Mental Health and the Church Forum – Atlanta

Saturday, May 14, 2016; Intown Community Church, Atlanta, GA

Time Presenter / Description

12:00 Registration and Doors Open.

1:00 Welcome, Prayer and Housekeeping Details.

1:10 Session A: Opening Challenge - Dr. Tony Rose.

Purpose of the meeting /Design of the day. Clergy, Psychiatry, Psychology – Risks and Rewards, Current Trends and Needs.

1:30 Session B: Spirituality and Depression: A Historical Perspective - Dr. Sam Thielman.

An overview of depression in Church history.

1:50

Session C: Audience Engagement and Perspectives – Ms. Marti Vogt.

Collaborative discussion with soliciting feedback related to the state of mental illness resources and ministry within individual congregations. Who is here, degree of diversity, and interest/need for similar forums or training.

2:10 Session D: Depression / Bipolar Disorder - Dr. Brian Briscoe.

Presentation, Panel Discussion and Q&A.

2:50 Break – Refreshments - Networking

3:15

Breakout Sessions (Rooms Assigned at Forum).

Session E: OCD/Scrupulosity/Anxiety Disorder: Dr. John Yarbrough.

Session F: Family and Teenage Mental Issues: Dr. Tom Okamoto.

Presentation, Panel Discussion and Q&A.

3:55 Session G: Psychiatry and Missions - Dr. Barney Davis.

4:15 Open Forum Discussion / Identification of Needs and Path Forward

4:50 Closing Remarks / Thank you / Closing Prayer and Meeting Adjourn

Dr. Jimmy Agan, Pastor, Intown Community Church

Session Presenters and Leaders: Pastor Tony Rose, LaGrange Baptist Church, KY Dr. Barney Davis, MD, Psychiatrist, AZ Dr. Sam Thielman, MD, Psychiatrist, NC Dr. Brian Briscoe, MD, Psychiatrist, KY Dr. John Yarbrough, MD, Psychiatrist, CA Dr. Tom Okamoto, MD, Psychiatrist, CA Ms. Marti Vogt, Perimeter Church Counseling Network, Atlanta

(Contact Marshall Williams for Information at psychsectioncmda@gmail.com)

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 1

Mental Health and the Church Forum – Atlanta Resource Package Table of Contents 

  (https://cmda.org/ministry/page/psychiatry/psychiatry‐section‐

activities‐and‐resources)  

Description  Pages 

Agenda  1 

Resource Package Table of Contents  2 

Welcome  3 

Introduction to the National Alliance of Mental Illness (NAMI)  4 ‐ 8   

“The Interface Between Religion/Spirituality and Mental Health”, by John   9 ‐ 11 Peteet, M.D., Associate Professor of Psychiatry, Harvard Medical School  Staff psychiatrist, Brigham and Women's Hospital and Dana‐Farber Cancer  Institute, Boston, MA  American Psychiatric Association (APA) Mental Health and Faith   12 Community Partnership  APA Quick Reference on Mental Health for Faith Leaders  13 ‐ 14  APA Mental Health and Faith Community Partnership Steering   15 – 21 Committee Meeting Bibliography  Additional Resources  22  Hope for Mental Health (Saddleback Church) Purpose and Resources  23 ‐ 24  Brochure of the Psychiatry Section of the Christian Medical and Dental   25 ‐ 26 Associations (CMDA) 

 To Access the Resource Package for the 2016 Forum, and other resources related to Clergy and Psychiatrists and Psychologists Partnering to address Mental Health Issues in the Church, please go to our web‐site at: https://cmda.org/ministry/page/psychiatry/psychiatry‐section‐activities‐

and‐resources  

For questions and more information contact psychsectioncmda@gmail.com. 

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 2

Mental Health and the Church Forum – Atlanta 

Welcome  

 

Thank you for attending this Forum.  Following are resource materials we have gathered in order to facilitate education about and treatment of Mental Illness.  

 This Resource Package and information presented during the Forum can be found at: https://cmda.org/ministry/page/psychiatry/psychiatry‐section‐activities‐and‐resources 

 The Center for Disease Control estimates that up to 25 percent percent of adults in the U.S. may develop some form of mental illness in their lifetime. Mental illness can affect persons from all walks of life, regardless of belief or lack of belief in Christ. The church is often the first place people turn to for help and guidance; hence, the church is positioned to bring hope and healing to those seeking help and direction with life’s most difficult issues and challenges.  Are you ready?  Sometimes, churches feel unprepared or lacking in resources to effectively deal with mental illness.  Hence, many church communities like Saddleback Church in California and others around the country are beginning to host events and conferences designed to educate the church about mental illness—what it is, what it is not, how to recognize it and how to help.    The Psychiatry Section of Christian Medical & Dental Association (CMDA) is a national organization of psychiatrists who share Christian beliefs and values, a commitment to living out their faith through service and medical practice, and a strong understanding of the need to care for the whole person—physical, mental and spiritual. The CMDA Psychiatry Section is holding its annual meeting in Atlanta this year, bringing a number of Christian psychiatrists to the Atlanta area—providing a unique resource to support this event for the local church and Christian community.  As such, the CMDA Psychiatry Section is participating in this forum called Mental Health and the Church Forum – Atlanta. The event brings together local clergy and Christian psychiatrists for a serious, informed discussion of mental illness, its presence in the church and the need to have an open dialogue and understanding within the broader church. This forum is intended to be informational in nature, discussion oriented and focused on equipping the church. We will discuss some of the most common mental health conditions and highlight resources (local and web‐based) available to clergy, lay leaders and their congregations. This forum is not intended to provide treatment, but rather to begin resourcing clergy and care ministry leaders who can then touch their congregations.    Ultimately, we hope to spark the beginning of a journey toward better understanding and mutual cooperation between informed mental health professionals and the church.    

For more information contact the Psychiatry Section Administrative Assistant at psychsectioncmda@gmail.com. 

