Creating Healing Communities: Strengthening Bonds among Peers, Providers, and Faith Leaders...

Creating Healing Communities:

Strengthening Bonds among Peers, Providers, and Faith Leaders

September 23, 2014

http://www.promoteacceptance.samhsa.gov

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Archive

This training teleconference will be recorded. The PowerPoint presentation, PDF version, video archive including closed-captioning, and written transcript will be posted to the Substance Abuse and Mental Health Services Administration (SAMHSA) ADS Center website at http://www.promoteacceptance.samhsa.gov/teleconferences/archive/default.aspx

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Disclaimer

The views expressed in this training event do not necessarily represent the views, policies, and positions of the Center for Mental Health Services, SAMHSA, or the U.S. Department of Health and Human Services.


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Mental Health and Spirituality:

A Holistic Approach to Supporting Wellness and

Recovery Minister Monique Tarver, LE


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Introduction: Connecting Statistical Data to Personal Experience

• National statistics and data– Nationwide 50 million Americans suffer from an episode of mental distress in a given

year.– Clergy see more people than psychologists and psychiatrists combined who have a

Diagnostic and Statistical Manual of Mental Disorders diagnosis and who come to them for assistance.

• Making the connections to my personal experience– How do I define mental distress and suffering?– How do I connect to effective wellness support?– How do I influence community messaging and awareness?

(Lukoff, D. [2009]. Spirituality 101 training for mental health service providers.)


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Community Perspective• Consumers and Family Member Survey

– Over 2,600 respondents• Seventy-nine percent of mental health consumers and family members across

California reported that spirituality is important to them.

• Seventy-seven percent reported that they believe it is appropriate for the public mental health system to address spirituality as a part of mental health care.

• Eighty-nine percent reported that they regularly used prayer as a wellness tool.

• Percentages were higher in communities of color.

(Data based on statewide surveys of mental health clients/consumers and family members regarding spirituality in 2010 conducted by the California Mental Health and Spirituality Initiative at the California Institute for Mental Health, http://www.mhspirit.org)


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Community Perspective (cont.)• Mental Health and Spirituality Surveys

– County behavioral health directors• More than 90 percent of the county behavioral health directors responded

“strongly agree” or “agree” to the following:

– “Spirituality is an important recovery resource in mental health treatment.” (92 percent)

– “Spirituality is an important wellness resource in mental health prevention.” (94 percent)

– “Spirituality is an important element of multicultural competency for mental health providers.” (98 percent)

(Data based on statewide surveys of behavioral health care directors regarding spirituality in conducted by the California Mental Health and Spirituality Initiative at the California Institute for Mental Health, http://www.mhspirit.org)


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Cultural Responsiveness Practice and Planning Principles

• Cultural responsiveness respects the following:– Diversity

• Ethnic, cultural, spiritual, gender, etc.– Client/consumer and family member rights/choices

• Harnessing the power of the faith community helps to do these things: – Extend the reach to unserved, underserved, and inappropriately served

communities.– Reduce prejudice and discrimination associated with mental health and

substance use problems and trauma.– Reduce disparities and improve outcomes for specific ethnic populations.


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Heeding the Voice of the Community• Input from the community is essential.

– Community round tables and town hall meetings

• Use appreciative inquiries—don’t assume the community does not have the answer—lack of funding is often the issue.

– Transition age youth—hip hop therapy– Older adults—music, spirituality

• Include cultural brokers in decisionmaking.• Work with faith communities/nontraditional

supports.– Community centers


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Mental Health 101 Training for Faith/Spiritual Leaders

• Reducing stigma and “replacing misinformation”– Includes the voice of lived experience to provide context and separate

facts from commonly held beliefs– Covers five common mental health diagnoses– Provides resources and offers networking opportunities to encourage

collaborations and making appropriate referrals • Adaptable subject matter

– Prioritizes community needs • What is the community seeing/experiencing currently?• What information/education would community members benefit from most?• What are potential solutions/community supports and partners?


