Moderator: Jane Tobler
August 9, 2012
2:00 pm CT

Coordinator: Welcome and thank you for standing by. At this time all participants are in a listen-only mode until the question and answer session of today's call.

Today's conference is being recorded. If you have any objections you may disconnect at this time.

I would like to turn the call over to Jane Tobler. Thank you. You may begin.

Jane Tobler: Hi, and welcome to the National Wellness Week 2012 Town Hall teleconference kick off. We are very excited to have you join us.

And all of you are going to be in a listen-only mode until we're to our question and answer session at the end. But I do promise you there will be time for that so please hang on with us.

We are recording the teleconference so if there's any reason you don't want to be recorded please go ahead and hang up now.

And just to let you know the PowerPoint presentation, a PDF version and the audio recording of the teleconference as well as a written transcript will be posted to the SAMHSA Wellness Initiative site at www.samhsa.gov/wellness.

So today our presentation is going to take place for the first hour and then again at the end we'll have about 30 minutes for questions and answers.

And we will get to that at the end. We'll ask you to press "Star 1" on your phone to ask a question and you'll enter a queue. And then you'll be invited to share your question in the order upon which it's received.

There are usually a lot of questions so we don't always get to all of them but you could always email us afterwards or you can contact the presenters whose information is at the end of the PowerPoint if you want more information.

So I'm very excited to have you with us and I'm also wanting to let you know that this conference is sponsored by the Substance Abuse and Mental Health Services Administration Wellness Initiative, or SAMHSA.

SAMHSA is the lead Federal agency on mental health and substance use and is located in the U.S. Department of Health and Human Services.

Please join the Wellness Initiative e- update list to learn more about social inclusion, including upcoming webinars, new resources, and other events.

Just to let you know the views expressed in this teleconference event do not necessarily represent the views, policies, and positions of the Center for Mental Health Services, the Substance Abuse and Mental Health Services Administration, the U.S. Food and Drug Administration, or the U.S. Department of Health and Human Services.

Today we are joined by six individuals with extensive experience and knowledge about SAMHSA's Wellness Initiative who will share their personal experience of wellness and excitement for Wellness Week.

During this Webinar you will learn about how they've all incorporated the Eight Dimensions of Wellness into their recovery.

Each well-known peer, persons in recovery and peer leaders will also describe ways to celebrate and promote the second annual National Wellness Week.

Our first presenter is Wilma Townsend. Wilma is a Public Health Analyst at the Center for Mental Health Services in the Consumer Affairs Office of SAMHSA.

She is also a nationally recognized consumer leader in the recovery movement. She works on issues of cultural competence helping many organizations make changes to minimize disparities and access to care, and enhance the quality of care that people of color receive.

Wilma is going to share with us how National Wellness Week can change the health of a community. Thank you for joining us, Wilma.

Wilma Townsend: Thank you, Jane. As the individual here at SAMHSA who's responsible as a project officer for National Wellness, one of the things that we decided that we needed to do was to look at some of the research that pertains to individuals with behavioral health, mental health, and substance use disorders.

And first I want to thank everybody who have the same passion that I have for being on this phone today to hear more about what we're doing at the national level, what people are doing within their communities, and what individuals are doing towards their wellness.

Now the research shows us that people with mental health and substance use disorders die decades earlier than the general population.

And so we decided that we wanted to focus our attention around wellness so that we could reduce the disparity and the mortality of individuals with these diseases.

The - it's extremely important that people understand when you really think about people dying decades earlier, we're talking about individuals dying in their early 50s and some in their 40s, than the general population.

And in this day and age that's uncalled for and it's something that we can help and we can do something about. Next slide.

SAMHSA's Wellness Initiative, we envision a future in which people with mental health and substance use disorders pursue an optimal health, happiness, recovery, and a full and satisfying life within their community.

And we hope to be something that they are able to be able to have some effective services and supports - and resources out in the community to be able to help them so the individuals don't have to die earlier.

So we would like for people to take the Pledge towards wellness. So we promote wellness and taking that pledge, you'll see at the end how you are able to do that, and in taking that pledge that you'll be able to do some actions that you don't just take it and sign it and not do anything about it.

Next slide please. As part of the Wellness Initiative, we came up with the Eight Dimensions of Wellness. So we're looking at the whole person and not just a piece of the person.

So, on this slide you'll see those eight dimensions—emotional, financial social, spiritual, occupational, physical, intellectual and environmental. Each one of those has a major piece in a person's life.

Now different people have turned these into different other names which we love because it means their community's really buying into this, as well as we've had a number of people who said to us that they would like to add a couple other dimensions on that.

And that's the beauty of this. We want people to do what they need to do as a community, as an organization as an individual that will help them in their wellness.

So if they want to add, if they want to remain, we thank you for doing that.

Next slide. One of the things that we do each year that we started last year is to have a National Wellness Week. And the things for this week is Living Wellness.

And that week is September 17th through the 23rd of this year as part of Recovery Month which is the month that and recovery that persons with substance use disorder have been doing for a number of years.

And because this affects both, not just individuals with mental health but individual with substance use disorders, we really wanted this week to be a part of Recovery Month so that we all can embrace it.

Next slide. So this slide here shows some of the pictures of things that people did last year for National Wellness Week.

People had health fairs. Some people came out with their own little poster. We did—on that Friday for the social dimension, we decided we wanted to do something fun.

So we set that up that would be the day that we would do line dance across the country.

And so a number of places did line dancing. You'll see a picture there with NAPS, they did a line dance at their conference last year.

So a number—I mean there was thousands of people that got involved with the line dance. And we want to continue that event again this year.

But we want people to do something during that week and rather than just not even recognizing the week at all.

Next slide. So for National Wellness Week, each one of those days we have devoted to one of those dimensions.

On Monday is where we do the overview of the eight dimensions so that people can educate folks about the Eight Dimensions of Wellness and what the overall goal of what Wellness Week is about.

Tuesday is the physical dimension. So a lot of people do things around exercise, going to the doctor, a number of things around the physical dimension.

Wednesday is intellectual dimension. And this year, what we're doing around intellectual dimension we decided we wanted to do something around artistic expression for wellness because we realize that a number of individuals use artistic expression as part of their healing process.

So we've asked people to show off art this year, show off what you're doing with your art and not just art as far as painting and stuff but poetry, acting, whatever.

Thursday is the spirituality dimension and Friday the social and emotional dimension. Again, we say to people let's continue doing the line dance because it's a social thing but it also gets people up and moving.

Saturday's the financial and occupational dimension and Sunday the environmental dimension.

Next slide, please.

This year what we're doing different is that we are bringing on an honorary chairperson. And our honorary chairperson is Ms. Stanice Anderson. She's a poet, an author, a speaker, a recovery expert, and a Huffington Post blogger.

Stanice shares her inspirational story including overcoming addiction, 27 years, overcoming low self-esteem, abusive relationship as well as her journey forward with faith and confidence to realize her dreams.

She will be releasing a new poem for us this year on wellness. And I really, really thank you for doing this, Stanice, as part of her artistic expression for wellness.

And this poem we'll be posting it up on September 19 where people will be able to download it and get copies of it. At this point Stanice, if you could, say a few words?