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 3

National Alliance on Mental Illness Who We Are

NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.

What started as a small group of families gathered around a kitchen table in 1979 has blossomed into the nation's leading voice on mental health. Today, we are an association of hundreds of local affiliates, state organizations and volunteers who work in your community to raise awareness and provide support and education that was not previously available to those in need.

NAMI relies on gifts and contributions to support our important work.

What We Do

We educate. Offered in thousands of communities across America through our NAMI State Organizations and NAMI Affiliates, our education programs ensure hundreds of thousands of families, individuals and educators get the support and information they need.

We advocate. NAMI shapes the national public policy landscape for people with mental illness and their families and provides grassroots volunteer leaders with the tools, resources and skills necessary to save mental health in all states.

We listen. Our toll-free NAMI HelpLine allows us to respond personally to hundreds of thousands of requests each year, providing free referral, information and support—a much-needed lifeline for many.

We lead. Public awareness events and activities, including Mental Illness Awareness Week (MIAW), NAMIWalks and other efforts, successfully combat stigma and encourage understanding. NAMI works with reporters on a daily basis to make sure our country understands how important mental health is.

- See more at: https://www.nami.org/About-NAMI#sthash.gw1W1Sko.dpuf

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 4

Mental Health Condit ions A mental illness is a condition that impacts a person's thinking, feeling or mood and may affect his or her ability to relate to others and function on a daily basis. Each person will have different experiences, even people with the same diagnosis.

Recovery, including meaningful roles in social life, school and work, is possible, especially when you start treatment early and play a strong role in your own recovery process.

A mental health condition isn’t the result of one event. Research suggests multiple, interlinking causes. Genetics, environment and lifestyle combine to influence whether someone develops a mental health condition. A stressful job or home life makes some people more susceptible, as do traumatic life events like being the victim of a crime. Biochemical processes and circuits as well as basic brain structure may play a role too.

Recovery and Wellness 1 in 5 adults experiences a mental health condition every year. 1 in 20 lives with a serious mental illness such as schizophrenia or bipolar disorder. In addition to the person directly experiencing by a mental illness, family, friends and communities are also affected.

50% of mental health conditions begin by age 14 and 75% of mental health conditions develop by age 24. The normal personality and behavior changes of adolescence may mimic or mask symptoms of a mental health condition. Early engagement and support are crucial to improving outcomes and increasing the promise of recovery.

ADHD - Attention deficit hyperactivity disorder (ADHD) is a developmental disorder where there are significant problems with attention, hyperactivity or acting impulsively.

• Treatment; Support; Discuss

Anxiety Disorders - Everyone experiences anxiety sometimes, but when it becomes overwhelming and repeatedly impacts a person's life, it may be an anxiety disorder.

• Treatment; Support; Discuss

Autism - Autism spectrum disorder (ASD) is a developmental disorder that makes it difficult to socialize and communicate with others.

• Treatment; ; Support; Discuss

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 5

Bipolar Disorder - Bipolar disorder causes dramatic highs and lows in a person’s mood, energy and ability to think clearly.

• Treatment; Support; Discuss

Borderline Personality Disorder - Borderline personality disorder (BPD) is characterized by severe, unstable mood swings, impulsivity and instability, poor self-image and stormy relationships.

• Treatment; Support; Discuss

Depression - Depression is more than just feeling sad or going through a rough patch: it’s a serious mental health condition that requires understanding and treatment.

• Treatment; Support; Discuss

Dissociative Disorders - Dissociative disorders are spectrum of disorders that affect a person's memory and self-perception.

• Treatment; Support; Discuss

Eating Disorders - When you become so preoccupied with food and weight issues that you find it hard to focus on other aspects of your life, it may be a sign of an eating disorder.

• Treatment; Support; Discuss

Obsessive-compulsive Disorder - Obsessive-compulsive disorder causes repetitive, unwanted, intrusive thoughts (obsessions) and irrational, excessive urges to do certain actions (compulsions).

• Treatment; Support; Discuss

Posttraumatic Stress Disorder - PTSD is the result of traumatic events, such as military combat, assault, an accident or a natural disaster.

• Treatment; Support; Discuss

Schizoaffective Disorder - Schizoaffective disorder is characterized primarily by symptoms of schizophrenia, such as hallucinations or delusions, and symptoms of a mood disorder, such as depressive or manic episodes.

• Treatment; Support; Discuss

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 6

Schizophrenia - Schizophrenia causes people to lose touch with reality, often in the form of hallucinations, delusions and extremely disordered thinking and behavior.

• Treatment; Support; Discuss

RELATED CONDITIONS

• Anosognosia • Dual Diagnosis • Psychosis • Self-harm • Sleep Disorders • Suicide

ABOUT US

• Where We Stand on Public Policy • NAMI Advocacy • Our Structure • Our Finances • Publications and Reports • Careers at NAMI • NAMI Store

GET INVOLVED

• Become a Member • Create an Account • Donate • Take the stigmafree Pledge • What Can I Do? • Share Your Story • Take Action on Advocacy Issues • Attend NAMI National Convention • NAMIWalks • Awareness Events • NAMI on Campus • NAMI FaithNet • Law Enforcement

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 7

NAMI PROGRAMS

• NAMI Basics • NAMI Connection • NAMI Ending the Silence • NAMI Family Support Group • NAMI Family-to-Family • NAMI Homefront • NAMI In Our Own Voice • NAMI Peer-to-Peer • NAMI Parents & Teachers as Allies • NAMI Provider Education

CONTACT US

• NAMI, 3803 N. Fairfax Drive, Suite 100 Arlington, VA 22203 • Main: 703-524-7600 • Member Services: 888-999-6264 • HelpLine: 800-950-6264 • Press & Media

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 8

The Interface between Religion/Spirituality and Mental Health

John Peteet, M.D. Associate Professor of Psychiatry, Harvard Medical School

Staff psychiatrist, Brigham and Women's Hospital and Dana-Farber Cancer Institute Boston, MA

