Friday, May 27, 2022

Mental Health Crisis Line: 988


 

The U.S. is in the midst of a mental health crisis. Suicide rates have skyrocketed, teens and adults spend weeks in the E.R. waiting for inpatient beds, and there is a drastic shortage of mental health professionals. The COVID pandemic has caused a mental health crisis due to lost routines and isolation causing an increase in anxiety, depression, PTSD, insomnia, and emotional distress. The pandemic has also caused issues with unemployment, food insecurities, and housing problems which lead to undue stress that can exacerbate mental health symptoms. 


Starting on July 16 2022, people experiencing mental health crises can dial 988 to connect with mental health professionals. According to SAMHSA, 988 is “not just an easy to remember number -it’s a direct connection to compassionate, accessible care and support for anyone experiencing mental health related distress.” 988 can also be dialed by people worried about their loved one who may need crisis support.


Compared to other lifeline numbers, 988 is easy to remember and will be expanded to provide support via call, text, or chat by connecting people to community-based providers such as mobile crisis teams, stabilization centers, and mental health care providers. “The Lifeline provides free and confidential support to people in suicidal crisis or mental health related distress 24 hours a day, 7 days a week, across the U.S.”


The goal of 988 is to create a nationwide crisis standard of care where people experiencing a mental health, suicidal, or substance use crisis can have someone to talk to, someone to respond, and somewhere to go. By providing a 24/7 crisis call center answered by local well trained staff the crisis call center can connect people to local services, including dispatching mobile crisis teams and connecting people to crisis stabilization programs. The mobile crisis teams would work to de-escalate crisis situations and only include police as co-responders in high risk situations. The crisis stabilization programs would provide added short term stabilization support and provide a warm hand off to follow up care such as peer support, outpatient services, or more intensive services such as hospitalization. 

 

References: 

https://www.nami.org/Advocacy/Crisis-Intervention/988-Reimagining-Crisis-Response

https://www.samhsa.gov/find-help/988


 


Wednesday, May 18, 2022

Ways to Stay Well

By Bernie L, Crystal B, Yaniz S

Bernie says:

“One way I stay well with my mental health is staying connected with my friends and support system. I like to do some kind of physical activity to stay healthy like hiking trails and walking; something to keep me out of the house. It has been difficult to go out because of the pandemic because a lot of places where I could meet people face to face were closed. It wasn't always possible to stay connected but zoom calls helped stay in touch.”


The World Health Organization recommends ways to take care of your mental health such as:

  1. Talk to someone you trust. If you openly share how you are feeling with someone who cares about you it may help you feel better. Staying connected with friends via phone, video calls, or messaging is important when meeting face to face is not possible.

  2. Look after your physical health. Taking care of your physical health such as eating a healthy diet, staying active, and getting enough sleep can help you maintain your mental health and well-being. 

  3. Do activities that you enjoy. Try to continue doing the activities that you find meaningful and enjoyable because having a regular routine of things that make you happy will help you maintain your mental health. Some of these activities include cooking, meditation, going for a walk, playing with a pet, watching TV, etc.

  4. Steer away from harmful substances. Don’t use harmful substances such as drugs, alcohol or tobacco to cope with what you’re feeling. Though these may seem to help you feel better in the short term, they can make you feel worse in the long run.

  5. Seek professional help. If you can’t cope with the stress that you are feeling, seek professional help by calling your healthcare provider.


Remember you are not alone, and there are things you can do to support your emotional wellbeing.


Crystal reminds us:

“Take care of your health first! Taking care of your health comes before everything else; before you take the next steps in your life goals your health comes first.”


Bernie concludes:

“Seeking a community that provides a safe environment to express how you are feeling is very important for your mental health and wellbeing.”



References:

WHO Ways to Take Care of your Mental Health and Wellbeing 

Friday, May 13, 2022

How to Cope When Feeling Upset

 By Kenna R, John W, Desmond C, Jeffery C, Yaniz

An article by Toketumu in Very Well Mind Blog describes anger as:

“Anger is an intense emotion you feel when something has gone wrong or someone has wronged you. It is typically characterized by feelings of stress, frustration, and irritation. Everyone feels anger from time to time. It's a perfectly normal response to frustrating or difficult situations. Anger only becomes a problem when it's excessively displayed and begins to affect your daily functioning and the way you relate with people.”

 

Kenna R. says:

“When I feel upset, I like to walk away and take time out to myself. It’s okay to speak your mind on how you are feeling but it's the way that you talk to people that is important. When you’re upset you can voice your feelings in a respectful manner, take a break and meditate, then go back towards your day to finish your tasks. These steps make me feel a lot better when I'm feeling upset.” - Kenna R.