(Stanice Anderson): Yes. Hello. Thank you so much for this opportunity. I'm Stanice Anderson and I'm just so thrilled and honored to have been chosen, you know, by the Substance Abuse and Mental Health Services Administration to spread their message, which is my message, of hope in these eight identified dimensions of wellness.

And especially as it pertains to the vital role of the arts and how that plays such a big role in my life and in countless others that I'm surrounded around including my sponsor before me.

And it can help us live longer lives, better, you know, better equipped to handle the stresses of life without, you know, drugs and alcohol, and healthy lives.

And so this is - this really means a lot to me. And I found it to be very therapeutic. You know, I've written books and plays. I do a one-woman show.

And I'm especially about getting people to get in touch with their stories and sharing their stories with one another. I'm a big proponent of that. So I'm hoping that that will be one of the things that you guys will think about doing.

You know, I do this workshop like how to write your life story, you know, so you won't feel alone in and it helped me get in touch with what I wanted to do. It resurrected my dreams.

And I just started writing like, you know, the - in the 12-step program, in their newsletter and then it went from there to their magazines and then I got confidence and I sent it out into the world.

And then I got national magazines. And now I'm writing for the Huffington Post on the international level, you know, and teaching other people how to do the same thing.

So I think this is very critical because a lot of times we get clean and we say, "Well what now?" You know, and people need a vision.

And I found that people get this vision a lot of times in writing their own story, getting in touch with what they like to do and, you know, trying different things, you know, to find out what is their passion and their purpose.

And once you have that then you have that longevity and recovery because you know your own purpose.

You know, you're living your life on purpose. And I just think that's so critical. So I thank you immensely for giving me the opportunity to share the hope because I know hope is contagious and your organization is spreading it and I'm blessed to be a part of it. Thank you and I'll turn it back to Wilma.

Wilma Townsend: Thanks so much Stanice. You're very inspirational. So all of you probably will be hearing more and see more writings and things from Stanice.

Next slide. Again as part of National Wellness Week because we just saying it's an artistic expression for wellness and so we've designated that Wednesday, September the 19th for that.

In celebration of National Wellness Week in 2012 we started what's called the Wellness Works Initiative, which seeks people's creative submissions which help raise public awareness about the power of artistic expression as a means of building wellness-based communities.

Selected pieces will be posted online. So for more information, there's a website there where you can contact them as well as you will be able to submit whether in writing, whether it's paintings or drawings—any of that.

So and then the other person, Gail Bluebird, has championed the arts for decades and was honored by SAMHSA's Voice Award as a peer leader back in 2010.

And you can also go to that website where they've also set up and developed some things. So we're really hoping that people will really get into this.

Next slide. Last year what we did was we had a map that was set up and in all communities who was taking part around National Wellness Week, we were able to post on there what they were doing. So we want you to do the same thing again this year. So we are asking folks to go to the samhsa.gov Wellness Web site and be able to post some of your stuff or send it through our email so that you will be able to send us stuff so your stuff can be posted with us as well.

Next slide please.

So for additional tools and resources go to the SAMHSA Web site and the very last slide that I have is names of different websites where you can go to, to learn even more information about Wellness Week and our Wellness Initiative.

With that I'll turn it back over to Jane.

Jane Tobler: Thank you Wilma. That was a great way to begin the conference call. And Stanice, I am motivated. I love it. It was great to hear your passion.

So I totally appreciate you being on board. And I think in honor of that all the rest of the speakers should present in haiku.

So I'm very excited. It was a great overview of National Wellness Week. And it's - it also Wilma, you really helped shape and help us understand how important wellness and recovery is to so many people across this nation. So thank you so much.

Our next speaker is Cathy Cave. Cathy is a founding partner of Unlimited Mindfulness Consulting and Senior Project Associate for Advocates for Human Potential.

She is also a member of SAMHSA's Wellness Initiative Steering Committee and co-chair of its Culture and Inclusion Subcommittee.

She brings a perspective shaped by survivor, family, parent, and also program administration experience.

Cathy will share with us how culture and trauma impact wellness and the significance it has for individuals. Thank you for joining us, Cathy.

Cathy Cave: Thank you for having me. I also wanted to thank everybody for joining the call. The intersection of trauma and the focus on cultural competence is so important when we talk about wellness so that we truly understand what people are experiencing.

Next slide please. As co-chair of the Culture and Inclusion Subcommittee I wanted to take a moment just to share with you what we're working on and what conversations we're bringing to the table.

And we really want to make sure that whatever happens under the Wellness Initiative really does become tailored to the communities, and that individuals from communities help to shape the messages and all of the tools and all of the outreach strategies and resources.

So, just to encourage everyone if you're planning to engage in some activities around wellness, to be sure to ask people from the community to be a part of those conversations. It just makes it more rich.

And I was 'so happy to hear Stanice talk about that hope is contagious and it truly is. And sometimes people just need an invitation to get engaged. So we really work on trying to make some of those conversations possible.

Next slide please. But we know culture counts in terms of how people express their pain, how they share those experiences.

And most often people aren't asked, what do you think would be helpful? So it's really taking the time to engage people in developing those strategies rather than just, kind of being in a - community and saying this is what we're doing, really engaging people in conversation about what they view as helpful, what strategies might they use for recovery and healing, and then what supports might they need and what supports might already be available for them.

So it's truly understanding, what's already in place and who else can be engaged.

Next slide please. So we know trauma impacts wellness. And I always think about these conversations about culture and engagement and inclusion and trauma as really part of the same conversation.

So if we really think about wellness we need to understand that trauma's part of so many people's stories and so many people's experiences whether we talk about the cultural experiences of whole portions of our communities or if we're talking about an individual experience that so many, many, many people have as part of their life story.

So to think about those histories and how it impacts all of that each of the Eight Dimensions of Wellness, so to be aware of that that when we start to talk about for example our spiritual connections or start to talk about environmentally what do we want to do to focus on wellness and certainly the social and all the other pieces, that we understand trauma is part of the story.

And if we educate people about what trauma is and the impact that it has then people can wrap their heads around that.

I had an experience as part of a Office of Women's Health Initiative. I live in Albany, New York and with another colleague, we worked with a women's center to just begin a conversation.

We had planned on two meetings to see if people were interested in learning about trauma and how it impacts their lives.

Well, two meetings became an ongoing group that met every week for months. And people were so excited by the conversation and really learned a lot and then brought their aunts and their sisters and their cousins.

I mean it was just really this amazing opportunity to see that once you just open the conversation how people wrap their hearts around it and really decide, I want to learn more about this and then I want to do something about the impact it has on my life.

And that came from the community and was carried on by the community long after we were out of the picture.

Next slide please. So we started to recognize trauma. And again these are some of the other initiatives that are happening across the country.

The National Center on Trauma-Informed Care has a focus on trauma-informed peer support. So we know peer support is meaningful.

And the National Center on Trauma-Informed care provided an opportunity for a group of us to work together on developing a guide for engaging women in trauma-informed peer support.

And in the end of the slides in the Resource Section there's a link to the guide itself. There is - we know there's a National Center on Domestic Violence Trauma and Mental Health.

And Carole Warshaw is the head of that organization and she is really working to be clear that the - all of the communities that are involved in behavioral health really need to understand domestic violence and what is it that we can do about that.

