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From YouTube: Mental Wellness from A-Z
Description
Arlington Public Library, Arlington Dept. of Human Services and the National Alliance on Mental Illness present a panel discussion on Mental Wellness from A-Z. Recorded at the Arlington Public Library on May 30, 2019.
Join us for this panel discussion and conversation about mental wellness, from promotion and prevention to treatment and recovery. Hear from individuals with lived experience talking openly about what it’s like to have a mental health condition. Learn from advocates and clinicians about local resources, therapies, and treatments available for children, adults, and seniors. Receive the tools needed to expand our understanding of behavioral wellness and the opportunities needed for optimal health and well being.
Mental Wellness is essential to everyone's overall health and well being. Our community's mental wellness is not a question; it is our priority.
Representatives from the Department of Human Services' Prevention Services, Children and Family Behavioral Health, Adult Behavioral Health, Senior Adult Mental Health, Regional Older Adult Facilities Mental Health Support Team (RAFT), and the National Alliance on Mental Illness (NAMI) participate in a panel discussion and conversation about mental wellness, from promotion and prevention to treatment and recovery. Hear from individuals with lived experience talking openly about what it's like to have a mental health condition. Learn from advocates and clinicians about local resources, therapies, and treatments available for children, adults, and seniors. Receive the tools needed to expand our understanding of behavioral wellness and the opportunities needed for optimal health and well being.
One in five Americans live with a mental health condition. Navigating life with a mental health condition can be isolating, and finding a roadmap to recovery can be formidable. Too often, the stigma associated with mental health issues creates barriers, preventing people from getting needed support. Together we can change attitudes, assumptions, and ideas about individuals living with mental health conditions by providing the information and social connections so that no one has to suffer a mental health condition alone.
A
Hi
good
evening,
how's
everybody
survived
the
weather
of
this
afternoon.
That's
good,
so
I'm
Dianne
crash
and
I'm
the
director
of
Arlington
Public
Library,
and
this
is
our
third
evening
of
the
library's
first-ever
Health
Week,
which
is
focusing
on
a
different
theme
each
day
from
the
brain
and
family
health
to
heart
and
mental
health
and
we're
connecting
our
community
with
the
resources
they
need
for
optimal
well-being.
A
It's
my
privilege
to
welcome
you,
tonight's
panel
discussion,
mental
wellness
from
A
to
Z
an
open
and
honest
conversation
about
mental
health
with
our
partners,
the
Department
of
Human
Services,
our
aft
or
raft,
and
the
National
Association
on
mental
illness.
Thank
you
all
for
being
here
and
being
part
of
this
really
important
conversation,
and
thank
you
to
the
organization's
who
participated
in
our
resource.
A
Fair
representatives
will
be
available
after
the
event
to
answer
questions
and
when
it
comes
to
mental
health,
the
library
plays
an
important
role,
both
in
promoting
general
well-being
and
as
part
of
a
support
network
for
people
struggling
with
poor
mental
health.
We
do
this
by
providing
safe
and
welcoming
spaces
through
reducing
barriers
to
information
access
and
by
developing
programs.
Like
this
one
that
address
the
needs
of
our
community,
as
you
know,
the
library
is
often
people's
first
point
of
entry
into
our
community.
A
A
The
library
is
also
a
safe
place
to
ask
questions.
While
there
are
plenty
of
resources
available
on
the
internet,
searching
for
them
can
be
daunting,
for
example,
when
one
types-
mental
health
into
Google,
one
retrieves-
guess
how
many
results
a
billion
further.
The
accuracy
and
the
biases
of
the
websites
are
not
often
apparent,
which
is
why
we
need
varian's
to
help
users
sift
through
the
content
and
keep
patrons
from
being
led
astray
by
sources
that
are
either
inaccurate
or
potentially
harmful
by
speaking
openly
about
mental
wellness.
A
As
we
are
doing
here
tonight,
we
are
hoping
to
change
attitudes
and
assumptions
about
individuals
living
with
mental
health
conditions.
As
someone
who
herself
has
suffered
from
anxiety
and
depression
for
most
of
my
life,
I
can
attest
to
the
value
of
shining
a
spotlight
on
mental
health,
with
the
hope
that
by
so
doing
we
can
not
only
increase
the
resources
dedicated
to
effective
management
of
those
conditions,
but
we
can
build
more
compassion
and
understanding
in
our
community
for
those
living
with
mental
illness.
A
Libraries
are
not
dying
diagnosticians.
We
do
not
have
all
the
answers,
but
we
can
help.
You
ask
the
right
questions,
because
the
right
health
questions
will
lead
to
better
health
care
for
everyone,
and
with
that,
it's
my
pleasure
to
welcome
tonight's
moderator,
Alex
Geller,
Arlington,
Public,
Library's
programs
and
partnerships
librarian.
Thank
you.
Alex
thank.
B
B
So
there
are
many
views
and
opinions
about
mental
health,
but
what
is
certain
is
that
we
all
have
it.
Mental
health
affects
how
we
think
how
we
act,
how
we
relate
to
people,
how
we
deal
with
daily
stresses
and
mental
health
is
important
at
every
stage
of
life
from
children,
adolescence
all
the
way
to
adults
and
seniors.
The
other
thing
we
need
to
be
aware
of
is
that
mental
health
problems
affect
nearly
every
family.
This
year,
one
in
five
adults
will
have
a
mental
health
problem.
B
Misperceptions
fear
of
social
consequences,
discomfort
associated
with
talking
about
these
issues
openly
and
discrimination
all
tend
to
keep
people
silent
with
the
understanding
that
mental
health
is
not
due
to
weak,
will
or
just
a
bad
mood
we
can
switch
on
and
off.