Religion/spirituality (R/S) and psychiatry share a long and complex history. Western medicine originated in an era when illness represented disfavor from the gods, healing involved gaining favor from the divine, and priests had unique roles as healers. During the Middle Ages, the first hospitals developed in monastic communities, and nuns served as nurses. With the Enlightenment came empiricism and reductionistic explanation, which led to major shifts in the Western view of the self and of the human condition. Freud’s militant atheism, and the ascendency of neurobiology later deepened the split between R/S and psychiatry. Mutual suspicion persists. A religious figure recently acknowledged that psychiatry and psychology have made useful contributions, but warned that “much of those disciplines are built on a faulty worldview and must be (at least partly) rejected.” (1) In a 2013 telephone survey of a representative sample of 1,001 Americans about mental illness, thirty-five percent of respondents (and 48% of Evangelical, fundamentalist, or born-again Christians) agreed with the statement, “With just Bible study and prayer, ALONE, people with serious mental illness like depression, bipolar disorder, and schizophrenia could overcome mental illness.” (2) For their part, many mental health professionals, who as a group are much less religious than the general public, suspect religion of being judgmental, masochistic, homophobic, misogynistic, and monolithic. Yet in recent decades interest has grown in the relationship between R/S and health: Twelve Step spirituality is widely valued. Psychoanalysts such as Rizzuto have revised Freud’s understanding of faith. Mindfulness has become mainstream. Palliative Medicine includes spiritual care among its goals. Research has burgeoned into the effects of religion on health (e.g. via positive and negative “religious coping”), and into the neurobiology of spiritual experience. The Joint Commission mandates routine spiritual assessment, reflecting greater appreciation for the role of R/S as a risk or protective factor. Most patients surveyed want R/S included in therapy. Courses, papers, journals and books in this area have proliferated, many sponsored by interest groups within mental health organizations such as the American Psychological Association, the Royal College of Psychiatrists and the World Psychiatric Association. Seven doctoral programs in clinical psychology now exist within Christian universities And while psychiatrists are less religious than physicians in other specialties, Curlin et al. (3) found in a national survey that they are more likely to say it is appropriate to ask patients about spiritual concerns (93% vs 53%) and that they do inquire (87% vs. 49%). Given these developments, how can religious communities and mental health professionals collaborate to reduce the emotional suffering and the stigma of mental illness, and address patients’ R/S needs? Consider briefly some conceptual and practical aspects of this challenge.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 9

Psychiatry and R/S both aim to enhance human flourishing, understanding this to involve the development of adaptive capacities (for example to be reflective, and regulate emotion), a solid identity, realistic hopes, meaningful activities, authentic relationships, a mature moral life and a balance between autonomy and respect for authority. However, they differ in emphasis and role, with R/S placing greater emphases on growth and transformation toward full functioning than on critical thinking about diagnosis and treatment of disorders, as well as greater emphasis on relationship to the Transcendent and one’s community than on individual mastery as means toward these ends. From a practical perspective, mental health practitioners differ widely in how they implement their theoretical frameworks, ranging from the individualistic Rational Emotive Therapy of the atheist Albert Ellis to the spiritually sensitive or integrated CBT of David Rosmarin and others, to the theistic integrative psychotherapy of LDS psychologists Scott Richards and Allan Bergin. Religious communities also engage in a wide variety of practices aimed at integrating emotional and spiritual approaches such as healing presence by chaplains, pastoral counseling and psychotherapy, spiritual direction, inner healing prayer and group programs such as Celebrate Recovery or Living Waters. Yet regular interaction between mental health and spiritual care professionals remains the exception rather than the rule. During one month, 60% of the oncology patients seen in psychiatric consultation at my institution were also known to a chaplain, but no communication took place between the two disciplines. Relatively few seminaries or Clinical Pastoral Education (CPE) curricula devote time to the care of major mental illness, despite the fact that clergy are often the first professionals approached by many individuals with mental health and family problems. Conversely, a minority of psychiatric residency training programs include training in addressing the clinical significance of R/S. There are good reasons to be concerned about this lack of communication and collaboration. Communities which view spiritual and psychiatric interventions as competing alternatives can discourage much needed medication and therapy. Mentally ill individuals are sometimes not only stigmatized and misunderstood but mistreated, as when a bipolar patient is physically restrained or ejected, or a woman with a trauma history is restrained by male clergy during an exorcism. Conversely, religious individuals discouraged by therapists from participating in faith communities stand to miss out on opportunities to understand their narrative as part of a larger story, enhance their relationship with a forgiving God and supportive others, or finding ways to give back. Various models of communication and collaboration have recently emerged. Examples include a mental health clinic in a Coptic church on Staten Island; a psychologist accepting regular referrals from a orthodox rabbis in New York, a list serve of Christian therapists used to facilitate referrals in greater Boston; a web-based course on mental health and substance abuse for South Asian pastors; and recent conferences for mental health and spiritual care professionals sponsored by a mental health center in Vermont, by the New Jersey Psychiatric Association, by Saddleback Church in California, and by a consortium of entities in Toronto and Houston.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 10

The diversity of mental health and R/S communities, and the complexity of the interface between them suggest the need to: (1) learn from existing models what has worked well and why; (2) develop practical (case based) approaches to engaging learners in various settings about both the challenges which mental illness presents for R/S communities (e.g. recognizing depression), and those which religious individuals encounter in treatment (e.g. integrating spiritual and psychiatric perspectives on the treatment of their depression); and (3) engage key institutions to promote best practices.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 11

American Psychiatric Association (APA) Mental

Health and Faith Community Partnership The Mental Health and Faith Community Partnership is a collaboration between psychiatrists and clergy aimed at fostering a dialogue between two fields, reducing stigma, and accounting for medical and spiritual dimensions as people seek care. Convening organizations are the APA, the APA Foundation and the Interfaith Disability Advocacy Coalition, a program of the American Association of People with Disabilities. The partnership provides an opportunity for psychiatrists and the mental health community to learn from spiritual leaders, to whom people often turn in times of mental distress. At the same time it provides an opportunity to improve understanding of the best science and evidence based treatment for psychiatric illnesses among faith leaders and those in the faith community.

