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CASE MANAGEMENT MENTAL HEALTH 101 1 OBJECTIVES 1. Understand what is Mental wellbeing Vs Mental illness. 2. To internalize a helpful mindset and set of skills (eCPR) when talking to JMs that are emotionally struggling. 3. To learn how to promote help seeking b...
CASE MANAGEMENT MENTAL HEALTH 101 1 OBJECTIVES 1. Understand what is Mental wellbeing Vs Mental illness. 2. To internalize a helpful mindset and set of skills (eCPR) when talking to JMs that are emotionally struggling. 3. To learn how to promote help seeking behaviors. 4. To reflect on why your own mental wellbeing is crucial in your role as a CM. 2 WHAT IS MENTAL ILLNESS? Diagnosable Condition Changes In: ○ Thinking ○ Mood ○ Behaviour Impairs Functioning: ○ Personal ○ Occupational ○ Social 3 WHY IS MENTAL HEALTH IMPORTANT ? 4 eCPR (EMOTIONAL CARDIOPULMONARY RESUSCITATION): It is intended to assist others through an emotional crisis/overload/overwhelming feelings of helplessness and hopelessness. Main Message we want to promote to them is; Whatever they are feeling, it makes complete sense (Validation). People Heal When They Are Heard. eCPR: The three elements of the practice: ○ C = Connect with Compassion and open line of communication by Validating emotion, naming the emotion they are going through and normalizing it. (Example). ○ P = emPower to experience Passion, Purpose, and Participation in Planning. (Example). ○ R = Revitalize one’s sense of belonging in community. (Example). 5 C = CONNECT (EXAMPLES of COMPASSION) Serena, no need to apologize for your tears. What you are feeling makes complete sense, and crying is natural. This must be so difficult for you; how do you handle this ? I’m so glad you spoke with me today. That sounds so tough. There’s a lot going on. Tell me more. What’s been happening? I can imagine your fear. Tell me what scares you the most ? It seems like there’s been a lot of difficult changes lately. It seems like you’re very worried about your daughter. Is there anything I can do to help? I’d love to be a support for you through this. 6 What is your family most afraid of? What’s the hardest thing? BARRIERS TO CONNECTING “Don’t be sad. Everything will be ok.” (Leads to invalidation and shutdown). Entering problem-solving mode immediately. (Shutdown, feeling weak and disempowered). Let’s get right to the problem! (Lacking Empathy). Let’s talk about how we can fix all this. (May give them false hope of everything will be FIXED). Tell your husband to contact EBP and an immigration attorney. (Solution before knowing the ask/what do they want). You should do this… (Parental Attitude vs. Partner Approach). 7 #JUSTASK https://www.youtube.com/watch?v=3BByqa7bhto&t=110s 8 BRIDGING TO RESOURCES/KEEP CONVERSATION OPEN How can I be supportive to you? How can I help you in the process ? What are your thoughts about getting some help? What have you tried? What do you know about ACCESS/SSN? Would you be interested in pursuing this option? What is your hope/Outcome that you are looking for ? Would you mind if we connected again? We’d love to check and be there for you. Let me connect with someone who may be able to come up with better answer/more information. 9 Compassion Fatigue https://www.youtube.com/watch?v=aS7Rk5RFF20 10 COMPASSION FATIGUE IS REAL If you are starting to feel burned out, then it will impact the work you do. Get support for yourself by talking to your case manager and working through your issues. The vulnerable JM depends on us, volunteers, to maintain optimal mental wellbeing so that we can support Jamat adequately. Check in with yourself regularly and seek consultation if you feel burned out. One sign of burnout is anger at your Jamati Member and not wanting to engage with them. This can happen! If/when it does, talk it out with a case manager. 11 EXAMPLE Saba has been working with a family where mother and father have mental health issues. Saba is mother’s FC. Mother is extremely anxious and father abuses alcohol; this dysregulates the home environment. Saba sees the kids suffer and it makes her very sad. The case manager has been guiding Saba to get mother to seek help for her mental illness and also found parenting support, but mother does not seem to be sold on the services. Saba has been trying for 4 months now and nothing is moving. She is becoming increasingly frustrated to a point where when mother calls her phone, Saba feels dread when picking up. All mother does is complain about father but refuses to try any of the suggestions given thus far. Saba finds herself resenting the mother and has thoughts such as “if she is not going to take the help and follow my instructions then she deserves to be 12 in this state.” Saba feels bad about this and thinks WHAT IS HAPPENING WITH SABA? WHAT ARE HER NEXT STEPS IN GETTING SUPPORT FOR HERSELF? Compassion for Saba’s frustrations. Change is a LONG process, it’s not that easy. Have faith in the JM’s process of change. You are a vehicle, not the destination. Sometimes it takes years for change to happen, but it WILL happen. Having hope and faith is important. MOST IMPORTANT IS GETTING VALIDATION AND SUPPORT FOR SABA’S EXPERIENCES 13 HOW CAN CM/VCM/FM OFFER SUPPORT TO VOLUNTEERS Provide eCPR: ○ Validate your emotions. ○ Give you a space to share your frustrations and normalize it. Help you identify compassion fatigue and its current impact. Play the same role for you that you play for your Jamati Members. Help you set appropriate emotional boundaries. Reflect with you the pathway of change or identify additional needs the JM may have. 14 YOUR ROLE AND RESPONSIBILITY IN THE HEALING PROCESS BUILD RECOGNIZE ACKNOWLEDG EXPRESS ADVOCATE CALL LET CM GUIDE E EMPATHY FOR SUPPORT ▪ Build rapport ▪ RECOGNIZE ▪ Acknowledge ▪ Express ▪ Tell the JM you ▪ Call VCM and ▪ The case and the suffering the person’s empathy and are going to follow manager will empathetically and advocate feelings and concern for call a instructions proceed to listen! that help is fears what the JM is professional given by case provide available. going through (CM) who can manager. referrals for ▪ FIRST STEP. ▪ What you’re provide therapy, ▪ I am worried sharing with ▪ This is SO support support ▪ Practice about you. I me is not easy hard. If I were groups, crisis patience, be noticed that… to share and in your ▪ Remember, hotlines, respectful, I’m so glad you situation, this the CMs are arrange nonjudgmental ▪ No one should trust me! would be professionals! welfare. suffer alone or terrifying for checks, mental in silence. me too. health warrants, etc. 15 CASE MANAGEMENT QUESTIONS? 17