We
have
a
panel
here
of
Clinton
Shen's
and
experts
and
people
with
lived
experience
discussing
this
matter
openly,
honestly
with
intellectual
honesty
and
empathy.
So
let's
go
around
briefly
and
introduce
ourselves
sorry
with
Lynne
good.
B
Thank
you
very
much,
so
we're
gonna
try
something
different
that
a
normal
panel
discussion
for
this
evening.
What
we're
gonna
do
is
intermix
Meli's
personal
lived
experience
dealing
with
the
mental
health
condition
from
when
it
was
diagnosed
to
how
she's
look,
how
she's
lived
with
it
and
how
its
affected
her
life
and
treatment,
followed
by
a
discussion
between
our
panelists
on
how
mental
health
can
affect
all
of
us
at
any
time.
So
without
further
ado,
Nellie
take
it
away.
I
Just
thought:
I'd
introduce
myself
a
little
bit
more
I'm
Mellie
Cox
I've
been
living
in
the
Arlington
area
for
thirteen
years,
just
until
last
year,
when
I
moved
to
Maryland
I
liked
Arlington
so
much
that
I
was
really
pleased
to
come
back
and
visit
the
library
right
now.
I
have
a
home
in
Kensington,
Maryland
and
I'm.
I
For
me,
the
symptoms
began
when
I
was
21
years.
Old
I
had
just
graduated
from
college
and
was
living
in
France.
It
started
by
not
being
able
to
get
out
of
bed.
I
wasn't
hungry,
I
couldn't
sleep
yet
I
just
wanted
to
stay
in
my
bed.
I
didn't
know
what
was
happening
to
me
and
I.
Didn't
understand
why
I
could
not
control
it.
I
had
everything
going
for
me:
I
had
just
graduated
from
college
I
had
a
loving
family
and
had
a
great
job.
I
Why
couldn't
I
just
willed
myself
to
be
happy?
I
didn't
ask
for
help,
because
I
didn't
think
I
had
a
problem,
but
I
couldn't
deny
what
I
was
feeling
I'd
had
a
failed
relationship
in
college
and
I
started
to
have
feelings
that
this
person
was
going
to
find
me
and
kill.
Me
I
was
having
a
paranoid.
Delusion
I
didn't
tell
anybody
about
this
because
I
didn't
trust
anyone.
I
B
So
Mele
taps
into
this
persistent
challenge
we
face
when
talking
about
mental
illness,
because
the
subject
of
mental
health
is
often
avoided
or
silenced,
because
it's
personal
and
internal
and
because
it's
often
treated
as
a
failure
like
a
personal
failure
and
it
becomes
difficult
to
effectively
promote
mental
health
and
prevent
mental
and
illness.
When
all
of
this
is
apparent,
so
I
want
to
turn
to
the
panelists
right
now.
B
C
Thank
you,
Alex
I'll,
starting
the
panel
can
chime
in
as
well
I
want
to
add
to
your
important
points,
Alex
about
mental
health
stigma
and
then
answer
your
question
about
mental
health
prevention
issues,
especially
with
children
and
youth
public
stigma
is
a
pervasive
barrier
that
prevents
many
individuals
in
the
u.s.
from
engaging
in
mental
health
care.
In
a
recent
meta-analysis
study
by
NIH
39
journal
articles
on
stigma
were
reviewed.
What
they
found
and
had
many
implications
on
our
work
number
one:
the
conception
that
individuals
with
mental
illness
as
dangerous
has
not
decreased
over
time.
C
So
this
is
over
a
period
of
about
30
years
of
peer
review
articles
that
they
looked
at.
So
what
this
tells
us
is
that
the
media
needs
to
resist
portraying
acts
of
violence
in
causal
relationships
with
a
mental
illness
number
two.
They
found
too
effective
interventions
to
work
against
stigmas
number
one
strategies
that
incorporate
entertainment
or
education
for
example.
For
example,
TV
shows
trainings
that
involve
Avatar
training,
which
I'll
talk
about
of
them.
I'll
talk
about
later
and
then
their
second
one
is
positive.
C
C
So
so,
given
that
stigma
is
a
barrier
to
mental
health
awareness
and
help
seeking
behavior
and
the
prevalence
of
mental
health
concerns
in
our
youth,
here's
what
DHS's
prevention
services
is
doing
to
address
these
concerns.
We
are
implementing
programs
to
promote
positive
youth
development
through
classes,
presentations
and
resource
fairs
and
campaigns.
Our
wellness
programs
are
guided
by
excuse
me,
are
guided
by
principles
of
equity,
inclusion
and
based
on
approaches
or
constructs
of
trauma-informed
care,
protective
factors
and
resiliency
to
such
programs
that
we
implement
our
aces,
which
are
adverse
childhood
experiences
and
also
youth
thrive.
C
We
help
families
understand
one.
The
importance
of
mental
wellness
and
children
is
never
too
early
to
talk
to
children,
about
mental
health.
The
importance
of
developing
positive
ways
to
cope
with
stress
and
the
importance
of
developing
protective
factors
to
mitigate
the
impact
of
trauma
and
stress
such
as
having
trusting
and
consisting
adult
still
connect
to
so
some
of
our
programs
include
and
I'll,
be
happy
to
talk
further
in
detail.
At
the
end.
Should
you
choose
is
tabeling
events
in
health
fairs.
C
Signs
and
symptoms
of
suicide
and
how
to
link
them
to
services,
and
this
past
year
alone,
we
helped
API
songs
in
public
schools,
train
2000
of
their
staff
on
this
program:
mental
health,
first
aid
training.
Every
year
we
trained
about
350
individuals
in
our
County,
that's
an
eight-hour,
evidence-based
training.
