Marin s Voice On Mental Illness and Recovery

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1 National Alliance on Mental Illness Marin s Voice On Mental Illness and Recovery 555 Northgate Drive, #280 Office Hours: Monday-Friday 1-3 pm May 2012 San Rafael, CA , namimarinoffice@gmail.com Marin General s Outpatient Behavioral Health Services for Adults At the March NAMI Marin General Meeting in San Rafael, Larry Cunniffe, LCSW, and Robert Holtz, RN, of Marin General s Behavioral Health Outpatient Services for Adults gave an update on the outpatient and partial hospitalization service programs now being offered at the hospital. Marin General has both a small inpatient full hospitalization program (17-bed secured unit A) and outpatient services for mentally ill adults. The Outpatient Services are hospitalbased, therapeutic treatment programs organized into two programs: Partial Hospitalization, and Intensive Outpatient Therapy. The Adult Partial Hospitalization and Outpatient Programs provide a transition, a stepping stone, from a full inpatient setting to outpatient community-based services, said Cunniffe. It can be an effective alternative to full hospitalization, providing intensive therapy in a structured setting with small group interactions. Our goal is to help clients become stable, prevent relapse and provide self-help tools to promote overall wellness, added Holtz. Partial Hospitalization Marin General s Partial Hospitalization program is for adults who were previously hospitalized and who would benefit from transitioning to a three to five days-per-week program of structured therapeutic support (Monday to Friday). The program hours are from 8 am to 4:30 pm. The day is divided into formal treatment groups between 10 am and 2:30 pm and case management, family/ individual therapy sessions, and treatment conferences scheduled for family convenience both in the morning and afternoon each day between 8 am and 10 am; and from 2:30 pm until 4:30 pm. A noon lunch is provided in the cafeteria. We focus on teaching recovery skills and Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) life skills such as mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness,. The program also includes Goal Setting/Problem Solving, assigned homework practice with life skills and group therapy sessions for clients. Of course, the staff also spends part of our day in case management, utilization review, insurance review, treatment planning and formal assessments, added Holtz. Intensive Outpatient Program (IOP) The IOP program is for adults who benefit from routine structured therapeutic support to maintain the gains made during a partial hospitalization program. It s a lower level of care than Partial Hospitalization but still very substantial, said Cunniffe. The main difference is that the Hospitalization Program also focuses on recovery skills while the IOP program focuses more on the life skills. Like Partial Hospitalization, the IOP life skills lessons include DBT and CBT-based sessions, and homework assignments in skills practice. The IOP programs are also split into client groups by age those from age 18 to 54 and those age 55 and older. The IOP for older adults includes free noon meals and transportation provided to and from central and southern Marin. It focuses less on skill learning and more on symptom management. Both Marin General s Partial Hospitalization Program and IOP Programs are staffed by psychiatrists, LCSWs, occupational therapists and psychiatric registered nurses. The programs are covered by Medicare/MediCal (combined) and private insurance companies. Many supplemental insurance policies provide secondary insurance coverage. However, Medi-Cal does not cover the costs of the program. For more information on Marin General s Behavioral Health Services for Adults please call the hospital at Their website is Rick Roose/Roose Communications NAMI Marin Calendar 1st Monday Board Meeting, 6:45 pm 555 Northgate Dr., San Rafael 4th Thursday - Note Change!!! General Meeting, 7-8:30 pm, see page 8. At the Wellness Campus in SR. 1st Wednesday FamFest, 6 pm, see page 8. 4th Wednesday Volunteer Lunch Meeting, 12-1:30pm, NAMI Office in Conference Room 1st & 3rd Thursdays Espanol Family Support Group, page 7. 2nd & 4th Tuesdays NAMI Marin Family Support Group, see page 7. Family-to-Family 12 week course. Call NAMI office to sign up for next session. See page 7 for details. Also In This Issue President s Letter 2 Case for Updating California s Mental Health Treatment Law The Lanterman-Petris-Short Act - Reform Task Force II Join NAMI Walks 3 Painting for Fun and Recovery 3 Annual Staglin Music Festival Fundraiser For Mental Health Free Scientific Symposium Bruce Gurganus CMHS Director Retires Interviewed by Hutton Taylor Help in a Crisis Access to Mental Health Services Community Resources NAMI Marin Services 7

