It Matters

 

Advocacy matters. Voting matters.

In his Military Times article (Will major veterans suicide prevention legislation pass this year, or get stalled by political fights?), Leo Shane II noted the continuing importance of advocacy when it comes to moving suicide prevention legislation forward.

"The future of major legislation on veterans suicide prevention policy in Congress remains unsettled for now despite claims of a breakthrough this week from Senate leaders and pleas from veterans advocates to pass something on the issue as soon as possible."

Even policies that are widely supported are stalled. In example, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act, passed out of the Senate in early August and has received praise from administration officials and veterans advocates alike.

The American Counseling Association also understands the importance of advocacy. In one of their most recent newsletters, they noted some of their successes;

"Due in part to your advocacy efforts, today the House has passed several mental health bills that are endorsed by ACA:

• H.R. 5469, the “Pursuing Equity in Mental Health Act,” introduced by Rep. Bonnie Watson Coleman (D-NJ), and eight other Members of Congress. The bill would authorize federal funding to address mental health inequities among underserved populations, including communities of color. The bill includes provisions that would: create a grant program targeted at high-poverty communities for culturally and linguistically appropriate mental health services; support research into disparities in mental health; reauthorize the Minority Fellowship Program to support more students of color entering the mental health workforce; and study the impact of smartphones and social media on adolescents.
• H.R. 1109, the “Mental Health Services for Students Act,” introduced by Reps. Grace Napolitano (D-CA) and John Katko (R-NY). The bill authorizes grants to fund school-based mental health services. The program would support screening for social, emotional, mental, and behavioral issues, including suicide or substance use disorders; treatment and referral for these issues; development of evidence-based programs for students experiencing these issues; and other strategies for schools to support students and the communities that surround them. The goal of the program is to create partnerships between schools and community-based mental health professionals across the country.
• H.R. 5572, the “Family Support Services for Addiction Act of 2020,” introduced by Reps. David Trone (D-MD) and Daniel Meuser (R-PA). The bill authorizes the Secretary of HHS to award grants to support family community organizations that develop, expand, and enhance evidence-informed family support services for families and family members living with substance use disorders or addiction. The grants may be used to build connections between family support networks, with behavioral health and primary care providers, and foster care services, among others. The grant may also be used to reduce stigma around addiction and addiction treatment, family support outreach activities, and connect families to peer support programs.

It remains to be seen whether the Senate, which will now be in session next week due to the pending Supreme Court nomination, will consider these measures before the November 3rd election. ACA will keep you updated on any developments."

Paying attention to public policy bills and updates is critical. Katie King of the San Jose Spotlight explains the need in her article, Anna Eshoo and Mental Health Advocates Push Suicide Prevention Legislation:

"[Quoting Victor Ojakian, suicide loss survivor] When someone dies from suicide, Ojakian explained, countless others are affected by the loss. Family, friends, neighbors, classmates, co-workers and church members all share in the sorrow; the pain ripples throughout the community and remains for years to come.

That grief casts a wide net in the United States. Recent data from the National Center for Health Statistics shows that suicide has ranked as the 10th leading cause of death for all ages each year since 2008. But some lawmakers in Congress are now taking steps that they hope will save lives.

The Energy and Commerce Committee passed three bills on July 15 related to suicide prevention, including The Campaign to Prevent Suicide Act, which would launch a national media campaign to raise awareness; the Suicide Prevention Lifeline Improvement Act of 2019, which would enhance the National Suicide Prevention Lifeline; and the Suicide Prevention Act, which would establish two grant programs to help hospitals or health centers identify and support at-risk patients.

If signed into law, each bill would provide a notable amount of funding. The lawmakers allotted $10 million each year from fiscal years 2020 through 2024 for the media campaign, and the National Suicide Prevention Lifeline — a nationwide network of more than 160 centers that run crisis hotlines — would see its funding increased to $50 million"

When you vote this November (or before) remember that it is critical that we familiarize ourselves with our elected officials and their stance on mental health and suicide prevention. Learn about the suicide prevention legislation that they have proposed or endorsed. It's important. It matters.

Finally, a note from the American Association of Suicide Prevention in regard to one our suicide prevention legislative successes this past year:

 

On Saturday, October 17, after passing unanimously out of Congress, the National Suicide Hotline Designation Act (S.2661) was signed into law. This historic legislation will support the full implementation of the three-digit "9-8-8" dialing code for the National Suicide Prevention Lifeline through funding guidance, federal reporting, and specialized services for at-risk communities like LGBTQ-youth and Veterans. A well-resourced, easy-to-remember 988 crisis hotline will increase access to necessary resources and support in times of crisis that will save lives.