And
lastly,
we
have
a
program
called
strengthening
families
that
engages
directly
with
children
and
their
families
for
seven
weeks
three
hours
a
week
that
teach
parenting,
skills
and
relationship
building.
E
A
couple
of
words
I
just
want
to
add
on
to
what
Lynn
said:
I
think
he
covered
things
pretty
comprehensively,
but
I.
One
of
the
things
that
I
heard
when
Mellie
was
speaking
was
really
that
self
blame
and
guilt,
which
I
think
really
reflects
the
stigma.
Ellen
was
discussing
and
I.
Think
one
of
the
issues
that
also
we
need
to
discuss
is
really
sort
of
the
language
in
the
discourse
that
happens
at
the
national
level
or
in
terms
of
how
we
talk
about
mental
illness
and
how
we
talk
about
substance,
use
disorders
and
I.
E
Think
that
that's
profoundly
damaging
to
people
who
experience
these
challenges-
and
it
really
I
think,
contributes
to
this
internal
shame
and
guilt
and
self
blame,
because
there's
not
really
a
public
forum,
that's
very
accepting
of
mental
illness
and
of
substance
use
disorders.
So
I
think
that's
something
that
we
it's
a
harder
thing
to
change,
but
I
think
it's
really
important
that
we
pay
attention
to
the
language
that
we're
using
and
provide
opportunities
for
people
to
have
kind
of
mental
health
check-ins
regularly,
so
that
we
kind
of
know
we're
where
people
are
at
any
given
time.
E
Knowing
what
the
risk
factors
are,
whether
that's
some
of
the
things
that
Lynne
talked
about
in
terms
of
social
determinants
of
health
trauma
poverty,
housing,
instability,
family
history,
other
things
that
we
know
place
people
are
risk
really
having
opportunities
to
check
in
with
youth
and
even
adults
as
they
age
to
make
sure
that
their
there
aren't
any
issues
that
really
need
to
be
addressed.
I
mean.
B
What
both
of
you
point
out
and
what
Mellie
lucked
into
is
that
her
family
reached
out
to
her
and
helped
care,
and
you
said
only
50%
of
kids
actually
reach
out
to
their
family
I
mean
so
those
are
the
lucky
ones,
and
this
is
why
conversations
like
this
are
so
important
so
that
we
can
come
together
not
only
individually
but
as
a
community
and
know
that
not
anyone
has
to
suffer
this
alone.
So
Mellie,
let's
return
to
you,
so
he
returned
home.
You
received
your
diagnosis,
so
what
seemed
to
help.
I
Making
friends
I
didn't
have
a
social
network,
it
might
have
appeared
as
though
I
was
a
normal
teenager,
but
I
was
extremely
socially
isolated
and
so
I
didn't
think
that
I
had
anybody.
I
could
talk
to,
and
so
when
I
was
presented,
the
opportunity
to
speak
to
a
therapist,
I
I
took
the
opportunity
and
I
started
going
to
therapy
twice
a
week.
The
therapy
was
like
an
education
for
me.
I
I
realized
that
a
lot
of
my
belief
systems
and
my
thinking
patterns
were
wrong
and
they
were
actually
making
me
sick,
and
this
is
part
of
something
else.
That
I
learned
about
anxiety
is
that
thinking
patterns
can
be
interrupted
and
changed
so
that
your
mood
improves
one
of
the
things
I
had
a
lot
of
trouble
with
with
the
medicines,
even
though
they
worked
was
I
had
trouble
accepting
my
dependence
on
them,
because
I
thought
that
dependence
was
bad.
I
I
didn't
want
to
have
to
depend
on
something
for
the
rest
of
my
life,
but
I
got
a
very
important
lesson
on
that
from
my
therapist,
who
was
blind,
she
had
learned
to
read
and
to
do
all
her
studies
through
books
on
tape.
Braille,
she
had
a
seeing-eye
dog,
she
had
a
driver
and
she
told
me
look.
I
cannot
see
I
can't
even
pick
out.
My
own
clothes
I
have
to
have
somebody
drive
me.
I
B
Thank
you
very
much.
What's
clear
from
this
conversation
so
far,
is
that
your
own
personal
attitudes
and
beliefs
really
can
shape
how
you
actually
pursue
your
own
mental
health
treatment
and
self-care
and
in
treatment
there
are
promises
made
there
are
pauses
taken,
there
are
false
starts.
Sometimes
it
works.
Sometimes
it
doesn't.
Sometimes
the
medication
is
appropriate.
D
So
in
children's
behavioral
health
we
work
with
children
3
to
17,
and
we
offer
services
for
all
Arlington
County
residents.
We
have
same-day
access,
which
means
that,
on
specific
dates,
our
specific
days
and
times,
families
are
able
to
walk
in
with
their
children
and
receive
an
intake
that
day
and
if
they
are
eligible
for
services
they
are
connected
with
a
service
provider.
So
it's
really
awesome.
They
don't
have
to
call
and
make
an
appointment.
They
really
just
have
to
come
in.
D
We
do
have
a
line
that
families
are
able
to
call
if
they
have
questions,
but
really
they
can
just
walk
in
with
their
kids
and
be
seen
that
same
day,
and
we
don't
have
a
long
wait
time
either.
So
that's
also
really
positive
in
children's
behavioral
health,
once
a
family
comes
in,
they
meet
with
our
clinician.
D
They
can
expect
to
be
told
what
services
would
look
like
for
them.
What
services?
Our
clinician
recommends
based
on
what
is
happening
with
the
child
and
with
the
family,
but
also
what
services
are
the
family
and
child
interested
in
pursuing
and
which
services
are
they
ready
to
have
and
engage
in
and
there's
some
services
they
might
want
to
start
with
right
away
and
other
ones
that
they
might
want
to
wait
on,
and
so
we
work
with
kids
that
have
mental
health
needs,
as
well
as
substance
use
needs.