Of course there's the SAMHSA Wellness Initiative, the Office for Women's Health, and there's now a Federal partnership on women and trauma that has got - become very active in the last couple of years at making sure that every part of the Federal government is really looking at, what does trauma have to do with the - with what's happening whether that's labor, whether that's transportation, whether it's the women's departments. It's what all is happening across the country. Veterans Affairs has gotten very active in understanding trauma.

So we all do recognize that this is a part of the story and really a part of eliminating disparities.

Next slide please. Again the power of peer support I can't say enough about. We know that peer support helps people.

It helps people overcome all of the experiences with shame and blame that have happened as a result of trauma, as a result of being labeled either by the mental health or the substance abuse system, whether it has to do with really addressing the power imbalances and really understanding that growth is possible, change is possible and one person doesn't need to be more recovered than another for peer support to happen.

And really understand in the sense of mutuality and it - in that, it really does help offset the impact of all of the power imbalances that many trauma survivors have experienced.

As a survivor myself, I can speak to, firsthand, just the repetitive experiences that help people feel and contribute to people feeling devalued.

And peer support levels the playing field. It really does kind of shape an agenda where people have a voice, people are active in their own recovery,

and as part of a wellness initiative at any level in any community, can bring great change to lasting relationships within that community well beyond Wellness Week because the relationships are driven by choice.

So it's really an opportunity to think about what will we do and how will we do it?

Next slide please. So community involvement really does mean taking peer support to scale. So it's looking at, again, how do we make sure that it's the community that's deciding and determining what will be helpful.

They need information so they can make informed decisions. And there's this whole notion of reciprocity that it has to happen, we all give something and we all can get something out of it.

We have to form meaningful collaborations. And sometimes as providers we don't always know who's already hitting the ground running.

So when we - whoever takes this first step in this wellness approach really should take a look around at who else is here and how do we engage the broader community?

So whether that's businesses or health providers, spiritual providers, really providing an opportunity for all facets of the community to engage in the conversation.

Next slide please. So for that to happen, information has to include trauma-informed services and supports, some basics around trauma, looking for local experts.

So it's not someone from the outside coming in and saying, "This is what your community needs to do." It's people who are within the community saying, "This is what we could do to make it better."

And the information needs to be easy to understand, easy to share, available in many, many formats, and if you engage the community in the conversation, they can help adapt the material so it fits the community better. So it's, again, providing an opportunity for folks to say, "This is what works for us."

Next slide please. And here are some resources. And again you'll have my contact information.

If there's anything that we can do to be helpful either from the National Center on Trauma-Informed Care and or any of the other sources, please just let us know. And thank you very much for the opportunity to participate in this call.

Jane Tobler: Cathy thank you so much especially for sharing the importance of peer support and shedding light on how community involvement can help healing in the recovery process of wellness. So thank you.

Our next presenter on today's Town Hall is Nancy Gottlieb. She serves as Workforce Employment and Training Manager at the County of Santa Barbara and is responsible for designing and implementing training for consumer and family peer providers.

Nancy is a Project Director for a SAMHSA-funded program, Sober Women, Healthy Families, or SWHS, which is a perinatal residential treatment facility.

They serve pregnant women and parenting women with a trauma-informed service that provides services for persons with co-occurring disorders.

Today Nancy will share with us how Santa Barbara celebrates wellness and recovery in their city. And we welcome you Nancy and thank you for being with us here today.

Nancy Gottlieb: Thank you very much for having me. It's Santa Barbara County. I just want to say we do have a Santa Barbara city but this is a county presentation, a full county multiagency.

And we celebrate recovery countywide and involve many aspects of the community.

Next slide. So as we all know it's Recovery Month is in September and Wellness Week is in that month. And as I said we've really involved the community and the family.

And I really believe that it requires a village, it takes a village and grassroots going up.

So we have a lot of partners who participate and that includes sheriffs, probation, the therapeutic court, recovery community, providers, people in recovery, and then of course our county as well.

Next slide please. So as a prior speaker mentioned, trauma healing is a huge part of recovery and wellness.

And so we have spent some time trying to raise community consciousness about trauma and create a trauma-informed system of care.

So we've provided number of trainings to deepen the level of consciousness. These could be treatment trainings that are all best practice research-based. And it's based on something like cognitive behavioral therapy like matrix, motivational interviewing, which is a way to talk to people in a non-confrontational way. We actually trained all of our probation department on that.

And one of our biggest and most successful trainings was on seeking safety. And it's a trauma-informed treatment system that's manualized and it can also be done by peers as well as clinicians.

And it's four - it's core concepts have to do with staying safe. And when you're talking about trauma-informed care it really is about developing a system in which people feel safe in all aspects of their care, both physically and emotionally.

Next slide. So in our training, we were able to train all aspects pretty much of our community and you can see from this list it's pretty extensive -- probation, Sheriff, public defender's office, the community colleges the university, the University of California here. So we're able to involve the patrols in the school—sober living homes, hospitals, clinics, you can see the list.

And we were able to engage all of these individuals because, well one, I think people are personally curious. A lot of people have trauma in their life. Pretty much you can estimate about 50 percent of individuals in the community have been affected in some way or another by trauma. And so that's one reason.

The other is we have a very active Superior Court Judge, Judge Rogelio Flores. And he's very inspirational to law enforcement probation and motivating them to participate.

Another is the reduction in funding. And when you start getting these people to sit down and talk about the services they provide to the same population, you realize that they don't really want to spend the same dollar twice, that perhaps, you know, they can share services and resources and leverage funding in a way that serves more.

So seeking safety informs stakeholders about the significance of trauma and how trauma affects individuals.

And so our trauma support system allows these people to collaborate and communicate with each other and be mindful of how individuals are affected.

The outcomes of this training is most significantly is stigma-busting in that people realize that individuals affected by trauma act in ways that are normal for how they've been affected, and that they aren't necessarily bad, and that if you have a substance use disorder it can be significantly related to self-medicating and that these individuals are not their diagnoses, that they are individuals who have been affected by traumatic events.

Next slide please. So Recovery Month: we start this off with a proclamation from our board of supervisors. And it's a large event.

All of the community-based organizations come in, several representation from public agencies, social welfare and child welfare, and the press. And so it's sort of a good way to inform the whole community that we're off and running.

Next slide please. Then we have a number of Recovery Month activities. We have a full calendar that's published on our website and it' also keeps being added to as we go along.

One of the most significant ones is our community-based provider, Good Samaritan Shelter. And they host a community event carnival.

And the thing that's fun about this carnival is that it has a number of booths with activities and the fire department is there with their fire engine. And but then probation will set up a booth for kids to play a game.

And child welfare will be there with kids to play games and they win prizes. So you have these individuals who are normally in an adversarial relationship with individuals who are now in a community fun relationship.

And they're there with their parents who are in recovery. And we have very good attendance, over 1,000 people. And it's a healing activity in and of itself.

We also receive a great deal of support from the courts, as I mentioned before. And Judge Flores runs—does this recovery walk, starts at the courthouse and he actually ends at the carnival, and people sort of join along the way and he'll have like sometimes 200-300 people walking down the street with him.

It's very significant also for individuals to see someone who's usually in a robe who's out there actually supporting recovery and encouraging them.

