Month: April 2015

The Coming Days Emphasis ………… Suicide Prevention

gail louise Communities Preventing Suicide, On Suicide , ,

Good day!   I officially launched my website and blog last Friday and Saturday at the NAMI (National Alliance on Mental Illness) Wisconsin Conference. So many friends and colleagues expressed interest and well wishes to me that I am more eager to write than ever.

I took yesterday off to spend an afternoon hiking the prairie and woodsy grounds of one of my favorite places, the International Crane Foundation (ICF) near Baraboo, WI. It was so serene and peaceful that I was able to see long and deep. Today I find my mind is free and my body is relaxed to think and write.

I will focus on prevention of suicide in my coming posts this spring. Particularly on advances in suicide prevention. Why? I believe suicide prevention should be a top priority for mental health organizations and concerned individuals, indefinitely. The US suicide rate is unchanged in 2 decades. Mortality from various medical causes has decreased (see charts below).
In hope of gathering current material on advances in suicide prevention, I am traveling to Stevens Point on Wednesday to attend another conference. The conference theme is “Communities in Action to Prevent Suicide” put on by Prevent Suicide, Wisconsin and sponsored by Mental Health America (MHA). There are two nationally known keynote speakers from the prevent suicide movement featured. I am eager to hear what they have to say and the advice they have to give.

I will couple the information from the Stevens Point conference with the conclusions and recommendations offered in the report The Way Forward: Pathways to hope, recovery, and wellness with insights from lived experience, National Action Alliance for Suicide Prevention: Suicide Attempt Survivors Task Force. (2014).  The report is available on my Resources On Suicide page. My hope is that you will feel better informed to look at suicide prevention practices in your area and seek input, if needed, and to update local policies and procedures to save more lives.

 

These graphs from a keynote presentation by Dr. Thomas Insel, Director of National Institute of Mental Health at the NAMI annual convention

 

On Forgiveness

gail louise Learning to Hope, Real Life; Real Challenges , , ,

One aspect of my illness that I’ve struggled with for many years is forgiveness – forgiving the people, events, and even the institutions where I have felt anger, humiliation and pain.

Why do I struggle and feel so strongly about this? A level playing field must be found among friends, family and providers to nurture communication, comfort and a new beginning. Imagine setting aside blame while acknowledging responsibility. Think of deeds being forgiven and the tangled web of the past losing its ability to shape our future.

Just what deeds am I thinking of forgiving? Sadly, they are all real, and the ability to forgive them will not come easily. People with mental illness many have experienced being abandoned when ill, or we may remember restraints and seclusion. We may have experienced involuntary commitment, deep humiliation, or poor care resulting in severe symptoms that led to years of mistrust toward caregivers. For many family members, deeds that need forgiving may include their relative’s antagonistic behavior, violent acts or threats of violence, sexual infidelities and indiscretions, verbal abuse, or unreasonable demands or careless spending sprees which left the family in debt.

I have a thoughtful book of essays that is helping me sort through many questions about forgiveness. What is forgiveness between us? Why forgive? And where to begin? Exploring Forgiveness, edited by Robert Enright and Joanna North, contains a forward by Archbishop Desmond Tutu of South Africa that states:

“Forgiveness is taking seriously the awfulness of what has happened when you are treated unfairly. It is opening the door for the other person to begin again. Without forgiveness, resentment builds in us, a resentment which turns into hostility and anger. Hatred eats away at our well being.”

What I am learning is that forgiveness is not pretending that things are other than they are. It is not cheap. Robert Enright and others write that forgiveness does not mean forgetting. And yet it is more than tolerating. I was startled to read that forgiveness is beyond letting go of negatives, such as anger; it is also the inclusion of positive gift-like qualities such as compassion, generosity, and even love. Joanna North insists that forgiveness is hard work, and that:

“Forgiveness is not something that we do for ourselves alone, but something that we give or offer to another. The forgiving response is outward-looking and other-directed; it is supposed to make a difference to the wrongdoer as well as to ourselves, and it makes a difference in how we interact with the wrongdoer and with others.”

Learning how to forgive includes understanding both the perspective of the injured party and that of the wrongdoer. When we begin to separate the wrongdoer from the wrong which has been committed; we also begin to see the person who has committed a particular wrong. Healing can then occur to the person injured and to the relations between the two parties.