2 Page 2 NAMI Marin call namimarinoffice@gmail.org May 2012 President's Letter Al DeWitt, father of Daniel Jordan DeWitt, made a plea to the public to work together to demand that AB 1569 Assisted Outpatient Treatment (Laura s Law) is implemented in each county in the state. Mr. DeWitt s son, Daniel Jordan DeWitt, 23, and suffering from Paranoid Schizophrenia refused medical treatment. It is very likely that Daniel would have qualified for courtordered treatment in the community under Laura s Law and the tragic, unnecessary death of 67 year old Peter Cukor of Berkeley would not have happened. We have had incidents such as this one take place all around Marin Mendocino, San Francisco, Sonoma, San Mateo County, and now in Berkeley. We are kidding ourselves if we think it can t happen here. Three years ago the NAMI Marin Advocacy Committee began an effort to convince the County Board of Supervisors that the implementation of Laura s Law is in the best interest of the severely mentally ill and the budget of the County. Although our arguments were logical and backed up with studies, only Hal Brown was interested in learning more. Unfortunately, he needed to leave his post as Supervisor due to illness. We asked for a 2-year pilot program. We talked with many, many people who come in contact with the severely mentally ill police, judges, case managers, therapists, jail personnel, social service providers. All were in favor of giving Laura s Law a try because they are familiar with the failure of our mental health system in treating this small group of severely mentally ill individuals. We called upon our Supervisors to take a leadership position and join Nevada County and Los Angeles County in implementing Laura s Law. They declined. Although relatively few in number, this population, remains caught in the revolving door of arrest, incarceration, hospitalization, homelessness, victimization. The costs to our County are great both in unnecessary human suffering and dollars spent. At this moment in time, change is all around us. Mental Health Services and Alcohol, Tobacco and Other Drugs (ATOD) are merging into one department under Health and Human Services. The Director of Mental Health has retired creating an opportunity to do things in a new way. We have new Supervisors on the Board who may be more open to reducing the expenditure of taxpayer money. The Jail has its hands full with prisoners coming out of State Prison to complete their sentences in County Jails. All that is missing is the political will. Send me an (barbara.alexander36@gmail.com) if you would like to learn more about Assisted Outpatient Treatment and how you can be of service to the severely mentally ill. Now is the time to take action. Barbara Alexander President, NAMI Marin The Case for Updating California s Mental Health Treatment Law A Report of the Lanterman-Petris-Short Act (LPS ) Reform Task Force II - SEPARATE & NOT EQUAL Extracted from report: Our state is at risk. Our treatment laws and mental health system have not kept pace with the complex needs of our most severely disabled individuals with severe mental illness. Findings of task force study: Inpatient psychiatric beds have been substantially reduced and emergency rooms are now at the forefront of battle in mental health treatment. Parole realignment assumes that many individuals with mental illness will be treated in the community rather than prison, but little consideration has been given of the failure of the mental health system to prevent their initial incarceration. California s Assisted Outpatient Treatment statute, Laura s Law, was passed to reduce repeat hospitalization and jailings, but has only been implemented in two counties. The public adult system of care system received great influxes of additional funding most notably through the passage of Proposition 63, the Mental Health Services Act of 2004 but little of it has been directed to individuals who may need it involuntarily in the community or in a hospital. A person with severe mental illness is now four times more likely to be in jail than in a hospital bed. The LPS Act is 45 years old and it has not changed in response to an evolving mental health delivery system. Most recognize they have a mental illness and participate willingly in treatment. Many have a biologically determined inability to recognize, or consistently recognize they are ill. Linked to frontal lobe dysfunction and brain abnormalities they fail to consistently engage in community mental health treatment. Instead they revolve through short term hospitalizations, incarceration, homelessness or too frequently--tragic victimization, violence or death. The LPS Act became the Magna Carta of civil rights for those individuals who are well enough to respond to treatment in a voluntary system in the community. For others, the intervening 45 years since the passage of the LPS has represented increasing neglect and despair. Every tragedy seen in headlines is but a shadow of thousands more tragedies that go by quietly and unnoticed. Each is underscored by a common denominator: untreated severe mental illness. The politics of recovery in California surrounding those who accept treatment voluntarily and those who do not has become divisive instead of inclusive. The goal is to increase recovery for all. This cannot be accomplished by ignoring the challenges of a population of people with serious mental illness who are currently being treated in the least appropriate, most expensive settings such as jails, prisons, community hospital emergency departments and our state hospitals. The LPS Act was intended to protect persons with serious mental illness from inappropriate and indefinite institutionalization. The statute was not intended to act as a barrier to treatment. It has succeeded in helping those who accept treatment in the community. For others it has led to isolation, discrimination, criminal institutionalization, abuse and neglect, deterioration in health and mental health and a violation of their civil rights. What is needed is reform. Clearly it is time. We can no longer tolerate neglect. Visit: to read this enlightening report that includes a summary of recommendations for reform.

