Category Archives: Mental Hygiene

24/7 access to mental health crisis intervention for VeteranS

The following article is reprinted with permission from an e-newsletter published by Paul Stearns, Maine State Representative for District 119.

As part of the U.S. Department of Veterans Affairs’ (VA) efforts to provide the best mental health care access possible, VA is reminding Veterans that it offers all Veterans same-day access to emergency mental health care at any VA health care facility across the country.

“Providing same-day 24/7 access to mental health crisis intervention and support for Veterans, service members and their families is our top clinical priority,” said VA Secretary Robert Wilkie. “It’s important that all Veterans, their family and friends know that help is easily available.”

VA’s Office of Mental Health and Suicide Prevention is the national leader in making high-quality mental health care and suicide prevention resources available to Veterans through a full spectrum of outpatient, inpatient, and telemental health services.

Additionally, VA has developed the National Strategy for Preventing Veteran Suicide, which reflects the department’s vision for a coordinated effort to prevent suicide among all service members and Veterans. This strategy maintains VA’s focus on high-risk individuals in health care settings, while also adopting a broad public health approach to suicide prevention.

VA has supported numerous Veterans and has the capacity to assist more. In fiscal year (FY) 2018, 1.7 million Veterans received Veterans Health Administration (VHA) mental health services. These patients received more than 84,000 psychiatric hospital stays, about 41,700 residential stays and more than 21 million outpatient encounters.

Veterans in crisis – or those concerned about one – should call the Veterans Crisis Line at 800-273-8255 and press 1, send a text message to 838255 or chat online at VeteransCrisisLine.net.

Got Milk? Got bread?

On Friday, I assured the cashier at the grocery store I was there just to pick up a few things, not because of the storm forecast. Things were busy so we couldn’t have a long conversation but it would have been an interesting one.

Folks started worrying about the storm coming on Sunday nearly a week before it was predicted. I’d started receiving emails from students of adult courses starting a week after the storm. “What happens when it snows?” I was tempted to reply, “The ground turns white.”

Maybe age creates perspective or at least some relative “mellowness.” I tend not to worry too much about some things. I’m not bragging. Some might say I’m apathetic. But worrying about a forecasted snowstorm isn’t a priority for me. I like the idea that we each have a worry box that will only hold so much. So when something gets added something else gets taken out.

That’s meant to demonstrate that worrying is ultimately about choices and priorities. If I’m going to worry about this storm, I’ll need to stop worrying about something else… or at least move that something else down the priority list while I run to the store for bread and milk.

While considering this, it was strangely ironic that Seth Godin’s daily blog post included the observation, “Run out of chocolate, and that’s a shame. Run out of oxygen and you’re doomed.”


“Run out of chocolate, and that’s a shame. Run out of oxygen and you’re doomed.”

Seth Godin

Perspective—there are times when it needs to rise to a level of consciousness. As the storm started, one Facebook post that caught my eye was by a mom who had picked up her kids from an activity. She was announcing how bad the roads were. A friend commented, “Be careful but get home quickly before it gets worse.” She replied that she and the kids were headed home but needed to stop at the store first. I wondered why. Was it for bread and milk?

While it’s become a joke, people do try to make sure they don’t run out of bread and milk by “stocking up” when a storm is predicted.  

While it makes sense to plan and prevent, Abraham Lincoln is alleged to have observed that he’d crossed a lot of bridges in his life but he never crossed one before he came to it. I wonder, if he was alive today, would he rush to the store for bread and milk if a storm was forecast?

If we’re stuck in the house and can’t get to the store for a day or two how bad will life be if we run out of bread and milk? If we do, it will be a shame. But we won’t be doomed.

Worry can be positive because it protects us as long as we keep our worry in perspective. But we do well when we understand that worry is an emotion or feeling. Our feelings can affect how we think. But how we think also can affect how we feel.

There’s a third component to consider. The “doing” component. We are perfectly imperfect human beings so the thinking, feeling, doing stuff tends to overlap and can get complicated. One of my fundamental beliefs is that because we are human beings we have the magnificent ability to get the three components working together.

