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Building Healthy & Holistic Communities:
Inspiration, Innovation, Integration
Lauren Spiro
2012
OutlineI. Values-driven leadership
Healing trauma
NCMHR
Emotional CPR (eCPR)
II. National trends
SAMHSA – Wellness & Recovery
Health Care Integration
A better system is not something thatcan be introduced like a new car. It mustbecome more than just a new variationon an older generation. A better systemwill not automatically ensure a better life.In fact it is through helping a personcreate a better life that a better systemwill be created.
Former President Havel of the Czech Republic
How are you creating a better life for yourself and for others?
Unleash the power:Believe in yourself
Your are powerful
beyond your
imagination.
What is your plan of action?
Life: An Unfolding Becoming
Our greatest impacts lie
in our relationships with
one another and the
way we are in the
world.
My life force had been stifled by the impact of human disconnection
in my early childhood.
I experienced such aprofound lack of safetywhen I was growingup—it led me to cling toanyone who offeredsafety and anything thatcould numb the pain.
• .
Creatively Expressing My Story
…The innocence, The intelligence, The radianceThe joy, The light, The love, What happened?To extinguish that flame…It is about historical trauma, heaped upon theinfant and the child and the adolescent. It isabout living in a violent, racist, competitive,greedy, shallow, exploitive, mind-numbing, TVtranquilized, grab it now -or lose it, gimmicked-to-deathmagic pill culture thatLeaves little room to be human.
Brief excerpt of poem by Lauren Spiro
NCMHR ValuesRecovery: Recovery is real and possible for everyone. To
recover, we need services and supports that treat us with dignity, respect our rights, allow us to make choices, and provide assistance with our real-life, self-defined needs. This range of services must include consumer-run and -operated programs.
Self Determination: Self-determination is essential for recovery to occur. We need to be in control of our own lives.
Holistic Choices: We need choices that meet our self-defined needs. We need a wide range of recovery-oriented services and supports to assist us in achieving our goals. These include assistance with housing, education, and career development, all of which can be consumer-run.
NCMHR Values (cont.)
Voice: We must have a voice in our recovery and in the policies facilitating our recovery. We must be central in any dialogues and decisions about mental health issues at all levels. This is empowerment.
Personhood: We are whole human beings and will campaign to remove stigma and discrimination. We have the same dreams as all members of the community and the ability to make our own decisions. A barrier-free community is one free from discrimination and stigma.
NCMHRGrowing Stronger
Activities in Washington, D.C. & beyond
Education and Advocacy
$960,000 from Congress
White House policy meetings
Emotional CPR www.emotional-crp.org
Building Bridges with Law Enforcement
Emotional CPR (eCPR)
eCPR is a public healtheducation program thatteaches people to assistothers through anemotional crisis andregain a sense of hopeand purpose in theirlives. C = Connection, P = emPowering, & R = Revitalizing.
SAMHSA Wellness Initiative: Our Vision. Our Pledge.
• We envision:– A future in which people with mental and substance use disorders
pursue optimal health, happiness, recovery, and a full and satisfying life in the community via access to a range of effective services, supports, and resources.
• We pledge:– To promote wellness for people with mental and substance use
disorders by taking action to improve the quality of life and reduce early mortality.
Wellness
“Wellness is a conscious, deliberate process that requires awareness of and making choices for a more satisfying lifestyle.”
Source: Swarbrick, M. (1997). A Wellness Model for Clients. Mental Health Special Interest Section Quarterly, 20, 1–4.
Early Mortality Factors
• Factors contributing to preventable, premature death:– Modifiable risk behaviors (e.g., smoking, poor nutrition, inactivity,
substance use, lack of sleep)– Higher rates of poverty, homelessness, unemployment, incarceration– Some psychotropic medications– Social isolation, trauma, stigma, and discrimination
See page 14-15 of: http://www.nasmhpd.org/general_files/publications/med_directors_pubs/Technical%20Report%20on%20Morbidity%20and%20Mortaility%20-%20Final%2011-06.pdf
Parks, J., Svendsen, D., Singer, P., & M. E. Foti eds. (2006). Morbidity and Mortality in People with Serious Mental Illness. Alexandria, VA: NASMHPD.