D
D
We
have
case
management,
so
some
families
need
more
intensive
services.
Some
families,
children
have
complex,
complex
needs,
have
need
assistance
with
navigating
community-based
resources.
There's
multiple
systems
involved.
So
our
case
managers
are
clinicians
that
can
really
help
families
link
with
those
outside
resources,
so
they
can
have
therapy,
they
can
have
case
management
and
we
have
a
psychiatrist
as
well.
E
A
E
Just
wanted
to
highlight
thanks
Lynn
something
that
Jamie
said
about
people
coming
in
for
services
and
what
they
can
expect
and
really.
This
is
about
a
shared
decision-making
practice,
so
this
is
really
about
what
the
client
is
coming
in,
wanting
to
do
what
they
might
not
be
willing
to
do,
but
this
is
a
collaborative
endeavor.
This
isn't
really
about
somebody
coming
in
and
us
telling
them.
These
are
our
recommendations,
and
this
is
what
you
have
to
do.
This
is
really
about
what
somebody's
goals
are.
E
There
might
be
things
that
they
want
to
work
on,
that
are
priorities
for
them
and
then
things
that
they
would
don't
want
to
work
on
at
least
not
right
now
and
so,
and
that's
totally
fine
and
that's
really
a
conversation
that
a
client
would
have
coming
in
the
front
door
to
talk
about
what
their
goals
are.
That
might
include
medication.
E
That's
individualized
and
personal
and
not
and
I
know,
Mellie
talked
about
the
dependency,
but
for
me
it's
really
about
clients
choosing
to
manage
conditions
in
a
way
that
feels
right
for
them
and
that's,
that's,
really
I
think
what
people
can
expect
in
terms
of
services
that
we
offer
it's
pretty
similar
to
what
Jamie
mentioned
for
child
services.
We
have
same-day
access
as
well,
so
people
can
walk
in
Monday
through
Friday,
requesting
to
speak
with
a
clinician
to
talk
about
what
their
needs
are,
what
their
needs
are.
We
have
pretty
what
people
would
consider
true.
E
You
know
sort
of
outpatient
services,
therapy
case
management.
We
have
24/7
emergency
services,
so
even
when
people,
even
when
our
same-day
access
folks
aren't
available,
if
there's
a
crisis
or
urgency,
then
people
need
to
speak
to
somebody
right
away
day
or
night.
There's
somebody
available
to
do
that.
We
have
a
lot
of
specialized
services
to
work
with
people
who
are
not
housed
or
homeless
street
outreach
programs.
People
who
are
justice-involved.
E
H
Just
wanted
to
mention
two
things
that
we
have
related
to
some
recovery
services.
We
have
peer
recovery
specialists
and
they
are
well.
We
have
both
full-time
permanent
positions
and
some
part-time
positions,
they're
individuals
with
lived
experience
who
are
part
of
a
team.
They
hope
they
hope
to
complement
a
treatment
team
and
they
work
with
individual.
They
themselves
have
substance,
use
or
mental
health
challenges,
and
they
they
use
that
lived
experience
to
help
engage
with
clients
they
do.
Their
work
is
really
in
a
very
different
specialized
way.
That,
like
I,
said
two
compliments
the
treatment
team.
G
Did
want
to
say
a
few
words
about
the
raft
program
because
we
are
a
little
different
than
a
lot
of
the
services
available
in
Arlington
County,
because
we
are
a
regional
program.
We
partner
with
all
five
counties
in
Northern
Virginia,
including
Arlington,
County,
that
when
older
adults
are
hospitalized,
especially
at
state
psychiatric
hospitals,
we
support
their
discharge
to
long
term
care
facilities.
And,
as
everybody
on
this
panel
has
mentioned
and
knows
when
people
have
a
psychiatric
diagnosis.
There
are
many
doors
that
are
closed
to
them,
including
admission
to
long-term
care
facilities.
G
F
Yeah
so
I
just
wanted
to
say
with
senior
adult
mental
health.
We
have
a
similar
same-day
access
where
you
don't
need
to
have
an
appointment.
You
come
in
it's
for
people
that
are
60
and
over
with
a
severe
mental
illness
such
as
bipolar
disorder,
major
depression,
schizophrenia,
and
we
can
provide
therapy
case
management
and
psychiatric
services.
One
thing
I
wanted
to
mention
is
that
if
you
do
not
qualify
for
our
services,
we're
we
don't
just
send
you
away
and
we
will
help
you
connect
the
right
resource.
B
Thank
you
very
much,
but
before
we
were
turned
to
Mellie,
just
listening
to
her
story,
it's
so
brave
to
just
speak
openly
about
this
and
it'd.
Be
really
disingenuous
for
me
not
to
also
that
talk
about
my
own
experience
with
the
group.
My
sister's
here
she's
right
over
there.
So
she
takes
part
in
this
story.
When
I
was
22
one
year
out
of
college
I
grew
up,
I
was
I,
was
really
happy
as
a
kid
I
graduated
college,
debt-free
I
was
really
lucky.
B
So
I
didn't
really
have
these
stressors
that
a
lot
of
people
in
my
generation
faced,
the
woman
I
was
seeing
was
killed.
Whoa
I
was
at
work
and
I
didn't
know
how
to
handle
it
and
I
immediately
quit
my
job,
which
is
not
the
best
thing
to
do,
because
I
had
no
experience
dealing
with
mental
health.