At school, when we want the kids to engage in what’s called “higher levels of thinking,” we’ll sometimes say, “Let’s put our thinking caps on.” The kids then join the teacher in placing an imaginary hat firmly on their heads, then pretending to buckle the chin strap. Unfortunately, we seem to stop using the technique after second or third grade.

When we start running it’s easy to forget to think. We might end up letting our emotions get the best of us. That will impact how we think and what we do. You’ve heard of people being paralyzed by fear. How far are the emotions of worry and fear separated?

So today is Sunday and the weather outside is frightful. Most of the churches have announced no services today. Emergency services folks are encouraging us to stay home. Even the local McDonald’s is closed—is that scary? I’ll bet it will be even more difficult than usual to order a pizza to be delivered.

But it might just be a good day to spend some time considering how you think, feel, and do about things. I hope you’ll discover the possibilities. There are a lot of things we can’t do because of this storm. But there are a lot of things we can do, too. We could worry about tomorrow, particularly if we’re low on bread and milk. Just remember, that’s a choice.

Sometimes Even Heroes Need Help

If you are interested in “being one in a million” (a mental health first aid responder) you can check for training opportunities on the NAMI Maine Website or let me know and I’ll try to help. Having been trained for both youth and adults I can tell you that I’ve never once regretted it.

The blog for the National Council for Behavioral Health is featuring stores about mental health among veterans during the month of November.  This is a great opportunity to “get the facts” and be prepared to help those who have done so much for us.

Maybe when we thank a veteran for his or her service we should also ask, “How are you doing?” Human connection is powerful and doesn’t need to be difficult.

 

Checklists Work… even on a luggage tag!

Catching up on my email reading this morning… and found this great idea resource shared by NAMI. The site is called “Understood” and it includes a number of resources for “attention and learning issues.” In the parent’s toolkit section, there are printable backpack checklists for different age kids that can be made into a luggage tag. What a great idea! There are also some sample “contracts” parents can make with their children regarding homework and cell phone use.

I did not fully research or “vet” the site but it does look like everything on the site is available for free and there seems to be a good depth of resources and information. I may not use the sample luggage tag but I really like the idea and may have to make some tags for my own cases. Whenever I leave to teach a course I always find myself wondering “What am I forgetting…?”

 

Is Summer Really Over?

Tumisu / Pixabay

Yes, it’s the somewhat official end of summer.  Many kids will tell you it actually ended last week when they returned to school. Others may suggest there’s a bite in the air suggesting fall is approaching and as an early riser, I notice the days are shorter.

But the original purpose of Labor Day was to honor the social and economic achievements of the American worker. At least one idea was that workers would have a day off to enjoy the end of summer.

It’s a fitting holiday and it’s unfortunate that the end of summer aspect has overwhelmed the labor aspect. In today’s column, Seth Godin describes what he calls “the new labor day.” As usual, he makes us think.

Today work is different. It gets harder to define and identify. I often say that I’m not always sure when I’m working and when I’m playing. My colleague Jack Falvey claims he is always working, he just isn’t sure when (and what) he’s going to be paid for it. We’re both fortunate that we’re doing things we enjoy. I remember many years ago when I started working for myself, Jack told me, “Your problem will not be knowing when and where to start. Your problem will be knowing when and where to stop.

Nearly forty years later I still find myself working on that problem and proving he was right.

A day off at the end of summer to celebrate and avoid burnout may not be enough. Seth uses the words “emotional labor” to describe a different kind of heavy lifting work requires. It is no less exhausting than “toting that barge” or “lifting those bales.” In fact, it might be more exhausting.  Overdoing it physically can result in the body breaking down. Overdoing it mentally and emotionally can result in the mind and heart breaking down.

While we celebrate the end of summer, let’s also celebrate the choices we have.  When it comes to laboring, knowing when to stop is important. Choosing to stop may be even more important.