3 Page 3 NAMI Marin call namimarinoffice@gmail.org May 2012 PAINTING FOR FUN AND RECOVERY Kay Blackwill participating in traditional releasing of the doves ceremony remembering those with mental illness who have died. Form a Team, Join a Team, Walk as an Individual, Donate to a Walker, Donate to Walk, or Sponsor Our Walk by visiting namiwalksfbay.org (Free Roundtrip Bus Service) NAMI Walk Sponsors RPM Mortgage, Mill Valley Bronze Sponsor: Marin General Hospital Join a NAMIMarin Walk Team Bay Area Fast Starters - Becky Carranza Turtle Medicine - Dave Moss Hope Keeps Going (In Memory of John and Charlie) Becky, Jennifer & Joe Placek Marin Striders- Peg Super Mind Matters - Cynthia & Thierry Jackson Walkin Robins - Sue Roberts Miles Ahead - Beverlee Kell Super Walkers - Rik Super Walking Warriors - Patricia Carillon Money raised with this fundraiser allows NAMI Marin to continue free programs. Ever wonder what it's like to paint with oils? I've discovered how much fun it can be in artist Matt Tasley's Saturday oil painting workshop at Pickleweed Community Center. After interviewing bunches of artists for Marin Mind/ Scapes ( I decided to try it myself. I got up the courage to try something new and found that with Matt's expert guidance, I came away with a painting of poppies I'm pretty proud of the very first day. And after a few classes, I'm actually looking at the world a little bit differently, seeing shadows and light I've never before noticed. WOW! You can do this too! Art and creativity promotes recovery, and it's relaxing for everyone. Clients and Buckelew case managers, family members and Pickleweed community members, art teachers and first-time painters, all have come together in Matt's class to put oil paint on canvas. Matt has a Master's Degree in Fine Arts. You won't find a better instructor. He provides the supplies for the first couple of sessions until you learn what to gather for your own. Pieces by Matt's students will be shown at an exhibit at the Pickleweed Community Center in April. Thanks to Grace Manning's generous donation, the room rental costs are covered. NAMI has contributed $250 for scholarships, and Matt is in the process of applying for additional grants to keep the program going. If you would like to donate or need info: Come by on a Saturday and give it a try! WHERE: Pickleweed Community Center; 50 Canal Street, San Rafael WHEN: Every Saturday, 3pm 5pm WHAT: $25/session Marilyn Geary SAVE THE DATE - SEPTEMBER 15, 2012 The 18th Annual Staglin Music Festival for Mental Health Fundraiser for the International Mental Health Research Organization (IMHRO) Where: Staglin Family Vineyard in Rutherford, California To register for a free scientific symposium featuring detailed presentations on the current state of mental health research, visit You can also register for the reception, concert, and dinner at the above website. All of the proceeds go directly to fund cutting edge mental health research. This is an event you won t forget!!!

