1. INJURED NOT BROKEN: ADDRESSING MENTAL HEALTH NEEDS WITH A WHOLE-LIFE RECOVERY APPROACH Brain Injury Alliance Annual Conference April 11th, 2013 Brooklyn Center, MN

2. 2 YOUR PRESENTERS TODAY Sonja Kruse, MA, CBIS, ARMHS Specialist Shannon Campbell, MS, ARMHS Specialist

3. 3 COURAGE CENTER MISSION COURAGE CENTER EMPOWERS PEOPLE WITH DISABILITIES TO REALIZE THEIR FULL POTENTIAL IN EVERY ASPECT OF LIFE.

4. 4 ARMHS ADULT REHABILITATIVE MENTAL HEALTH SERVICES (ARMHS) ARE REHABILITATIVE SERVICES: 1. MENTAL HEALTH DIAGNOSIS (AND BARRIERS TO FUNCTIONING) 2. SKILL BASED: MANAGEMENT OF MENTAL HEALTH INVOLVEMENT IN THE COMMUNITY INDEPENDENT LIVING 3. COMMUNITY-BASED (HOME, LOCAL COMMUNITY) 4. MEDICAL SERVICE- (NOT WAIVER FUNDED) www.psychologytoday.com/.../u92/Teaching%202.jpg

5. 5 OUTLINE 1.WHY “BROKEN”? (LOSS AND TBI) 2.THE MENTAL HEALTH RECOVERY MOVEMENT 3.THE WHOLE-LIFE APPROACH 4.CLIENT EXAMPLES 5. IDEAS AND RESOURCES

6. 6 EXAMPLE I WOULD: I AM:

7. 7 INTRODUCTION TBI AND “BROKEN”

8. 8 CONTRIBUTING FACTORS GRIEF AND LOSS FOCUS ON DEFICITS MENTAL HEALTH CONCERNS FAMILY SYSTEMS AND CLOSE RELATIONSHIPS CHANGING ROLES QUESTIONING IDENTITY CONSTANT COMPARISONS LIFESTYLE/HOBBIES FINANCIAL PROBLEMS

9. 9 TBI AND “BROKEN” IRREPARABLE DAMAGE INCOMPLETE “LESS THAN” (COMPARISON) (NOT A PHILOSOPHICAL STANCE)

10. 10 CO-OCCURRENCE OF BRAIN INJURY AND MENTAL HEALTH DISORDERS 1.7 MILLION/TBI/YEAR (est.) DEPRESSION IS THE MOST FREQUENT PSYCHIATRIC ILLNESS OBSERVED AMONG CLIENTS WITH TBI 18-40% Immediate or several years later May resolve or be ongoing ANXIETY DISORDERS FOUND TWICE MORE OFTEN IN INDIVIDUALS WITH TBI THAN IN THE GENERAL POPULATION (36% VS 18%) CO-MORBID MENTAL HEALTH DISORDERS ARE COMMON (DEPRESSION/ANXIETY MOST COMMON CO-MORBIDITY)

11. 11 HISTORY OF MENTAL HEALTH RECOVERY MOVEMENT  RECOVERY MOVEMENT IN THE US  1800’S  CONCEPT OF RECOVERY  1900’S  NATIONAL MENTAL HEALTH ACT (1946)  2000’S  NEW FREEDOM COMMISSION ON MENTAL HEALTH

12. 12 PIONEERS OF MENTAL HEALTH RECOVERY MOVEMENT  DOROTHEA DIX  CLIFFORD BEERS  PAT DEEGAN  MARY ELLEN COPELAND  MARTIN SELIGMAN

13. 13 PRINCIPLES OF MENTAL HEALTH RECOVERY 1. SELF-DIRECTION 2.INDIVIDUALIZED & PERSON-CENTERED 3.ENPOWERMENT 4.HOLISTIC 5.NONLINEAR 6. STRENGTHS-BASED 7. PEER SUPPORT 8. RESPECT 9. RESPONSIBILITY 10. HOPE

14. 14 RECOVERY PROGRAMS, TREATMENTS & THERAPIES  WRAP  KEY CONCEPTS  STRENGTHS-BASED PSYCOLOGY  EXAMPLE: PROBLEM VS. STRENGTH  NARRATIVE THERAPY  KEY PRINICIPLES  ADDITIONAL THERAPIES  CBT, SUPPORT GROUPS, OT, PT, S/LT, VIDEO GAMES

15. 15 NEW DEVELOPMENTS & FUTURE RESEARCH  TBI, THE MILITARY AND MENTAL HEALTH  PREVELANCE  TREATMENTS  CURRENT RESEARCH  FUTURE TRENDS  TBI, SUBSTANCE ABUSE AND MENTAL HEALTH  PREVELANCE  TREATMENTS  CURRENT RESEARCH  FUTURE TRENDS

16. 16 MIND BODY SPIRIT A WHOLE-LIFE APPROACH

17. 17 CLIENT EXAMPLES VIDEO

18. 18 CLIENT EXAMPLES PHOTOS

19. 19 IDEAS, STRATEGIES, RESOURCES

20. THANK YOU! CONTACT INFO: COURAGE CENTER ARMHS PROGRAM 763-520-

21. 21 QUESTIONS

22. 22 BIBLIOGRAPHY Copeland, Mary Ellen (1997) Wellness Recovery Action Plan, Peach Press, http://www.mentalhealthrecovery.com. Moore and M. Stambrook. Cognitive moderators of outcome following traumatic brain injury: A conceptual model and implications for rehabilitation. 1995, Vol. 9, No. 2 Pages 109-130 UBM Medica Psychiatric Times: Mood and Anxiety Disorders Following Traumatic Brain Injury Ricardo E. Jorge, MD | June 1, 2008 http://www.psychiatrictimes.com/display/article/10168/1163519 http://www.psychiatrictimes.com/display/article/10168/1163519 Brain Injury Association of America: http://www.biausa.org/http://www.biausa.org/ www.brainline.org www.nami.org www.asha.org/aud/articles/currentTBI.htm www.samhsa.gov www.apa.org Photo images courtesy of: http://www.freedigitalphotos.net/http://www.freedigitalphotos.net/