Resources for Faith Leaders

This guide provides information to help faith leaders work with members of their congregations and their families who are facing mental health challenges.

Mental Health: A Guide for Faith Leaders (View )

Quick Reference Guide View

This guide provides a quick reference and overview of the Mental Health: A Guide for Faith Leaders. It is a companion to the Guide.

Additional Resources o Essays

o A Conception of the Interface Connecting Faith and Mental Health, Clark S. Aist, Ph.D. o The Interface between Religion/Spirituality and Mental Health, John Peteet, M.D. o A Call to Healing, Craig Rennebohm, M.Div. o Mental Illness and Families of Faith: How Congregations Can Respond, Susan Gregg-Schroeder

o Bibliography of Faith/Mental Health Resources o Action Alliance for Suicide Prevention Faith Communities Task Force

For more information, contact Amy Porfiri at aporfiri@psych.org. Residents & Medical Students Copyright ©2015 American Psychiatric Association Foundation. All rights reserved.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 12

MENTAL ILLNESS IS COMMONIn the United States in the last year:

� Any mental illness - nearly 1 in 5 people (19%)

� Serious mental illness - 1 in 24 people (4.1%)

� Substance use disorder - 1 in 12 people (8.5%)

Suicide is the 10th leading cause of death in the U.S.

These observations may help identify an individual with a mental illness; they are not definitive signs of mental illness. Further mental health clinical assessment may be needed.

CATEGORIES OF OBSERVATION EXAMPLES OF OBSERVATIONSDoes something not make sense in context?

Cognition: Understanding of situation, memory, concentration � Seems confused or disoriented to person, time, place

� Has gaps in memory, answers questions inappropriately

Affect/Mood: Eye contact, outbursts of emotion/indifference � Appears sad/depressed or overly high-spirited

� Overwhelmed by circumstances, switches emotions abruptly

Speech: Pace, continuity, vocabulary (Is there difficulty with English language?)

� Speaks too quickly or too slowly, misses words

� Stutters or has long pauses in speech

Thought Patterns and Logic: Rationality, tempo, grasp of reality � Expresses racing, disconnected thoughts

� Expresses bizarre ideas, responds to unusual voices/visions

Appearance: Hygiene, attire, behavioral mannerisms � Appears disheveled; poor hygiene, inappropriate attire

� Trembles or shakes, is unable to sit or stand still (unexplained)

� Speak slowly and clearly; express empathy and compassion

� Treat the individual with the respect you would give any other person

� Listen; remember that feelings and thoughts are real even if not based in reality

� Give praise to acknowledge/encourage progress, no matter how small; ignore flaws

� If you don’t know the person, don’t initiate any physical contact or touching

EXAMPLES OF COMMON OBSERVATIONS RECOMMENDATIONS FOR RESPONSES

Loss of hope: appears sad, desperate � As appropriate, instill hope for a positive end result

� To the extent possible, establish personal connection

Loss of control: appears angry, irritable � Listen, defuse, deflect; ask why he/she is upset

� Avoid threats and confrontation

Appears anxious, fearful, panicky � Stay calm; reassure and calm the individual

� Seek to understand

Has trouble concentrating � Be brief; repeat if necessary

� Clarify what you are hearing from the individual

Is overstimulated � Limit input

� Don’t force discussion

Appears confused or disoriented; believes delusions (false beliefs, e.g., paranoia)

� Use simple language; empathize; don’t argue

� Ground individual in the here and now

For more information, see Mental Health: A Guide for Faith Leaders, www.psychiatry.org/faith

Quick Reference on Mental Health for Faith Leaders

OBSERVABLE SIGNS: Some Signs That May Raise a Concern About Mental IllnessOBSERVABLE SIGNS: Some Signs That May Raise a Concern About Mental Illness

COMMUNICATION: When a Mental Health Condition Is Affecting an IndividualCOMMUNICATION: When a Mental Health Condition Is Affecting an Individual

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 13

IMMEDIATE CONCERN: Approaching a Person With an Urgent Mental Health Concern � Before interacting, consider safety for yourself, the individual, and others

� Is there a family member or friend who can help?

� Find a good, safe place (for both) to talk

� Express willingness to be there for the person

� Seek immediate assistance if a person poses a danger to self or others; call 911; ask if a person with Crisis Intervention Team (CIT) training is available

WARNING SIGNS OF SUICIDE RISK FACTORS FOR SUICIDE � Often talking or writing about death or suicide

� Comments about being hopeless, helpless, or worthless, no reason for living

� Increase in alcohol and/or drug use

� Withdrawal from friends, family, and community

� Reckless behavior or engaging in risky activities

� Dramatic mood changes

� Losses and other events (e.g., death, financial or legal difficulties, relationship breakup, bullying)

� Previous suicide attempts

� History of trauma or abuse

� Having firearms in the home

� Chronic physical illness, chronic pain

� Exposure to the suicidal behavior of others

� History of suicide in family

WHEN TO MAKE A REFERRAL DEALING WITH RESISTANCE TO HELPAssessing the person

� Level of distress – How much distress, discomfort, or anguish is he/she feeling? How well is he/she able to tolerate, manage or cope?

� Level of functioning – Is he/she capable of caring for self? Able to problem solve and make decisions?