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Mental Health 101 Training for Faith/Spiritual Leaders (cont.)

• Evaluating learning curve and growth – Pre-test

• What is the current understanding of mental health?• Are there any biases? What are they?• How are individuals and families currently being supported?• What kinds of supports are needed to address community mental health concerns?

– Post-test• How has training helped shift awareness and education?• How will you support future efforts?• What was the take away?

“Our ability to respond appropriately and responsibly to the mental health needs of individuals in our congregation is the most healthy act of service and ministry we can offer; starting with our education and compassion.”

—Quote from faith leader who attended Mental Health 101 training


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Mental Health 101 Training for Faith/Spiritual Leaders (cont.)

• Provides technical assistance for sustainability– Development of networks and helpful supports

• Support groups• Community dialogues

• Often used as the “sister training” to Spirituality 101 for Mental Health Providers • Utilizes cultural brokers

– Cultural brokers understand both mental health and the culture of ethnic and/or faith/spiritual community.

– Cultural brokers are recognized by the community as one who can speak on behalf of the community due to their understanding of the following:

• Cultural history (including trauma and resilience)• Current cultural needs• Strengths• Barriers• Community-identified solutions/supports


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How to Schedule a Mental Health 101 Training for Faith/Spiritual Leaders in

Your AreaFor more information, or to schedule a training in your

community, congregation, or other group, contact Minister Monique Tarver at 510–552–5284 or

[email protected].


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References• Lukoff, D., & Mancuso, L. L. (2009). Survey of individuals receiving mental

health services and their families. California Institute for Mental Health (CiMH) Mental Health & Spirituality Initiative. Available from http://www.mhspirit.org/#!surveys/c126y

• Mancuso, L. L., & Lukoff, D. (2009). Survey of California county behavioral health directors regarding spirituality. CiMH Mental Health & Spirituality Initiative. Available from http://www.mhspirit.org/#!surveys/c126y

• Mayers, C., Leavey, G., Vallianatou, C., & Barker, C. (2007). How clients with religious or spiritual beliefs experience psychological help-seeking and therapy: A qualitative study. Clinical Psychology and Psychotherapy, 14(4), 317–327. doi: 10.1002/cpp.542


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Resources• Gigi Crowder, LE, Cultural Responsiveness Subject Matter Expert,

[email protected]

• Mental Health Friendly Communities and Training for Faith/Spiritual Leaders, not available online; for this resource, please contact Minister Monique Tarver at 510–552–5284 or [email protected]

• Mental Health Friendly Congregations, http://www.mhfc-congregations.org

• Mental Health Ministries, http://www.mentalhealthministries.net

• Mission Peak Unitarian Universalist Congregation’s Mental Health Ministry, http://www.mpuuc.org/mentalhealth

• Statewide California Mental Health and Spirituality Initiative, http://www.mhspirit.org


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Partners in Healing:

Faith Communities’ Role in Recovery

Douglas M. Ronsheim, D.Min. Executive Director of the American Association of

Pastoral Counselors (AAPC)


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Building and Crossing Bridges


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Working Together to Enhance Health

No one system has the mandate, resources, or reach to address both person-specific issues and the larger social conditions that exacerbate behavioral health problems, such as poverty, racism, inadequate housing, homelessness, poor schools, crime, and disparities.

Health is too important to leave solely for the health system.(Porter, M. E., & Lee, T. H., 2013)


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Collaboration in Action

Faith Leaders•Ordained for ministry

•Theologically educated formally/informally

•Context: local church, synagogue, and mosque, and other places of spiritual or religious practice

Mental Health Providers•Professionally educated

•Clinically trained

•Context: public mental health center, private practice office, and pastoral counseling center

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The Basic Principle of Collaboration:Bridge Building Between Faith Leaders

and Clinicians

The faith leader and the clinician provide complementary care, with each focusing on his or her expertise to meet the needs of the individual.