 

Desmond C. says:

“When I'm feeling upset I like to count from 1 to 10 while taking deep breaths. I also pray and read Psalms when I'm upset as it helps me calm my anger by focusing on my faith. My faith helps me cope with all sorts of emotions and feelings.”

 

Jeffery C. says:

“To cope with anger or when I’m upset, I usually try not to let the situation overwhelm me by getting information about the cause of my anger. If it's a person and I have yelled at them, I apologize. If it's a situation or thing that's making me angry, I speak to someone regarding how they handled the same situation. I end up thinking about my anger or what’s upsetting me until it no longer bothers me.”


The Mayo Clinic suggests ten tips to cope with anger:

  1. Think before you speak. Don't say something you might regret. Take time to collect your thoughts before saying anything.

  2. Once you're calm, express your concerns. State your concerns and needs clearly and directly, without hurting others or controlling them.

  3. Get some exercise. Physical activity can help reduce stress and calm anger like taking a walk or running.

  4. Take a timeout. Give yourself a break to help you cope with the day's stress.

  5. Identify possible solutions. Instead of focusing on what made you mad, work on resolving the issue at hand.

  6. Stick with I statements. Criticizing or placing blame might only increase tension when describing a problem use “I” instead of ‘you’ statements 

  7. Don't hold a grudge. Forgiving someone who angered you might help you both learn from the situation and strengthen your relationship.

  8. Use humor to release tension. Lightening up can help diffuse tension, but try not to use sarcasm as it can hurt feelings and make things worse.

  9. Practice relaxation skills. Practice deep breathing exercises, meditation, or listen to music to relax.

  10.  Know when to seek help. Learning to control anger can be challenging at times. Seek help for anger issues if your anger seems out of control. 


Reference:

What is Anger?

10 Tips to tame your temper


Friday, May 6, 2022

Coping with Grief

By Antonio, Jeffery C., Yaniz

What is Grief?
Grief is a natural response to loss which can affect your emotional, mental, and physical health. Grief can cause you to feel a range of difficult and unexpected emotions but it is a natural reaction to loss. The more significant the loss, the more intense your grief will be as everyone has a different way of dealing with grief. Grief can be caused by a variety of life events such as: divorce and relationship break up, loss of health, losing a job, loss of financial stability, death of a loved one such as a family or friend, death of a pet, a loved one s serious illness, loss of a friendship, loss of safety after a trauma, and catastrophic event such as a natural disaster.
Whatever your loss, it's personal to you, so don't feel ashamed about how you feel, or believe that it s somehow only appropriate to grieve for certain things.

The Grieving Process
:
How you grieve depends on many factors such as your personality and coping skills, your life experience, your spiritual beliefs, and how significant the loss was to you. Inevitably, the grieving process takes time and happens gradually, and there is no normal timetable for grieving. There are many myths about the grieving process such as how long it should take, whether crying is appropriate or not, whether moving on is forgetting about the loss, and that the pain will go away faster if you ignore it. Whatever the cause of your grief, what is true is, there are healthy ways to cope with the pain of loss as you move through the stages of grief: Denial, Anger, Bargaining, Depression, and Acceptance. But you probably won't experience the stages of grief in a certain order, nor do you have to go through all of them to heal.

Symptoms of Grief:
While loss affects people in different ways, many of us experience the following symptoms when grieving.
Emotional Symptoms: Shock and disbelief, sadness, guilt, fear and worries, anger and resentment.
Physical symptoms: Fatigue, nausea, lowered immunity, weight loss or gain, aches and pains, insomnia

Coping with Grief:

  1. Basic Self-Care: take care of your physical health such as eating regularly, hydrating yourself, and healthy activities that you enjoy.
  2. Be Gentle: Let go of the timeline and allow the feelings to ebb and flow during your healing process.
  3. Be informed: Basic grief education will help you understand what to expect in your grief journey. Being informed can help you prepare for the physical and emotional symptoms.
  4. Express Yourself: Allow yourself to talk about the loss and open up to others about how you are feeling.
  5. Stay Connected: Spending time around and communicating with others is vital.
  6. Seek Outside Help: Dealing with grief is a unique and complicated experience so it can help to have a therapist or counselor and outside support to process your loss.
  7. Acknowledge and Remember: With family members and friends acknowledge the loss and share memories and support each other.


How to Help Someone Grieve?

  1. Be Present and Accepting: Simply being there for a family or friend and accepting their pace through the grieving process is a supportive action. A big help!
  2. Listen: Before giving unsolicited advice, listen without judgment or an agenda. Let the griever talk and process their loss without worrying about your reactions or opinions.
  3. Be Respectful But Proactive: Help the griever in small ways recognizing that they may be overwhelmed. For example, doing household chores, sending meals, encouragement, etc.
  4. Validate Their Experience: Make the grieving process about them without judgements on how they are coping with the loss.
  5. Stay Connected: Be supportive no matter the timeline of the person s grief or where they are in the grieving process.
  6. Be Supportive of Remembering: Participate in the cultural or spiritual activities associated with honoring the loss especially during holidays, birthdays, or the anniversary of the loss.