� Possibility for danger – danger to self or others, including thoughts of suicide or hurting others

Tips on making a mental health referral

� Identify a mental health professional, have a list

� Communicate clearly about the need for referral

� Make the referral a collaborative process between you and the person and/or family

� Reassure person/family you will journey with them

� Be clear about the difference between spiritual support and professional clinical care

� Follow-up; remain connected; support reintegration

� Offer community resources, support groups

Resistance to seeking help may come from stigma, not acknowledging a problem, past experience, hopelessness, cultural issues, or religious concepts

� Learn about mental health and treatments to help dispel misunderstandings

� Continue to journey with the person/family; seek to understand barriers

� Use stories of those who have come through similar situations; help the person realize he/she is not alone and people can recover

� Reassure that there are ways to feel better, to be connected, and to be functioning well

� If a person of faith, ask how faith can give him or her strength to take steps toward healing

If you believe danger to self or others is imminent, call 911

ReferencesSubstance Abuse and Mental Health Services Administration (SAMHSA)National Suicide Prevention Lifeline, Suicide PreventionAmerican Association of Suicidology, Warning Signs and Risk FactorsJudges Criminal Justice/Mental Health Leadership Initiative, Judges Guide to Mental IllnessMission Peak Unitarian Universalist Congregation, Mental Health Information for Ministers Interfaith Network on Mental Illness, Caring Clergy Project

REFERRAL: Making a Referral to a Mental Health/Medical ProfessionalREFERRAL: Making a Referral to a Mental Health/Medical Professional

SUICIDE: Thoughts of suicide should always be taken seriously. A person who is actively suicidal is a psychiatric emergency. Call 911.

SUICIDE: Thoughts of suicide should always be taken seriously. A person who is actively suicidal is a psychiatric emergency. Call 911.

Copyright ©2016 American Psychiatric Association Foundation. All rights reserved.1000 Wilson Blvd., Suite 1825, Arlington, VA 22209-3901 psychiatry.org/faith

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 14

Mental Health and Faith Community Partnership Steering Committee Meeting Bibliography

Publications

Cloninger, C. (2010). Personality and the perception of health and happiness. Journal of Affective Disorders, 128(1-2), 24-32.

Cloninger, C. (2007). Spirituality and the science of feeling good. Southern Medical Journal, 100 (7), 740-743.

Cloninger, C. (2006). The science of well-being: An integrated approach to mental health and its disorders. World Psychiatry, 5(3), 71-76.

Cloninger, C. (2013). What makes people healthy, happy and fulfilled in the face of current world challenges? Mens Sana Monogr, 11:16-24.

Corrigan, P., McCorkle, B., Schell, B., et al. (2003). Religion and spirituality in the lives of people with serious mental illness. Community Mental Health Journal, 39(6),487–499.

Galanter, M., Dermatis, H., Bunt, G., Williams, C., Trujillo, M., Steinke, P. (2008). Assessment of spirituality and its relevance to addiction treatment. Journal of Substance Abuse Treatment, 33(3), 257-264.

Galanter, M., et al. (2011). Introducing spirituality into psychiatric care. Journal of Religion and Health, 50(1), 81-91.

Griffith, J. (1986). Employing the God-family relationship in therapy with religious families. Family Process, 25(4), 609-618.

Griffith, J. (2006). Managing religious countertransference in clinical settings. Psychiatric Annals, 36, 196-204.

Griffith, J., & Norris, L. (2012). Distinguishing spiritual, psychological, and psychiatric issues in palliative care: Their overlap and differences. Progress in Palliative Care, 20, 79-85.

Griffith, J. (2005). Therapeutic role of spirituality in psychotherapy. Scottish Journal of Healthcare Chaplaincy, 8, 2-6.

Griffith, M., & Griffith, J. (2002). Addressing spirituality in its clinical complexities: Its potentials for healing, its potentials for harm. Journal of Family Psychotherapy, 13,167-194.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 15

Hankerson, S., Watson, K., Lukachko, A., Fullilove, M., Weissman, M. (2013). Ministers' perceptions of church-based programs to provide depression care for African Americans. Journal of Urban Health, 90(4), 685-98.

Hankerson, S., & Weissman, M., (2012). Church-based health programs for mental disorders among African American: a review. Psychiatric Services, 63(3), 243-249.

Hölzel, B., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S.,Gard, T., Lazar, S. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging, 191 (1), 36-43.

LoboPrabhu, S., & Lomax, J. (2010). The role of spirituality in medical school and psychiatry residency education. International Journal of Applied Psychoanalytic Studies, 7(2):180-192.

Lomax, JW. (2009). Commentary on Spirituality and Depression: A Background for the Development of DSM-V." in Religious and Spiritual Issues in Psychiatric Diagnosis: A Research Agenda for DSM-V. American Psychiatric Publishing.

Lomax, JW. (2011). Learning from Losing: Ethical, psychoanalytic, and spiritual perspectives on managing the losses of the distributed self in dementia. Journal of Psychiatric Practice, 17(1),1-8.

Lomax, J., Karff, R., & McKenny, G. (2002). Ethical considerations in the integration of religion and psychotherapy: three perspectives. Psychiatric Clinics of North America, 25, 547-559.

Lomax, J. (2005). Psychological birth of the human grandfather: a sometimes complicated delivery. The American Journal of Psychiatry, 162(9), 1062-1063.

Lomax, J., Kripal, J., & Pargament,K. (2011). Perspectives on "sacred moments" in psychotherapy. A Clinical Case Conference in The American Journal of Psychiatry, 168 (1), 12-18.

Lomax, J., & Pargament, K. (2011). Seeking “sacred moments” in psychotherapy and in life. Psyche & Geloof, 22(2), 79-90.

Lomax, J., & Pargament, K. "Gods lost and found: Spiritual coping in clinical practice." In C. Cook, A. Powell, & A. Sims (Eds.), Spiritual narratives in clinical practice. London: RCPsych Press (under review).

Lomax, James W; Carlin, Nathan Utilizing Religious and Spiritual Material in Clinical Care: Two Cases of Religious Mourning in TEXTBOOK OF APPLIED PSYCHOANALYSIS; Karnac Books, London , in preparation

McCarthy, M., & Peteet, J. (2003) Teaching residents about religion and spirituality. Harvard Review of Psychiatry, 11(4), 225-228.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 16

Noort A., et al. (2011). Recognition of psychopathology with religious content by clergy members: a case vignette study. Religion, Mental Health Culture, 15(2), 205-215

Nussbaum, A. (2012) The Mennonite mental health movement: Discipleship, nonresistance, and the communal care of people with mental illness in late 20th-century America. Journal of Nervous and Mental Disease, 200(12),1088-1095.

