Bridge Center at Adam’s House – Provides services for Veterans, young adults (18-24), and individuals recently released from jail who are Prince George’s County residents; and connects them to services to improve their physical health, behavioral health and to promote financial stability. Client Eligibility

• Must be a Prince George’s County resident • No minors (at least 18 years old)

5001 Silver Hill Road, Suite 300 Suitland, MD 20746 301-817-1900 Monday – Friday, 8:30 a.m. - 5 p.m., excluding holidays

BENEFITS ENROLLMENT CENTER

The Arc of Prince George’ Benefits Enrollment Center - Provides the following services: Screens to determine eligibility for multiple federal, state, and private benefits. Assistance with completing and submitting applications. Lakwona Simmons| Benefits Enrollment (301-925-7050 (main), 301- 335-9681 (work cell) [email protected] https://www.thearcofpgc.org/resources/benefits-enrollment-center/




https://www.thearcofpgc.org/resources/benefits-enrollment-center/

https://www.thearcofpgc.org/resources/benefits-enrollment-center/

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BENEFITS ENROLLMENT Maryland Department of Human Resources Public Assistance - Types of assistance that are available. Visit my MDThink to apply.

• SNAP, Medical Assistance, Maryland Energy Assistance, Temporary Disability Assistance Program, Temporary Cash Assistance, Burial Assistance, Emergency Assistance, Public Assistance

https://dhs.maryland.gov/weathering-tough-times/ Financial Assistance https://dhs.maryland.gov/category/financial-assistance/

BENEFIT SERVICES PGC DEPARTMENT OF FAMILY SERVCIES Provides assistance to children, families, victims of domestic violence, people with intellectual and developmental disabilities, veterans and seniors. 6420 Allentown Road Camp Springs, MD 20748 301-265-8401 Fax: 301-248-0716 https://www.princegeorgescountymd.gov/1628/Family-Services

PGC DEPARTMENT OF SOCIAL SERVICES

PGC Department of Social Services - Access services online by visiting: mydhrbenefits.md.state.us or to schedule an appointment call 1-800-332-6347 805 Brightseat Road Landover, Maryland 20785-4723 Main Phone: 301-909-7000 Customer Service: 1-800-332-6347 Email: [email protected] Monday – Friday, 8:00 a.m. – 5:00 p.m.



https://mymdthink.maryland.gov/home/#/

https://dhs.maryland.gov/weathering-tough-times/

https://dhs.maryland.gov/category/financial-assistance/

https://www.princegeorgescountymd.gov/1628/Family-Services

https://www.princegeorgescountymd.gov/1628/Family-Services

https://www.princegeorgescountymd.gov/1629/mydhrbenefits.md.state.us

tel://301-909-7000/

tel://1-800-332-6347/


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https://dhs.maryland.gov/local-offices/prince-georges-county/

BENEFITS SERVICES – SSDI AND APPLICATION SUPPORT (For Individuals with a mental health condition who are homeless/close to being homeless)

PGC Department of Social Service, SSI/SSDI Outreach, Access, and Recovery (SOAR) - A program designed to increase access to SSI/SSDI for eligible adult and children who are experiencing or at risk of homelessness and have a serious mental illness, medical impairment, and/or a co-occurring substance use disorder. Victoria Frazer, PGC SOAR Coordinator Email: [email protected] 301-909-6369

BENEFITS SERVICES - SSDI AND SSI Application

Social Security Administration 6110 Allentown Rd Camp Springs 20746 (877) 512-3849

BENEFITS - CELL PHONES AND SERVICES

Cintex Wireless – Must contact for eligibility requirements. 1-855-655-3097 Monday - Friday: 8:00 a.m. – 8:00 p.m. CST Email: [email protected] https://www.cintexwireless.com/ SafeLink Wireless – Must contact for eligibility requirements. Enrollment and Plan Changes Support: 1-800-SafeLink (723-3546) Monday-Saturday 8:00 a.m. - 10:00 p.m. EST Sunday 8:00 a.m. - 7 p.m. EST www.safelinkwireless.com

EMPLOYMENT SERVICES

Employ Prince George's Headquarters 1801 McCormick Drive, Suite 400 Largo, MD 20774 301- 618-8400 Monday – Friday, 8:30 a.m. – 5:00 p.m.






https://www.ssa.gov/


https://www.cintexwireless.com/

http://www.safelinkwireless.com/

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American Job Center – Largo 1801 McCormick Drive, Suite 120, Largo, MD 20774 301-618-8425 Monday – Thursday, 8:30 a.m. – 5:00 p.m. Friday, 8:30 a.m. – 4:00 p.m.