My
sister
actually
left
her
job
and
came
and
found
me
and
took
care
of
me
and
I
spent
four
months
trying
to
white-knuckle
it
because
I
had
no
experience
or
background
and
it
had
no
resources
to
turn
to
cuz.
B
I
didn't
have
a
therapist
I,
even
think
mental
health
was
really
a
thing
to
deal
with,
because
I
was
perfectly
happy
kid,
and
this
trauma
just
hit
me
like
a
ton
of
bricks
and
then
I
started
grad
school
and
I
was
my
advisor
was
the
one
who
actually
told
me
that
I
needed
to
go,
seek
counseling
to
deal
with
this
trum
and
actually
speak
openly
and
honestly
about
how
I
was
handling
this,
so
anybody
can
do
it.
It
can
happen
to
anybody.
B
I
My
mental
health
crisis,
when
I
was
21
defined
my
life,
but
it
doesn't
define
me
I
have
been
managing
my
mental
health
condition
for
more
than
twenty
years
and
the
truth
is
I,
don't
even
think
about
it
regularly
on
a
daily
basis
and
I
know
one
of
the
reasons.
Why
is
that?
Because
I
got
very
early
intervention,
I
only
had
one
psychotic
episode
and
I
have
learned
that
a
lot
of
times
the
more
episodes
a
person
has
the
more
damage
the
brain
can
become
and
I
feel
lucky.
I
That
I
only
had
one
episode,
because
I've
been
able
to
live
a
full
life
and
I
don't
feel
as
though
there's
nothing
that
I
cannot
do
yet.
I
never
spoke
about
it
until
about
two
years
ago,
when
I
discovered,
Nami
and
I
decided
to
volunteer,
because
there's
so
much
stigma
that
I
just
kept
it
to
myself.
I
It
went
a
long
way
in
helping
me
accept
myself
and
that's
why
I
decided
to
speak
openly
about,
in
my
condition,
because
staying
silent
about
mental
health
is
not
helping
anybody
and
so
I
really
enjoy
giving
these
presentations
and
helping
educate
people
on
stigmatizing
language
and
helping
people
learn
about
resources
because
it
doesn't
have
to
be
as
stopping
your
life.
It
could
be
a
turning
point
and,
in
my
case,
I
had
a
lot
of
time
for
self-reflection.
B
As
Meli's
shows,
recovery
takes
many
forms
and
a
diagnosis
does
not
have
to
be
devastating
news
that
can
actually
sometimes
be
a
relief
treatment
and
recovery
are
ongoing
processes.
So
what
does
recovery
and
resiliency
actually
mean?
What
does
it
look
like?
What
can
one
expect,
and
once
we
have
this,
we'll
talk
about
our
main
takeaways
for
this
evening?.
H
So,
as
you
alluded
to
Alex
recovery
really
is
very
different,
unique
for
every
individual
and
for
one
person
it
might
be
getting
a
job
someone
else
it
might
be,
having
a
home
being
married
having
children,
it's
just
really
different
for
everyone,
but
whatever
individuals
want
to
to
really
live
the
life
that
they're
that
they
like
to
have
I
think
just
like
what
everyone
else
wants.
It
was
pretty
much
what
people
who
have
mental
health
and
substance
use
challenges
want
as
well
and
I.
H
Think
that
I
think.
The
other
question
you
wanted
to
talk
you
asked
was
about
resiliency
and
I
think
about
kind
of
bouncing
back,
and
you
know
what
protective
factors
what
things
do
people
need
to
kind
of
get
back
on
that
path
to
where
they
want
to
be
and
I.
Think
that
there's
so
many
different
things
for
that
and
people
have
to
work
really
hard
at
it.
I
mean
I
think
that
Millie
you
had
to
work
hard.
H
It
doesn't
just
come
naturally
and
there's
so
many
different
things
that
we
have
to
do
and
like
what
I
do
in
my
life,
that
every
day
that
at
some,
sometimes
it
feels
natural,
but
not
always,
but
from
paying
attention
to
sleep
diet,
exercise
things
that
everybody
needs
to
pay
attention
to,
but
I
always
say
that
people
with
mental
health
challenges,
our
brains,
are
just
a
little
sensitive.
So
we
have
to
pay
attention
to
it,
even
just
a
little
bit
more
so
I
don't
know
if
anyone
else
wants
to
kind
of
chime
in.
G
Yeah
I
can't
help
myself
I'd
love
to
share
stories,
so
we
actually
work
with
a
woman
who
is
80
years
old
and
she
lives
in
an
assisted-living,
not
in
Arlington,
but
she
is
a
long
time.
Arlington
client.
She
has
been
well
known
in
this
area
for
years
chronically
homeless,
really
a
life-threatening
leg,
infection
that
went
unmanaged
and
because
she
was
homeless
and
she
wasn't
interested
in
treatment
and
services.
So
the
good
news
is
fast
forward.
Several
years
now,
she's
been
with
us
10
years.
G
Actually,
so
she
was
hospitalized
at
Piedmont,
State
geriatric
Hospital
for
years,
and
we
supported
her
discharge
and
she
has.
She
was
homeless,
estranged
from
her
children,
really
no
social
connections,
but
today
she
is
thriving,
her
leg,
people
that
know
her
have
said:
does
she
still
have
her
leg,
and
so
she
does
she's
doing
Marvel's
marvelously?
Well,
she
has
reconnected
with
her
son
and
now
has
a
social
connection
to
family
she
has
never
had
before
and
so
for
her.
G
B
So,
with
the
advent
of
social
media,
especially
with
teens
these
days
and
I
mean
there
was
the
It
Gets
Better
campaign,
which
then
sort
of
fizzled
out
I
believe
so
what
how
can
we
tell
kids
that
you
know
life
after
high
school
I
mean
if
this,
if
people
are
considering
suicide
at
a
higher
and
higher
rate,
how
can
we
actually
engage
with
kids?