Next slide. So these are our partners in Recovery Month to participate. And it's also quite a very diverse group, Good Samaritan Service as I mentioned, Salvation Army.

Next slide. We also have these Recovery Month barbecues both in North and South County. And they're supported by the Sheriff's treatment program and alumni who come in and support and provide role modeling for having been successful in recovery and inviting people to enter into recovery.

Next slide. So as a prior speaker mentioned, and I would reiterate that evolving consciousness and raising consciousness about trauma is in fact a healing action and creates wellness.

Informed communities can make choices that are supportive of their population. So I support education, education, education.

And that wherever you are in your work in whatever agency or organization you're involved with, invite your partners. Invite anyone who touches the individual you're working with. And don't assume that it's going to be adversarial. Because when you start getting people to the table you start realizing you have common interests and that you can leverage a lot of what you do in these hard times.

So I want to thank you, and thank you for having me be part of this conference.

Jane Tobler: Nancy, thank you so much. And there are some resources up there in front of everyone that were included with Santa Barbara County's Mental Health Department as well as the California Department of Alcohol and Drug Programs Resource Center.

Also, thank you for sharing us the - sharing with us the wonderful things that Santa Barbara County is doing for Recovery Month and for Wellness Week.

And just to remind everybody National Wellness Week is part of Recovery Month, and we are grateful to be part of this very important month, and this month has been going on for decades so just to make sure everybody is aware of it. It's a very wonderful partnership.

Our next speaker is Cardum Harmon. Cardum serves as the campaign manager for Alameda County's 10x10 campaign, a wellness movement that takes a holistic approach to increasing longevity for persons of mental and substance use disorders by 10 years in 10 years.

Cardum will tell us about Alameda County's 10x10 campaign and how they are incorporating National Wellness Week in California. Welcome, Cardum.

Cardum Harmon: Thank you. It's such an honor to be here to share Alameda County's 10x10 Wellness campaign with you all.

I'm going to give a little background to our campaign and share some of our activities and goals.

So, first, our mission really is to support consumers and to make them aware of opportunities that support their health.

And our campaign slogan reflects that desire: Live well, Live long, Love life! So we want to come from an affirmative perspective.

Living well really means having choice, accessibility and that the mental health programs are supportive and offering holistic health services to celebrate life, provide choices, and ultimately increases life expectancy.

So we begin by acknowledging the challenge ahead and how to eliminate this health disparity.

It is said that in the United States that 3 million people with serious mental health challenges die 25 years younger than the general population due to chronic health conditions. And they're listed here.

These conditions are actually treatable. They're treatable medical conditions and are often caused by modifiable health risks.

So, we look at the risk factors and some of these factors speak to the external environment like stigma, discrimination, poverty, while others address what goes on in the body like alcohol consumption, smoking, medication.

Thanks to the support of Jay Mahler from Alameda County Behavioral Healthcare Services, the Consumer Relations Manager, and his attendance at SAMHSA's Wellness Summit, Alameda County became one of the first counties to take the National Wellness Pledge.

Next we decided to officially launch the Alameda County 10x10 Wellness Campaign at the board of supervisors' meeting. And this happened on the auspicious date of 10-10 of 2011.

This event was attended by Alameda behavioral health care staff, community-based organizations and members of the pool of consumer champions. Then, in support in our campaign, the Board of Supervisors acknowledged it by declaring December 2011 as the beginning of Alameda County's 10x10 Wellness Campaign.

And immediately following the proclamation, we inducted our new Steering Committee members. And we welcomed them with a - gave them a letter of welcome and allowed a chance for them to express what being involved in a 10x10 campaign means to them.

We heard enthusiastic support from providers, consumers, behavioral health care staff. And then shortly thereafter we formed our three subcommittees to answer some pressing questions like in what ways can we support Alameda County mental health providers in addressing mental health wellness from a holistic perspective based on these Eight Dimensions of Wellness, and how can the connection between primary care and mental healthcare be strengthened.

And last but not least, which approaches to wellness are most effective in helping extend life expectancy in individuals suffering from serious mental health challenges.

So we began by exploring what we feel makes us well and used the Eight Dimensions of Wellness as a guide.

The more we explored, the stronger the desire became to make the dimensions even more personal.

So our Mental Health Awareness Subcommittee, composed of consumers, providers and family members, came up with these new titles.

So, Soul represents the spiritual, Purpose represents occupational, Connection references social, Having Enough is the financial, My World is environment, Mind is intellectual, Body, physical, and of course Emotions is the emotional dimension.

And as part of our awareness campaign the Health and Human Resource Education Center decided to go to the community of Alameda County and ask, what makes you feel well and what's your message for a long life?

We received over 300 entries from persons ranging from five years of age to 85 years of age, and presented our first 10x10 Consumer Choice Award to Darren Linzie and his art is here on the slide.

And the statements, the artist statements that accompanied his work really encompass the feel and the message of the campaign, and basically his overall message was mental health has to include the whole person.

Next we decided to spread the message of the 10x10 campaign through a workshop we offered at the WRAP for Health conference.

This was sponsored by our 10x10 partner, PEERS—Peers Envisioning and Engaging in Recovery Services.

The Wellness Warriors Subcommittee shared with attendees the importance of holistic wellness from the consumer, family member, and provider perspective.

We also introduce the participants to mindful movement by yoga instructor Dr. Marcus Penn.

Then on May 18th, we invited the community to come out and participate in our first WALK/MOVE for Health.

And this provided consumers, providers, and their families with education, free farmers market, chair yoga, Zumba®, Tai Chi, line dancing, and other activities that support wellness, and even included a rock wall.

And really our goal was to increase welcoming, to create a welcoming environment and really provide access to resources that aren't always readily available.

And we felt that introducing fresh fruits and vegetables would also help engender a desire for healthy eating. The event was also powerful because it was showing the different ways that wellness activities can be implemented, on a large or a small scale.

So it shows service teams and wellness centers that they can bring their clients out for a mindful walk in the park or for a spontaneous line dance. It doesn't have to be a great event. It can be many small events that add to the greatness.

So for National Wellness Week we're going to be visiting the service teams in wellness centers to give out the Eight Dimensions of Wellness poster along with fresh fruits and vegetables.

And to continue in the spirit of National Recovery Month, we will host a free retreat for the community that focuses on alternative approaches to wellness.

So that includes receiving free massage, reflexology, yoga and a healthy lunch. We'll also offer a workshop, a 10x10 workshop that will spread the 10x 10 message and that will include yoga for trauma.

Here are some pictures of our walk Move for Health. Everyone had a really great time, and we were just happy to be able to put on an event that served the needs of young and old in the community.

So finally, here are some resources that you can refer to. We do have our website that's about to launch. We have a website up already but we - we're creating a more dynamic one that's going to allow for user interface and it will be very engaging for the community.

So overall we're just really excited about this new campaign. It's still in its infancy but yet it's expanding at a rapid pace. And we love spreading the word about what we're doing in the hopes of inspiring those in our county and on a national community level.

And by helping Alameda County mental health service providers and its clients approach wellness from a holistic perspective. We're looking to support the whole person and provide options and choices for recovery. Thank you.

Jane Tobler: Thanks Cardum for sharing how Alameda County made the eight dimensions work in your community, and big thanks also to Alameda County for being a leader in the Wellness Initiative. That is awesome. I'm ready to go there.

