The Caring Congregation Handbook And Training Manual Resources for Welcoming and Supporting Those with Mental Disorders and their Families Into Our Congregations by: The Rev. Barbara F. Meyers Children’s lessons co-authored by Peggy Rahman and The Rev. Barbara F. Meyers Will To Print Press San Francisco, CA 2005 Copyright © 2005 Barbara F. Meyers. All Rights Reserved. ISBN 0-9772985-0-7 Second Printing Direct all inquiries to the publisher: WILL TO PRINT PRESS 234 Hyde Street San Francisco, CA 94102 Note: The information in this document is up to date as of the date of its printing: 2005. Acknowledgements I gratefully acknowledge the help of Peggy Rahman who co-authored the children’s lessons with me, and Bonnie McClish Dlott who advised me on the training manual lessons. I also wish to acknowledge the help from people who reviewed early versions of this curriculum. Their careful review and helpful comments helped to significantly improve the quality of the program. These people are: Elizabeth M. Schaefer, Ph.D., Holly Ito, Rev. Dr. Chris Schriner, Karen Ilkka, James “Scotty” Scott, R.N., Lucy Scott, Rev. Keith Kron, Rev. Dr. Devorah Greenstein, Margaret Bobalek King, Linda Millar, Peggy Rahman, and Milton Reynolds In addition, a number of people looked at the curriculum and gave me brief encouraging words, for which I am very grateful. I wish to express gratitude to the Faithful Fools Street Ministry, The Faithful Fools Copy Shop and the staff of Will to Print Press, in particular Sr. Carmen Barsody, Keith Walker, and Richard Nichols. Credits Bellamy, Lauralyn, Reading #692 If You Have Found Black, Donald with C .Lindon Larson, Bad Boys, Bad Comfort © Lauralyn Bellamy, from Singing the Living Men – Confronting Antisocial Personality Disorder, Tradition, Beacon Press, 1993. Adaptation with copyright © 1999 by Oxford University Press, Inc., pp permission. 2-4, for a case study of antisocial personality disorder. Used by permission of Oxford University Press, Inc. Chamberlin, Judi for an excerpt from her book On Our Own, available from the National Empowerment Center, © Cole, T.L., Case study of Borderline Personality 1977 Judi Chamberlin. Used by permission. Disorder. © 2004 T. L. Cole. Used by permission. Copeland, Mary Ellen, Wellness Recovery Action Plan, Fleischman, Paul R., The Healing Spirit – Explorations Brattleboro, VT: Peach Press, 1997, rev. 2002, © Mary in Religion and Psychotherapy, for closing reading. Ellen Copeland. Also author of other recovery resources. Bonne Chance Press © 1989 Paul R. Fleischman. Used For a description of the Wellness Recovery Action Plan™. by permission. Used by permission. Gregg-Schroeder, Susan, In the Shadow of God’s Wings – Hanson, Gary D., Histrionic Personality Disorder Grace in the Midst of Depression for poem “Come along (formerly known as Hysteria). Copyright 2003 © with me,” p 14, and for the case study of her personal story Narramore Christian Foundation, 250 W. Colorado of depression pp 23-24. © 1997 Susan Gregg-Schroeder. Blvd., Suite 200, Arcadia, California 91007. Used by Used and adapted by permission. permission. Ilkka, Karen, The Urge to Cut, © 2004 Karen Ilkka. Used “Laura” for sharing her story as the case study of by permission. schizophrenia. Used with her permission. ii Maxmen, Jerrold S. and Ward, Nicholas G., Essential McMaster, Curtis P., The Tragedy of Heroin Addiction, Psychopathology and Its Treatment, Second Edition for a case study of heroin dependence, in Helen Revised for DSM-IV, for historical religious perspectives Cothran, Ed., Heroin, Greenhaven Press, 2001, pp 29- on mental retardation, pp 420-421, W.W. Norton & 30. © 2001 Curtis P. McMaster. Used by permission. Company © 1995 Maxmen, Jerrold S. and Ward, Nicholas G. Used by permission. Park, Clara Claiborne, The Siege: A Family's Journey NAMI. Family-to-Family materials for the Hearing Voices into the World of an Autistic Child, for a case study of Skit, Stages of Reaction among Family Members, Life a family with an autistic child, pp 3-5. Copyright © Burdens of Family Members, Coping Strategies, and 1967, 1982 by Clara Claiborne Park. Copyright © Communication Guidelines. Used by permission. renewed 1995 by Clara Claiborne Park. Used by Permission of Little, Brown and Co, Inc. Phillips, Kevin, Case Study on Asperger’s Disorder by a 22-year-old man with Asperger’s Disorder. On line at Rahman, Peggy, for the story Daun Gets Stuck, the UU Kevin Phillips’ website at: http://www.angelfire.com/ Coffee Hour Skit, and the song “My Rainbow, © 2004 amiga/aut/index.html and http://www.angelfire.com/ Peggy Rahman. Used by permission. amiga/aut/belief.html. Used by permission. Wilson, Pamela, Training Manual for Our Whole Lives Robbins, Stephen James, The Long Journey Home, for a Sexuality Education, Implementation Workshop, case study of