Lets_Talk_About_MH.pdf

Transcript

1. Arthur Doler @arthurdoler arthurdoler@gmail.com Slides: Handout: LET’S TALK ABOUT MENTAL HEALTH Because it’s about @%#*& time! http://bit.ly/art-mental-deck http://bit.ly/art-mental-handout Arthur Doler @arthurdoler arthurdoler@gmail.com
2. WHAT’S THIS TALK EVEN ABOUT?
8. The Reality What IS a mental health challenge? The most common mental health challenges Who is Art? How to talk about mental health at work Some methods for good mental hygiene
10. REALITY CHECK
11. Changes in energy level and sleep patterns Loss of interest or pleasure in usual activities Difficulty with concentration or decision-making Feeling sad, empty, hopeless, worthless, or guilty Extreme or unusual mood swings Feeling like your brain is playing tricks on you http://www.mentalhealthamerica.net/mental-health-screening-tools
12. CDC Mental Illness Surveillance Fact Sheet (https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html)
13. CDC Mental Illness Surveillance Fact Sheet (https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html)
14. THIS DOES NOT INCLUDE SUBSTANCE USE NUMBERS CDC Mental Illness Surveillance Fact Sheet (https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html)
15. Mental health challenges are associated with: •Increased occurrence of chronic diseases •Decreased use of medical care (especially preventative) •As much as a 25-year decrease in lifespan for SPMI sufferers https://www.nimh.nih.gov/health/publications/chronic-illness-mental-health/index.shtml
17. OSMI 2016 Survey General Report (https://osmi.typeform.com/report/Ao6BTw/U76z)
18. NIMH / NIH - https://www.nimh.nih.gov/health/statistics/disability/us-leading-categories-of-diseases-disorders.shtml
20. MENTAL DISORDER MENTAL ILLNESS PSYCHIATRIC DISORDER NEUROPSYCHIATRIC DISORDER MENTAL HEALTH ISSUE MENTAL HEATH CHALLENGE
21. BUT WHAT ARE THEY? WHAT IS THE ESSENCE OF A DIAGNOSIS?
23. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
24. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
26. DIAGNOSES ARE NOT PRESCRIPTIVE THEY ARE DESCRIPTIVE
28. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry (9th ed.)
31. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
35. OSMI 2016 Survey General Report (https://osmi.typeform.com/report/Ao6BTw/U76z)
36. REMEMBER – DIAGNOSES ARE DESCRIPTIVE, NOT PRESCRIPTIVE
37. JUST BECAUSE YOU KNOW ONE PERSON’S EXPERIENCE DOESN’T MEAN YOU KNOW ANOTHER’S EXPERIENCE
38. SO… WHO IS ART?
39. WHO AM I?
42. It’s clinical versus experiential language
45. SO… HOW DO WE TALK ABOUT MENTAL HEALTH AT WORK?
46. EXPERIENTIALLY!
47. YOU ARE NOT A PROVIDER OF CARE. DO NOT USE CLINICAL LANGUAGE.
50. A CONVERSATION ABOUT MENTAL HEALTH NEEDS SOME GUIDELINES
53. NOTE: THE SITUATIONS HERE ARE HYPOTHETICAL THE ADVICE IS REPRESENTATIVE DO NOT ASSUME IT’S THE CORRECT ADVICE
54. TYPE IA Jordan Asks Taylor for Future Support
55. ASKING SCRIPT
56. “I could really use some support. Can you please [helpful action here]?” OR “I don’t know if you knew this, but I deal with (or am having problems with) [a specific kind of experience]. You’ve been helpful to me in the past; would it be okay in the future if ask you to [actionable thing] when [event happens]?”
57. “Hey, I’ve been having a tough time with my mood lately. If you see me starting to isolate myself, can you take me out for a cup of coffee?”
58. Ideally, Jordan: • Is clear and direct in both what they’re asking Taylor to do, and when they’re asking Taylor to do it Ideally, Taylor: • Doesn’t problem-solve • Doesn’t promise anything they’re uncomfortable doing
59. TYPE IB Jordan is in Crisis and Asks Taylor for Support
61. WHAT DOES A MENTAL HEALTH CRISIS LOOK LIKE?
64. “Um, you might not know this but I deal with some mood issues… and… I need some help telling which emotions are real right now.”
65. Ideally, Jordan: • Will ask for whatever they need right now, as specifically as possible • Will explain that they need to leave if they feel like they need to exit the situation Ideally, Taylor: • Remains calm • Doesn’t take Jordan’s leaving as an insult
66. TYPE IIA Jordan Offers Future Support to Taylor
67. OFFERING SCRIPT
68. “I noticed that [behavioral observation here]. Can we talk about it?” THEN “Do you think you could use [action here]? Can I help provide that?”
69. “Hey, Taylor. I noticed that when someone disagrees with you in a meeting you stop talking and shut down, even though you clearly care a lot about what you’re saying. Would you like me to help back you up when that happens?”