HELP LINE – MARYLAND SERVICES – MENTAL HEALTH SERVICES AND SOCIAL SERVICES ORGANIZATIONS – TREATMENT AND BEHAVARIOAL HEALTH REFERRALS

2-1-1 Maryland Call: 2-1-1 and Press “1” Open 24/7 Hrs./7 days a week in over 180 languages **** Crises Services, Inc. – A one-stop calling center/ Hotline to access mental health services and social service organizations within the community. We are here 24 hours a day, 365 days a year for anyone facing crisis and personal turmoil. 4316 Farragut St, Hyattsville, MD 20781 Call: 1-800-273-TALK (8255), 24 hrs./365 days a year ***** SAMHSA’s National Helpline – Provides confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Call: 1-800-662-HELP (4357)

HELP TEXTS – MENTAL HEALTH CRISIS AND SUPPORTIVE MESSAGES

211 Maryland – All Services

➢ Text “Zip Code” to 898-211

Maryland Department of Health, MD Mind Health - Provides supportive mental health messages and reminders that immediate access to mental health services is available. If in distress, individuals can call 211, chat through the 211 website, or text 898-211. All



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actions will link the individual to a call specialist available 24/7.

➢ Text “MDWellness” to 898-211

NAMI – Mental Health

➢ Text “NAMI” to 741741

Veteran Services ➢ Text to 838255 to connect to a responder

HOTLINES EMERGENCY – IMMEDIATE CRISIS CALL 9 -1- 1 –DOMESTIC VIOLENCE – PRINCE GEORGE’S COUNTY CRISIS SERVICES HOTLINE HOTLINE – NATIONAL SEXUAL ASSAULT HOTLINE

Immediate Crisis Assistance Call: 9-1-1 **** National Domestic Violence Hotline – Trained expert advocates are available 24/7 to provide confidential support to anyone experiencing domestic violence or seeking resources and information. Help is available in Spanish and other languages. 1-800-799-SAFE (7233) Prince George’s County Crisis Services Hotline Call: 301-429-2185 Substance Use Referrals: Call: 301-298-2628 ext. 3100 National Sexual Assault Hotline – Connect with a trained staff member from a sexual assault service provider in your area that offers access to a range of free services. Call: 1-800-656-HOPE (4673), 24/7

HOUSING – SHELTER LOCATOR TOOL

U.S. Department of Housing and Urban Development Find A Shelter Tool - Provides information about housing, shelter, health care, and clothing resources in communities across the country. https://www.hud.gov/findshelter

MEDICAL – PGC BEHAVIORAL HEALTH SERVICES

PGC Health Department, Behavioral Health 1701 McCormick Drive Suite 200 Largo, MD 20774



https://www.hud.gov/findshelter

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Monday – Friday. 8:30 a.m. - 5 p.m. 301-883-7879 Fax: 301-883-7896 https://www.princegeorgescountymd.gov/1733/Behavioral-Health PGC Health Department, Local Behavioral Health Authority –There are staff available to speak with you if you suspect that you or a family member has a mental health or substance-related problem. 9314 Piscataway Road, Suite 150 Clinton, MD 20735 301-856-9500 https://www.princegeorgescountymd.gov/2834/Local-Behavioral-Health-Authority-LBHA

MEDICAL – PRESCRIPTION ASSISTANCE

Prescription Assistance - If you take a brand name version of a medication, the pharmaceutical company that makes that drug may offer payment assistance to see brand names, manufactures and program contact information listed go to:

