People face many barriers on the path to receiving mental health care. Some of the most common are:
Stigma continues to be one of the toughest barriers to take down.
- Properly recognizing the signs and symptoms of mental illness
- Knowing where to go for help
- Availability of services
- Cost of accessing services
- The stigma associated with accessing the service
Every day people are still made to feel ashamed for having a mental illness in spite of these being legitimate medical issues. We’d never dream of making someone with cancer feel as though they did something to “deserve it.” We couldn’t imagine looking at someone with diabetes and telling them that taking medication everyday to stay healthy wasn’t normal. I can’t comprehend telling someone with a broken leg, “If you put your mind to it you can walk without using crutches.” And yet these are the attitudes that those living with mental illness are still facing every day. Some people still fail to see the medical legitimacy in mental illness, causing many to be too embarrassed or ashamed to seek help.
Courtesy of SAMHSA below are some suggestions for messages to share the helps reduce stigma:
Support People with Mental Illness –
Society needs to understand that people with mental illness are not the “other,” they are our family members, friends, neighbors, and co-workers. They deserve understanding and support.
Learn More about Prevention –
Behaviors and symptoms that signal the development of a behavioral health condition often manifest two to four years before a disorder is present. Effective prevention and early intervention strategies reduce the impact of mental illness.
Help is Available –
Treatment and mental health services are available and effective. Local crisis lines can be a wonderful source of emotional support and an access point for referrals to professional mental health treatment. If they are in crisis or suicidal, Americans can call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Canadians can dial their local crisis centre if they are suicidal or in crisis. Local helplines, crisis lines, and distress centres, or 2-1-1 Information and Referral lines can also be excellent sources of support and referral.
Recovery is Possible –
Most people are able to successfully overcome or manage mental illness, including serious mental illness, with the right treatment and support. Spread the message of recovery.
So during mental illness awareness week, I hope that we’ll all recommit ourselves to educating others about mental illness, and continue to chip away at that stigma. Helplines are on the front lines of this fight. Every day, people who haven’t yet talked to their doctor or a loved one about their symptoms choose to reach out to a helpline. Being greeted with the understanding, knowledge, and validation that helpline workers provide plays a huge role in reassuring someone that it’s okay to seek help.
Domestic Violence has been a much-discussed topic in the media these past few months, due in large part to NFL star Ray Rice and other notable professional athletes being involved in incidents of domestic violence. The fact that some famous athletes are perpetrators of domestic violence shouldn’t surprise us; the numbers tell us that domestic violence, particularly violence against women, is unfortunately common all over the world and effects people of all professions, socioeconomic statuses, races, sexual orientations, and genders.
The attention these stories receive brings the issue out into the light and educates the masses on the facts and figures, but it also brings out the victim blaming and shaming. People who aren’t familiar with the insidious nature of domestic violence are quick to simplify a situation by saying, “Why doesn’t she just leave?” Hashtag campaigns such as #WhyIStayed and #WhyILeft have been helpful in explaining that the answer to that question is far from simple.
We know that domestic violence touches millions of people every day who aren’t famous. Their stories are sometimes kept secret from friends and loved ones, and they certainly don’t make headlines, except perhaps when they result in a homicide. The World Health Organization states that up to 38% of murders worldwide are committed by the intimate partner of the victim.
According to the US Justice Department, in the mid 1990’s the domestic violence rate started to drop, but it’s hard to tell whether this was due to the overall drop in violent crime, a result of the Violence Against Women Act, or other factors. But the numbers are still far too high, estimated at around 1,000 incidents each day in the United States. And even though the need for shelter, legal support, counseling, and other services is great, funding for programs is insufficient and these services are struggling to meet the demand.
Eventually this topic will fade from the public’s consciousness so it’s important that we all keep talking about it and raise awareness and understanding of the issue. Advocate for prevention programs that help teach young people about healthy relationships, which experts say is key in reducing domestic violence since many men and women who are in such relationships as adults were first assaulted as adolescents. Support your local domestic violence helpline or shelter so that they can continue doing great work and meeting the needs of your community.
Today we recognize World Suicide Prevention Day and in its first ever global report on suicide, the World Health Organization reports that a staggering 800,000 lives per year are lost to suicide worldwide; one person every 40 seconds.
The report goes on to say:
- National prevention plans endorsed by governments could go a long way in preventing suicide, but currently only 28 countries have such strategies.
- Most people who die by suicide have a diagnosable mental illness. It’s extremely important for mental illness or substance abuse issues to be identified, diagnosed, treated, and managed as early as possible.