4 Page 4 NAMI Marin call namimarinoffice@gmail.org May 2012 Bruce Gurganus, Community Mental Health Director Retires and is Interviewed by Hutton Taylor, CMHS Program Director 1. Bruce, how did you become interested in the mental health field? As a graduate student in divinity school, I did an internship in a social service program called the House at San Quentin. While there, I realized that I was more interested in counseling and psychology than theology. After I received my Masters of Divinity, I took numerous psychology classes and inspired by the subject matter and friends who worked in the field I became a marriage, family and child counselor. 2. Can you give me a summary of your career highlights? CMHS has always been a learning organization. I was excited to learn so much from my colleagues at CMHS. I worked with a fabulous group of people who had a common purpose and that was their dedication to serving clients. This was true of the clinical staff, psychiatrists, supervisors and managers, nurses, administration staff and support staff. Another highlight was seeing clients in their recovery process. Sometimes people ask me what I do for a living. When I tell them that I m in mental health services, they respond that it must be a depressing job. I tell them, No. It s the opposite. I get to see people go from being at their worst to being at their best. That s very exciting. 3. What do you think is the most important aspect of managing a county mental health program? The combination of a supportive Board of Supervisors and a staff of dedicated mental health professionals. I was very fortunate to work in Marin County because the elected officials here, like the Board of Supervisors, Sherriff Bob Doyle, and the Superintendent of Schools actually believe in our programs. This is not so in every county. Government has a role in helping vulnerable people and in Marin the Board of Supervisors understands and supports the work that we do. This was a real blessing and it helped me do my job. 4. With all the day to day responsibilities of being a mental health director, how did you keep a finger on the pulse of the needs of consumers and families? I was able to do this by relying on reports from the excellent group of people who worked with me. They were program managers, administrative managers, clinical supervisors, the medical director, the fiscal chief, and other division directors. I met directly with consumers on a regular basis to hear what was going on in their lives and how our services worked for them. At the Enterprise Resource Center I d meet monthly with whoever dropped in and would let them pick a topic. Sometimes I would bring a guest speaker and at other times I was just there to hear their concerns and address their questions. Every month of two I met with directors of community based organizations to find out how they perceived our services and how we could better work together. This included the monthly meetings with the NAMI Marin Board of Directors whose input and ideas helped us to gauge the quality of our services and our responsiveness to families. 5. Thinking back on your career, what are some obstacles that presented themselves and how did you overcome them? Public mental health system financial budgeting is always the obstacle. Over the years, challenges with budget cut-backs resulted in shrinking funds that forced us to constantly find ways NAMI Marin can help by making sure that public mental health and substance use services are not lost in Marin County and that the unified system is responsive to the needs of clients and families. to finance programs with fewer staff and few resources. Tough choices had to be made at times. For example, in 2005 it was obvious that our system needed a supportive employment program. We didn t have the funds to do it. We took our budget for adult day treatment services and contracted for a supportive employment program with Buckelew Programs. Looking at the program seven years later and seeing how it improved so many lives is a great feeling. Being in a work environment with normal work relationships and a paycheck improves a person s mental health. I now see our clients working at businesses like Safeway, Orchard Supply, and Staples feeling good about themselves. This is a recovery model at work, literally. 6. What is the key to effective leadership in public mental health? Always keep the needs of the client as the top priority. Another key thing is to know that you can t always please everyone. If you try to please everyone all of the time, you probably won t succeed in getting much done. When making decisions, collect all of the needed information and weigh it well before taking action. Don t be too proud to admit when you re wrong. And, of course, pick the right people to do the work. Match the people to the tasks at hand. 7. What does recovery mean to you? Assisting people who have been consumers of mental health services to make life choices for themselves. In the past 30 years that I ve been in mental health services, I ve seen services transition from being coercive, as in the clinician knows best, to helping clients find and achieve personal life goals using mental health services. 