1. Southern Ohio Synod SynodFest Wittenberg University June 7, 2013 Equipping the Faith Community to Support Mental Health Recovery Renee Kopache Hamilton County Mental Health and Recovery Services Board

2. Agenda Experiencing mental illness…the short version Overview of recovery The recovery journey The role of spirituality in the recovery journey Supporting recovery

3. Experiencing Mental Illness

4. Experiencing Mental illness Childhood Teenage years ------------------------------------------------------------------ College ……………………………………………….. Graduate School “Disabled”

5. Experiencing Mental illness Hospitalizations, seclusion, restraints, ECTs, side effects, etc. Sentenced to a life of poverty Discrimination/Stigma Victimization Loss (identity, friends, family, career, hobbies, etc.) “You can’t” Hopeless Suicidal

6. Overview of Recovery

7. Recovery: What It Is Not Treatment Stability Maintenance Compliance with treatment/medications Staying out of the hospital Absence of symptoms Controlled by others

8. Recovery: What It Is “A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles …recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness." Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990’s. Psychosocial Rehabilitation Journal, 16(4), 11-23. In 2012, SAMHSA defines Recovery for both mental health and alcohol and substance abuse as “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 (2012). Working Definition of Recovery.

9. The Recovery Journey “Your present circumstances don’t determine where you can go; they merely determine where you start.” ~ Nido Qubein

10. EDUCATION Pets Family Friends Work Education Sexuality Health Spirituality Hopes & Dreams Values & Beliefs Illness / Disability Person Hobbies Community Recovery: The Process Person prior to mental illness

11. EDUCATION Pets Family Friends Work Education Sexuality Health Spirituality Hopes & Dreams Values & Beliefs Mentally Ill Hobbies Community Person with mental illness

12. EDUCATION Mental Illness Family Friends Work Education Sexuality Health Spiritualit y Hopes & Dreams Values & Beliefs Person Hobbies Community Recovery Process

13. Clinical care Hope Support Work/meaningful activity Empowerment Community involvement Access to resources Education/knowledge Self-esteem Self-help Spirituality Physical health Self-responsibility Self-directed Individualized and person-centered Holistic Strengths based Growth oriented Recovery: The Process Factors important to recovery:

14. Recovery: The Outcome

15. Role of Spirituality in the Journey

16. Spirituality Foundation of nearly all faiths/religions Belief in that which is unseen…in an omniscient, omnipotent, omnipresent power that provides hope, comfort, and healing Identified as a critical factor in recovery Many individuals with mental illness report that spirituality is one of the most important and valuable resources in their recovery Unfortunately, it is also often reported that they are unable to find a place of worship Spirituality is much broader than a faith or religion and this is especially evident among individuals in recovery Spirituality is individualized

17. Spirituality Recovery supports with strong spirituality base 12-Step Programs “God grant me the serenity to accept the things that I cannot change, The courage to change the things that I can, And the Wisdom to know the difference.” Dialectical Behavioral Therapy (DBT) Distress Tolerance Emotion Regulation Interpersonal Effectiveness Mindfulness http://www.dbtselfhelp.com/index.html Yoga, Tai Chi, Taekwondo, meditation, devotions, etc. Soul©Collage

18. I Am One Whose... purpose is to heal long buried emotional wounds. My snows are those of purification; my rabbit hole, starry spiral galaxies from which my ancestors originally arrived. Their cumulative wisdom pours through me now as I chant under the ponderosa pines, with the star as my shield. There are no secrets, no skeletons left. We are connected at last as snowy owl takes flight.

19. I AM One Who.. Melts for no one. I keep my protective shell around that which is the sweetest and the best. I share only with those who do the same.

20. Supporting Recovery

21. It starts with you: – Know yourself beliefs, personality, characteristics, comfort level, fears, etc. – Assess your own wellness To effectively support others, we must be well ourselves Creates an opportunity for shared experiences – Know your role – Know the resources that are available

22. Supporting Recovery Support that enhances recovery: Trust Dignity, respect, and acceptance for who we are Instill hope Self-directed Confidentiality Focus on the individual, not the illness Support, don’t fix Avoid over protection/enabling Challenge Use failures or setbacks as stepping stones Connect with others Celebrate success

23. Resources http://www.mhrecovery.com http://www.spiritualcompetency.com/ http://www.peersnet.org/radio/mental-health-recovery-and-spirituality http://www.pathways2promise.org/training/mental-health-101.ppt‎ http://definitionofwellness.com/index.html

24. Renee Kopache, reneek@hamilton.mhrsb.state.oh.us Q&A and Contact Info.