I recently attended the National Alliance on Mental Illness (NAMI) Indiana’s Criminal Justice Summit in Indianapolis, IN. The morning’s keynote speaker was Major Sam Cochran (ret.), who is nationally known for his work in developing the Crisis Intervention Team (CIT) model in Memphis, TN.
Cochran’s message was clear: CIT is not just a law enforcement program; CIT is a community program and should be recognized as a community priority. It should involve not only law enforcement officers and dispatchers, but also prosecutors, judges, emergency room personnel, physicians, nurses, psychiatrists, therapists, the community mental health center, and other community resource centers.
At our previous National Alliance on Mental Illness (NAMI) meeting in Crawfordsville, IN, a couple participants mentioned that the state of Georgia provides a good model for how mental illness should be managed.
In Indiana, we don’t have a well-coordinated system in place to help people with mental illness find their way back into society from prison or homelessness. Georgia has a program called Opening Doors to Recovery that certainly seems to be what we should be striving for.
Here’s a YouTube video about the Opening Doors to Recovery program. Please watch it and post a comment to share your thoughts. Also, share any insights or information you have about similar programs in your state.
(If you can’t watch the video embedded on this page, view it on YouTube at www.youtube.com/watch?v=Y2NJEL2WfCU.)
My nephew is 24 years old. He tried to kill himself. This has been going on since he was 17. Just Saturday he took 80-85 pills of antidepressant, very close call to his death but he made it. My questions is how can his mom and dad get help for him because of his age? He really needs to stay in the system, not at home, to be a better person.
Approximately a year ago, my wife, Cecie, and I along with a friend and neighbor Kitty Haffner, started a NAMI support group in Crawfordsville, IN. This Wednesday, Kitty and will start teaching the free 12-week Family-to-Family Education Program. This course is for people who have loved ones with a mental health diagnosis, including major depression, bipolar disorder, schizophrenia, obsessive-compulsive disorder, anxiety disorders, and so on. For more info, check our our website, cvillenami.org.
If you have a loved one with mental illness, one of the best ways to help your loved one is to educate yourself. If you haven’t taken the Family-to-Family course, I strongly recommend you do. Check out the Family-to-Family Course Schedule to see if the course is being offered in your town or a town nearby.
If you’ve taken the course, please post a comment to share your opinion of it.
From Joe Kraynak, co-host of Bipolar Beat: I have been corresponding with a young man who is currently being held in a federal detention center (FDC). I asked him to share his insights and advice for how friends and family members can support a loved one with bipolar or another serious mental illness who is in prison. He wrote this post.
Everyone knows the importance of communication in maintaining one’s emotional and psychological well-being. Communication is even more essential for those with bipolar disorder and other mental illnesses who may be confused about where they are and why and may even be experiencing paranoia and psychosis.
Yesterday, I served on a panel of family members who have loved ones with mental illness, where we talked to a room full of police officers (approximately 30 of them) as part of their crisis intervention team (CIT) training. NAMI-WCI (West Central Indiana) provided the training.
As I prepared my story for the presentation, I realized that I am never the one who calls 911 when my wife is experiencing a manic episode. My wife has always been the one to call, usually because she is experiencing paranoia and psychosis and feels the need to call the police for protection.
This made me wonder… why?
Shortly after bipolar disorder invaded our home in 1999, a series of marriage counselors encouraged me to learn to speak in “I” statements. That was the advice I got from NAMI’s 12-week Family-to-Family course, too.
My initial reaction was, “Great, not only am I a lousy husband, but now I can’t even speak properly!” We had had 15 years of connubial bliss, relatively speaking, before the fireworks started, and I wasn’t doing anything different, so how could this inability to communicate suddenly be my fault?! In short, I was very resistant to the idea.
In the mental health community, we often find ourselves wringing our hands when our loved ones fall victim to a flawed system. Too often, I hear of stories from family members who do everything right and have everything turn out all wrong.
They take their loved one to the emergency room in a psychiatric crisis, and three hours later, the patient calms down and is released with no follow-up care in place. They contact their Community Mental Health Center only to be told that they need to contact an attorney, instead. They call around to psychiatric facilities and find out that no beds are available.
They call 911, and the police show up, arrest their loved one and file criminal charges.
One of the things I hate most about bipolar disorder is how subtly sinister it can be when a loved one is trending toward mania — not manic yet or even hypomanic, just talking faster and louder, blurting out statements that are a little too open and honest and perhaps hurtful, and being more self-centered than usual.
A lot of bad stuff can happen during these times to drive a wedge between loved ones, but nothing bad enough to convince the person or a doctor or therapist that bipolar is at work.
During periods of low-grade pre-hypomania, uncertainty fogs the mind. In our family, we argue more and “walk on eggshells.” Everyone’s afraid to mention the elephant in the room out of fear of being accused of blaming bipolar disorder or the person who has it for our family drama. After all, the rest of us in the family are admittedly less than perfect, and even in a normal, healthy family (whatever that is), interpersonal conflicts arise.
Last Thursday, my wife and I attended a viewing of Dr. Delaney Ruston’s documentary film Unlisted followed by a panel discussion. The film and panel discussion focused primarily on schizophrenia, but individuals with bipolar disorder and their families face similar struggles.
I was very impressed by the keynote speaker, Dr. Alan Breier, MD, who passionately and compassionately described the struggles of people living with schizophrenia. He called schizophrenia the “quintessential human experience,” because it affects the two qualities most responsible for making a person feel human:
- The ability to work
- The ability to love