Cardum Harmon: Thank you. You're welcome! Come on.

Jane Tobler: Our next presenter is Kelly Wesp. Kelly is currently the Director of Coordinating Center of Excellence for Ohio's Wellness Management and Recovery.

In this capacity, Dr. Wesp works as part of a multidisciplinary team to collaborate at local, State and Federal entities to implement and disseminate the WMR Program.

Today she is going to talk to us about how building communities of wellness has helped people in the Wellness Management Recovery program. Welcome, Kelly.

Kelly Wesp: Hi, thank you. Good afternoon, everyone. It's an honor to be here. I'm joined with my team today. And let's put the picture back up of my group. I think it's, there it is. Dr. Deborah Wilcox, Stephanie Osbon, Suri Allen and David Grainger is with us today too. And we're just thrilled to be here.

Yeah , about a year and a half ago, we started looking at building communities of wellness because we know that wellness occurs not only at the individual level, but at a collective level as well.

And so a part of this initiative was looking at the social determinants of health, and really the whole infrastructure of our communities that influences wellness, the things like racism and all forms of oppression, violence, access to good food, safety, clean air and water, education and neighborhood, and really shaping public policy because we know that's what informs what's going to happen in our health care. So we've really taken this initiative to heart probably for the last two years and have really incorporated in a lot of the work that we're doing here in Ohio around our leadership institutes, our regional summits, and then our annual conference.

So a little bit of an overview of what we're doing here in Ohio. And I apologize, this is a very touchy screen, well goodness, my apologies. So with the WMR, we started about seven years ago here in Ohio with funding support from the Ohio Department of Mental Health.

And in Ohio it's kind of unique how evidence-based practices are being distributed across Ohio. It's been through these technical assistance centers that really help ensure that the best practices are getting to folks who need them most in our communities.

And so with our particular practice, what we're really looking at is how the mental health and holistic wellness really resonate amongst the population, and how is that happening in our communities here in Ohio.

And so we provide technical assistance, consultation, training, education to behavior health care providers across the state. And we usually kick off with a community kick-off event, which is then followed up by a 24-hour train-the-trainer model.

So across Ohio we have an active group of 300 facilitators. Out of those 300 facilitators, 195 of them identify as peers. So we're very much a co-facilitation model.

Everything that we do in Ohio is in partnership. We believe that we bring the experts together to really explore what does wellness and recovery mean for us collectively?

So that happens at multiple levels and across organizations and across communities. So we're in engaged in 26 diverse organizations here in Ohio. Everything from traditional clinical agencies to consumer operated agencies to the VA to the state hospitals to vocational rehabilitation. And we're now exploring correctional facilities, as well, and looking at how we can support wellness and recovery in those infrastructures.

The nice thing we've also had the ability to look at sustainability issues with some of the groups across Ohio who are now developing alumni clubs. So we know that wellness goals continue, and that folks are always looking to improve their wellness.

The next thing that we are looking at is this building communities of wellness. And one of the things that we've coined here in Ohio is what we're calling "recovery technology."

And what we mean by that is, identifying those things that help us foster recovery and wellness. And some of the things that we've identified that make up this recovery technology are things like open space, safety, co-facilitation, collective learning, deliberative dialogue, a term called "leaderfulness," which rather than leadership, what we believe is everybody has leaderful capacity and they engage that in multiple ways, activism, advocacy, and sustainability.

The other thing that we have really focused on in terms of building communities of wellness is multicultural competency. And it really is the cornerstone of our design and delivery. And really helping individuals discover who I am as a multicultural being.

We also look a lot about how are we building relationships across human differences? And we do that in multiple ways through activities and deliberative dialogue.

We also begin to explore and understand how oppression and stigma interfere with wellness and recovery, and how do individuals develop the tools and resources to really break the cycle of oppression and stigma.

And then finally, how to move toward power sharing in relationships. And move away from power over and power under relationships. And we call that flipping the centers because we know a lot what happens in treatment relationships is someone typically has power over someone who's receiving services,

and so we spend a lot of time talking about how we flip that so we're in more of a shared decision-making, share power roles in treatment and care.

The other thing that's really great about what we're doing here in Ohio is we're really looking at evaluating this so that it becomes an evidence-based practice. And from the very beginning we set up an evaluation structure that is person-centered and recovery-oriented.

So we're not relying on institutional measures here in Ohio. We're not looking at things like utilization or hospital bed days or compliance. What we're really looking at is those things that contribute to quality of life.

So the great thing about the 10x10 campaign is that it's looking at longevity of life. How do we increase the years for individuals who are living with chronic illnesses?

But we also want to look at how is it also contributing to quality of life. And so what you see here are some items that have been identified in a qualitative study in 1999 that was done here at the University of Toledo.

Young and Ensing, which really did a qualitative review. And this is what folks who are living with psychiatric illness had to say about what contributes to their recovery process.

So those are the things that we're measuring here in Ohio is overcoming "stuckness (sic)." How does spirituality influence my recovery? What's the role of peer support in that?

So we're really using an action research participatory design here with a lot of community engagement. And the beauty of WMR is that this really evolved over the last seven years because of the feedback that we've received from the participates who are actually engaged in those programs.

So, you know, we've been able to do some really creative things around engagement and keeping folks sustained in the work.

So what we know is that about 64 percent of those individuals who complete the WMR program demonstrate some type of positive change in their mental health recovery and that those gains that are achieved are usually sustained six months or longer.

The other piece that we're looking at in terms of our evidence is really looking at how behavior change occurs as folks are going through a wellness and health initiative like WMR.

So at the core of WMR is what we have is a wellness wheel, which starts a goal setting process for folks, so, very similar to the Eight Dimensions of Wellness.

Folks set up a wellness wheel where they look at those dimensions and set personal goals around how—what they want to work on in their financial wellness, in their environmental wellness, physical wellness, spiritual wellness.

And that kind of drives the process. And what we're learning is that as folks engage in this, they're also learning about the wellness planning and how to sustain healthy behaviors around nutrition, exercise and healthy eating and healthy behaviors.

The next slide is really our initiative that we did last year around National Wellness Week. We heard about this last year when we were in Boston for the USPRA conference. And really kind of just took it and ran with it across the state.

So we kind of set up an initiative around the five days of National Wellness Week last year. And so you see we kind of covered the dimensions of wellness on the day-to-day basis.

So in addition to local activities happening throughout the state, and so you'll see like Monday we had some folks who did some ice cream socials. And then other folks were doing community cleanup on Wednesday.

And then we all participated in the line dance on Friday, and what you see the picture here is in Central Ohio on Friday at about 9:50 am we had torrential downpours.

And so we moved and adjusted really quickly and so we moved our line dance inside. So we had a great turnout. And what it did is it really spawned a lot of interest across the State.

And so we've been working with communities across the State around coordinating this year's event. And so we've been holding regional gatherings and leadership institutes, and what we're really hoping for this year is a more regional, coordinated event where folks are really coming across multiple organizations to really foster National Wellness Week and to get excited about what's happening in our community.

And so what we're really hoping this year is to partner a lot more with other State agencies, advocacy organizations, to really make this a great event across the State.

So with that, our next slide is our resources and what we're doing. And among these resources is our web site. There's a lot more information on there.