NAMI’s website: https://helplinefaqs.nami.org/article/117-where-can-i-get-help-paying-for-my-medication

MEDICAL – BEHAVIORAL HEALTH LOCATOR TOOL

Substance Abuse and Mental Health Services Administration Treatment Locator Tool – An online confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems. https://findtreatment.samhsa.gov/locator

PEER SUPPORT – ON OUR OWN OF MARYLAND

On Our Own of Maryland – A statewide peer-operated behavioral health advocacy and education organization which promotes equality, justice, autonomy, and choice



https://www.princegeorgescountymd.gov/1733/Behavioral-Health

https://www.princegeorgescountymd.gov/1733/Behavioral-Health

https://www.princegeorgescountymd.gov/2834/Local-Behavioral-Health-Authority-LBHA

https://www.princegeorgescountymd.gov/2834/Local-Behavioral-Health-Authority-LBHA

https://d.docs.live.net/f72f93a2acf0d2ee/NAMI/Re-entry%20Program/NAMI’s%20website

https://helplinefaqs.nami.org/article/117-where-can-i-get-help-paying-for-my-medication

https://helplinefaqs.nami.org/article/117-where-can-i-get-help-paying-for-my-medication

https://findtreatment.samhsa.gov/locator

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about life decisions for individuals with mental health and substance use needs. Katie Rouse, Executive Director Email: [email protected] Mailbox 14 7310 Esquire Court Elkridge, MD 21075 410-540-9020 https://onourownmd.org/

PEER SUPPORT – ON OUR OWN OF PRINCE GEORGE’S COUNTY

On Our Own of Prince George’s County • A friendly place where people with lived experiences

can come to find community and support. • Offers hope, information, resources, and an

opportunity to those with behavioral health concerns.

• Promotes self-advocacy by staying active and aware of issues that concern individuals with behavioral health challenges as well as issues in the community.

Matt Ratz, Executive Director 5109 Baltimore Avenue Hyattsville, MD 20781 240-553-7308 Fax: 240-553-7309 Email: [email protected]

PEER SUPPORT – PGC CENTER FOR INDEPENDENT LIVING

Independence Now - Provides Information and Referral for: Advocacy, Peer Support, Independent Living Skills Training and Transition, Housing, Employment Executive Director, Sarah Basehart 240-898-2183 Email: [email protected]




https://onourownmd.org/



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12301 Old Columbia Pike # 101 Silver Spring, MD 20904 301-277-2839 (TDD: Use Maryland Relay: 711) Email: [email protected] https://www.innow.org/

PEER SUPPORT – UNSCHACKLED MINISTRIES REENTRY SUPPORT

Unshackled Ministries - Partners with other community service providers creating the New Life Comprehensive Resource Center (NLCRC), the perfect link between the Prince George’s County government and returning citizens. Rev. Dr. Yvonne Felton 9701 Apollo Dr., Suite 410 Upper Marlboro, Md 20774 301-691-1115

PEER SUPPORT – LIFE AFTER RELEASE

Life After Release (LAR) - Provides support for the needs of formerly incarcerated women re-entering their communities by teaching them how to manage life after release from incarceration and grassroots organizing and advocacy skills to shape legislation and policy that affects their lives. Qiana Johnson, Executive Director 4710 Auth Place 2nd floor Camp Springs Md 20744 240-200-4472 CourtwatchPG Carmen Johnson, Director https://lifeafterrelease.org/

PROBLEM SOLVING COURT – PGC DRUG COURT PROGRAM

Drug Court: The Adult Drug Court Program is a supervised, sanction-based, comprehensive treatment program for non-violent offenders referred to Adult Drug Court by their defense attorney.




https://www.innow.org/

https://lifeafterrelease.org/

https://www.princegeorgescourts.org/350/Adult-Drug-Court

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Circuit Court for Prince George's County Problem Solving Courts Judiciary Administrative Building 14701 Governor Oden Bowie Drive Upper Marlboro, MD 20772 301-952-2651 Fourth Floor, J4404 Christina Buck, Adult Drug Court Coordinator 301-952-3606 [email protected] Get Client Referral Form at: Referral Form