- Follow up care plays a huge role in keeping someone safe if they have previously had thoughts or made attempts at suicide. Phone calls, visits, and other regular contact with health professionals is key, as well as vigilance among family and friends.
- In almost all regions of the world, people over age 70 have the highest rate of suicide.
- Globally suicide is the leading cause of death for 15-29 year olds.
- Removal of means is a key component to suicide prevention
You can read that full report by the WHO here.
If we could impart just one thing on society it’d be this: Suicide is preventable, and it’s everyone’s business. It takes all of us, every single person out there, to help prevent suicide. Of course social workers, therapists, psychologists, doctors, and nurses all have an important role to play. But it’s the teachers, coaches, colleagues, professors, employers, friends, and family who are arguably the ones on the front lines of suicide prevention. They are the ones with the opportunity to recognize the warning signs, be aware of the risk factors, and know the difference between myths and facts. They are some of the first ones who should ask the direct question about suicide, and be ready and accepting of an honest answer. They can make a world of a difference by being there to listen without judgment even though the conversation can be uncomfortable and scary. They are the ones who can help most in reducing the stigma and shame all too commonly associated with mental illness and suicide. Suicide prevention is everyone’s responsibility.
And of course we have to give some major recognition to all of the suicide prevention helpline workers all around the world who save countless lives every single day through the simple act of being there. You are there for people at all hours to listen, empathize, normalize and validate feelings, and provide resources. For many people that phone call, text, or chat session is the first step at getting help, and your warm, accepting demeanor reassures them that they will encounter kindness and understanding along the way, and that there is hope. Thank you, we at iCarol are honored to play a small part in the incredible work you do.
Suicide Prevention Month is quickly approaching, with Suicide Prevention Week being recognized from September 8th – 14th and World Suicide Prevention Day on September 10th. There are lots of ways you can recognize this upcoming event.
Join an Out of the Darkness Walk near you. These walks help raise awareness as well as money for research and education. During the month of September, particularly during suicide prevention Week, dozens of these walks will be held. Find one near you and register today.
Donate to a suicide prevention service in your area. You can donate to organizations that focus on research or education, though we humbly suggest you consider donating to a helpline that provides direct help and suicide prevention to those in need. Whether you’re in Canada, the US, or another country, there are suicide prevention lines near you that would greatly appreciate your donation and will put it to excellent use in directly preventing suicide in your community.
Volunteer for a suicide prevention service. These services are always looking for qualified volunteers to answer phones, help with fundraising efforts, and more. Suicide prevention month is a great time to start the application process.
Educate yourself on the topic of suicide. Did you know that suicide is the 9th leading cause of death in Canada and 10th in the United States, or that the elderly are at the highest risk of suicide? By learning the notable statistics, risk factors, warning signs, and myths and facts about suicide, you’ll be empowered to do more and share that knowledge with others.
Receive training on how to help others who are suicidal. Suicide prevention is everyone’s responsibility and everyone is capable of doing something to prevent it. Trainings like ASIST, safeTALK, QPR, and Mental Health First Aid are some examples of common trainings that may be offered in your community.
Spread the word with social media. Whether you use Twitter, Facebook, Instagram, or all of the above, post information in support of suicide awareness and prevention. Maybe try sharing some of those facts you learned, or share a personal story about how suicide has touched your life, or the life of someone you care about. Discussing suicide goes a long way in reducing stigma and bringing the issue out into the open where it belongs!
Alert the media and use your expertise or experience as a helpline agency to do a story on suicide prevention in your community and how people can be helped by contacting you. Agencies that have texting and live chat services always have a great angle for contacting the media to do a story on how those struggling with suicidal thoughts can use those services if they don’t want to call on the phone.
Whether you take one of these actions, or do something different, it’s important to recognize suicide prevention month. Your actions will show others that you care about raising awareness of suicide, and preventing it.
Donna and Eliisa recently attended the Pre-Conference symposium at the 28th National Council on Problem Gambling Conference in Orlando, FL at the Hyatt Regency Grand Cypress. Members of our team attend conferences like this to ensure that we are on the cutting edge of the issues, challenges and experiences that helplines face.
The Florida Gambling Affiliate hosted the event. We’re happy to have just welcomed them to the iCarol family, as they went live on iCarol July 1st with phone, text and chat. One staff member said “iCarol has made my life much easier.” We love that feedback! It’s always great to hear that folks are finding their volunteer experience made easier or more enjoyable by using iCarol.
Brian Kongsvik is the Helpline Director and he did an excellent presentation on how his helpline works and the outcomes and follow up research of those that had contacted their helpline services. He reported that in his center, 79% indicated they had either stopped or decreased gambling since contacting their helpline services.