Those.
A
I
A
son
who's
8
years
old
and
I
try
to
make
mental
health
on
an
everyday
common
discussion.
He
sees
me
taking
my
medicines
and
I,
tell
him
I'm
taking
medicines,
because
I
have
an
illness
in
my
brain,
and
this
corrects
it
just
like
some
people
take
medicine
for
diabetes,
and
another
thing
that
I
tried
to
do
with
him
is
to
make
feelings
and
thoughts,
be
an
open
discussion
and
also
talking
about
them
when
he
was
younger.
C
I
think
Mellie,
that's
wonderful
that
you
are
speaking
to
your
young
son
about
these
issues
in
an
open
manner
and
I.
Think
that's!
The
key
for
us
is
that
when
we
do
prevention,
services
or
you
know,
working
with
families
and
parents
on
how
to
engage
young
children
on
mental
health
issues,
it's
about
the
open
communication
and
the
abilities
for
the
parents
to
not
shy
away
from
it
right.
C
So
one
example
is
and
I'll
go
to
the
topic
of
suicide
prevention
that
we
were
asked
by
some
local
churches
to
come
and
speak
because
there
was
a
you
know.
Recent
suicide
in
the
community
and
very
young
kids
are
asking
about
it.
So
10
year
olds,
9
year
olds
are
asking
what
is
suicide
and
the
parents
were
very
hesitant,
and
rightly
so.
C
They're
very
ambivalent
should
I
talk
about
this
I
think
the
stigma
that
some
people
are
still
holding
on
to
is
or
the
myth,
rather,
is
that
if
you
talk
about
suicide,
you
are
planting
the
idea
of
suicide
in
people,
and
that
is
simply
not
true
at
any.
So
in
this
engagement
with
the
ten-year-olds,
we
talk
about
going
at
the
pace
of
where
the
child
is
right.
So
if
you
have
a
six
seven
eight-year-old
who
comes
and
talks
to
you
about
suicide,
mom,
what's
suicide.
Well,
you
know
Johnny.
What
what
does
that
mean
to
you?
C
Where
did
you
hear
that?
What
do
you
think
suicide
is,
and
then
you
begin
to
talk
and
disclose
information?
You
know
not
ahead
of
where
they
are
but
you're
staying
at
their
pace
and
engaging
that
conversation
is
very
appropriate
when
they
get
a
little
bit
older
in
terms
of
older
teens.
What
we
are
doing
prevention
a
lot
is
the
peer
to
peer
model
is
because
our
our
data
shows
tells
us
that
that
youth
are
more
likely
about.
C
C
But
you
know
to
help
them
to
at
least
engage
in
that
moment
to
to
see
the
signs
and
symptoms
of
mental
health
and
to
help
link
their
peers
to
professional
services,
and
that
is
really
the
the
leading
front
right
now
in
terms
of
mental
health
and
suicide.
Prevention
with
youth
is
to
have
the
peer
to
peer
model,
so
training
their
capacity
to
engage.
F
C
Think
for
me,
you
know,
as
we
move
and
as
we
strive
to
to
move
towards
us,
a
healing
community
that
I
think
to
be
to
have
a
good
dose
of
empathy
in
all
of
us
to
be
aware
of
those
that
are
around
us
and
and
to
reach
out
and
ask
you
know:
are
you
okay
to
move
away
from
the
medical
model
for
half,
sometimes
and
and
to
look
at
the
underlying
needs?
When
you
see
someone
in
crisis
or
struggling,
there's
hurt,
that's
that's
you
know.
C
You
know
possible
long-term.
You
know
impact
on
unwellness
physical,
how
wellness
medical
wellness,
but
there's
the
idea
of
resiliency
as
well.
That
is
in
all
of
us,
and
then
you
said
residency
is
the
ability
to
bounce
back
from
stress
and
from
trauma,
and
we
all
have
resiliency
in
all
of
us
and
to
help
each
of
us
identify
what
that
is
and
to
help
us
foster
resiliency
in
our
lives,
so
that
we
mitigate
the
impact
of
trauma
in
our
lives
and
in
our
community.
B
Just
from
the
librarian
perspective,
I
am
NOT
a
clinician
as
Diane
said:
we're
not
diagnosticians.
We
touched
briefly
on
social
determinants
of
health
and
how
your
environment,
housing,
education
levels
all
affect
your
well-being,
but
one
of
the
major
predictors
of
optimal
outcomes
is
health
literacy.
Just
knowing
how
to
ask
the
ask
the
questions
that
get
you
the
best
treatment
and
I'm
really
thankful
that
we
had
a
panel
of
experts
who
can
be
with
you
guys
tonight
and
are
able
to
answer
some
questions.
B
This
was
something
that
we
had
talked
about
briefly.
It
can
be
very
draining
and
traumatic
to
support
someone
who
seems
to
have
a
mental
health
problem.
If
a
friend
continues
to
lean
on
you
for
support,
but
they
rebuff
suggestions
to
seek
professional
help,
is
it
better
to
continue
to
let
them
lean
on
you
or
better
to
step
away
or
something
in
between.
E
If
you
sort
of
follow
a
path
where
you're
trying
to
be
supportive
and
then
you
kind
of
break
away
abruptly.
That
can
be
very
hurtful
and
feel
like
a
betrayal.
So
that
to
me
seems
like
not
a
great
outcome
but
I
think
taking
a
middle
path
where
you
continue
to
express
concern
and,
at
the
same
time
take
care
of
yourself
in
terms
of
protecting
kind
of
what
you
can
manage
and
what
you
cannot
manage
and
what
you
think
really
kind
of
extends
beyond
your
area
of
expertise.