In addition to that we also have our domains which kind of describe how we're operating at an organizational level to support wellness and recovery. So when you have an opportunity, check that out.

So thank you very much. We appreciate your time.

Jane Tobler: Thanks Kelly. And thank you to your whole team that's there with you for all of your and their wellness work. And thanks for sharing with us Ohio's Wellness Management and Recovery Coordinating Center of Excellence.

Maybe we'll go to Ohio instead of Alameda County. It's great to hear what everyone's doing across the nation.

And joining us with our final presenter today is Matthew Federici. Matthew is an Advanced Level Mental Health Recovery Educator and WRAP Facilitator through the Copeland Center for Wellness and Recovery.

Matthew has also been involved in promoting psychiatric advanced directives through local, State, and national consumer and provider conferences. He is also a Certified Psychiatric Rehabilitation Practitioner. Matthew, thank you for joining us.

Matthew Federici: Thank you. Good afternoon, everyone. I really, really appreciate being a part of such a wonderful collaborative presentation, some of the presenters and such great information in such a short period of time.

The Copeland Center for Wellness and Recovery really finds the inclusive focus of wellness and this Wellness Initiative really, really fits our interests.

A little bit about the Copeland Center, we've trained a network of over 200 advanced wellness facilitators and thousands of wellness facilitators nationally and hundreds internationally.

So the Copeland Center is really excited that SAMHSA has dedicated a national week on our number one passion, which is really promoting wellness action.

This is our Board of Directors. The Copeland Center is the leading organization in the world based on the Wellness Recovery Action Plan, evidence-based practice, and other works developed by Dr. Mary Ellen Copeland.

Our training and programs are designed for people seeking to take personal responsibility to improve their wellness. But we also work with health service providers, businesses, community groups that are seeking to improve their wellness and create a healthy workplace environment.

It's our focus all year around, the basis of our organization. Key to the founding of our organization and programs that we take on is really based on a core set of values and ethics and you can find on our Web site those values and ethics checklist.

We work towards transformation of a system that's focused on the importance of supporting everyone's wellness and away from a focus on managing illness only.

Some of our most recent initiatives that we facilitate wellness retreats year round. Recently we had a wellness retreat that was focused on healing from trauma.

And during this retreat Dr. Mary Ellen Copeland, Lauren Spiro, and many advanced level wellness facilitators brainstormed ideas for National Wellness Week.

We hope to utilize the Copeland Center's national network of more than 1,000 WRAP facilitators through many wellness groups across the country during Wellness Week.

You can find WRAP facilitator and mental health and WRAP groups on Facebook. We expect that people will be talking a lot about things that we're doing national—during National Wellness Week.

We're going to extend that conversation and brainstorming of things that we can do to leverage through our network celebration of wellness during Wellness Week for during a teleconference coming up next week, August 16th at 4 pm.

Lauren Spiro, Sharon Kuehn, and myself will share things that are going on during National Wellness Week, activities. And brainstorm more ideas and engage more facilitators and may others.

The interested facilitators can contact me at this email address here, mfederici@copelandcenter.com to be a part of that teleconference. And really work together.

During the retreat some of the activities that we have brainstormed and are looking to do are promoting more dialogues on Wellness Recovery Action Plan in the community, such as libraries, community centers, business centers, chambers of commerce.

We're looking to focus a special edition e-newsletter for National Wellness Week, promoting YouTube video submissions on wellness topics. And having a special focus in WRAP groups around the country that are really drawing on the wellness topics in the curriculum such as nutrition, spirituality, light, exercise. These are components of the WRAP group curriculum.

And we really want to see if we can promote more activities and more focus on that during the national week.

Also during the week, we know that many, many people are utilizing the Wellness Recovery Action Plan for a variety of different health, holistic health and wellness goals and dimensions.

The evidence-based research really focused on its effectiveness for mental health symptoms. But again, many of us know that we're utilizing it and getting outcomes in many health domains.

So we are hosting two webinars during Wellness Week. One is WRAP for Diabetes and Other Chronic Conditions. That webinar will be on September 18th by Eric Larson and another on Smoking Cessation on September 20th. (pause)

We know that depression can strike anyone, but with diabetes, people are at a greater risk. And so we really have picked to focus this. Eric Larson is an advanced level WRAP Facilitator who works with the Copeland Center.

And we'll be talking about how he has utilized diabetes, the WRAP plan to balance the challenges of diabetes as well as mental health challenges. And he'll talk about key concepts to getting well that are simple wellness tools, and action plans that are safe and practical alternatives that people can utilize right away after hearing the webinar.

Gina Calhoun, who is the National Director for Wellness and Recovery Education through the Copeland Center, will be talking about her experience beginning smoking in Harrisburg State Hospital as a way to get outside each day.

Smoking soon became a way of life as a result of that. It lessened the noise in her head. It alleviated boredom and minimized anxiety and helped her transition from one activity to the next.

After 15 years of smoking a pack of cigarettes a day, Gina wanted to become a non-smoker without the side effects of weight gain. In this webinar, Gina will share how she used the Wellness Recovery Action Plan as a structured system to take back control of her life from cigarettes and how she discovered that WRAP helped her quit smoking only when she fully embraced her action plan. Again, people will be able to take fresh, practical ideas from this webinar who are interested in quitting smoking right away.

And we know that smoking kills 2,000 people - 200,000 people yearly who have mental health challenges. So this is a really important topic to us.

Also during that week, Gina will be doing a presentation through the Healthy Adams County Health Summit in Pennsylvania. She'll be talking about the ABCs of whole health as she calls it.

The impact of poverty on wellness and exploring wellness solutions through community inclusion like promoting better nutrition and community inclusion through community gardening activities and projects. Talking about the importance of promoting smoke-free environments in mental health centers.

And lastly, we will in Alameda County in Oakland, California, January 25th through the 27th, we really hope to rally together as many people internationally, nationally, wellness leaders, people who are promoting and doing innovative wellness initiatives to come together and celebrate and share and exchange ideas that will keep wellness being promoted all year round. And that conference again will on Oakland, California on January 25th through 27th.

And we really expect that we're going to have many workshops and ideas and proposals that are talking about exercise, yoga. Past years we've had a lot around facilitating wellness through arts and music and dance, and we really hope this will be not only a celebration of wellness that's being done all year round, but an exchange of ideas that will promote wellness moving forward.

So again, thank you very much for the opportunity to be a part of this collaborative initiative and to share some of the things that we are doing year round, and in particular during Wellness Week. We hope people will join us.

Jane Tobler: Thank you, Matthew, and thank you to the Copeland Center. It is great to have so many peers facilitating activities. And I also want to mention Matthew is also on the Wellness Steering Committee and he has been a terrific member to have on that committee.

So we really appreciate all of your work and all of the work of the Copeland Center. So we are going to, I want to let you know, you've got the Copeland Center in front of you.

And we're going to go to the next slide. I want to let you know that we are going to take questions soon. So be thinking about your questions and press "star 1" to ask a question live.

But before we do, I just want to go through some of our speaker's' contact info. So we've got Wilma, who we heard from. Next slide, and Cathy Cave. Next slide, Nancy Gottlieb. Next slide, Cardum Harmon. Next slide, Kelly Wesp. Next slide, and we just heard from Matthew.

