family-to-family education course
DESCRIPTION
Family-to-Family Education Course . Cathy Epperson Kathy Keller NAMI Kentucky 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. - PowerPoint PPT PresentationTRANSCRIPT
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Family-to-Family Education Course
Cathy Epperson Kathy KellerNAMI Kentucky NAMI Northern Kentucky
May 20, 2011
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History•First offered in 1989
•300,000 people have taken the course
•Offered in 49 states & 3 other countries
•Presented in 6 languages
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Course ResultsDept. of Psychiatry University of Maryland Study
of Family-to-Family students, post-course
Greater empowerment Greater knowledge of mental illness Higher coping skills Less anxiety Better personal skills Reduced depression symptoms Less distress
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Course Operations
•FREE to all students
•Trained volunteer peer-teachers
•Teachers read course material for fidelity
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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
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•Commitment to attend each class
•Have friend/ family member with mental illness
•16-25 participants per class
•19 or older
•Not a support group
Participants
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Class Covers•Schizophrenia•Bipolar Disorder•Major Depression•Anxiety Disorders•OCD•PTSD•Borderline personality disorder
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Stages of Emotional Responses
•I. Dealing with Catastrophic Events
•II. Learning to Cope
•III. Moving into Advocacy
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Stages of Emotional Response ChartI. 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
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II. LEARNING TO COPE
EMOTIONS
• Anger• Guilt• Resentment• Recognition• Grief
NEEDS:
• Vent feelings• Keep hope• Education• Self-care• Networking • Skill training• Letting go • Cooperation from System• NAMI
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III. MOVING INTO ADVOCACYEMOTIONS
•Understanding•Acceptance•Advocacy/Action
NEEDS
•Activism •Restoring balance
in life•Responsiveness
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 teach families to turn lemons into lemonade whenever possible.
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3 Aspects of Mental Illness
•Medical
•Emotional
•SocialThe course covers all three
aspects
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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
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BIOLOGICAL/PHYSICAL (continued)
•Adherence to medication
•Scientific advances in medications
•Early warning signs of relapse
•Best medical strategies to maximize recovery
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BIOLOGICAL/PHYSICAL (continued)
•Discuss genetic aspects of mental illness
•Cover theories of causality
•Try to override guilt
•Functions of neurotransmitters
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BIOLOGICAL/PHYSICAL (continued)
•Understanding clinical diagnosis
•Share current research
•Teach effective interaction with BH
specialists
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BIOLOGICAL/PHYSICAL (continued)
•Emphasis on physical ennui
•Programs often ignore effects of “brain
attack”
•Teach to expect extensive recovery period
•Resist unrealistic expectations
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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
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Managing Crisis•Go through crisis file
•Makes contacting society services easier
•Includes practical information
•Use to help in a crisis
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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
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Crisis File Contents (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
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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
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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
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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
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Social/Occupational(Rehabilitation Dimension)Recovery based knowledgeCourse Focus: self/renewal re-entry into community
• Definitions of recovery
• Principals of rehabilitation
• Testimonials of recovery
• Educated about societal support
• Teach problem-solving process
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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
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End of Course•The course is life-changing
•Families report ill member’s improved prognosis
•Increased empathy of family member to ill relative