(Adapted from Milstein, Manierre, Susman, and Bruce, 2008)


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Role of the Clinician

• In the clinical assessment, include an assessment of the role of faith/spirituality in the life of the client.

• Educate oneself about the client’s faith tradition.• With the client’s permission, contact the client’s

faith/spiritual leader.• Be aware of one’s religious history/judgments/wounding.

(Adapted from Milstein et al., 2008)


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Role of the Faith/Spiritual Leader

• Develop relationships with behavioral health providers.• Invite mental health providers to offer workshops to

congregants around typical mental health issues. • Understand the privacy regulations that govern mental

health.• Develop one’s capacity for “pastoral/spiritual diagnosis.”



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A Caring Context: Practices That Support Recovery

• Provide people in recovery with all of the following:– The context and coherence of a caring social community– A context of shared beliefs and values– Interaction with congregants across their lifespan in good

times and bad times– Comfort, meaning, and support– A sense of belonging



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A Caring Context: Practices That Support Recovery (cont.)

• Note deterioration in functioning (bereavement can lead to major depression).

• Intervene to initiate professional assessment.• Actively support clinical treatment.• Can facilitate adherence to treatment plan that prevents

recurrence.• Reduce the family burden.



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Clergy Education and Training Project• Curriculum developed through

collaboration between AAPC and the National Association for Children of Alcoholics (NACoA)

• Established in 2005 with funding by the SAMHSA Center for Substance Abuse Treatment

• Has as its goal to enhance faith leaders’ capacity to address impact of addiction on individuals, families, and communities, and to support recovery


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Clergy Education and Training Project (cont.)

• Training brings together faith leaders, behavioral health providers, community members, school representatives, law enforcement, health systems, drug court, etc.

• Free resources and training material are offered as well as technical assistance.

• The morning session offers information, and the afternoon session offers interactive group activities.

• Attendees leave the training with an action plan to implement working models.


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• These day-long trainings have been offered in communities across the country.

• Collaborative partners include Federal, State, and county entities; congregations; and nonprofit groups.

• Visit NACoA’s website for more information, http://www.nacoa.org.


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• Localities interested in offering trainings pay to host these trainings in their community.

• The Pennsylvania Department of Drug and Alcohol Programs has sponsored 14 training events over the past 4 years across the Commonwealth of Pennsylvania.


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Developing Collaborative Models of “Mental Health Ministry”: Pathways to Promise

• Pathways to Promise offers a variety of resources to support faith leaders and their congregations in creating more welcoming and supportive congregations.

• These include the following:– Ways to help when someone is experiencing a mental health

challenge – Activities and programs congregations can implement to support

families– Resources and referral information


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Developing Collaborative Models of “Mental Health Ministry”: Pathways to Promise (cont.)

• Working models are located in St. Louis, MO; DuPage County in Illinois; and Washington State.

• In January 2014, a day-long conference “Creating Hope: The Power of Faith Communities in Mental Health Recovery” was held in Chicago.

• This conference was co-sponsored by Advocate Health System and the Evangelical Lutheran Church in America.

• Visit http://pathways2promise.org.


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Resources and Models of Innovative Programs

http://mentalhealthministries.net

http://www.inmi.us

http://www.nami.org/namifaithnet

http://dmh.lacounty.gov/wps/portal/dmh


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Resources and Models of Innovative Programs (cont.)

http://www.interfaithmhc.org http://mhcd.org

Sacred Creations http://www.sacredcreations.org


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Appendix: Clergy Education and Training Project:

Core Competencies for Clergy

1. Be aware of the following:

- Generally accepted definition of alcohol and other drug dependence

- Prejudice and discrimination that are widespread in society toward people with alcohol and other drug dependence

2. Be knowledgeable about the following:

- Signs of alcohol and drug dependence

- Characteristics of withdrawal

- Effects on the individual and the family

- Characteristics of the stages of recovery


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Appendix: Clergy Education and Training Project: Core Competencies for Clergy (cont.)