 

This is a major victory for the suicide prevention movement. Of the nearly 20,000 bills introduced in a Congressional session, less than 1,000 are ever passed by Congress and signed into law.

 

AFSP Field Advocates have supported this effort over the past 3 years by emailing, calling, and meeting with their Members of Congress and writing media outlets across the country. It is through these efforts that we have seen real change to bring our country's mental health system into the 21st century with the full passage of the National Suicide Hotline Designation Act. We thank all of our advocates that have shared their stories and advocated for this landmark legislation.

 

THANK YOU and CONGRATULATIONS! 

 

There is still much more work to be done as we continue to advocate for a world without suicide. But through our joint efforts and your ceaseless passion we will save lives and bring hope to people effected by suicide. You can see AFSP's official press release here.

 

Please note that the 9-8-8 crisis hotline will not be nationally available until July 2022. Callers should continue to access the National Suicide Prevention Lifeline through 1-800-273-8255 until 9-8-8 is fully operational.

As always, we thank you for your support and your advocacy!  

**For additional resources and to learn more about advocacy, please see our Advocacy Page, here.

Moving From Talk to Taking Action

Looking at what is going on in the world today, I believe that it is possible to transform our current horror and heartbreak into healing and action. It is my great hope that we are moving toward the right side of history - a history that will acknowledge on all fronts that black lives matter. I also understand that 'my great hope' is not good enough. 

This discussion has a place on this blog because social justice, racial inequity, and resources related to mental health treatment are intrinsically connected. All of these issues must be addressed when it comes to effective suicide prevention. 

So today, I am grateful that Gigi Crowder, L.E., Executive Director of  NAMI (National Alliance on Mental Illness) Contra Costa, has allowed Lighting Up The Sky to share her personal statement in regard to these matters.

Gigi Crowder's words: 

At the Moraga, California Black Lives Matter protest where I spoke on Thursday, many young people carried signs that read 'Silence is Equal to Violence!' I loved the energy of this group of young mostly white American youth. They are fearless and will lead the way to affecting change.  I hope many of you will join them. Those who are familiar with my work to improve outcomes for POC (people of color)  have reached out to me, sharing their concerns. They recognize the advocacy I do for my Black community and knew this would be a difficult time for me. It is extremely hard to see so much pain, and I recognize the devastating trauma that will follow. As a transitioning age adult, I know this time is like no other in history and we must maximize the momentum. To have so many people outside of my community finally hear the cries of the African American Community and join in the struggle, is breathtaking and nothing I ever thought I would see in my lifetime. I am cautiously optimistic, recognizing that out of chaos, as a woman of strong faith I can also see opportunity.

I know the remainder of this message will be difficult for some to digest. I learned a long time ago what people think of me is none of my business. Many of my colleagues have asked how they can assist in supporting African Americans in fighting for social justice for Black people. For those that are serious, I have some of my own suggestions. Rather than solely focus on what happened in Minneapolis or Georgia, please first look at what happens daily right in your own local county. Look at the horrific disparities African-Americans experience so often, being criminalized for living with mental illness (which is a medical condition). 

In Contra Costa County, all one needs to do is visit our criminal justice mental health units to witness a glaring example of the consequences of being black and living with mental illness. Many who live with severe mental illness receive their treatment in the most restricted environments without opportunities to recover.

Sadly, we lost a young man, Miles Hall, who lived with mental illness. On June 2, 2019, he died at the hands of Walnut Creek police officers. In my opinion he was murdered. His mom did everything a mom should do to get him assistance. Taun Hall attended our NAMI Family to Family course, she was trying to get him eligible for our Assisted Outpatient Treatment Program, she built a relationship with Walnut Creek police and their Mental Health Evaluation Team officer, yet the system failed her. You can learn more and join our fight for justice by visiting www.justiceformileshall.org.

For any well-meaning individual who desires to make a difference demonstrating that black lives matter, you must move from talk to taking action.