Takeaways

  • Grief and loss are a natural but challenging part of life.
  • There's a wide range of mind-body experiences when you're dealing with grief.
  • Learning how to grieve is an ongoing process rather than a singular event.
  • Grief can impact mind-body health and you should seek support for complicated grief.

References:

Dealing with grief: 13 tips to get through a big loss - Healthaid (lemonaidhealth.com)

Coping with Grief and Loss - HelpGuide.org 

 

 

Friday, April 15, 2022

Upcoming Events

by Dee and Kenna

Calling all members and staff! B’More Clubhouse has even more great events coming up and we hope you all can attend. We’d like to highlight two events coming later in April. 

 

Homecoming Cookout

We would like to see as many members as possible to join us on April 22nd, 2022 at our homecoming cookout. We will be having hamburgers, hotdogs, coleslaw, fruits and other cookout foods.

We’re looking forward to seeing more members come to participate in the cookout. We have not had the cookout since the COVID-19 pandemic began. Our hope is that many members who we haven’t seen in a while will come by to see the clubhouse and all other members. We miss being able to hang out and talk with all of the other members and staff.

We have been busy preparing for the event and hope everyone can come to enjoy the food and great company!

-Kenna 



Colleague Training Presentation

It would be nice for members to come into the Clubhouse on April 25th, 2022 to hear about me and Nikita’s presentation on our visit in St. Louis. We had a great time visiting St. Louis and the Independence Center Clubhouse. Nikita and I learned a lot about the Clubhouse model. We’re excited to share some of the things we learned to help improve B’More Clubhouse. We have a plan of action to partner with agencies that could help members to find better housing.

-Dee

Friday, April 1, 2022

Health and Wellness: Burn Out

By Francesca, Michelle, and Raymond

For many people, mental health recovery involves keeping a daily routine, attending therapy, returning to employment, etc. While these are all important factors in recovery, stress can occur even when things are going really well. It’s important to notice burnout and respond to whatever needs we have at that time. Taking care of oneself involves noticing how your emotions and stress level changes on a day-to-day basis.

Raymond N. shared one of his personal experiences of burnout in his life. He reported, “usually when people get burnt out, they are more likely to make mistakes because they feel more pressure. When that happened to me, I found myself wanting to “give up” on a job, and I paid the price because I quit a job instead of just taking some time to take care of myself. Instead of letting things get to that point, it’s better to learn to notice burnout before it gets too bad.”

Michelle F. also shared about an experience of burnout she had at work recently: “I noticed that I was burnt out because of the stress I felt at work. My supervisors at work wanted everything to be perfect. It made me feel like I wanted to be by myself a lot so that I could just let out my emotions. I wanted to be alone so that I didn’t have to worry about feeling weak around anyone else. Because of this, I got to a point when I mostly kept to myself at work, and I started to question whether I wanted to even keep working at my job. I slowly noticed myself feeling burnt out over time. I also learned that signs of burnout for me include feeling more physically exhausted and losing my voice.

According to an article written by staff at the Mayo Clinic entitled “Job burnout: How to spot it and take action”, there are various causes of job burnout, which may include: lack of control, unclear job expectations, dysfunctional workplace dynamics, extremes of activities, lack of social support, and work-life imbalance. According to this article, some ways to notice burnout can involve asking yourself the following questions:

  • Have you become cynical or critical at work?
  • Do you drag yourself to work and have trouble getting started?
  • Have you become irritable or impatient with co-workers, customers or clients?
  • Do you lack the energy to be consistently productive?
  • Do you find it hard to concentrate?
  • Do you lack satisfaction from your achievements?
  • Do you feel disillusioned about your job?
  • Are you using food, drugs or alcohol to feel better or to simply not feel?
  • Have your sleep habits changed?
  • Are you troubled by unexplained headaches, stomach or bowel problems, or other physical complaints?

When folks don’t tend to their burnout, it can lead to any of the following consequences:

  • Excessive stress
  • Fatigue
  • Insomnia
  • Sadness, anger or irritability
  • Alcohol or substance misuse
  • Heart disease
  • High blood pressure
  • Type 2 diabetes
  • Vulnerability to illnesses


Michelle reported, “when I finally realized that I was experiencing burnout, I figured out how much PTO or sick time I had saved up at work. I ended up taking a day off work to rest and relax and extended my normal weekend into a three-day weekend. I plan to drink hot tea, take my allergy medication, and eat some nutritious food. Hopefully these things will help to energize me and restore my voice.”