Nussbaum, A. (2007). Profession and faith: the national guild of catholic psychiatrists. The Catholic Historical Review, 93(4): 845-865, 2007

Paukert. A., Phillips, L., Cully, J., LoboPrabhu, S., Lomax, J., Stanley, M. (2009). Integration of religion into cognitive-behavioral therapy for geriatric anxiety and depression. Journal of Psychiatric Practice, 15(2), 103-112.

Pargament, K., & Lomax, J. (2013). Understanding and addressing religion among people with mental illness. World Psychiatry, 12(1), 26-32,

Rosmarin, D., et al.(2014). Integrating spirituality into cognitive behavioral therapy in an acute psychiatric setting: a pilot study. Journal of Cognitive Psychotherapy, 25(4), 287-303.

Stanley, M., Bush, A., Camp, M., Jameson, J., Phillips, L., Barber, C., Zeno D, Lomax, J., Cully, J. (2011). Older adults' preferences for religion/spirituality in treatment for anxiety and depression. Aging Mental Health, 15(3),334-43.

Taylor, R., Ellison, C., Chatters, L., et al. (2002). Mental health services in faith communities: the role of clergy in black churches. Social Work, 45(1), 73–87.

Weber, S., Pargament. K., Kunik, M., Lomax JW and Stanley MA. Psychological distress among religious nonbelievers: A systematic review. Journal of Religion and Health, 51(1), 72-86.

Williams, L., Gorman, G., Hankerson, S. (2014). Implementing a mental health ministry committee in faith-based organizations: The promoting emotional wellness and spirituality program. Social Work in Health Care. 53(4).414-434.

Young, J., Griffith, E., Williams, D. (2003). The integral role of pastoral counseling by African-American clergy in community mental health. Psychiatric Services, 54(5). 688–692.

Books

Address, R. (2003). Caring for the soul: R’fuat HaNefesh. New York, NY: URJ Press.

Simpson, A. (2013). Troubled Minds: Mental Illness and the Church’s Mission. Downers Grove, IL: Intervarsity Press.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 17

Brock, B., & Swinton, J. (Eds.). (2012) Disability in the Christian Tradition: A Reader. Grand Rapids: Eerdmans.

Byron, W. (2006). The Power of Principles: Ethics for the New Corporate Culture. New York: Orbis Books.

Cook, C., Powell, A., & Sims, A. (2009). Spirituality and Psychiatry. 1st edition. London, England: RCPsych Publications.

Fallot, R. (1998). Spiritual and religion in recovery from mental illness. San Francisco: Jossey-Bass Publishers.

Greene-McCreight, K. (2006). Darkness is My Only Companion: A Christian Response to Mental Illness. Grand Rapids: Brazos.

Griffith, J., & Griffith, M. (2007). Engaging the Sacred in Psychotherapy: How to Talk with People about their Spiritual Lives. New York: Guilford Press. Polish edition by Guilford Press.

Griffith, J. (2010). Religion that Heals, Religion that Harms. New York: Guilford Press. Polish edition by Wydawnictwo Wam, 2012. German edition, 2013.

Griffith, J. (2010). Religion That Heals, Religion That Harms: A Guide for Clinical Practice. 1st edition. New York, NY: The Guilford Press.

Josephson, A., & Peteet, J. (Eds.). (2004). Handbook of Spirituality and World View in Clinical Practice. APPI.

Kehoe, N. (2009) Wrestling with Our Inner Angels: Faith, Mental Illness, and the Journey to Wholeness. San Francisco: Jossey-Bass.

Koenig, H. (2005). Faith and Mental Health: Religious Resources for Healing. Philadelphia: Templeton Foundation Press

Mencher, E., Shmilovitz, Y., & Howald, M., (2007). Resilience of the Soul: Developing Emotional and Spiritual Resilience in Adolescents and Their Families. New York, NY: URJ Press.

Pargament, K. (2011). Spiritually integrated psychotherapy: Understanding and addressing the sacred. New York: The Guilford Press.

Peteet, J., Lu, F., & Narrow, W. (2011). Religious and Spiritual Issues in Psychiatric Diagnosis: A Research Agenda for DSM-V. Arlington, VA: American Psychiatric Association.

Rennebohm, C. & Paul, D. (2008). Souls in the Hands of a Tender God. Boston: Beacon Press.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 18

Richards, P., & Bergin, A. (2014). Handbook of Psychotherapy and Religious Diversity. 2nd edition. Washington, DC: American Psychological Association.

Shorto, R. (2000). Saints and Madmen: How science got religion. New York: Holt

Simpson, Amy. (2013). Troubled Minds: Mental Illness and the Church’s Mission. Downers Grove: Intervarsity Press. Swinton, J. (2012) Dementia: Living in the Memories of God. Grand Rapids: Eerdmans.

Verhagen, P., Van Praag, H., López-Ibor, J., Cox, J., & Moussaoui, D. (2012). Religion and Psychiatry: Beyond Boundaries (World Psychiatric Association). 1st edition. Hoboken, NJ: Wiley

Walsh, F. (2008). Spiritual Resources in Family Therapy. 2nd edition. New York, NY: The Guilford Press.

Book Chapters

Griffith, J., & Griffith, M. (1992).Therapeutic change in religious families- Working with the God-construct. In Burton L (Ed.), Religion and the Family. Binghamton, NY: Haworth Press.

Griffith, M., & Griffith, J. (1997). Coming to peace: Dialogues on survival, suffering, and death. In Doherty B, McDaniel S, & Hepworth J (Eds), Stories of Medical Family Therapy. New York: Basic Books.

