2. Seasons of Change: Mental Health Past, Present, and Future Paolo del Vecchio, M.S.W., Director SAMHSA’s Center for Mental Health Services On Our Own of Maryland Columbia, MD November 5, 2013

3. Autumn Is Upon Us

4. 50 Years Ago…A New Frontier “…reliance on the cold mercy of custodial isolation will be supplanted by the open warmth of community…” – President John F. Kennedy in a special message to Congress about the state of mental health, February 5, 1963

5. A New Era in Behavioral Health

6. This Is My Story

8. Milestones

9. Americans with Disabilities Act The Americans with Disabilities Act (ADA) protects Americans with mental and physical disabilities against discrimination. The act is a landmark piece of legislation signed into law in July 1990.

10. Milestone

11. Olmstead On June 22, 1999, the Supreme Court decided the case Olmstead v. L.C. Tommy Olmstead was the director of the Georgia Department of Human Resources. L.C., a woman with schizophrenia, believed it was the state’s responsibility to transition her from a publicly-run psychiatric hospital into the community. Tommy Olmstead said that the state didn’t have money for these services. In a landmark decision, the Supreme Court ruled that the state must pay.

12. Mental Health: A Report of the Surgeon General This report covers: Mental Health Mental Disorders Mental Health Services Confidentiality Legislation as Topic Attention Deficit Disorder with Hyperactivity Mental Disorders Diagnosed in Childhood Anxiety Disorders Mood Disorders Schizophrenia Depressive Disorder Alzheimer Disease

13. The President's New Freedom Commission on Mental Health This report describes a strategy for mental health care transformation that ensures services and supports that actively facilitate recovery and build resilience. Identifies six goals of transformation and showcases model programs to illustrate goals in practice.

14. Recovery & Resilience “When we learn how to become resilient, we learn how to embrace the beautifully broad spectrum of the human experience.” ― Jaeda DeWalt

15. Defining Recovery A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. – SAMHSA, 2011

16. Eliminating Seclusion & Restraint “It is the very use of coercion, positive or negative, that breaks or deadens the spirit, which is the source of motivation.” ― Kelly Bryson, Don't Be Nice, Be Real: Balancing Passion for Self with Compassion for Others

17. Milestone

18. Working Definition of Trauma Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual's functioning and physical, social, emotional, or spiritual well-being. SAMHSA, 2013

19. Dimensions of Wellness – Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4) 311- 314.

20. Health Disparities

21. A Life with Purpose

22. Feed Your Spirit

23. Affordable Care Act

24. Milestone

25. Peer Support in Health Care Where Are Peer Supports Delivered ? Recovery community centers Faith and community-based organizations Recovery homes and sober housing Emergency departments Addiction and mental health service agencies Jails and prisons Probation and parole programs Drug courts HIV/AIDs and other health and social service centers Children, youth, and family service agencies – Centre of Excellence in Peer Support

26. Mental Health Is a National Priority www.mentalhealth.gov

27. Changing the Conversation

28. Myths about Mental Health

29. Let’s Talk About It www.mentalhealth.gov

30. Harvesting Hope “Hope is the seed for recovery. It may begin in isolation, but grows and flourishes in community. We must plant and protect the seeds to reap the harvest.” – Paolo del Vecchio

31. Closing Thoughts “Love the trees until their leaves fall off, then encourage them to try again next year.” ― Chad Sugg

32. For More Information SAMHSA 1 Choke Cherry Rd. Rockville, MD 20857 Phone: 1-877-SAMHSA-7 (1-877-726-4727) TTY: 1-800-487-4889 Fax: 240-221-4292 http://www.samhsa.gov CMHS Phone: 240-276-1310 Fax: 240-276-1320