Michelle is off to a great start with these strategies. Some additional strategies suggested in “Job burnout: How to spot it and take action” include

  • Evaluate your options
  • Seek support (reach out to us at the Clubhouse!)
  • Try a relaxing activity
  • Get some exercise
  • Get some sleep
  • Mindfulness and meditation

Wednesday, February 9, 2022

Building the Work Ordered Day

By Mairi and Yaniz

When attending a social event, it’s hard to get to know people around you, but when you work to prepare for a social event you can make relationships because you work together and the work is needed. According to Susan Omansky, as quoted in the article: The Work Unit: The Heart of the Clubhouse, …” you cannot give a person self-respect by friendliness alone…I treasure the relationships I develop at Fountain House, but I also need to engage in something from which I can derive my own sense of pride, accomplishment and self-satisfaction from the inside.”
In the article, “Building the Work Ordered Day”, Nancy Emory notes that it’s important for staff to engage in all work activities to motivate and involve members in the work ordered day. However, that doesn’t mean staff does all the work.

When we work together, we create an environment where we care about others and others feel cared for. “When we eat lunch, we enjoy our meal so much better when we are waiting instead of standing in line at a school cafeteria or an institution.  The waiter feels good because they have to care about someone and we feel good because we are cared for.”
 
We take pride in the culinary unit; each small task builds to a functioning unit. For example, choosing to serve food rather than waiting in line for it, chopping fresh food instead of buying canned goods, and using real plates and silverware instead of disposable.
 
The way we organize our Work Ordered Day makes an impact in how we build relationships and adds purpose and meaning to the work we do. To bring programs to the Clubhouse, such as community resource support, career development, and others, “members and staff need to work together to provide this opportunity to the clubhouse”
 
Everything we do exists to build relationships whether it’s member to member or staff to member. When we work together, we are not only building relationships, but the work is done more accurately, is more pleasant, and is more likely to get finished. “Many members make such an effort to get to the clubhouse each day. They want something to do. The worst thing we can ask our members at a unit meeting is, “Let’s come up with things to do.” Instead, members and staff need to identify the massive amount of work that needs to be done.”
 
It’s important to identify work that needs to be done without taking away too much time from the work ordered day. We all know that relationships at the clubhouse are built around the work day and we often struggle with how to have a day full of meaningful work. It can be hard to keep the work ordered day vibrant but it is possible to do this from start to finish.  We can do this by, 1. Developing member roles. 2. Providing organization and structure and 3. Preventing staff from hiding their knowledge from members.
  1. Member Roles-The staff are not meant to teach specific skills but rather identify member talent and potential which they can use to contribute to the clubhouse.” When members feel confident and take responsibility for needed clubhouse work, staff can focus on providing opportunities and organizing and structuring the day.”
  2. Organization and Structure-Organization and structure help members have a stable routine and know what to expect each day. This organization and structure of the work ordered day provides reassurance to those members who don’t come to the clubhouse each day or struggle with assuming a role.
  3. Staff Hiding Expert Knowledge-Members need to feel ownership in their units and be able to find everything they need.  It’s dis-empowering when staff do all the work as it takes away the     opportunity for member ownership and responsibility of their unit. 
  4. Staff are meant to facilitate the work not delegate.-“The needed work in a clubhouse never stops and the relationships we build remain with us for a lifetime. Being productive is healthy.  At the end of our busy day, we can go home and feel a sense of pride, accomplishment and self-satisfaction. We can develop the self-respect that only meaningful work can provide. And along the way, we can develop some good friendships.  This becomes a wonderful way to spend our life!”

What to expect here at B’More Clubhouse?
Through community support, meaningful relationships and a focus on strengths during the work ordered day, members get an opportunity to focus on their recovery and reintegration back to the community.

Work Ordered Day
B’More Clubhouse follows a structured work ordered day to give meaning and purpose to the daily workings of the Clubhouse. We have a meeting every weekday at 9:15 AM and 1 PM.
Unit meetings are a great way to come together, check in, share and organize the day. Members choose the unit and task of their choice during the meeting.

There are two units with four different work teams.

The Membership team provides administrative support with tasks such as data entry, scheduling tours and orientations and facilitating reachout.
The Culinary Team is responsible for planning and preparing daily meals for lunch and social events in a way that fosters education about healthy living, teamwork and safety (and is also delicious).
The Communications Team creates marketing materials about the Clubhouse through publications in our blog, social media pages, and flyers. They also work on reaching out to organizations in the community to develop partnerships.
The Career Development team works together to assist members as they work towards their employment and educational goals. Our intention is to meet our members where they are and provide support accordingly. Different levels of support include: Transitional Employment, Supported Employment, and Independent Employment.



Celebrating anniversaries

  On the last Friday of every month, we have an afternoon celebration to honor member and staff anniversaries. We decided that the anniversa...