At NAMI Contra Costa, for several years we have received a small amount of  funding to do specific outreach to the Asian/Pacific Islander (API) and to the Latinx Communities. I was so excited and shared with many community members that this upcoming fiscal year we would (for the first time) receive $20,000 from the Mental Healthy Services Act to fund two part time outreach workers for the Black Community. I understand we must look beyond language barriers and also consider cultural barriers if we are to reduce health disparities. Yep, it was only $20,000, the same amount we receive to support the API and Latinx communities. Not a lot of money, but I can make it go a long way toward supporting families. Imagine my surprise a few weeks ago to learn we will not be receiving those minuscule funds. In the midst of this global health crisis - one that has highlighted the disparities in my African American community - it feels heartless that these funds are now not going to be coming. So yes, I am angry. We need these additional funds to hire outreach workers more than ever now! Black parents comprise the bulk of calls that we receive for families who have a loved one involved in the criminal justice system.

If you want to do something to support black families share your discontent about us not getting funding. Write a letter, make a call, do something but don’t remain silent. Question the decision! The need has been  demonstrated. I created and run the East County African American Family Support Group out of my home monthly. It started with 2-4 moms and dads, and has now swelled to over 10 attendees.

I have been in this field for over 35 years and it certainly feels like every time African Americans are ready to move forward someone puts a foot on our necks to impede our progress. Please ask yourself how you can help to dismantle the institutional racism that permeates health care systems throughout the nation. Ask yourself am I a part of the problem or do I have the courage to position myself to offer a viable solution?

Finally, when working with African Americans please 'see them,’ and honor their heritage by allowing them the opportunity to contribute to their wellness journey. Ty are the experts of themselves. Understand, the old mantra, 'I don’t see color,’ is not helpful. You need to see color to understand the additional barriers faced by BIPOC. When working with African Americans, please consider utilizing culturally responsive, community defined, strategies that have been proven to produce better outcomes. Feel free to consult with me if you need assistance with this. 

Finally if you are an ally, don’t give up your privilege, but use it for good. It is time for allies to become accomplice to achieve equitable services for all.

I promise to continue doing my part. Let’s stand together strong and make a difference demonstrating that in Contra Costa County, Black Lives and Black Minds Really do Matter!

Blessings, 

Gigi R. Crowder, L.E.

Executive Director 

NAMI Contra Costa 

Miles Hall

February 15, 1996 - June 2, 2019

People Are Still People First

As many know, I work in the field of addiction treatment. I work in a facility that provides services to those who are dual diagnosis. These clients are dealing with both mental illness and addiction issues. The challenges inherent in providing adequate and effective treatment are numerous. The urgency of providing effective care is multiplied when we consider that the risk of suicide increases for mentally ill persons who also struggle with substance abuse.

In my field, it is critical to address the stigma that impacts both mental illness and addiction. We also must share best practices for providing treatment for individuals who are suffering from these co-occurring disorders. It's not easy and we rely on experts to help lead the way.

David Susman, PhD is one such expert. His dedication to the field of mental health recovery is impressive, as is his experience. Perhaps though, the most impressive thing about David Susman, Ph.D, is his personal commitment to combating the stigma that plagues mental illness.


Dr. David Susman grew up in Southwestern Virginia and now lives in Lexington, Kentucky. He is married with one daughter. He is a dog lover and when talking about his family, he always mentions his Westie, Bella. When he finds himself with free time, he enjoys reading and travel photography.

Professionally, he is a clinical psychologist and has been working in the mental health care field for twenty five years. Currently, he is an Assistant Professor in the Department of Psychology at the University of Kentucky. He is also the director of the Jesse G. Harris, Jr. Psychological Services Center, which trains clinical psychology doctoral students in providing psychological testing and therapy.

Among his many other credentials, are the following:

• Member of the Association of Psychology Training Clinics
• Training Director at the University of Kentucky Internship Consortium
• Former President of the Kentucky Psychological Association
• and the Kentucky representative to the American Psychological Association's Council of Representatives

Dr. Susman also regularly gives back to the mental health community. He has contributed his expertise to the National Alliance on Mental Illness (NAMI), and has been active in mental health advocacy initiatives at the state and Federal levels.

Over the course of his career, Dr. Susman estimates that he has helped to provide care for over 50,000 people who are struggling with mental illness, in both inpatient and outpatient settings.

On the topic of mental health, he has a lot to say and he is worth listening to.



One of the first things that Dr. Susman discussed with me was the importance of combating the stigma that is so often associated with mental illness. He explained that mental illness is often invisible and some people are unable to get appropriate care because they don't want to discuss their stigmatized disease. Many people who are suffering don't reach out because they fear being discriminated against.

"We need to keep putting out accurate information about treatment options, supports, and coping strategies," says Dr. Susman.

