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Lets_Talk_About_MH.pdf

6f6662ecab8176c54c3ad89ec158842c?s=47 Arthur Doler
October 15, 2018
20

 Lets_Talk_About_MH.pdf

6f6662ecab8176c54c3ad89ec158842c?s=128

Arthur Doler

October 15, 2018
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  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?

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  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
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  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
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  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

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  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?
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  23. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition

  24. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition

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  26. DIAGNOSES ARE NOT PRESCRIPTIVE THEY ARE DESCRIPTIVE

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  28. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry (9th

    ed.)
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  31. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition

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  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?

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  42. It’s clinical versus experiential language

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  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.
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  50. A CONVERSATION ABOUT MENTAL HEALTH NEEDS SOME GUIDELINES

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  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
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  61. WHAT DOES A MENTAL HEALTH CRISIS LOOK LIKE?

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  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
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  88. THEN DON’T!

  89. MOST IMPORTANTLY

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  91. OKAY. TAKE A DEEP BREATH.

  92. TIME FOR SOME ARTTRUTH™.

  93. IF YOU ARE DIAGNOSED WITH A MENTAL HEALTH ISSUE…

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  96. WITH THAT OUT OF THE WAY…

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  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
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  103. The Neurobiology of Meditation and Mindfulness, Tobias Esch

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  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

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  118. https://www.nimh.nih.gov/health/topics/psychotherapies/index.shtml https://en.wikipedia.org/wiki/List_of_psychotherapies

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  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