So we're going to now go through their brief bios. I will just have my colleague scroll through the contact element and their contact information.

And again, if you press "star 1" to ask a question, you will be put in the queue. You can give the operator your name. And if you don't wish to use your full name, you can just use your first name.

I would ask everyone because time is limited, please limit yourself to only one question or comment so we can get to more questions and comments for our speakers.

And the operator will announce your name. Then please ask your question. Now if you've asked your question, your line will be muted so presenters may respond.

Operator could you go to the first question please?

Coordinator: We show no questions at this time.

Jane Tobler: Oh wonderful. Well we have a couple of email questions we've received. So one question is we—all of the presenters today have active wellness communities.

However, what are your recommendations for organizations who are new to the wellness initiative? How do we even get started? This is an excellent question. And Cathy, do you want to start on how someone should get started?

Cathy Cave: I think that one of the big challenges of course is getting started, and what I would consider is looking around the community to see if you can get a small, you know, group.

I hate, you know, the word coalition comes to mind, but a small group of folks who might be very willing to engage in this. And I would look at of course any peer support programs, any housing programs that have active peer involvement.

I would look at community-based organizations that might be focused on wellness just as an interest. So what you're doing is looking for some common interests around, you know, how do we promote wellness in our community?

And get, and you don't need a lot of people. You know, if you can get, you know, four or five people together that are willing to have the conversation, that can lead to some further brainstorming about what else can we do.

So in your first, you know, your initial activity is maybe looking at Wellness Week and saying, you know, let's - if we could do one thing this year, what would it be?

So let's, you know, educate folks on the wellness dimensions and let's see if we can maybe do one other thing. You know, the line dance might be a fun thing to do or to think about, you know, another kind of community engagement activity whether it's around food.

There may be some other activities that are already happening that week in your community that you could bring the wellness conversation to whoever's organizing that.

So I again would look at mental health programs, programs for people who have substance use disorders. I would look at any community action agencies that may be doing, you know, school lunch programs, after school programs, those kinds of things.

So ways to look at like-mind - look for like-minded folks and reach out to them and say look, you know, I heard about this thing. This is something that we're thinking about doing. Do you think we could pool our resources together and do, you know, one event, do one thing?

Jane Tobler: Excellent answer Cathy. Cardum would you like to also share any ideas on that if someone is new to wellness?

Cardum Harmon: Yes I actually wanted to also mention another resource. The faith communities tend to be a place where people go when they feel that they're in crisis.

And we have some pretty active faith communities who are working on educating the faith leaders about mental health issues. And a lot of these churches have health ministries. And that's also a good way to start to introduce people to the idea of holistic health and wellness.

Jane Tobler: Excellent, thank you. Anyone else want to also share any ideas or resources before we go to the next question?

Kelly Wesp: Yes Jane this is Kelly. And Dr. Deborah Wilcox with our program here in Ohio is going to address it.

Jane Tobler: Great thanks Kelly.

Deborah Wilcox: Yes I would just like to share a couple of ideas. I think it would be good to bring people together into a community space across their differences coming from various aspects of the community, people who normally don't talk with each other or engage with each other.

And maybe have them begin to just gather and tell their stories about their recovery and how they're working on their wellness. And what we do here with Wellness Management Recovery, we use the wellness wheel.

Have them, you know, just sketch out a wellness wheel and talk about the kinds of things they do in their mental life and spiritual life and family life and emotional life and other quadrants that they would like to add, and just kind of share those stories and build those relationships during that process. And then kind of back off and talk about their experience with one another, and maybe then that will be a small group of people that could reach out to others in their various communities and start programs at that level, at a very concrete level.

Jane Tobler: Excellent. Thank you Dr. Wilcox.) Matthew would you like to share any other ideas, or Nancy?

Matthew Federici: Yes this is Matthew Federici. I also want to support this person in this as well. And I think, you know, as an individual, something that you might want to consider and think about are many of the communities in the natural setting that, you know, such as YMCAs and yoga centers, alternative health stores, where they're focused on wellness through nutrition.

And I have found that a lot of these places in my own recovery have kind of provided me with a variety of safe, simple tools. and connection with other people who are exploring and making wellness a focus in their life.

I think also for organizations that want to develop this, really focusing in on employee wellness events. As I said earlier, organizations can begin to form, you know, committees that comprise of for service recipients, family members, agency employees, to talk about and explore the dimensions of wellness and how they can enhance that through current initiatives or maybe really re-look at how they're doing things to explore that further. And community sports programs.

I know here in Pennsylvania there are local CSP committees comprised of government providers, family members that get together and get services in their system.

And structures like that, community grassroot structures that are really, governments really looking for input on the consumer level into their planning. Can be a great place to start to weigh in about creating more wellness communities.

Jane Tobler: Great Matthew. Thank you so much and thank you for suggesting the other places to also look.

Our next question is for Nancy. Nancy, can you talk a little more about how to engage law enforcement and the criminal justice system in the wellness movement?

Nancy Gottlieb: Happy to. I mean it can sort of be your best friend or your best enemy. You know, the best way to engage law enforcement if you have any kind of therapeutic court going on in your community, drug court or family treatment court.

There's a lot of veterans courts that have been set up. Usually the judges who do the therapeutic courts are very recovery-oriented. So I mean that's a good place to start.

And probation is another good place to start because probation officers are frequently similar to social workers, depending on their point of view. A lot of these folks they work with are not really criminals, they're drug addicts.

And so those individuals are very motivated because they keep seeing the same people over and over and over again. So it's really connecting with a couple individuals. And then they can sort of steer you to who's helpful in their organization.

So, you know, like you talk to a judge. He'll say oh well go talk to, you know, chief so and so of this police department. And it's a good way of engaging.

And the other is to invite them. You know, invite the managers and supervisors of various departments to meetings that you have if you're doing any kind of planning.

The individuals who work with homelessness, you know, they have ties to police, probation, and the courts. And, you know, those individuals can connect you.

Most people really want to help. You know, they really want to stop seeing the same people over and over and over again. They recognize there's a problem and something needs to be different. I hope that answers your question.

Jane Tobler: Yes thank you. I think that it certainly did. Tamara do we have people - do we have questions in the queue?

Coordinator: We do have a question from Jennifer Callair. Your line is open. Jennifer your line is open.

(Jennifer Callair): Hi thank you. I have a question. I also wanted to add a comment to the last question that was asked if that's all right.

I know in Thurston County where we're based in Olympia, Washington, somebody with mental health that's approached by a police officer does have the right to request a mental health certified and trained officer to respond to them in lieu of the officer responding.

And so I just wanted to offer that. And my question that I had is do you know of any online resources or tracking tools that are working with alternative approaches to wellness?

I'm thinking of groups like Icarus or the BMad project. And wondering if there's any resource tools or tracking tools that somebody might recommend that take a real holistic approach to health tracking?

Jane Tobler: Good question. Cathy do you know of any?

Cathy Cave: Online, no.

Jane Tobler: Not online?

Cathy Cave: And it's a great question. And it's inspired me to go find out now.

(Jennifer Callair): Well I know we have, let me see here, we have OptumHealth has a Whole Health Tracker. But, you know, I'm looking for something. And, you know, maybe I'll end up incorporating and developing something one day here at the Capital Recovery Center on Olympia.