3. Be aware that possible indicators of the disease may include, among others, marital conflict, suicide, family violence (physical, emotional, and verbal), hospitalization, or encounters with the criminal justice system.

4. Understand that addiction erodes and blocks religious and spiritual development, and be able to effectively communicate the importance of spirituality and the practice of religion in recovery, using scripture, traditions, and rituals of the faith community.

5. Be aware of the potential benefits of early intervention to the addicted person, family system, and affected children.


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6. Be aware of appropriate interactions with the addicted person, family system, and affected children.

7. Be able to communicate and sustain the following:

- An appropriate level of concern

- Messages of hope and caring

8. Be familiar with and utilize available community resources to ensure continuum of care for the addicted person, family system, and affected children.


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9. Have a general knowledge of and, where possible, exposure to 12-step programs (Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, Nar-Anon, Alateen, Adult Children of Alcoholics, etc.), as well as other groups.

10. Be able to acknowledge and address values, issues, and attitudes regarding alcohol and other drug use and dependence in oneself and one’s own family.

11. Be able to shape, form, and educate a caring congregation that welcomes and supports persons and families affected by alcohol and drug dependence.

12. Be aware of how prevention strategies can benefit the larger community.


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References• Milstein, G., Manierre, A., Susman, V. L., & Bruce, M. L. (2008).

Implementation of a program to improve the continuity of mental health care through Clergy Outreach and Professional Engagement (C.O.P.E.). Professional Psychology: Research and Practice, 39(2), 218–228. Available at http://www.ccny.cuny.edu/profiles/upload/COPE-Implementation-83-Moved.pdf

• Porter, M. E., & Lee, T. H. (2013, September 17). Why health care is stuck — and how to fix it [Blog post]. Harvard Business Review Blog Network. Available at http://blogs.hbr.org/2013/09/why-health-care-is-stuck-and-how-to-fix-it


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Resources• Anandarajah, G., & Hight, E. (2001, January 1). Spirituality and medical practice: Using

the HOPE questions as a practical tool for spiritual assessment. American Family Physician, 63(1), 81–89. Available at http://www.aafp.org/afp/2001/0101/p81.html

• FICA (Faith and Belief, Importance, Community, and Address in Care) Spiritual History Tool, The George Washington Institute for Spirituality and Health, http://smhs.gwu.edu/gwish/clinical/fica/spiritual-history-tool

• Gomi, S., Starnino, V. R., & Canda, E. R. (2014, May). Spiritual assessment in mental health recovery. Community Mental Health Journal, 50(4), 447–452. Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/24193295

• Huang, J. (2014, March 14). ‘Clergy Academy’ trains recruits on mental health. Multi-American. Pasadena, CA: Southern California Public Radio. Available at http://www.scpr.org/blogs/multiamerican/2014/03/14/16088/mental-health-immigrant-los-angeles-clergy-academy


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What is Your Vision?


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Monique’s VisionI am honored to do my part to help build Mental Health Friendly Communities by bridging the gaps between mental health and spirituality, thereby increasing support and wellness for all.


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Doug’s VisionCaring for one another together.


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Additional Resources—Organizations

• American Association of Pastoral Counselors, http://aapc.org • Emotional CPR, http://www.emotional-cpr.org • Families Healing Together, http://familieshealingtogether.com • Family Outreach and Response, http://familymentalhealthrecovery.org• Interfaith Mental Health Coalition, http://interfaithmhc.org • Interfaith Network on Mental Illness, http://www.inmi.us • Mental Health America, Find Support Groups,

http://www.mentalhealthamerica.net/find-support-groups• Mental Health Ministries, http://www.mentalhealthministries.net • National Alliance on Mental Illness FaithNet, http://

www.nami.org/namifaithnet


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Additional Resources—Organizations (cont.)