It is my hope that in the year to come we can learn, as people with mental illnesses and as family members, to speak not only of understanding and empathizing with the other, but also to explore issues of forgiveness. “Without forgiveness there is no future,” Bishop Tutu declared.

Let us create a good future.

About Partnerships … thinking about enhancing care and support within them

gail louise Beyond Recovery to Healing, Learning to Hope, MajorDepression, On Support, Real Life; Real Challenges , , , , , , , , , , , , , , , ,

46 years. That’s how long my husband and I have been married.  And it was 50 years ago when we first dated, a sweet memory today.  Jim has always been the very kindest, most fun and interesting man I know.  Our kindness toward one another is a key to our relationship, especially when the water wasn’t so smooth due to effects of mental illness on my thoughts, feelings and behaviors.

My partnership is our marriage.   It is the most supportive aspect of our lives together.  It is, it turns out, quite a bit stronger than mental illness.  Yours may be another partnership – marriage is not the required word, but supportive is.  How do we support our partner without being overwhelmed?  How can we be supported without having to feel we’re a burden?  I don’t have all the answers, but we do have some suggestions here based on our experience.

Resources on Suicide – and the way forward

gail louise Learning to Hope, More First Things, On Suicide, On Support, Shame , , , , ,

I’ve written a resource page on Suicide – Look on the menu bar, click Suicide and then Resources on Suicide.  There are links there for anyone who may be at risk for suicide or is a survivor of a suicide attempt.  I hope they can be of help for you.

Especially I want to draw attention to the link for the report The Way Forward: Pathways to hope, recovery and wellness with insights from lived experience (2014 pdf), by the National Action Alliance for Suicide Prevention’s Suicide Attempt Survivors Task force.   The report is unique in its breath and scope, and unique in that its co-leads were one, a survivor of suicide attempts and mental health advocate, and the other, a psychologist with years of experience working with people in suicidal crisis.

“For far too many years suicide prevention has not engaged the perspectives of those who have lived through suicidal experiences. Because of social stigma and fear, as well as personal shame, a culture of silence prevailed. The Way Forward represents a seminal moment in this field’s history; it is an opportunity to benefit from the lived experience of suicide attempt survivors. Many of its recommendations are derived from evidence-based practices, and several are aspirational. All are grounded in the evidence of recovery and resiliency that is clear in the lives of our Task Force members.”
– from the report.

Chronic Mental Illness: Recovery while (Still) Homeless?

gail louise Beyond Recovery to Healing, homelessness, Learning to Hope, Sam Tsemberis, PhD , , , , , ,

Did you know that among the large population we in the United States have of homeless people, approximately 30% are people with serious mental illness! Yes, at least 30%. Fifty percent, if you count those that also have substance abuse disorder. These homeless, along with those individuals with mental illness in prison and jails, are the forgotten of our world … even at times, forgotten by the advocates of mental health policy and care. They are out of view and out of mind.

Do we assume we can’t do much or shouldn’t do much for these forgotten?
Or do we realize we can end homelessness?

“Providing someone who is chronically homeless with a home first gives them the stability that they need to begin the process of recovery.” – Sam Tsemberis, Pathways to Housing

I couldn’t agree more … recovery is hard enough when you have a stable home!

One of the unique features of Pathways’ Housing First model is that participation in treatment or sobriety as a precondition is not required for housing. [More here]

To Tell or Not To Tell – Discussing self-disclosure

gail louise Real Life; Real Challenges , , , , , , ,

I’ve been reading summaries of research on stigma-busting that lay it on the line. Publishing facts about mental illness, as for example, how treatment helps people live successfully, does not assist in alleviating stigma. Highlighting the stories of people with mental illness who have achieved significant accomplishment, does not curb stigma either. What does work is for ordinary people to get to know ordinary people with mental illness personally! For stigma-busting and awareness and acceptance of mental illness to happen, individuals with mental illness need to be able to safely self-disclose or identify that they have received mental health treatment. Both peoples need to get acquainted and know each other. Nothing breaks down barriers like good communication. Acceptance and trust can be built up by direct experience of the other. But someone has to take the first step. Will it be you? Should it be?

I want to talk about the role of self-disclosure in advocating for people with mental illness. I am hoping to reach out to you especially if you have a mental illness yourself or are related to someone who lives with mental illness. [Continue reading the article under Real Life; Real Challenges]