PROBLEM SOLVING COURT – PGC MENTAL HEALTH COURT PROGRAM

Mental Health Court: A Mental Health Court is a specialized court docket established for defendants with mental illness that substitutes a problem-solving approach for the traditional adversarial criminal court processing Prince George’s County District Court 14735 Main Street Upper Marlboro, Maryland 20772 Melanie Countee Coordinator 301- 298‐4101 Fax:301- 298‐4109 [email protected]

PROBLEM SOLVING COURT – PGC REENTRY COURT PROGRAM

Reentry Court Program: The Re-Entry Court Program is voluntary, supervised, sanction and incentive based comprehensive court program. The program is 18-months. Gregory Sanders, Re-Entry Court Coordinator 301-952-3290 [email protected] Get Client Referral Form at: Referral Form

PROBLEM SOLVING COURT – PGC VETERAN COURT PROGRAM

Veteran Court: The Veterans Court Program is a supervised, voluntary, comprehensive and sanction-based treatment program




https://www.princegeorgescourts.org/DocumentCenter/View/435/PSC-Adult-Drug-Court-Referral-Form-2018?bidId=

ttps://mdcourts.gov/opsc/mhc


https://www.princegeorgescourts.org/351/Re-Entry-Court


https://www.princegeorgescourts.org/DocumentCenter/View/437/PSC-Re-Entry-Court-Attorney-Referral-Form--2018?bidId=

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.

Candice Edwards, Veterans Court Coordinator 301-780-2462 [email protected] Get Client Referral Form: Referral Form

VETERANS Services – Military One Source - Confidential counselors are available for service members and their families through Military One Source. If you’re unsure whether to seek treatment or if you someone you know might need treatment, they are an excellent first stop for information and advice. 1-800-342-9647 Real Warriors - Encourages help-seeking behavior among service members, veterans and military families coping with invisible wounds. Psychological Health Center of Excellence 7700 Arlington Blvd, Suite 5101 Box #22 (Silver Spring Office) Falls Church, VA 22041 Email: To confidentially speak with trained health resource consultants 24/7, contact the Psychological Health Resource Center at 866-966-1020. https://www.realwarriors.net/ My HealtheVet - Offers tips and tools to help partner with health care team to work together for health management. Monday - Friday, 7:00 a.m. - 7:00 p.m., CT 1-877-327-0022, 1-800-877-8339 (TTY)

Veteran Health Care - U.S. Department of Veterans https://www.va.gov/health-care/

Veteran Services – A free, confidential resource available to any Veteran, even if they are not enrolled in VA health care or registered with VA. Call: 1-800-273-8255 and Press 1, 24 Hrs./365 Day TTY users: Use your preferred relay service, or dial 711 then 1-800-273-8255. Or chat with us.




https://www.princegeorgescourts.org/DocumentCenter/View/439/PSC-Veterans-Court-Attorney-Referral-Form-2018?bidId=

https://www.realwarriors.net/

https://www.va.gov/health-care/

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VA Phone Numbers • If you have questions about your benefits, call (800) 827-1000. • If you have questions about your health care benefits, call (877) 222-VETS (8387). • If you need to talk to someone because you are having problems adjusting to civilian life, you can call the Veterans Crisis Line, (800) 273-8255 and Press 1. • If you or your family member is a combat veteran, and you need to talk to someone about your military service or difficulties in adjusting to civilian life, you can call the Vet Center Combat Call Center: (877) WAR-VETS or (877) 927-8387.



NAMI PRINCE GEORGE’S COUNTY


Contact Us for Information or Support

NAMI Prince George's County Office Phone: (240) 736-7593 (not a crisis line)

Fax: (240) 334-4848 NAMI HelpLine: 800-950-NAMI (6264) - M-F, 10 a.m.–8 p.m., ET

Email Address: [email protected] Visit: http://www.namipgc.org

Office Location

1021 Martin Luther King Jr. Hwy Suite 240B - Office C

Bowie, MD 20720



Documents

National Alliance on Mental Illness (NAMI) Prince George's County