Griffith, M., & Griffith, J. (2002). Addressing spirituality in its clinical complexities: Its potentials for healing, Its potentials for harm. In Carlson TD, & Erickson, MJ (Eds), Spirituality and Family Therapy. Binghamton, NY: Haworth Press.

Griffith, J. (2012). Psychotherapy, religion, and spirituality. In Alarcón RD, & Frank JB, (Eds). The Psychotherapy of Hope: The Legacy of Persuasion and Healing. Baltimore: Johns Hopkins University Press.

Griffith, J. (2012) Spirituality in psychiatry and mental health treatment. In Cobb M, Rumbold B, & Puchalski C (Eds). Spirituality in Healthcare. New York: Oxford University Press.

Websites American Psychiatric Association: Caucus on Spirituality, Religion and Psychiatry:

http://spiritualityreligionpsychiatrycaucus.com/

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 19

Bay Area Jewish Healing Center http://www.jewishhealingcenter.org/mentalhealth.html

Caring Clergy Project http://www.caringclergyproject.org/makingreferrals.html http://www.caringclergyproject.org/suicidepreventioninterventionresponse.html

Grounded in Faith: Resources on Mental Health and Gun Violence http://www.aapd.com/assets/grounded-in-faith-resources.pdf

Interfaith Network on Mental Illness www.inmi.us

Leadership Council for Healthy Communities www.lchcnetwork.org

Mental Health Ministries www.MentalHealthMinistries.net

Mental Illness Ministries www.miministry.org

Muslim Mental Health http://www.muslimmentalhealth.com

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

Reimaging Life Together http://www.reimagininglifetogether.org/event/walking-together-conference/

Royal College of Psychiatrists (UK) Spirituality and Psychiatry Special Interest Group: http://www.rcpsych.ac.uk/workinpsychiatry/specialinterestgroups/spirituality.aspx

Sanford, M. Rethinking mental health care: the role of the church in recovery. http://ibpf.org/article/rethinking-mental-health-care-role-church-recovery

UJA Federation of New York http://www.ujafedny.org/shabbat-of-wholeness-tool-kit/

Union for Reform Judaism http://urj.org/life/community/health/mental/

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 20

United Church of Christ Mental Health Network http://www.mhn-ucc.blogspot.com/

World Psychiatric Association: Section on Religion, Spirituality and Psychiatry: http://www.religionandpsychiatry.com/

Webinars

A Demographic Overview of Latino Adolescents and Young Adults, and their Health Coverage Needs http://nned.net/docs-general/Webinar1_YoungAdultLatinos10-16-2013.pdf

Barriers & Challenges in Meeting the Health Coverage Needs of Latino Youth and Young Adults http://nned.net/docs-general/Webinar2-3_BarriersChallenges.pdf

How churches can promote recovery The International Bipolar Foundation (IBPF) webinar. This webinar presented a clinical, Biblical and personal perspective of psychiatric disorders. The role of the church was discussed as well as practical ways that members can minister to people who have a psychiatric disorder and promote their recovery.

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 21

Additional Resources (General Resources which may or may not be Faith Based. Provided for reference only and for use at

the discretion of the user.)

Hot Lines: 24-hour National Suicide Prevention Lifeline. Call 1-800-273-TALK (1-800-273-8255); TTY: 1-800-799-4TTY (4889) to talk to a trained counselor

Web Sites: National Institute of Mental Health - NIMH.gov

National Alliance on Mental Illness - NAMI.org

Depression and Bipolar Support Alliance - DBSalliance.org

American Academy of Child and Adolescent Psychiatry - Aacap.org

Heart Life Professional Soul Care - Heartlifesoulcare.org

Suicide Prevention Resource Center – SPRC.org

Mental Health America – mentalhealthamerica.net

Georgia Suicide Prevention Information Network - gspin.org

211 united Way. Local and national

Behavioral Health Link - mygcal.com

American Foundation for Suicide Prevention - AFSP.org

Suicide Prevention Action Network (SPAN) USA - spanisa.org

Will To Live Foundation - will-to-live.org/

Trainings: Mental Health First Aid Training - Mentalhealthfirstaid.org

QPR. Question Persuade Refer - QPRinstitute.com

SAFE Talk Training - AFSP.org

Applied Suicide Intervention Skills Training (ASIST) - livingworks.net/programs/asist/

NAMI Family to Family - Nami.org

Lou Ruspi Jr. Foundation - louruspijrfoundation.com/

Words Can Work - wordscanwork.com

Armed Forces Mission - nomoresuicide.com

Sources of Strength - Peer resilience programs

SOS. Signs of Suicide Gatekeeper Training - mentalhealthscreening.org/gatekeeper

Kids on The Block - kotb.com

Books: Mast, Benjamin, The Second Forgetting: Remembering the Power of the Gospel during Alzheimer's Disease, (Zondervan Publications, 2014). Good news of Gods faithfulness in the face of Alzheimer’s disease and the future hope He calls us to. 

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 22

HOPE FOR MENTAL HEALTH (A MINISTRY OF SADDLEBACK CHURCH)

Studies show that when people are struggling with mental illness, the first place they call is the church. Let's be ready.

"Your greatest ministry will flow out of your greatest pain." — Pastor Rick Warren

The commitment of Saddleback Church to people living with mental illness greatly increased on April 5, 2013 when Pastor Rick and Kay’s youngest son, Matthew, took his life after a lifelong struggle with mental illness. In the midst of the devastating loss of Matthew, Pastor Rick and Kay along with the Saddleback community, have united together to journey alongside people living with mental illness and their families in a holistic way.

The Hope for Mental Health Ministry extends the radical friendship of Jesus by providing transforming love, support, and hope through the local church. The heart of this ministry comes from three passages of Scripture: "I have called you friends, for everything that I learned from my Father I have made known to you" (John 15:15), "Serve one another in love" (Galatians 5:13b), and "May the God of hope fill you with all joy and peace as you trust in Him, so that you may overflow with hope by the power of the Holy Spirit" (Romans 15:13).

