NAMI Provider Education – Week Two

NAMI Provider Education

Yesterday I attended the second class of NAMI’s Provider Education. Here I summarize, paraphrase, and quote the handouts from the NAMI Provider Education Course Participant Manual 2013:

THEORETICAL BASIS: Basic principles of secondary prevention/intervention in mental health care in community psychiatry as devised by Gerald Caplan, MD (1974) and Erich Lindemann, MD (1944). Community theory proposed protective interventions of crisis counseling, grief work, support networks, practical help in adaptive coping, and education.

Clinical strategies (secondary interventions) for responding to psychological trauma which both individuals with mental illness and their families experience:

  1. Recognize crushing burden of catastrophic events
  2. Quickly preserve social supports & strengthen coping skills
  3. Understand normalcy of trauma response
  4. Anticipate needs based on process of adaptation

Impact of mental illness on the family – predictable emotional reactions among family members:

  1. Stage I – Dealing with Catastrophic Event – Adaptation Model
    • Crisis/chaos/shock
    • Denial
    • Hoping against hope
    • Trauma Response: Use of denial to avoid reality & protect self from being overwhelmed
    • Families need: Support, comfort, empathy for pain & confusion, crisis intervention, prognosis, NAMI support and information
  2. Stage II – Learning to Cope – Adaptation Model
    • Anger/guilt/resentment
    • Recognition
    • Grief – chronic sorrow
    • Trauma Response: Use of anger and projection to avoid feelings of guilt
    • Families need: Vent feelings, keep hope, education, self-care, networking, skill training, letting go, co-operation from system, NAMI support groups
  3. Stage III – Moving into Advocacy – Adaptation Model
    • Understanding
    • Acceptance
    • Advocacy/Action
    • Trauma Response: Practice of advocacy as an antidote to loss. Wish to heal by helping others.
    • Families need: Activism, restoring balance in life, responsiveness from system, NAMI

Adaptive Process: through pain and grief to acceptance and hope

NAMI Provider Education Course Participant Manual 2013

Individual stages of recovery – BRIDGES Consumer Stages of Recovery – I covered the BRIDGES handout here and here when I learned about it in NAMI‘s Peer to Peer program.

  • Event 1 – Crisis: Psychosis, suicide attempt, mania, episodes of severe depression
  • Stage 1 – Recuperation: Stage of dependence. After trauma of mental illness episode ~ exhaustion of body, mind and spirit.
  • Emotions: Denial, Confusion, Depression, Humiliation, Isolation, Self-hatred, Resentment, Anger
  • Needs:
    • Safe place to rest – a lot of sleep
    • Someone to take care of me
    • To provide basic needs: Nutritious food, personal hygiene.
    • I am unable to take on even the simplest task of daily living
    • Medications (probably)
  • Event 2 – Decision: “Time to get going” – I must make it for myself. If I rush it, I may have a setback. If I resist it; I will feel bored and empty.
  • Stage 2 – Rebuilding: Rebuilding independence, ability to do things for myself. I need help to learn and practice living skills. I feel “up” when I succeed and “down” when I don’t.
  • Emotions: Hope, Grief, Discouragement, Boredom, Self-doubt, Trust, Fear, Excitement, Anxiety, Frustration with setbacks, Pride in success
  • Needs:
    • Tell my story: To have others hear my pain and despair
    • Learn about mental illness: “What is happening to me and why?”
    • Persons who believe in me: Mentor/teacher/friend
    • Getting and managing: Money, food, clothes, a good place to live
    • Learning (relearning) social skills and working skills
  • Event 3 – Awakening: “I am somebody. I have a dream!” Coming to know “the new me.” Starting to dream about who I am and who I can be. I am the Phoenix rising from the ashes.
  • Stage 3 – Recovery/Discovery: Building healthy interdependence: Starting to know, “Who I am and what I want to be, who I care about and who cares about me”
  • Emotions: Self-acceptance, Appreciation of others, Confidence, Anger at injustice, Assertiveness, Helpfulness to others
  • Needs:
    • A personal vision: A dream to strive for
    • People who appreciate me
    • Intimacy: Someone to love
    • Meaningful work: A chance to leave footprints
    • To advocate for self and others

Source: BRIDGES, Building Recovery of Individual Dreams and Goals through Education and Support, (2006)

Beautiful Blogger Award


Thank you so much, Just Plain Ol’ Vic at, for nominating me for the Beautiful Blogger AwardJust Plain Ol’ Vic started blogging for support regarding his wife’s bipolar disorder. Spouses and families of those of us with mental illness need support, too. In the US resources include NAMI Family-to-Family which is an educational course for family, caregivers and friends of individuals living with mental illness and NAMI Family Support Group which is a peer-led support group for family members, caregivers and loved ones of individuals living with mental illness.

The rules of Beautiful Blogger Award are:

  • Thank the person who nominated you for the award.
  • Add the Beautiful Blogger Award logo to your post and blog.
  • Nominate 7 beautiful bloggers and say why you love their blog. (I nominated only two of so many beautiful blogs for I am quite simply exhausted.)
  • Notify the nominees by commenting on their blog

My Nominees for the Beautiful Blogger Award:

IT IS NOT ALWAYS YOUR FAULT:  There are things in life that are beyond your control.  No matter how much you continue to beat yourself up and replay the scenario it will never change.  You are not able to change the tides, sun or moon – somethings are NOT your fault.


Very Inspiring Blogger Award
Save the Bipolar Bears is also a Very Inspiring Blogger