The fear of being judged that discourages people from reaching out can have tragic consequences. The impact of stigma on individuals who are suffering from mental illness can not be understated. 

According to the National Alliance on Mental Illness (NAMI):

Stigma causes people to feel ashamed for something that is out of their control. Worst of all, stigma prevents people from seeking the help they need. For a group of people who already carry such a heavy burden, stigma is an unacceptable addition to their pain.

Dr. Susman wants the public to know that we can all help to ensure that those suffering from mental illness get the help they need.

"I believe it's important for us to speak up on their behalf and keep the topics of mental illness and mental health on the table. We need to keep stating that's it's ok to come forward and ask for help," he says. "We need to tell people that effective treatments are available, and that ultimately it is possible to reduce distress and have a better quality of life."

Ultimately though, Dr. Susman recognizes that in order to begin to successfully treat mental illness, we must start by acknowledging the human being behind the diagnosis.

"We have to continue to show that people are still people first, and not just their illness." 

Dr. Susman recognizes that everyone's path to recovery is unique. He encourages those who suffer with mental illness to be patient and remain determined. 

"Different treatments work well for some and not as well for others. So, it's important to be open to keep trying new approaches to therapy, different medications, and so on, to find the combination that works best for you," he says, noting that finding the right treatment can be a slow process.

"It's important to get lots of support from friends, family, and health care professionals along the way. Also, talk with people who are at various stages in their own recovery to hear about their experiences and get tips for things to try that may help you feel better."

While the mental health care field continues to work towards finding the most effective ways to diagnose and treat mental illness, Dr. Susman fully recognizes the urgency. Ultimately, some mental illnesses have the potential to be fatal. Research suggests that up to 90% of those who die by suicide have a diagnosable mental illness at the time of their death.

Dr, Susman also recognizes the pain that is left behind when someone dies this way.

"It is an unfathomable loss," he acknowledges. 

He has many suggestions for moving through the grief, including taking as much time as needed and reaching out for help. He also suggest that channeling one's grief into positive action can be helpful.

"Supporting groups and activities aimed at suicide prevention or perhaps starting a scholarship fund or foundation in the name of the loved one who died, can help." 

He also points out that feelings of guilt can make things worse.

"Each of us has to deal with grief and loss in our own way and in our own time. It's important to not fixate on what could have been done differently or to imagine that the suicide should have been predicted in some way."   

Dr. Susman's most important message though, is aimed toward those who are still alive, but struggle with thoughts of suicide. He urges them to take their feelings seriously and to get help immediately, emphasizing the importance of finding a good therapist. He also believes that a person should be open to considering medication if it is recommended by a professional. Healthy nutrition, physical activity, rest, and sleep are all important. Enjoyable activities such as humor, and interacting with friends and family are important too.

"Learn coping skills to tolerate distress and to manage difficult emotions and situations," Dr. Susman says. "Develop a safety plan and use it, including calling for help immediately if you are in crisis."

To provide hope, Dr. Susman wants those struggling to remember that suicidal thoughts may come and go, but with patience and work, they can eventually go away entirely or at least reach a more manageable level. 

"Above all else, don't give up trying and don't lose hope. You can find a way forward, sometimes when you least expect it," he says. 

"Finally, it's been said many times, but you are not alone. Help is available, but you must reach out when you need it."

For the past three years, Dr. Susman has had a public blog.

"My goal is to provide proven, science-based information and resources to offer support, hope, inspiration and encouragement to persons in recovery and to those who care about them," he says.

On his blog you can find 'Stories of Hope', a series that features individuals who bravely talk about their personal life experiences with mental health issues. Dr. Susman also shares research, data, and both expert and personal opinions regarding mental health. He discusses current events, hot-topic stories, and other timely issues.

Last November, Dr. Susman posted about the importance of gratitude in a person's life. In his post, he offered the following:

"I think the tremendous power of gratitude is under appreciated and underused. We could all benefit from expressing our thanks on a more consistent basis." 

On that note, speaking on behalf of others working in the field of mental health, as well as someone whose life has been touched by mental health issues in many different ways, I thank Dr. David Susman for all he is doing to pave the way for a healthier more joyful life for us all.

You can find Dr. Susman's blog, here:

David Susman, PhD - Resources and Inspiration for Better Mental Health

You can follow Dr. Susman on Twitter here:

@DavidSusman

Dr. Susman has a Facebook page, here:

David Susman PhD