8. You have been seen as a beacon of hope for consumers and families. Is there anything you would like to tell them in these uncertain economic times? Be involved in the treatment and support efforts of their family member. The family is the most basic natural support system that people have. In my ten years as Director of Mental Health Services, one accomplishment that I m proud of is a policy we developed to encourage closer involvement of families in the mental health services provided to their family member. Also, the passage of the Mental Health Services Act (MHSA, then Prop 63) in 2004 was a vote of confidence for mental health services. It provided counties funds to expand and develop needed services such as prevention and early intervention, education and training programs for children, adults and seniors with mental illness. Without Prop 63, I would hate to see what would have become of our programs and services. 9. The County of Marin, Health and Human Services has integrated the Alcohol, Tobacco and Other Drugs Division (ATOD) with CMHS in an effort to improve access and services to consumers with co-occurring disorders. Can you comment on these efforts? Thirty-six of fifty-eight counties in California have behavioral health systems. In the ten years that I have met with state Mental (Continued on page 5)

5 Page 5 NAMI Marin call namimarinoffice@gmail.org May 2012 (Continued from page 4) Health Directors, I have seen most of my colleagues become Behavioral Health Directors. Most clients present with complex issues. By having one division to service people with cooccurring disorders, the economy of scale alone should enable us to do a better job. We will be able to serve clients where they are versus where we would like them to be. It makes good sense economically to integrate the services. 10. The Mental Health Services Act (MHSA) has provided millions of dollars to the unserved and underserved consumers and families. Can you describe how the MHSA has improved access and services in Marin County? That would be a long list. A few highlights. Before MHSA was passed, we never had the time or money to put any efforts into prevention and early intervention. We have made great improvements. We re now spending more than a million dollars a year on prevention and early intervention programs. It s really exciting that we can move up-stream and not remain a fail first system. We became a system capable of responding to people who have stressors that make their lives difficult but are not seriously mentally ill adults or seriously emotionally disturbed children. Look at our HOPE team. Before MHSA we had two part time staff serving all of our older adult clients. In collaboration with the divisions of Aging & Adult Services and Social Services we now have a full service partnership called HOPE with a whole team of psychiatrists, social workers, nurse practitioners, and peer counselors all working to serve older adults concerns and issue. Prior to the passage of MHSA we had lost funding for our STAR (Support and Treatment After Release) program that serves mental health consumers who were arrested usually for minor crimes that were often the result of behaviors related to the symptoms of their illnesses. MHSA allowed us to continue STAR and to maintain the Children s System of Care for youth involved with criminal justice. It also saved our homeless program, now called Odyssey. While MHSA funding helped, it s important to remember that state grants for these three programs were cut about the same time that MHSA passed. 11. In 2014 health care reform will become a reality. How is this going to improve the lives of consumers and families? The Affordable Care Act (ACA) will provide more people access to a full array of mental health services because everyone will have health insurance. It will provide a way to pay for their treatments. Based on the increased volume of clients, there will be a demand for more behavioral health providers. One million more people in the state will have MediCal. 