Mental Health and Sexual and Domestic Violence

Mental Health and Sexual and Domestic ViolencePlease introduce yourself in the chat box while we are waiting to get started

• Where are you from?

• What is your job title?

If you are experiencing any technical difficulties, please contact Leslie Myers at [email protected].

IntroductionsAlison L. Iser, MA

Project Coordinator,Domestic Violence and Mental Health Collaboration Project

Emily Puma, LICSWProgram Coordinator,Adult Services

Polling Question # 1

What best describes your role?

CD-DV-MH Labels Video

Polling Question # 2

Whose perspective do you relate to the most?

What Do You See?

Sunday Afternoon on the Island of La Grande Jatte by Georges Seurat (close up and full painting)

Mental Health & DV/SAMentally Healthy Trauma

Abuser Induced Mental Illness

DV/ SA Resilience

Abuser Claims Survivor is MI

Brain Injury, Substance Use

Pre-Existing MH

ConcernsTrauma

Abuser Sabotages Recovery

Target b/c of MH

MH Concerns

Develop

Looks Mentally Ill

to Others

MH Worsens

Dr. Thomas Joiner’s Suicide Theory

Perceived Burdensomeness

Thwarted Belongingness

Those Who Are Capable of Suicide

Serious Attempt or Death by Suicide

Those Who Desire Suicide

What Can We Do?

1. Address Our Own Needs

2. Create Welcoming Environments

3. Have a Trauma-Informed Approach

4. Talk about Mental Health and Trauma

5. Plan for and Support Wellness

6. Consult

7. Collaborate

Address Our Own NeedsCompassion Satisfaction

Compassion Fatigue

Create Welcoming Environments

Comfort,Confidence,

Control

Way-finding

Noise

Visual Stimuli

Personal Space

Flexibility

Access

• Clear Signs• Sound

Machines• Pleasant,

Organized Space• Privacy• Move

furniture• ADA at

least!

Have a Trauma-Informed ApproachAsk• What happened to you?

• What do you need?

• How can I help you feel more comfortable?

Instead of…• What is wrong with you?

• Do you have any psychiatric diagnoses?

• Are you on any psychiatric meds?

Polling Question # 3

When would you prefer to disclose sensitive, stigmatized info about yourself?

Talk about Mental Health & Trauma

• Conversation, not Confession

• After accepting person into services

• Contextualize

• Quality Referrals

I want to share some information about the impact of trauma and talk with you about your experiences, so we can offer you support…

Plan for and Support Wellness

Wellness Plan Elements Examples

1. Signs that I am beginning to feel worse emotionally are…

• I sleep and eat less• I get angry easily

2. When I am not feeling emotionally well, I would like my supporters to….

• Call me to check in• Go for a walk with me• Remind me of my

strengths

3.

When I am not feeling emotionally well, I can do these things to help myself…

• Do grounding• Use my comfort box• Call a help line

Consult

• How to navigate community mental health system

• De-escalation techniques

• What to do in a crisis

• How to help someone seek services

Collaborate

Liaisons and Case Reviews Reciprocal Consultation

For More Info…

Alison L. IserProject Coordinator,Domestic Violence and Mental Health Collaboration [email protected]/reports/mental-healthdv-reports/

This project is supported by Grant No. 2010-FW-AX-K007 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this webinar are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.