E
B
All
right
we
have
questions.
So
one
of
the
things
we're
talking
about
throughout
this
conversation
is
that
it
the
importance
of
open
communication.
When
it's
talking
about
mental
health
like
the
more
we
talk
about
it,
the
more
we
can
be
understanding
and
empathetic,
but
here's
a
question
in
the
area
of
government
work.
For
example,
can
you
still
get
security
clearance
if
you've
been
diagnosed
or
what
can
you
disclose?
What
should
you,
what
can
you
disclose
to
a
superior
when
applying
for
a
job
within
the
job?
E
This
is
not
my
area
of
expertise
at
all,
I
mean
I,
do
I,
have
seen
clients
with
government
employment
experience
or
who
need
clearance,
or
so
I.
I
know
that
it's
something
that
clearly
people
pay
attention
to,
and
there
are
certain
conditions
that
are
flagged
more
than
others,
but
I
think
that
would
be
something
that
the
individual
would
need
to
investigate
fully
with
somebody
who's
more
of
an
expert
than
I
am
it
would
be
hard?
It
would
be
hard
for
me
to
give
any
advice
in
that
area.
B
Here's
a
very
important
question,
so
each
mental
health
professional
here
has
their
own
area
focus
and
expertise.
What
tools
are
available
to
help
someone
that
would
like
to
speak
to
a
specialist
but
wants
to
narrow
down
the
list
of
names,
tools
that
help
them
easily
identify
someone
that
would
meet
their
unique
needs.
E
D
D
Do
they
have
hours
that
fit
your
schedule?
Do
they
practice
in
the
area
that
you
feel
like
what
best
addressed
you
address
your
needs
and
then
relationship
is
really
important
in
connection.
So
I
found
that
it's
important
that
clients
feel
like
they
can
have
a
connection
with
the
person.
That's
going
to
be
helping
them.
E
Yeah
just
to
add
on
to
what
Jamie
just
said,
I
mean
I.
Think
one
of
the
best
what's
been
demonstrated
to
be
one
of
the
best
predictors
of
a
positive
outcome,
and
if
therapy
relationship
is
the
engagement,
is
the
nature
of
that
therapeutic
relationship.
One
of
the
just
practical
thing
that
I
would
suggest
if
somebody
isn't
interested
in
coming
to
a
county
government
for
services.
There
are
a
couple
of
online
resources
that
people
can
look
at
Psychology.
Today
is
one
of
them.
E
Zocdoc
Zeo
CDOC
is
another
one
which
are
basically
online
search
engines
where
you
can
filter
for
lots
of
different
things,
location,
insurance,
expertise
to
try
to
kind
of
hone
down
on
on
areas
that
are
important
to
you.
It's
not
perfect.
Obviously,
and
it's
there's
still
a
lot
of
investigation
and,
as
Jamie
said,
I
think
some
in-person
kind
of
assessment
would
need
to
be
done
anyway,
but
it
might
help
filter
down
a
list
of
lots
of
people
to
at
least
something
that
you
know
is
more
with
movin
reach.
B
So
we
have
two
more
questions.
The
first
one
is:
why
did
you
choose
the
title
for
tonight's
talk?
I
actually
chose
that
I
thought
it
was
catchy,
but,
more
importantly
than
that.
Well,
we're
really
here
to
talk
about.
Is
this
continuum
of
care
and
that
it's
an
iterative
process?
So
when
he's
saying
the
eight,
the
ABC
song,
you
always
go
back
to
start
again
and
we
touch
briefly
on
the
continuum
of
care.
G
We
worked
with
Alex
and
Lynn
in
developing
this
presentation
today
and
one
of
the
things
that,
from
my
experience,
is
that
to
frame
mental
health
in
a
positive
way,
because
when
you
say
a
mental
health
disorder,
people
kind
of
step
back
and
they're
like,
oh
and
and
there's
so
much
stigma
attached
to
that
and
so
framing
it
in
a
way.
And
which
is
why
we
came
up
with
mental
health
wellness.
Because
we
all
have
mental
health.
And
it
is
a
continuum
and
it's
how
we
are
impacted
by
our
mental
health
every
day.
B
All
right,
we're
gonna
conclude
with
one
more
question
and
don't
worry
if
you
still
have
further
questions
will
be
available
after
this
evening's
talk
to
speak
further.
How
do
you
know
when
someone
is
in
need
of
medical
professional
help,
as
opposed
to
just
being
in
a
funk
and
what
is
being
in
a
funk
being.
D
That's
a
really
good
question,
and
for
children
and
adolescents
it's
kind
of
what
they
being
in
a
funk
can
describe
adolescents,
they're,
moody,
they're,
moody,
they're
oppositional.
They
talk
back,
they
break
rules
and
a
lot
of
that
limit
testing
is
really
developmentally
appropriate.
So
it
can
be
really
difficult
for
kids
themselves
to
determine
that
this
is
a
little
more
than
just
being
a
teen
or
being
a
kid
and
for
their
parents
and
for
those
that
are
around
them,
I
would
say.
D
One
way
to
determine
is:
is
this
something
that
is
persistent
so
lasting
longer
than
a
few
weeks?
Is
it
does
it
happen
in
all
settings?
So
something
that
is
more
of
a
mental
health
challenge
would
be
something
that's
present
at
school
at
home,
in
community
interactions
and
then
is
there
a
change
in
behavior?
Are
they
no
longer
interested
in
things
that
they
were
previously
interested
in,
or
are
they
really
interested
in
things
that
they
didn't
used
to
be
interested
in
sleeping
eating
and
in
children
and
adolescents?