12. NAMI Marin continues to be an advocate for better services. What has your relationship been with NAMI Marin and what accomplishments have you achieved together? I have had a lot of involvement with NAMI Marin over the years. I was even invited to speak at a meeting last year. We enjoyed an open and honest relationship. They were sometimes our harshest critics but more often our best friends. Long time NAMI members like Nona Kaufman and Delpha Carpenter weren t bashful about telling us what wasn t working well. But when services were helpful, welcoming and effective they told us that as well. In long term relationships it takes a lot of trust to be able to tell people good news as well as bad news. CMHS weekly family support group have benefited countless families and mentally ill relatives as has the NAMI Family-to-Family Program. It is hard for people to recover without the support of family. Expanding the Family Partnership Program into the adult system is an example of a joint accomplishment. 13. How can NAMI Marin continue to move forward with their agenda within the framework of integrated ATOD, CMHS & ACA? NAMI has a strong lobbying voice throughout the country and within our state. They can see to it that primary care providers in Marin County continue to offer a full array of mental health and substance use services that includes case management, supportive housing, medication support, employment support, and outreach to all communities. Just having a psychologist in the office is not a mental health system of care. Since mental health represents about 5% of health care spending there is a danger that it could become an insignificant part of physical healthcare. We know that, for example, Kaiser considers case management to be a phone call reminding a client of an appointment. CMHS case management is much more involved in the client s life in the community and access to multiple services. It would be tragic to lose that with health care reform. 14. What can NAMI do to become more involved with effectively achieving their goals? NAMI can play a role in making sure that things happen. NAMI Marin can help by making sure that public mental health and substance use services are not lost in Marin County and that the unified system is responsive to the needs of clients and families. 15. If you were a family member or consumer navigating the Mental Health System for the first time how would you approach getting the services you want? I would take advantage of the support groups that exist today. For instance, there is a support group for family members that meet every Thursday night at CMHS. Others have walked the path. Talk to families or other consumers who have the experience. One reason that family partners and peer counselors are an important part of our system of care is that they have been down the path of recovery. Sometimes these individuals can share effective ways to resolve issues and can tell you what works and what doesn t 16. You have been retired for a couple of months now. What reflections have surfaced about your service to the mental health community in Marin County? While I enjoy not having to commute, I miss the people that I worked with for almost 30 years. I m grateful for all of the cards, letters, and parties prior to my retirement. I feel blessed to have had a 30 year career in mental health services. There was never a day that I didn t want to go to work. I had a fabulous group of people to work with and was inspired by clients and their families. When you do something that you love, work is a privilege not a chore. 17. What are your retirement plans? I am enjoying time with family and friends, redesigning my garden, playing tennis, and getting in shape after 30 years of sitting at a desk and going to meetings. I will soon be enjoying travel with my wife when she retires in a few months and we have two granddaughters living in England.

6 Page 6 NAMI Marin call namimarinoffice@gmail.org May 2012 Buckelew Programs 900 Fifth Ave.#150, San Rafael, Buckelew Employment Services Free orientation meeting 12pm every Tuesday, 3270 Kerner Blvd., Bldg. A, San Rafael. For information call Amy Rogers X 106, or amy@buckelew.org Buckelew Housing Rene Mendez-Penate PATH Program for Transitional Age Youth (TAY) Provides mental health services for young adults 16 to 26 years old. Kathy Eagle, Director, Parental support call Nellrose Graham The Vine (detox center) A 26 bed co-ed residential program. Provides recovery services for individuals with alcohol and drug addiction issues, as well as co-occurring psychiatric problems. Family and Friends Case Management Respite care and case management services. Private pay. Call Mia mia@buckelew.org Senior Case Management in collaboration with Marin Housing Authority. Contact Bernadette Stuart Community Mental Health Services Adult Medication Clinic C.A.R.E. Team Mobile outreach program for people who are homeless or at risk of being homeless. Marin Mental Health Plan Authorizes Medi-Cal services for CMHS and other services in the community. Case Management & Housing Rene Mendez-Penate Family Partner Adult System of Care Monday-Friday 9-5pm Nellrose Graham Office: Cell: Family Support Group facilitated