Seasons of Change: Mental Health Past, Present,

and Future  Paolo del Vecchio, M.S.W., Director

SAMHSA’s Center for Mental Health Services

On Our Own of MarylandColumbia, MD • November 5, 2013

Autumn Is Upon Us

50 Years Ago…A New Frontier

“…reliance on the cold mercy of custodial isolation will be supplanted by the open warmth of community…” – President John F. Kennedy in a special message to Congress about the state of mental health, February 5, 1963

A New Era in Behavioral Health

This Is My Story

This Is My Story

Milestones

Americans with Disabilities Act

The Americans with Disabilities Act (ADA) protects Americans with mental and physical disabilities against discrimination. The act is a landmark piece of legislation signed into law in July 1990.

Milestone

Olmstead

On June 22, 1999, the Supreme Court decided the case Olmstead v. L.C. Tommy Olmstead was the director of the Georgia Department of Human Resources. L.C., a woman with schizophrenia, believed it was the state’s responsibility to transition her from a publicly-run psychiatric hospital into the community. Tommy Olmstead said that the state didn’t have money for these services. In a landmark decision, the Supreme Court ruled that the state must pay.

Mental Health: A Report of the Surgeon General

This report covers:• Mental Health Mental Disorders • Mental Health Services • Confidentiality Legislation as • Topic Attention Deficit Disorder

with Hyperactivity Mental • Disorders Diagnosed in

Childhood Anxiety Disorders • Mood Disorders Schizophrenia • Depressive Disorder • Alzheimer Disease

The President's New Freedom Commission on Mental Health

This report describes a strategy for mental health care transformation that ensures services and supports that actively facilitate recovery and build resilience. Identifies six goals of transformation and showcases model programs to illustrate goals in practice.

Recovery & Resilience

“When we learn how to become resilient, we learn how to embrace the beautifully broad spectrum of the human experience.” ― Jaeda DeWalt

Defining Recovery

A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

– SAMHSA, 2011

Eliminating Seclusion & Restraint

“It is the very use of coercion, positive or negative, that breaks or deadens the spirit, which is the source of motivation.”

― Kelly Bryson, Don't Be Nice, Be Real: Balancing Passion for Self with Compassion for Others

Milestone

Working Definition of Trauma

Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual's functioning and physical, social, emotional, or spiritual well-being.

SAMHSA, 2013

Dimensions of Wellness

– Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4) 311- 314.

Health Disparities

Health Disparities

A Life with Purpose

Feed Your Spirit

Affordable Care Act

Milestone

Peer Support in Health Care

Where Are Peer Supports Delivered ?• Recovery community centers• Faith and community-based organizations• Recovery homes and sober housing• Emergency departments• Addiction and mental health service

agencies• Jails and prisons• Probation and parole programs• Drug courts• HIV/AIDs and other health and social

service centers• Children, youth, and family service

agencies

– Centre of Excellence in Peer Support

Mental Health Is a National Priority

www.mentalhealth.gov

Changing the Conversation

Myths about Mental Health

Let’s Talk About It

www.mentalhealth.gov

Harvesting Hope

“Hope is the seed for recovery. It may begin in isolation, but grows and flourishes in community. We must plant and protect the seeds to reap the harvest.” – Paolo del Vecchio

Closing Thoughts

“Love the trees until their leaves fall off, then encourage them to try again next year.” ― Chad Sugg

For More Information

SAMHSA1 Choke Cherry Rd.• Rockville, MD • 20857Phone: 1-877-SAMHSA-7 (1-877-726-4727)TTY: 1-800-487-4889Fax: 240-221-4292http://www.samhsa.gov

CMHSPhone: 240-276-1310 Fax: 240-276-1320