• National Association for Children of Alcoholics, Information for Clergy and Other Pastoral Ministers http://www.nacoa.org/clergy.htm

• National Federation of Families for Children’s Mental Health, http://www.ffcmh.org

• Pathways to Promise, http://www.pathways2promise.org

• Sidran Institute, http://www.sidran.org


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Additional Resources—Online Materials

• Cohen, L., Chehimi, S., & Chavez, V. (2010, September). Prevention is primary: Strategies for community well-being (2nd edition). Chapter and information available at http://www.preventioninstitute.org/component/jlibrary/article/id-102/127.html

• Day, J., Vermilyea, E., Wilkerson, J., & Giller, E. (n.d.). Risking Connection® in faith communities: A training curriculum for faith leaders supporting trauma. Available at http://fozzie.missionmedia.net/sidran/store/index.cfm?fuseaction=product.display&product_id=9

• Gilbert, K. (2013). Spirituality as an evidence based practice. Available at http://mentalhealthrecovery.com/recovery-resources/articles.php?id=96&utm_source=Copy+of+MEC+10-30-13+Spirituality%2C+WRAP+Story&utm_campaign=MEC+11-01-13+Emessage&utm_medium=email


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Additional Resources—Online Materials (cont.)

• Kliewer, S. P. (2014, June). Addressing spirituality in healthcare. eSolutions. Available at http://www.integration.samhsa.gov/about-us/esolutions-newsletter/e-solutions-june-2014

• Mancuso, L. (2010, August). Revealing the spiritual wisdom of people with mental illness (part two). Available at http://chaplaincyinstitute.org/library/spiritual-psychology/revealing-spiritual-wisdom-of-people-with-mental-illness-part2

• Mancuso, L. L. (2011). Multicultural competence, intense spiritual experiences, and mental health: A self-help, peer support and service provider technical assistance tool. Retrieved from http://www.consumerstar.org/resources/pdf/STAR%20Center%20Tool%20on%20Multicultural%20Competence%20Intense%20Spiritual%20Experience.pdf [PDF 395 KB] http://www.promoteacceptance.samhsa.gov

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Additional Resources—Online Materials (cont.)• National Council for Behavioral Health. (2012, October 9). Call to clergy: How to support mental

health challenges in your congregation [Webinar]. Retrieved from http://www.thenationalcouncil.org/?api&do=attachment&name=call-to-clergy-how-to-support-mental-health-challenges-in-your-congregation&index=0&type=webinars [PDF 963 KB]

• Recovery to Practice. (2012, April 4). Understanding and building on culture and spirituality in recovery-oriented practice [Webinar]. Available at http://www.dsgonline.com/rtp/webinars/4.4.2012.html

• SAMHSA. (2014). Toolkit for community conversations about mental health. Retrieved from http://www.samhsa.gov/communityconversations

• Smith, F., & Dragga, T. (n.d.). Core competencies for clergy and other pastoral ministers in addressing alcohol and drug dependence and the impact on family members. National Association for Children of Alcoholics, Clergy Education and Training Project. Retrieved from http://www.nacoa.org/webinar_slides.html

• Wenger, S. (2012, January 3). Commentary: Clergy matter. Available at http://www.drugfree.org/join-together/commentary-clergy-matter


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Additional Resources—ADS Center Archived Teleconferences

• Demystifying Trauma: Sharing Pathways to Healing and Wellness http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference09262011.aspx

• Diverse Promising Practices for Engaging Youth Before and During Times of Emotional Distress: Youth, Family, and School Perspectives http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference08062014.aspx

• Forging a Path Toward Social Inclusion: Collaboration Among Individuals‚ Community Partners‚ and Public Systems http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference06232011.aspx

• It Takes a Community: Learning Together about Tools and Strategies to Support People through Emotional Distress http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference05292014.aspx

• Peer Support and Peer Providers: Redefining Mental Health Recovery http://www.promoteacceptance.samhsa.gov/teleconferences/archive/training/teleconference09212010.aspx

• Complete List of Archived Teleconferences http://www.promoteacceptance.samhsa.gov/teleconferences/archive/default.aspx


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Questions

You may now submit your question by pressing “*1” on your telephone keypad. You will enter a queue and be allowed to ask your question in the order in which it is received. Upon hearing the conference operator announce your first name, you may proceed with your question.