Our Higher Risk: Data
• Why people are at higher risk:– 31.7% live below the poverty line.1
– 72% are unemployed.2
– 75% smoke cigarettes as compared to 23% of the general population3 and represent 44.3% of the U.S. tobacco market.4
– 46% of people who are homeless have a mental illness.5
1Erickson, W., & Lee, C. (2008). 2007 disability status report: United States. Ithaca, NY: Cornell University Rehabilitation Research and Training Center on Disability Demographics and Statistics.
2Ibid.3Parks, J., Svendsen, D., Singer, P., & M. E. Foti eds. (2006). Morbidity and Mortality in People with Serious Mental Illness. Alexandria, VA: NASMHPD. 4Ibid.5The President's New Freedom Commission on Mental Health (2004). The State of American Mental Health Care: Where Have We Been, What Have We Done, and
Where Are We Going?
The Eight Dimensions of Wellness
Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric
Rehabilitation Journal, 29(4), 311–314.
Wellness Tools
• Visit http://store.samhsa.gov– Wellness posters and
brochures• Web sites and informational
webinars:– http://samhsa.gov/wellness– http://fda.gov/women– http://www.cdc.gov/
mentalhealth/about_us/micd.htm
– http://millionhearts.hhs.gov– http://www.welltacc.org
National Wellness WeekCredits clockwise from top left, from Town Hall webinar kicking off the first National Wellness Week:Angélica García, Wellness activities of the spirit—giving back, social and balance—nurturing yourself; Mary Ellen Copeland—Remind someone that there is hope … and that their life can be the way they want it to be; Joe Powell—7,000 people walk across a New York City bridge for Recovery Month 2009.
Put It On the Map!
Let us know what you have planned for National Wellness Week, September 17–23, 2012, by emailing [email protected]
Sign the Pledge for Wellness and join the Wellness Initiative email list: http://www.samhsa.gov/wellness
Co-creating our future: Health Care Integration
Maintenance-based systems are dangerously out of dateand must become aligned with the holistic, hope andstrengths based philosophy that now prevails.
Dialogue and shared decision-making are essentialprocesses in service delivery at the organizationalchange levels.
Foster networking, relationship building, finding commonground about issues and approaches so that together wewill work towards the goals that integrate these differentsystems of care
Co-creating our future: Health Care Integration
1. Community integration is an overarching unifying concept. It brings communities together and contributes to vibrant social networks
2. Holistic health3. People with lived experience being full
participants in their care4. Maximum consumer/survivor/peer choice5. Optimal involvement of persons with lived
experience in driving the continued transformation of care/service delivery, supports, evaluation and outcomes, and society
Nothing About Us Without Us How will the system look?
We need to be involved in forming policy at the state level.
Co-located, for example at CMHC or FQHC
There may be a need for thousands of people with the livedexperience of recovery to be navigators, peers, coaches awhole variety of ways we can help people in their recovery& wellness.
Coalition building amongst cross-disability groups withinthe state to amplify our voice. Negociate with the Dept thatoversees Medicaid. Educate & negociate with HHS statelevel.
Nothing About Us Without Us
Think in terms of outcomes – the affordable care act talksabout improving quality but also looking at costs and linkingpayment to costs.
There is an intent to base payment on outcomes. There isan opening here to defining outcomes on wellness &recovery instead of symptom reduction.
On Our Own of Maryland received (1 of 8) * BRSS TACS
HCR grants; they are creating a HCR education tool.
* Bringing Recovery Supports to Scale Technical Assistance Center Strategy
BRSS TACSA consortium focused on promoting wide-scale adoption ofRecovery oriented supports, services, and systems forpeople in recovery from substance use and/or mentalhealth conditions.
With a fiscal restraint and health care integration we haveunprecedented opportunities and challenges in thebehavioral health and human services fields to develop astate and national systems of care based on principles ofwellness, resiliency and recovery.
Nothing About Us Without Us
Lauren Spiro, M.A.
Director,
National Coalition for Mental Health Recovery
www.ncmhr.org