by CMHS staff, every Thursday 7-8:30 pm, CMHS, 250 Bon Air, Greenbrae, 1st Floor Conference Room. Drop-in group, Kathy Chestnut (free). HOPE Program for seniors over age of 60 who suffer from mental illness Marin County Jail Mental Health Team Odyssey Team- Homeless Outreach Program - Chris Kughn STAR After Release Program Jen DaSilva Community Resources 415 Area Code Enterprise Resource Center 3270 Kerner Blvd, Bldg.A, Suite C, San Rafael See ERC Newsletter for listing of classes and activities. Community Institute for Psychotherapy 1330 Lincoln Ave., Suite 201, San Rafael, Provides individual, family and couples counseling. Sliding scale and Medi-Cal accepted. Interpersonal Psychotherapy Group for men and women struggling with social isolation, depression & anxiety. Two groups forming Wednesdays 6-7:30 pm. Call X450 to register. Mindfulness Group, increase awareness of the relationship between thoughts and feelings, expand choices for more empowerment in your life. Six week sessions ongoing Fridays 5-6 pm. Call X405 to register. Family Service Agency 555 Northgate Dr., San Rafael, ( en espanol). Individual and group counseling services. Medi-Cal/sliding scale. Office also in Sausalito, 3000 Bridgeway Dr, Suite 205, Adult Dialectical Behavior Therapy (DBT) skills training groups. Call X5728 for information and to sign up. Parenting Apart Education and support for co-parenting after separation or divorce. Wednesdays 11-12:30pm & 6-7:30pm. Call X5723 for information. Recovery and Wellness for Women Using Seeking Safety Model. Fridays 1:15-2:45pm. For women with trauma, addiction, & mental health issues. Contact Debra Collins, MFT X5713. TeenScreen Individual screening of teens and young adults to identify early signs of mental illness. Esme Gordon, MFT, X2051 In-Home Services APPLE Family Works Therapy and Lifeskills Center. Adjustable fees Dave Moss Case Management Services, LLC. Private mental health and addiction recovery services. Questions? Call Dave at or mossluck@yahoo.com Elpida In Home Case Management, Contact Laura McCormick, Executive Director, , X2. This list of services does not represent an endorsement by NAMI Marin. Marin Community Clinics In Greenbrae, Novato & San Rafael. Medical Sliding Scale Medical Appointments Dental Appointments Marin General Hospital-Behavioral Health Outpatient Services 250 on Air, Greenbrae (main hospital) Most Insurances & Medicare/Medi-Cal combination Larry Cunniffe Partial Hospitalization Services - Structured treatment 4-5 days per week, 5 hrs per day, between 8am & 4:30pm, for 1-6 weeks, returning home each night. Program includes DBT, CBT, Life Skills, Psychotherapy & Planning Groups. Intensive Outpatient Services Often next step after Partial Hospital Program. Similar to Partial program structure only less frequent (2-3 days per week). Other Community Resources AD/HD (attention disorders) parent and adult support/education groups by CHADD Alano Club - Dual Recovery Anonymous Mondays 4 to 5pm; Thursdays 8 to 9 pm. Call Matt for information. Beyond Hunger Program for Eating Disorders College of Marin Disabled Students Program Supportive services for students recovering from mental health issues Learning Ctr, Rm Integrated Community Services Offers employment, housing, recreational and referral services for disabled. Kaiser Psychiatric Services Advice and education, 820 Las Gallinas, San Rafael Life Skills Group. Fridays 1:30 to 3 pm, Elpida House in San Rafael. Dr. Laura McCormick X 2. Managing Voices and Negative Thoughts 2nd Tuesday, Noon to 1 pm, CMHS, 250 Bon Air, Greenbrae, 1st Floor Conference Room bucherir@usfca.edu or Matrix Parent Network & Resource Ctr Provides information and support groups for families of children with disabilities. Visit or Prevention & Early Intervention Crisis Planning Program Seth Friedrich, Guinevere Westfall, gwestfall@camarin.org Recovery Connections Center Screening & Assessment for alcohol, tobacco, other drug problems and mental health issues.

7 Page 7 NAMI Marin call namimarinoffice@gmail.org May 2012 Help in a Crisis (415 Area Code) 24 Hour Crisis Lines Psychiatric Emergency Services (PES) Suicide Prevention & Community Counseling Grief Counseling Marin General Emergency Room Novato Community Hospital Emergency Room Kaiser Medical Center Emergency Room Center for Domestic Peace - (Former home of Marin Abused Women s Services). Call: English ; Spanish : Men Urgent Care C.A.R.E. Team Mobile outreach program for mentally ill people who are homeless or at risk of being homeless. Family Partner Adult System of Care or Family Partner Children s System of Care Child and Family Services (formerly CPS) NAMI Marin Helpline , 1-3 pm. Monday-Friday Warm Line Phone support for peers. Operated by peers through the Enterprise Resource Center. Phone number of your local police department. Ask for