70. Ideally, Jordan: • Accepts a “No” answer gracefully (and doesn’t take it personally) • Keeps their judgements and opinion out of it Ideally, Taylor: • Will only talk about their mental state if they want to • Will provide clear guidance for what Jordan can do
71. TYPE IIB Taylor is in Crisis and Jordan Offers Support
72. “It seems like you’re going through a rough moment. If you want, I can cover for you if you need to step out.”
73. Ideally, Jordan: • Will keep their judgements and opinion out of it • Will follow the safety guidelines, unless they’ve prearranged a support response with Taylor Ideally, Taylor: • Will be honest about what they need, even if it’s nothing • Won’t assume they’re being a waste of Jordan’s time
74. TYPE III Taylor Explaining to Jordan What They Feel
75. EXPLANATION SCRIPT
76. “When [event happens], I [sometimes, often, always] feel like [insert feelings here]. To cope with that, I [insert behavior here].”
77. “When I’m in a meeting and someone asks me a question, my brain freezes and all I can think about is what happens if I screw up and answer incorrectly. To cope with that, I spend time before the meeting obsessing over all the things people could ask me, so I’m not very responsive.”
78. Ideally, Jordan: • Will listen respectfully • Won’t problem-solve Ideally, Taylor: • Will avoid blaming or ranting • Won’t apologize for their feelings
79. TYPE IV Taylor Checking In with Jordan
80. CHECK-IN SCRIPT
81. “Hey, how are you doing?”
82. “Good morning, Taylor. How’re you feeling today?”
83. Ideally, Jordan: • Will answer as with much depth as they feel comfortable – including not at all Ideally, Taylor: • Will legitimately care about how Jordan is doing • Will consider setting up a check-in schedule or recurring appointment with Jordan
84. TYPE V Jordan and Taylor Talking Like Normal Humans
85. “Hello fellow human! It is a good day to enjoy things like oxygen and carbon, is it not?” “It is! Since I am also clearly a human I too enjoy those things, as well as making pleasant conversation through my mouth-parts.”
86. Ideally, Jordan: • Will talk with Taylor like they are a fellow human being who has varied attributes and interests Ideally, Taylor: • Will talk with Jordan like they are a fellow human being who has varied attributes and interests
88. THEN DON’T!
89. MOST IMPORTANTLY
91. OKAY. TAKE A DEEP BREATH.
92. TIME FOR SOME ARTTRUTH™.
93. IF YOU ARE DIAGNOSED WITH A MENTAL HEALTH ISSUE…
96. WITH THAT OUT OF THE WAY…
100. Book cover from Amazon, Fair Use Brad Warner by Doubtboy - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=8034985
103. The Neurobiology of Meditation and Mindfulness, Tobias Esch
108. http://mentalhealthrecovery.com/wrap-is/
109. Wellness Recovery Action Plan (WRAP) Workbook
110. Wellness Recovery Action Plan (WRAP) Workbook
111. Wellness Recovery Action Plan (WRAP) Workbook
112. Source: Mary Ellen Copeland, mentalhealthrecovery.com
118. https://www.nimh.nih.gov/health/topics/psychotherapies/index.shtml https://en.wikipedia.org/wiki/List_of_psychotherapies
120. MENTAL HEALTH CHALLENGES PROBABLY MATTER MORE TO YOU THAN YOU SUSPECT
121. DIAGNOSES DON’T MATTER AS MUCH AS YOU THINK THEY DO
122. BEING ABLE TO DISCUSS ISSUES WITH COWORKERS (AND OTHERS) IS IMPORTANT
123. ENABLE THESE DISCUSSIONS BY: 1. Using experiential language 2. Being descriptive, not prescriptive 3. Being compassionate 4. Recognizing that just because you know for one person doesn’t mean you know for everyone
124. RESOURCES
125. • osmihelp.org • Largest nonprofit dedicated to mental health in tech • Annual survey • Free guidebooks for employees and HR OPEN-SOURCING MENTAL ILLNESS (OSMI)
126. • mentalhealthfirstaid.org • 8 hour course • Literally teaches first aid for acute psychiatric symptoms • Includes things like how to actually ensure someone is safe if they’re contemplating suicide MENTAL HEALTH FIRST AID TRAINING
127. • mentalhealthamerica.net • Self-screening tools for potential mental health issues • Excellent collection of other resources to learn about and deal with diagnoses MENTAL HEALTH AMERICA
128. • suicidepreventionlifeline.org OR 1-800-273-8255 • Free and confidential support, 24/7, for people in distress • NOT just suicide – any emotional distress NATIONAL SUICIDE PREVENTION LIFELINE
129. meetup.com/Omaha-Mental-Health-User-Group @oma_mhug
130. PLEASE TWEET ME FEEDBACK! What’s one thing I did well? What’s one thing I could do better? @arthurdoler
131. Slides: Arthur Doler @arthurdoler arthurdoler@gmail.com Handout: Handout: http://bit.ly/mental-kcdc-deck http://bit.ly/mental-kcdc-handout