Discharge planning is an organized treatment plan for a client preparing for life after leaving rehabilitation. Addiction or mental health treatment doesn’t end when a client graduates from a residential or outpatient treatment program. In fact, life after treatment is when recovery truly begins and motivation and recovery skills are really put to the test. Lifeskills South Florida aims to teach our clients skills such as relapse prevention, self-monitoring and emotional regulation in order to live a healthy and independent life in recovery.
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Co-occurring Disorders, also known as Dual Diagnosis, are on the rise and affect between 7-9 million people in a given year, according to the Substance Abuse and Mental Health Service Administration (SAMHSA). When a person is dually diagnosed, it means that they are suffering from a mental health disorder and a substance abuse disorder at the same time. More than 50% of individuals with an addiction to drugs or alcohol also have a mental health disorder.
Dual diagnosis is a medical term that describes an individual that is actively battling both a substance abuse disorder as well as a co-occurring mental or behavioral health disorder. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), between 7 and 9 million people struggle with both mental disorders and substance abuse during any given year. In fact, more than 50% of individuals that have an addiction to drugs and alcohol also suffer from disorders that often include depression and other mood disorders, anxiety, personality disorders and trauma.
Since 2013, Jackson Memorial Hospital in Miami, Florida has seen the number of overdoses from both fentanyl and heroin explode. Medical professionals and local officials in the Miami area are searching for ways to help get heroin users into treatment rather than serving jail time. In fact, this effort has caught on nationwide.
Dialectical behavior therapy (DBT) is a staple treatment method that is offered at most mental health and substance abuse treatment centers in the United States. This method of treatment is a modified form of cognitive behavioral therapy (CBT) and was originally created to treat individuals suffering from borderline personality disorder. However, DBT has also been proven to help individuals battling conditions such as eating disorders, depression, anxiety disorders, bipolar disorder and addiction.
Cognitive remediation therapy (CRT), sometimes referred to as cognitive enhancement therapy, is a treatment method with the goal of helping an individual improve their memory, attention, organizational skills and information processing. This type of therapy was developed to help individuals struggling with psychiatric disorders like schizophrenia, eating disorders, ADHD and traumatic brain injury. Cognitive remediation therapy is often completed in a computer-based classroom setting.
Depression is a mood disorder that can commonly onset immediately following a breakup or divorce with a partner. However, the condition can also be the leading factor in what caused the split between two people to begin with. Complications with mental health can wreak havoc on relationships which are already imperfect.
If you tried to paint a picture of an addict in your mind, you may automatically picture them as an irresponsible person that made poor life choices, as homeless or a criminal that’s deceitful and deviant. Those ideas couldn’t be further from the truth. Addiction doesn’t know a person’s age, gender, race, values or income. This terrible disease affects individuals from all walks of life.
The National Alliance on Mental Illness has continued to lead the effort to reduce the stigma around Mental Illness until we define it as Stigma free. Other mental health foundations are also bringing awareness by focusing on the theme of “Give” in their education efforts: Give your time, your words your presence. By exploring this theme of give we are able to break stigmas that have plagued our family and friends that struggle with mental illness.
Why can’t we slow down? We spend a lot of our time wrapped up in what makes us feel good, how others perceive us and what is going to help us get ahead. Often, we are moving so fast through life that we forget about those who struggle with depression, anxiety, bipolar and other similar diagnoses, especially when it does not directly affect us. We become intolerant of those that cannot keep up or cannot understand or explain what’s wrong with them. Our society has evolved into a fast paced race for self-actualization. We often miss the importance of spending quality time with others.
Taking the time out of your fast paced day to give back to others will bless you and the person you are helping. Giving your time can be in service work. Or making a phone call to that friend you lost contact with or just in prayer for another. Anyway you choose to give your time, do so mindfully with all your focus being on the act you are choosing to do.
Are you quick to judge or offer unwanted criticism to others? Often people who struggle with mental illness are already fighting society’s stigma that is associated with having a mental illness. They are not capable of managing the emotional toll it takes to live with the criticisms of their loved ones. Our words carry the power to build or break someone down and, for the person struggling with mental health issues, hurtful words can cut deeply. They can contribute to feelings of hopelessness. The golden rule also applies to communication, “If you cannot say anything nice, don’t say anything at all.” While you may think that your constructive criticism is helpful, it may not be your place to offer such advice.
When you feel the desire to be judgmental that is when you should take the opposite approach. Instead, think about how you can offer positive affirmations and words of encouragement as it applies to the conversation at hand and your desire to help. Often, validation of other’s feelings and situations or just listening without words can help more than anything we might say or do.
Being present is the third part of the goal of giving in this effort to impact the stigma of Mental Illness. When spending time with others, we should be mindful of our actions, words and quality of time. Being physically there while your mind is somewhere else is not the same as being emotionally present. People desire to make a connection and without your undivided attention they are unable to connect with you. The person who struggles with mental illness already has trouble connecting emotionally with others. When you are present with them, it gives them an opportunity to connect to you by modeling this behavior.
What are some techniques for being mindful and present? Don’t squeeze in time with the person struggling with mental illness. Make purposeful time in your schedule to be with them, because they will pick up on it if you are waiting to get to your next appointment. Second, focus on the conversation by listening to what they are saying or sitting with them in silence, because just being available is part of making this connection. Lastly, turn your phone, electronics and distractions on silent or off. It is hugely important that they feel like the priority when you are with them, even if you aren’t sure whether or not they appreciate you being there. Doing this last tip with consistency will translate over time and help them understand that you are a support they can trust.
Rachel Rowitt, Ed.D, LMHC, CAP has worked in the field of clinical psychology for 15 years. She is a freelance writer who specializes in educating the community about the effects of mental illness, addiction and how to make effective changes. She has been affiliated with Lifeskills, a residential treatment facility for mental illness and addiction, for over 5 years.
September is National Recovery Month, so let’s pay it forward! Whether you support your favorite charity or perform an act of kindness to a friend or stranger – it’s all about being of service to others.
If you’re looking for a way to serve on a grander scale to help break the stigma, consider applying to join the Heroes in Recovery team as a lead advocate. The 2016 Heroes in Recovery lead advocate application deadline is 10/30/15.