a Crisis Intervention Team Officer (CIT) and request a 5150 evaluation. Stay Calm and Be Prepared. Prepare for a Crisis Crisis Planning is offered Tuesdays Noon at the Enterprise Resource Center in the LRAC Room ( ), see page 6. Also, visit and download and prepare the following documents: Mental Health Crisis Call Guidelines for Effective Communication with 911 Dispatch. Study scripts Authorization Release Forms Inmate Mental Health Information Form Access to Mental Health Services If you know of an adult who is: A Marin County resident Has a serious mental illness that impairs an important area of life functioning And is reluctant to seek services Please call Rene Mendez-Penate at NAMI Marin Services (415 Area Code) NAMI Marin Services are free. Our office is open Monday through Friday, 1-3pm and is located at 555 Northgate Dr. #280, San Rafael, namimarinoffice@gmail.com, General Meetings, open to the public. Family-to-Family Course, Twelve week class structured to help caregivers understand and support individuals with serious mental illness while maintaining their own well being. Open to family members, caregivers, partners and friends. Call NAMI office to sign up for next session. Family Support Group, 2nd & 4th Tuesdays, 6-7:30pm, ERC, Kay Browne, MD (drop-in). Espanol Family Support Group, 1st & 3rd Thursdays, 7-8:30pm, ERC, with Rosa Lopez (Made possible by a generous donation from the Marika Anne Critelli Fund). FamFest Dinners, 1st Wednesday, 6-7:30pm. Clients & family connection. Scholarships are available. See page 8. Help Line, Call , press 0, 1-3 pm weekdays for support/resource info. Library, located in our office. Members may borrow from an extensive collection of resources. Speakers Bureau family and consumer speakers available for events free of charge , Ext In Our Own Voice (IOOV) is a unique public education program in which trained speakers share compelling personal stories about living with mental illness and achieving recovery. IOOV presentations are given free of charge. Call the office to book a date. Gift of Time, volunteer and consumer matched for companionship Volunteers are needed. Healthy Lunch Program, provides lunch one day a week at the ERC Center. Volunteers needed. Call Judy /Jim Finn NAMI Marin Volunteers Needed!!! We are looking for a few talented people who have expertise in the following areas: Data Entry in Filemaker Pro Fundraiser Website Manager in Wordpress Legislative Monitor Attorney Helpline/Office Volunteer If you think you can help, please call the office at Leave your name, and number and someone from the board will get back to you.

8 National Alliance on Mental Illness 555 Northgate Drive, #280 San Rafael, CA ADDRESS SERVICE REQUESTED THIS MATERIAL IS TIME RELATED May 2012 NAMI Marin Board of Directors President Barbara Alexander Vice President Peg Super Treasurer Beverlee Kell Secretary Rick Roose Directors Sue Roberts, Kay Browne, MD Penny Labourdette Matt Tasley Maggie Baker Non-Profit Org. U.S. Postage Paid San Rafael, CA Permit No. 641 Time to Renew NAMI Membership? The expiration date is on the label of this newsletter. Instructions of how to renew or join online visit NAMI Marin General Meeting Note: Meeting is on Thursday! May 24, 2012, 7:00-8:30 pm Connection Center at the Marin County Wellness Campus, Room Kerner Blvd (near Bellam Ave), San Rafael (Take the loop of Francisco Blvd E, left on Irene St, left on Kerner Blvd. The Wellness Campus is on the right.) Doors open at 6:30 pm. Come early for social time. NAMI programs are free to the public. PREP Program: Prevention & Recovery in Early Psychosis PREP is a program for teens and young adults first experiencing psychosis. If caught early, it may be possible to delay or prevent the onset of chronic and disabling psychosis. These cutting edge services are based at UCSF and are available to Marin residents. Learn about the services provided to clients and families that can prevent psychosis from becoming severe and disabling. Visit prepwellness.org NAMI Marin is an affiliate of NAMI CA and NAMI National. Annual membership is $35 for a family or individual. Reduced membership fee available upon request. With your membership you will receive this newsletter (9 times a year) along with State & National publications and access to our extensive mental health library. Newsletter Editor: Penny Labourdette, pennyal@aol.com. Circulation: Karen Illich & David Illich, Sue Roberts. You are invited to the next FamFest Wednesday, May 2 at 6 pm Cecelia s Mexican Restaurant 1 Vivian Way, San Rafael Clients, family, friends, and support staff, all welcome. No Host. Walk ins are welcome. For those who have difficulty paying the usual $10, NAMI offers partial assistance. Wednesday, June 6 at 6 pm Bangkok Express 857 Fourth St, San Rafael Call Paula if you have any questions.