But, you know, thinking of something that takes it to a very holistic level, maybe a little outside of the box.

Wilma Townsend: This is Wilma. I don't know of anything. I've had one entrepreneur who's been in touch with me who would love to develop something. But we also have commissioned a paper from consumers on thinking of health technology and ways of helping individuals with mental health and substance use disorders to come up with some apps that they can put on their phones and things around wellness.

Jennifer Callair: Okay.

Wilma Townsend: Yes and the draft of this paper is supposed to be done by the end of this month. So it will be a good way to at least look at, because they are doing the research around just your question.

(Jennifer Callair): Okay. So I'd be really interested in connecting with that research.

Wilma Townsend: Yes and as soon as the paper is done, we're going to put it online as well too. But if you could email me your name, and you got my contact information. So just email me your name and stuff so I can, when that paper is ready, you don't have to wait for it to be put online. I can send it to you and get you in contact with the consumers who put it together, okay.

(Jennifer Callair): Okay great. Well thank you so much.

Wilma Townsend: Mm-hm..

Jane Tobler: And that was Wilma Townsend with SAMHSA. Are any of the other speakers aware of any resources on that? I will take that as a no.

So we have another question that came in. It says some of the dimensions are more challenging to create activities for such as the financial dimension or the occupational dimension.

Does anyone have suggestions for community activities we could easily do to address those dimensions? So I will ask Nancy, any ideas around the financial dimension or occupational dimension?

Nancy Gottlieb: Well we're all looking for money. That's always tough. You know what, there's a lot of grants. I really recommend grants. And there's actually a large employment grant that just came out from the Department of Labor.

But there's also private grants from small companies. You know, like Macy's does grants, you know, to a lot of local organizations in your community. In terms of just raising money to do community events, a few thousand dollars, you can go to smaller venues.

And then the second part of that question was employment?

Jane Tobler: Yes, I think Nancy, I think that this person is interested in how to, thinking about the eight dimensions of wellness.

Nancy Gottlieb: I see.

Jane Tobler: Of when you're trying to kind of share that in an event or activity, like a community activity. What can you do, you know, physical is one thing. But the idea of the financial or occupational dimension is a little bit different.

Nancy Gottlieb: Right, well for a community event because, you know, that has to do with your relationship to money and what do you want to be when you grow up.

Jane Tobler: Right, absolutely.

Nancy Gottlieb: So, you know, I mean there's - I think it's good if you have a community event. Like I'm just thinking when we do community events is to have someone there from the community college and someone there from workforce employment board that can provide information.

You know, I think that's one - but so much of it is tied up to self-esteem. You know, how you feel about yourself. And imagining, you know, it's that hope. You might have someone who's in the mental health system that says I want to be a brain surgeon.

You might want to say well, you know, that might take you a while. But what about being an aide in the hospital. You know, and you sort of start there and work towards what they want to do. I just think hope and imagination are so important to foster.

Jane Tobler: I totally agree with you and I think that is great, Nancy. I appreciate it. And Stanice, I'm not sure if you're still on the - if you were able to stay with us or not. Stanice, are you still there? I know she had some other obligations today.

Wilma Townsend: Yes, I wanted to answer that one about the financial.

Jane Tobler: Sure, Wilma.

Wilma Townsend: People have a tendency of thinking large about this. And it—I don't think we should. Many, many, many consumers and persons in recovery, we have small amount of dollars.

So when people are talking to us, what I think about when I think about this one is how do I as an individual, what do I do to try to save money or work towards a goal financially.

And I've seen people do things like even have a banker come in and show people how to save a dollar a week. And even set up programs for them to save that little bit of money because it may set towards a goal that they want to save $50 just to be able to have something to buy somebody a Christmas present.

You know, so don't think of this as something really big about just your organization. Think about how is it from that perspective for that individual so that they can feel a sense of success.

You know, when you tell somebody to go out and save a few hundred dollars, and all they've get is as few hundred dollars, it isn't going to get saved.

Nancy Gottlieb: Yes I'd like to add something too if I can. This is Nancy Gottlieb again.

Jane Tobler: Yes please, Nancy.

Nancy Gottlieb: You know, I think volunteerism is, you know, for consumers is so important. I mean I'm sitting here on this conference call and I actually have two consumers who are volunteering and helping me put some materials together in my office and I'm thinking well gee, why didn't I mention that. And it can be anyone who at any point in their recovery in terms of mental wellness can participate in volunteer activities depending on what it is.

And so, you know, if you have any kind of programs that offer individuals an opportunity to be of service. And, you know, another key component of recovery is meaningfulness.

So if you can have hope and feel that there's meaning in what you're doing, you know, you're on the road. So I just wanted to add that.

Jane Tobler: Thank you, Nancy.

Matthew Federici: Is there any time for, this is Matthew. Is there any time to add any other ideas?

Jane Tobler: Yes please.

Matthew Federici: Some of the things that we can tap into, either individually or support individuals or even as an organization we can facilitate are things like organizing job fairs that are inclusive of, you know, existing resources like career links. Benefits specialists in the local areas because benefits is a huge communication barrier for people occupationally.

Take it to work initiatives. Many banks, this was brought up, have somewhat of an obligation to do things back in their community. And we can probably find banks that would partner with agencies to, you know, hold informational sessions about how to better manage your finances.

But also, having success stories from people who have gone through significant recovery challenges and are working and doing much better financially, and strategies they use. I know through working through programs like Compeer that connect people in the community that I've met many people who are entrepreneurs, business leaders that have struggled with significant mental health challenges.

But have done significantly well despite those challenges in establishing their own careers, and really inviting those individuals to events to inspire and show the hope to people that despite their mental health challenges, they can still be successful in these domains, I think can be really effective for people to see, let alone just connecting those two worlds together.

Jane Tobler: Great thank you so much Matthew. We have unfortunately come to the end of our time today. This was a wonderful discussion and I think there's lots going on.

I do want to point out another resource for people that on August 14th there'll be a teleconference on the role of employment in recovery and social inclusion, an integrated approach.

You can find more information about this from the ADS Center and register for it via the ADS Center. Go to promoteacceptance.samhsa.gov. And it's in their training teleconference section.

So we are very excited that everyone has done this and has joined us. And if you have more questions, or want to follow up you can reach us at SAMHSA Wellness Initiative at wellness@samhsa.hhs.gov, or contact any of the speakers we had directly at their contact information on the earlier slide.

So to Wilma and Nancy, Cathy, Kelly, Matthew as well as Stanice and the whole crowd in Ohio, I want to say thank you so much for sharing your insights today.

And thank you to all of our listeners for caring about this topic and taking time out to join us and to be getting ready for Wellness Week.

This conference has been recorded and the audio recording and transcription will be available in mid-September on the SAMHSA 10x10 campaign web site.

Next week you will receive an email request to participate in a short anonymous online survey about today's training which will take about five minutes to complete. We ask you to please take the survey and share your feedback with us. This information will be used to help determine what resources and topic areas need to be addressed in future training and TA events.

So at the end I'd just like to say thanks to everyone again for joining us. And thanks in advance for completing our survey. Have a wonderful Wellness Week. Bye-bye.

Coordinator: That concludes today's call. Thank you for participating. You may disconnect at this time.