Transcript BIOLOGICAL/PHYSICAL

Family-to-Family Education
Course
Cathy Epperson
NAMI Kentucky
Kathy Keller
NAMI Northern
Kentucky
May 20, 2011
History
• First offered in 1989
• 300,000 people have taken the course
• Offered in 49 states & 3 other countries
• Presented in 6 languages
Course Results
Dept. of Psychiatry University of Maryland Study
of Family-to-Family students, post-course
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Greater empowerment
Greater knowledge of mental illness
Higher coping skills
Less anxiety
Better personal skills
Reduced depression symptoms
Less distress
Course Operations
• FREE to all students
• Trained volunteer peer-teachers
• Teachers read course material for fidelity
Course Operations
(continued)
• Kentucky’s Goal: to offer course annually in each
of 20 affiliates
• Larger affiliates subsidize additional courses
• Length: 12 week period, 1 day/evening per week
• Each class: 2 & ½ hours
Participants
• Commitment to attend each class
• Have friend/ family member with mental illness
• 16-25 participants per class
• 19 or older
• Not a support group
Class Covers
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Schizophrenia
Bipolar Disorder
Major Depression
Anxiety Disorders
OCD
PTSD
Borderline personality disorder
Stages of Emotional Responses
• I. Dealing with Catastrophic Events
• II. Learning to Cope
• III. Moving into Advocacy
Stages of Emotional Response Chart
I. DEALING WITH CATASTROPHIC EVENTS
EMOTIONS
• Crisis
• Chaos
• Shock
• Denial;
• “normalizing”
• Hoping against
hope
NEEDS:
• Support
• Comfort
• Empathy
• Help finding resources
• Crisis intervention
• Prognosis
• Empathy for pain
• NAMI
II. LEARNING TO COPE
EMOTIONS
NEEDS:
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Anger
Guilt
Resentment
Recognition
Grief
Vent feelings
Keep hope
Education
Self-care
Networking
Skill training
Letting go
Cooperation from
System
• NAMI
Finally, the chart serves as a guide to hope for the future, and ways to respond in a positive way. In other words, we
III. MOVING INTO ADVOCACY
EMOTIONS
NEEDS
• Understanding
• Acceptance
• Advocacy/Action
• Activism
• Restoring balance
in life
• Responsiveness
from System
• NAMI
3 Aspects of Mental Illness
• Medical
• Emotional
• Social
The course covers all three aspects
BIOLOGICAL/PHYSICAL
(Medical Dimension)
Science-based knowledge
Course Focus: Medical aspects of Illness
• Symptoms; Diagnosis
• Prognosis
• Acute care in critical periods
• Medications and medication side-effects
BIOLOGICAL/PHYSICAL
(continued)
• Adherence to medication
• Scientific advances in medications
• Early warning signs of relapse
• Best medical strategies to maximize recovery
BIOLOGICAL/PHYSICAL
(continued)
• Discuss genetic aspects of mental illness
• Cover theories of causality
• Try to override guilt
• Functions of neurotransmitters
BIOLOGICAL/PHYSICAL
(continued)
• Understanding clinical diagnosis
• Share current research
• Teach effective interaction with BH specialists
BIOLOGICAL/PHYSICAL
(continued)
• Emphasis on physical ennui
• Programs often ignore effects of “brain attack”
• Teach to expect extensive recovery period
• Resist unrealistic expectations
BIOLOGICAL/PHYSICAL
(continued)
• SYMPTOMS
▫ Particularly useful to participants
▫ Learn which behaviors are added and taken away
▫ Learn to separate symptoms from the person
▫ Open communication despite person’s symptoms
Managing Crisis
• Go through crisis file
• Makes contacting society services easier
• Includes practical information
• Use to help in a crisis
Crisis File Contents
• Local Crisis Phone numbers
• Behaviors to use during a crisis
• Identifying a good psychiatrists
• Questions for the psychiatrists
• Interacting with BH professionals
Crisis File Contents
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(Continue)
Integrated treatment MI & SA
Dealing with the criminal justice system
Suicide
QPR (Question, Persuade, Referral)
Setting limits
Managing violent/disruptive behavior
Principals for dealing with critical periods in MI
PSYCHOLOGICAL/EMOTIONAL
(Personal Dimension)
Psychology-based knowledge
Course Focus: Subjective emotions and
feelings
• The inner experience of brain disorders
• Normative family responses to the trauma of
mental illness
• Telling our stories; validating family strengths
PSYCHOLOGICAL/EMOTIONAL
(cont’d)
• Coping strategies used to protect self- esteem in
mental illness
• Empathetic listening and responding skills
• Burdens of different relative roles in the
family
PSYCHOLOGICAL/EMOTIONAL
(cont’d)
• Handling anger, frustration, and feelings of
entrapment
• Setting boundaries
• Self-care skills; keeping our lives going
• Coming to terms with “shattered dreams”
• Value of peer understanding and support
Social/Occupational
(Rehabilitation Dimension)
Recovery based knowledge
Course Focus: self/renewal re-entry into
community
• Definitions of recovery
• Principals of rehabilitation
• Testimonials of recovery
• Educated about societal support
• Teach problem-solving process
Social, Occupational, Rehabilitation
Dimension (continue)
• Speaker who has MI
• Introduce advocacy
• Deconstruction of societal stigma towards MI
• Long term planning
• Encourage independence of person with MI
End of Course
• The course is life-changing
• Families report ill member’s improved prognosis
• Increased empathy of family member to ill
relative