post traumatic stress disorder. On line at: developed for UUA, July 1999, for structure of grunt.space.swri.edu/srjourne.htm. Used by permission. program, leadership preparation. Used by permission UUA, The Welcoming Congregation Handbook – Young, Adena, Battling Anorexia – The Story of Karen Resources for Affirming Bisexual, Gay, Lesbian and/or Carpenter, for the study of Anorexia Nervosa. On line Transgender People, for Participation Guidelines and at http://atdpweb.soe.berkeley.edu/quest/mind& Leadership Preparation, © 1990, 1999 UUA. Used by Body/Carpenter.html. Used by permission. permission. Front cover photo: Charming, determined and self-effacing, the Unitarian Dorothea Lynde Dix was the foremost crusader for people with mental illness in the United States in the mid-1800s. In an era when women didn’t have the right to vote, she managed by sheer force of will, hard work, and astuteness to convince legislatures in many states to appropriate public funds to build over 30 hospitals for the care of the mentally ill. She was deeply religious, having been raised by her grandmother to be a Unitarian, later worshiping in the church of the Rev. William Ellery Channing beginning in 1823. The sense of religious purpose in her life is what drove her to her acts of public service. We follow in her footsteps. Dix considered this daguerreotype “the only picture that seems to me a good likeness and to convey something of the tone and type of character.”1 Many later portraits of Dix were made from this daguerreotype. The original is in the Houghton Library, Harvard University. Used by permission of the Houghton Library, Harvard University, call # bMS Am 1838 (994). Back cover photo: Daguerreotype of Dorothea Lynde Dix at work taken by Marcus Aurelius Root c. 1848, Worcester Art Museum, Worcester, Massachusetts. Used by permission of Worcester Art Museum. Note: Superscripts in this document refer to items in the End Notes. iii Table of Contents The Caring Congregation Program............................................................................................... 1 Program Description and Overview.............................................................................................. 1 Steps to becoming a Caring Congregation.................................................................................... 3 The Workshop Series...................................................................................................................... 4 Tailoring the Program to Your Congregation............................................................................... 4 Adding Artistic and Musical Dimensions to the Workshop ......................................................... 5 Participation Guidelines................................................................................................................ 6 General Workshops for Adults and Youth................................................................................... 7 Workshop 1 - Mental Disorders and their Consequences....................................................... 8 People Bingo Card ...................................................................................................................12 UU Coffee Hour Skit ...............................................................................................................13 UU Coffee Hour Character Profiles.........................................................................................18 Mental Health and Mental Disorders.......................................................................................21 Categories of Mental Disorders ...............................................................................................22 Myths and Stereotypes about those with Mental Disorders.....................................................24 Stigma of Mental Disorders – Consequences and Strategies...................................................25 Executive Summary - A Report of the Surgeon General On Mental Health...........................26 Workshop 2 - Specific Mental Disorders and how they are Diagnosed............................... 39 Hearing Voices Skit .................................................................................................................45 Mood Disorders........................................................................................................................50 Anxiety Disorders ....................................................................................................................52 Psychotic Disorders..................................................................................................................57 Substance Related Disorders....................................................................................................59