The breakout sessions gave us lots of great insight and presentations from a spectrum of sources. Donna from iCarol gave a presentation on chat and texting as well as the importance of integrated technologies. Anyone who has ever managed a helpline knows how easy it is to fall into the trap of using quick technology fixes to get by day by day. At the surface, you think it doesn’t cost you anything to do a quick update on a computer here and there, or utilize someone’s expertise to add a field into a form quickly, but soon you find yourself only able to do the report you need on one computer in the office and using a multi-step process utilizing many people every month just to do your routine monthly reports. The group was actively engaged, and for some the story of this vicious cycle hit a little too close to home! Integrated technologies like iCarol can help stop this cycle.
Bensinger, Dupont & Associates did a demo of iCarol’s live chat feature, which they use for several problem gambling live chat sites around the country. They noted they like the customizable programming to fit their unique needs.
Peer support networks and websites that people are accessing for help with problem gambling, other than calling, texting, and live chatting into helpline services, were discussed. Experts include GamTalk (Canada) and Gambling Therapy (UK). Both offer services run by licensed mental health professionals, with peer support from those in recovery from gambling addiction. These organizations offer a community (often anonymously) whereby they can build support communities around them.
The group also discussed the decrease of phone calls across the country to problem gambling helplines in the US. Among all the addictions, it was noted that those with a gambling addiction have the highest completed suicide rate among any other addiction. As such, those attending the pre-conference were fortunate to be given an opportunity to be trained in QPR (Question, Persuade, Refer). Best practices in advertising were shared, with some noting that billboards near casinos work well.
Unfortunately some heavy rain moved the welcome reception sponsored by the Seminole Tribe of Florida indoors instead of outside by the gorgeous pool area, but it didn’t detract the crowd or the fun. We had such a great time meeting so many of you from the various NCPG affiliates and gambling helplines. And of course to the new friends we made if you want to learn more about iCarol we’d love to hear from you. Give us a call,
or join an upcoming webinar to learn more about us and our features.
We’re gearing up for the American Association of Suicidology’s 47th Annual Conference in Los Angeles! We’re looking forward to seeing so many of our friends and colleagues there; it’s always a great chance to catch up with everyone in the helpline and suicide prevention industry.
This year iCarol is particularly excited to present a special lunch session on Friday April 11th. Our workshop is
With every passing year, the use of new channels to seek help continues to expand. Join this session to help your crisis center evaluate these channels, determine your next steps and plan your technology choices to adapt to the evolving Online Emotional Support (OES) landscape. You’ll hear from your peers and technology experts about the best way to get started serving people interactively using the electronically written, rather than the spoken word.
Chat, Texting, Mobile and Social: A look at today and the future of online emotional support with iCarol.
Adding new channels by which your clients can reach you can be intimidating and may leave you with a lot of questions. We hope to answer the questions you may have about these new technologies and give you confidence to embark on this new and exciting path with the tools iCarol has developed. We hope you’ll join us for this session at AAS! Not attending the conference but still want to learn more about our Online Emotional Support capabilities? Sign up for a webinar!
On November 20, 2013 at the United Nations Headquarters in New York, Child Helpline International presented their statistical findings after 10 years of receiving calls, emails, texts, and chats from children around the world. We were honored to have Shelley of the iCarol team on site to witness the momentous occasion.
Some highlights from their presentation that we thought you would find interesting:
- Over 4 million children and young people reported a form of abuse or violence
- Immediate or extended family commit 58% of the physical abuse reported
- 60% of abuse and violence were reported by girls
- Over 25% of school-related problems are due to bullying
- Most bullying takes place at school
- Over 30,000 contacts about cyber-bullying since 2011
- Over 60,000 contacts from children who were abandoned
- 220,000 children made contact because they needed food, resources, or financial aid
- 140,000 contacts from children having trouble accessing health services
- 40,000 contacts from children expressing an inability to access education
Want to see the full report? You can download it here.
Congratulations to Child Helpline International for 10 years of incredible service helping children all around the world.
On Veterans Day, HBO began airing the original documentary “Crisis Hotline: Veterans Press 1.” The documentary highlights the work of the call center in Canadaigua, NY that answers the National Suicide Prevention Lifeline’s phone line operated specifically for veterans at risk of suicide. The documentary features harrowing footage of crisis responders working to find anonymous callers in imminent danger, and the quiet and touching moments between the empathetic workers who listen without judgment and the veterans reaching out for help. Check your local listings, this documentary is not to be missed. Visit the HBO website for more information and to check the airtimes.