D
Mental
health
symptoms
can
look
a
lot
different
than
they
do,
and
young
adults,
18
and
older,
so
depression
and
anxiety
and
children
can
look
like
anger.
Frustration,
irritability,
difficulty,
focusing
paying
attention
so
because
and
then
their
age
kind
of
comes
in
there.
So
I
would
really
go
with
persistence.
F
Yeah,
so
for
seniors
yeah
again
it
would
be
just
the
duration,
the
severity,
how
it
impacts
functioning.
Are
they
able
to
care
for
themselves
anymore?
Are
they
having?
Are
they
confused
disoriented?
Are
there
any
serious
safety
issues
going
on
would
be
kind
of
an
indicator
that
it's
not
just
a
a
funk
so
to
speak,
but
there
may
be
a
more
serious
issue
going
on
that
needs
to
be
addressed.
B
Well,
I
just
want
to
thank
our
panelists
one
more
time.
I
think
this
was
a
really
excellent
first
conversation
I
mean
the
important
thing
about
these
conversations
is
that
this
is
at
the
end.
Well,
this
might
be
the
end
of
our
program
where
we're
gonna
have
some
closing
remarks
in
a
second.
These
conversations
continue.
I
would
recommend
that
everyone
check
out
our
upcoming
events
at
the
library
check
out
DHS.
These
conversations
happen
throughout
our
community
and
we're
trying
to
reach
you
where
you
are
so
you
don't
necessarily
have
to
come
down
to
central.
B
J
Well,
I'm
so
happy
to
see
you
all
and
it's
really
an
honor
and
a
privilege
to
be
here
tonight.
I
took
a
lot
of
notes.
Listening
to
this
panel,
you
guys
are
just
awesome
and
I
really
appreciate
the
attention
paid
to
mental
wellness
across
the
lifespan
right
because
that's
just
absolutely
critical
to
families
and
I
know
that
you
know
one
of
the
themes
that
we
heard
is
that
mental
health
conditions
impact
all
of
us
it's
one
in
five,
and
it
has
a
tremendous
impact
on
the
ones
that
we
love.
J
You
know
on
families,
and
so
that
was
that
was
a
really
important
point.
I
want
to
really
think
Mellie
here
and
and
also
Nami,
and
the
training
that
you
received,
because
I
think
that
is
a
really
valuable
service
to
hear
the
voices
of
the
lived
experience
and
that's
a
tremendous
service
and
Nami
as
an
organization
really
worth
supporting
and
one
of
the
things
that
there
were
many
things.
J
That
really
touched
me,
but
I
wanted
to
just
highlight
a
couple
of
things
that
Mellie
brought
out
and
and
really
I,
think
the
theme
of
recovery
is
possible
and
that,
despite
having
been
diagnosed
with
a
mental
health
condition
that
you
can
overcome
that
you
can
recover,
which
is
not
to
say
that
you're
cured
I
think
this
is
I.
Think
with
the
theme
we
kind
of
heard
is
that
that
these
are
chronic
conditions
that
can
be
managed
with
appropriate
treatment.
J
It's
also
a
complex
system
of
care
and
and
and
hard
to
navigate
it's
hard
to
figure
out
the
match
between
what
your
particular
issue
is
and
who
can
help
you
with
that
also
timing,
and
when
people
are
ready
to
reach
out
and
accept
the
help.
So
I
think
there's
a
lot
of
issues
to
this
and
I
think
being
able
to
talk
openly
and
honestly
and
to
do
that
level.
Of
sharing
that
we
heard
tonight
is
incredibly
valuable
and
I.
Think
that
being
able
to
sort
of
promote
the
resources
that
we
have
is
really
critical.
J
So
we
were,
we
were
very
lucky
to
get
such
a
richness
in
terms
of
the
points
that
the
panel
made
and
they
all
I
wrote
a
lot
of
notes
here
that
I'm
taking
for
myself,
but
but
they
they
left
you
with
one
thing.
Each
and
one
of
the
things
that
I
really
want
to
for
you
to
take
away
is
that
people
with
mental
health
conditions
want
and
I
think
you
said
it
Mellie
or
maybe
maybe
it
was
Lisbeth.
J
It
was
Lisbeth
said
that
people
with
mental
health
conditions
want
what
everybody
wants,
which
is
a
home,
a
sense
of
purpose,
work
and
to
be
connected
to
be
loved
and
I
think
it
was
Lynn
that
said
that
one
of
the
ways
that
we
can
help
is
to
be
a
part
of
a
healing
community.
So
I
want
to
thank
you
all
for
being
here
tonight
and
being
open
and
listening.
J
J
The
library
has
hosted
a
number
of
events
that
are
related
to
this
topic.
Just
a
few
weeks
ago,
we
had
had
an
event
where
we
focused
on
on
youth,
anxiety
and
youth
and
I
see
Carla
there.
She
was
on
the
panel
and
we
had
the
movie
angst,
which
is
excellent.
You
can
get
that
online
about
45-minute
documentary.
We
also
had
Beth
Macy
come
last
year
and
really
talk
about
her
research
and
work
on
her.
J
She
wrote
a
book
on
called
dope
sick
about
the
opioid
crisis
which
she
had
been
following
since
really
it
began
in
the
Roanoke
area,
and
we
would
we're
very
interested
in
continuing
this
work
with
the
library
around
educating
and
creating
a
forum
for
this
open
dialogue.
So
if
you
have
ideas
or
topics
presenters
authors
related
to
substance,
use
disorders,
mental
health,
developmental
disabilities,
we
would
be
very
open
or
combination.
We'd
be
very
open
to
to
working
on
that
in
putting
together
a
program
that
would
be
meaningful
and
helpful
to
the
community.