Five life-transforming Scriptural truths that shape our approach to the Mental Health Ministry are illustrated in The Hope Circle: you are loved, you have a purpose, you belong, you have a choice, and you are needed.

The Hope Circle

Materials Developed by and Found at Saddleback Chuch’s, Hope for Mental Health Ministry.  See 

http://hope4mentalhealth.com/about/our‐purpose  for more information and ordering. 

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 23

RESOURCES AVAILABLE FROM SADDLEBACK CHURCH, LAKE FOREST, CALIFORNIA

Learn how you can start a mental health ministry in your church.

                      

 

Hope for Mental Health Ministry Starter Kit 

Hope For Mental Health Pastor’s DVD

Journey Toward Hope – A Guided Experience

Mental Health Resource Guide for Individuals and Families

Materials Developed by and Found at Saddleback Chuch’s, Hope for Mental Health Ministry.  See 

http://hope4mentalhealth.com/about/our‐purpose  for more information and ordering. 

These resources represent a range of theological perspectives and may not reflect the views of CMDA.

Page 24

THE DOCTOR…..A MORTAL MAN

“It becomes every man who purposes to

give himself to the care of others seriously

to consider the four following things:

First that he must one day give an account

to the Supreme Judge of all the lives

entrusted to his care.

Secondly, that all his skill, knowledge, and

energy, as they have been given him by

God, so they should be exercised for His

glory, and the good of mankind, and not

for mere gain or ambition.

Thirdly, and not more beautifully than

truly, let him reflect that he has undertaken

the care of no mean creature, for, in order

that we may estimate the value, the

greatness of the human race, the only

begotten son of God became himself a

man, and thus enabled it with His divine

dignity, and far more than this, died to

redeem it.

And fourthly, that the doctor being himself

a mortal man, should be diligent and

tender in relieving his suffering patients,

inasmuch as he himself must one day be a

like sufferer.”

Thomas Sydenham (1624-1689)

YOU ARE INVITED

TO JOIN US

“The Christian Medical & Dental

Associations is pleased to offer networks

for specialty professionals who share

common values and commitments. I

encourage you to join your psychiatric

colleagues for fellowship,

encouragement, and challenge as you

integrate your personal faith with your

professional practice.”

David Stevens, M.D.

Executive Director

Christian Medical & Dental Associations

Write for an application:

The Psychiatry Section

Christian Medical & Dental

Associations

PO Box 7500

Bristol, TN 37621

888-230-2637

423-844-1005 Fax

psychsectioncmda@gmail.com

www.cmda.org/psychiatry

The Psychiatry Section of the

Christian Medical & Dental

Associations

The Christian Medical & Dental

Associations’

Psychiatry Section

investigates

and

incorporates

the relationship

between our faith

and our professional

practice.

Page 25

The PSYCHIATRY SECTION of the Christian Medical & Dental Associations

WHAT IS THE PSYCHIATRY

SECTION?

A specialty section of the Christian Medical &

Dental Associations (CMDA). One does not

have to be a member of CMDA to join the

Psychiatry Section, although membership is

encouraged.

WHO CAN BE A MEMBER? Active membership is open to all interested

psychiatrists and residents in psychiatry

training who are members of a state, local, or

national medical organization. Members must

be in agreement with the Section's purposes,

beliefs, and program, and be active in

attendance and payment of dues. Associate

membership is available to physicians in other

specialties and PhD’s who have an interest in

psychiatry.

WHAT DOES THE PSYCHIATRY

SECTION DO? Three newsletters are published each year to

keep members abreast of Section meetings and

information of interest to Christian

psychiatrists. A directory is published every

other year to assist members with networking

and referrals. Our website at provides useful

information about the Section for those

interested in residency programs.

WHERE DOES THE SECTION

MEET? Since 1961 the Psychiatry Section has met

concurrent to the annual American Psychiatric

Association meeting. Fellowship at other

psychiatric conferences such as AACAP and

national CMDA conference is encouraged.

ANNUAL MEETING ACTIVITIES The Psychiatry Section gathers at the APA

annually for the purposes of providing

fellowship and study of issues through:

breakfast talks on topics which

engage mind and soul

social gatherings and worship to

facilitate mutual sharing, support,

and encouragement.

a half-day Integration Seminar

designed to help members integrate

their Christian faith with the

practice of psychiatry.

a dinner meeting with an

outstanding speaker to address issues

of interest or concern.

In addition, a booth in the APA exhibit area

manned by volunteers and staff provides a

means of outreach to all participants of the

APA and a Christian presence in the

marketplace of ideas.

HOW MUCH ARE DUES?

Dues are $100 per year for practicing

physicians, $50 per year for retired

physicians and free for residents and

missionaries.

OUR STATEMENT OF PURPOSE

To stimulate Christians in the practice of

psychiatry to investigate and discuss the

relation between their faith and professional

practice and to incorporate such examined

beliefs into their daily practice.

To promote in the Christian community an

understanding and use of valid psychological

principles, consistent with Christian beliefs.

To contribute to the national and local

ministry of CMDA through participation,

prayer and sharing of our activities.

To join in the ministry of international

Christian missions.

To present a positive witness of God our

Father, and Jesus Christ our Savior, to

colleagues, patients and society.

OUR STATEMENT OF FAITH

(While each of us hold fast to additional

beliefs important to our relationship with

God, the following statement outlines the

tenets that provide a foundation for our

fellowship and participation in the

Christian Medical Association.)

We believe: In the divine inspiration and

final authority of the Bible as the Word of

God; In the eternal God revealed in Holy

Scripture as Father, Son and Holy Spirit; In

the unique Deity of Jesus Christ, God's

only Son, whose death and resurrection

provide by grace through faith the only

means of my salvation; In the transforming

presence and power of the Holy Spirit.

Page 26