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For More Information, Contact

• Minister Monique Tarver, LE, 510–552–5284, [email protected]

• Douglas M. Ronsheim, D.Min., 703–385–6967, [email protected]


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SpeakersMinister Monique Tarver is the author and lead facilitator of Mental Health 101 training for faith/spiritual leaders and a Spirituality Consultant for various State and local county agencies to support the role of spirituality/faith in mental wellness and recovery, including the CalMHSA Each Mind Matters campaign. As a survivor of mental health distress and part of a family in which another member has lived experience of a mental health problem, Minister Tarver uses her experiences both in the mental health system and faith/spiritual community to advocate for the collaboration of these communities to allow for a holistic approach to wellness and recovery.

As part of her commitment to ongoing mutual learning for the spiritual and mental health communities, Minister Tarver facilitates open community dialogues to foster relationships that will increase efficacy in treatment and support for wellness. In Mental Health 101 training for faith/spiritual leaders, she focuses on replacing misinformation about mental health while inspiring faith/spiritual communities to be welcoming to individuals and families living with mental health concerns.

Minister Tarver is a member and Chair of the California Mental Health and Spirituality Initiative’s Steering Committee, as well as the Chair of FaithNet for the National Alliance on Mental Illness of Contra Costa County (NAMI Contra Costa). Minister Tarver is also honored to be the first person in the State of California to hold a unique position in a county that offers consumers and family members the comfort of bringing together all the important aspects of their being to enhance wellness and recovery.


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SpeakersRev. Douglas Ronsheim, D.Min., is the Executive Director of the American Association of Pastoral Counselors (AAPC), http://www.aapc.org. AAPC is a membership and certification organization that provides training, education, and clinical/collaborative community-based services to enhance the well-being of individuals, families, and communities. AAPC’s mission is to provide care that is integrative of the resources of one’s spiritual/religious life.

AAPC, in collaboration with the National Association of Children of Alcoholics (http://www.nacoa.org), has developed the Clergy Education and Training Project. It was created to enhance the capacity of faith leaders, in concert with other community partners, to respond to the impact of addiction on individuals, families, and communities and to support recovery. Trainings have been offered in various areas of the country and have resulted in implementation of models of care and support in these areas. This initiative has been supported by the SAMHSA Center for Substance Abuse Treatment.

Mr. Ronsheim is a Presbyterian minister; a licensed marriage and family therapist; Fellow, AAPC; and a Clinical Member and Approved Supervisor with the American Association for Marriage and Family Therapy.

Prior to his present position, he served, for 17 years, as the Executive Director of Pittsburgh Pastoral Institute, licensed as a community-based outpatient psychiatric clinic by the Commonwealth of Pennsylvania.


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SurveyWe value your suggestions. Within 24 hours of this teleconference, you will receive an email request to participate in a short, anonymous online survey about today’s training material that will take 5 minutes to complete. Survey results will be used to determine resources and topic areas to be addressed in future training events.

Survey participation requests will be sent to all registered event participants who provided email addresses at the time of their registration. Each request message will contain a web link to our survey tool. Please call 800–540–0320 if you have any difficulties filling out the survey online. Thank you for your feedback and cooperation.

Written comments may be sent to the SAMHSA ADS Center via email at [email protected].


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Archive

This training teleconference was recorded. The PowerPoint presentation, PDF version, video archive including closed-captioning, and written transcript will be posted to the SAMHSA ADS Center website at http://www.promoteacceptance.samhsa.gov/teleconferences/archive/default.aspx.


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Creating Healing Communities: Strengthening Bonds among Peers, Providers, and Faith Leaders...

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