1. Mental Health and Sexual and Domestic Violence Please introduce yourself in the chat box while we are waiting to get started Where are you from? What is your job title? If you are experiencing any technical difficulties, please contact Leslie Myers at lmyers@vera.org.lmyers@vera.org

2. Introductions Alison L. Iser, MA Project Coordinator, Domestic Violence and Mental Health Collaboration Project Emily Puma, LICSW Program Coordinator, Adult Services

3. Polling Question # 1 What best describes your role?

4. CD-DV-MH Labels Video

5. Polling Question # 2 Whose perspective do you relate to the most?

6. What Do You See? Sunday Afternoon on the Island of La Grande Jatte by Georges Seurat (close up and full painting)

7. Mental Health & DV/SA Mentally Healthy Trauma Abuser Induced Mental Illness DV/ SA Resilience Abuser Claims Survivor is MI Brain Injury, Substance Use Pre-Existing MH Concerns Trauma Abuser Sabotages Recovery Target b/c of MH MH Concerns Develop Looks Mentally Ill to Others MH Worsens

8. Dr. Thomas Joiner’s Suicide Theory Perceived Burdensomeness Thwarted Belongingness Those Who Are Capable of Suicide Serious Attempt or Death by Suicide Those Who Desire Suicide

9. What Can We Do? 1.Address Our Own Needs 2.Create Welcoming Environments 3.Have a Trauma-Informed Approach 4.Talk about Mental Health and Trauma 5.Plan for and Support Wellness 6.Consult 7.Collaborate

10. Address Our Own Needs Compassion Satisfaction Compassion Fatigue

11. Create Welcoming Environments Comfort, Confidence, Control Way- finding Noise Visual Stimuli Personal Space FlexibilityAccess Clear Signs Sound Machines Pleasant, Organized Space Privacy Move furniture ADA at least!

12. Have a Trauma-Informed Approach Ask What happened to you? What do you need? How can I help you feel more comfortable? Instead of… What is wrong with you? Do you have any psychiatric diagnoses? Are you on any psychiatric meds?

13. Polling Question # 3 When would you prefer to disclose sensitive, stigmatized info about yourself?

14. Talk about Mental Health & Trauma Conversation, not Confession After accepting person into services Contextualize Quality Referrals I want to share some information about the impact of trauma and talk with you about your experiences, so we can offer you support…

15. Plan for and Support Wellness Wellness Plan Elements Examples 1. Signs that I am beginning to feel worse emotionally are… I sleep and eat less I get angry easily 2. When I am not feeling emotionally well, I would like my supporters to…. Call me to check in Go for a walk with me Remind me of my strengths 3. When I am not feeling emotionally well, I can do these things to help myself… Do grounding Use my comfort box Call a help line

16. Consult How to navigate community mental health system De-escalation techniques What to do in a crisis How to help someone seek services

17. Collaborate Liaisons and Case Reviews Reciprocal Consultation

18. For More Info… Alison L. Iser Project Coordinator, Domestic Violence and Mental Health Collaboration Project alison@kccadv.org 206.568.5454 www.kccadv.org/reports/mental-healthdv-reports/ This project is supported by Grant No. 2010-FW-AX-K007 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this webinar are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.